Tempus AI (TEM) Change in Cash (2023 - 2026)
Tempus AI (TEM) reported Change in Cash of -$83.6 million for Q1 2026, up 55.66% year-over-year from -$53.7 million in Q1 2025, and down 63.58% on a QoQ basis from -$51.1 million in Q4 2025.
Tempus AI (TEM) has 4 years of Change in Cash data on file, last reported at -$83.6 million in Q1 2026.
- Quarterly Change in Cash rose 55.66% year-over-year to -$83.6 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $372.5 million (up 413.6% YoY) and the FY2025 annual result came in at $267.6 million, up 52.72% from the prior year.
- Change in Cash declined to -$83.6 million in Q1 2026 per TEM's latest filing, from -$51.1 million in the prior quarter.
- Across five years, Change in Cash topped out at $472.5 million in Q3 2025 and bottomed at -$188.5 million in Q1 2025.
- The 4-year median for Change in Cash is -$51.1 million (2025), against an average of $29.3 million.
- The widest annual swing landed in 2024, when Change in Cash slumped 242.21%; it then jumped 620.41% in 2025.
- Tracing TEM's Change in Cash over 4 years: stood at $33.1 million in 2023, then tumbled by 242.21% to -$47.0 million in 2024, then declined by 8.62% to -$51.1 million in 2025, then tumbled by 63.58% to -$83.6 million in 2026.
- Per Business Quant, the three latest TEM Change in Cash figures stand at -$83.6 million (Q1 2026), -$51.1 million (Q4 2025), and $472.5 million (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Change in Cash (Qtr) |
|---|---|---|---|---|---|
| 1 | Veeva Systems | 30.85 Bn | 24.28 Bn | 622.47 Mn | -238.90 Mn |
| 2 | BrightSpring Health Services | 12.29 Bn | 11.41 Bn | 482.22 Mn | 800.32 Mn |
| 3 | Healthequity | 7.80 Bn | 7.48 Bn | 256.31 Mn | -53.56 Mn |
| 4 | Hinge Health | 4.82 Bn | 4.51 Bn | 154.23 Mn | -21.68 Mn |
| 5 | Doximity | 4.21 Bn | 3.46 Bn | 125.97 Mn | 154.34 Mn |
| 6 | Waystar Holding | 4.18 Bn | 4.03 Bn | 268.04 Mn | -14.11 Mn |
| 7 | 10x Genomics | 3.78 Bn | 3.24 Bn | 106.18 Mn | 16.32 Mn |
| 8 | Privia Health | 2.65 Bn | 2.28 Bn | 595.71 Mn | -60.16 Mn |
| 9 | Omnicell | 1.95 Bn | 1.78 Bn | 140.36 Mn | 39.93 Mn |
| 10 | Tempus AI | 9.58 Mn | -629.49 Mn | 323.00 Mn | -83.59 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | -83.59 Mn |
| Dec 31, 2025 | -51.10 Mn |
| Sep 30, 2025 | 472.50 Mn |
| Jun 30, 2025 | 34.73 Mn |
| Mar 31, 2025 | -188.51 Mn |
| Dec 31, 2024 | -47.04 Mn |
| Sep 30, 2024 | -90.79 Mn |
| Jun 30, 2024 | 398.88 Mn |
| Mar 31, 2024 | -85.82 Mn |
| Dec 31, 2023 | 33.08 Mn |
| Sep 30, 2023 | -69.55 Mn |