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Tandem Diabetes Care (TNDM)
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Tandem Diabetes Care (TNDM) AI Stock Analysis

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TNDM

Tandem Diabetes Care

(NASDAQ:TNDM)

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Neutral 60 (OpenAI - 4o)
Rating:60Neutral
Price Target:
$20.50
▼(-6.14% Downside)
Tandem Diabetes Care's overall stock score reflects a mix of financial challenges and positive market momentum. The earnings call provided a strong positive outlook with record sales and strategic initiatives, which significantly boosted the score. However, financial performance issues, including high leverage and negative profitability, weigh heavily on the overall assessment. The technical analysis indicates bullish momentum, but valuation concerns persist due to the negative P/E ratio.
Positive Factors
Product Innovation
The integration of advanced glucose monitoring technology enhances the product offering, potentially increasing market share and customer retention.
Regulatory Approval
FDA clearance for the Android app expands the user base, improving accessibility and user engagement, which may drive sales growth.
Sales Growth
Record sales indicate strong demand and effective pricing strategies, supporting revenue growth and financial stability.
Negative Factors
High Leverage
Significant leverage increases financial risk and limits flexibility, potentially impacting long-term growth and stability.
Revenue Decline
Decreasing revenue growth suggests challenges in market expansion and competition, which could affect future profitability.
Competitive Pressures
Competitive pressures on new pump starts could hinder market share growth and impact long-term revenue potential.

Tandem Diabetes Care (TNDM) vs. SPDR S&P 500 ETF (SPY)

Tandem Diabetes Care Business Overview & Revenue Model

Company DescriptionTandem Diabetes Care, Inc. is a medical device company focused on the design, development, and commercialization of innovative diabetes management products. The company specializes in insulin delivery systems, including its flagship product, the t:slim X2 insulin pump, which features advanced technology such as continuous glucose monitoring integration and customizable settings to enhance the user experience. Tandem serves individuals with diabetes, healthcare providers, and payers, aiming to improve the quality of life for those managing this chronic condition.
How the Company Makes MoneyTandem Diabetes Care generates revenue primarily through the sale of its insulin delivery devices, including the t:slim X2 insulin pump and associated supplies such as infusion sets and cartridges. The company operates on a direct sales model, selling products to healthcare providers, diabetes clinics, and directly to consumers. Additionally, Tandem benefits from partnerships with insulin manufacturers and healthcare systems that facilitate the integration of its products with other diabetes management solutions. Revenue is also supported by reimbursement from insurance companies, which cover a portion of the costs for patients using Tandem's devices. Furthermore, the company's ongoing innovation and product development efforts allow it to maintain a competitive edge, potentially leading to increased sales and market share.

