Tandem Diabetes Care (TNDM)


Market Price (11/14/2026): $20.1 | Market Cap: $1.4 BilSector: Health Care | Industry: Health Care Equipment

Tandem Diabetes Care (TNDM)


Market Price (11/14/2026): $20.1
Market Cap: $1.4 Bil
Sector: Health Care
Industry: Health Care Equipment

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Digital Health & Telemedicine. Themes include Diabetes Management, Remote Patient Monitoring, Show more.

Weak multi-year price returns
2Y Excs Rtn is -75%, 3Y Excs Rtn is -66%

Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -101 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -9.3%

Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -1.4%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -6.6%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -9.2%

Significant short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 23%

Key risks
TNDM key risks include [1] eroding U.S. Show more.

0 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Digital Health & Telemedicine. Themes include Diabetes Management, Remote Patient Monitoring, Show more.
1 Weak multi-year price returns
2Y Excs Rtn is -75%, 3Y Excs Rtn is -66%
2 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -101 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -9.3%
3 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -1.4%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -6.6%
4 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -9.2%
5 Significant short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 23%
6 Key risks
TNDM key risks include [1] eroding U.S. Show more.

TNDM in ETFs

Weight = TNDM's share of each fund

VTI0.00%
ITOT0.00%
IWM0.04%
IJR0.07%
VB0.01%
IJT0.08%
IWO0.08%
SLYG0.08%
+11 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Prices as of 11/13/2026

Nov 13: up 14.6% in one day (S&P 500 down 0.4%)
The stock rose following the announcement of U.S. FDA clearance for its Tandem Mobi system, the world's first and only tubeless AID system with up to seven days of wear. It also received multiple Health Canada approvals for its t:slim X2 insulin pump.

Up 31.9% since its Sep 24 low (S&P 500 down 1.7%)
The stock's climb occurred mostly without specific company news, with its biggest days on October 26 and November 4 lacking company announcements. The run concluded with a boost from product clearances announced on November 13.

Nov 6: down 6.0% the day after its Nov 5 earnings report (S&P 500 up 0.3%)
The stock declined following its Q3 2026 earnings report, which showed a quarterly loss of $0.10 per share. This occurred despite the reported revenue and loss per share beating analyst estimates.

Show more
Prices as of 11/13/2026

Nov 13: up 14.6% in one day (S&P 500 down 0.4%)
The stock rose following the announcement of U.S. FDA clearance for its Tandem Mobi system, the world's first and only tubeless AID system with up to seven days of wear. It also received multiple Health Canada approvals for its t:slim X2 insulin pump.

Up 31.9% since its Sep 24 low (S&P 500 down 1.7%)
The stock's climb occurred mostly without specific company news, with its biggest days on October 26 and November 4 lacking company announcements. The run concluded with a boost from product clearances announced on November 13.

Nov 6: down 6.0% the day after its Nov 5 earnings report (S&P 500 up 0.3%)
The stock declined following its Q3 2026 earnings report, which showed a quarterly loss of $0.10 per share. This occurred despite the reported revenue and loss per share beating analyst estimates.

Show less
Holding a concentrated position? Know your true downside before the momentum shifts.
Protect Your Wealth →

Stock Movement Drivers

Fundamental Drivers

The 2.9% change in TNDM stock from 7/31/2026 to 11/13/2026 was primarily driven by a 4.7% change in the company's Total Revenues ($ Mil).
(LTM values as of)731202611132026Change
Stock Price ($)19.5020.072.9%
Change Contribution By: 
Total Revenues ($ Mil)1,0281,0764.7%
P/S Multiple1.31.30.1%
Shares Outstanding (Mil)6870-1.8%
Cumulative Contribution2.9%

LTM = Last Twelve Months as of date shown

Market Drivers

7/31/2026 to 11/13/2026
ReturnCorrelation
TNDM2.9% 
Market (SPY)1.2%29.0%
Sector (XLV)16.2%27.1%

Fundamental Drivers

The 2.8% change in TNDM stock from 4/30/2026 to 11/13/2026 was primarily driven by a 6.0% change in the company's Total Revenues ($ Mil).
(LTM values as of)430202611132026Change
Stock Price ($)19.5220.072.8%
Change Contribution By: 
Total Revenues ($ Mil)1,0151,0766.0%
P/S Multiple1.31.3-0.7%
Shares Outstanding (Mil)6870-2.3%
Cumulative Contribution2.8%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2026 to 11/13/2026
ReturnCorrelation
TNDM2.8% 
Market (SPY)5.5%15.1%
Sector (XLV)29.9%26.7%

Fundamental Drivers

The 43.4% change in TNDM stock from 10/31/2025 to 11/13/2026 was primarily driven by a 38.7% change in the company's P/S Multiple.
(LTM values as of)1031202511132026Change
Stock Price ($)14.0020.0743.4%
Change Contribution By: 
Total Revenues ($ Mil)1,0021,0767.4%
P/S Multiple0.91.338.7%
Shares Outstanding (Mil)6770-3.7%
Cumulative Contribution43.4%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 11/13/2026
ReturnCorrelation
TNDM43.4% 
Market (SPY)11.8%18.8%
Sector (XLV)32.6%26.0%

