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Tempus AI (TEM) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Health Information Services
C
AverageMetricSide Score: 50/100
ProfitabilityProfit0/30
GrowthGrowth23/25
Balance SheetBalance25/25
Cash QualityCash2/20
Price & Volume
Market Cap $10.78M

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, analytics platform, and repository of multimodal data; and Hub, a clinical application for physicians and other healthcare providers for use in the diagnostics product line as an end-to-end application for healthcare providers for NGS tests. The company also provides Lens, a software application for life sciences and advanced precision research; diagnostics services, such as NGS diagnostics, PCR profiling, and other anatomic and molecular pathology tests; and large-panel solid tumor and hematologic testing through multiple assays, with its core clinical assay (xT and xR) offering large panel DNA, RNA full transcriptome, and incidental germline findings through normal blood or saliva analyses. In addition, it provides genetic tests focused on inherited conditions; an nP assay for pharmacogenomic testing for patients with psychiatric conditions, including depression, general anxiety disorder, bipolar disorder, and other relevant diagnoses; Insights, which licenses libraries of linked, de-identified clinical, molecular, and imaging data; Organoids, a tumor derived biological modeling. Further, the company offers Trials for clinical trial matching services; Next, an AI platform; Algos, an algorithm-based diagnostics application. It has Strategic Collaborations with AstraZeneca AB, Pathos AI, Inc., GlaxoSmithKline, Merck, and Recursion Pharmaceuticals, Inc. Additionally, it also has a strategic collaboration with Blood Cancer United to develop registry for pediatric acute myeloid leukemia. 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.

Moat Signals

Competitive analysis based on 8 quarters of fundamental data

Pricing Power

Weak Moat

Operating margins are under pressure, averaging -60.9%. The business may lack pricing power or face rising costs.'

Competitive Advantage

Weak Moat

ROE is low or negative, suggesting limited competitive advantage or capital allocation challenges.

Cash Generation

Weak Moat

Only 2 of the last 8 quarters had positive FCF — the business may require external capital to sustain operations.

Demand Durability

Weak Moat

Revenue has been flat or declining over recent quarters, which may indicate eroding demand or competitive pressure.

Risk Signals

Data-driven red flags and warnings across 8 quarters

Some Concerns

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 5 of the last 8 quarters — earnings are not translating to cash.

Leverage Risk

Healthy

D/E ratio is 0.5 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Watch

5 of the last 8 quarters had negative FCF — inconsistent cash generation raises sustainability concerns.

Share Dilution

Healthy

Shares decreased 27.6% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$1.36B
43.7%
Q. Revenue
$348.12M
TTM EBITDA
$-160.75M
77.7%
TTM Op. Income
$-268.89M
64.6%
Q. Op. Income
$-84.71M
TTM Net Income
$-302.91M
60.9%
Q. Net Income
$-125.92M
EPS
$-0.7
Shares Out.
$178,880
4.9%
$1.36B in TTM revenue grew 43.7% YoY, reaching $348.12M last quarter. TTM EBITDA of $-160.75M and TTM operating income of $-268.89M shows growth is flowing through. However, net income is negative at $302.91M — growth is not yet reaching the bottom line. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
63.8%
5.1%
EBITDA Margin
-16.8%
Op. Margin
-24.3%
9.4%
Net Margin
-36.2%
36.0%
Op. margin of -24.3% is up 2.5% YoY — cost efficiency is improving. Net margin at -36.2% and gross margin of 63.8% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
0.0x
P/B Ratio
0.0x
P/S of 0.0x and P/B of 0.0x. A low P/S may indicate the stock is undervalued.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$2.14B
Cash
$521.17M
Long-Term Debt
$199.28M
Book Value
$416.40M
D/E Ratio
0.5
Debt/EBITDA
N/A
With $2.14B in assets and $199.28M in long-term debt, the D/E of 0.5and book value of $416.40M — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$-73.28M
Free Cash Flow
$-81.48M
24.3%
FCF Margin
-6.0%
FCF / Net Income
0.6
FCF of $-81.48M on $-73.28M in operating cash flow. The FCF / Net Income ratio of 0.3x indicates partial cash conversion — earnings quality needs attention.

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