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Tandem Diabetes Care (TNDM)
NASDAQ: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 46 (OpenAI - 4o)
Rating:46Neutral
Price Target:
$13.50
▼(-3.57% Downside)
The overall stock score is primarily influenced by financial performance challenges, including high leverage and negative profitability, which are significant risks. Technical analysis indicates neutral momentum, and valuation metrics reflect ongoing losses. The earnings call provided some positive insights but was excluded from the score calculation.
Positive Factors
Revenue Growth
The strong revenue growth indicates robust demand for Tandem's products, supporting long-term business expansion and market penetration.
Pharmacy Channel Expansion
Expanding the pharmacy channel can enhance distribution efficiency and accessibility, potentially increasing market share and customer base.
International Market Growth
Growth in international markets diversifies revenue streams and reduces dependency on the U.S. market, supporting long-term stability.
Negative Factors
High Leverage
High leverage increases financial risk, potentially limiting the company's ability to invest in growth opportunities and manage economic downturns.
Negative Profitability
Ongoing negative profitability challenges Tandem's ability to generate sustainable earnings, impacting its long-term financial health.
Cash Flow Challenges
Weak cash generation limits Tandem's capacity to fund operations and strategic initiatives, posing a risk to future growth and stability.

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

Tandem Diabetes Care Business Overview & Revenue Model

Company DescriptionTandem 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.
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 related accessories. The company also earns money from the sale of disposable supplies, such as infusion sets and reservoirs, which are necessary for the operation of their insulin pumps. A significant revenue stream comes from partnerships with insurance providers and healthcare organizations that facilitate access to their products for patients. Additionally, Tandem may benefit from collaborations with technology companies to enhance its product offerings and expand its market reach. The company's consistent focus on innovation and customer support helps to drive sales and build loyalty among users, further contributing to its overall earnings.

Tandem Diabetes Care Earnings Call Summary

Earnings Call Date:Aug 06, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 06, 2025
Earnings Call Sentiment Neutral
The earnings call showcased Tandem Diabetes Care's strong performance with record sales and significant progress in pharmacy channel expansion and international markets. However, there are challenges such as moderate U.S. sales growth and increased competition affecting the future outlook.
Q2-2025 Updates
Positive Updates
Record Second Quarter Sales
Tandem Diabetes Care achieved record second quarter sales, both in the U.S. and internationally, with worldwide sales of $241 million, marking the highest second quarter sales in both markets.
Strong Pump Shipments and Renewals
There was a year-over-year increase in pump shipments in the U.S., with renewals accounting for over half of the shipments, demonstrating strong retention and continued double-digit growth in renewals.
Pharmacy Channel Expansion
Progress in pharmacy channel expansion with plans to start selling t:slim supplies through the pharmacy channel beginning in Q4, aimed at making pump therapy more affordable and lowering out-of-pocket costs for patients.
International Market Growth
Strong performance in international markets with $70 million in sales, driven by demand for t:slim, increasing pump renewals, and growing supply sales.
Gross Margin Improvement
Achieved a gross margin of 52%, reflecting an increase year-over-year and compared to the first quarter, driven by pricing improvements and operational goals.
Product Development Milestones
Significant product development milestones achieved in Q2, including the Tandem Mobi's positive feedback and the upcoming integration with Abbott's FreeStyle Libre 3 Plus sensor.
Negative Updates
U.S. Sales Growth Moderation
U.S. sales anticipated to have more moderate growth in the back half of the year due to the competitive environment and ongoing commercial transformation efforts.
Impact of New Market Entrants
Acknowledgment of increased competition from a new market entrant with a large sales organization, expected to cause some market noise and pausing in the second half.
Inventory Adjustments
Slight headwinds from distributor inventory adjustments in international markets in preparation for the transition to direct operations in 2026.
Challenges in U.S. Commercial Transformation
The commercial transformation, including sales force expansion and system upgrades, is still in process, delaying some anticipated benefits.
Company Guidance
During Tandem Diabetes Care's second quarter 2025 earnings call, the company provided several key metrics and guidance for the fiscal year. Tandem reported record second-quarter sales of $241 million, marking a 15% year-over-year growth, with $170 million of sales in the U.S. and $70 million internationally. The company achieved a gross margin of 52%, with expectations to reach 53%-54% by year-end and a longer-term target of 60% by the end of 2026. Tandem is on track to achieve $1 billion in worldwide sales for 2025, with U.S. sales anticipated at $700 million and international sales at $300 million. The company highlighted the expansion of its pharmacy channel, noting that approximately 30% of U.S. lives are now covered, and new partnerships are expected to increase this coverage. Tandem also plans to start selling t:slim supplies through the pharmacy channel in Q4, which could significantly impact its financial performance. Additionally, Tandem is focusing on the type 2 diabetes market, expanding pilot programs that showed increased adoption compared to non-pilot areas. The company is also looking forward to launching new products, such as the Steadiset infusion set and the tubeless Mobi pump, both expected in 2026.

