S-4 Featured Impact 8/10 M&A

$TEM · Tempus AI, Inc.

October 2, 2026 · AI-analyzed SEC filing

Tempus AI filed Amendment No. 1 to its S-4 registration statement on October 2, 2026, for the proposed acquisition of Personalis, Inc. The deal, originally announced July 20, 2026, uses a two-step merger structure where Personalis shareholders receive Tempus Class A common stock at an exchange ratio of 0.3356 if Tempus trades at or below $48.42, or $16.25 worth of Tempus shares if above that floor. Tempus retains the right to elect to pay cash for up to 50% of Personalis shares at $16.25 per share.

TEM shares are essentially flat in extended hours (+0.09% vs price-at-filing), suggesting the amended S-4 contained no material surprises relative to the original July 20, 2026 merger announcement.

The amended S-4 advances a strategic consolidation in AI-powered genomics, with the variable exchange ratio and Tempus cash election creating meaningful deal-close uncertainty for arbitrageurs.

This is a consolidation play in AI-driven precision medicine — Tempus (diagnostics/data) absorbing Personalis (genomic sequencing). The structure with Merck as a supportive voter signals pharma alignment behind the combination.

The exchange ratio is variable: if Tempus stock trades above $48.42, Personalis holders receive fewer shares (fixed at $16.25 value), creating uncertainty about final consideration. Tempus's cash election right could reduce equity consideration for up to 50% of Personalis shares. The deal requires a

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