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Tempus AI, Inc. Class A (TEM)
NASDAQ:TEM
US Market

Tempus AI, Inc. Class A (TEM) AI Stock Analysis

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TE

Tempus AI, Inc. Class A

(NASDAQ:TEM)

47Neutral
Tempus AI's overall score of 47 reflects a company with promising growth prospects but significant financial and valuation challenges. The financial performance is hampered by profitability and stability concerns, impacting the overall score heavily. Technical indicators suggest bearish momentum, while the valuation remains unattractive. However, the positive earnings call provides a promising outlook, highlighting strategic growth and profitability potential in the future.
Positive Factors
Acquisition
The acquisition of Ambry Genetics by Tempus was seen positively as it paid just ~2x sales, was EBITDA-accretive, and helped achieve significant revenue milestones.
Product Performance
Recent checks with medical oncologists reveal significant value in Tempus' technology platform and product suite, with positive feedback on its diversified product offering and early adoption of its AI platform.
Revenue Growth
Tempus has achieved $1 billion of revenue faster than any other precision oncology lab company, and aims to achieve positive Adj. EBITDA later in 2025, which is regarded as a key catalyst for the stock.
Negative Factors
Growth Outlook
Shares are off roughly 10% in aftermarket trading as the guidance is a bit more back-half weighted than some expected and there were questions on the data businesses’ long-term growth outlook.
Market Expectations
The stock was down aftermarket likely due to high expectations and less margin for error.
Stock Performance
Investors may be underwhelmed by the magnitude of the beat and raise, as evidenced by the stock being down ~13% in premarket.

Tempus AI, Inc. Class A (TEM) vs. S&P 500 (SPY)

Tempus AI, Inc. Class A Business Overview & Revenue Model

Company DescriptionTempus AI, Inc operates as a healthcare technology company. It engages in providing next generation sequencing diagnostics, polymerase chain reaction profiling, molecular genotyping, and other anatomic and molecular pathology testing to healthcare providers, pharmaceutical companies, biotechnology companies, researchers, and other third parties. The company also offers Insights, a license library of linked clinical, molecular, and imaging de-identified data, as well as a suite of analytical services to analytic and cloud-and-compute tools to pharmaceutical and biotechnology companies; and Trials that provides clinical trial matching services to pharmaceutical companies. In addition, it operates Next; Algos, a suite of algorithmic tests in oncology; Hub, a desktop and mobile platform for ordering, managing, and receiving tests and patient results; and Lens, a platform for researchers and scientists to find, access, and analyze Tempus data. The company was formerly known as Tempus Labs, Inc. and changed its name to Tempus AI, Inc in January 2023. Tempus AI, Inc was incorporated in 2015 and is headquartered in Chicago, Illinois.
How the Company Makes MoneyTempus AI, Inc. generates revenue primarily through the sale of its software products and solutions, offering both subscription-based and licensing models. The company also earns money by providing consulting services, helping clients integrate and optimize AI technologies within their existing systems. Key revenue streams include software licensing fees, recurring subscription fees, and consulting service charges. Additionally, strategic partnerships with major technology firms and industry-specific collaborations enhance its market reach and contribute to its earnings.

Tempus AI, Inc. Class A Financial Statement Overview

Summary
Tempus AI, Inc. has shown significant revenue growth but struggles with profitability, high leverage, and negative cash flows. These financial challenges indicate a need for improved cost control and operational efficiency.
Income Statement
45
Neutral
Tempus AI, Inc. has shown impressive revenue growth over the years, with a notable increase from $62.1 million in 2019 to $693.4 million in 2024. However, despite the revenue uptick, the company continues to face significant challenges in managing profitability. The net profit margin remains negative due to persistent losses, and both EBIT and EBITDA margins reflect substantial operating losses. This indicates that while revenue generation is strong, cost management and operational efficiency need significant improvement.
Balance Sheet
30
Negative
The balance sheet reveals a concerning financial structure, with high total liabilities of $869.8 million against a minimal stockholders' equity of $56.3 million in 2024, leading to an unfavorable debt-to-equity ratio. The equity ratio is extremely low, indicating heavy reliance on debt financing. Although the company has managed to maintain a reasonable level of cash and short-term investments, the negative stockholders' equity in recent years signals financial instability and potential solvency risks.
Cash Flow
40
Negative
Operating cash flows are consistently negative, reflecting challenges in generating cash from core operations. Free cash flow has shown volatility, with significant negative figures, indicating that the company is struggling to cover its capital expenditures from its operations. Although there is a positive trend in financing cash flows, suggesting successful capital raising efforts, the heavy reliance on external financing poses a risk if such inflows are not sustainable.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
693.40M531.82M320.67M257.85M188.00M
Gross Profit
381.11M286.18M121.68M77.39M22.83M
EBIT
-691.08M-196.08M-269.14M-243.98M-193.93M
EBITDA
-610.42M-133.33M-236.85M-219.52M-169.37M
Net Income Common Stockholders
-705.81M-214.12M-289.81M-259.19M-209.85M
Balance SheetCash, Cash Equivalents and Short-Term Investments
448.26M197.57M302.94M277.69M513.44M
Total Assets
926.12M564.05M631.36M531.35M751.92M
Total Debt
468.09M488.14M433.03M238.95M251.45M
Net Debt
127.14M322.38M130.09M-38.74M-261.99M
Total Liabilities
869.78M1.95B734.25M440.55M405.75M
Stockholders Equity
56.34M-1.38B-102.88M90.80M346.17M
Cash FlowFree Cash Flow
-211.17M-248.95M-186.58M-223.75M-219.98M
Operating Cash Flow
-189.04M-214.34M-168.20M-211.98M-206.56M
Investing Cash Flow
-130.39M-40.31M-57.94M-21.72M-13.42M
Financing Cash Flow
494.33M117.55M251.39M-2.04M506.11M

