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Tempus AI, Inc. Class A (TEM)
NASDAQ:TEM
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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 55 (OpenAI - Gpt-5.6Sol)
Rating:55Neutral
Price Target:
$68.00
▲(59.29% Upside)
Action:Reiterated
Date:08/21/26
The score is held back primarily by weak underlying financial quality—continued losses, negative free cash flow, and high leverage—despite strong revenue growth and high gross margins. Offsetting these concerns are constructive technicals (trend strength) and a positive outlook from the latest earnings update (raised revenue guidance and improving EBITDA trajectory), with corporate actions adding upside potential but also execution and regulatory risk.
Positive Factors
Revenue Growth and Visibility
Rapid growth across diagnostics and data licensing, combined with bookings above $100 million for three straight quarters and substantial 2026 contract value, supports durable revenue visibility and expanding market adoption.
Negative Factors
Persistent Losses and Cash Burn
The company still consumes significant cash and has not established sustained operating profitability. Continued investment and working-capital needs could require external financing before growth produces dependable self-funded cash generation.
Read all positive and negative factors
Positive Factors
Negative Factors
Revenue Growth and Visibility
Rapid growth across diagnostics and data licensing, combined with bookings above $100 million for three straight quarters and substantial 2026 contract value, supports durable revenue visibility and expanding market adoption.
Read all positive factors

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

Any
Any
Net Revenue by Segment
Net Revenue by Segment
Breaks down the company’s revenue across its business lines (for example clinical sequencing and analytics, pharma partnerships, software/subscriptions, and research services). Reveals which segments drive growth, which are higher-margin or recurring, and whether revenue depends on a few large contracts or one-time projects — key for judging sustainability, profit potential, and exposure to reimbursement or partner risks.
Chart InsightsDiagnostic has morphed into Tempus’s primary growth engine since 2025, driven by oncology volume and early MRD traction, while Data & Applications is ramping faster than historical trends thanks to big‑pharma contracts and recurring bookings that underpin upgraded 2026 guidance. Q1 showed strong YoY gains but a modest sequential pullback in Data; bookings/TCV provide forward visibility. Key watchpoints: MRD’s outsized percentage growth is from a small base with reimbursement and scaling cash needs, and Q1 timing effects can compress short‑term free cash flow despite improving EBITDA.
Data provided by:The Fly

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 in the United States. It offers the Tempus platform, a closed-loop, full-stack, bi-directional integrations between a clinician's desktop and its laboratory diagnostic capabilities, analy...
How the Company Makes Money
Tempus AI primarily makes money through two core revenue streams: (1) clinical services and (2) data and services for life-sciences. In clinical services, Tempus generates revenue by providing diagnostic and profiling offerings (commonly including...

Tempus AI, Inc. Class A Earnings Call Summary

Earnings Call Date:May 05, 2026
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Nov 10, 2026
Earnings Call Sentiment Positive
The call conveyed strong topline momentum and durable demand in both diagnostics and data/applications: revenue growth (~36% YoY), robust Data & Insights growth (40.5% YoY; Insights >44%), expansion of large pharma collaborations (Merck, Gilead), rising bookings/TCV and an upgraded full-year revenue guide to $1.59B–$1.60B with adjusted EBITDA targeted at ~$65M. Key risks and near-term headwinds include Q1 cash-flow timing effects, slower hereditary volumes early in the year, MRD reimbursement and scaling constraints, and some regulatory timing uncertainty. Overall the positives (strong growth, expanding high-value contracts, improving EBITDA trajectory and sizable data assets) outweigh the transitory operational and reimbursement challenges.
Positive Updates
Strong Overall Revenue Growth and Upgraded Guidance
Total revenue of $348.1M, up a little over 36% year-over-year. Company raised full-year revenue guidance to $1.59B–$1.60B and expects adjusted EBITDA of about $65M for FY2026.
Negative Updates
Q1 Cash Flow and Free Cash Variability
Cash flow from operations was down (management referenced roughly a $70M decline in operating cash flow for the quarter) and free cash approximated the small EBITDA loss in Q1. Company called out timing-driven issues (payables, bonuses, contract payment timing) and expects improvement in Q2.
Read all updates
Q1-2026 Updates
Negative
Strong Overall Revenue Growth and Upgraded Guidance
Total revenue of $348.1M, up a little over 36% year-over-year. Company raised full-year revenue guidance to $1.59B–$1.60B and expects adjusted EBITDA of about $65M for FY2026.
Read all positive updates
Company Guidance
Management raised 2026 revenue guidance to $1.59–$1.60 billion with adjusted EBITDA of about $65 million; that follows Q1 revenue of $348.1 million (up ~36% YoY), diagnostic revenue of $261.1 million (≈35% YoY) with oncology unit growth of ~28%, and data & applications revenue of $87 million (40.5% YoY) with Insights growth >44% and three straight quarters of bookings north of $100 million. They noted about $350 million of TCV tied to 2026 (and that TCV increased in Q1), added large deals with Merck and expanded Gilead, and said the connected database now exceeds 500 petabytes. Q1 adjusted EBITDA was roughly a $3 million loss (about a $13 million YoY improvement), free cash approximates EBITDA with Q1 seasonality expected to normalize in Q2, current ASPs are about $17.20–$17.40 with an illustrative ~$500 incremental ASP lift over 1–2 years (slides also showed a possible 30% ASP upside), MRD volume was up ~500% to ~6.5k tests, and management reiterated a target roughly in line with ~25% top‑line growth over the next three years.

