Tearsheet

Tempus AI (TEM)


Market Price (12/4/2025): $77.55 | Market Cap: $13.6 Bil
Sector: Health Care | Industry: Health Care Technology

Tempus AI (TEM)


Market Price (12/4/2025): $77.55
Market Cap: $13.6 Bil
Sector: Health Care
Industry: Health Care Technology

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 73%
Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 13%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -242 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -22%
1 Megatrend and thematic drivers
Megatrends include Precision Medicine, Biotechnology & Genomics, and Artificial Intelligence. Themes include Personalized Diagnostics, Show more.
  Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -20%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -23%
2   Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -5.6%
0 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 73%
1 Megatrend and thematic drivers
Megatrends include Precision Medicine, Biotechnology & Genomics, and Artificial Intelligence. Themes include Personalized Diagnostics, Show more.
2 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 13%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -242 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -22%
4 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -20%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -23%
5 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -5.6%

Valuation, Metrics & Events

TEM Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

Tempus AI (TEM) experienced a -1.3% stock movement between August 31, 2025, and December 4, 2025, influenced by a combination of factors. 1. Mixed Reaction to Q3 2025 Earnings Report. Despite Tempus AI reporting higher-than-expected revenue of $334.21 million and a narrower loss per share of -$0.11 for the third quarter of 2025, the stock saw a decline of approximately 4.76% in after-hours trading on November 4, 2025. This suggests that investors may have focused on other aspects of the report or broader market conditions.

2. Negative Outlook from Paige Acquisition on Q4 Profitability. During the Q3 earnings call, Tempus AI indicated that its acquisition of Paige is projected to increase losses by approximately $5 million per quarter, leading to a forecasted negative adjusted EBITDA for Q4 2025. This forward-looking guidance likely contributed to investor caution regarding short-term profitability.

Show more

Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
TEM Return-----119%119%
Peers Return19%16%-4%-24%2%-26%-24%
S&P 500 Return16%27%-19%24%23%16%112%

Monthly Win Rates [3]
TEM Win Rate----50%70% 
Peers Win Rate20%23%23%27%27%49% 
S&P 500 Win Rate58%75%42%67%75%70% 

Max Drawdowns [4]
TEM Max Drawdown------6% 
Peers Max Drawdown-16%-2%-32%-33%-23%-36% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: OMCL, MDRX, BEAT, CARL, HTFL.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/3/2025 (YTD)

How Low Can It Go

TEM has limited trading history. Below is the Health Care sector ETF (XLV) in its place.

Unique KeyEventXLVS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-16.1%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven19.1%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven599 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-28.8%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven40.4%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven116 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-15.8%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven18.8%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven326 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-40.6%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven68.3%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven1100 days1480 days

Compare to


In The Past

SPDR Select Sector Fund's stock fell -16.1% during the 2022 Inflation Shock from a high on 4/8/2022. A -16.1% loss requires a 19.1% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Tempus AI (TEM)

Better Bets than Tempus AI (TEM)

Trade Ideas

Select past ideas related to TEM. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
10.0%10.0%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-7.7%-7.7%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
6.9%6.9%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
11.5%11.5%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
8.9%8.9%-5.1%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
10.0%10.0%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-7.7%-7.7%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
6.9%6.9%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
11.5%11.5%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
8.9%8.9%-5.1%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Tempus AI

Peers to compare with:

Financials

TEMOMCLMDRXBEATCARLHTFLMedian
NameTempus AIOmnicell Veradigm HeartBeamCarlsmed HeartFlow 
Mkt Price74.9140.485.000.7016.9928.0022.49
Mkt Cap13.11.80.50.0--1.2
Rev LTM1,1051,178588033139363
Op Inc LTM-24217-20-21-24-61-22
FCF LTM-2499483-15-30-90-23
FCF 3Y Avg-241126-79-13---46
CFO LTM-221153116-15-29-85-22
CFO 3Y Avg-214183-22-13---17

