TEM −4.46% on Nov 12 · Analysis updated Nov 12, 2026, 4:46 PM ET

Why is Tempus AI, Inc. (TEM) stock down?

Tempus AI is trading after a strong Q3 report. Revenue was $411.5M (+23%), oncology volume growth accelerated to 32%, and adjusted EBITDA reached $25.6M. Full-year revenue guidance was raised to $1.60-$1.605B. Analysts followed with target increases (BTIG to $100, Cantor to $92) and a Jefferies upgrade to Hold. The stock jumped from about $67 on Oct 26 to a $84.44 close on Nov 9, near its 52-week high of $89.09. It then fell back to about $75.89 on Nov 12, a drop of roughly 4.5% on the day, as it gave up part of the gains. The moves are large and volume is uneven, with 17M shares on Nov 2 against an 8.1M average. A beta of 3.61 shows how volatile the stock is. Fundamentals are improving: adjusted EBITDA is positive, cash is $854M and a Bristol Myers Squibb deal adds validation. Against that, the company is still loss-making, valued at about 9.9x sales, and consensus ratings are mixed (Hold to Buy).

News behind the analysis

About Tempus AI, Inc. Class A Common Stock

Health Care · Diagnostics & Health Data/AI

Tempus AI is a Chicago-based company that runs genomic and molecular tests, mainly for cancer patients, and uses AI on the large clinical and molecular dataset it builds to support precision medicine. It stands out because it pairs a fast-growing diagnostics lab with a business that licenses de-identified patient data and AI tools to drug companies. It was founded by Eric Lefkofsky, who is also its CEO.

How it makes money

Most revenue (roughly three-quarters) comes from Diagnostics: oncology genomic sequencing tests, minimal residual disease (MRD) tests that look for cancer left after treatment, and hereditary testing. These are billed to insurers, Medicare and providers. The rest (roughly a quarter) comes from Data and Applications, mainly licensing de-identified multimodal data and insights to pharma and biotech firms for drug discovery and clinical trials. Management guides to about $1.6 billion in 2026 revenue (roughly 25% growth) and has recently moved to around break-even on an adjusted basis.

What usually moves TEM

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This is AI-generated analysis for informational purposes only and is not investment advice. Investing involves risk, including loss of principal. Do your own research before making decisions.