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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)

Select Model
Rating:61Neutral
Price Target:$82.00â–²(8.45% Upside)
Action:reiterated
Date:11/04/26

The score is held back primarily by weak financial fundamentals (ongoing losses, negative operating/free cash flow, and elevated leverage). Offsetting this, the stock’s technical setup is strong with a clear uptrend, and the latest earnings call was notably positive with raised guidance and multi-year collaboration tailwinds. Valuation remains challenging due to negative earnings and no dividend support.

Positive Factors
Broad Revenue GrowthBroad-based growth across diagnostics and data applications indicates that Tempus is scaling more than one revenue stream. Continued adoption of testing and analytics can expand the platform’s commercial reach and support durable growth over the next several quarters.
Negative Factors
Persistent UnprofitabilityTempus continues to generate operating and net losses, so revenue growth has not yet translated into durable profitability. Until cost discipline and gross profit growth consistently cover investments, earnings remain sensitive to execution and the pace of business maturation.

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

Net Revenue by SegmentBreaks 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.

$0.00$100.00M$200.00M$300.00M$400.00MMar 24Jun 24Sep 24Dec 24Mar 25Jun 25Sep 25Dec 25Mar 26Jun 26Sep 26
Chart Insights

Diagnostic revenue is the clear growth engine after a sharp inflection in early 2025, shifting Tempus toward a highly concentrated, rapidly scaling business mix. That acceleration suggests successful commercialization or large contract wins, but raises dependency risk if Diagnostic growth stalls or margins compress. Data & Applications is smaller, growing with more quarter-to-quarter volatility, so investors should focus on Diagnostic retention, margin sustainability, and customer concentration to judge whether the top-line surge is durable or transient.

Data provided by:The Fly

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

-50%-40%-30%-20%-10%0%10%20%TEM+5.66%SPY+15.63%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
Market Cap
$13.41B
Dividend Yield
―
Average Volume (3M)
7.11M
Price to Earnings (P/E)
-72.0
Beta (1Y)
2.91
Revenue Growth
36.56%
EPS Growth
10.59%
Country
US
Employees
3,800
Sector
Healthcare
Sector Strength
51
Industry
Medical - Healthcare Information Services

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, analytic...

How the Company Makes Money

Tempus AI primarily makes money through (1) selling diagnostic and testing services and (2) monetizing its data and analytics capabilities with life sciences partners. 1) Clinical/diagnostic testing revenue: Tempus generates revenue by providing mole...

Tempus AI, Inc. Class A Earnings Call Summary

Earnings Call Date:Nov 01, 2026(Q3-2026)|% Change Since:4.69%|Next Earnings Date:Mar 01, 2027
Earnings Call SentimentPositive

The call was strongly positive, led by 23% total revenue growth, 33% data and applications growth, 32% oncology volume growth, major multiyear collaborations, positive adjusted EBITDA, raised revenue guidance, and expanding data-platform scale. The principal challenges were the hereditary business lapping unusually high prior growth, reimbursement dependence, Personalis' current losses and delayed MRD sales-force expansion, and the limited scale expected from the clinical trial matching and CRO businesses. Highlights significantly outweighed the lowlights.

Positive Updates

Strong Q3 Revenue Growth
Q3 total revenue was $412 million, increasing 23% year over year, with broad-based growth across diagnostics and data and applications.

Negative Updates

Hereditary Business Lapping an Exceptional Prior Period
Hereditary growth had previously jumped to approximately 30% after volume shifted from a financially challenged market participant, compared with the historical near-15% growth rate. Tempus is now lapping that elevated growth, although September and October unit growth returned to low double digits.

Company Guidance

Management increased guidance to $1.60 to $1.6 billion in 2026 and continues to expect 2026 adjusted EBITDA to be approximately $65 million; it said long term 25% growth is achievable, hereditary unit growth rates have returned to low double digits, oncology ASP is expected to receive about $80 million of uplift in 2027, and the BMS agreements are expected to generate $193 million of additional data and applications revenue over the next approximately 5 years.

Tempus AI, Inc. Class A Financial Statement Overview

Summary

Revenue scale is strong (~$1.51B TTM) with healthy gross margin (~64%) and improving losses versus 2024, but profitability and cash generation remain weak (EBIT margin ~-9%, net margin ~-13%, operating cash flow ~-$108M and free cash flow ~-$151M TTM). Leverage is also high (debt-to-equity ~2.9x), limiting flexibility if losses persist.

