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Caris Life Sciences Reports Second Quarter 2026 Financial Results and Increases 2026 Revenue Guidance
Caris Life Sciences Reports Second Quarter 2026 Financial Results and Increases 2026 Revenue Guidance
Revenue growth of 45% driven by strong performance in molecular profiling services, including approximately 59,200 clinical cases, consisting of over 114,000 whole exome/whole transcriptome tests with over 345,000 total oncology tests
Raises 2026 revenue guidance to $1.03 to $1.04 billion, representing growth of 27% to 28%
IRVING, Texas, Aug. 5, 2026 /PRNewswire/ -- Caris Life Sciences, Inc. (Nasdaq: CAI), a leading TechBio company actively developing and commercializing solutions to transform healthcare, today reported financial results for the quarter ended June 30, 2026.
Second Quarter 2026 Financial Highlights
- Reported total revenue of $263.7 million, an increase of 45% over the corresponding prior year period.
- Completed approximately 59,200 clinical cases, an increase of approximately 18% over the corresponding prior year period, including approximately 48,300 MI Profile cases and approximately 10,700 Caris Assure cases.
- Reported gross margin of 68%, an approximate 500 bps improvement over the corresponding prior year period.
- Reported net loss of $0.6 million.
- Reported positive Adjusted EBITDA of $55.7 million.
- Reported positive net cash provided by operating activities of $28.5 million, and positive free cash flow of $6.4 million.
"This was a record quarter, with approximately 59,200 clinical cases, up more than 12% sequentially, reflecting sustained demand and the payoff from investments in our commercial engine," said David Dean Halbert, Founder, Chairman and CEO of Caris Life Sciences. "Our comprehensive approach gives every case real molecular depth, across more than 1.13 million patients with AI trained on it, that depth is what powers Caris Detect. And Detect doesn't stop at finding cancer early, through what we call the Mutational Cleanse, we plan to turn an early signal into personalized immune targets, moving from early detection to early interception. It all comes back to one thing: making precision medicine a reality for every patient."
Recent Operating Highlights
- Launched Caris Detect, a groundbreaking multi-cancer early detection blood test designed to uncover cancer signals at earlier, more treatable stages.
- Launched and received MolDX approval for Caris ChromoSeq, Caris' comprehensive whole genome tumor profiling assay for myeloid malignancies.
- Launched Caris MI Clarity next-generation prognostic tool that leverages multimodal AI technology and computational pathology to deliver rapid, clinically actionable results for HR+/HER2−, postmenopausal, node-negative early-stage breast cancer patients.
- Announced a share repurchase program of up to $100 million, of which approximately $82.1 million remains available for repurchase under the existing Board authorization.
- Published a study on the Caris Lookback Program demonstrating the ongoing clinical value of comprehensive testing with Caris MI Cancer Seek.
- Published a study showing that whole exome measurement of tumor mutational burden (TMB) results in increased overall survival compared to estimates derived from targeted gene panels.
- Launched the Behind the Diagnosis campaign, spotlighting patient lives transformed by Caris' comprehensive genomic testing.
- Announced a dual listing on NYSE Texas.
- Surpassed 1,130,000 total profiles and 845,000 total matched profiles through June 30, 2026. More than 783,000 whole transcriptome and 733,000 whole exome profiles through June 30, 2026.
Second Quarter 2026 Financial Results
Total revenue was $263.7 million for the three months ended June 30, 2026, compared to $181.4 million for the three months ended June 30, 2025, an increase of $82.3 million, or 45%.
The increase in total revenue was driven primarily by a 55% growth in molecular profiling services revenue, which was $252.3 million for the three months ended June 30, 2026, compared to $162.9 million for the three months ended June 30, 2025. The increase in molecular profiling services revenue was primarily driven by an increase in total clinical case volume and ASP improvements.
Gross profit, calculated as total revenue less cost of services, for the three months ended June 30, 2026 and 2025, was $179.6 million and $113.7 million, respectively, representing a gross margin of 68% and 63%, respectively.