Tandem Diabetes Care Financial Statement Overview

Summary
Tandem Diabetes Care faces profitability challenges despite strong revenue growth. High leverage and negative cash flow trends pose financial risks, impacting long-term sustainability. The company must focus on sustaining margins and reducing debt for future financial health.
Income Statement
45
Neutral
Tandem Diabetes Care's income statement shows a mixed performance. The TTM (Trailing-Twelve-Months) gross profit margin is healthy at 46.6%, indicating effective cost management. However, the company is struggling with profitability, as evidenced by negative net profit margin (-16.7%) and EBIT margin (-9.4%). Revenue growth is strong with a 17.2% increase from the previous year, but consistent operating losses are a concern.
Balance Sheet
40
Negative
The balance sheet reflects financial vulnerability with a high debt-to-equity ratio of 3.18, suggesting significant leverage. The equity ratio of 16.8% indicates heavy reliance on debt for financing. Return on equity is negative at -118.4%, reflecting poor returns for shareholders. The company maintains a reasonable cash position, but overall financial stability is weak.
Cash Flow
35
Negative
Cash flow analysis reveals challenges, with negative free cash flow in the TTM period. The operating cash flow to net income ratio is 0.08, showing limited cash generation from operations. The free cash flow to net income ratio is negative, indicating cash outflows exceeding net income. Although there is a positive free cash flow growth from 2023 to 2024, the overall cash flow health is concerning.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.12B940.20M747.72M801.22M702.80M498.83M
Gross Profit526.37M489.57M367.69M412.99M376.21M260.52M
EBITDA-177.66M-99.13M-194.66M-72.31M36.50M-13.03M
Net Income-205.45M-96.03M-222.61M-94.59M15.57M-34.38M
Balance Sheet
Total Assets875.74M967.66M952.66M1.05B905.14M716.41M
Cash, Cash Equivalents and Short-Term Investments315.36M438.33M467.91M616.90M623.81M484.94M
Total Debt449.01M473.56M415.67M419.88M314.67M228.32M
Total Liabilities742.45M704.56M639.03M612.84M472.02M350.11M
Stockholders Equity133.28M263.10M313.63M439.95M433.11M366.31M
Cash Flow
Free Cash Flow-54.16M4.99M-83.41M7.51M87.85M-7.63M
Operating Cash Flow9.72M24.23M-31.81M50.46M111.36M24.67M
Investing Cash Flow52.43M-23.48M-85.74M33.17M-186.88M-296.06M
Financing Cash Flow-46.62M8.37M4.11M16.88M51.93M314.44M

Tandem Diabetes Care Technical Analysis

Technical Analysis Sentiment
Negative
Last Price14.00
Price Trends
50DMA
13.41
Positive
100DMA
14.63
Negative
200DMA
19.29
Negative
Market Momentum
MACD
0.35
Positive
RSI
46.90
Neutral
STOCH
21.77
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TNDM, the sentiment is Negative. The current price of 14 is below the 20-day moving average (MA) of 14.80, above the 50-day MA of 13.41, and below the 200-day MA of 19.29, indicating a neutral trend. The MACD of 0.35 indicates Positive momentum. The RSI at 46.90 is Neutral, neither overbought nor oversold. The STOCH value of 21.77 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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
$48.41B35.150.19%65.34%
$22.03B95.2619.18%25.99%-40.46%
$116.34B25.049.72%3.11%4.98%22.08%
$22.71B32.4030.63%14.21%5.66%
$26.18B-33.463.24%-0.76%-55.03%
$7.86B-0.30-43.30%2.27%22.53%-2.21%
$945.97M-111.91%25.84%-47.67%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TNDM
Tandem Diabetes Care
14.00
-18.85
-57.38%
DXCM
Dexcom
58.22
-11.48
-16.47%
EW
Edwards Lifesciences
82.45
15.98
24.04%
PODD
Insulet
313.01
75.57
31.83%
PHG
Koninklijke Philips
27.32
1.06
4.04%
MDT
Medtronic
90.70
4.23
4.89%

Tandem Diabetes Care Corporate Events

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.

Tandem Diabetes Care’s Earnings Call Highlights Growth and Challenges
Aug 8, 2025

Tandem Diabetes Care’s recent earnings call painted a picture of a company experiencing robust international growth and making significant strides in product development and pharmacy channel expansion. However, challenges in the U.S. market, including moderated sales growth and increased competition, were also highlighted. Despite these hurdles, the company remains optimistic about its long-term objectives.

Business Operations and StrategyProduct-Related Announcements
Tandem Diabetes Care Gains FDA Clearance for SteadiSet
Positive
Aug 7, 2025

On August 6, 2025, Tandem Diabetes Care received FDA clearance for its SteadiSet infusion set, designed for up to seven days of insulin delivery for type 1 diabetes patients. The company plans to launch SteadiSet as a standalone product and as part of its future Tandem Mobi tubeless system, with a focus on scaling up manufacturing and pre-commercial activities in the coming quarters.

The most recent analyst rating on (TNDM) stock is a Hold with a $46.00 price target. To see the full list of analyst forecasts on Tandem Diabetes Care stock, see the TNDM Stock Forecast page.

Tandem Diabetes Care Reports Record Q2 2025 Sales
Aug 7, 2025

Tandem Diabetes Care is a global company specializing in insulin delivery and diabetes technology, known for its advanced automated insulin delivery systems that simplify diabetes management. In its latest earnings report, Tandem Diabetes Care announced record sales for the second quarter of 2025, both domestically and internationally, alongside improvements in gross margins. The company highlighted several strategic initiatives, including the launch of an early access program for its t:slim X2 insulin pump integrated with Abbott’s FreeStyle Libre 3 Plus sensor and the receipt of a CE Mark for its Tandem Mobi insulin delivery system. Financially, Tandem reported a worldwide sales increase to $240.7 million, with U.S. pump shipments reaching approximately 21,000 units. Despite the sales growth, the company faced a GAAP net loss of $52.4 million, attributed to increased operating expenses and litigation costs. Looking ahead, Tandem Diabetes Care aims to achieve $1 billion in worldwide sales for 2025, driven by U.S. growth, pharmacy channel initiatives, and international sales expansion. The company remains focused on advancing product development and commercial strategies to sustain double-digit growth and enhance profitability.

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 01, 2025