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TNDMTandem Diabetes Care, Inc.Sell5.6·$19.05
SellModerate Confidence
Investment thesis

Tandem Diabetes Care offers 56.8% analyst-implied upside with three of the last four quarters showing earnings beats and improving EPS surprises, but a quality score of 3.1 below the investment floor, 23% short interest, and a single critical supplier dependency on Unomedical make this a high-risk setup.

Thesis pillars

  • High Analyst Upside Recovery→Stable
  • Improving Earnings Beat Pattern→Stable
  • Below Floor Quality Cash Burn↓Deteriorating
  • +1 more pillar — see the Why tab for full reasoning

Pillars as of Jul 3, 2026, based on the 10-K filed Feb 19, 2026· older than 90 days

Full reasoning →

Open full analysis

Tandem Diabetes Care, Inc. (TNDM) Stock Analysis

Momentum Cont setup · Inst Constrain edge

SellVALUE-TRAP 1/5GrowthModerate Confidence

Healthcare · Medical Devices

Earnings today — results expected after close (2026-11-05). Expect elevated volatility around the report — consider waiting for post-earnings price action before new entries.

Sell if holding. Engine safety override at $19.05: Quality below floor (3.1 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.6/10 and A.R:R 2.1:1 is above the 1.5:1 BUY gate. Specifically: High short interest: 29%; Elevated put/call ratio: 86.60; Below-average business quality.

Tandem Diabetes Care develops and commercializes insulin pump systems under the t:slim X2 and Tandem Mobi brands, with Control-IQ+ AID technology, serving nearly 500,000 people across more than 25 countries. Revenue is generated from pump sales and recurring single-use supplies... Read more

$19.05+31.2% A.UpsideScore 5.6/10#31 of 62 Medical Devices
QualityF-score5 / 9FCF yield-3.32%
Stop $17.72Analyst target $24.99(−10% haircut)A.R:R 2.1:1
Analyst consensus$27.76+45.7%21 analysts with price targets
$24.99Analyst target
$19.05price
$27.76mean
$50

Sell if holding. Engine safety override at $19.05: Quality below floor (3.1 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.6/10 and A.R:R 2.1:1 is above the 1.5:1 BUY gate. Specifically: High short interest: 29%; Elevated put/call ratio: 86.60; Below-average business quality. Chart setup: Trend continuation, RSI 66, MACD bullish. Score 5.6/10, moderate confidence.

Passes 6/9 gates (positive momentum, favorable risk/reward ratio, clean insider activity, news events none recent, semi cycle peak clear, materials cycle peak clear). Fails on earnings proximity 0d<=7d. Suitability: aggressive.

10-K grounded · weekly refresh

About Tandem Diabetes Care, Inc.

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care commercializes two insulin pump platforms — the t:slim X2 and Tandem Mobi — both featuring Control-IQ+ automated insulin delivery technology cleared by the FDA in March 2025 for type 2 patients aged 18 and older, building on its type 1 clearance for patients aged 2 and older. The company assembles pumps at its San Diego, California facility and serves nearly 500,000 people in more than 25 countries. Mobi with Android control launched in December 2025, extending the platform further.

Revenue comes from durable pump sales and recurring single-use supplies — insulin cartridges and infusion sets replaced every three to seven days. In the U.S. and Canada, distribution runs through independent distributors for order fulfillment while Tandem's own sales, clinical, and customer support teams manage the patient relationship. The company is transitioning toward a pharmacy benefit reimbursement model as an alternative to the traditional durable medical equipment channel, which could reduce upfront pump payments while increasing recurring supply revenue per customer. Unomedical A/S, a ConvaTec subsidiary, manufactures all commercially marketed infusion sets as a sole-source supplier. Two independent distributors each represented more than 10% of worldwide 2025 sales. Competitors include Insulet, Medtronic, Beta Bionics, mylife, and Sequel.

Show full overview

The FDA's December 2025 finalization of competitive bidding for insulin pumps and continuous glucose monitors under CMS — alongside a proposed shift to monthly rental reimbursement — introduces structural pricing pressure to Tandem's U.S. durable medical equipment channel. The company's ACE pump and iAGC classification under FDA Class II special controls provides a streamlined regulatory path but requires ongoing satisfaction of those controls, or products revert to the full PMA process. Tandem also depends on CGM integrations with Dexcom and Abbott, which can be terminated on relatively short notice; in May 2026, the company terminated Chief Commercial Officer Mark Novara without cause, leaving the commercial leadership role vacant.

See also: Healthcare · Medical Devices

From Tandem Diabetes Care, Inc.'s most recent 10-K filing, extracted June 16, 2026.

news + 30-day 8-K events · 5-min refresh

Recent developments

updated Oct 30, 2026

Recent Developments — Tandem Diabetes Care, Inc.

