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Dec 31, 2025
Tempus AI Inc Q4 2025 Earnings Report
Tempus AI reported strong Q4 2025 revenue growth with expanding margins and improved adjusted profitability.
Key Takeaways
Tempus AI delivered 83% year-over-year revenue growth in Q4 2025, driven by Diagnostics expansion, with gross margin improvement and positive adjusted EBITDA, though it remained GAAP unprofitable.
Revenue increased 83% year-over-year to $367.21 million.
Gross margin expanded to 64.7% from 60.8% a year earlier.
Adjusted EBITDA turned positive at $12.89 million.
Net loss widened year-over-year despite strong top-line growth.
Revenue by Segment
Forward Guidance
For 2026, the company guided to approximately $1.59 billion in revenue and around $65 million in adjusted EBITDA.
Positive Outlook
- Full-year 2026 revenue guidance of approximately $1.59 billion.
- Expected adjusted EBITDA of approximately $65 million in 2026.
- Guidance implies approximately 25% annual revenue growth.
- Strong remaining total contract value entering 2026.
- Improving operating leverage trajectory.
Challenges Ahead
- Company remains GAAP unprofitable.
- Net losses persisted in Q4 2025.
- Stock-based compensation remains significant.
- Adjusted EBITDA improvement depends on execution.
- Macroeconomic and regulatory risks remain.
Revenue & Expenses
Visualization of income flow from segment revenue to net income
Historical Earnings Impact
Analyze how earnings announcements historically affect stock price performance
Avg. Return Before/After Earnings
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