Caris Life Sciences Reports Third Quarter 2026 Financial Results and Increases 2026 Revenue Guidance

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Revenue growth of 27% driven by strong performance in molecular profiling services, including approximately 61,500 clinical cases, consisting of over 358,000 total oncology tests

Raises 2026 revenue guidance to $1.04 to $1.05 billion, representing growth of 28% to 29%

IRVING, Texas, Nov. 4, 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 September 30, 2026.

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Third Quarter 2026 Financial Highlights

  • Reported total revenue of $275.4 million, an increase of 27% over the corresponding prior year period.
  • Completed approximately 61,500 clinical cases, an increase of approximately 21% over the corresponding prior year period.
  • Reported gross margin of 66%.
  • Reported net income of $15.3 million.
  • Reported positive Adjusted EBITDA of $44.4 million.
  • Reported net cash used in operating activities of $22.2 million, and free cash flow of $(39.7) million. 

“This was another record quarter, with approximately 61,500 clinical cases, up 21% year over year,” said David Dean Halbert, Founder, Chairman and CEO of Caris Life Sciences. “Every case we run carries real molecular depth, whether Whole Exome, Whole Transcriptome, Whole Genome, or AI-driven digital pathology, and that depth is what allows us to move across the entire cancer journey. Caris Assure® is now available for therapeutic response monitoring, and Caris Confirm, our Whole Genome, tumor-informed assay for minimal residual disease, is targeted to launch before year-end. It all comes back to making precision medicine a reality for every patient through a comprehensive, data-driven approach.”

Recent Operating Highlights

  • Launched Caris Assure Therapy Response Monitoring, extending the Caris Assure blood-based platform from therapy selection to serial monitoring of treatment response.
  • Launched enhanced Caris Assure for Therapy selection with therapy focused sequencing depth reaching 40,000x and increasing RNA reads to ~600M. 
  • Published validation of the Caris AI Insights™ pancreatic cancer signature, demonstrating that an AI-based molecular signature can predict first-line treatment benefits.
  • Share repurchase program of up to $100.0 million, of which approximately $72.1 million remains available for repurchase under the existing Board authorization.
  • Launched two national advertising campaigns featuring Kevin Costner and Jordan Spieth, spotlighting the importance of early-stage cancer detection and introducing Caris Detect™ to a consumer audience.
  • Surpassed 1,200,000 total profiles and 845,000 total matched profiles through September 30, 2026. More than 849,000 Whole Transcriptome and 796,000 Whole Exome profiles through September 30, 2026.

Third Quarter 2026 Financial Results
Total revenue was $275.4 million for the three months ended September 30, 2026, compared to $216.8 million for the three months ended September 30, 2025, an increase of $58.5 million, or 27%.

The increase in total revenue was driven primarily by a 27% growth in molecular profiling services revenue, which was $262.7 million for the three months ended September 30, 2026, compared to $207.6 million for the three months ended September 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 September 30, 2026 and 2025, was $182.3 million and $147.5 million, respectively, representing a gross margin of 66% and 68%, respectively.

Operating expenses were $163.0 million for the three months ended September 30, 2026, compared to $114.9 million for the three months ended September 30, 2025, an increase of $48.1 million, or 42%. The increase was primarily driven by headcount-related costs, increased research and development investment, and marketing expenditures.

Net income was $15.3 million for the three months ended September 30, 2026, as compared to a net income of $24.3 million for the three months ended September 30, 2025. Net income per share attributable to common shareholders, basic and diluted, was $0.05 and $0.05, respectively, for the three months ended September 30, 2026, as compared to a net income per share attributable to common shareholders, basic and diluted, of $0.09 and $0.08, respectively, for the three months ended September 30, 2025.

Net cash used in operating activities was $22.2 million for the three months ended September 30, 2026, as compared to net cash provided by operating activities of $62.4 million for the three months ended September 30, 2025, a 136% decrease. The decrease was driven by continued investment in commercial expansion and marketing expenditures, inventory build-up for new solution launches, and research and development efforts.

2026 Financial Outlook and Guidance
Caris Life Sciences now expects full year 2026 revenue to be in the range of $1.04 to $1.05 billion, representing growth of 28% to 29% compared to full year 2025 and reaffirms its guidance for clinical therapy selection volume growth of approximately 20% compared to full year 2025.

