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TEMTempus AI, Inc.Sell5.4·$51.71+6.37%
TEM · Why this verdict

Why Tempus AI (TEM) is rated SELL

Updated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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Methodology · Editorial policy & full disclaimer

VerdictSELL
Overall score5.4/10
ConfidenceMEDIUM
MacroNEUTRAL
TrendMatrix Research · core thesis

Engine thesis — one sentence

Tempus AI delivers 36% revenue growth and has beaten earnings estimates in all four of the last four quarters with an average positive surprise of 27%, but carries a quality score of 3.2 — below the minimum threshold — with negative free cash flow, 31% short interest, and a 74% revenue concentration in oncology and hereditary testing.

Falsifiable statement — pillar-level invalidators below. Engine-derived; not personalized advice.

Thesis pillars

Tempus AI has a quality score of 3.2, below the minimum 4.0 threshold, with negative free cash flow at negative 4% of revenue, zero reported return on equity, and zero net margin — indicating a cash-burning company that has not yet established a profitable business model despite strong revenue growth.

Stable
Quality breakdown
Expectation
Free cash flow turns positive and the quality score rises above 4.0 within the next 8 quarters, signaling the beginning of business model validation.

CounterHealth information services companies with proprietary oncology data assets often operate at a loss while building data network effects; the 36% revenue growth and 4-quarter earnings beat streak suggest the business is scaling toward profitability, with each quarter's loss smaller than feared.

Oncology and hereditary tests represent 74% of Tempus AI's revenue — combined with sole-supplier dependency for key inputs — creating a dual concentration risk where either a reimbursement change for oncology testing or a supplier disruption could materially impair revenues.

Stable
Bear case
Expectation
Oncology and hereditary test revenue share falls below 65% within 12 months as other service lines scale, or the segment grows faster than 30% year-over-year.

CounterDeep oncology specialization is a competitive moat in precision medicine; the 74% concentration reflects intentional focus on a high-value market where Tempus has proprietary data advantage rather than an accidental dependency.

Tempus AI has beaten earnings estimates in all four of the last four quarters with an average positive surprise of 27%, against a backdrop of 36% revenue growth — demonstrating that the company is consistently narrowing losses faster than analysts model even as it scales.

Stable
Earnings
Expectation
Earnings surprise stays above 15% in at least 3 of the next 4 quarters and revenue growth remains above 25% year-over-year.

CounterBeating expectations on a negative earnings per share is a lower bar than beating on positive numbers; a 27% positive surprise on a small negative number can mask significant ongoing cash burn at the operating level.

Short interest stands at 31% of the float — one of the highest levels in the dataset — with a justified-short-interest note in the risk analysis, reflecting broad institutional conviction that the current valuation does not reflect the risks of a cash-burning, concentrated healthcare data company.

Stable
Key risks
Expectation
Short interest falls below 20% of the float, more than 11 percentage points below the current 31%, as earnings beats reduce bearish conviction.

CounterVery high short interest creates significant short-squeeze potential on positive catalysts; if the oncology data platform achieves a major partnership or reimbursement expansion, forced short covering could drive a sharp price increase.

Per-dimension breakdown

Value

6.9/10data confidence 33%
ComponentSub-score
P/S5.9
Analyst target7.5

Quality

3.2/10data confidence 100%
ComponentSub-score
ROE0.0
ROA0.0
Gross margin8.7
Op margin0.0
Net margin0.0
Current ratio9.7
FCF quality0.0
Moat5.8
Piotroski F4.4
  • Cash-burning: FCF -4% of revenue

Growth

10.0/10data confidence 33%
ComponentSub-score
Rev growth10.0
  • Strong growth: 36% YoY

Momentum

6.6/10data confidence 100%
ComponentSub-score
RSI4.5
MACD9.7
OBV10.0
MA position6.0
Volume2.8
  • Volume accumulation (rising OBV)
  • Below 200-MA, MA slope -4.5%/30d — confirmed downtrend

Sentiment

5.8/10data confidence 100%
ComponentSub-score
Analyst rating5.0
Price target8.4
erm sentiment4.0
  • Analyst upside: 28%

Insider

3.3/10data confidence 75%
ComponentSub-score
materiality3.0
insider conviction2.0
holder change5.0
  • Notable insider selling — $26,681,743 (0.306% of mkt cap)