Operating expenses were $152.7 million for the three months ended June 30, 2026, compared to $131.7 million for the three months ended June 30, 2025, an increase of $21.0 million, or 16%. The increase was primarily driven by headcount-related costs.
Net loss was $0.6 million for the three months ended June 30, 2026, as compared to a net loss of $71.8 million for the three months ended June 30, 2025. Net loss per share attributable to common shareholders, basic and diluted, was $0.00 for the three months ended June 30, 2026, as compared to a net loss per share attributable to common shareholders, basic and diluted, of $7.97 for the three months ended June 30, 2025.
Net cash provided by operating activities was $28.5 million for the three months ended June 30, 2026, as compared to net cash provided by operating activities of $7.3 million for the three months ended June 30, 2025, a 291% improvement. The improvement was driven by improved total clinical case volume and ASP improvements.
2026 Financial Outlook and Guidance
Caris Life Sciences now expects full year 2026 revenue to be in the range of $1.03 billion to $1.04 billion, representing growth of 27% to 28% compared to full year 2025 and reaffirms its guidance to clinical therapy selection volume growth of approximately 20% compared to full year 2025.
Conference Call Information
Event: Caris Second Quarter 2026 Financial Results Conference Call Date: Wednesday, August 5, 2026 Time: 3:30 p.m. CT (4:30 p.m. ET) Webcast Link: https://edge.media-server.com/mmc/p/ff8xb4qs
Accompanying materials will be posted on our investor relations website at https://investor.carislifesciences.com prior to the conference call. A replay of the conference call will be available on our investor relations website shortly after the conclusion of the call.
About Caris Life Sciences
Caris Life Sciences® (Caris) is a leading TechBio company actively developing and commercializing innovative solutions to transform healthcare. Through comprehensive molecular profiling (Whole Genome, Whole Exome and Whole Transcriptome Sequencing), advanced AI and machine learning, Caris has created the large-scale, multimodal clinico-genomic database and computing capability needed to analyze and further unravel the molecular complexity of disease. This convergence of next-generation sequencing, AI and machine learning technologies and high-performance computing provides a differentiated platform for developing the latest generation of advanced precision medicine diagnostic solutions for early detection, diagnosis, monitoring, therapy selection and drug development.
Caris was founded with a vision to realize the potential of precision medicine to improve the human condition. Headquartered in Irving, Texas, Caris has offices in Phoenix, New York, Cambridge (MA), Tokyo, Japan and Basel, Switzerland. Caris or its distributor partners provide services in the U.S. and other international markets.
We intend to use the investor page of our website, https://investor.carislifesciences.com, as a distribution channel of material information about the Company and for complying with our disclosure obligations under Regulation FD. The information we post on our investor webpage may be deemed material. Accordingly, investors should subscribe to our investor alerts, in addition to following our press releases, SEC filings, public conference calls and webcasts.
