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Tempus AI (TEM) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 5, 2026

Tempus AI (TEM) reported revenue of $348M for the first quarter 2026 (Q1 2026), +36% from a year earlier and -5% from the quarter before. Operating margin was -24.3%, net loss $126M (36.2% of revenue).

Revenue$348M
Year over year+36%
Quarter over quarter-5%
Operating margin-24.3%
Net earnings−$126M

Tempus AI, Q1 2026: revenue $348M (+36% year over year), operating margin -24.3%, net loss $126M, operating cash flow −$73.3M. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$348M-5%+36%
Operating profit−$84.7M——
Net earnings−$126M——
Operating cash flow−$73.3M——

What changed

Revenue was $348.1M in Q1 2026, up 36% year over year and down 5% from the previous quarter. Diagnostics was the largest line at 75% of revenue. Diagnostics added $67.3M year over year (up 35%), 73% of the total change.

Operating costs exceeded revenue by $84.7M, an operating margin of -24.3%. Total costs grew 33% against revenue growth of 36%. The fastest-growing cost line was SG&A (+37%). The quarter ended with a net loss of $125.9M, wider than the previous quarter's $54.2M loss.

Operating cash flow was −$73.3M. Non-cash charges added back $7.4M of depreciation and $52.7M of share-based compensation. Working capital and other items used $7.5M. Capital expenditures of $8.2M exceeded it, leaving free cash flow of −$81.5M.

Questions

What was Tempus AI's revenue in the first quarter 2026?

Tempus AI (TEM) reported revenue of $348M for the first quarter 2026 (Q1 2026), +36% from a year earlier and -5% from the quarter before.

Was Tempus AI profitable in the first quarter 2026?

Operating loss was $84.7M (-24.3% of revenue) and net loss $126M.

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Source: Tempus AI 10-Q on SEC EDGAR.