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    Tempus Reports Fourth Quarter and Full Year 2024 Results

    2/24/25 4:01:00 PM ET
    $TEM
    Computer Software: Programming Data Processing
    Technology
    Get the next $TEM alert in real time by email

    Tempus AI, Inc. (NASDAQ:TEM), a technology company leading the adoption of AI to advance precision medicine and patient care, today reported financial results for the quarter and year ended December 31, 2024.

    • Year-over-year revenue growth accelerated to 35.8% in the fourth quarter of 2024
    • Gross profit growth accelerated to 49.7% in the fourth quarter of 2024, led by Data and services
    • Ended the year with $940 million in Total Remaining Contract Value and 140% net revenue retention
    • Closed the acquisition of Ambry Genetics on February 3, 2025
    • Increases revenue guidance to $1.24 billion for 2024 and expect full year 2025 Adjusted EBITDA of approximately $5 million, an improvement of approximately $110 million over 2024

    "Our performance in 2024 reflects the strength of our core businesses, as Genomics continued to show strong volume growth and our Data business delivered record results throughout the year," said Eric Lefkofsky, Founder and CEO of Tempus. "We believe our investments in AI have positioned us well for the future, as technologies that seemed unimaginable a few short years ago increasingly allow us to make our diagnostics intelligent, helping patients live longer and healthier lives. We remain on track to achieve our key financial milestones, with expected robust revenue growth and positive Adjusted EBITDA in 2025."

    Fourth Quarter Summary Results

    • Quarterly revenue increased 35.8% year-over-year to $200.7 million in the fourth quarter of 2024.
      • Genomics generated $120.4 million in revenue in the fourth quarter of 2024, representing 30.6% year-over-year growth, with unit growth of 22.5% year-over-year.
      • Data and services generated $80.2 million in revenue in the fourth quarter of 2024, representing 44.6% year-over-year growth.
    • Quarterly gross profit increased 49.7% to $122.1 million, led by Data and services.
    • Net loss of ($13.0 million), which included $32.4 million of stock compensation expense and related employer payroll taxes in the fourth quarter of 2024 compared to a net loss of ($50.5 million) in the fourth quarter of 2023 and a net loss of ($75.8 million) in the third quarter of 2024.
    • Adjusted EBITDA improved to ($7.8 million) in the fourth quarter of 2024, compared to ($35.1 million) in the fourth quarter of 2023 and ($21.8 million) in the third quarter of 2024.

    Full Year 2024 Summary Results

    • Annual Revenue increased 30.4% year-over-year to $693.4 million in 2024.
      • Genomics generated $451.7 million in revenue in 2024, representing 24.4% year-over-year growth, with unit growth of 23.8% year-over-year.
      • Data and services generated $241.6 million in revenue in 2024, representing 43.2% year-over-year growth.
      • Ended the year with $940 million in remaining Total Contract Value given that our net revenue retention improved to 140%.
    • Annual gross profit increased to $381.1 million in 2024, representing 33.2% growth year-over-year.
    • Net loss of ($705.8 million) in 2024, which included $547.7 million of stock compensation expense and related employer payroll taxes.
    • Adjusted EBITDA improved $49.5 million year-over-year in 2024 to ($104.7 million).

    Fourth Quarter 2024 and Recent Operational Highlights

    • Completed the acquisition of Ambry Genetics on February 3, 2025.
    • Announced the national launch of the Company's FDA-approved, NGS-based in vitro diagnostic device, xT CDx which was granted ADLT status and a reimbursement rate of $4,500 per test.
    • Announced the impact of a decision by the Centers for Medicare and Medicaid Services (CMS) that will allow reimbursement for cardiac dysfunction assessments using the Tempus ECG-AF algorithm, currently paying $138/algorithm.
    • Signed agreements for in-network provider status with Blue Cross Blue Shield of Illinois, Blue Shield of California, and Avalon Healthcare Solutions.
    • Grew our network and are now connected to ~3,000 providers in the U.S.

    Fourth Quarter and Full Year 2024 Financial Results

     

     

    Three Months Ended

    December 31, 2024

     

     

    Year Ended

    December 31, 2024

     

     

     

    (in thousands, except percentages and per share amounts)

     

     

     

    (unaudited)

     

    GAAP Results

     

     

     

     

     

     

    Revenue

     

    $

    200,680

     

     

    $

    693,398

     

    Year-over-year growth

     

     

    35.8

    %

     

     

    30.4

    %

    Gross Profit

     

    $

    122,064

     

     

    $

    381,113

     

    Loss from operations

     

    $

    (50,700

    )

     

    $

    (691,082

    )

    Net loss

     

    $

    (13,014

    )

     

    $

    (705,809

    )

    Adjusted EBITDA

     

    $

    (7,752

    )

     

    $

    (104,707

    )

    Net loss per share attributable to common shareholders, basic and diluted

     

    $

    (0.08

    )

     

    $

    (6.23

    )

    Non-GAAP net loss per share

     

    $

    (0.18

    )

     

    $

    (1.58

    )

    Financial Guidance and 2025 Outlook

    Tempus now expects full year 2025 revenue of approximately $1.24 billion for the consolidated Tempus and Ambry Genetics business, which represents approximately 79% annual growth, and Adjusted EBITDA of $5 million for full year 2025, an improvement of approximately $110 million over 2024.

    For additional information on the quarter and full year, including a letter from our CEO and CFO, please visit our investor relations site investors.tempus.com.

