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AGING Analysis Report
May 11, 2026
13 days ago · 92% complete

Tandem Diabetes Care, Inc.

TNDM NASDAQ Categories PDF
Healthcare · Medical - Devices
San Diego, CA 92121, United States IPO 2013 tandemdiabetes.com Updated May 24, 1:35pm
Price
$14.97
Market Cap
$1.0B
Employees
2,650
Beta
1.64
Avg Volume
2,286,328
CEO
John F. Sheridan
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 10:23am
Price Overview
Last updated: May 24, 2026 1:35pm (just now)
$14.97
-0.80 (-5.04%)
Day Range
$14.94 – $15.74
52-Week Range
$9.98 – $29.65
50-Day MA
$19.34
200-Day MA
$18.02
Volume
1,989,751.00
Analyst Price Targets
Low $21.00
Consensus $31.69
High $55.00
(54 analysts)
Share Structure
Outstanding 68,529,089.00
Float 62,991,939.00
Free Float 91.9%
High free float — 91.9% of shares trade freely, ~8.1% held by insiders/institutions
Very liquid — most shares trade freely. Low insider ownership can mean less management alignment, but makes large position sizing straightforward.
Price History (1 Year)
Last updated: May 24, 2026 1:35pm (just now)
Revenue & Net Income Trend
The directional story — useful even when net income is negative.
Last updated: May 24, 2026 1:35pm (just now)
Revenue
The top line — total sales before any costs or taxes are subtracted. A measure of how much business the company is doing.
Net Income
The bottom line — profit left after subtracting all expenses, interest, and taxes from revenue. Reflects accounting profitability, but includes non-cash items like depreciation, so it isn't the same as cash earned.
Operating Cash Flow
The real cash generated by the day-to-day business — selling products, paying suppliers, collecting from customers. Calculated from net income by adding back non-cash items and adjusting for timing (unpaid bills, unsold inventory). When OCF consistently lags net income, the reported profit may not be converting to real money.
Period Revenue Net Income Net Margin YoY/QoQ
Key Metrics
API Direct from provider CALC Derived from statements
Industry comparison last run: May 11, 2026 11:08am
P/E Ratio (Price per dollar of earnings)
CALC
Stock Price / EPS (Diluted)
-4.92
Stock Price: $14.97
EPS (Diluted): -3.04
P/B Ratio (Price vs net asset value)
API
Stock Price / Book Value Per Share
9.53
Stock Price: $14.97
Total Equity: $155.17M
Shares: 67,285,000
EV/EBITDA (Total value vs operating profit)
API
Enterprise Value / EBITDA
-20.92
Market Cap: $1.03B
Total Debt: $444.48M
Cash: $90.63M
EBITDA: -$174.70M
Enterprise Value (Takeover price (cap + debt - cash))
API
Market Cap + Total Debt - Cash
$1.8B
Market Cap: $1.03B
Total Debt: $444.48M
Cash: $90.63M
Gross Margin (Revenue left after direct costs)
API
Gross Profit / Revenue
52.3%
Gross Profit: $530.85M
Revenue: $1.01B
Operating Margin (Revenue left after all operations)
API
Operating Income / Revenue
-7.7%
Operating Income: -$78.12M
Revenue: $1.01B
Net Margin (Revenue left as actual profit)
API
Net Income / Revenue
-20.2%
Net Income: -$204.71M
Revenue: $1.01B
ROE (Profit from shareholder equity)
API
Net Income / Total Equity
-68.3%
Net Income: -$204.71M
Total Equity: $155.17M
ROIC (Profit from all invested capital)
API
NOPAT / Invested Capital
-8.4%
Operating Income: -$78.12M
Tax Rate: -2.2%
Equity: $155.17M
Total Debt: $444.48M
Cash: $90.63M
Current Ratio (Can it pay short-term bills)
API
Current Assets / Current Liabilities
2.55
Current Assets: $618.14M
Current Liabilities: $242.72M
Debt/Equity (Leverage — debt vs equity)
CALC
Total Debt / Total Equity
2.86
Short-Term Debt: $19.47M
Long-Term Debt: $425.00M
Total Debt: $444.48M
Total Equity: $155.17M
Rev/Share (Top-line per share)
CALC
Revenue / Shares Outstanding
$15.08
Revenue: $1.01B
Shares: 67,285,000
Book Value/Share (Net assets per share)
CALC
(Total Assets - Total Liabilities) / Shares
$2.31
Total Equity: $155.17M
Shares: 67,285,000
FCF/Share (Real cash generated per share)
CALC
(Operating Cash Flow + CapEx) / Shares
$-0.44
Operating CF: -$9.72M
CapEx: -$19.95M
Shares: 67,285,000
CapEx is negative (outflow) — added to OCF to get FCF
Div Yield (Annual income from holding)
API
Last Annual Dividend / Stock Price
0.0%
Last Dividend: N/A
Stock Price: $14.97
Payout Ratio (Earnings paid out as dividends)
Dividends Paid / Net Income
Dividends Paid: N/A
Net Income: -$204.71M
Dividends paid not available in cash flow statement
Industry Benchmarks
Last run: May 11, 2026 11:08am
Compares TNDM against LLM-researched typical ranges for its industry. One research call per industry, cached indefinitely — every stock in the same industry reuses the same baseline.
Deep Analysis
Last run: May 11, 2026 11:11:14 am