Peer rank

2.7/10data confidence 80%
ComponentSub-score
value rank2.5
quality rank0.8
growth rank7.5

Technical

1.6/10data confidence 100%
ComponentSub-score
bollinger1.9
support resistance3.0
52w position0.0

Risk (lower is worse)

2.3/10data confidence 100%
ComponentSub-score
short interest0.4
days to cover5.9
volatility0.0
put call7.3
implied vol0.0
max pain risk3.0
beta0.0
debt equity1.8
  • High short interest justified: 31%
  • High IV: 83%
  • Above max pain $30
  • Concentration risks: 2 HIGH (10-K Item 1A — sized via position_sizing, validated via buy_confidence)

Catalyst

7.1/10data confidence 100%
ComponentSub-score
erm3.5
earnings history10.0
earnings timing5.0
surprise avg10.0
  • Perfect beat streak: 4Q

How the verdict was assembled

Engine trigger

Quality below minimum threshold.

Engine technical detail
verdict_path: L1:HARD_BLOCK
Passed (7)
  • MOMENTUM:6.6>=5.5
  • INSIDER:OK
  • 8K:CLEAN
  • NEWS_EVENTS:NONE_RECENT
  • EARNINGS_PROXIMITY:44d clear
  • SEMI_CYCLE_PEAK:CLEAR
  • MATERIALS_CYCLE_PEAK:CLEAR
Failed (1)
  • ASYMMETRY:1.0<1.5@spot
Warning (1)
  • DEATH_CROSS:momentum=6.6>=5.0 recovering
Reward-to-Risk
1.02
Upside
+15.3%
Downside
15.0%
Sizing output
AVOID

SetupRECOVERY Death cross but MACD improving, RSI 57

EdgeNO_EDGE No clear edge identified

SuitabilityAGGRESSIVE Beta 3.62>1.3

Investment implication

The L1 gate blocked the positive-verdict path: a hard-floor threshold was breached, so dimensional pillars — including Growth at 10.0 could not lift the engine output above the verdict floor. Failed gate signal: ASYMMETRY:1.0<1.5@spot.

The strongest dimensions are Growth at 10.0, Catalyst at 7.1, and Value at 6.9; the weakest are Technical at 1.6, Risk (lower is worse) at 2.3, and Peer rank at 2.7. The V9 engine flagged 1 failed gate with 1 warning, producing an asymmetric reward-to-risk of 1.02 and an engine sizing output of AVOID.

What would invalidate the thesis

Falsifying conditions — when triggered, the corresponding pillar's thesis is invalidated.

  • P1Tempus AI has a quality score of 3.2, below the minimum 4.0 threshold, with negative free cash flow at negative 4% of revenue, zero reported return on equity, and zero net margin — indicating a cash-burning company that has not yet established a profitable business model despite strong revenue growth.

    Trip ifFree cash flow burn rate worsens to below -10% of revenue, more than 6 percentage points worse than the current -4% level, in any reported quarter.

  • P2Oncology and hereditary tests represent 74% of Tempus AI's revenue — combined with sole-supplier dependency for key inputs — creating a dual concentration risk where either a reimbursement change for oncology testing or a supplier disruption could materially impair revenues.

    Trip ifOncology and hereditary test revenue share rises above 82%, more than 8 percentage points above the current 74%, indicating further concentration increase.

  • P3Tempus AI has beaten earnings estimates in all four of the last four quarters with an average positive surprise of 27%, against a backdrop of 36% revenue growth — demonstrating that the company is consistently narrowing losses faster than analysts model even as it scales.

    Trip ifEarnings surprise falls below 0% in at least 3 of the next 4 quarters, ending the current loss-narrowing beat streak.

  • P4Short interest stands at 31% of the float — one of the highest levels in the dataset — with a justified-short-interest note in the risk analysis, reflecting broad institutional conviction that the current valuation does not reflect the risks of a cash-burning, concentrated healthcare data company.

    Trip ifShort interest rises above 38% of the float, more than 7 percentage points above the current 31%, indicating accelerating institutional bearish positioning.

Engine reasoning is mechanically derived from pipeline gate outputs. See decision view.

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