Tempus AI, Inc. Class A Technical Analysis

Technical Analysis Sentiment
Negative
Last Price40.98
Price Trends
50DMA
54.26
Negative
100DMA
50.34
Negative
200DMA
49.63
Negative
Market Momentum
MACD
-3.13
Positive
RSI
41.99
Neutral
STOCH
47.39
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TEM, the sentiment is Negative. The current price of 40.98 is below the 20-day moving average (MA) of 45.96, below the 50-day MA of 54.26, and below the 200-day MA of 49.63, indicating a bearish trend. The MACD of -3.13 indicates Positive momentum. The RSI at 41.99 is Neutral, neither overbought nor oversold. The STOCH value of 47.39 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for TEM.

Tempus AI, Inc. Class A Risk Analysis

Tempus AI, Inc. Class A disclosed 97 risk factors in its most recent earnings report. Tempus AI, Inc. Class A reported the most risks in the “Tech & Innovation” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Tempus AI, Inc. Class A Peers Comparison

Overall Rating
UnderperformOutperform
Sector (55)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
72
Outperform
$8.75B108.962.27%0.66%-75.89%
68
Neutral
$20.02B-19.42%56.75%59.77%
55
Neutral
$3.80B-11.38-15.29%5.24%19.55%-44.95%
51
Neutral
$11.39B-30.11%-2.93%-4.69%
50
Neutral
$7.72B-37.09%10.37%-389.98%
GHGH
50
Neutral
$5.55B-4584.47%31.04%16.91%
TETEM
47
Neutral
$7.09B-1252.79%30.38%-195.58%
* General Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TEM
Tempus AI, Inc. Class A
40.98
4.50
12.34%
EXAS
Exact Sciences
44.15
-19.38
-30.51%
ILMN
Illumina
72.00
-48.95
-40.47%
QGEN
Qiagen
42.34
0.46
1.10%
NTRA
Natera
142.23
51.19
56.23%
GH
Guardant Health
42.61
25.27
145.73%

Tempus AI, Inc. Class A Earnings Call Summary

Earnings Call Date: Feb 24, 2025 | % Change Since: -41.10% | Next Earnings Date: Aug 12, 2025
Earnings Call Sentiment Positive
The earnings call reflected a strong performance in revenue and gross profit growth, successful strategic acquisitions, and positive future guidance. Despite some minor challenges with data delivery timing and adjusted growth expectations for Ambry Genetics, the overall outlook remains positive with significant achievements in AI diagnostics reimbursement and strategic partnerships.
Highlights
Accelerated Revenue and Gross Profit Growth
Tempus reported a 35.8% year-over-year revenue increase in Q4 2024, with gross profit growth of 49.7%.
Strong Contract Value and Retention
The year ended with $940 million in total remaining contract value and 140% net revenue retention.
Acquisition of Ambry Genetics
Tempus completed the acquisition of Ambry Genetics on February 3, 2025, which is expected to contribute positively to their financials.
Increased Revenue Guidance for 2025
Revenue guidance was increased from $1.23 billion to $1.24 billion for 2025, with an expectation to be adjusted EBITDA positive at around $5 million.
Extended Agreement with Google
Tempus extended its agreement with Google for another five years, securing favorable rates.
AI Diagnostics Reimbursement Milestone
Tempus's AI diagnostics received reimbursement, indicating a positive shift for AI-based diagnostics.
Lowlights
Delayed Data Delivery Impact
A $10 million data delivery was delayed from Q4, impacting potential revenue.
Ambry Genetics Growth Rate Adjustment
Ambry Genetics is expected to have a lower growth rate in 2025, in the high teens, due to lapping previous accelerants.
Minor Revenue Impact from In-Network Wins
Recent in-network wins with commercial payers are expected to have a limited impact on overall reimbursement uplift.
Company Guidance
During the call, Tempus provided guidance for 2025, highlighting an increase in revenue projections from $1.23 billion to $1.24 billion. The company expects to generate approximately $5 million in adjusted EBITDA, indicating a positive shift towards profitability. Key metrics from the fourth quarter of 2024 include a 35.8% year-over-year revenue growth and a 49.7% increase in gross profit. Tempus also reported a total remaining contract value of $940 million and a net revenue retention rate of 140%. The acquisition of Ambry Genetics was completed on February 3, 2025, and is expected to contribute to revenue in the first quarter. Furthermore, Tempus extended its agreement with Google for another five years, securing favorable rates. Overall, Tempus remains focused on sustaining growth and leveraging its two main businesses, Genomics and Data, while also integrating strategic acquisitions.

Tempus AI, Inc. Class A Corporate Events

M&A TransactionsFinancial Disclosures
Tempus AI Reports Strong Q4 2024 Financial Growth
Positive
Feb 24, 2025

Tempus AI, Inc. reported significant financial growth for the fourth quarter and full year of 2024, with a 35.8% increase in quarterly revenue and a 49.7% rise in gross profit, driven by its data and services segment. The company completed the acquisition of Ambry Genetics and announced new agreements with major healthcare providers, positioning itself for robust revenue growth and positive Adjusted EBITDA in 2025.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.