Tempus AI

TEM Q1 2026 Earnings

Reported May 5, 2026 at 4:02 PM ET · SEC Source

Q1 26 EPS

$-0.13

BEAT +35.36%

Est. $-0.20

Q1 26 Revenue

$348.1M

BEAT +0.78%

Est. $345.4M

vs S&P Since Q1 26

+1.5%

BEATING MARKET

TEM +0.8% vs S&P -0.7%

Market Reaction

Did TEM Beat Earnings? Q1 2026 Results

Tempus AI delivered a notably strong first quarter for fiscal 2026, with revenue of $348.12 million growing 36.1% year-over-year and edging past the $345.44 million consensus estimate, while a non-GAAP loss of $0.13 per share came in well ahead of th… Read more Tempus AI delivered a notably strong first quarter for fiscal 2026, with revenue of $348.12 million growing 36.1% year-over-year and edging past the $345.44 million consensus estimate, while a non-GAAP loss of $0.13 per share came in well ahead of the $0.20 consensus by 35.36%, reflecting meaningful operational progress. The primary engine behind the beat was broad-based momentum across both segments, with Diagnostics generating $261.10 million on 34.7% growth and Data and Applications contributing $87.02 million on 40.5% growth, the latter driven largely by surging biopharma demand for data licensing and AI modeling services. Gross margin expanded to 63.8% from 60.7% a year ago, and Adjusted EBITDA narrowed to a loss of just $2.83 million versus negative $16.17 million in the prior-year period. TEM's recent momentum continued into the outlook, as management raised full-year 2026 revenue guidance to $1.59 to $1.60 billion while reaffirming approximately $65 million in full-year Adjusted EBITDA.

Key Takeaways

  • Oncology diagnostic volume growth of 28% year-over-year
  • Hereditary volume growth of 54% (7% adjusted for Ambry pre-acquisition volumes)
  • MRD volume of approximately 6,500 tests, up ~500% year-over-year
  • Insights (data licensing and modeling) revenue growth of 44.1% year-over-year
  • Gross margin expansion to 63.8% from 60.7% year-over-year

TEM Forward Guidance & Outlook

Tempus raised full-year 2026 revenue guidance to $1.59 billion–$1.60 billion, representing approximately 25% annual growth, up from prior guidance. The company continues to expect full-year 2026 Adjusted EBITDA of approximately $65 million.

24/7 Wall St

TEM YoY Financials

Q1 2026 vs Q1 2025, source: SEC Filings

24/7 Wall St

TEM Revenue by Segment

With YoY comparisons, source: SEC Filings

Q1 25 Q1 26

“Our strong financial and operational performance this quarter underscores the accelerating demand for our AI-driven diagnostic platform and the immense value of our multimodal data and corresponding AI models.”

— Eric Lefkofsky, Q1 2026 Earnings Press Release