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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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TEM

Tempus AI, Inc. Class A

(NASDAQ:TEM)

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Neutral 49 (OpenAI - 5.2)
Rating:49Neutral
Price Target:
$47.00
▼(-0.82% Downside)
Action:ReiteratedDate:02/26/26
The score is held back primarily by weak financial quality (ongoing losses and material cash burn) and bearish technicals (price below major moving averages with negative MACD). Offsetting these, the latest earnings call was notably positive with strong 2026 growth and adjusted EBITDA guidance plus solid Diagnostics/Data indicators, but valuation is hard to justify on earnings due to the negative P/E.
Positive Factors
Revenue & Margin Improvement
Sustained high revenue growth with a materially higher gross margin demonstrates improving unit economics and operating leverage. This durable mix improvement supports a path to sustained profitability and cash conversion if revenue growth and margin trends continue over the next several quarters.
Negative Factors
Persistent Cash Burn
Ongoing negative operating and free cash flow is a structural weakness that increases dependence on external financing. Persistent cash burn limits strategic flexibility, raises dilution risk, and means the company must convert improving EBITDA to cash quickly to avoid repeated capital raises within the next several quarters.
Read all positive and negative factors
Positive Factors
Negative Factors
Revenue & Margin Improvement
Sustained high revenue growth with a materially higher gross margin demonstrates improving unit economics and operating leverage. This durable mix improvement supports a path to sustained profitability and cash conversion if revenue growth and margin trends continue over the next several quarters.
Read all positive factors

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

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

Company Description
Tempus 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 healthcar...
How the Company Makes Money
Tempus primarily makes money through a combination of (1) diagnostics-related offerings and (2) data/analytics services provided to biopharmaceutical and life-sciences customers. On the diagnostics side, the company generates revenue when healthca...

Tempus AI, Inc. Class A Key Performance Indicators (KPIs)

Any
Any
Net Revenue by Segment
Net Revenue by Segment
Chart Insights
Data provided by:The Fly

Tempus AI, Inc. Class A Earnings Call Summary

Earnings Call Date:Feb 24, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:May 12, 2026
Earnings Call Sentiment Positive
The call emphasized robust multi-year growth drivers: strong diagnostic unit growth (Oncology +29%, MRD +56% Q/Q), accelerating data business with >$1.1B in TCV and 126% net revenue retention, positive 2026 guidance ($1.59B) and a path to higher ASPs and adjusted EBITDA. Key near-term constraints are reimbursement gating for MRD, moderation and lumpiness in Hereditary growth, and one-time impacts to some reported data growth figures. Overall, the positive revenue, contract backlog, AI/foundation-model progress, and strong customer retention materially outweigh the execution and reimbursement risks highlighted.
Positive Updates
Strong Overall Revenue and Positive Guidance
Core business total revenue up over 33% (factoring Ambry). Management guided 2026 revenue to $1.59 billion, consistent with a ~25% long-term growth expectation, and projected approximately $65 million of positive adjusted EBITDA.
Negative Updates
Hereditary Growth Moderation and Lumpiness
Management expects Hereditary growth to moderate versus recent quarters — targeting high-teens longer-term growth with potential near-term lumpiness and the possibility of lower growth in Q1 as the company laps prior share gains.
Read all updates
Q4-2025 Updates
Negative
Strong Overall Revenue and Positive Guidance
Core business total revenue up over 33% (factoring Ambry). Management guided 2026 revenue to $1.59 billion, consistent with a ~25% long-term growth expectation, and projected approximately $65 million of positive adjusted EBITDA.
Read all positive updates
Company Guidance
Tempus guided to $1.59 billion of revenue for 2026 (about 25% growth consistent with long‑term targets) and roughly $65 million of positive adjusted EBITDA, driven by a fast‑growing Data business and an accelerating Diagnostics franchise; Diagnostics core revenue was up over 33% (incl. Ambry), with Oncology unit growth of 29%, Hereditary unit growth of 23%, MRD up 56% quarter‑over‑quarter (≈4,700 MRD tests in Q4 and management said MRD could be ~20x higher if fully unblocked), and Q4 ASPs about $1,640 (up ~$40 QoQ) with >$500 of upside potential toward >$2,200 ASPs as xT migrates to FDA‑approved CDx (majority volume targeted on CDx by end‑2026); Data bookings/TCV exceed $1.1 billion (with a portion—~$350M—tied to 2026), net revenue retention was 126%, and Insights/licensing growth is expected to be ~40% in the quarter.

