Tearsheet

Caris Life Sciences (CAI)


Market Price (1/22/2026): $25.55 | Market Cap: $7.2 Bil
Sector: Health Care | Industry: Biotechnology

Caris Life Sciences (CAI)


Market Price (1/22/2026): $25.55
Market Cap: $7.2 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.


0 Megatrend and thematic drivers
Megatrends include Precision Medicine, and Digital Health & Telemedicine. Themes include Personalized Diagnostics, Targeted Therapies, Show more.
Weak multi-year price returns
2Y Excs Rtn is -100%, 3Y Excs Rtn is -126%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -80 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -12%
1   Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -2.2%
2   Key risks
CAI key risks include [1] its history of persistent net losses and high cash burn, Show more.
0 Megatrend and thematic drivers
Megatrends include Precision Medicine, and Digital Health & Telemedicine. Themes include Personalized Diagnostics, Targeted Therapies, Show more.
1 Weak multi-year price returns
2Y Excs Rtn is -100%, 3Y Excs Rtn is -126%
2 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -80 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -12%
3 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -2.2%
4 Key risks
CAI key risks include [1] its history of persistent net losses and high cash burn, Show more.

Valuation, Metrics & Events

CAI Stock


Why The Stock Moved


Qualitative Assessment

AI Analysis | Feedback

Caris Life Sciences (CAI) stock has lost about 15% since 9/30/2025 because of the following key factors:

1. Post-IPO Valuation Correction and Muted Market Response to Strong Earnings.

Caris Life Sciences, Inc. (CAI) experienced a period of high valuation following its June 2025 IPO. Despite reporting robust third-quarter 2025 financial results on November 5, 2025, which included a 113% year-over-year revenue increase and positive net income, the market reaction was described as "muted," indicating that high expectations may have already been priced into the stock. This suggests a re-evaluation of its valuation in the subsequent period. InvestingPro data also indicated the stock was overvalued as of January 2026.

2. Lockup Expiration Increasing Selling Pressure.

The lockup period for early investors and company insiders expired around December 15, 2025. This event typically allows a significant number of previously restricted shares to become eligible for sale, often leading to increased selling pressure and downward movement in the stock price as early investors may choose to monetize their holdings.

Show more

Stock Movement Drivers

Fundamental Drivers

The -15.3% change in CAI stock from 10/31/2025 to 1/21/2026 was primarily driven by a 0.0% change in the company's Shares Outstanding (Mil).
103120251212026Change
k0.0%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 1/21/2026
ReturnCorrelation
CAI-15.3% 
Market (SPY)0.5%17.2%
Sector (XLV)9.7%7.5%

Fundamental Drivers

The -9.3% change in CAI stock from 7/31/2025 to 1/21/2026 was primarily driven by a 0.0% change in the company's Shares Outstanding (Mil).
73120251212026Change
k0.0%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2025 to 1/21/2026
ReturnCorrelation
CAI-9.3% 
Market (SPY)8.7%17.9%
Sector (XLV)21.9%19.8%

Fundamental Drivers

null
null

Market Drivers

1/31/2025 to 1/21/2026
ReturnCorrelation
CAI-54.5% 
Market (SPY)14.9%16.8%
Sector (XLV)9.2%24.1%

Fundamental Drivers

null
null

Market Drivers

1/31/2023 to 1/21/2026
ReturnCorrelation
CAI  
Market (SPY)74.9%16.8%
Sector (XLV)24.2%24.1%

Return vs. Risk


Price Returns Compared

 202120222023202420252026Total [1]
Returns
CAI Return79%0%0%0%-52%-3%-16%
Peers Return-16%-28%-41%-66%-32%7%-91%
S&P 500 Return27%-19%24%23%16%-1%81%

Monthly Win Rates [3]
CAI Win Rate67%0%0%0%25%0% 
Peers Win Rate36%50%53%29%56%50% 
S&P 500 Win Rate75%42%67%75%67%0% 

Max Drawdowns [4]
CAI Max Drawdown-3%0%0%0%-58%-5% 
Peers Max Drawdown-30%-45%-60%-67%-49%-2% 
S&P 500 Max Drawdown-1%-25%-1%-2%-15%-1% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: VRTX, ACSB, AKTS, ALPS, APRI.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 1/21/2026 (YTD)

How Low Can It Go

null

null

In The Past

null

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Caris Life Sciences (CAI)