Latest item Oct 30, 2026 · Generated 2026-11-05T11:49:11Z.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Thu, Nov 5, 2026Earnings today — results expected after close· next earnings call

Thesis

Rewards
No bull case signals
Risks
Concentration risk — Supplier: Unomedical A/S
Quality below floor (3.1 < 4.0)

Key Metrics

P/E (TTM)—
P/E (Fwd)119.8
Mkt Cap$1.3B
EV/EBITDA-64.3
Profit Mgn-6.1%
ROE-48.0%
Rev Growth5.8%
Beta1.59
DividendNone
Analysts with ratings30

Quality Signals

Piotroski F5/9

Options Flow

P/C86.60bearish
IV124%elevated

Concentration Risks(10-K Item 1A)

  • LOWCustomertwo independent distributors >10%
    10-K Item 1: 'two independent distributors each accounted for more than 10% of our worldwide sales'
  • HIGHSupplierUnomedical A/S
    10-K Item 1: 'we purchase all of our currently marketed infusion sets from a third-party supplier, Unomedical A/S, a subsidiary of the ConvaTec Group'

Material Events(8-K, last 90d)

  • 2026-05-21Item 3.03LOW
    Stockholders at May 20, 2026 annual meeting approved charter amendments to allow director removal with or without cause (DGCL §141(k)) and to limit officer liability (DGCL §102(b)(7)). Amended charter filed with Delaware Secretary of State on May 21, 2026.
    SEC filing →
  • 2026-05-15Item 5.02MEDIUM
    Mark Novara, EVP and Chief Commercial Officer, notified May 11, 2026 of termination without cause; last day May 18, 2026. No successor named. Company stated strategy and 2026 goals remain unchanged.
    SEC filing →

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. How we score · Editorial policy

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About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

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Conflicts and positions. People who build TrendMatrix, or entities they control, may hold positions, long or short, in securities it covers, and may trade them at any time. Positions are not disclosed individually. Verdicts are generated by an automated model applied by the same rules to every covered stock, and are not adjusted for any position held by the people who build TrendMatrix. We do not accept payment from issuers for coverage.

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Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

Rating Breakdown

4 floor-breakers

Volatile — 5.3% daily ATR makes tight stops impractical. Position-size conservatively.static

Volatility
0.0
Put Call
0.0
Implied Vol
0.0
Debt Equity
0.0
Short Interest
0.6
Days To Cover
4.1
Beta
4.7
High short interest justified: 29%Elevated put/call: 86.60High IV: 124%Concentration risks: 1 HIGH (10-K Item 1A — sized via position_sizing, validated via buy_confidence)

Unprofitable operations — net margin -6.1%. Quality floor flags this regardless of sector context.static

Roe
0.0
Roa
0.0
Operating Margin
0.0
Net Margin
0.0
Fcf Quality
0.0
Moat
5.1
Piotroski F
5.6
Gross Margin
7.2
Current Ratio
9.8
Cash-burning: FCF -4% of revenueNo competitive moat

Technicals below the gate floor. Component breakdown shows what dragged the score down.static

Bollinger
2.2
Support Resistance
2.3
52w Position
2.8
Gap
5.0

Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static

Quality Rank
2.3
Growth Rank
3.3
Value Rank
8.7
GatesEARNINGS PROXIMITY 0d<=7dDeath cross (50MA < 200MA)Executive change: officer departure/appointmentMomentum 6.2>=5.5A.R:R 2.1 ≥ 1.5Insider activity: OKNEWS EVENTS NONE RECENTSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARMomentum ContSuitability: Aggressive
RSI
66 · Neutral
↑ 20D MA↑ 50D MA↑ 200D MADEATH CROSSSupport $15.12Resistance $20.25

Price Targets

$18
$25
A.Upside+31.2%
A.R:R2.1:1

Position Sizing

ConvictionNone
Suggested %0%
Max %0%
RegimeSteady

Risk Alerts

! Quality below floor (3.1 < 4.0)
! EARNINGS_PROXIMITY:0d<=7d

Earnings

B
B
B
B
4/4 beats
Next Earnings2026-11-05 (Earnings today — results expected after close)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is TNDM stock a buy right now?

Sell if holding. Engine safety override at $19.05: Quality below floor (3.1 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.6/10 and A.R:R 2.1:1 is above the 1.5:1 BUY gate. Specifically: High short interest: 29%; Elevated put/call ratio: 86.60; Below-average business quality. Chart setup: Trend continuation, RSI 66, MACD bullish. Prior stop was $17.72. Score 5.6/10, moderate confidence.

What is the TNDM stock price target?

Analyst target: $24.99 (+31.2% upside). Prior stop was $17.72. Stop-loss: $17.72.

What are the risks of investing in TNDM?

Concentration risk — Supplier: Unomedical A/S; Quality below floor (3.1 < 4.0).

Is TNDM overvalued or undervalued?

Tandem Diabetes Care, Inc. trades at a P/E of N/A (forward 119.8). TrendMatrix value score: 7.2/10. Verdict: Sell.

What do analysts say about TNDM?

30 analysts rate TNDM, with a consensus score of 3.8/5. 21 analysts publish price targets averaging $28.

What does Tandem Diabetes Care, Inc. do?Tandem Diabetes Care develops and commercializes insulin pump systems under the t:slim X2 and Tandem Mobi brands, with...

Tandem Diabetes Care develops and commercializes insulin pump systems under the t:slim X2 and Tandem Mobi brands, with Control-IQ+ AID technology, serving nearly 500,000 people across more than 25 countries. Revenue is generated from pump sales and recurring single-use supplies (cartridges and infusion sets) distributed through independent distributors; two distributors each exceeded 10% of 2025 worldwide sales.

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