Conference Call Information
Event:                            Caris Third Quarter 2026 Financial Results Conference Call
Date:                              Wednesday, November 4, 2026
Time:                              3:30 p.m. CT (4:30 p.m. ET)
Webcast Link:                https://edge.media-server.com/mmc/p/nri9afky

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.

Forward-Looking Statements
This press release contains forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995 and other federal securities laws. All statements other than statements of historical facts contained in this press release are forward-looking statements, including statements regarding our business, solutions, plans, objectives, goals, industry trends, financial outlook and guidance. In some cases forward-looking statements can be identified by words such as “may,” “will,” “should,” “would,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “potential,” “contemplate,” “believe,” “estimate,” “predict,” or “continue” or similar expressions.

You should not rely upon forward-looking statements as predictions of future events. Although we believe that the expectations reflected in these forward-looking statements are reasonable based on information currently available to us, we cannot guarantee that the future results, discoveries, levels of activity, performance or events and circumstances reflected in forward-looking statements will be achieved or occur. Forward-looking statements involve known and unknown risks and uncertainties, some of which are beyond our control. Risks and uncertainties that could cause our actual results to differ materially from those indicated or implied by the forward-looking statements in this press release include, among other things: continued development, performance and commercialization of Caris Detect and Caris Confirm; developments in the precision medicine industry; our future financial performance, results of operations or other operational results or metrics; development, analytical and clinical validation, timing and performance of future solutions by us and our competitors; commercial market acceptance for our solutions, including acceptance of preventive as well as diagnostic testing paradigms, and our ability to meet resulting demand; the rapidly evolving competitive environment in which we operate; third-party payer reimbursement and coverage decisions related to our solutions, including the effect of legislative, regulatory, or administrative actions on reimbursement; the impact on our future volumes of the continued execution of our strategy to re-align and expand our sales organization; risks related to data management, storage, and processing capabilities and our ability to integrate and deploy artificial intelligence and advanced data analytics technologies; our ability to protect and enhance our intellectual property; regulatory requirements, decisions or approvals (including the timing and conditions thereof) related to our solutions; reliance on third-party suppliers; risks related to data security, patient privacy, and compliance with healthcare data protection regulations as well as potential cybersecurity threats to our data platforms; our compliance with laws and regulations; the outcome of government investigations and litigation; risks related to our indebtedness; and our ability to hire and retain key personnel as well as risks, uncertainties, and other factors described in the section titled “Risk Factors” and elsewhere in our Annual Report on Form 10-K filed on March 3, 2026, and in our other filings we make with the SEC from time to time. We undertake no obligation to update any forward-looking statements to reflect changes in events, circumstances or our beliefs after the date of this press release, except as required by law.

Non-GAAP Measures
We use Adjusted EBITDA and free cash flow, financial measures not calculated in accordance with generally accepted accounting principles in the United States (“GAAP”), to supplement our condensed consolidated financial statements, which are presented in accordance with GAAP. We believe the non-GAAP financial measures we use, are useful in evaluating our performance and liquidity. Our non-GAAP financial measures have limitations as analytical tools, however, and you should not consider them in isolation or as substitutes for analysis of our results as reported under GAAP. Other companies, including other companies in our industry, may not use these measures or may calculate these measures differently than as presented herein, limiting their usefulness as comparative measures.

We define Adjusted EBITDA as net income (loss), adjusted to exclude interest income, interest expense, changes in fair value of financial instruments, other expense, net, the provision for (benefit from) income taxes, depreciation and amortization, and stock-based compensation expense. We use Adjusted EBITDA in conjunction with GAAP measures as part of our overall assessment of our performance, including the preparation of our annual operating budget and quarterly forecasts, to evaluate the effectiveness of our business strategies, and to communicate with our board of directors concerning our financial performance. We believe Adjusted EBITDA provides useful information to investors and others in understanding and evaluating our operating results in the same manner as our management team and board of directors. Adjusted EBITDA provides a useful measure for period-to-period comparisons of our business, as it removes the effect of certain non-cash expenses and certain variable charges. We define free cash flow as net cash provided by (used in) operating activities less capitalized software and purchases of property and equipment. Our method of calculating free cash flow is unchanged from prior periods; the caption has been updated to identify capitalized software as a component of our investing capital expenditures. We believe free cash flow is a useful measure of liquidity that provides an additional basis for assessing our ability to generate cash. A reconciliation of the non-GAAP financial measures used in this press release to the respective comparable GAAP financial measures, can be found below.