CAI International, Inc. operates as transportation finance and logistics company in the United States and internationally. It leases, re-leases, and disposes containers; and contracts for the repair, repositioning, and storage of containers. The company leases its container equipment to lessees under long-term, short-term, and finance leases to container shipping lines, freight forwarders, and other transportation companies. It also sells containers primarily to investor groups, and provides management services to those investors, as well as sells used containers. In addition, the company leases railcars consisting of box cars for paper and forest products; covered hoppers for grain, cement, sand, plastic pallets, and other industrial products; general purpose tank cars that are used to transport non-hazardous commodities; gondolas for coal; and general service flat cars. As of December 31, 2014, it had a container fleet comprised 1,175,656 cost equivalent units; and an owned fleet of 2,361 railcars in North America primarily to railroad transport companies. The company was formerly known as Container Applications International, Inc. and changed its name to CAI International, Inc. in February 2007. CAI International, Inc. was founded in 1989 and is headquartered in San Francisco, California.

AI Analysis | Feedback

Here are 1-3 brief analogies for Caris Life Sciences (CAI):

  • Palantir for cancer's molecular data.
  • Foundation Medicine for comprehensive, AI-driven cancer insights.
  • The Intel Inside for personalized cancer medicine.

AI Analysis | Feedback

  • Molecular Profiling Services: Provides comprehensive molecular insights into a patient's tumor, guiding personalized cancer treatment strategies.
  • Companion Diagnostic Development: Collaborates with pharmaceutical companies to develop and commercialize diagnostic tests identifying patients who will benefit from specific therapies.
  • Therapeutic Discovery Partnerships: Leverages its extensive molecular database and AI platform to assist pharmaceutical companies in identifying novel drug targets and accelerating drug development.

AI Analysis | Feedback

Major Customers of Caris Life Sciences (CAI)

Caris Life Sciences (symbol: CAI) primarily sells its advanced molecular science and artificial intelligence solutions to other companies and institutions within the healthcare and biopharmaceutical sectors, rather than directly to individuals. While Caris Life Sciences partners with numerous organizations, specific individual "major customers" (i.e., those accounting for more than 10% of total revenue) are generally not disclosed by the company in its public filings. This suggests that their revenue is diversified across a range of collaborations and service agreements. Based on their business model, Caris Life Sciences' major customer categories include:
  • Biopharmaceutical and Biotechnology Companies: These are a primary B2B customer segment. Caris collaborates with a wide range of global pharma and biotech firms, providing services such as biomarker discovery, companion diagnostic development, patient stratification for clinical trials, and leveraging Caris's real-world evidence and AI platforms for drug development and commercialization. These companies pay Caris for research services, data licensing, and development partnerships.
  • Healthcare Providers and Institutions (e.g., Oncologists, Cancer Centers, Hospitals): While these entities do not typically purchase a product from Caris for resale, they are critical partners and "customers" in the context of service utilization. They refer cancer patients to Caris for comprehensive molecular profiling services (e.g., Caris Molecular Intelligence®). Caris then bills third-party payers (insurance companies, government programs) or the patient directly for these tests. These providers are essential channels through which Caris's services reach the ultimate end-user (the patient).
  • Academic and Research Institutions: Caris also engages with leading academic and research centers. These collaborations can involve leveraging Caris's profiling capabilities for specific research studies, contributing to Caris's extensive database, and co-developing new insights into cancer biology and treatment. While these relationships can sometimes be collaborative research agreements rather than direct "customer" transactions, they can also involve payment for specific services or data access.

AI Analysis | Feedback

null

AI Analysis | Feedback

David D. Halbert, Chairman, Founder and CEO

David D. Halbert is the Chairman, Founder, and CEO of Caris Life Sciences. He founded Caris Life Sciences in 1987 (or acquired Molecular Profiling Institute in 2008 and renamed it Caris Life Sciences). He has over 40 years of experience across the energy, financial, and healthcare industries. Prior to Caris, Mr. Halbert founded AdvancePCS in 1987, a pharmacy benefits management company, which he grew into a publicly traded Fortune 250 corporation with over $15 billion in annual revenue before selling it to CareMark in 2004 for $7.5 billion. In 2005, he acquired Pathology Partners, Inc., later renamed Caris Diagnostics, which he sold to Miraca Life Sciences for $725 million in 2011. He has been an active buyer and seller of healthcare businesses through his Caris Capital. Mr. Halbert holds a Bachelor of Business Administration from Abilene Christian University, which also awarded him an honorary Doctorate of Science in 2023 for his contributions to precision medicine and philanthropic work.