CARIS LIFE SCIENCES, INC
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (UNAUDITED)
(amounts in thousands, except share and per share data)
Three Months Ended June 30,
Six Months Ended June 30,
2026
2025
2026
2025
Revenue:
Molecular profiling services
$ 252,254
$ 162,924
$ 463,053
$ 277,006
Pharma research and development services
11,458
18,474
16,833
25,308
Total revenue
263,712
181,398
479,886
302,314
Costs and operating expenses:
Cost of Services - Molecular profiling services
81,328
65,321
154,211
126,215
Cost of Services - Pharma research and development services
2,788
2,392
4,730
5,350
Selling and marketing expense
53,764
42,260
98,808
82,089
General and administrative expense
66,548
64,367
126,257
116,486
Research and development expense
32,358
25,047
63,672
48,114
Total costs and operating expenses
236,786
199,387
447,678
378,254
Income (Loss) from operations
26,926
(17,989)
32,208
(75,940)
Other expense, net:
Interest income
6,819
1,618
13,653
2,121
Interest expense
(9,228)
(19,208)
(22,037)
(31,990)
Changes in fair value of financial instruments
—
(17,870)
—
(50,203)
Other expense, net
(25,131)
(18,341)
(25,082)
(18,358)
Total other expense, net
(27,540)
(53,801)
(33,466)
(98,430)
Loss before income taxes and income tax benefit
(614)
(71,790)
(1,258)
(174,370)
Income tax benefit (expense)
(23)
—
111
—
Net loss
(637)
(71,790)
(1,147)
(174,370)
Other comprehensive loss, net of tax:
Unrealized loss on available-for-sale securities
(255)
—
(255)
—
Foreign currency translation adjustments
(109)
424
(152)
459
Comprehensive loss
(1,001)
(71,366)
(1,554)
(173,911)
Net loss attributable to common shareholders:
Net loss
(637)
(71,790)
(1,147)
(174,370)
Deemed dividend from Series D redeemable convertible preferred stock
—
(384,436)
—
(384,436)
Adjustments of redeemable convertible preferred stock to redemption value
—
(60,971)
—
(85,433)
Net loss attributable to common shareholders
$ (637)
$ (517,197)
$ (1,147)
$ (644,239)
Net loss per share attributable to common shareholders, basic and diluted
$ (0.00)
$ (7.97)
$ (0.00)
$ (12.80)
Weighted-average shares used in computing net loss per share attributable to common shareholders, basic and diluted
282,888,610
64,918,988
282,726,214
50,348,947
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
(amounts in thousands, except share data)
As of June 30,
As of December 31,
2026
2025
Assets
Current assets:
Cash, cash equivalents, and restricted cash
$ 690,915
$ 797,799
Short-term marketable securities
102,200
2,295
Accounts receivable
116,888
112,140
Supplies
123,791
63,625
Prepaid expenses and other current assets
24,034
21,941
Total current assets
1,057,828
997,800
Property and equipment, net
95,716
63,170
Goodwill
19,344
19,344
Other assets
56,732
45,349
Total assets
$ 1,229,620
$ 1,125,663
Liabilities and Shareholders' Equity
Current liabilities:
Accounts payable
$ 85,986
$ 39,206
Accrued expenses and other current liabilities
105,273
87,770
Current portion of indebtedness
178
169
Total current liabilities
191,437
127,145
Long-term indebtedness, net of debt discounts
392,973
378,823
Other long-term liabilities
53,476
42,388
Total liabilities
637,886
548,356
Commitments and contingencies
Shareholders' equity:
Preferred stock, $0.001 par value per share; 100,000,000 shares authorized as of June 30, 2026 and December 31, 2025; no shares issued and outstanding as of June 30, 2026 and December 31, 2025
—
—
Common stock, $0.001 par value per share; 2,800,000,000 shares authorized as of June 30, 2026 and December 31, 2025; 282,582,915 and 284,137,810 shares issued as of June 30, 2026 and December 31, 2025, respectively; 282,582,915 and 282,526,097 shares outstanding as of June 30, 2026 and December 31, 2025, respectively; shares issued and outstanding include 23,446 unvested shares subject to repurchase as of June 30, 2026 and December 31, 2025
283
283
Treasury stock at cost, 0 and 1,611,713 shares of common stock as of June 30, 2026 and December 31, 2025, respectively
—
(16,896)
Additional paid-in capital
3,140,805
3,141,720
Accumulated deficit
(2,549,883)
(2,548,736)
Accumulated other comprehensive income
529
936
Total shareholders' equity
591,734
