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Tempus AI cash flow, quarter by quarter

Latest: Q3 2026 · from the cash-flow statements filed with the SEC

Free cash flow−$122K in Q3 2026 · −$137M over twelve months

Operating cash flow$9.2M
Capital spending−$9.3M
Free cash flow−$122K

Analysis

In Q3 2026, Tempus AI generated $9.2M of operating cash flow and spent $9.3M on capital projects, leaving free cash flow of −$122K. That is $126M more than in Q3 2025 (−$127M).

Over the twelve months to Sep 30, 2026, operating cash flow was −$108M; the largest uses were net borrowing (+) / repaid (−) ($208M), operating cash flow ($108M), capital spending ($28.4M); besides operations, cash came from other financing ($300M); the cash balance fell by $65.3M.

Operating cash flow was $9.2M against net income of −$14.9M. The largest differences: stock-based pay +$48.1M, accrued liabilities +$38.6M, receivables −$21.3M.

Free cash flow

Tempus AI: free cash flow by quarterTempus AI: free cash flow by quarter−$47.2MQ4 2024−$108MQ1 2025$36.6MQ2 2025−$127MQ3 2025−$41.5MQ4 2025−$81.5MQ1 2026−$13.7MQ2 2026−$122KQ3 2026
Operating cash flow less capital spending.
Tempus AI: operating cash flow against capital spendingTempus AI: operating cash flow against capital spendingOperating cash flowCapital spending−$39.3M$8.0MQ4 2024−$106M$2.1MQ1 2025$44.2M$7.5MQ2 2025−$120M$6.7MQ3 2025−$36.8M$4.8MQ4 2025−$73.3M$8.2MQ1 2026−$7.5M$6.1MQ2 2026$9.2M$9.3MQ3 2026
Latest (Q3 2026): Operating cash flow $9.2M, Capital spending $9.3M.

Capital allocation, year by year

Tempus AI: where the cash came from (up) and went (down), by fiscal yearTempus AI: where the cash came from (up) and went (down), by fiscal yearOperating cash flowNet borrowingShares issuedCapital spendingAcquisitionsBuybacksDividendsFY2022: Operating cash flow −$168MFY2022: Net borrowing $170MFY2022: Capital spending −$18.4MFY2022: Acquisitions −$39.6MFY2022: Dividends −$5.6M$170MFY2022FY2023: Operating cash flow −$214MFY2023: Net borrowing $82.6MFY2023: Capital spending −$34.6MFY2023: Acquisitions −$5.7MFY2023: Buybacks −$3.6MFY2023: Dividends −$5.6M$82.6MFY2023FY2024: Operating cash flow −$189MFY2024: Shares issued $382MFY2024: Capital spending −$22.1MFY2024: Dividends −$5.6M$382MFY2024FY2025: Operating cash flow −$218MFY2025: Net borrowing −$80.9MFY2025: Capital spending −$21.0MFY2025: Acquisitions −$377MFY2025: Buybacks −$3.0MFY2025
Over these 4 years operating cash flow totalled −$790M; the largest uses were operating cash flow ($790M) and acquisitions ($422M). Cash-flow statements as filed.

Cash runway and the debt wall

Cash & investments$590M
Debtnone
Net cash$590M
Cash runway4.3 years

Tempus AI is burning cash: its operations consume cash, a free cash flow of −$137M a year at the current rate against $590M of cash and investments: a runway of about 4.3 years before any new financing.

Where the cash came from and went

Tempus AI: sources (+) and uses (−) of cash, Q3 2026Tempus AI: sources (+) and uses (−) of cash, Q3 2026Capital spending−$9.3MOperating cash flow$9.2MCash drawn (+) / kept (−)$9.1MOther investing−$5.4MAcquisitions−$2.8MOther financing−$715KExchange rates−$84K
Tempus AI: sources (+) and uses (−) of cash, TTM to Q3 2026Tempus AI: sources (+) and uses (−) of cash, 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 profit to cash

Tempus AI: net income to operating cash flow, Q3 2026Tempus AI: net income to operating cash flow, Q3 2026Net income−$14.9MDepreciation & amortization$7.3MStock-based pay$48.1MReceivables−$21.3MInventory$28KPayables−$19.0MAccrued liabilities$38.6MDeferred revenue−$11.6MPrepaid and other assets−$4.6MOperating cash flow$9.2M
Non-cash charges are added back; money tied up in receivables or inventory is subtracted.

Every quarter

QuarterOperating cash flowCapital spendingAcquisitionsNet borrowing (+) / repaid (−)Cash drawn (+) / kept (−)Free cash flow
Q3 2026$9.2M−$9.3M−$2.8M—$9.1M−$122K
Q2 2026−$7.5M−$6.1M——−$78.5M−$13.7M
Q1 2026−$73.3M−$8.2M——$83.6M−$81.5M
Q4 2025−$36.8M−$4.8M−$1.6M—$51.1M−$41.5M
Q3 2025−$120M−$6.7M$5.7M−$277M−$472M−$127M
Q2 2025$44.2M−$7.5M——−$34.7M$36.6M
Q1 2025−$106M−$2.1M−$381M$196M$189M−$108M
Q4 2024−$39.3M−$8.0M——$47.0M−$47.2M

Tempus AI: income statement and cash flow

Tempus AI, Q3 2026: revenue $412M (+23% year over year), operating margin -13.8%. The chart follows the revenue to costs, profit and cash.

Tempus AI: every quarter, Q/Q and Y/Y → Open in the app

Read automatically from the company’s XBRL cash-flow statements; quarterly figures for the fourth quarter are the year less the first three. Errors are possible. Not investment advice.