Tempus AI, Inc. Class A Financial Statement Overview

Summary
Strong revenue scale (~$1.43B TTM) and high gross margin (~70%) are meaningful strengths, but profitability and cash generation remain weak (TTM operating margin ~-18%, net margin ~-22%, negative operating and free cash flow). Balance sheet leverage is elevated (debt ~ $1.26B vs equity ~ $445M), limiting flexibility despite improved equity versus prior periods.
Income Statement
46
Neutral
Balance Sheet
34
Negative
Cash Flow
28
Negative
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.43B1.27B693.40M531.82M320.67M257.85M
Gross Profit916.19M797.90M381.11M286.18M130.19M83.64M
EBITDA-90.90M-118.51M-610.42M-133.33M-236.85M-219.52M
Net Income-254.43M-245.03M-705.81M-214.12M-289.81M-259.19M
Balance Sheet
Total Assets2.37B2.27B926.12M564.05M631.36M531.35M
Cash, Cash Equivalents and Short-Term Investments815.99M755.00M448.26M197.57M302.94M277.69M
Total Debt1.44B1.33B468.09M488.14M433.03M238.95M
Total Liabilities1.92B1.78B869.78M1.95B1.76B1.34B
Stockholders Equity444.93M491.33M56.34M-1.38B-1.13B-807.49M
Cash Flow
Free Cash Flow-272.97M-245.35M-211.17M-248.95M-186.58M-223.75M
Operating Cash Flow-237.43M-218.09M-189.04M-214.34M-168.20M-211.98M
Investing Cash Flow-34.19M-398.36M-130.39M-40.31M-57.94M-21.72M
Financing Cash Flow687.93M884.12M494.33M117.55M251.39M-2.04M

Tempus AI, Inc. Class A Risk Analysis

Tempus AI, Inc. Class A disclosed 108 risk factors in its most recent earnings report. Tempus AI, Inc. Class A reported the most risks in the "Finance & Corporate" 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
76
Outperform
$4.59B29.1516.95%11.18%-28.59%
66
Neutral
$1.21B67.682.61%-1.83%-48.77%
63
Neutral
$1.66B41.533.13%8.45%72.08%
60
Neutral
$21.92B-48.10211.46%42.74%-4.60%
55
Neutral
$11.05B-46.61-54.70%50.43%-21.05%
52
Neutral
$1.21B-6.56-13.08%-2.08%16.88%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TEM
Tempus AI, Inc. Class A
66.65
-10.06
-13.11%
OMCL
Omnicell
35.50
3.61
11.32%
TDOC
Teladoc
6.49
-0.70
-9.74%
GH
Guardant Health
167.88
106.60
173.96%
GDRX
GoodRx Holdings
3.56
-0.93
-20.71%
DOCS
Doximity
25.94
-38.19
-59.55%

Tempus AI, Inc. Class A Corporate Events

Business Operations and StrategyFinancial DisclosuresM&A TransactionsPrivate Placements and Financing
Tempus AI Posts Strong Q2 Results, Raises 2026 Outlook
Positive
Jul 30, 2026
Tempus reported strong second-quarter 2026 results on July 30, 2026, with revenue rising 22% year over year to $382.5 million and gross profit up 26% to $246.5 million, driven by 31% oncology diagnostics volume growth and a 36% increase in data li...
Business Operations and StrategyM&A Transactions
Tempus AI Announces Merger Agreement to Acquire Personalis
Positive
Jul 20, 2026
On July 20, 2026, Tempus AI, Inc. signed a definitive merger agreement to acquire genomics company Personalis, Inc. through a two-step merger structure that will leave Toucan Development, LLC, a Tempus subsidiary, as the surviving entity. The boar...
Business Operations and StrategyFinancial DisclosuresM&A Transactions
Tempus AI to Acquire Personalis, Expanding Precision Oncology
Positive
Jul 20, 2026
Tempus AI, Inc. (NASDAQ: TEM) is a technology company focused on advancing precision medicine and patient care through artificial intelligence in healthcare. Leveraging one of the world’s largest libraries of multimodal clinical and molecula...
Executive/Board ChangesShareholder Meetings
Tempus AI Stockholders Confirm Board, Auditor and Say-on-Pay
Neutral
May 22, 2026
On May 21, 2026, Tempus AI, Inc. held its 2026 Annual Meeting of Stockholders, at which holders of both Class A and Class B common stock, voting together as a single class, elected nine directors to serve until the 2027 annual meeting or until ear...
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: Aug 21, 2026