Tandem Diabetes Care Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 25, 2026
Earnings Call Sentiment Positive
Tandem Diabetes Care's earnings call for the third quarter of 2025 reflected significant achievements, including record sales and margin improvements, driven by strategic initiatives in pricing, product innovation, and pharmacy expansion. However, challenges remain in the form of competitive pressures on new pump starts and transition-related impacts in Europe. Overall, the highlights significantly outweigh the lowlights, suggesting a strong positive outlook.
Q3-2025 Updates
Positive Updates
Record Third Quarter Sales
Tandem Diabetes achieved record third quarter sales with revenue of $249 million, driven by ASP increases and favorable foreign currency dynamics.
U.S. Sales Performance
U.S. sales reached approximately $176 million, marked as the highest third quarter and second highest quarter ever, primarily due to pricing improvements.
International Sales Growth
International sales achieved $74 million, delivering another record third quarter with double-digit growth in end-user pump placements.
Gross Margin Improvement
Gross margin increased by approximately 3 percentage points year-over-year to 54%, with Q4 expected to reach an all-time high in the mid- to high 50s.
Pharmacy Channel Expansion
Successfully increased pharmacy benefit coverage for Tandem Mobi to more than 40% of U.S. lives, with significant internal efforts to operationalize pharmacy access.
Launch of New Products
Announced the full availability of t:slim X2 with Abbott's FreeStyle Libre 3 Plus integration in the U.S. and expanded Type 2 commercial efforts for Control-IQ+.
Negative Updates
Pressure on New Pump Starts
Continued pressure on new pump starts, particularly from competitive conversions, which have contributed to headwinds in new pump starts.
Impact of Distributor Transition in Europe
A projected $10 million headwind due to distributor inventory destocking and inventory buybacks as Tandem prepares to go direct in select European countries.
Company Guidance
During the Tandem Diabetes Care Third Quarter 2025 Earnings Conference Call, guidance was provided on several key metrics and strategic initiatives. The company reported record third-quarter sales of $249 million, driven by ASP increases and favorable foreign currency dynamics. In the U.S., sales reached approximately $176 million, with a significant portion attributed to pricing, which alone contributed 5% growth in Q3. International sales amounted to $74 million, with end-user pump placements growing double digits year-over-year. The company achieved a gross margin of 54%, a 3 percentage point increase from the previous year. Tandem is on track to achieve $1 billion in worldwide sales for 2025, with U.S. sales expected to be around $700 million and international sales approximately $300 million. The company anticipates gross margins in the range of 53% to 54% for the year, with Q4 expected to set an all-time high in the mid- to high 50s. Adjusted EBITDA is projected to be negative 5% of sales, with further improvements anticipated in 2026 due to new product introductions, pharmacy access expansion, and operational efficiencies.

Tandem Diabetes Care Financial Statement Overview

Summary
Tandem Diabetes Care is facing significant financial challenges, with declining revenue growth and profitability issues. The high leverage and negative return on equity indicate financial risk, while the cash flow position shows some improvement. The company needs to focus on revenue growth, cost management, and debt reduction to enhance its financial performance and stability.
Income Statement
45
Neutral
Tandem Diabetes Care has experienced a decline in revenue growth, with a negative growth rate of -10.17% in the TTM period. The company is facing profitability challenges, as indicated by negative net profit and EBIT margins. However, the gross profit margin remains relatively stable at 53.23%, suggesting some operational efficiency. The company needs to address its declining revenue and improve its cost management to enhance profitability.
Balance Sheet
40
Negative
The balance sheet reveals a high debt-to-equity ratio of 3.38 in the TTM period, indicating significant leverage and potential financial risk. The return on equity is negative, reflecting the company's inability to generate profits from shareholders' equity. The equity ratio is low, suggesting limited financial stability. Tandem Diabetes Care should focus on reducing its debt levels and improving its equity position to strengthen its financial health.
Cash Flow
50
Neutral
The cash flow statement shows a positive free cash flow growth rate of 32.07% in the TTM period, indicating improved cash generation. However, the operating cash flow to net income ratio is negative, highlighting challenges in converting income into cash. The free cash flow to net income ratio is high, suggesting that the company is generating cash despite net losses. Tandem Diabetes Care should focus on enhancing its operational cash flow to support its financial stability.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.01B940.20M747.72M801.22M702.80M498.83M
Gross Profit536.01M489.57M367.69M412.99M376.21M260.52M
EBITDA-179.70M-99.13M-196.46M-74.21M34.06M-13.03M
Net Income-203.37M-96.03M-222.61M-94.59M15.57M-34.38M
Balance Sheet
Total Assets874.65M967.66M952.66M1.05B905.14M716.41M
Cash, Cash Equivalents and Short-Term Investments319.11M438.33M467.91M616.90M623.81M484.94M
Total Debt449.28M473.56M415.67M419.88M314.67M228.32M
Total Liabilities741.69M704.56M639.03M612.84M472.02M350.11M
Stockholders Equity132.97M263.10M313.63M439.95M433.11M366.31M
Cash Flow
Free Cash Flow-25.13M4.99M-58.61M16.37M87.85M-7.63M
Operating Cash Flow-8.79M24.23M-31.81M50.46M111.36M24.67M
Investing Cash Flow92.86M-23.48M-85.74M33.17M-186.88M-296.06M
Financing Cash Flow-43.67M8.37M4.11M16.88M51.93M314.44M