Growth & Margins

TEMOMCLMDRXBEATCARLHTFLMedian
NameTempus AIOmnicell Veradigm HeartBeamCarlsmed HeartFlow 
Rev Chg LTM72.6%10.7%1.8%---10.7%
Rev Chg 3Y Avg59.8%-3.0%-20.1%----3.0%
Rev Chg Q84.7%10.0%-9.7%---10.0%
QoQ Delta Rev Chg LTM16.1%2.5%-2.5%---2.5%
Op Mgn LTM-21.9%1.5%-3.3%--71.4%-44.4%-21.9%
Op Mgn 3Y Avg-57.3%-2.0%4.4%----2.0%
QoQ Delta Op Mgn LTM2.8%0.1%-13.3%---0.1%
CFO/Rev LTM-20.0%13.0%19.7%--86.4%-61.5%-20.0%
CFO/Rev 3Y Avg-32.5%16.0%-4.1%----4.1%
FCF/Rev LTM-22.6%8.0%14.2%--88.9%-65.0%-22.6%
FCF/Rev 3Y Avg-36.6%11.0%-14.2%----14.2%

Valuation

TEMOMCLMDRXBEATCARLHTFLMedian
NameTempus AIOmnicell Veradigm HeartBeamCarlsmed HeartFlow 
Mkt Cap13.11.80.50.0--1.2
P/S12.81.20.9---1.2
P/EBIT-80.280.9-8.8-2.1---5.4
P/E-69.369.6-5.9-2.1---4.0
P/CFO-64.09.04.4-2.7--0.8
Total Yield-1.4%1.4%-17.0%-48.1%---9.2%
Dividend Yield0.0%0.0%0.0%0.0%--0.0%
FCF Yield 3Y Avg-6.9%-1.5%-27.2%---1.5%
D/E0.10.10.40.0--0.1
Net D/E0.00.0-0.4-0.1---0.1

Returns

TEMOMCLMDRXBEATCARLHTFLMedian
NameTempus AIOmnicell Veradigm HeartBeamCarlsmed HeartFlow 
1M Rtn-15.6%21.3%4.2%-59.8%39.0%-17.8%-5.7%
3M Rtn-1.8%23.3%1.0%-49.7%31.1%-10.5%-0.4%
6M Rtn19.3%29.4%16.3%-58.1%--17.8%
12M Rtn33.1%-13.7%-52.6%-76.1%---33.1%
3Y Rtn--20.4%-73.8%-84.9%---73.8%
1M Excs Rtn-15.5%21.3%4.2%-59.7%39.1%-17.7%-5.7%
3M Excs Rtn-9.5%16.9%-4.3%-55.0%26.3%-23.2%-6.9%
6M Excs Rtn4.6%14.7%1.6%-72.8%--3.1%
12M Excs Rtn6.1%-26.7%-65.5%-90.5%---46.1%
3Y Excs Rtn--89.6%-145.3%-158.8%---145.3%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Genomics36319819515228
Data and services169123633634
Total53232125818862


Price Behavior

Short Interest

Short Interest: As Of Date11142025
Short Interest: Shares Quantity22,191,260
Short Interest: % Change Since 103120254.1%
Average Daily Volume7,313,752
Days-to-Cover Short Interest3.03
Basic Shares Quantity174,945,000
Short % of Basic Shares12.7%

SEC Filings

Expand for More

Report DateFiling DateFiling
93020251104202510-Q 9/30/2025
6302025808202510-Q 6/30/2025
3312025506202510-Q 3/31/2025
12312024224202510-K 12/31/2024
93020241104202410-Q 9/30/2024
6302024806202410-Q 6/30/2024
123120236172024424B4 12/31/2023
1231202212152023DRS/A 12/31/2022
123120211172023DRS/A 12/31/2021
630202110282021DRS/A 6/30/2021
1231202012032021DRS/A 12/31/2020