Tempus’ upside is non-linear, but two constraints can bind: (1) regulatory/reimbursement throughput (what claims can be made, who pays, and at what rate), and (2) financing flexibility given debt and ongoing investment. Strategically, the key risk is value-capture: if workflow distribution sits with
EMR vendors, large health systems, or
CRO incumbents, Tempus may do the work while others capture the platform
multiple.