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Tempus AI (TEM) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 2, 2026 · Tempus AI (TEM) Q3 2026 earnings results →

Q3 2026 Revenue up 23% year over year to $412M · 4¢ of every $1 of revenue lost · operating margin -13.8%

Tempus AI made $412M in Q3 2026 (+23% Y/Y): Diagnostics $303M, Data and Applications $108M. Operating margin -13.8%, net loss $14.9M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 2, 2026.

Revenue$412M
Year over year+23%
Operating margin-13.8%
Net earnings−$14.9M
Operating cash flow$9.2M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $411.5M in Q3 2026, up 23% year over year and up 8% from the previous quarter. Diagnostics was the largest line at 74% of revenue. Diagnostics added $50.6M year over year (up 20%), 65% of the total change.

Operating costs exceeded revenue by $56.9M, an operating margin of -13.8%. Total costs grew 19% against revenue growth of 23%. The fastest-growing cost line was SG&A (+23%). The quarter ended with a net loss of $14.9M, after a profit of $5.6M the previous quarter. Non-operating items added $42.0M, -284% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $9.2M. Non-cash charges added back $7.3M of depreciation and $48.1M of share-based compensation. Working capital and other items used $31.3M. Capital expenditures of $9.3M exceeded it, leaving free cash flow of −$122K.

Quarterly history

Tempus AI revenue by quarterTempus AI revenue by quarter$256MQ1 2025$315MQ2 2025$334MQ3 2025$367MQ4 2025$348MQ1 2026$382MQ2 2026$412MQ3 2026
Tempus AI net earnings by quarterTempus AI net earnings by quarter−$68.0MQ1 2025−$42.8MQ2 2025−$80.0MQ3 2025−$54.2MQ4 2025−$126MQ1 2026$5.6MQ2 2026−$14.9MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 2, 2026$412M+23%-13.8%−$14.9M$9.2M
Q2 202610-QJul 30, 2026$382M+22%-19.8%$5.6M−$7.5M
Q1 202610-QMay 5, 2026$348M+36%-24.3%−$126M−$73.3M
Q4 202510-KFeb 24, 2026$367M+83%-16.7%−$54.2M−$36.8M
Q3 202510-QNov 4, 2025$334M+85%-18.3%−$80.0M−$120M
Q2 202510-QAug 8, 2025$315M+90%-19.6%−$42.8M$44.2M
Q1 202510-QMay 6, 2025$256M+75%-26.9%−$68.0M−$106M

Charts

Tempus AI: revenue growth, year over year and quarter over quarterTempus AI: revenue growth, year over year and quarter over quarterY/YQ/Q+75%Q1 2025+90%+23%Q2 2025+85%+6%Q3 2025+83%+10%Q4 2025+36%-5%Q1 2026+22%+10%Q2 2026+23%+8%Q3 2026
Latest (Q3 2026): Y/Y +23%, Q/Q +8%.
Tempus AI: where the cash came from (+) and went (−), TTM to Q3 2026Tempus AI: where the cash came from (+) and went (−), TTM to Q3 2026Other financing$300MNet borrowing (+) / repaid (−)−$208MOperating cash flow−$108MCash drawn (+) / kept (−)$65.3MCapital spending−$28.4MOther investing−$16.6MAcquisitions−$4.4MExchange rates−$70K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Tempus AI: profit against cash, quarter by quarterTempus AI: profit against cash, quarter by quarterNet incomeOperating cash flow−$13.0M−$39.3MQ4 2024−$68.0M−$106MQ1 2025−$42.8M$44.2MQ2 2025−$80.0M−$120MQ3 2025−$54.2M−$36.8MQ4 2025−$126M−$73.3MQ1 2026$5.6M−$7.5MQ2 2026−$14.9M$9.2MQ3 2026
Latest (Q3 2026): Net income −$14.9M, Operating cash flow $9.2M.
Tempus AI: diluted shares by fiscal year (split-adjusted)Tempus AI: diluted shares by fiscal year (split-adjusted)0MFY20220MFY20230MFY20240MFY2025
+38.2% since FY2022: more shares outstanding (issuance, stock pay); earlier years scaled for the 2-for-1 split before FY2024.
Tempus AI in its industry: growth against margin (51 companies, SIC 7370)Tempus AI in its industry: growth against margin (51 companies, SIC 7370)revenue growth, year over year →↑ operating marginmedian +9%median -1%GOOGLMETASPCXFLUTAPPSNAPZMPINSNIQMTCHSABRTTDRXTFDSTBLATRIPPPLIDOCNCSQRTEADEVERBMBLDVMGNIGRNDZIPDSPHSTMNXDRPUBMHCATRUMBLNDCDLXSSTCEVAYYAIPODCIPMGOAIDJTCSAIIPDNCNETTWAVTRSOMITIRMXIGITSBBLRTEM (+23%, -14%)
Services-Computer Programming, Data Processing, Etc.; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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Customers and suppliers named in filings

Buys from

About Tempus AI

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.

In its own words, from its 8-K, filed Jul 30, 2026.

Tempus AI against its Services-Computer Programming, Data Processing, Etc. peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +23% against the peers' median +23%. Operating margin: -13.8% against the peers' median 19.1%.

CompanyQuarterRevenueY/YOp. margin
TEM Tempus AIQ3 2026$412M+23%-13.8%
GOOGL AlphabetQ3 2026$127.6B+25%31.8%
META Meta PlatformsQ3 2026$64.6B+26%20.1%
SPCX Space Exploration TechnologiesQ3 2026$14.6B+161%19.1%
FLUT Flutter EntertainmentQ3 2026$3.9B+2%-30.7%
APP AppLovinQ3 2026$2.2B+56%78.2%
SNAP SnapQ3 2026$1.7B+14%4.5%
ZM Zoom CommunicationsQ2 FY27$1.3B+5%24.6%
PINS PinterestQ3 2026$1.2B+12%2.6%

Source: Tempus AI 10-Q on SEC EDGAR · CIK 1717115 · Services-Computer Programming, Data Processing, Etc.

Guidance and outlook

Tempus AI Revenue: guidance against what was reportedTempus AI Revenue: guidance against what was reportedguided rangereported (above / within / below)FY2024$693MFY2025$1.3BFY2026
Met or beat 2 of 2 guided periods. Grey: the last range guided before the figures came out; dot: the reported figure.
Tempus AI: what its forward-looking statements are about (10-Q filed 2026-11-02)Tempus AI: what its forward-looking statements are about (10-Q filed 2026-11-02)Other9Costs5Capital spending5Demand4Products3The economy2Deals1
29 statements; tone +0.28 (−1 all cautious, +1 all confident); 6 hedged.
Tempus AI: outlook statements against the filing beforeTempus AI: outlook statements against the filing beforeConfident11Cautious3

13F: who owns TEM and who is buying

Largest holders of TEM (13F)Largest holders of TEM (13F)Vanguard Group$606MARK Investment Management LLC$581MBlackRock$480MBaillie Gifford$474MSoftbank Group$313MVanguard Capital Management LLC$289MVanguard Portfolio Management LLC$285MSumitomo Mitsui Trust Group$237MNikko Asset Management Americas$237MGoldman Sachs Group$218M
Funds' net buying of TEM by quarter (13F)Funds' net buying of TEM by quarter (13F)−$162M2024-09−$127M2024-12$360M2025-03$1.3B2025-06$839M2025-09$403M2025-12$224M2026-03$253M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on TEM

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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