Tempus AI, Inc. Class A Financial Statement Overview

Summary
Operating progress is mixed: revenue growth and gross margin improved meaningfully, and leverage improved as equity rebuilt. However, the company remains unprofitable with sizable net losses and persistent cash burn (operating cash flow and free cash flow negative, including ~-$218M operating cash flow in 2025), keeping funding/execution risk elevated.
Income Statement
45
Neutral
Balance Sheet
52
Neutral
Cash Flow
34
Negative
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.27B693.40M531.82M320.67M257.85M
Gross Profit885.69M381.11M286.18M130.19M83.64M
EBITDA-222.36M-610.42M-133.33M-236.85M-219.52M
Net Income-245.03M-705.81M-214.12M-289.81M-259.19M
Balance Sheet
Total Assets2.27B926.12M564.05M631.36M531.35M
Cash, Cash Equivalents and Short-Term Investments755.00M448.26M197.57M302.94M277.69M
Total Debt815.71M468.09M488.14M433.03M238.95M
Total Liabilities1.78B869.78M1.95B1.76B1.34B
Stockholders Equity491.33M56.34M-1.38B-1.13B-807.49M
Cash Flow
Free Cash Flow-239.14M-211.17M-248.95M-186.58M-223.75M
Operating Cash Flow-218.09M-189.04M-214.34M-168.20M-211.98M
Investing Cash Flow-398.36M-130.39M-40.31M-57.94M-21.72M
Financing Cash Flow884.12M494.33M117.55M251.39M-2.04M

Tempus AI, Inc. Class A Technical Analysis

Technical Analysis Sentiment
Negative
Last Price47.39
Price Trends
50DMA
53.66
Negative
100DMA
61.45
Negative
200DMA
68.28
Negative
Market Momentum
MACD
-2.48
Negative
RSI
44.42
Neutral
STOCH
53.40
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 47.39 is below the 20-day moving average (MA) of 48.43, below the 50-day MA of 53.66, and below the 200-day MA of 68.28, indicating a bearish trend. The MACD of -2.48 indicates Negative momentum. The RSI at 44.42 is Neutral, neither overbought nor oversold. The STOCH value of 53.40 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 99 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 (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
$4.21B33.7122.89%20.21%44.14%
62
Neutral
$702.28M31.724.84%1.30%
54
Neutral
$1.55B1,014.720.17%10.67%
54
Neutral
$12.31B-30.76164.85%30.38%24.17%
52
Neutral
$940.15M-14.24%-2.37%77.85%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$8.47B-47.49-59.95%72.58%76.81%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TEM
Tempus AI, Inc. Class A
47.39
4.69
10.98%
OMCL
Omnicell
34.15
2.55
8.07%
TDOC
Teladoc
5.27
-1.96
-27.11%
GH
Guardant Health
93.83
52.05
124.58%
GDRX
GoodRx Holdings
2.05
-1.96
-48.88%
DOCS
Doximity
22.77
-29.62
-56.54%

Tempus AI, Inc. Class A Corporate Events

Business Operations and StrategyFinancial Disclosures
Tempus AI Reports Strong Q4 Growth and Positive EBITDA
Positive
Feb 24, 2026
Tempus AI, Inc., a technology company applying artificial intelligence to precision medicine, reported robust growth for the quarter and year ended December 31, 2025, with 2025 revenue up 83.4% year over year to $1.27 billion. The business is anch...
Business Operations and StrategyFinancial Disclosures
Tempus AI Reports Strong Preliminary 2025 Revenue Growth
Positive
Jan 12, 2026
On January 11, 2026, Tempus AI announced select preliminary, unaudited financial results for the fourth quarter and full year ended December 31, 2025, highlighting a sharp acceleration in both its Diagnostics and Data and Applications businesses. ...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

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.Date of analysis: Feb 26, 2026