    Webcast and Conference Call Information

    A conference call and webcast will begin today, February 24, 2025 after market close at 4:30 p.m. Eastern Time. Interested parties may access details at:

    Conference ID: 9601821

    Domestic Dial-in Number: (888)-596-4144

    International Dial-in Number: (646)-968-2525

    Live Webcast: https://edge.media-server.com/mmc/p/6qbep94p/

    The webcast may be accessed on the company's investor relations website at investors.tempus.com. For those unable to listen to the live webcast, a recording will be made available on the company's website after the event and will be accessible for one year. Visit the investor relations website to find the company's latest deck, and commentary on the quarter and year by Eric Lefkofsky, Founder and CEO and Jim Rogers, CFO, which will be discussed on the conference call and webcast.

    About Tempus

    Tempus is a technology company advancing precision medicine through the practical application of artificial intelligence in healthcare. With one of the world's largest libraries of multimodal data, and an operating system to make that data accessible and useful, Tempus provides AI-enabled precision medicine solutions to physicians to deliver personalized patient care and in parallel facilitates discovery, development and delivery of optimal therapeutics. The goal is for each patient to benefit from the treatment of others who came before by providing physicians with tools that learn as the company gathers more data. For more information, visit tempus.com.

    Non-GAAP Financial Measures

    In addition to the financial information presented in this release in accordance with accounting principles generally accepted in the United States of America (GAAP), Tempus also presents adjusted non-GAAP financial measures.

    Non-GAAP gross profit is defined as GAAP gross profit, excluding stock-based compensation expense and employer payroll tax related to stock-based compensation (collectively, the "stock-based compensation adjustments"). Non-GAAP gross margin is defined as gross profit, excluding the stock-based compensation adjustments, as a percentage of revenue. Non-GAAP operating expenses are calculated as the sum of technology research and development expense, research and development expense, and selling, general and administrative expense, excluding the stock-based compensation adjustments. Non-GAAP net income (loss) is defined as net income (loss), adjusted to exclude (i) losses on equity method investments, (ii) changes in fair value of our warrant liability, warrant asset, marketable equity securities, contingent consideration liabilities and indemnity-related holdback liabilities, (iii) the payment of $2.3 million of our Series G-4 convertible preferred stock in connection with the initial public offering (the "G-4 Special Payment"), (iv) amortization of deferred other income from our IP License Agreement with SB Tempus, (v) the settlement of certain historical and potential future disputes, and (vi) acquisition-related expenses. Non-GAAP net income (loss) per share is defined as adjusted net income (loss) divided by weighted average common shares outstanding, basic and diluted.

    EBITDA is defined as net income (loss), adjusted to exclude (i) interest income, (ii) interest expense, (iii) depreciation and amortization, and (iv) provision for income taxes. Adjusted EBITDA is defined as net income (loss), adjusted to exclude (i) interest income, (ii) interest expense, (iii) depreciation and amortization, (iv) provision for (benefit from) income taxes, (v) losses on equity method investments, (vi) changes in fair value of our warrant liability, warrant asset, marketable equity securities, contingent consideration liabilities and indemnity-related holdback liabilities, (vii) stock-based compensation expense, (viii) employer payroll tax related to stock-based compensation expense, (ix) the G-4 Special Payment, (x) amortization of deferred other income from our IP License Agreement with SB Tempus, (xi) the settlement of certain historical and potential future disputes, and (xii) acquisition related expenses.

    Tempus believes these non-GAAP financial measures are useful to investors and others because they allow for additional information with respect to financial measures used by management in its financial and operational decision-making and they may be used by institutional investors and the analyst community to help them analyze the health of Tempus' business. In particular, Adjusted EBITDA is a key measurement used by Tempus management to make operating decisions, including those related to analyzing operating expenses, evaluating performance, and performing strategic planning and annual budgeting. However, there are a number of limitations related to the use of non-GAAP financial measures, and these non-GAAP measures should be considered in addition to, not as a substitute for or in isolation from, our financial results prepared in accordance with GAAP. Other companies, including companies in our industry, may calculate these non-GAAP financial measures differently or not at all, which reduces their usefulness as comparative measures.

    Tempus does not provide guidance for net loss, the most directly comparable GAAP measure to EBITDA and Adjusted EBITDA, and similarly cannot provide a reconciliation between Tempus' forecasted Adjusted EBITDA and net loss without unreasonable effort due to the unavailability of reliable estimates for certain components of net income (loss) and the respective reconciliations. These forecasted items are not within Tempus' control, may vary greatly between periods, and could significantly impact future financial results.

    Other Key Metrics

    Total Remaining Contract Value (TCV) is equal to the total potential value of signed contracts and assumes the exercise of all contract options, all discretionary opt-ins, and no early termination. Remaining TCV excludes any revenue recognized to date on these contracts or any future adjustments made to the contractual value as a result of amendments or terminations.

    Net Revenue Retention compares the annual Insights product revenue generated from all customers that made an Insights purchase in one year to the annual Insights product revenue generated from the same cohort of customers in the subsequent year.

    Forward Looking Statements

    This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the "Securities Act"), and Section 21E of the Securities Exchange Act of 1934, as amended, about Tempus and its industry that involve substantial risks and uncertainties. All statements other than statements of historical facts contained in this press release are forward-looking statements, including, but not limited to, Tempus' expected financial results for full year 2025; whether investments in AI have positioned Tempus well for the future; and the ability of Tempus' diagnostics to help patients live longer and healthier lives. In some cases, you can identify forward-looking statements because they contain words such as "anticipate," "believe," "contemplate," "continue," "could," "estimate," "expect," "going to," "intend," "may," "plan," "potential," "predict," "project," "should," "target," "will," or "would" or the negative of these words or other similar terms or expressions. Tempus cautions you that the foregoing may not include all of the forward-looking statements made in this press release.

