TNDMTandem Diabetes Care, Inc.
Industry Medtech Updated 28 Sep 2026 Price 23 Oct 2026
If management hits its targets, one share in 12 months
$17.43 → $17.58
Promises vs. what happened
14 claims · 4 decksEvery target management put in a slide deck, and whether they hit it, missed it, or quietly dropped it.
| Promise | Made in | What happened | |
|---|---|---|---|
| Q1 '26 sales, margin and adjusted EBITDA | Q4 '25 | beat all three | Held |
| Q2 '26 sales $255M, international ~$80M | Q1 '26 | met worldwide, missed international at $75M | Late |
| Mobi integration with Abbott Libre 3 Plus | Q3 '24 | no pipeline slide in any 2026 deck | Dropped |
| Tubeless Mobi and the Sigi patch pump | Q3 '24 | dropped from the decks; submitted to FDA per the calls | Dropped |
| 7-day infusion set, the 65% margin driver | Q3 '24 | not mentioned again | Dropped |
| ~70% renewal rate within 18 months | Q3 '24 | last given in November 2024 | Dropped |
| 2026 sales $1.065-1.085B | Q4 '25 | reaffirmed twice; Q4 needs $298-318M | Open |
| 2026 gross margin 56-57% | Q4 '25 | 56% in H1; Q4 needs ~60% | Open |
| 2026 adjusted EBITDA margin 5-6% | Q4 '25 | 2% in H1; Q4 needs 13-16% | Open |
| US pump shipments 94-95K, +10-11% | Q4 '25 | promoted to the headline metric; open | Open |
| Pharmacy 15% of US sales, 20% of shipments | Q4 '25 | 10% in Q2; has to roughly double in H2 | Open |
| Direct selling: UK, Switzerland, Austria, then more | Q4 '25 | launched in Q1; the next wave slipped to 2027 | Open |
| $15M lost to distributor destocking | Q4 '25 | held in the guide all year | Open |
| 65% gross and 25% operating margin | Q3 '24 | no year, since November 2024 | Open |
What they’re pitching
the headline page, deck by deckThe headline from each quarterly results deck over two years, so you can see what they want you to focus on, and when it changes.
'24Q4
'25Q1
'26Q2
'26
RecordsPage one since Q4 '25
PayGoNew Q4 '25 · Page one since Q1 '26
InternationalOff page one Q2 '26
ShipmentsNew Q4 '25 · Page one since Q1 '26
Margin goalsFirst seen Q3 '24
MarketOff page one Q1 '26
PipelineFirst seen Q3 '24
CGMOff page one Q2 '26
on the headline page further in the deck not in the deck▲ onto page one▼ off page one● first mentionTap a mark for the quote.
Record quarters
“Record sales of $290M”
Deck Q4 2025 Earnings Presentation · p. 3 ·
Record quarters
“Record First Quarter Performance”
Deck Q1 2026 Earnings Presentation · p. 3 ·
Record quarters
“Record Second Quarter Performance”
Deck Q2 2026 Earnings Presentation · p. 3 ·
PayGo pharmacy transition
“Moving to PayGo pharmacy reimbursement structure, from upfront model”
Deck Q4 2025 Earnings Presentation · p. 7 ·
PayGo pharmacy transition
“Began PAYGO model in pharmacy”
Deck Q1 2026 Earnings Presentation · p. 3 ·
PayGo pharmacy transition
“Advanced PAYGO model in pharmacy”
Deck Q2 2026 Earnings Presentation · p. 3 ·
International direct operations
“Q1 2026 – Direct sales begin in UK, Switzerland and Austria”
Deck Q4 2025 Earnings Presentation · p. 8 ·
International direct operations
“Launched direct commercial operations in UK, Switzerland and Austria”
Deck Q1 2026 Earnings Presentation · p. 3 ·
International direct operations
“Direct sales to average ~15% of international sales (13% in Q2’26 )”
Deck Q2 2026 Earnings Presentation · p. 7 ·
Pump shipments as the growth measure
“In 2026, pump shipments are the best indicator of U.S. market expansion while transitioning to PayGo.”