Pre-flight intelligence scans the company first, then routes to the right analytical methods.

0 Company Classification — What type of company is this?
1 Industry Landscape — Where is the industry headed?
2 Company Momentum — Where is this company trending?
3 Forward Projection — 1Y & 2Y projected metrics (requires Layer 1 + 2)
4a DCF Valuation — Present value of future cash flows
Not applicable for Pre Profit Growth companies
4b Earnings Power Value — Floor value — worth with zero growth
Not applicable for Pre Profit Growth companies
4c Anchored PE — Industry PE adjusted for growth differential
Not applicable for Pre Profit Growth companies
4d Reverse DCF — What growth is the market pricing in?
Not applicable for Pre Profit Growth companies
4e Revenue-Based DCF — For growth/narrative companies (skip if mature earner)
4f Anchored P/S — Price-to-Sales peer comparison (skip if mature earner)
4g Scenario Analysis — Bull / Base / Bear (skip if mature earner)
4h Dividend Discount Model — For dividend/income stocks only
Not applicable for Pre Profit Growth companies
4i Book Value Analysis — For deep value / turnaround stocks only
Not applicable for Pre Profit Growth companies
4j Insider Activity — Are insiders buying or selling?
4f Cash Flow Quality — How trustworthy is the FCF?
4g Debt Maturity Risk — Can it handle its debt?
4h Macro Environment — Rates, market valuation, volatility
4i Sector Intelligence — How does this company compare within its sector?
4j Revenue Confidence — How reliable is the growth projection?
4k Sensitivity Analysis — How fragile is the fair value estimate?
Not applicable for Pre Profit Growth companies
4l Sector Demand Cycle — Is the sector in a boom, steady state, or contraction?
5 AI Investigation — Adaptive research engine (Claude)
5b Thesis Evaluation — What does the market believe? (narrative/platform stocks only)
6 Valuation Synthesis — Weighted verdict from all methods (requires Layer 4)
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
The story the market is telling about this stock — the intangible X-factor (founder mythology, cult dynamics, TAM-of-imagination) that moves price beyond what cash flows alone explain. After Shiller, Narrative Economics.
No narrative profile yet for TNDM.
Delvantic AI Findings
Independent analyst synthesis · claude-opus-4-7 · generated 2026-05-11 11:11:38
Reviews the pipeline's own verdicts
Verdict Fairly valued as a stranded asset with M&A optionality — fundamental fair value $10-13, takeout upside to $20-30; pass unless you specifically want the acquisition lottery ticket.

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
Second-opinion review · gpt-4o · generated 2026-05-11 11:11:48
Reviews the Opus findings above
Verdict Disagree with Opus's "fairly valued" call — Tandem is overvalued at $14.56, with a fair value closer to $10-12 due to persistent losses and limited growth prospects, absent a clear path to profitability or competitive recovery.

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.

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My Notes personal — only you see this
Data via Financial Modeling Prep · Cached for performance · fmp
v1.1.256 · f3db1def · 2026-05-22 16:31:52