577,307
Total liabilities and shareholders' equity
$ 1,229,620
$ 1,125,663
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(amounts in thousands)
Six Months Ended June 30,
2026
2025
Cash flows from operating activities
Net loss
$ (1,147)
$ (174,370)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization
11,603
13,454
Stock-based compensation expense
38,091
42,984
Non-cash operating lease expense
2,762
2,936
Amortization of debt discounts
2,923
9,700
Changes in fair value of financial instruments
—
50,203
Loss on debt extinguishment
25,232
17,930
Other
(27)
1,231
Changes in operating assets and liabilities:
Accounts receivable
(4,749)
37,040
Supplies
(61,637)
(2,621)
Prepaid expenses and other current assets
(659)
(2,265)
Other assets
(771)
334
Accounts payable
39,632
(1,925)
Accrued expenses and other liabilities
10,100
(18,681)
Net cash provided by (used in) operating activities
61,353
(24,050)
Cash flows from investing activities
Sale of marketable securities
1,874
—
Purchases of marketable securities
(101,991)
—
Capitalized software and purchases of property and equipment
(32,417)
(4,075)
Net cash used in investing activities
(132,534)
(4,075)
Cash flows from financing activities
Payments made on finance lease obligations
(82)
(44)
Proceeds from exercise of stock options
1,661
2,624
Payment of taxes withheld from net settlement of exercised options and vested RSUs
(5,320)
(1,658)
Payment of deferred offering costs
—
(2,045)
Repurchase of common stock
(21,361)
(22)
Repayment of the 2023 term loan
(406,307)
—
Proceeds from the 2026 term loan, net of issuance costs
393,500
—
Payment of third-party debt issuance costs
(1,107)
—
Proceeds from share purchases under employee stock purchase plan
2,937
—
Issuance of Series E Preferred Stock, net of issuance costs
—
87,637
Issuance of Series F Preferred Stock, net of issuance costs
—
33,601
Issuance of the 2025 Convertible Notes, net of issuance costs
—
27,865
Issuance of the 2025 Warrants
—
10,270
Payments of the 2023 term loan amendment fee
—
(4,000)
Proceeds from initial public offering, net of underwriting discounts and commissions
—
528,459
Net cash provided by (used in) financing activities
(36,079)
682,687
Effect of exchange rate changes on cash, cash equivalents, and restricted cash
(37)
97
Net increase (decrease) in cash, cash equivalents, and restricted cash
(107,297)
654,659
Cash, cash equivalents, and restricted cash at beginning of period
800,042
68,028
Cash, cash equivalents, and restricted cash at end of period
$ 692,745
$ 722,687
Reconciliation of cash, cash equivalents, and restricted cash
Cash, cash equivalents, and restricted cash
$ 690,915
$ 720,444
Restricted cash included in other long-term assets
1,830
2,243
Total cash, cash equivalents, and restricted cash
$ 692,745
$ 722,687
RECONCILIATION OF GAAP NET LOSS TO ADJUSTED EBITDA (UNAUDITED)
(amounts in thousands)
Three Months Ended June 30,
Six Months Ended June 30,
2026
2025
2026
2025
Net loss
$ (637)
$ (71,790)
$ (1,147)
$ (174,370)
Interest income
(6,819)
(1,618)
(13,653)
(2,121)
Interest expense
9,228
19,208
22,037
31,990
Changes in fair value of financial instruments
—
17,870
—
50,203
Other expense, net
25,131
18,341
25,082
18,358
Income tax expense (benefit)
23
—
(111)
—
Depreciation and amortization expense
6,538
6,409
11,603
13,454
Stock-based compensation expense
22,219
28,293
38,091
42,984
Adjusted EBITDA
$ 55,683
$ 16,713
$ 81,902
$ (19,502)
RECONCILIATION OF NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES TO FREE CASH FLOW (UNAUDITED)
(amounts in thousands)
Three Months Ended June 30,
Six Months Ended June 30,
2026
2025
2026
2025
Net cash provided by (used in) operating activities
$ 28,477
$ 7,288
$ 61,353
$ (24,050)
Less: capitalized software and purchases of property and equipment
(22,075)
(1,386)
(32,417)
(4,075)
Free cash flow
$ 6,402
$ 5,902
$ 28,936
$ (28,125)
Summary
Revenue growth of 45% driven by strong performance in molecular profiling services, including approximately 59,200 clinical cases, consisting of over 114,000 whole exome/whole transcriptome tests with over 345,000 total oncology tests Raises 2026 revenue guidance to 1.03to1.04...