Business Description
Tandem Diabetes Care, Inc., a medical device company, designs, develops, and commercializes various products for people with insulin-dependent diabetes in the United States and internationally. The company's flagship product is the t:slim X2 insulin delivery system, a pump platform that comprises t:slim X2 pump, its 300-unit disposable insulin cartridge, and an infusion set. It also provides t:slim X2 insulin with Basal-IQ and control IQ technology; t:slim X2 with G5 Integration; and Tandem Device Updater, a tool that allows users to update their pump's software. In addition, the company offers t:connect, a web-based data management application, which provides a visual way to display diabetes therapy management data from the pump, continuous glucose monitoring, and supported blood glucose meters for users, their caregivers, and their healthcare providers; and Sugarmate, a mobile app for people with diabetes who use insulin. It has development and commercialization agreements with Dexcom, Inc. and Abbott Laboratories. The company was formerly known as Phluid Inc. and changed its name to Tandem Diabetes Care, Inc. in January 2008. Tandem Diabetes Care, Inc. was incorporated in 2006 and is headquartered in San Diego, California.
Business History
Generated: Apr 30, 2026 10:23amPrice Overview
Last updated: May 24, 2026 1:35pm (just now)Price History (1 Year)
Revenue & Net Income Trend
| Period | Revenue | Net Income | Net Margin | YoY/QoQ |
|---|
Key Metrics
EPS (Diluted): -3.04
Total Equity: $155.17M
Shares: 67,285,000
Total Debt: $444.48M
Cash: $90.63M
EBITDA: -$174.70M
Total Debt: $444.48M
Cash: $90.63M
Revenue: $1.01B
Revenue: $1.01B
Revenue: $1.01B
Total Equity: $155.17M
Tax Rate: -2.2%
Equity: $155.17M
Total Debt: $444.48M
Cash: $90.63M
Current Liabilities: $242.72M
Long-Term Debt: $425.00M
Total Debt: $444.48M
Total Equity: $155.17M
Shares: 67,285,000
Shares: 67,285,000
CapEx: -$19.95M
Shares: 67,285,000
Stock Price: $14.97
Net Income: -$204.71M
Industry Benchmarks
Deep Analysis
Pre-flight intelligence scans the company first, then routes to the right analytical methods.
Income Statement (Annual)
Last updated: May 24, 2026 1:35pm (just now)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Revenue | $702.8M | $801.2M | $747.7M | $940.2M | $1.0B |
| Cost of Revenue | $326.6M | $388.2M | $380.0M | $450.6M | $483.9M |
| Gross Profit | $376.2M | $413.0M | $367.7M | $489.6M | $530.8M |
| Operating Expenses | $353.6M | $505.8M | $600.9M | $588.7M | $609.0M |
| Operating Income | $22.7M | -$92.8M | -$233.2M | -$99.1M | -$78.1M |
| Net Income | $15.6M | -$94.6M | -$222.6M | -$96.0M | -$204.7M |
| EBITDA | $34.1M | -$74.2M | -$196.5M | -$99.1M | -$174.7M |
| EPS | $0.25 | $-1.47 | $-3.43 | $-1.47 | $-3.04 |
| EPS (Diluted) | — | — | — | — | — |
Balance Sheet (Annual)
Last updated: May 19, 2026 3:13am (5d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Cash & Equivalents | $71.2M | $172.5M | $58.9M | $69.2M | $90.6M |
| Total Current Assets | $811.5M | $850.0M | $748.0M | $724.5M | $618.1M |
| Total Assets | $905.1M | $1.1B | $952.7M | $967.7M | $881.1M |
| Current Liabilities | $131.9M | $165.3M | $195.3M | $247.0M | $242.7M |
| Long-Term Debt | $281.5M | $283.2M | $285.0M | $308.3M | $425.0M |
| Total Liabilities | $472.0M | $612.8M | $639.0M | $704.6M | $725.9M |
| Total Equity | $433.1M | $439.9M | $313.6M | $263.1M | $155.2M |
| Retained Earnings | -$634.6M | -$729.2M | -$951.8M | -$1.0B | -$1.3B |
Cash Flow (Annual)
Last updated: May 24, 2026 1:35pm (just now)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Operating Cash Flow | $111.4M | $50.5M | -$31.8M | $24.2M | -$9.7M |
