Companies /Healthcare

Tempus AI, Inc. Class A Common Stock

NASDAQ: TEM Health Information Services
$64.04
▼ $6.65 (−9.41%) today
Markets closed · 9:16pm ET

Q3 2025 Earnings

Reported Nov 4, 2025, 4:01pm ET · SEC source
$-0.11
Beat +37.25%
EPS · est. $-0.18
$334.2M
Beat +1.68%
Revenue · est. $328.7M
−7.2%
Trailing market
TEM vs S&P since report
6 quarters
Consecutive EPS beats

Market Reaction

% change · around the report
0+6%+12%Nov 4Nov 5report 4:01pm ETearnings+0.2%+4.3%
0+6%+12%Nov 4Nov 5earnings+0.2%+4.3%
TEM +4.3%S&P 500 +0.2%
0+6%+12%Nov 4Nov 5report 4:01pm ETearnings+0.4%+4.3%
0+6%+12%Nov 4Nov 5earnings+0.4%+4.3%
TEM +4.3%NASDAQ +0.4%
−9%0+9%Nov 3Nov 12report 4:01pm ETearnings+1.1%−9.0%
−9%0+9%Nov 3Nov 12earnings+1.1%−9.0%
TEM −9.0%S&P 500 +1.1%
−9%0+9%Nov 3Nov 12report 4:01pm ETearnings+0.3%−9.0%
−9%0+9%Nov 3Nov 12earnings+0.3%−9.0%
TEM −9.0%NASDAQ +0.3%
−2.64%
Day of report
−12.36%
Next session
−13.57%
One week
−6.35%
30 days

S&P 500 over the same 30 days: +0.89%.

Did TEM Beat Earnings? Q3 2025 Results

Tempus AI delivered a convincing beat across the board in Q3 2025, posting a non-GAAP loss of $0.11 per share against a consensus estimate of $0.18 — a 37.25% positive surprise — while revenue climbed 84.7% year-over-year to $334.21 million, edging past the $328.67 million Wall Street expected. The primary engine behind that growth was the Genomics segment, which more than doubled to $252.88 million, propelled by the integration of Ambry Genetics and accelerating oncology testing volumes that reached 217,000 clinical tests in the quarter. Perhaps the quarter's most significant milestone was achieving positive Adjusted EBITDA of $1.48 million, a $23.30 million swing from the prior-year loss, signaling that the company's rapid scaling is beginning to generate real operating leverage. Investors <a href="https://247wallst.com/investing/2025/11/04/live-will-tempus-ai-move-higher-after-earnings/">weighing what comes next</a> will note that management raised full-year 2025 revenue guidance to approximately $1.265 billion, representing roughly 80% annual growth, while guiding Q4 Adjusted EBITDA to approximately $20 million despite the Paige acquisition adding around $5 million in quarterly losses.

Key Takeaways
  • 84.7% year-over-year revenue growth driven by Genomics segment doubling
  • 217,000 clinical tests delivered, 33% YoY volume growth with Oncology volume accelerating to 27% and Hereditary at 37%
  • Insights data licensing bookings of $150 million across multiple new contracts with 37.6% YoY revenue growth
  • Gross margin expansion to 62.8% from 58.5% year-over-year
  • Achieved positive Adjusted EBITDA of $1.5 million, a $23.3 million improvement year-over-year

“Not only are we growing at an incredible rate, reaching positive adjusted EBITDA marks an important milestone and reflects the strength of our underlying business.”

Tempus AI CEO, on the earnings call

Forward Guidance & Outlook

Tempus increased full year 2025 revenue guidance to approximately $1.265 billion, representing approximately 80% annual growth year-over-year. The company expects Q4 Adjusted EBITDA of approximately $20 million, which would result in slightly positive Adjusted EBITDA for the full year. The Paige acquisition is expected to increase losses by approximately $5 million per quarter.

TEM YoY Financials

Q3 2025 vs Q3 2024 · SEC filings Q3 2024 Q3 2025
$0$200.0M$180.9M$334.2MRevenue$105.8M$209.9MGross Profit$-70,728,200$-60,996,000Operating Income$-84,601,227$-79,982,000Net Income
$0$200.0MRevenueGross ProfitOperating IncomeNet Income

TEM Revenue by Segment

Diagnostics
Genomics$252.9M+117.2%
Oncology Testing (Tempus genomics)$139.5M+31.7%
Oncology Testing (Tempus Genomics)
Oncology Testing
Hereditary Testing (Ambry Genetics)$102.6M+32.8%
Data and Applications
Data and Services$81.3M+26.1%

Figures from SEC filings and company reports. Not investment advice.