Deck Q4 2025 Earnings Presentation · p. 5 ·
Pump shipments as the growth measure
“Pump shipments of >29,000* 55% Gross margin*”
Deck Q1 2026 Earnings Presentation · p. 3 ·
Pump shipments as the growth measure
“Pump shipments of 33,000 or 10% YoY”
Deck Q2 2026 Earnings Presentation · p. 3 ·
Longer-term margin targets
“Longer-Term Targets 1”
Deck Company Overview (November 6, 2024) · no page (Tavily text) ·
Longer-term margin targets
“Timing to be informed by pace of 2026”
Deck Q4 2025 Earnings Presentation · p. 10 ·
Longer-term margin targets
“Timing to be informed by pace of 2026”
Deck Q1 2026 Earnings Presentation · p. 9 ·
Longer-term margin targets
“Profitability Goals 65%+ gross margin 25%+ operating margin DRIVING TO SUSTAINED DOUBLE-DIGIT GROWTH & PROFITABILITY”
Deck Q2 2026 Earnings Presentation · p. 9 ·
Large, underpenetrated market and installed base
“Large and underpenetrated worldwide market”
Deck Company Overview (November 6, 2024) · no page (Tavily text) ·
Large, underpenetrated market and installed base
“Installed base of nearly 500,000 54% gross margin 1Represents Non-GAAP financial measures. See the appendix hereto for a reconciliation to the closest comparable GAAP measure .”
Deck Q4 2025 Earnings Presentation · p. 3 ·
Pipeline (Sigi, tubeless Mobi, extended-wear set)
“Sigi Platform Redefining patch pump therapy for diabetes”
Deck Company Overview (November 6, 2024) · no page (Tavily text) ·
CGM integration and mobile control
“Sensor integration with Abbott FreeStyle Libre 3 Plus under development”
Deck Company Overview (November 6, 2024) · no page (Tavily text) ·
CGM integration and mobile control
“Initiated launch of Android mobile control for Tandem Mobi”
Deck Q4 2025 Earnings Presentation · p. 3 ·
CGM integration and mobile control
“Tandem Mobi now Android compatible”
Deck Q1 2026 Earnings Presentation · p. 3 ·
What they keep talking about · 10
The themes that show up deck after deck, and the ones that disappear.
- Records
- Every results deck opens on one — "Record sales of $290M", then "Record First Quarter", then "Record Second Quarter". The November 2024 overview carried no quarterly figures at all.
- PayGo
- Absent in November 2024, when the pricing slide showed DME economics only (60-65% to the distributor, about $8K a patient over four years). The centre of every 2026 deck: "Began", then "Advanced", the PAYGO model.
- Shipments
- Introduced in February 2026 with the reason attached — "pump shipments are the best indicator of U.S. market expansion while transitioning to PayGo" — and on every headline slide since: >29,000, then 33,000.
- International
- Direct selling in the UK, Switzerland and Austria led the Q1 '26 highlights, then went back to a modelling slide in Q2 ("~15% of international sales, 13% in Q2'26"). The next wave of European markets has slipped to 2027.
- Margin goals
- "65%+ gross margin, 25%+ operating margin" unchanged since November 2024 and still with no year. Q4 '25 and Q1 '26 said "Timing to be informed by pace of 2026"; the Q2 '26 slide drops that line too.
- Market
- The overview's market-size slide — under 40% of US type 1 patients on a pump — is not repeated in any results deck. The installed base is still quoted as of 31 Dec '25: "nearly 500,000".
- Pipeline
- Four pipeline slides in November 2024: Sigi, tubeless Mobi, a 7-day infusion set, a 70% renewal rate. Not one of the three 2026 results decks has a pipeline slide.
- CGM
- Abbott integration "under development" in 2024; in 2026 the news is Android control for Mobi. The integrations with Dexcom and Abbott can both be ended on short notice.
- New
- Q1 '26: free cash flow appears in the deck for the first time, when it was positive. In Q2, at -$38.7M, it is in the appendix only.
- Quiet
- Nothing has been withdrawn from the KPI set — persistence is 1.0, the only clean score among the companies covered here — but the reconciled non-GAAP operating margin given in the Q4 '25 deck is absent from both 2026 decks, and the pipeline left with it.
