Tempus AI has struck an expanded deal with Gilead Sciences, deepening a relationship that had already been delivering real-world oncology data for Gilead’s research and development work.
The new agreement gives Gilead enterprise-wide access to Tempus’ AI-powered Lens platform. That means broader access to de-identified patient data across multiple cancer types, plus dedicated analytical services from the Tempus team.
Tempus AI, Inc., TEM
Previously, Gilead used Tempus’ data repository for specific tasks — trial design, biomarker strategy, indication selection and health outcomes analysis. This expansion takes things several steps further.
Patrick Loerch, SVP of Clinical Data Science at Gilead, called the partnership a reflection of their “shared priority of putting patients at the heart of innovation.” Ryan Fukushima, CEO of Tempus Data & Apps, said the expanded access would deliver AI-driven insights to support Gilead’s R&D work. Financial terms were not disclosed.
The timing of this collaboration comes as Tempus reports some of its strongest diagnostic numbers yet.
In 2025, Tempus‘ Diagnostics segment posted 111.5% revenue growth year over year. Oncology testing volume rose 26%, Hereditary grew 29%, and its MRD testing category hit around 4,700 tests in Q4 alone — up 56% quarter over quarter.
Management is projecting oncology growth of around 30% in 2026, driven by rising adoption of genomic sequencing and expanding MRD reimbursement coverage.
The company is also working through regulatory pricing improvements, with the transition of its xT CDx test from a lab-developed version to the FDA-approved pathway. The average selling price in Q4 2025 was approximately $1,640, up about $40 from Q3.
Tempus‘ Data and Applications segment has become the other main pillar of its growth story.
Q4 2025 revenues for the segment reached $100.4 million, up 25.1% year over year. Net Revenue Retention stood at 126%, indicating existing customers are spending more. The company closed 2025 with over $1.1 billion in total remaining contract value.
Management is guiding for roughly $1.59 billion in total 2026 revenues, implying around 25% growth.
Tempus is also investing in large-scale AI foundation models trained on its proprietary datasets, with plans to expand beyond oncology into radiology, cardiology and neuropsychology.
The stock is currently trading at a forward price-to-sales ratio of 5.02x, below the industry median of 5.38x.
Gilead, meanwhile, is in an active acquisition phase. The company has announced three deals totaling approximately $15 billion, including a $7.8 billion acquisition of Arcellx and a $5 billion deal for Tubulis. Analysts at TD Cowen, BMO Capital, and Truist Securities all maintain Buy or Outperform ratings on Gilead with price targets ranging from $155 to $174.
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