| Capital Expenditure | -$23.5M | -$34.1M | -$26.8M | -$19.2M | -$19.9M |
| Free Cash Flow | $87.8M | $16.4M | -$58.6M | $5.0M | -$29.7M |
| Acquisitions (net) | $0 | -$25.7M | -$69.5M | $0 | $0 |
| Debt Repayment | — | — | — | — | — |
| Dividends Paid | — | — | — | — | — |
| Stock Buybacks | $0 | $0 | $0 | -$30.0M | $0 |
| Net Change in Cash | -$23.4M | $101.3M | -$113.6M | $10.4M | $21.4M |
Analyst Estimates (Annual)
Last updated: May 24, 2026 1:35pm (just now)| Metric | 2027 | 2028 | 2029 | 2030 |
|---|---|---|---|---|
| Revenue |
$1.2B $1.2B – $1.3B
|
$1.4B $1.4B – $1.4B
|
$1.6B $1.5B – $1.6B
|
$1.7B $1.7B – $1.8B
|
| EBITDA |
-$140.9M -$146.8M – -$136.1M
|
-$159.5M -$159.9M – -$159.1M
|
-$181.4M -$186.6M – -$177.3M
|
-$202.6M -$208.4M – -$198.1M
|
| Net Income |
$8.4M -$55.7M – $55.7M
|
$60.2M $17.2M – $117.0M
|
$89.9M $87.2M – $93.2M
|
$120.2M $116.7M – $124.6M
|
| EPS | — | — | — | — |
Growth Trends (YoY %)
Last updated: May 24, 2026 1:35pm (just now)| Metric | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|
| Revenue Growth | +14.0% | -6.7% | +25.7% | +7.9% |
| Gross Profit Growth | +9.8% | -11.0% | +33.1% | +8.4% |
| Operating Income Growth | -509.9% | -151.2% | +57.5% | +21.2% |
| Net Income Growth | -707.7% | -135.3% | +56.9% | -113.2% |
| EBITDA Growth | -317.9% | -164.7% | +49.5% | -76.2% |
Insider Trading (Recent)
| Date | Insider | Type | Shares | Price | Value |
|---|---|---|---|---|---|
| 2026-05-21 | Allen Dick | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | Allen Dick | A-Award | 10,220.00 | $0.00 | $0 |
| 2026-05-21 | Allen Dick | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-21 | Howell Peyton R | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | Howell Peyton R | A-Award | 10,220.00 | $0.00 | $0 |
| 2026-05-21 | Howell Peyton R | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-21 | Malagueira Joao Paulo Falcao | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | Malagueira Joao Paulo Falcao | A-Award | 10,220.00 | $0.00 | $0 |
| 2026-05-21 | Malagueira Joao Paulo Falcao | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | Beaver Sandra | A-Award | 5,110.00 | $0.00 | $0 |
| 2026-05-21 | Sodhi Rajwant | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | Sodhi Rajwant | A-Award | 10,220.00 | $0.00 | $0 |
| 2026-05-21 | Sodhi Rajwant | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-21 | McGroddy-Goetz Kathleen | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | McGroddy-Goetz Kathleen | A-Award | 10,220.00 | $0.00 | $0 |
| 2026-05-21 | McGroddy-Goetz Kathleen | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-21 | ROBERTSON REBECCA B | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-20 | ROBERTSON REBECCA B | A-Award | 10,220.00 | $0.00 | $0 |
| 2026-05-21 | ROBERTSON REBECCA B | M-Exempt | 8,759.00 | $0.00 | $0 |
| 2026-05-21 | TWOMEY CHRISTOPHER J | M-Exempt | 8,759.00 | $0.00 | $0 |
Narrative Economics
Delvantic AI Findings
Looking at the raw quarterly trajectory before reading the model verdicts: Q1'26 revenue of $247.2M is up only 5.5% YoY against Q1'25's $234.4M, and Q4'25's $290.4M was actually *down* 2.8% YoY from Q4'24's $282.6M. Annual revenue growth from $940M to $1,012M is 7.7% — a deceleration from the 25.7% jump in 2024. The "16.5% revenue CAGR" is backward-looking and masks that growth has roughly halved. Gross margin of 52.3% is decent for med-tech but not improving meaningfully — 2024 was 52.1%, 2023 was 49.2%, so we're talking ~100bps over two years while operating losses persist at -$78M. The 2024 numbers also have a suspicious Q3 spike ($363M) that looks like a stocking or revenue-recognition event distorting comps.