    You should not rely on forward-looking statements as predictions of future events. Tempus has based the forward-looking statements contained in this press release primarily on its current expectations and projections about future events and trends that it believes may affect Tempus' business, financial condition, results of operations and prospects. These forward-looking statements are subject to risks and uncertainties related to: the intended use of Tempus' products and services; Tempus' financial performance; the ability to attract and retain customers and partners; managing Tempus' growth and future expenses; competition and new market entrants; compliance with new laws, regulations and executive actions, including any evolving regulations in the artificial intelligence space; the ability to maintain, protect and enhance Tempus' intellectual property; the ability to attract and retain qualified team members and key personnel; the ability to repay or refinance outstanding debt, or to access additional financing; future acquisitions, divestitures or investments, including Tempus' ability to realize the expected benefits of the acquisition of Ambry Genetics; the potential adverse impact of climate change, natural disasters, health epidemics, macroeconomic conditions, and war or other armed conflict, as well as risks, uncertainties, and other factors described in the section titled "Risk Factors" in Tempus' Form 10-K for the year ended December 31, 2024, filed with the Securities and Exchange Commission ("SEC") on February 24, 2025, as well as in other filings Tempus may make with the SEC in the future. In addition, any forward-looking statements contained in this press release are based on assumptions that Tempus believes to be reasonable as of this date. Tempus undertakes no obligation to update any forward-looking statements to reflect events or circumstances after the date of this press release or to reflect new information or the occurrence of unanticipated events, except as required by law.

     

    Tempus AI, Inc.

    CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

    (in thousands, except per share amounts)

     

     

    Year Ended December 31,

     

     

    2024

     

     

    2023

     

     

    2022

     

    Net revenue

     

     

     

     

     

     

     

     

    Genomics

    $

    451,749

     

     

    $

    363,022

     

     

    $

    197,984

     

    Data and services

     

    241,649

     

     

     

    168,800

     

     

     

    122,684

     

    Total net revenue

    $

    693,398

     

     

    $

    531,822

     

     

    $

    320,668

     

    Cost and operating expenses

     

     

     

     

     

     

     

     

    Cost of revenues, genomics

     

    243,467

     

     

     

    189,165

     

     

     

    150,255

     

    Cost of revenues, data and services

     

    68,818

     

     

     

    56,482

     

     

     

    40,227

     

    Technology research and development

     

    167,519

     

     

     

    95,155

     

     

     

    79,093

     

    Research and development

     

    149,325

     

     

     

    90,343

     

     

     

    83,158

     

    Selling, general and administrative

     

    755,351

     

     

     

    296,760

     

     

     

    233,377

     

    Total cost and operating expenses

     

    1,384,480

     

     

     

    727,905

     

     

     

    586,110

     

    Loss from operations

    $

    (691,082

    )

     

    $

    (196,083

    )

     

    $

    (265,442

    )

    Interest income

     

    11,084

     

     

     

    7,601

     

     

     

    3,032

     

    Interest expense

     

    (53,653

    )

     

     

    (46,869

    )

     

     

    (21,894

    )

    Other income (expense), net

     

    32,336

     

     

     

    21,822

     

     

     

    (4,846

    )

    Loss before provision for income taxes

    $

    (701,315

    )

     

    $

    (213,529

    )

     

    $

    (289,150

    )

    Provision for income taxes

     

    (266

    )

     

     

    (288

    )

     

     

    (66

    )

    Losses from equity method investments

     

    (4,228

    )

     

     

    (301

    )

     

     

    (595

    )

    Net Loss

    $

    (705,809

    )

     

    $

    (214,118

    )

     

    $

    (289,811

    )

    Accretion of convertible preferred stock to redemption value

     

    —

     

     

     

    (4,338

    )

     

     

    (301

    )

    Dividends on Series A, B, B-1, B-2, C, D, E, F, G, G-3, and G-4 preferred shares

     

    (39,347

    )

     

     

    (44,497

    )

     

     

    (40,975

    )

    Cumulative undeclared dividends on Series C preferred shares

     

    (1,174

    )

     

     

    (3,011

    )

     

     

    (2,841

    )

    Net loss attributable to common shareholders, basic and diluted

     

    (746,330

    )

     

     

    (265,964

    )

     

     

    (333,928

    )

    Net loss per share attributable to common shareholders, basic and diluted

    $

    (6.23

    )

     

    $

    (4.20

    )

     

    $

    (5.30

    )

    Weighted-average shares outstanding used to compute net loss per share, basic and diluted

     

    119,849

     

     

     

    63,306

     

     

     

    63,032

     

    Comprehensive Loss, net of tax

     

     

     

     

     

     

     

     

    Net loss

    $

    (705,809

    )

     

    $

    (214,118

    )

     

    $

    (289,811

    )

    Foreign currency translation adjustment

     

    89

     

     

     

    (13

    )

     

     

    29

     

    Comprehensive loss

    $

    (705,720

    )

     

    $

    (214,131

    )

     

    $

    (289,782

    )

     

    Tempus AI, Inc.

