Record Quarterly and Annual Revenue Growth
Q4 total revenue of $293M, up 125% year-over-year; full-year total revenue growth ~97% year-over-year. Molecular profiling revenues reached $282M in Q4 (up 199% YoY) and $766.7M for the full year (up 120% YoY).
Strong Profitability and Cash Generation
Q4 GAAP net income of $82M, Q4 adjusted EBITDA of $106M and positive free cash flow of $39.7M. Full-year adjusted EBITDA of $138M and full-year free cash flow of $67M. Cash on hand grew to slightly above $800M (increase of $43M in the quarter).
Improved Margins
Q4 GAAP gross margin improved to 75% (vs. 54% in Q4 2024 and 68% in Q3 2025). Full-year GAAP molecular profiling gross margin finished at ~66% (64% excluding additional prior‑year collections).
Volume and ASP Expansion
Clinical profiling volumes ~199,300 cases in 2025 (volume growth ~22% year-over-year for the year; 20% quarter-over-quarter growth in Q4). Clinical ASP increases: company reported a 150% clinical ASP increase (CEO commentary); full-year tissue ASP for 2025 cases ~$3,876 and blood ASP just above $2,500. Tissue ASP increased ~83% to >$4,000 and blood ASP increased ~69% to just under $2,800 (full-year trends).
Platform Scale and Data Assets
Platform milestone: more than 1 million profiled cases and ~50+ billion molecular markers; dataset includes ~627,000 exomes, ~678,000 transcriptomes and ~740,000 match profiles — strengthening product development and biopharma partnerships.
Promising ACHIEVE-1 (Caris Detect) Interim Results
ACHIEVE-1 interim (2,122 samples: 617 cancer, 1,505 controls) showed Stage I sensitivity 56.8% (n=266), Stage II 70.1% (n=137), Stage III 77% (n=105), Stage IV 99.1% (n=109); combined Stage I+II sensitivity 63.1%. Specificity: 99.1% in the screening cohort (n=121 with follow-up) and 95.3% in the higher-risk normal cohort (1,505). Overall AUC 0.90. A blinded holdout (~865 samples) is in process; ACHIEVE-2 enrollment and processing underway.
Commercial Momentum and Coverage
MI Cancer Seek represented >70% of tissue volume for the year and >75% in Q4; program covers >225 million lives. Therapy selection volumes up ~20% for the quarter and ~22% for the year. Caris Assure delivered 59% YoY growth in Q4.
2026 Financial Guidance with Growth and Investment
2026 guidance: total revenue for existing solutions of $1.00B–$1.02B (approx. 23%–26% growth). Clinical therapy selection volume expected to grow ~20%. Molecular profiling growth ~21%–22% (26%–28% excluding prior-year accruals). Tissue ASP target ~ $4,000 in Q1 and ~$4,200 for FY2026; blood ASP guidance $2,400–$2,500. Pharma & research revenue guidance $75M–$85M. Company expects to remain positive on adjusted EBITDA and free cash flow while investing.
Strategic Investment Plan
Planned reinvestment in commercial expansion (salesforce +20%–25% from ~250 to ~300 reps), R&D and pipeline (including ACHIEVE-2 and MRD development), and capacity build for early detection with FY2026 CapEx guidance of ~$60M (up from ~$16M in 2025).