The synthesis and market-forces models are calling this "distressed" and pricing in bankruptcy risk — I think they're overreaching. The balance sheet tile shows total debt as "—" (unreported here), but Tandem's actual debt is ~$282M in convertible notes due 2029, and cash was $90.6M at YE25 against a -$29.7M annual FCF burn. That's not imminent insolvency — that's roughly 3 years of runway at current burn before refinancing pressure, and FCF burn has actually *narrowed* from prior years. The "existential debt crisis" framing in Market Forces is dramatic and not supported by the numbers in front of us. Current ratio of 2.55 is healthy. This is a slow-growth, sub-scale medical device company losing share to Insulet's Omnipod 5, not Lehman.
That said, the bull case the pre-flight model implies — margin expansion driving re-rating — has zero evidence in this data. Operating margin is *worse* in 2025 (-7.7%) than the synthesis implies turnarounds typically show, and Q1'26 NI of -$20.4M against $247M revenue is -8.2% — no inflection visible. The contrarian read is actually the opposite of the consensus models: this isn't binary bankruptcy-vs-acquisition; it's a mediocre business slowly bleeding share to a superior competitor (Omnipod's tubeless form factor is winning new starts) while burning $30M/year of cash. At 1.46x sales and 1.81x EV/revenue, you're paying a fair price for a no-growth, no-margin business — not a steal, not a disaster. Insider activity is overwhelmingly tax-related (M-Exempt option exercises with F-InKind withholding), with only trivial open-market sales of 187 and 2 shares — essentially zero signal, contra "Neutral" framing which implies meaningful flow.
Where the data is thin: we have no debt figure in the tile, no equity figure, and the 2024 quarterly pattern ($363M Q3, $282M Q4) suggests either a one-time pharmacy channel build or restatement that distorts the YoY comps everyone is anchoring to. The EV/EBITDA of -20.5 is uninformative. ROE of -68% reflects an eroded equity base, not operating reality. I'd want to see Mobi pump uptake numbers, new-patient-start share vs. Insulet, and the Q2'26 print before sizing anything. I disagree with the synthesis "High Conviction Required / distressed binary" framing — the more honest read is "low-conviction value trap with optionality." Fair value on 1.0-1.2x sales for a low-growth med-tech with stable gross margins is roughly $10-13; current $14.56 already embeds modest optionality on Mobi or M&A. Acquisition multiples in insulin pumps have historically been 2-3x sales, which would imply $20-30 in a takeout — that's the upside case, but it's a call option, not a thesis.
GPT Critique
Tandem Diabetes Care, Inc. presents a complex picture with its recent financial performance. Analyzing the raw data, the company shows a modest revenue growth trajectory, with quarterly revenues increasing from $234.4M in Q1 2025 to $247.2M in Q1 2026, marking only a 5.5% year-over-year growth. Despite a slight improvement in gross margins from 52.1% in 2024 to 52.3% in 2025, the company remains unprofitable, with a concerning net margin of -8.2% in Q1 2026. The annual operating cash flow in 2025 was negative at -$9.7M, and with a dwindling cash reserve of $90.6M against a free cash flow burn of -$29.7M, the financial runway appears limited to a few years unless the business model shifts towards profitability.
I agree with Opus's assessment that the company is not facing immediate insolvency, given the cash runway and manageable debt profile. However, I diverge from Opus's skepticism regarding the company's distressed nature. While the AI findings suggest an "existential debt crisis" is overblown, the negative cash flow and operational losses indicate significant financial strain, supporting a cautious approach. I also agree with Opus's dismissal of the "High Conviction Required" thesis, as Tandem's financials do not currently demonstrate pathways to substantial margin improvement or competitive recovery.
Opus posits that the market is pricing in a survival scenario rather than high growth, a view I endorse given the negative earnings and lack of margin improvement. However, I disagree with the notion that the business is merely a "low-conviction value trap with optionality." The fundamental challenges, such as competitive pressure from Insulet's Omnipod 5 and the lack of clear profitability pathways, suggest a more precarious position for Tandem than a typical value trap, which often implies stability with potential upside.
A careful skeptic might argue that both Opus and I underestimate the potential for strategic pivots or technological advancements that could alter Tandem's trajectory. They might highlight the potential impact of any new product lines or partnerships that could reinvigorate growth and profitability, although such outcomes remain speculative without concrete evidence.