TANDEM DIABETES CARE INC(TNDM)Stock Analysis
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Rank #2,177 of 2,879 stocks
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
TNDM Stock Analysis & AI Quality Score
AI stock analysis and institutional research for TANDEM DIABETES CARE INC (TNDM), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores TNDM at 34.8/100 on a 32-signal composite quality model, placing it at rank #2,177 of 2,879 stocks — the bottom half of the AI-ranked universe. Areas of concern include balance sheet strength (9.1) and profitability (13.8), which score below median versus the broader universe. Shareholder dilution risk is elevated at 18.0/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), TANDEM DIABETES CARE INC reports quarterly revenue of $247.2M, net income of $-20.4M, free cash flow of $4.8M. Top institutional holders of TNDM by reported 13-F value include BlackRock,, VOYA INVESTMENT MANAGEMENT, UBS Group AG, based on the most recent SEC filings. TNDM trades on the Nasdaq exchange and files with the SEC under CIK 1438133. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate TNDM daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for TANDEM DIABETES CARE INC directly from SEC EDGAR. TANDEM DIABETES CARE INC's 13F Pro composite quality score has ranged between 8 and 61 since 2021, currently 34.8 — a declining long-term trajectory across 56 quarterly and live scoring snapshots.
Revenue
Q1 2026
$247.2M
Net Income
Q1 2026
$-20.4M
Free Cash Flow
Q1 2026
$4.8M
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+7.9% YoYNet Income
-113.2% YoYOperating Income
-88.9% YoYEPS (Diluted)
-106.8% YoYTotal Assets
-8.9% YoYTotal Debt
-11.1% YoYOp. Cash Flow
-140.1% YoY| Metric | FY 2025 | FY 2024 | FY 2022 | FY 2021 | FY 2020 | FY 2019 |
|---|---|---|---|---|---|---|
| Revenue | $1.01B +7.9% | $940.2M +17.3% | $801.2M +14.0% | $702.8M +40.9% | $498.8M +37.7% | $362.3M |
| Net Income | $-204.7M -113.2% | $-96.0M -1.5% | $-94.6M -707.7% | $15.6M +145.3% | $-34.4M -38.9% | $-24.8M |
| Operating Income | $-187.3M -88.9% | $-99.1M -6.8% | $-92.8M -509.9% | $22.7M +384.7% | $-8.0M +52.4% | $-16.7M |
| EPS (Diluted) | $-3.04 -106.8% | $-1.47 +0.0% | $-1.47 -712.5% | $0.24 +142.9% | $-0.56 -33.3% | $-0.42 |
| Total Assets | $881.1M -8.9% | $967.7M -8.1% | $1.05B +16.3% | $905.1M +26.3% | $716.4M +119.7% | $326.1M |
| Total Debt | $310.0M -11.1% | $348.9M | — | — | — | — |
| Operating Cash Flow | $-9.7M -140.1% | $24.2M -52.0% | $50.5M -54.7% | $111.4M +351.4% | $24.7M -41.1% | $41.9M |
AI Insight: TNDM Financial Trends
Debt nearly doubled to $602M in Q1 2026 while equity eroded to $132M, sharply worsening an already fragile balance sheet.
• Revenue grew modestly from $222M in Q2 2024 to $247M in Q1 2026, with Q4 peaks of $283M and $290M showing seasonal strength.
• Operating income turned positive at $8M in Q4 2025 — first profitable operating quarter in the dataset — before slipping back to -$17M in Q1 2026.
• Total debt surged from $310M in Q4 2025 to $602M in Q1 2026, a near-doubling in a single quarter.
• Equity collapsed from $263M in Q4 2024 to $132M in Q1 2026, driven by cumulative net losses including a -$131M hit in Q1 2025.
⚠ The $292M debt jump in Q1 2026 with no corresponding equity raise raises immediate questions about leverage sustainability and refinancing risk.
⚠ Operating cash flow remains inconsistent — positive only in Q3 2024, Q4 2024, Q3 2025, and Q4 2025 — limiting self-funding capacity.
⚠ Q4 2025 operating profit of $8M suggests a path to breakeven; whether Q1 2026's -$17M is seasonal or structural needs monitoring.
AI Insight: TNDM Ratio Trends
Tandem's profitability remains deeply negative with D/E surging to 4.54x in Q1 2026, erasing the near-breakeven achieved in Q4 2024 and Q4 2025.
• Operating margin swung from near-breakeven -0.2% in Q4 2024 to -51.6% in Q1 2025, then recovered to +2.9% in Q4 2025 before retreating to -7.0% in Q1 2026.
• D/E ratio has more than tripled from 1.33x in Q4 2024 to 4.54x in Q1 2026, signaling significant balance sheet deterioration.
• ROIC briefly turned positive at 7.1% in Q4 2025 — the only positive reading in the dataset — but collapsed to -9.5% in Q1 2026.
⚠ Q1 seasonality appears severe: Q1 2025 posted -51.6% OpMargin. Monitor whether Q1 2026's -7.0% signals structural improvement or is again distorted.
⚠ D/E spiking to 4.54x in Q1 2026 from 2.00x in Q4 2025 raises refinancing and solvency risk if losses persist.
⚠ Q4 breakeven pattern (Q4 2024: -0.2% OpMargin; Q4 2025: +2.9%) warrants watching — genuine inflection or recurring seasonal fluke.
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Available Research
13F Pro tracks comprehensive data for TANDEM DIABETES CARE INC including:
Top Institutional Holders of TNDM
BlackRock, Inc.
$204.9M10,690,844 shVOYA INVESTMENT MANAGEMENT LLC
$119.9M117,415,000 shUBS Group AG
$99.3M5,178,570 shSessa Capital IM, L.P.
$90.7M4,730,757 shVANGUARD PORTFOLIO MANAGEMENT LLC
$76.6M3,993,333 shArrowMark Colorado Holdings LLC
$59.5M3,103,609 shVANGUARD CAPITAL MANAGEMENT LLC
$58.3M3,038,919 shLINDEN ADVISORS LP
$55.9M54,791,000 shSTATE STREET CORP
$51.0M2,662,260 shDRIEHAUS CAPITAL MANAGEMENT LLC
$44.2M2,304,414 sh
| Fund | Value | Shares |
|---|---|---|
| BlackRock, Inc. | $204.9M | 10,690,844 |
| VOYA INVESTMENT MANAGEMENT LLC | $119.9M | 117,415,000 |
| UBS Group AG | $99.3M | 5,178,570 |
| Sessa Capital IM, L.P. | $90.7M | 4,730,757 |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $76.6M | 3,993,333 |
| ArrowMark Colorado Holdings LLC | $59.5M | 3,103,609 |
| VANGUARD CAPITAL MANAGEMENT LLC | $58.3M | 3,038,919 |
| LINDEN ADVISORS LP | $55.9M | 54,791,000 |
| STATE STREET CORP | $51.0M | 2,662,260 |
| DRIEHAUS CAPITAL MANAGEMENT LLC | $44.2M | 2,304,414 |
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Popular Research
Is TNDM a good stock to buy?
13F Pro's AI-powered analysis of TANDEM DIABETES CARE INC (TNDM) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for TNDM are available on the TNDM stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own TNDM?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling TNDM. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of TANDEM DIABETES CARE INC's investment landscape.