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Caris Life Sciences, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 5 August 2026: press release. Guidance figures: 1 raised, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 45% year on year: Total revenue was $263.7 million, an increase of $82.3 million or 45% over $181.4 million a year earlier. Income from operations was $26.9 million. Source
  • Net loss narrowed, Adjusted EBITDA positive: Net loss was $0.6 million, against $71.8 million a year earlier. Adjusted EBITDA was $55.7 million, against $16.7 million in the prior-year quarter. Source
  • Clinical cases up about 18%: Clinical cases were about 59,200, up about 18% year on year. MI Profile cases were about 48,300 and Caris Assure cases about 10,700. Source
  • Molecular profiling revenue up 55%: Molecular profiling services revenue was $252.3 million, up 55% from $162.9 million, and was most of total revenue. Source
  • Gross margin rose to 68%: Gross margin was 68% against 63%, an improvement of about 500 basis points. Gross profit was $179.6 million, up from $113.7 million. Source
  • Operating cash flow up 291%: Operating cash flow was $28.5 million, against $7.3 million, a 291% improvement that management attributed to case volume and ASP improvements. Source

“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,”

David Dean Halbert, Founder, Chairman and CEO of Caris Life Sciences

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue Sourcefull year 2026$1.03 billion to $1.04 billionRaised from $1.0 billion to $1.02 billion
Clinical therapy selection volume growth Sourcefull year 2026 compared with full year 2025approximately 20%Kept

What changed from last quarter

  • Guidance raised: Full-year 2026 revenue guidance raised to $1.03 billion to $1.04 billion from $1.0 billion to $1.02 billion. Source
  • Guidance kept: Clinical therapy selection volume growth guidance of approximately 20% was reaffirmed, with no change from the first-quarter release. Source
  • New: Caris Detect, a multi-cancer early detection blood test, was launched. The first-quarter release had described it as an upcoming launch. Source
  • New: A share repurchase program of up to $100 million was announced. About $82.1 million remains available under the existing Board authorization. Source
  • New: A dual listing on NYSE Texas was announced. Source
  • New: The Behind the Diagnosis campaign was launched, spotlighting patient lives transformed by comprehensive genomic testing. Source
  • New: Free cash flow now identifies capitalized software as a component of capital expenditures. Management said the calculation method is unchanged and only the caption was updated. Source

Revenue and profit growth

  • Revenue rose 45% year on year: Total revenue was $263.7 million, an increase of $82.3 million or 45% over $181.4 million a year earlier. Income from operations was $26.9 million. Source
  • Net loss narrowed, Adjusted EBITDA positive: Net loss was $0.6 million, against $71.8 million a year earlier. Adjusted EBITDA was $55.7 million, against $16.7 million in the prior-year quarter. Source
  • First-quarter revenue as the earlier base: Total revenue in the first quarter of 2026 was $216.2 million, so second-quarter revenue rose further on a sequential basis.

Clinical case volume and mix

  • Clinical cases up about 18%: Clinical cases were about 59,200, up about 18% year on year. MI Profile cases were about 48,300 and Caris Assure cases about 10,700. Source
  • Case count above first-quarter run rate: The first-quarter release said February and March exited at about 56,000 completed cases a quarter, following the January sales re-alignment.
  • Exome and transcriptome tests within volume: The quarter's cases included over 114,000 whole exome or whole transcriptome tests, within over 345,000 total oncology tests. Source

“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.”