Thomas Parker, Senior Vice President, Chief Financial Officer

Thomas Parker serves as the Senior Vice President, Chief Financial Officer of Caris Life Sciences, a position he started in January 2017. Further detailed background regarding his prior company management or acquisition history is not readily available in the provided search results. He is based in the Dallas/Fort Worth Area.

Brian J. Brille, Vice Chairman

Brian J. Brille joined Caris Life Sciences in January 2018 as Vice Chairman and is also a member of the Board of Directors. He provides executive leadership for strategic, corporate, and business development activities, including M&A and capital markets. Mr. Brille is a senior financial services executive with more than 25 years of experience in investment banking. Prior to joining Caris, he held global leadership positions at Bank of America Merrill Lynch from 1999 to 2013, including Chairman & President of Asia Pacific and Global Head of Corporate & Investment Banking. He also built Bank of America's Healthcare Investment Banking business and previously established Morgan Stanley's Healthcare Services Group. Mr. Brille holds a Juris Doctor from Stanford Law School, a Master in Public Policy from the Harvard Kennedy School, and a Bachelor of Science in Accounting from the University of Illinois.

George W. Sledge, Jr., MD, Executive Vice President and Chief Medical Officer

Dr. George W. Sledge, Jr. joined Caris Life Sciences in October 2022 as Executive Vice President and Chief Medical Officer. In this role, he oversees medical affairs, research, and medical education, including leadership for the Caris Precision Oncology Alliance. Prior to Caris, Dr. Sledge was a Professor of Medicine at the Stanford University School of Medicine, where he served as co-director of the Stanford Cancer Institute's Cancer Therapeutics Program and Chief of the Division of Oncology from 2013-2020. He has dedicated his professional career to understanding and improving the treatment of breast cancer and is an active laboratory and clinical researcher with over 390 scientific publications. He is a Past President of the American Society of Clinical Oncology and served as Chief Scientific Advisor for the Susan G. Komen Foundation.

David Spetzler, MS, PhD, MBA, President, Chief Scientific Officer

Dr. David Spetzler joined Caris Life Sciences in August 2009. As President, he leads the company's Clinical Operations, Research and Development, Information Technology, Bioinformatics, and Biopharma Services. Prior to Caris, Dr. Spetzler was a member of the research faculty at Arizona State University, where he developed multiplexed nanotechnologies for single molecule detection. He earned an MS in Computational Bioscience, a PhD in Molecular & Cellular Biology, and an MBA from Arizona State University. Dr. Spetzler has generated more than 330 patent applications and co-authored over 120 peer-reviewed journal articles. He has led the development of various clinical offerings at Caris, including whole transcriptome sequencing, whole exome sequencing, and AI-based clinical products.

AI Analysis | Feedback

Here are the key risks to Caris Life Sciences (CAI):

  1. Persistent Net Losses and High Cash Burn: Caris Life Sciences has consistently reported substantial net losses and has accumulated a significant deficit, despite robust revenue growth. The company's operating losses are primarily driven by heavy investments in research and development and commercialization efforts, which raise questions about the timeline for achieving profitability. This high cash burn rate suggests a fragile financial structure, common for a high-growth company in its investment phase.
  2. Intense Competition: Caris operates within a fiercely competitive precision medicine industry. The market includes numerous established diagnostic firms and emerging players, many of whom are larger, better-capitalized, and possess greater resources for research and development, as well as sales and marketing. This dynamic landscape is characterized by rapid technological advancements, frequent new product introductions, and evolving industry standards, making it challenging to maintain market share and competitive advantage.
  3. Dependence on Molecular Profiling Services and Reimbursement Risk: A significant majority of Caris Life Sciences' revenue is generated from its molecular profiling services. This heavy reliance on a single service line makes the company vulnerable to market fluctuations, technological disruptions, or changes in demand within this specific area. Furthermore, there is an ongoing risk associated with the reimbursement landscape for molecular diagnostics, where inconsistent policies across regions and potential changes in reimbursement structures could adversely impact the company's revenue and financial performance.

AI Analysis | Feedback

Comprehensive liquid biopsy platforms developed by competitors (e.g., Guardant Health, Tempus) could increasingly displace traditional tissue-based multi-omic profiling as the primary method for guiding cancer treatment decisions. As liquid biopsy technologies advance in their ability to provide comprehensive, actionable genomic and other molecular insights from blood, and as their clinical utility and adoption expand beyond resistance monitoring to initial diagnosis and treatment selection, the reliance on more invasive tissue biopsies for initial comprehensive profiling may diminish. This shift offers advantages in speed, non-invasiveness, and the potential for dynamic monitoring, posing a significant emerging threat to companies whose core differentiation relies heavily on deep tissue analysis.