Caris Life Sciences Media:
Corporate Communications
CorpComm@CarisLS.com 
214.294.5606

Investor Relations:
IR@CarisLS.com
917.689.3511

CARIS LIFE SCIENCES, INC

 

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
(UNAUDITED)

(amounts in thousands, except share and per share
data)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2026

2025

2026

2025

Revenue:

Molecular profiling services

$      262,707

$      207,587

$      725,760

$      484,593

Pharma research and development services

12,651

9,246

29,483

34,554

Total revenue

275,358

216,833

755,243

519,147

Costs and operating expenses:

Cost of Services – Molecular profiling services

89,172

66,980

243,383

193,195

Cost of Services – Pharma research and
development services

3,901

2,347

8,630

7,698

Selling and marketing expense

59,853

41,267

158,661

123,355

General and administrative expense

69,278

51,973

195,534

168,458

    Research and development expense

33,838

21,624

97,511

69,739

Total costs and operating expenses

256,042

184,191

703,719

562,445

Income (Loss) from operations

19,316

32,642

51,524

(43,298)

Other expense, net:

Interest income

6,332

7,360

19,985

9,482

Interest expense

(9,249)

(13,507)

(31,286)

(45,497)

    Changes in fair value of financial instruments

—

(2,081)

—

(52,285)

    Other income (expense), net

475

(89)

(24,607)

(18,447)

Total other expense, net

(2,442)

(8,317)

(35,908)

(106,747)

Income (Loss) before income taxes

16,874

24,325

15,616

(150,045)

Income tax expense

(1,624)

—

(1,513)

—

Net income (loss)

15,250

24,325

14,103

(150,045)

Other comprehensive income (loss), net of tax:

Unrealized loss on available-for-sale securities

(153)

—

(408)

—

Foreign currency translation adjustments

(481)

79

(633)

538

Comprehensive income (loss)

14,616

24,404

13,062

(149,507)

Net income (loss) attributable to common
shareholders:

Net income (loss)

15,250

24,325

14,103

(150,045)

Deemed dividend from Series D redeemable
convertible preferred stock

—

—

—

(384,436)

Adjustments of redeemable convertible preferred
stock to redemption value

—

—

—

(85,433)

Net income (loss) attributable to common
shareholders

$       15,250

$       24,325

$       14,103

$    (619,914)

Net income (loss) per share attributable to common
shareholders:

Basic

$          0.05

$          0.09

$          0.05

$         (4.83)

Diluted

$          0.05

$          0.08

$          0.05

$         (4.83)

Weighted-average shares used in computing net
income (loss) per share attributable to common
shareholders:

Basic

283,894,498

282,099,073

283,118,633

128,447,673

Diluted

295,140,869

297,211,838

294,241,534

128,447,673

 

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)

(amounts in thousands, except share data)

As of September 30,

As of December 31,

2026

2025

Assets

Current assets:

     Cash, cash equivalents, and restricted cash

$             665,321

$             797,799

Short-term marketable securities

102,059

2,295

Accounts receivable

133,322

112,140

Supplies

138,372

63,625

Prepaid expenses and other current assets

28,194

21,941

Total current assets

1,067,268

997,800

Property and equipment, net

102,295

63,170

Goodwill

19,344

19,344

Other assets

66,716

45,349

Total assets

$          1,255,623

$          1,125,663

Liabilities and Shareholders’ Equity

Current liabilities:

Accounts payable

$              63,836

$              39,206

Accrued expenses and other current liabilities

95,021

87,770

Current portion of indebtedness

89

169

Total current liabilities

158,946

127,145

Long-term indebtedness, net

393,178

378,823

Other long-term liabilities

64,018

42,388

Total liabilities

616,142

548,356

Commitments and contingencies

Shareholders’ equity:

Preferred stock, $0.001 par value per share; 100,000,000 shares
authorized as of September 30, 2026 and December 31, 2025; no shares
issued and outstanding as of September 30, 2026 and December 31,
2025