Tandem Diabetes Care Technical Analysis

Technical Analysis Sentiment
Positive
Last Price21.84
Price Trends
50DMA
15.25
Positive
100DMA
14.37
Positive
200DMA
17.72
Positive
Market Momentum
MACD
1.73
Negative
RSI
77.19
Negative
STOCH
94.84
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TNDM, the sentiment is Positive. The current price of 21.84 is above the 20-day moving average (MA) of 17.28, above the 50-day MA of 15.25, and above the 200-day MA of 17.72, indicating a bullish trend. The MACD of 1.73 indicates Negative momentum. The RSI at 77.19 is Negative, neither overbought nor oversold. The STOCH value of 94.84 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TNDM.

Tandem Diabetes Care Risk Analysis

Tandem Diabetes Care disclosed 62 risk factors in its most recent earnings report. Tandem Diabetes Care reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Tandem Diabetes Care Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$50.38B36.9613.59%0.19%65.58%
74
Outperform
$23.13B95.4219.68%27.12%-41.72%
74
Outperform
$135.13B28.449.81%2.69%5.34%13.15%
69
Neutral
$24.06B34.3430.63%14.21%5.66%
60
Neutral
$1.41B-109.73%17.87%-57.03%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$26.44B3.18%-0.76%-55.03%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TNDM
Tandem Diabetes Care
20.73
-10.49
-33.60%
DXCM
Dexcom
62.53
-15.57
-19.94%
EW
Edwards Lifesciences
86.75
14.68
20.37%
PODD
Insulet
326.80
59.88
22.43%
PHG
Koninklijke Philips
28.07
1.74
6.61%
MDT
Medtronic
105.02
21.50
25.74%

Tandem Diabetes Care Corporate Events

Business Operations and StrategyExecutive/Board Changes
Tandem Diabetes Care Appoints Sandra Beaver to Board
Positive
Nov 12, 2025

On November 7, 2025, Tandem Diabetes Care appointed Sandra Beaver to its Board of Directors, expanding the board from eight to nine members. Ms. Beaver, a seasoned finance executive with over 20 years of experience, will serve on the Audit Committee and the Cybersecurity and Data Privacy Committee. Her appointment is expected to support Tandem’s growth strategy as it continues to innovate in digital health solutions and expand into new markets.

The most recent analyst rating on (TNDM) stock is a Hold with a $17.00 price target. To see the full list of analyst forecasts on Tandem Diabetes Care stock, see the TNDM Stock Forecast page.

Tandem Diabetes Care Q3 2025 Earnings: Record Sales & Growth
Nov 8, 2025

Tandem Diabetes Care’s recent earnings call for the third quarter of 2025 painted a largely positive picture, highlighting significant achievements such as record sales and improved margins. These successes were attributed to strategic initiatives in pricing, product innovation, and pharmacy expansion. Despite facing challenges like competitive pressures on new pump starts and transition-related impacts in Europe, the overall sentiment was optimistic, with the highlights significantly outweighing the lowlights.

Tandem Diabetes Care Reports Record Third-Quarter Sales
Nov 7, 2025

Tandem Diabetes Care, Inc. is a global company specializing in the development and sale of advanced insulin delivery systems, primarily serving the diabetes technology sector. The company is known for its innovative products like the Tandem Mobi and t:slim X2 insulin pumps, which incorporate advanced hybrid closed-loop technology.

Tandem Diabetes Care’s New Study: A Game Changer for Type 1 Diabetes Management?
Oct 27, 2025

Study Overview: Tandem Diabetes Care is conducting a study titled ‘The Real-World Control-IQ Glycemic Control and Quality of Life Study in Type 1 Diabetes in France.’ The study aims to evaluate the safety, performance, and quality of life improvements associated with the Control-IQ system in individuals with Type 1 Diabetes. This research is significant as it assesses real-world applications of the system over a 12-month period, providing valuable insights into its effectiveness and user experience.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 21, 2025