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Tempus AI, Inc. Class A (TEM)
NASDAQ:TEM
US Market
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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 47 (OpenAI - 5.2)
Rating:47Neutral
Price Target:
$52.00
▼(-6.93% Downside)
Action:Reiterated
Date:05/14/26
Overall score is held down primarily by weak financial quality (ongoing operating losses, high leverage, and negative free cash flow) and bearish technicals (price below key moving averages with negative MACD). These are partially offset by a strong earnings-call outlook (raised revenue guidance and improving EBITDA trajectory with bookings/TCV visibility) and a positive financing event that reduced secured debt.
Positive Factors
Revenue Growth & Scale
Sustained high revenue growth and $1.36B TTM scale indicate durable market demand across diagnostics and data services. Scale supports multi-year commercial investments, spreads fixed costs, and enhances bargaining power with payers and pharma partners, improving long-term revenue visibility.
Negative Factors
Negative Cash Flow
Persistent negative operating and free cash flow increases dependence on external financing. Over time this can pressure liquidity, raise financing costs, and force dilution or constrained investment in commercialization, slowing progress toward self-sustaining profitability.
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Positive Factors
Negative Factors
Revenue Growth & Scale
Sustained high revenue growth and $1.36B TTM scale indicate durable market demand across diagnostics and data services. Scale supports multi-year commercial investments, spreads fixed costs, and enhances bargaining power with payers and pharma partners, improving long-term revenue visibility.
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 InsightsGenomics has become the primary growth engine, surging in early 2025 on strong volume gains across oncology and hereditary (management cited ~33% Genomics growth), while Data & Services shows constructive bookings momentum—management reported a $150M data licensing TCV—even after a quarter-specific dip that looks like timing/sales-force disruption. Achieving positive adjusted EBITDA despite the Paige acquisition drag suggests improving unit economics, but integration costs and prior sales-force upheaval are the main near-term risks to sustaining this trajectory.
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. 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 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:Aug 06, 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.
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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 ($1.36B TTM) and major gross-margin expansion (~72%) show improving unit economics, but fundamentals are still constrained by persistent losses (TTM EBIT margin ~-15%, net margin ~-22%), elevated leverage (~$815M debt), and continued cash burn (TTM OCF -$186M; FCF -$216M).
Income Statement
44
Neutral
Balance Sheet
38
Negative
Cash Flow
30
Negative
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.36B1.27B693.40M531.82M320.67M257.85M
Gross Profit948.83M885.69M381.11M286.18M130.19M83.64M
EBITDA-199.52M-222.36M-610.42M-133.33M-236.85M-219.52M
Net Income-302.91M-245.03M-705.81M-214.12M-289.81M-259.19M
Balance Sheet
Total Assets2.14B2.27B926.12M564.05M631.36M531.35M
Cash, Cash Equivalents and Short-Term Investments639.07M755.00M448.26M197.57M302.94M277.69M
Total Debt814.63M815.71M468.09M488.14M433.03M238.95M
Total Liabilities1.72B1.78B869.78M1.95B1.76B1.34B
Stockholders Equity416.40M491.33M56.34M-1.38B-1.13B-807.49M
Cash Flow
Free Cash Flow-216.50M-239.14M-211.17M-248.95M-186.58M-223.75M
Operating Cash Flow-185.74M-218.09M-189.04M-214.34M-168.20M-211.98M
Investing Cash Flow-32.60M-398.36M-130.39M-40.31M-57.94M-21.72M
Financing Cash Flow591.04M884.12M494.33M117.55M251.39M-2.04M

Tempus AI, Inc. Class A Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price55.87
Price Trends
50DMA
49.20
Positive
100DMA
53.40
Negative
200DMA
65.84
Negative
Market Momentum
MACD
-0.13
Negative
RSI
51.31
Neutral
STOCH
69.20
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TEM, the sentiment is Neutral. The current price of 55.87 is above the 20-day moving average (MA) of 48.17, above the 50-day MA of 49.20, and below the 200-day MA of 65.84, indicating a neutral trend. The MACD of -0.13 indicates Negative momentum. The RSI at 51.31 is Neutral, neither overbought nor oversold. The STOCH value of 69.20 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral 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
73
Outperform
$3.93B20.2819.36%13.05%-12.34%
72
Outperform
$999.09M48.873.31%-1.19%-21.87%
67
Neutral
$1.91B92.961.64%7.86%-2.92%
56
Neutral
$17.26B-39.45184.27%39.56%-0.63%
54
Neutral
$1.36B-7.89-12.37%-1.50%83.75%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
47
Neutral
$8.91B-29.30-70.24%69.82%62.77%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TEM
Tempus AI, Inc. Class A
49.62
-13.16
-20.96%
OMCL
Omnicell
41.91
10.62
33.94%
TDOC
Teladoc
7.54
0.42
5.90%
GH
Guardant Health
130.17
82.41
172.55%
GDRX
GoodRx Holdings
2.95
-1.06
-26.43%
DOCS
Doximity
21.51
-33.06
-60.58%

Tempus AI, Inc. Class A Corporate Events

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...
Business Operations and StrategyPrivate Placements and Financing
Tempus AI Completes Convertible Notes Offering, Retires Secured Debt
Positive
May 13, 2026
On May 7, 2026, Tempus AI announced a private offering of $350 million in Convertible Senior Notes due 2032, with an option for an additional $52.5 million, aimed at optimizing its capital structure and reducing interest expense. The notes, which ...
Business Operations and StrategyFinancial Disclosures
Tempus AI Lifts 2026 Outlook on Robust Q1 Growth
Positive
May 5, 2026
Tempus AI reported on May 5, 2026 that first-quarter 2026 revenue rose 36.1% year-over-year to $348.1 million, driven by strong growth in diagnostics and data and applications, while gross profit climbed 43.1% and adjusted EBITDA loss narrowed to ...
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: May 14, 2026