    CONSOLIDATED BALANCE SHEETS

    (in thousands, except share and per share amounts)

     

     

     

    December 31,

    2024

     

     

    December 31,

    2023

     

    Assets

     

     

     

     

     

     

    Current Assets

     

     

     

     

     

     

    Cash and cash equivalents

     

    $

    340,954

     

     

    $

    165,767

     

    Accounts receivable, net of allowances of $1,141 and $1,115 at December 31, 2024 and December 31, 2023, respectively

     

     

    154,819

     

     

     

    94,462

     

    Inventory

     

     

    38,386

     

     

     

    28,845

     

    Warrant asset

     

     

    —

     

     

     

    5,070

     

    Prepaid expenses and other current assets

     

     

    26,135

     

     

     

    17,295

     

    Marketable equity securities

     

     

    107,309

     

     

     

    31,807

     

    Deferred offering costs

     

     

    —

     

     

     

    7,085

     

    Total current assets

     

    $

    667,603

     

     

    $

    350,331

     

    Property and equipment, net

     

     

    58,056

     

     

     

    61,681

     

    Goodwill

     

     

    73,343

     

     

     

    73,354

     

    Warrant asset, less current portion

     

     

    —

     

     

     

    4,930

     

    Intangible assets, net

     

     

    11,716

     

     

     

    21,916

     

    Investments and other assets

     

     

    8,305

     

     

     

    8,971

     

    Investment in joint venture

     

     

    91,450

     

     

     

    —

     

    Warrant contract asset, less current portion

     

     

    —

     

     

     

    21,499

     

    Operating lease right-of-use assets

     

     

    14,762

     

     

     

    20,530

     

    Restricted cash

     

     

    881

     

     

     

    840

     

    Total Assets

     

    $

    926,116

     

     

    $

    564,052

     

     

     

     

     

     

     

     

    Liabilities, Convertible redeemable preferred stock, and Stockholders' equity (deficit)

     

     

     

     

     

     

    Current Liabilities

     

     

     

     

     

     

    Accounts payable

     

     

    53,804

     

     

     

    54,421

     

    Accrued expenses

     

     

    130,407

     

     

     

    82,517

     

    Deferred revenue

     

     

    75,981

     

     

     

    64,860

     

    Deferred other income

     

     

    15,955

     

     

     

    —

     

    Other current liabilities

     

     

    6,964

     

     

     

    8,213

     

    Operating lease liabilities

     

     

    6,459

     

     

     

    6,437

     

    Accrued data licensing fees

     

     

    1,500

     

     

     

    6,382

     

    Accrued dividends

     

     

    —

     

     

     

    9,797

     

    Total current liabilities

     

    $

    291,070

     

     

    $

    232,627

     

    Operating lease liabilities, less current portion

     

     

    26,199

     

     

     

    32,040

     

    Convertible promissory note

     

     

    168,192

     

     

     

    193,124

     

    Warrant liability

     

     

    —

     

     

     

    34,500

     

    Other long-term liabilities

     

     

    15,980

     

     

     

    19,751

     

    Interest payable

     

     

    70,450

     

     

     

    55,321

     

    Long-term debt, net

     

     

    267,244

     

     

     

    256,541

     

    Deferred other income, less current portion

     

     

    23,932

     

     

     

    —

     

    Deferred revenue, less current portion

     

     

    6,710

     

     

     

    16,768

     

    Total Liabilities

     

    $

    869,777

     

     

    $

    840,672

     

    Commitments and contingencies (Note 7)

     

     

     

     

     

     

    Convertible redeemable preferred stock, $0.0001 par value, no and 69,803,765 shares authorized at December 31, 2024 and December 31, 2023, respectively; no and 63,525,953 shares issued and outstanding at December 31, 2024 and December 31, 2023, respectively; aggregate liquidation preference of $0 and $1,130,429 at December 31, 2024 and December 31, 2023, respectively

     

     

    —

     

     

     

    1,105,543

     

     

     

     

     

     

     

     

    Stockholders' equity (deficit)

     

     

     

     

     

     

    Class A Voting Common Stock, $0.0001 par value, 1,000,000,000 and 200,228,024 shares authorized at December 31, 2024 and December 31, 2023, respectively; 157,076,972 and 58,367,961 shares issued and outstanding at December 31, 2024 and December 31, 2023, respectively

     

     

    16

     

     

    $

    6

     

    Class B Voting Common Stock, $0.0001 par value, 5,500,000 and 5,374,899 shares authorized at December 31, 2024 and December 31, 2023, respectively; 5,043,789 and no shares issued and outstanding at December 31, 2024 and December 31, 2023, respectively

     

     

    1

     

     

     

    —

     

    Non-voting Common Stock, $0.0001 par value, no and 66,946,627 shares authorized at December 31, 2024 and December 31, 2023, respectively; no shares issued and outstanding at December 31, 2024, and 5,205,802 shares issued and 5,060,336 shares outstanding at December 31, 2023

     

     

    —

     

     

     

    0

     

    Treasury Stock, 145,466 shares at December 31, 2024 and December 31, 2023, at cost

     

     

    (3,602

    )

     

     

    (3,602

    )

    Additional Paid-In Capital

     

     

    2,210,664

     

     

     

    18,345

     

    Accumulated Other Comprehensive Income

     

     

    94

     

     

     

    5

     

    Accumulated deficit

     

     

    (2,150,834

    )

     

     

    (1,396,917

    )

    Total Stockholders' equity (deficit)

     

    $

    56,339

     

     

    $

    (1,382,163

    )

    Total Liabilities, Convertible redeemable preferred stock,

    and Stockholders' equity (deficit)

     

    $

    926,116

     

     

    $

    564,052

     

     

    Tempus AI, Inc.

