Tempus AI agreed to acquire cancer-monitoring company Personalis in a $1.5 billion deal, structured as an all-stock transaction with an option for Tempus to pay up to half in cash. Personalis shareholders will receive $16.25 per share, a 6 percent premium to the prior closing price. The acquisition centers on Personalis’ NeXT Personal test, which detects circulating tumor DNA to monitor cancer recurrence, and both companies frame the deal as capturing share of a $20 billion minimal-residual-disease market.