—

—

Common stock, $0.001 par value per share; 2,800,000,000 shares
authorized as of September 30, 2026 and December 31, 2025;
286,717,657 and 284,137,810 shares issued as of September 30, 2026
and December 31, 2025, respectively; 286,717,657 and 282,526,097
shares outstanding as of September 30, 2026 and December 31, 2025,
respectively; shares issued and outstanding include 3,288 and 23,446
unvested shares subject to repurchase as of September 30, 2026 and
December 31, 2025, respectively

287

283

Treasury stock at cost, 0 and 1,611,713 shares of common stock as of
September 30, 2026 and December 31, 2025, respectively

—

(16,896)

     Additional paid-in capital

3,173,932

3,141,720

     Accumulated deficit

(2,534,633)

(2,548,736)

     Accumulated other comprehensive income (loss)

(105)

936

Total shareholders’ equity

639,481

577,307

Total liabilities and shareholders’ equity

$          1,255,623

$          1,125,663

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

(amounts in thousands)

Nine Months Ended September 30,

2026

2025

Cash flows from operating activities

Net income (loss)

$              14,103

$            (150,045)

Adjustments to reconcile net income (loss) to net cash provided by
operating activities:

Depreciation and amortization

18,209

18,324

Stock-based compensation expense

56,589

56,639

Non-cash operating lease expense

4,321

4,323

Amortization of debt discounts

3,234

12,163

Changes in fair value of financial instruments

—

52,284

Loss on debt extinguishment

25,232

17,930

Other

3,074

788

Changes in operating assets and liabilities:

        Accounts receivable

(21,182)

61,232

Supplies

(78,467)

(11,144)

        Prepaid expenses and other current assets

(5,711)

(4,805)

        Other assets

(409)

(326)

        Accounts payable

18,042

(1,196)

        Accrued expenses and other liabilities

2,072

(17,792)

Net cash provided by operating activities

39,107

38,375

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

(49,887)

(11,170)

Net cash used in investing activities

(150,004)

(11,170)

Cash flows from financing activities

Payments made on finance lease obligations

(125)

(67)

Proceeds from exercise of stock options

26,054

3,775

Payment of taxes withheld from net settlement of exercised options  
and vested RSUs

(5,426)

(18,218)

Payment of deferred offering costs

—

(7,710)

Repurchase of common stock

(31,371)

(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

(21,845)

661,590

Effect of exchange rate changes on cash, cash equivalents, and restricted
cash

(149)

159

Net increase (decrease) in cash, cash equivalents, and restricted cash

(132,891)

688,954

Cash, cash equivalents, and restricted cash at beginning of period

800,042

68,028

Cash, cash equivalents, and restricted cash at end of period

$             667,151

$             756,982

Reconciliation of cash, cash equivalents, and restricted cash

Cash, cash equivalents, and restricted cash

$             665,321

$             754,739

Restricted cash included in other long-term assets

1,830

2,243

Total cash, cash equivalents, and restricted cash

$             667,151

$             756,982

 

RECONCILIATION OF GAAP NET INCOME (LOSS) TO ADJUSTED EBITDA (UNAUDITED)

(amounts in thousands)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2026

2025

2026

2025

Net income (loss)

$       15,250

$       24,325

$       14,103

$    (150,045)

Interest income

(6,332)

(7,360)

(19,985)

(9,482)

Interest expense

9,249

13,507

31,286

45,497

Changes in fair value of financial instruments         

—

2,081

—

52,285

Other income (expense), net

(475)

89

24,607

18,447

Income tax expense

1,624

—

1,513

—

Depreciation and amortization expense

6,606

4,870

18,209

18,324

Stock-based compensation expense

18,498

13,655

56,589

56,639

Adjusted EBITDA

$       44,420

$       51,167

$     126,322

$       31,665

 

RECONCILIATION OF NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES TO FREE CASH
FLOW (UNAUDITED)

(amounts in thousands)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2026

2025

2026

2025

Net cash provided by (used in) operating activities     

$      (22,246)

$       62,425

$       39,107

$       38,375

Less: capitalized software and purchases of property
and equipment

(17,470)

(7,095)

(49,887)

(11,170)

Free cash flow

$      (39,716)

$       55,330

$      (10,780)

$       27,205

 

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