    CONSOLIDATED STATEMENTS OF CASH FLOWS

    (in thousands, except per share amounts)

     

     

    Year Ended December 31,

     

     

    2024

     

     

    2023

     

     

    2022

     

    Operating activities

     

     

     

     

     

     

     

     

    Net loss

    $

    (705,809

    )

     

    $

    (214,118

    )

     

    $

    (289,811

    )

    Adjustments to reconcile net loss to net cash used in operating activities

     

     

     

     

     

     

     

     

    Change in fair value of warrant liability

    $

    42,400

     

     

    $

    (8,000

    )

     

    $

    4,700

     

    Gain on warrant termination

     

    (39,100

    )

     

     

    —

     

     

     

    —

     

    Reversal of warrant contract asset amortization

     

    (16,301

    )

     

     

    —

     

     

     

    —

     

    Gain on warrant exercise

     

    (173

    )

     

     

    —

     

     

     

    —

     

    Stock-based compensation

     

    534,138

     

     

     

    —

     

     

     

    —

     

    Amortization of warrant contract asset

     

    4,843

     

     

     

    5,221

     

     

     

    4,720

     

    Change in fair value of warrant asset

     

    (18,302

    )

     

     

    (4,100

    )

     

     

    —

     

    Gain on marketable equity securities

     

    (12,110

    )

     

     

    (9,807

    )

     

     

    —

     

    Losses from equity method investments

     

    4,228

     

     

     

    301

     

     

     

    595

     

    Amortization of original issue discount

     

    1,382

     

     

     

    1,117

     

     

     

    238

     

    Amortization of deferred financing fees

     

    510

     

     

     

    510

     

     

     

    139

     

    Change in fair value of contingent consideration

     

    72

     

     

     

    (400

    )

     

     

    (3,701

    )

    Depreciation and amortization

     

    37,245

     

     

     

    33,049

     

     

     

    30,029

     

    Provision for bad debt expense

     

    680

     

     

     

    1,646

     

     

     

    3,867

     

    Provision for obsolete inventory

     

    —

     

     

     

    —

     

     

     

    1,938

     

    Amortization of finance right-of-use lease assets

     

    —

     

     

     

    283

     

     

     

    381

     

    Non-cash operating lease costs

     

    6,047

     

     

     

    6,760

     

     

     

    6,427

     

    Minimum accretion expense

     

    197

     

     

     

    90

     

     

     

    455

     

    Impairment of intangible assets

     

    —

     

     

     

    7,359

     

     

     

    —

     

    PIK interest added to principal

     

    8,811

     

     

     

    3,587

     

     

     

    —

     

    Change in assets and liabilities

     

     

     

     

     

     

     

     

    Accounts receivable

     

    (61,037

    )

     

     

    (7,347

    )

     

     

    (8,203

    )

    Inventory

     

    (9,541

    )

     

     

    (6,563

    )

     

     

    (1,312

    )

    Prepaid expenses and other current assets

     

    (13,683

    )

     

     

    (6,474

    )

     

     

    (1,094

    )

    Investments and other assets

     

    (751

    )

     

     

    (4,209

    )

     

     

    (2,296

    )

    Accounts payable

     

    (23,852

    )

     

     

    (23,363

    )

     

     

    (7,915

    )

    Deferred revenue

     

    (20,942

    )

     

     

    (26,412

    )

     

     

    67,626

     

    Deferred other income

     

    39,887

     

     

     

    —

     

     

     

    —

     

    Accrued data licensing fees

     

    (5,000

    )

     

     

    (9,121

    )

     

     

    (6,746

    )

    Accrued expenses & other

     

    50,540

     

     

     

    38,577

     

     

     

    22,803

     

    Interest payable

     

    15,129

     

     

     

    15,836

     

     

     

    16,395

     

    Operating lease liabilities

     

    (8,553

    )

     

     

    (8,761

    )

     

     

    (7,439

    )

    Net cash used in operating activities

    $

    (189,045

    )

     

    $

    (214,339

    )

     

    $

    (168,204

    )

     

     

     

     

     

     

     

     

     

    Investing activities

     

     

     

     

     

     

     

     

    Purchases of property and equipment

    $

    (22,121

    )

     

    $

    (34,608

    )

     

    $

    (18,377

    )

    Proceeds from sale of marketable equity securities

     

    23,098

     

     

     

    —

     

     

     

    —

     

    Purchases of marketable equity securities

     

    (36,183

    )

     

     

    —

     

     

     

    —

     

    Business combinations, net of cash acquired (Note 3)

     

    —

     

     

     

    (5,705

    )

     

     

    (39,562

    )

    Investment in joint venture

     

    (95,186

    )

     

     

    —

     

     

     

    —

     

    Net cash used in investing activities

    $

    (130,392

    )

     

    $

    (40,313

    )

     

    $

    (57,939

    )

    Financing activities

     

     

     

     

     

     

     

     

    Proceeds from issuance of common stock in connection with initial public offering, net of underwriting discounts and commissions

    $

    381,951

     

     

    $

    —

     

     

    $

    —

     

    Tax withholding related to net share settlement of restricted stock units

     

    (69,918

    )

     

     

    —

     

     

     

    —

     

    Issuance of Series G-3 Preferred Stock, net of offering costs

     

    —

     

     

     

    —

     

     

     

    92,199

     