Fundamental Drivers

The 16.0% change in TNDM stock from 10/31/2023 to 11/13/2026 was primarily driven by a 36.1% change in the company's Total Revenues ($ Mil).
(LTM values as of)1031202311132026Change
Stock Price ($)17.3020.0716.0%
Change Contribution By: 
Total Revenues ($ Mil)7901,07636.1%
P/S Multiple1.41.3-8.4%
Shares Outstanding (Mil)6570-6.9%
Cumulative Contribution16.0%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2023 to 11/13/2026
ReturnCorrelation
TNDM16.0% 
Market (SPY)87.0%26.7%
Sector (XLV)58.8%26.3%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
TNDM Return57%-70%-34%22%-39%-9%-79%
Peers Return27%-3%11%4%14%3%68%
S&P 500 Return27%-19%24%23%16%11%103%

Monthly Win Rates [3]
TNDM Win Rate67%42%33%50%42%55% 
Peers Win Rate57%52%47%52%55%55% 
S&P 500 Win Rate75%42%67%75%67%45% 

Max Drawdowns [4]
TNDM Max Drawdown-26%-76%-69%-49%-73%-55% 
Peers Max Drawdown-22%-32%-33%-27%-24%-33% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: PODD, MDT, DXCM, ABT, LLY. See TNDM Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 11/13/2026 (YTD)

How Low Can It Go

EventTNDMS&P 500
2024 Yen Carry Trade Unwind
  % Loss-20.5%-7.8%
  % Gain to Breakeven25.8%8.5%
  Time to Breakeven15 days18 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-57.4%-9.5%
  % Gain to Breakeven134.5%10.5%
  Time to Breakeven137 days24 days
2023 SVB Regional Banking Crisis
  % Loss-42.5%-6.7%
  % Gain to Breakeven74.0%7.1%
  Time to Breakeven302 days31 days
2020 COVID-19 Crash
  % Loss-47.4%-33.7%
  % Gain to Breakeven90.1%50.9%
  Time to Breakeven54 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-20.6%-19.2%
  % Gain to Breakeven25.9%23.8%
  Time to Breakeven9 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-90.1%-3.7%
  % Gain to Breakeven907.1%3.9%
  Time to Breakeven981 days6 days

Compare to PODD, MDT, DXCM, ABT, LLY

In The Past

Tandem Diabetes Care's stock fell -20.5% during the 2024 Yen Carry Trade Unwind. Such a loss loss requires a 25.8% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventTNDMS&P 500
2024 Yen Carry Trade Unwind
  % Loss-20.5%-7.8%
  % Gain to Breakeven25.8%8.5%
  Time to Breakeven15 days18 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-57.4%-9.5%
  % Gain to Breakeven134.5%10.5%
  Time to Breakeven137 days24 days
2023 SVB Regional Banking Crisis
  % Loss-42.5%-6.7%
  % Gain to Breakeven74.0%7.1%
  Time to Breakeven302 days31 days
2020 COVID-19 Crash
  % Loss-47.4%-33.7%
  % Gain to Breakeven90.1%50.9%
  Time to Breakeven54 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-20.6%-19.2%
  % Gain to Breakeven25.9%23.8%
  Time to Breakeven9 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-90.1%-3.7%
  % Gain to Breakeven907.1%3.9%
  Time to Breakeven981 days6 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-46.1%-12.2%
  % Gain to Breakeven85.4%13.9%
  Time to Breakeven2034 days62 days
2014-2016 Oil Price Collapse
  % Loss-50.5%-6.8%
  % Gain to Breakeven101.9%7.3%
  Time to Breakeven2108 days15 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-44.3%-17.9%
  % Gain to Breakeven79.5%21.8%
  Time to Breakeven784 days123 days
2010 Eurozone Sovereign Debt Crisis / Flash Crash
  % Loss-39.7%-15.4%
  % Gain to Breakeven65.7%18.2%
  Time to Breakeven197 days125 days
2008-2009 Global Financial Crisis
  % Loss-34.1%-53.4%
  % Gain to Breakeven51.6%114.4%
  Time to Breakeven82 days1085 days

Compare to PODD, MDT, DXCM, ABT, LLY

In The Past

Tandem Diabetes Care's stock fell -20.5% during the 2024 Yen Carry Trade Unwind. Such a loss loss requires a 25.8% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Tandem Diabetes Care (TNDM)

Tandem Diabetes Care (TNDM) is a medical device company dedicated to designing, developing, and commercializing advanced products for individuals living with insulin-dependent diabetes. The company focuses on improving diabetes management through innovative technology, providing solutions that assist users in administering insulin and tracking critical health data.

The core of Tandem's product offering is the t:slim X2 insulin delivery system, a sophisticated pump platform that includes the t:slim X2 pump, disposable insulin cartridges, and infusion sets. This system often incorporates intelligent technologies such as Basal-IQ and Control-IQ, which integrate with continuous glucose monitoring (CGM) devices to automate insulin delivery. Complementing the pump, Tandem also provides the Tandem Device Updater for software updates, t:connect—a web-based data management application that consolidates therapy data from pumps, CGMs, and blood glucose meters, and the Sugarmate mobile app, offering comprehensive support for diabetes management. The company also maintains strategic development and commercialization agreements with key partners like Dexcom and Abbott Laboratories.

Tandem Diabetes Care's primary customers are people with insulin-dependent diabetes, their caregivers, and their healthcare providers. The company serves these markets both within the United States and internationally, aiming to deliver integrated solutions that simplify and enhance the daily management of diabetes.

