Tempus AI
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Tempus AI (TEM) investor relations material

Tempus AI Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary5 May, 2026

Executive summary

  • Revenue grew 36.1% year-over-year to $348.1 million for Q1 2026, driven by strong performance in Diagnostics and Data & Applications.

  • Gross profit increased 43.1% to $222.0 million, with notable strength in Data & Applications.

  • Net loss widened to $125.9 million, impacted by $56.3 million in stock compensation and $32.3 million in unrealized losses on marketable securities.

  • Adjusted EBITDA improved to $(2.8) million from $(16.2) million year-over-year.

  • Strategic collaborations expanded with Merck, Gilead, Northwestern Medicine, NYU Langone Health, and Blood Cancer United.

Financial highlights

  • Diagnostics revenue reached $261.1 million, up 34.7% year-over-year; Data & Applications revenue was $87.0 million, up 40.5%.

  • Non-GAAP gross margin improved to 65.0% from 61.4% year-over-year.

  • Diagnostics non-GAAP gross margin rose to 62.3% from 56.8%; Data & Applications non-GAAP gross margin was 73.1%.

  • Cash and marketable securities totaled $643.8 million at quarter-end.

  • Free cash flow was negative in Q1 due to timing of payables and bonuses, but expected to improve in Q2 and beyond.

Outlook and guidance

  • Full-year 2026 revenue guidance raised to $1.59–$1.60 billion, representing ~25% annual growth.

  • Adjusted EBITDA for 2026 expected at $65 million, with sequential improvement each quarter.

  • Q2 2026 revenue guidance: $375–$380 million.

  • Management expects continued investment in R&D, technology, and commercial expansion.

  • Current liquidity projected to cover operating needs for more than twelve months; additional capital may be raised for growth or strategic investments.

Drivers for the 500% year-over-year MRD growth
Source of the $21.8M related party revenue surge
Data and Applications gross margin compression
Pathos Foundation Model commercial terms
Guardant Health patent litigation status
Google debt reduction via cloud usage
Pharma shift to proprietary model building
Path to $500 ASP lift from FDA approvals
MRD volume scaling strategy vs reimbursement
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