David Dean Halbert, Founder, Chairman and CEO of Caris Life Sciences

Molecular and pharma revenue lines

  • Molecular profiling revenue up 55%: Molecular profiling services revenue was $252.3 million, up 55% from $162.9 million, and was most of total revenue. Source
  • Volume and pricing drove molecular growth: Management attributed molecular profiling revenue growth primarily to higher total clinical case volume and to ASP improvements. Source
  • Pharma R&D services revenue declined: Pharma research and development services revenue was $11.5 million, down from $18.5 million a year earlier. The documents give no reason for the decline. Source

Costs, margins and pricing

  • Gross margin rose to 68%: Gross margin was 68% against 63%, an improvement of about 500 basis points. Gross profit was $179.6 million, up from $113.7 million. Source
  • Operating expenses up 16%: Operating expenses were $152.7 million, up $21.0 million or 16%. Management said the increase was primarily driven by headcount-related costs. Source
  • Selling, admin and R&D lines higher: Selling and marketing was $53.8 million against $42.3 million. General and administrative was $66.5 million against $64.4 million. Research and development was $32.4 million against $25.0 million. Source
  • Molecular service costs rose: Cost of services for molecular profiling was $81.3 million, against $65.3 million, while molecular profiling revenue rose 55% over the same period. Source

“It all comes back to one thing: making precision medicine a reality for every patient.”

David Dean Halbert, Founder, Chairman and CEO of Caris Life Sciences

Operating and free cash flow

  • Operating cash flow up 291%: Operating cash flow was $28.5 million, against $7.3 million, a 291% improvement that management attributed to case volume and ASP improvements. Source
  • Free cash flow of $6.4 million: Free cash flow was $6.4 million, against $5.9 million. Capitalized software and property purchases were $22.1 million, against $1.4 million a year earlier. Source
  • Six-month operating cash flow positive: Six-month operating cash flow was $61.4 million, against negative $24.1 million a year earlier. Six-month free cash flow was $28.9 million. Source
  • Supplies build used operating cash: Supplies rose to $123.8 million from $63.6 million at year-end. Six-month cash flow shows a $61.6 million supplies change within operating activities. Source

Balance sheet, debt and buybacks

  • Cash and securities at quarter end: Cash, cash equivalents and restricted cash was $690.9 million, down from $797.8 million at December 31, 2025. Short-term marketable securities were $102.2 million. Source
  • Term loan replaced in first half: In the first half the company repaid $406.3 million on the 2023 term loan and received $393.5 million from a 2026 term loan, net of issuance costs. Long-term debt was $393.0 million. Source
  • Share repurchases in first half: Common stock repurchases totaled $21.4 million in the first half of 2026, against $22 thousand a year earlier. Shares outstanding were 282.6 million at June 30, 2026. Source

Product launches and studies

  • ChromoSeq launched with MolDX approval: Caris ChromoSeq, a whole genome tumor profiling assay for myeloid malignancies, was launched and received MolDX approval. Source
  • Lookback Program study published: A study of the Caris Lookback Program was published, reporting ongoing clinical value of comprehensive testing with Caris MI Cancer Seek. Source
  • Whole exome TMB study published: A study reported that whole exome measurement of tumor mutational burden results in increased overall survival compared with estimates from targeted gene panels. Source

Data platform and AI tools

  • Profiles passed 1.13 million: Total profiles passed 1,130,000 and total matched profiles reached 845,000 through June 30, 2026. Source
  • Transcriptome and exome profile counts: More than 783,000 whole transcriptome profiles and 733,000 whole exome profiles were recorded through June 30, 2026. Source
  • MI Clarity tool launched for breast cancer: MI Clarity, a prognostic tool using multimodal AI and computational pathology, was launched for early-stage, node-negative breast cancer patients. Source

Coming up, as management said on 5 August 2026

  • Mutational Cleanse plan: Management plans to use the Mutational Cleanse to move from early detection toward turning early findings into personalized immune targets. Source

Figures management reported

FigureReported
Clinical cases Sourceapproximately 59,200, up approximately 18% over prior year
MI Profile cases Sourceapproximately 48,300
Caris Assure cases Sourceapproximately 10,700
Whole exome/whole transcriptome tests Sourceover 114,000
Total oncology tests Sourceover 345,000
Total profiles Source1,130,000 through June 30, 2026

Earlier plans management reported on

  • Not stated: Management reaffirmed its approximately 20% clinical therapy selection volume growth guidance for full year 2026 compared with full year 2025. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.