AI Analysis | Feedback

The Apple of insulin pumps

Like Dexcom or Abbott, but providing automated insulin delivery systems instead of glucose monitoring

The Tesla of automated insulin delivery

AI Analysis | Feedback

  • t:slim X2 insulin delivery system: A flagship insulin pump platform that includes the pump, disposable insulin cartridge, and infusion set for people with insulin-dependent diabetes.
  • t:slim X2 insulin with Basal-IQ and Control-IQ technology: Enhanced versions of the t:slim X2 pump featuring predictive low-glucose suspend and advanced hybrid closed-loop insulin delivery.
  • t:slim X2 with G5 Integration: A version of the t:slim X2 insulin pump designed for integration with the Dexcom G5 continuous glucose monitoring system.
  • Tandem Device Updater: A software tool that enables users to update the software of their Tandem insulin pump.
  • t:connect: A web-based data management application that visually displays diabetes therapy management data from the pump, continuous glucose monitoring, and supported blood glucose meters.
  • Sugarmate: A mobile application designed for people with diabetes who use insulin.

AI Analysis | Feedback

Tandem Diabetes Care (TNDM) primarily sells its products to individuals. The major categories of customers it serves are:

  1. Individuals with insulin-dependent diabetes: These are the primary end-users of Tandem's core products, such as the t:slim X2 insulin delivery system, pumps, and associated technologies like Basal-IQ and Control-IQ.
  2. Caregivers of individuals with insulin-dependent diabetes: This category includes parents, guardians, or family members who manage or monitor the diabetes care of a user, often utilizing tools like the t:connect web-based data management application and the Sugarmate mobile app.
  3. Healthcare Providers: While not direct purchasers of the devices for their own use, healthcare professionals (e.g., endocrinologists, diabetes educators) are crucial customers as they prescribe, recommend, and manage therapy for individuals using Tandem's products. They also utilize the t:connect application to review patient data and optimize treatment plans.

AI Analysis | Feedback

  • Dexcom, Inc. (DXCM)
  • Abbott Laboratories (ABT)

AI Analysis | Feedback

John Sheridan, President and Chief Executive Officer John Sheridan has served as President and Chief Executive Officer of Tandem Diabetes Care since March 2019 and as a member of its Board of Directors since June 2019. Previously, he was Executive Vice President and Chief Operating Officer from April 2013. His prior experience includes serving as Chief Operating Officer of Rapiscan Systems, Inc., Executive Vice President of Research and Development and Operations for Volcano Corporation, Executive Vice President of Operations at CardioNet, Inc. (now BioTelemetry, Inc.), and Vice President of Operations at Digirad Corporation. Mr. Sheridan holds a B.S. in Chemistry from the University of West Florida and an M.B.A. from Boston University. Leigh Vosseller, Executive Vice President and Chief Financial Officer Leigh Vosseller was promoted to Executive Vice President and Chief Financial Officer of Tandem Diabetes Care, effective January 1, 2018, having joined the company in September 2013 as Vice President of Finance. Before joining Tandem, Ms. Vosseller served as Vice President and CFO at Genoptix Inc. (a Novartis company) starting in 2011, after initially joining that company in 2008. Prior to that, she held a senior finance position at Biosite Incorporated, where she contributed to developing the financial and administrative infrastructure for international expansion. Biosite Incorporated was later acquired by Inverness Medical Innovations. Ms. Vosseller is a Certified Public Accountant (inactive) and holds a bachelor's degree in accounting from Missouri State University. Rick Carpenter, Chief Technical Officer Rick Carpenter has served as Tandem Diabetes Care's Chief Technical Officer since November 2021. With over 30 years of engineering technology leadership experience, he previously served as the Senior Vice President of Engineering at Inseego Corporation from February 2020, where he led the worldwide engineering team. Elizabeth Gasser, Executive Vice President and Chief Strategy and Product Officer Elizabeth Gasser has served as Executive Vice President and Chief Strategy and Product Officer since November 2023. She was Executive Vice President and Chief Strategy Officer from June 2021 to November 2023, and Executive Vice President, Strategy and Corporate Development from January 2020 to June 2021. In her role, Ms. Gasser is responsible for the company's strategy, corporate development, product management, behavioral sciences, and competitive intelligence functions. She holds a B.A. and an M.A. in Economics from the University of Cambridge. Shannon Hansen, Executive Vice President, Chief Legal, Privacy and Compliance Officer and Secretary Shannon Hansen has served as Executive Vice President, Chief Legal, Privacy & Compliance Officer and Secretary since April 2024, and as Chief Legal, Privacy & Compliance Officer and Secretary since August 2023. She joined Tandem Diabetes Care in January 2022 as Senior Vice President, General Counsel, Chief Compliance Officer and Secretary, overseeing the company's legal, compliance, and privacy functions.

AI Analysis | Feedback

The key risks to Tandem Diabetes Care (TNDM) include:

Intense Market Competition

Tandem Diabetes Care operates in a highly competitive insulin pump market, facing pressure from established players like Insulet (Omnipod) and Medtronic, as well as new entrants. This competitive landscape has led to market share erosion for Tandem in the U.S. and can impact product pricing and reimbursement. The company's ability to differentiate its products and maintain strong relationships with healthcare providers and patients is crucial to navigate this environment.

