Growth Metrics

Tempus AI (TEM) Free Cash Flow (2023 - 2026)

Tempus AI (TEM) reported Free Cash Flow of -$77.9 million for Q1 2026, up 27.17% year-over-year from -$61.2 million in Q1 2025, and down 87.44% on a QoQ basis from -$41.5 million in Q4 2025.

Tempus AI (TEM) has 4 years of Free Cash Flow data on file, last reported at -$77.9 million in Q1 2026.

  • Quarterly Free Cash Flow rose 27.17% year-over-year to -$77.9 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was -$210.1 million (changed 0.25% YoY) and the FY2025 annual result came in at -$239.1 million, down 13.25% from the prior year.
  • Free Cash Flow retreated to -$77.9 million in Q1 2026 per TEM's latest filing, from -$41.5 million in the prior quarter.
  • Across five years, Free Cash Flow topped out at $48.6 million in Q3 2024 and bottomed at -$132.8 million in Q3 2025.
  • The 4-year median for Free Cash Flow is -$77.9 million (2026), against an average of -$56.8 million.
  • The widest annual swing landed in 2024, when Free Cash Flow surged 159.34%; it then tumbled 373.22% in 2025.
  • Tracing TEM's Free Cash Flow over 4 years: stood at -$14.5 million in 2023, then slumped by 225.49% to -$47.2 million in 2024, then climbed by 12.01% to -$41.5 million in 2025, then sank by 87.44% to -$77.9 million in 2026.
  • Per Business Quant, the three latest TEM Free Cash Flow figures stand at -$77.9 million (Q1 2026), -$41.5 million (Q4 2025), and -$132.8 million (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Veeva Systems 30.85 Bn 24.28 Bn 622.47 Mn 99.82 Mn
2 BrightSpring Health Services 12.29 Bn 11.41 Bn 482.22 Mn 119.28 Mn
3 Healthequity 7.80 Bn 7.48 Bn 256.31 Mn 81.60 Mn
4 Hinge Health 4.82 Bn 4.51 Bn 154.23 Mn 43.06 Mn
5 Doximity 4.21 Bn 3.46 Bn 125.97 Mn 107.27 Mn
6 Waystar Holding 4.18 Bn 4.03 Bn 268.04 Mn 69.59 Mn
7 10x Genomics 3.78 Bn 3.24 Bn 106.18 Mn 26.00 Mn
8 Privia Health 2.65 Bn 2.28 Bn 595.71 Mn -49.47 Mn
9 Omnicell 1.95 Bn 1.78 Bn 140.36 Mn 42.07 Mn
10 Tempus AI 9.58 Mn -629.49 Mn 323.00 Mn -77.87 Mn

Historic Data

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DateValue
Mar 31, 2026 -77.87 Mn
Mar 31, 2026 -77.87 Mn
Dec 31, 2025 -41.54 Mn
Dec 31, 2025 -41.54 Mn
Sep 30, 2025 -132.84 Mn
Sep 30, 2025 -132.84 Mn
Jun 30, 2025 42.17 Mn
Jun 30, 2025 42.17 Mn
Mar 31, 2025 -106.92 Mn
Mar 31, 2025 -106.92 Mn
Dec 31, 2024 -47.21 Mn
Dec 31, 2024 -47.21 Mn
Sep 30, 2024 48.62 Mn
Sep 30, 2024 48.62 Mn
Jun 30, 2024 -105.09 Mn
Jun 30, 2024 -105.09 Mn
Mar 31, 2024 -107.49 Mn
Mar 31, 2024 -107.49 Mn
Dec 31, 2023 -14.51 Mn
Dec 31, 2023 -14.51 Mn
Sep 30, 2023 -81.93 Mn
Sep 30, 2023 -81.93 Mn