AI Analysis | Feedback

Caris Life Sciences (symbol: CAI) operates in several significant addressable markets related to oncology, primarily focusing on precision oncology, liquid biopsy, and oncology molecular diagnostics.

  • Precision Oncology:
    • The global precision oncology market was valued at USD 166 billion in 2025 and is projected to reach USD 364 billion by 2035.
    • In the United States, the oncology precision medicine market accounted for USD 19.7 billion in 2023 and is anticipated to reach USD 46 billion by 2032.
  • Liquid Biopsy:
    • The global liquid biopsy market is estimated to be valued at USD 6.39 billion in 2025 and is projected to reach USD 25.43 billion by 2035.
    • The U.S. liquid biopsy market size was estimated at USD 2.40 billion in 2025 and is expected to reach approximately USD 7.32 billion by 2034.
  • Oncology Molecular Diagnostics / Cancer Tumor Profiling:
    • The global oncology molecular diagnostic market is projected to grow from USD 3.06 billion in 2025 to USD 8.50 billion by 2034.
    • The U.S. oncology molecular diagnostic market size was estimated at USD 810 million in 2024 and is expected to grow to approximately USD 2,570.17 million by 2034.

AI Analysis | Feedback

Caris Life Sciences (CAI) is expected to drive future revenue growth over the next 2-3 years through several key strategies:

  1. Growth in Molecular Profiling Services and Clinical Case Volumes: The company anticipates continued robust growth in its molecular profiling services, which has been a primary driver of its revenue. Caris Life Sciences expects clinical therapy selection volume to increase by 21-22% in 2025. This sustained growth is supported by the comprehensive nature of their whole exome and whole transcriptome assay technology.
  2. Increase in Average Selling Price (ASP): Caris Life Sciences has seen a significant increase in the average selling price per profile, with an 87% year-over-year rise to $4,089 in Q3 2025. This growth is attributed to new CMS rates and improved private payer contracting, which are expected to continue enhancing pricing strategy and reimbursement from molecular profiling services.
  3. Launch and Expansion of New Products in MRD and Early Detection: The company is strategically focusing on developing and launching new products in the Minimal Residual Disease (MRD) and early detection markets. These areas represent significant emerging opportunities in the healthcare sector, and Caris is incorporating whole genome sequencing into its early detection tests to enhance its assay technology.
  4. Expansion of Pharma R&D Services: While a smaller segment, Caris's Pharma R&D services revenue has also shown growth, increasing by 18.3% year-over-year in Q3 2025. The company is shifting its focus in this segment towards establishing sustained multi-year partnerships rather than single projects, which could provide more stable and recurring revenue.

AI Analysis | Feedback

Share Issuance

  • Caris Life Sciences completed its initial public offering (IPO) on June 18, 2025, by pricing 23,529,412 shares of its common stock at $21.00 per share, raising over $494.1 million.
  • The company granted the underwriters a 30-day option to purchase an additional 3,529,411 shares of common stock at the IPO price.

Inbound Investments

  • On April 7, 2025, Caris Life Sciences closed a growth capital funding round of $168 million, led by Braidwell LP, bringing the total capital raised since 2018 to $1.86 billion.
  • In May 2021, Caris Life Sciences secured an $830 million growth equity round at a post-money valuation of $7.83 billion, led by Sixth Street with participation from T. Rowe Price Associates, Inc., Silver Lake, Fidelity Management & Research Company LLC, and Coatue.
  • On October 27, 2020, the company raised $310 million in growth capital, which included $235 million in equity financing co-led by Highland Capital Management and Coatue, and $75 million in debt financing from Sixth Street.

Outbound Investments

  • Caris Life Sciences has acquired Pharmatech.

Capital Expenditures

  • Caris Life Sciences reported positive free cash flow of $5.9 million for the three months ended June 30, 2025, with free cash flow defined as net cash used in operating activities less purchases of property and equipment.
  • The company intends to use net proceeds from its IPO for general corporate purposes, including working capital, operating expenses, and capital expenditures.

Trade Ideas

Select ideas related to CAI. For more, see Trefis Trade Ideas.