Product Reliability, Regulatory Hurdles, and Recalls

As a medical device company, Tandem Diabetes Care is subject to a stringent and evolving regulatory environment, particularly concerning FDA approvals. The company has experienced significant product reliability issues, including a Class I recall for its Tandem Mobi insulin pump due to a software malfunction that could interfere with insulin delivery and cause hyperglycemia. Additionally, a medical device correction was issued for certain t:slim X2 insulin pumps due to a wiring issue that could cause them to malfunction and stop delivering insulin, linked to 700 adverse events and 59 injuries. Such incidents underscore the continuous operational necessity of maintaining compliance, ensuring product reliability, and the potential impact on patient trust and brand reputation.

Impact of Technological Disruption and Alternative Therapies

The diabetes technology landscape is constantly evolving, presenting a risk of technological disruption where rapid advancements or the emergence of alternative treatment modalities could render Tandem's current offerings obsolete or reduce demand for insulin pumps. Specifically, the uptake of GLP-1 drugs is identified as a competitive pressure that could shift clinical approaches to diabetes management. Furthermore, the company faces an ongoing challenge in achieving sustained profitability, having incurred significant operating losses, which could limit its ability to fund ongoing operations and invest in critical research and development to stay ahead of these technological shifts.

AI Analysis | Feedback

The clear emerging threat for Tandem Diabetes Care is **Insulet's Omnipod 5 Automated Insulin Delivery (AID) System.**

Insulet's Omnipod 5, which integrates with continuous glucose monitors (CGMs) like Dexcom G6, represents a significant challenge to Tandem's t:slim X2 system. While both offer automated insulin delivery, Omnipod 5's key differentiator is its **tubeless patch pump design**. This form factor provides users with greater freedom, discretion, and a reduced burden compared to Tandem's tubed pump system. As Omnipod 5 gains market share and adoption, particularly among new pump users and those seeking alternatives to traditional tubed pumps, it directly threatens Tandem's core product by offering a fundamentally different and often preferred user experience within the same automated insulin delivery market.

AI Analysis | Feedback

Tandem Diabetes Care, Inc. (TNDM) operates primarily in the insulin pump market, a key segment of the broader diabetes device market, addressing the needs of individuals with insulin-dependent diabetes, including both Type 1 and a growing segment of Type 2 diabetes patients.

Addressable Markets:

  • Global Insulin Pump Market: The global insulin pump market was valued at approximately USD 7.05 billion in 2025 and is projected to reach USD 22.45 billion by 2034, exhibiting a compound annual growth rate (CAGR) of 13.41% during the forecast period (2026-2034). Another estimate places the global insulin pump market at USD 6.05 billion in 2024, poised to grow to USD 12.32 billion by 2033 with a CAGR of 8.22% from 2026–2033.
  • U.S. Insulin Pump Market: In the United States, the insulin pump market was valued at approximately USD 2.69 billion in 2025 and is expected to reach USD 3.73 billion by 2034, growing at a CAGR of 3.67% from 2026-2034. The U.S. accounted for approximately 40.8% of the global insulin pump market in 2024.
  • Global Type 1 Diabetes Market: This market, which encompasses treatments and devices for Type 1 diabetes, was estimated to be valued at USD 16.97 billion in 2025 and is expected to reach USD 26.22 billion by 2032, with a CAGR of 6.4% from 2025 to 2032. Another report estimates the global Type 1 diabetes market size at USD 37.60 billion in 2025, predicted to increase to approximately USD 79.14 billion by 2035.
  • Expanded Addressable Market for Type 2 Diabetes (U.S. and Global): Tandem Diabetes Care has significantly expanded its addressable market to include adults with Type 2 diabetes who require insulin, a strategic move reinforced by the FDA clearance of its Control-IQ+ technology for this population in late 2024. This expansion has "effectively more than doubled the company's addressable market". Tandem aims to increase its market share in the Type 2 diabetes segment from a current 5-10% to 20-25% during 2025. There are more than 2 million insulin-dependent Type 2 diabetes patients in the U.S., representing a potential for tens of thousands of additional insulin pump sales.
  • Global Diabetes Device Market (Broader Market): The overall global diabetes device market is projected to grow significantly from an estimated USD 45.1 billion in 2024 to USD 118.6 billion by 2032, at a CAGR of 11.4%.

AI Analysis | Feedback

Here are the expected drivers of future revenue growth for Tandem Diabetes Care (TNDM) over the next 2-3 years:

Drivers of Future Revenue Growth for Tandem Diabetes Care (TNDM)

  1. New Product Launches and Integrations: The commercialization and scaling of new products, particularly the Tandem Mobi insulin delivery system, is a significant growth driver. The Mobi system is anticipated to be a key driver of long-term margin improvement. Additionally, the ongoing integration of Tandem's pumps, like the t:slim X2 and Mobi, with advanced continuous glucose monitoring (CGM) sensors such as Dexcom G7 and Abbott FreeStyle Libre 2 Plus/3 Plus, is expected to enhance product adoption and expand the market for their automated insulin delivery (AID) systems.
  2. International Expansion and Direct Sales Model: Tandem Diabetes Care is actively expanding its international presence by transitioning to direct operations in key European markets, including the UK, Switzerland, and Austria, starting in early 2026. This strategic shift is designed to strengthen the company's financial position by accelerating sales growth and driving margin expansion. International sales have demonstrated robust growth, with a 35% year-over-year increase in Q1 2025.
  3. Growth in Customer Base and Renewals: The company anticipates continued revenue growth from its expanding installed base of customers worldwide. Strong customer retention and a high capture rate from warranty expirations are contributing to double-digit year-over-year growth in recurring supply and renewal revenue streams.
  4. Expansion into the Type 2 Diabetes Market: Tandem views the Type 2 diabetes population as a meaningful longer-term growth opportunity, with the potential to double its addressable market in the U.S.. The company is expanding the promotion of its Control-IQ+ technology for Type 2 diabetes following positive feedback from initial pilots.
  5. Pharmacy Channel Expansion and New Reimbursement Models: Tandem is focused on advancing a multichannel reimbursement strategy, including expanding access through the pharmacy channel. The shift to a "pay-as-you-go" pharmacy structure is expected to lower upfront costs for customers, enhance market share, and foster customer loyalty, thereby generating recurring revenue streams, despite potential near-term revenue recognition headwinds.