    Issuance of Series G-4 Preferred Stock, net of offering costs

     

    —

     

     

     

    44,885

     

     

     

    —

     

    Issuance of Series G-5 Preferred Stock

     

    199,750

     

     

     

    —

     

     

     

    —

     

    Principal payments on finance lease liabilities

     

    —

     

     

     

    (288

    )

     

     

    (375

    )

    Purchase of treasury stock

     

    —

     

     

     

    (3,602

    )

     

     

    —

     

    Payment of deferred offering costs

     

    (8,766

    )

     

     

    (698

    )

     

     

    (2,883

    )

    Payment of deferred financing fees

     

    —

     

     

     

    —

     

     

     

    (2,550

    )

    Dividends paid

     

    (5,625

    )

     

     

    (5,625

    )

     

     

    (5,625

    )

    Proceeds from long-term debt, net of original issue discount

     

    —

     

     

     

    82,875

     

     

     

    170,625

     

    Payment of indemnity holdback related to acquisition

     

    (813

    )

     

     

    —

     

     

     

    —

     

    G-4 Special Payment

     

    (2,250

    )

     

     

    —

     

     

     

    —

     

    Net cash provided by financing activities

    $

    494,329

     

     

    $

    117,547

     

     

    $

    251,391

     

    Effect of foreign exchange rates on cash

    $

    336

     

     

    $

    (19

    )

     

    $

    17

     

     

     

     

     

     

     

     

     

     

    Net increase (decrease) in Cash, Cash Equivalents and Restricted Cash

    $

    175,228

     

     

    $

    (137,124

    )

     

    $

    25,265

     

    Cash, cash equivalents and restricted cash, beginning of period

     

    166,607

     

     

     

    303,731

     

     

     

    278,466

     

    Cash, cash equivalents and restricted cash, end of period

    $

    341,835

     

     

    $

    166,607

     

     

    $

    303,731

     

     

     

     

     

     

     

     

     

     

    Cash, Cash Equivalents and Restricted Cash are Comprised of:

     

     

     

     

     

     

     

     

    Cash and cash equivalents

    $

    340,954

     

     

    $

    165,767

     

     

    $

    302,938

     

    Restricted cash

     

    881

     

     

     

    840

     

     

     

    793

     

    Total cash, cash equivalents and restricted cash

    $

    341,835

     

     

    $

    166,607

     

     

    $

    303,731

     

     

     

     

     

     

     

     

     

     

    Supplemental disclosure of cash flow information

     

     

     

     

     

     

     

     

    Cash paid during the year for interest

    $

    28,045

     

     

    $

    16,913

     

     

    $

    4,664

     

    Cash paid for income taxes

    $

    206

     

     

    $

    161

     

     

    $

    6

     

    Marketable equity securities received on accounts receivable

    $

    22,000

     

     

    $

    22,000

     

     

    $

    —

     

     

     

     

     

     

     

     

     

     

    Supplemental disclosure of noncash investing and financing activities

     

     

     

     

     

     

     

     

    Dividends payable

    $

    5,487

     

     

    $

    12,535

     

     

    $

    5,625

     

    Purchases of property and equipment, accrued but not paid

    $

    4,292

     

     

    $

    6,137

     

     

    $

    2,408

     

    Deferred offering costs, accrued but not yet paid

    $

    —

     

     

    $

    3,504

     

     

    $

    2,391

     

    Redemption of convertible promissory note

    $

    24,932

     

     

    $

    27,970

     

     

    $

    17,142

     

    Non-voting common stock issued in connection with business combinations

    $

    344

     

     

    $

    9,209

     

     

    $

    4,947

     

    Non-voting common stock issued in connection with contingent consideration

    $

    —

     

     

    $

    —

     

     

    $

    4,304

     

    Accretion of convertible preferred stock to redemption value

    $

    —

     

     

    $

    4,338

     

     

    $

    301

     

    Operating lease liabilities arising from obtaining right-of-use assets

    $

    1,997

     

     

    $

    1,097

     

     

    $

    41,815

     

    Finance lease liabilities arising from obtaining right-of-use-assets

    $

    —

     

     

    $

    —

     

     

    $

    664

     

    Conversion of redeemable convertible preferred stock to common stock in connection with initial public offering

    $

    1,348,809

     

     

    $

    —

     

     

    $

    —

     

    Taxes related to net share settlement of restricted stock units not yet paid

    $

    20

     

     

    $

    —

     

     

    $

    —

     

    Reclassification of deferred offering costs to additional paid-in capital upon initial public offering

    $

    12,347

     

     

    $

    —

     

     

    $

    —

     

    Issuance of Series G-3 Preferred Stock

    $

    3,809

     

     

    $

    2,738

     

     

    $

    —

     

    Issuance of warrant

    $

    —

     

     

    $

    4,223

     

     

    $

    —

     

    Issuance of Series G-4 Preferred Stock

    $

    611

     

     

    $

    —

     

     

    $

    —

     

    Issuance of common stock in connection with contingent consideration

    $

    847

     

     

    $

    —

     

     

    $

    —

     

     

    Tempus AI, Inc.

    RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES

    (unaudited)

    (in thousands, except percentages and per share amounts)

     

    Genomics Gross Profit & Gross Margin

     

     

     

    Three Months Ended December 31,

     

     

    Year Ended December 31,

     

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    Genomics revenue

     

    $

    120,434

     

     

    $

    92,225

     

     

    $

    451,749

     

     

    $

    363,022

     

    Cost of revenues, genomics

     

     

    62,182

     

     

     

    50,384

     

     

     

    243,467

     

     

     

    189,165

     

    Gross profit, genomics

     

    $

    58,252

     

     

    $

    41,841

     

     

    $

    208,282

     

     

    $

    173,857

     

    Stock-based compensation expense

     

     

    1,215

     

     

     

    —

     

     

     

    13,625

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    293

     

     

     

    —

     

     

     

    455

     

     

     

    —

     

    Non-GAAP gross profit, genomics

     

    $

    59,760

     

     

    $

    41,841

     

     

    $

    222,362

     

     

    $

    173,857

     

    Genomics gross margin

     

     

    48.4

    %

     

     

    45.4

    %

     

     

    46.1

    %

     

     

    47.9

    %

    Stock-based compensation expense

     

     

    1.0

    %

     

     

    0.0

    %

     

     

    3.0

    %

     

     

    0.0

    %

    Employer payroll tax related to stock-based compensation

     

     

    0.2

    %

     

     

    0.0

    %

     

     

    0.1

    %

     

     

    0.0

    %

    Non-GAAP gross margin, genomics

     

     

    49.6

    %

     

     

    45.4

    %

     

     

    49.2

    %

     

     

    47.9

    %

    Data and Services Gross Profit & Gross Margin

     

     

     

    Three Months Ended December 31,

     

     

    Year Ended December 31,

     

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    Data and services revenue

     

    $

    80,246

     

     

    $

    55,499

     

     

    $

    241,649

     

     

    $

    168,800

     

    Cost of revenues, data and services

     

     

    16,434

     

     

     

    15,792

     

     

     

    68,818

     

     

     

    56,482

     

    Gross profit, data and services

     

    $

    63,812

     

     

    $

    39,707

     

     

    $

    172,831

     

     

    $

    112,318

     

    Stock-based compensation expense

     

     

    385

     

     

     

    —

     

     

     

    8,530

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    202

     

     

     

    —

     

     

     

    364

     

     

     

    —

     

    Non-GAAP gross profit, data and services

     

    $

    64,399

     

     

    $

    39,707

     

     

    $

    181,725

     

     

    $

    112,318

     

    Gross margin, data and services

     

     

    79.5

    %

     

     

    71.5

    %

     

     

    71.5

    %

     

     

    66.5

    %

    Stock-based compensation expense

     

     

    0.5

    %

     

     

    0.0

    %

     

     

    3.5

    %

     

     

    0.0

    %

    Employer payroll tax related to stock-based compensation

     

     

    0.3

    %

     

     

    0.0

    %

     

     

    0.2

    %

     

     

    0.0

    %

    Non-GAAP gross margin, data and services

     

     

    80.3

    %

     

     

    71.5

    %

     

     

    75.2

    %

     

     

    66.5

    %

    Total Gross Profit & Gross Margin

     

     

     

    Three Months Ended December 31,

     

     

    Year Ended December 31,

     

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    Net revenue

     

    $

    200,680

     

     

    $

    147,724

     

     

    $

    693,398

     

     

    $

    531,822

     

    Cost of revenues

     

     

    78,616

     

     

     

    66,176

     

     

     

    312,285

     

     

     

    245,647

     

    Gross profit

     

    $

    122,064

     

     

    $

    81,548

     

     

    $

    381,113

     

     

    $

    286,175

     

    Stock-based compensation expense

     

     

    1,600

     

     

     

    —

     

     

     

    22,155

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    495

     

     

     

    —

     

     

     

    819

     

     

     

    —

     

    Non-GAAP gross profit

     

    $

    124,159

     

     

    $

    81,548

     

     

    $

    404,087

     

     

    $

    286,175

     

    Gross margin

     

     

    60.8

    %

     

     

    55.2

    %

     

     

    55.0

    %

     

     

    53.8

    %

    Stock-based compensation expense

     

     

    0.8

    %

     

     

    0.0

    %

     

     

    3.2

    %

     

     

    0.0

    %

    Employer payroll tax related to stock-based compensation

     

     

    0.2

    %

     

     

    0.0

    %

     

     

    0.1

    %

     

     

    0.0

    %

    Non-GAAP gross margin

     

     

    61.9

    %

     

     

    55.2

    %

     

     

    58.3

    %

     

     

    53.8

    %

    Operating Expenses

     

     

     

    Three Months Ended December 31,

     

     

    Year Ended December 31,

     

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    Technology research and development

     

    $

    31,864

     

     

    $

    24,670

     

     

    $

    167,519

     

     

    $

    95,155

     

    Stock-based compensation expense

     

     

    4,110

     

     

     

    —

     

     

     

    58,473

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    1,306

     

     

     

    —

     

     

     

    2,747

     

     

     

    —

     

    Non-GAAP technology research and development

     

    $

    26,448

     

     

    $

    24,670

     

     

    $

    106,299

     

     

    $

    95,155

     

    Research and development

     

    $

    29,612

     

     

    $

    24,075

     

     

    $

    149,325

     

     

    $

    90,343

     

    Stock-based compensation expense

     

     

    2,851

     

     

     

    —

     

     

     

    47,638

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    756

     

     

     

    —

     

     

     

    1,566

     

     

     

    —

     

    Non-GAAP research and development

     

    $

    26,005

     

     

    $

    24,075

     

     

    $

    100,121

     

     

    $

    90,343

     

    Selling, general and administrative

     

    $

    111,288

     

     

    $

    85,098

     

     

    $

    755,351

     

