Growth Metrics

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

Tempus AI (TEM) reported Net Cash Flow of -$83.6 million for Q1 2026, up 55.62% year-over-year from -$53.7 million in Q1 2025, and down 63.59% on a QoQ basis from -$51.1 million in Q4 2025.

Tempus AI (TEM) has 4 years of Net Cash Flow data on file, last reported at -$83.6 million in Q1 2026.

  • Quarterly Net Cash Flow rose 55.62% year-over-year to -$83.6 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $372.5 million (up 415.46% YoY) and the FY2025 annual result came in at $267.7 million, up 53.05% from the prior year.
  • Net Cash Flow slipped to -$83.6 million in Q1 2026 per TEM's latest filing, from -$51.1 million in the prior quarter.
  • Across five years, Net Cash Flow topped out at $472.5 million in Q3 2025 and bottomed at -$188.4 million in Q1 2025.
  • The 4-year median for Net Cash Flow is -$51.1 million (2025), against an average of $29.3 million.
  • The widest annual swing landed in 2024, when Net Cash Flow sank 243.29%; it then jumped 620.01% in 2025.
  • Tracing TEM's Net Cash Flow over 4 years: stood at $33.1 million in 2023, then slumped by 243.29% to -$47.4 million in 2024, then declined by 7.85% to -$51.1 million in 2025, then slumped by 63.59% to -$83.6 million in 2026.
  • Per Business Quant, the three latest TEM Net Cash Flow 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) Net Cash Flow (Qtr)
1 Veeva Systems 30.85 Bn 24.28 Bn 622.47 Mn -238.95 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 16.39 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 41.02 Mn
10 Tempus AI 9.58 Mn -629.49 Mn 323.00 Mn -83.62 Mn

Historic Data

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DateValue
Mar 31, 2026 -83.62 Mn
Mar 31, 2026 -83.62 Mn
Dec 31, 2025 -51.11 Mn
Dec 31, 2025 -51.11 Mn
Sep 30, 2025 472.54 Mn
Sep 30, 2025 472.54 Mn
Jun 30, 2025 34.65 Mn
Jun 30, 2025 34.65 Mn
Mar 31, 2025 -188.40 Mn
Mar 31, 2025 -188.40 Mn
Dec 31, 2024 -47.39 Mn
Dec 31, 2024 -47.39 Mn
Sep 30, 2024 -90.87 Mn
Sep 30, 2024 -90.87 Mn
Jun 30, 2024 398.92 Mn
Jun 30, 2024 398.92 Mn
Mar 31, 2024 -85.77 Mn
Mar 31, 2024 -85.77 Mn
Dec 31, 2023 33.07 Mn
Dec 31, 2023 33.07 Mn
Sep 30, 2023 -69.50 Mn
Sep 30, 2023 -69.50 Mn