AI Analysis | Feedback

Share Repurchases

No significant share repurchase programs or dollar amounts spent on repurchases by Tandem Diabetes Care were prominently disclosed in the last 3-5 years.

Share Issuance

  • In February 2026, Tandem Diabetes Care priced a private offering of $265 million in aggregate principal amount of 0.00% convertible senior notes due 2032.
  • The offering was upsized from a previously announced $200 million, with an option granted to initial purchasers for an additional $35 million in notes.
  • Net proceeds from this offering are estimated to be approximately $256.7 million, or about $290.7 million if the initial purchasers exercise their option in full, intended for general corporate purposes including potential acquisitions and capital expenditures.

Outbound Investments

  • Tandem Diabetes has acquired four companies, including Advanced Microfluidics and Amf Medica.
  • The company has also made one investment in CeQur.

Capital Expenditures

  • Tandem Diabetes Care anticipates using a portion of the net proceeds from its February 2026 convertible senior notes offering for capital expenditure, among other general corporate purposes.
  • The company's principal sources of cash historically have included product sales, equity offerings, and debt financing, which have been used to fund material cash requirements including capital expenditures.
  • For the full year 2025, Tandem reported positive free cash flow of $3.1 million, which is defined as cash provided by operating activities less capital expenditures.

Better Bets vs. Tandem Diabetes Care (TNDM)

Peer Outperformance in Health Care Equipment

TNDM has trailed 88% of its 49 Health Care Equipment peers over 5Y. Among the peers that beat it are SYK, STE and IDXX. Health Care Equipment ranks 5th of 10 industries in Health Care by median 5Y return.
Share of Health Care Equipment constituents that TNDM has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
56%
of 54 industry peers · 14.5% return
3Y
49%
of 53 industry peers · 12.6% return
5Y
12%
of 49 industry peers · -85.3% return
Health Care Equipment peers with revenue growth within 4pp of TNDM's that beat it on at least 2 of 3 windows, and by at least 20pp over 5Y. Growth is matched by construction, so the gap is largely a re-rating gap. The multiple column is the context for it.
Ticker Name Rev Growth 3Y Avg P/E 1Y3Y5Y 5Y Gap
TNDM Tandem Diabetes Care 11.8% -28.4x 14.5%12.6%-85.3% —
SYK Stryker 9.8% 32.7x -16.2%12.7%23.5% +109pp
STE Steris 10.3% 31.1x 2.6%32.5%19.8% +105pp
IDXX IDEXX Laboratories 9.1% 47.0x 0.4%55.0%12.1% +97pp
LIVN LivaNova 10.5% 25.7x 65.4%85.5%1.0% +86pp
RMD ResMed 9.4% 21.5x -3.9%67.4%-1.5% +84pp
Price returns, excluding dividends. P/E shown for context only and not used for matching.
Median price return by industry across the Health Care sector, ranked by 5Y. Health Care Equipment is TNDM's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 6 8.4%57.2%106.3% CAH 505% · MCK 403% · COR 204%
Health Care Services 20 30.9%20.2%11.8% HIMS 167% · RDNT 143% · DGX 91%
Managed Health Care 8 71.9%-2.4%1.5% OSCR 155% · HQY 53% · HUM 6%
Health Care Facilities 26 18.6%14.7%-9.7% THC 261% · NHC 224% · EHC 191%
Health Care Equipment ← 50 8.3%12.7%-15.7% GKOS 385% · UFPT 349% · TMDX 241%
Health Care Supplies 11 23.1%9.6%-40.0% LNTH 234% · HAE 105% · MMSI 28%
Pharmaceuticals 60 -15.3%7.7%-40.7% LQDA 1051% · XERS 679% · KNSA 619%
Life Sciences Tools & Services 109 -16.7%-16.8%-75.3% AXGN 360% · MEDP 195% · NTRA 177%
Biotechnology 364 -25.5%-32.7%-81.4% ELVN 1267% · DNTH 1142% · TRVI 1097%
Health Care Technology 22 -21.7%-58.1%-82.7% VEEV -5% · DOCS -55%
Median of constituents with a full price history over each window. Top names are limited to companies above $2B market cap.