Income Statement

38Negative

Balance Sheet

34Negative

Cash Flow

27Negative
Financial statement breakdown
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.51B1.27B693.40M531.82M320.67M257.85M
Gross Profit972.95M797.90M381.11M286.18M130.19M83.64M
EBITDA-31.63M-118.51M-610.42M-133.33M-236.85M-219.52M
Net Income-189.29M-245.03M-705.81M-214.12M-289.81M-259.19M
Balance Sheet
Total Assets2.45B2.27B926.12M564.05M631.36M531.35M
Cash, Cash Equivalents and Short-Term Investments637.35M755.00M448.26M197.57M302.94M277.69M
Total Debt1.43B1.33B468.09M488.14M433.03M238.95M
Total Liabilities1.95B1.78B869.78M1.95B1.76B1.34B
Stockholders Equity500.40M491.33M56.34M-1.38B-1.13B-807.49M
Cash Flow
Free Cash Flow-150.63M-245.35M-211.17M-248.95M-186.58M-223.75M
Operating Cash Flow-108.37M-218.09M-189.04M-214.34M-168.20M-211.98M
Investing Cash Flow-49.40M-398.36M-130.39M-40.31M-57.94M-21.72M
Financing Cash Flow92.53M884.12M494.33M117.55M251.39M-2.04M

Tempus AI, Inc. Class A Technical Analysis

Technical Analysis SentimentPositive
Last Price75.61

Price Trends

50DMA71.04Positive
100DMA62.01Positive
200DMA57.02Positive

Market Momentum

MACD1.37Negative
RSI57.66Neutral
STOCH70.60Neutral

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TEM, the sentiment is Positive. The current price of 75.61 is above the 20-day moving average (MA) of 70.17, above the 50-day MA of 71.04, and above the 200-day MA of 57.02, indicating a bullish trend. The MACD of 1.37 indicates Negative momentum. The RSI at 57.66 is Neutral, neither overbought nor oversold. The STOCH value of 70.60 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TEM.

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.

Higher RiskSector Avg.Lower RiskFinance & CorporateTech & InnovationLegal & RegulatoryProductionAbility to SellMacro & Political
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy

Latest Risks Added

3 New Risks
1.Failure to complete the proposed acquisition could negatively impact the price of shares of our Class A common stock, as well as our business and results of operations.Q2, 2026
2.Our stockholders may not realize a benefit from the proposed acquisition commensurate with the ownership dilution they will experience in connection with the proposed acquisition.Q2, 2026
3.The proposed acquisition may not be completed, and the merger agreement may be terminated in accordance with its terms.Q2, 2026

Tempus AI, Inc. Class A Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

TEM against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
CERTCERT62Neutral$1.66B-25.01-6.66%―0.66%-134.07%
TEMTEM61Neutral$14.19B-72.01-40.86%―36.56%10.59%
HTFLHTFL59Neutral$4.73B-39.84-42.25%―――
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%
HCATHCAT47Neutral$108.37M-0.43-129.70%―-7.54%-143.41%
SOPHSOPH47Neutral$588.23M-6.39-132.79%―24.11%2.08%

* Healthcare Sector Average

Performance Comparison

-50%0%50%TEMHCATCERTSOPHBFRGHTFLDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
TEM and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
TEMTempus AI, Inc. Class A75.613.524.88%
HCATHealth Catalyst1.59-1.37-46.28%
CERTCertara, Inc.11.09-0.18-1.60%
SOPHSophia Genetics Sa6.972.2347.05%
BFRGBullFrog AI Holdings, Inc.0.53-0.43-45.21%
HTFLHeartFlow, Inc.56.5722.0864.02%

Tempus AI, Inc. Class A Corporate Events

Business Operations and StrategyFinancial DisclosuresM&A TransactionsProduct-Related Announcements

Tempus AI Reports Third-Quarter Results and Growth

Positive
Nov 2, 2026

Tempus AI, a healthcare technology company focused on applying artificial intelligence to precision medicine, provides diagnostics, data and applications, and clinical workflow tools, with a major focus on oncology and broader healthcare research. On...

Business Operations and StrategyRegulatory Filings and Compliance

Tempus AI Expands Neurology Data Partnership With Pathos

Positive
Oct 23, 2026

On October 23, 2026, Tempus AI announced a series of agreements with Bristol-Myers Squibb and Pathos AI that significantly expand the use of Tempus’s de-identified multimodal real-world data and analytic tools in oncology and neurology. Under t...

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: Nov 04, 2026