Should You Buy, Hold or Sell TEM Stock Post Q3 Earnings Release?

Core Insights - Tempus AI Inc. reported third-quarter 2025 results with earnings and revenues exceeding consensus estimates [1] - The company achieved a narrower loss of $0.11 per share and an 84.7% year-over-year revenue increase to $252.9 million [2][10] - For the first time, Tempus reported positive adjusted EBITDA, marking a significant milestone [2] Financial Performance - Genomics revenues surged 117.2% year over year to $252.9 million, with Oncology testing generating $139.5 million (up 31.7%) and Hereditary testing contributing $102.6 million (up 32.8%) [6] - Data and Services revenues reached $81.3 million, a 26.1% increase year over year, driven by Insights bookings of $150 million, reflecting 37.6% growth [12] Competitive Landscape - Rivals such as 10x Genomics and Doximity also reported strong performances, with 10x Genomics posting a loss of $0.22 per share and revenues of $149 million, while Doximity achieved adjusted EPS of $0.45 and revenues of $168.5 million [3] Stock Performance - TEM stock increased by 35.7% during the third quarter, outperforming the broader industry gain of 6.7% and the S&P 500's 9.6% [4] - The stock is currently trading at a price-to-sales (P/S) ratio of 8.21X, above the industry average of 5.81X, indicating potential overvaluation [10][18] Future Outlook - Tempus plans to launch its first whole-genome sequencing test, Xh, next year, and is developing a companion diagnostic with Verastem Oncology [8][11] - The company expects 80% revenue growth in the fourth quarter of 2025 and a full-year growth of 81.8%, although earnings per share are projected to remain negative [15] Strategic Initiatives - Tempus received FDA 510(k) clearance for its xR IVD and launched xM for Treatment Response Monitoring, enhancing its product offerings [7] - The acquisition of Paige, an AI leader in digital pathology, strengthens Tempus' data and AI capabilities [13]