Latest Trefis Analyses

Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

TNDMPODDMDTDXCMABTLLYMedian
NameTandem D.Insulet MedtronicDexCom Abbott L.Eli Lilly 
Mkt Price20.10152.75102.7083.33108.491,439.48105.59
Mkt Cap1.410.6131.431.2188.21,283.981.3
Rev LTM1,0763,18937,5415,10448,22986,46221,323
Op Inc LTM-1015887,1471,2246,64744,3153,935
FCF LTM-712336,1321,7326,75711,6893,932
FCF 3Y Avg-742865,5271,2116,7205,2833,247
CFO LTM-155098,0352,2098,85530,6455,122
CFO 3Y Avg-64577,3601,6558,90117,5804,507

Growth & Margins

TNDMPODDMDTDXCMABTLLYMedian
NameTandem D.Insulet MedtronicDexCom Abbott L.Eli Lilly 
Rev Chg LTM6.8%26.5%9.8%13.0%10.0%45.5%11.5%
Rev Chg 3Y Avg11.8%27.0%6.0%14.5%6.5%39.4%13.1%
Rev Chg Q13.8%19.2%13.7%11.2%14.5%38.6%14.1%
QoQ Delta Rev Chg LTM3.3%4.4%3.2%2.7%3.5%8.5%3.4%
Op Inc Chg LTM42.9%34.6%7.5%57.4%-13.8%67.9%38.8%
Op Inc Chg 3Y Avg20.5%66.9%6.3%35.1%4.3%68.3%27.8%
Op Mgn LTM-9.3%18.4%19.0%24.0%13.8%51.3%18.7%
Op Mgn 3Y Avg-17.2%17.1%18.5%19.0%15.9%43.7%17.8%
QoQ Delta Op Mgn LTM2.3%1.5%0.3%1.1%-2.0%1.5%1.3%
CFO/Rev LTM-1.4%16.0%21.4%43.3%18.4%35.4%19.9%
CFO/Rev 3Y Avg-0.5%17.9%21.2%35.6%20.1%25.7%20.6%
FCF/Rev LTM-6.6%7.3%16.3%33.9%14.0%13.5%13.8%
FCF/Rev 3Y Avg-7.7%11.5%15.9%25.9%15.2%6.3%13.3%

Valuation

TNDMPODDMDTDXCMABTLLYMedian
NameTandem D.Insulet MedtronicDexCom Abbott L.Eli Lilly 
Mkt Cap1.410.6131.431.2188.21,283.981.3
P/S1.33.33.56.13.914.83.7
P/Op Inc-13.918.018.425.528.329.022.0
P/EBIT-37.917.417.924.524.929.021.2
P/E-28.424.725.131.540.046.628.3
P/CFO-95.820.816.414.121.341.918.6
Total Yield-3.5%4.1%6.7%3.2%4.8%2.6%3.6%
Dividend Yield0.0%0.0%2.8%0.0%2.3%0.5%0.2%
FCF Yield 3Y Avg-5.9%1.9%5.3%4.2%3.4%0.6%2.7%
D/E0.50.10.20.00.20.00.1
Net D/E0.20.00.1-0.00.10.00.1

Returns

TNDMPODDMDTDXCMABTLLYMedian
NameTandem D.Insulet MedtronicDexCom Abbott L.Eli Lilly 
1M Rtn25.5%14.1%9.0%-0.2%6.0%19.2%11.5%
3M Rtn-11.5%6.6%13.4%-7.2%-1.9%22.1%2.3%
6M Rtn56.8%3.6%37.2%35.2%30.1%43.6%36.2%
12M Rtn14.7%-54.1%10.4%39.5%-14.0%41.8%12.5%
3Y Rtn12.8%-11.7%56.1%-17.8%19.0%140.4%15.9%
1M Excs Rtn23.3%11.7%9.2%-3.4%5.2%16.8%10.4%
3M Excs Rtn-8.1%11.0%15.9%-4.5%0.5%23.4%5.7%
6M Excs Rtn53.9%0.7%34.4%32.4%27.3%40.8%33.4%
12M Excs Rtn0.1%-65.9%-0.5%28.6%-24.9%31.3%-0.2%
3Y Excs Rtn-44.4%-75.4%-15.7%-84.0%-51.9%64.0%-48.2%

Comparison Analyses

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Supplies and other551476407373 
Pump464434366432416
Net sales recognized (deferred) for Tandem Choice program030-25-4 
Cartridges    87
Infusion sets    197
Other    2
Total1,015940748801703


Price Behavior

Price Behavior
Market Price$20.07 
Market Cap ($ Bil)1.4 
First Trading Date02/23/2007 
Distance from 52W High-29.0% 
   50 Days200 Days
DMA Price$17.40$18.84
DMA Trenddowndown
Distance from DMA15.3%6.5%
 3M1YR
Volatility65.9%75.7%
Downside Capture131.6595.81
Upside Capture46.7088.43
Correlation (S&P 500)29.3%19.7%
TNDM Betas & Captures as of 10/31/2026

 1M2M3M6M1Y3Y
Beta1.501.141.300.500.981.26
Up Beta1.45-0.120.92-0.920.081.03
Down Beta1.660.420.461.061.141.13
Up Capture319%112%155%55%144%261%
Bmk +ve Days12182862130427
Stock +ve Days14192861118356
Down Capture29%194%161%76%106%110%
Bmk -ve Days10253664121325
Stock -ve Days7233463131390