Unique Key

Recent Active Movers

More From Trefis

Peer Comparisons for Caris Life Sciences

Peers to compare with:

Financials

CAIVRTXACSBAKTSALPSAPRIMedian
NameCaris Li.Vertex P.Acesis Aktis On.ALPS Aprinoia. 
Mkt Price25.48461.14-20.401.00-22.94
Mkt Cap7.6117.9----62.7
Rev LTM64911,723----6,186
Op Inc LTM-80-92-----86
FCF LTM-143,337----1,662
FCF 3Y Avg-2,064----2,064
CFO LTM-13,718----1,859
CFO 3Y Avg-2,419----2,419

Growth & Margins

CAIVRTXACSBAKTSALPSAPRIMedian
NameCaris Li.Vertex P.Acesis Aktis On.ALPS Aprinoia. 
Rev Chg LTM-10.3%----10.3%
Rev Chg 3Y Avg-10.5%----10.5%
Rev Chg Q113.4%11.0%----62.2%
QoQ Delta Rev Chg LTM21.6%2.7%----12.1%
Op Mgn LTM-12.4%-0.8%-----6.6%
Op Mgn 3Y Avg-26.2%----26.2%
QoQ Delta Op Mgn LTM20.2%1.0%----10.6%
CFO/Rev LTM-0.1%31.7%----15.8%
CFO/Rev 3Y Avg-23.1%----23.1%
FCF/Rev LTM-2.2%28.5%----13.2%
FCF/Rev 3Y Avg-19.8%----19.8%

Valuation

CAIVRTXACSBAKTSALPSAPRIMedian
NameCaris Li.Vertex P.Acesis Aktis On.ALPS Aprinoia. 
Mkt Cap7.6117.9----62.7
P/S-10.1----10.1
P/EBIT-26.4----26.4
P/E-32.1----32.1
P/CFO-31.7----31.7
Total Yield-2.5%3.1%----0.3%
Dividend Yield0.0%0.0%----0.0%
FCF Yield 3Y Avg-1.9%----1.9%
D/E-0.0----0.0
Net D/E--0.0-----0.0

Returns

CAIVRTXACSBAKTSALPSAPRIMedian
NameCaris Li.Vertex P.Acesis Aktis On.ALPS Aprinoia. 
1M Rtn-10.5%0.2%-∞%7.5%-0.2%
3M Rtn-15.2%8.1%-∞%5.3%-5.3%
6M Rtn-15.2%-3.3%-∞%5.3%--3.3%
12M Rtn-54.5%7.8%-370,809.1%5.3%-6.5%
3Y Rtn-54.5%48.8%-575.5%5.3%-27.0%
1M Excs Rtn-10.0%1.6%-∞%-1.5%--1.5%
3M Excs Rtn-21.2%7.9%-∞%3.2%-3.2%
6M Excs Rtn-24.9%-10.9%-∞%-3.7%--10.9%
12M Excs Rtn-69.2%-5.4%-328,917.6%-9.4%--7.4%
3Y Excs Rtn-126.4%-18.7%-379.4%-66.7%--42.7%

Financials

Segment Financials

Revenue by Segment
$ Mil20242023
Molecular profiling services279239
Pharma research and development services2720
Total306258


Short Interest

Short Interest: As Of Date12312025
Short Interest: Shares Quantity6.2 Mil
Short Interest: % Change Since 1215202514.2%
Average Daily Volume1.8 Mil
Days-to-Cover Short Interest3.5 days
Basic Shares Quantity282.1 Mil
Short % of Basic Shares2.2%

Earnings Returns History

Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/5/2025-15.7%-15.2%-2.9%
8/12/20255.6%13.8%5.4%
SUMMARY STATS   
# Positive111
# Negative111
Median Positive5.6%13.8%5.4%
Median Negative-15.7%-15.2%-2.9%
Max Positive5.6%13.8%5.4%
Max Negative-15.7%-15.2%-2.9%

SEC Filings

Expand for More
Report DateFiling DateFiling
09/30/202511/05/202510-Q (09/30/2025)
06/30/202508/12/202510-Q (06/30/2025)
03/31/202506/20/2025424B4 (03/31/2025)
12/31/202312/20/2024DRS/A (12/31/2023)

Insider Activity

Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Power, Luke ThomasSee RemarksDirectSell1212202526.5862,2501,654,4612,646,367Form
2Denton, John RusselSee RemarksTrustBuy1110202524.094,184100,793221,243Form
3Spetzler, David BaxleyPresidentDirectBuy1107202523.854009,54010,989,531Form
4Denton, John RusselSee RemarksDirectBuy623202521.007,500157,5002,595,411Form
5Brille, Brian JSee RemarksDirectBuy623202521.0030,000630,0003,410,988Form