     

    $

    296,760

     

    Stock-based compensation expense

     

     

    16,226

     

     

     

    —

     

     

     

    405,872

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    5,023

     

     

     

    —

     

     

     

    8,411

     

     

     

    —

     

    Non-GAAP selling, general and administrative

     

    $

    90,039

     

     

    $

    85,098

     

     

    $

    341,068

     

     

    $

    296,760

     

    Operating expenses

     

    $

    172,764

     

     

    $

    133,843

     

     

    $

    1,072,195

     

     

    $

    482,258

     

    Stock-based compensation expense

     

     

    23,187

     

     

     

    —

     

     

     

    511,983

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    7,085

     

     

     

    —

     

     

     

    12,724

     

     

     

    —

     

    Non-GAAP operating expenses

     

    $

    142,492

     

     

    $

    133,843

     

     

    $

    547,488

     

     

    $

    482,258

     

    Earnings per Share

     

     

    Three Months Ended

    December 31,

     

    Year Ended

    December 31,

     

     

    2024

     

    2024

    Net loss

     

    $

    (13,014

    )

     

    $

    (705,809

    )

    Fair value changes(1)

     

     

    (47,753

    )

     

     

    (27,868

    )

    Stock-based compensation expense

     

     

    24,787

     

     

     

    534,138

     

    Employer payroll tax related to stock-based compensation

     

     

    7,580

     

     

     

    13,543

     

    G-4 Special Payment

     

     

    —

     

     

     

    2,250

     

    Amortization of technology license

     

     

    (3,988

    )

     

     

    (7,977

    )

    Acquisition related expenses(2)

     

     

    2,708

     

     

     

    2,708

     

    Non-GAAP net loss

     

    $

    (29,680

    )

     

    $

    (189,015

    )

    Non-GAAP net loss per share

     

    $

    (0.18

    )

     

    $

    (1.58

    )

    Weighted average common shares outstanding, basic and diluted

     

     

    166,398

     

     

     

    119,849

     

    (1)

    Fair value changes include gains and losses related to quarterly fair value adjustments of our warrant liability, warrant asset, marketable equity securities, contingent consideration liabilities, and indemnity-related holdback liabilities. 

    (2)

    Acquisition related expenses consist of legal and diligence costs incurred for the acquisition of Ambry.

    Adjusted EBITDA

     

     

     

    Three Months Ended December 31,

     

     

    Year Ended December 31,

     

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    Net loss

     

    $

    (13,014

    )

     

    $

    (50,483

    )

     

    $

    (705,809

    )

     

    $

    (214,118

    )

    Interest income

     

     

    (3,546

    )

     

     

    (1,737

    )

     

     

    (11,084

    )

     

     

    (7,601

    )

    Interest expense

     

     

    13,359

     

     

     

    13,624

     

     

     

    53,653

     

     

     

    46,869

     

    Depreciation

     

     

    6,884

     

     

     

    5,621

     

     

     

    26,356

     

     

     

    21,279

     

    Amortization

     

     

    2,573

     

     

     

    2,919

     

     

     

    10,889

     

     

     

    11,770

     

    Provision for income taxes

     

     

    122

     

     

     

    214

     

     

     

    266

     

     

     

    288

     

    EBITDA

     

    $

    6,378

     

     

    $

    (29,842

    )

     

    $

    (625,729

    )

     

    $

    (141,513

    )

    Losses on equity method investments

     

     

    2,536

     

     

     

    —

     

     

     

    4,228

     

     

     

    301

     

    Fair value changes(1)

     

     

    (47,753

    )

     

     

    (14,579

    )

     

     

    (27,868

    )

     

     

    (22,307

    )

    Stock-based compensation expense

     

     

    24,787

     

     

     

    —

     

     

     

    534,138

     

     

     

    —

     

    Employer payroll tax related to stock-based compensation

     

     

    7,580

     

     

     

    —

     

     

     

    13,543

     

     

     

    —

     

    G-4 Special Payment

     

     

    —

     

     

     

    —

     

     

     

    2,250

     

     

     

    —

     

    Amortization of technology license

     

     

    (3,988

    )

     

     

    —

     

     

     

    (7,977

    )

     

     

    —

     

    Settlement costs(2)

     

     

    —

     

     

     

    8,625

     

     

     

    —

     

     

     

    8,625

     

    Acquisition related expenses(3)

     

     

    2,708

     

     

     

    672

     

     

     

    2,708

     

     

     

    672

     

    Adjusted EBITDA

     

    $

    (7,752

    )

     

    $

    (35,124

    )

     

    $

    (104,707

    )

     

    $

    (154,222

    )

    (1)

    Fair value changes include gains and losses related to quarterly fair value adjustments of our warrant liability, warrant asset, marketable equity securities, contingent consideration liabilities, and indemnity-related holdback liabilities. 

    (2)

    Settlement costs for the year ended December 31, 2023 include $0.2 million paid to settle a 2019 payment dispute and $8.5 million in costs accrued related to potential future settlements.

    (3)

    Acquisition related expenses consist of legal and diligence costs incurred for the acquisition of Ambry during the year ended December 31, 2024, and for the acquisitions of Mpirik, Inc. and SEngine Precision Medicine LLC during the year ended December 31, 2023.

     

    View source version on businesswire.com: https://www.businesswire.com/news/home/20250224203671/en/

    Tempus Communications

    Erin Carron

    [email protected]



    Tempus Investor Relations

    Elizabeth Krutoholow

    [email protected]

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