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with TNDM
TNDM11.2%75.7%0.44-
Sector ETF (XLV)25.3%16.8%1.1626.2%
Equity (SPY)11.6%13.7%0.5419.6%
Gold (GLD)-7.9%28.9%-0.2911.3%
Commodities (DBC)33.8%21.3%1.26-10.8%
Real Estate (VNQ)10.7%14.2%0.4724.2%
Bitcoin (BTCUSD)-30.9%43.5%-0.730.7%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with TNDM
TNDM-31.3%69.6%-0.24-
Sector ETF (XLV)9.0%15.4%0.3831.6%
Equity (SPY)11.5%17.3%0.4934.0%
Gold (GLD)15.9%19.2%0.669.7%
Commodities (DBC)7.8%19.6%0.280.9%
Real Estate (VNQ)1.3%18.9%-0.0430.8%
Bitcoin (BTCUSD)2.8%51.5%0.2415.6%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with TNDM
TNDM0.3%75.8%0.34-
Sector ETF (XLV)13.0%16.8%0.6428.2%
Equity (SPY)15.5%18.0%0.7328.8%
Gold (GLD)11.1%16.6%0.545.9%
Commodities (DBC)7.6%18.1%0.335.8%
Real Estate (VNQ)6.3%20.7%0.2622.3%
Bitcoin (BTCUSD)58.8%66.2%0.998.4%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date10302026
Short Interest: Shares Quantity16.2 Mil
Short Interest: % Change Since 101520267.2%
Average Daily Volume2.1 Mil
Days-to-Cover Short Interest7.6 days
Basic Shares Quantity69.7 Mil
Short % of Basic Shares23.2%

Earnings Returns History

Updated 11/14/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/5/2026-6.0%-2.7% 
8/6/202619.1%23.1%5.9%
5/7/2026-16.2%-23.4%0.0%
2/19/202632.7%39.3%34.0%
11/6/202522.0%31.5%53.3%
8/6/2025-19.9%-22.7%-12.6%
4/30/202518.6%32.1%17.6%
2/26/2025-35.2%-43.1%-41.0%
...
SUMMARY STATS   
# Positive10812
# Negative151712
Median Positive18.5%21.8%18.5%
Median Negative-6.3%-13.3%-14.8%
Max Positive32.7%39.3%53.3%
Max Negative-35.2%-43.1%-41.0%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/5/2026-6.0%-2.7% 
8/6/202619.1%23.1%5.9%
5/7/2026-16.2%-23.4%0.0%
2/19/202632.7%39.3%34.0%
11/6/202522.0%31.5%53.3%
8/6/2025-19.9%-22.7%-12.6%
4/30/202518.6%32.1%17.6%
2/26/2025-35.2%-43.1%-41.0%
11/6/2024-2.7%-13.3%-12.1%
8/1/202418.3%4.7%23.5%
5/2/202422.3%20.5%42.2%
2/21/202410.9%17.9%41.3%
11/1/2023-14.4%-12.6%19.4%
8/3/20234.4%-8.4%-12.9%
5/3/2023-6.1%-16.6%-38.0%
2/22/2023-4.7%-8.3%4.2%
11/2/2022-28.4%-29.9%-16.7%
8/3/2022-15.0%-19.6%-35.3%
5/4/2022-15.0%-26.2%-32.8%
2/22/2022-1.8%6.4%2.5%
11/3/2021-6.3%-6.5%-5.7%
8/4/20214.7%-2.7%8.1%
5/5/2021-3.0%-10.3%-3.1%
2/24/20214.0%-1.5%-9.6%
11/5/2020-2.2%-14.7%-24.0%
SUMMARY STATS   
# Positive10812
# Negative151712
Median Positive18.5%21.8%18.5%
Median Negative-6.3%-13.3%-14.8%
Max Positive32.7%39.3%53.3%
Max Negative-35.2%-43.1%-41.0%

SEC Filings

Expand for More
Report DateFiling DateFiling
09/30/202611/05/202610-Q
06/30/202608/06/202610-Q
03/31/202605/07/202610-Q
12/31/202502/19/202610-K
09/30/202511/06/202510-Q
06/30/202508/06/202510-Q
03/31/202504/30/202510-Q
12/31/202402/26/202510-K
09/30/202411/06/202410-Q
06/30/202408/01/202410-Q
03/31/202405/02/202410-Q
12/31/202302/21/202410-K
09/30/202311/01/202310-Q
06/30/202308/03/202310-Q
03/31/202305/03/202310-Q
12/31/202202/22/202310-K
Collapse to Preview
Report DateFiling DateFiling
09/30/202611/05/202610-Q
06/30/202608/06/202610-Q
03/31/202605/07/202610-Q
12/31/202502/19/202610-K
09/30/202511/06/202510-Q
06/30/202508/06/202510-Q
03/31/202504/30/202510-Q
12/31/202402/26/202510-K
09/30/202411/06/202410-Q
06/30/202408/01/202410-Q
03/31/202405/02/202410-Q
12/31/202302/21/202410-K
09/30/202311/01/202310-Q
06/30/202308/03/202310-Q
03/31/202305/03/202310-Q
12/31/202202/22/202310-K
09/30/202211/02/202210-Q
06/30/202208/03/202210-Q
03/31/202205/04/202210-Q
12/31/202102/22/202210-K
09/30/202111/03/202110-Q
06/30/202108/04/202110-Q
03/31/202105/05/202110-Q
12/31/202002/24/202110-K
09/30/202011/05/202010-Q
06/30/202007/30/202010-Q
03/31/202004/30/202010-Q
12/31/201902/24/202010-K

Recent Forward Guidance

Updated 11/6/2026

Latest: Q3 2026 Earnings Reported 11/5/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Non-cash ChargesReported 85.00 Mil 0.0% AffirmedGuidance: 85.00 Mil for 2026
2026 Stock-Based Compensation ExpenseReported 65.00 Mil 0.0% AffirmedGuidance: 65.00 Mil for 2026
2026 Depreciation and Amortization ExpenseReported 20.00 Mil 0.0% AffirmedGuidance: 20.00 Mil for 2026
2026 SalesReported1.06 Bil1.07 Bil1.08 Bil0.0% AffirmedGuidance: 1.07 Bil for 2026
2026 U.S. SalesReported730.00 Mil737.50 Mil745.00 Mil0.0% AffirmedGuidance: 737.50 Mil for 2026
2026 International SalesReported335.00 Mil337.50 Mil340.00 Mil0.0% AffirmedGuidance: 337.50 Mil for 2026
2026 Gross MarginReported56.0%56.5%57.0% 0.0%AffirmedGuidance: 56.5% for 2026
2026 Adjusted EBITDA MarginReported5.0%5.5%6.0% 0.0%AffirmedGuidance: 5.5% for 2026


Prior: Q2 2026 Earnings Reported 8/6/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Non-cash chargesReported 85.00 Mil    
2026 Stock-based compensation expenseReported 65.00 Mil    
2026 Depreciation and amortization expenseReported 20.00 Mil    
2026 SalesReported1.06 Bil1.07 Bil1.08 Bil0 AffirmedGuidance: 1.07 Bil for 2026
2026 U.S. SalesReported730.00 Mil737.50 Mil745.00 Mil0 AffirmedGuidance: 737.50 Mil for 2026
2026 International SalesReported335.00 Mil337.50 Mil340.00 Mil0 AffirmedGuidance: 337.50 Mil for 2026
2026 Gross ProfitCalculated596.40 Mil607.38 Mil618.45 Mil  Rev x Gross Margin
2026 Gross MarginReported56.0%56.5%57.0% 0AffirmedGuidance: 56.5% for 2026
2026 Adjusted EBITDA MarginReported5.0%5.5%6.0% 0AffirmedGuidance: 5.5% for 2026

Q1 2026 Earnings Reported 5/7/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 RevenueReported1.06 Bil1.07 Bil1.08 Bil0 AffirmedGuidance: 1.07 Bil for 2026
2026 United States SalesReported730.00 Mil737.50 Mil745.00 Mil0 AffirmedGuidance: 737.50 Mil for 2026
2026 International SalesReported335.00 Mil337.50 Mil340.00 Mil0 AffirmedGuidance: 337.50 Mil for 2026
2026 Gross ProfitCalculated596.40 Mil607.38 Mil618.45 Mil  Rev x Gross Margin
2026 Gross MarginReported56.0%56.5%57.0% 0AffirmedGuidance: 56.5% for 2026
2026 Adjusted EBITDA MarginReported5.0%5.5%6.0% 0AffirmedGuidance: 5.5% for 2026

Q4 2025 Earnings Reported 2/19/2026

Forward GuidanceGuidance Change
MetricSourceLowMidHigh% Chg% DeltaChangePrior
2026 Non-cash chargesReported      
2026 RevenueReported1.06 Bil1.07 Bil1.08 Bil7.5% Higher NewGuidance: 1.00 Bil for 2025
2026 United States SalesReported730.00 Mil737.50 Mil745.00 Mil5.4% Higher NewGuidance: 700.00 Mil for 2025
2026 International SalesReported335.00 Mil337.50 Mil340.00 Mil12.5% Higher NewGuidance: 300.00 Mil for 2025
2026 Gross ProfitCalculated596.40 Mil607.38 Mil618.45 Mil  Rev x Gross Margin
2026 Gross MarginReported56.0%56.5%57.0% 3.0%Higher NewGuidance: 53.5% for 2025
2026 Adjusted EBITDA MarginReported5.0%5.5%6.0% 10.5%Higher NewGuidance: -5.0% for 2025

Insider Activity

Updated 10/29/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Twomey, Christopher J DirectSell1029202619.151,70032,555467,911Form
2Novara, Mark DavidEVP & CHIEF COMMERCIAL OFFICERDirectSell318202623.051874,310867,971Form
3Novara, Mark DavidEVP & CHIEF COMMERCIAL OFFICERDirectSell309202622.81246820,453Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Twomey, Christopher J DirectSell1029202619.151,70032,555467,911Form
2Novara, Mark DavidEVP & CHIEF COMMERCIAL OFFICERDirectSell318202623.051874,310867,971Form
3Novara, Mark DavidEVP & CHIEF COMMERCIAL OFFICERDirectSell309202622.81246820,453Form

Investor Activity (13F)

Updated Nov 14, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Paradice Investment Management LLC$39.2 Mil7.4%23Hold13F
First Light Asset Management, LLC$25.2 Mil2.3%35ADD +20.7%13F
Defilade Capital Management, L.P.$14.6 Mil2.1%31New13F
Sessa Capital IM, L.P.$90.7 Mil1.7%31TRIM -5.4%13F
Sector Gamma AS$5.1 Mil1.2%42Hold13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Defilade Capital Management, L.P.$14.6 Mil2.1%31New13F
First Light Asset Management, LLC$25.2 Mil2.3%35ADD +20.7%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Sessa Capital IM, L.P.$90.7 Mil1.7%31TRIM -5.4%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Sessa Capital IM, L.P.$90.7 Mil1.7%31TRIM -5.4%13F
Paradice Investment Management LLC$39.2 Mil7.4%23Hold13F
First Light Asset Management, LLC$25.2 Mil2.3%35ADD +20.7%13F
Defilade Capital Management, L.P.$14.6 Mil2.1%31New13F
Sector Gamma AS$5.1 Mil1.2%42Hold13F
Core Cache Last Updated: 11/13/2026