Every quarterly report we’ve saved · 8
The press releases and shareholder letters behind this page.
- Q2 2026 release · 8-K 6 Aug 2026
- Q1 2026 release · 8-K 7 May 2026
- Q4 2025 release · 8-K 19 Feb 2026
- Q3 2025 release · 8-K 6 Nov 2025
- Q2 2025 release · 8-K 6 Aug 2025
- Q1 2025 release · 8-K 30 Apr 2025
- Q4 2024 release · 8-K 26 Feb 2025
- Q3 2024 release · 8-K 6 Nov 2024
Archived as text; the links open the copies filed on EDGAR or the investor-relations site.
What analysts asked them
8 calls · Q3 24 – Q2 26The last eight earnings calls: what analysts kept asking about, which questions got dodged, and how much the CEO did the talking.
Share of questions by topic, call by call. A topic that suddenly dominates is usually the problem. The last row is how much of the answering the CEO did, rather than the CFO or others.
| Share of questions about… | Q3 24 | Q4 24 | Q1 25 | Q2 25 | Q3 25 | Q4 25 | Q1 26 | Q2 26 |
|---|---|---|---|---|---|---|---|---|
| Demand & customers | 35% | 17% | 15% | · | 6% | 7% | · | · |
| Growth & sales | 35% | 56% | 35% | 35% | 44% | 43% | 33% | 44% |
| Pricing & margins | 13% | 17% | 20% | 24% | 38% | 36% | 19% | · |
| Guidance & outlook | 26% | 56% | 15% | 35% | 25% | 36% | 19% | 22% |
| Capacity & supply | 4% | 6% | · | 12% | 12% | 7% | 4% | · |
| Capital & financing | · | 11% | · | · | · | 14% | 4% | · |
| Competition | 13% | 17% | 15% | 29% | 19% | · | 15% | · |
| Products & technology | 17% | 44% | 5% | 18% | 44% | 43% | 22% | 11% |
| Macro & regulation | 4% | · | 5% | · | · | 7% | 4% | · |
| Other | 22% | 11% | 35% | 18% | 19% | 14% | 44% | 44% |
| Questions | 23 | 18 | 20 | 17 | 16 | 14 | 27 | 9 |
| How much the CEO talked | 49% | 25% | 45% | 38% | 38% | 30% | 44% | 42% |
Who’s in charge, who’s selling
read from the filings · 1 Oct 2026Shareholder votes against the board and pay, plus which executives have been selling their own shares.
Tier 1 · stable
The chief financial officer reports to the chief executive, and they share a home
The proxy states that Sheridan and Vosseller "are involved in a personal relationship and share a primary residence", that the board knew before his 2019 appointment, and that "Ms. Vosseller reports directly to Mr. Sheridan". Neither sets the other's pay — the compensation committee does — and the audit committee "implemented certain additional internal controls and procedures" after his promotion, which the proxy does not describe. She has been chief financial officer since June 2018 and spoke every guidance figure in this page's record.
Tier 1 · live
$456M of cash against $616M of converts struck 2.2x above the price
$316.3M of 1.50% notes due 2029 at $34.56 and $300M of 0% notes due 2032 at $36.99, carried at $602.6M, against $456.0M of cash and investments. Neither converts at $15.92, so both are cash obligations. Free cash flow is -$26.6M, about -$99M after stock pay; Altman Z is 0.42 and Piotroski 3 of 9. No shelf, no at-the-market programme and no live buyback were found, so an equity raise would be a new decision — and the 2032 notes were already marked at 79% of par four months after issue.
Tier 2 · worsening
The commercial chief was dismissed without cause four days after the Q1 call
Mark Novara, chief commercial officer since November 2023 and named in the proxy filed five weeks earlier, was notified on 2026-05-11 and left on 05-18; the Q1 call was 05-07. The 8-K gives no reason, names no successor and adds only that the strategy and 2026 goals are unchanged. He ran the organisation that has to deliver the pharmacy transition. In the same two quarters management twice refused the type 2 share of new pump starts — "we are not gonna talk specifically about the numbers today" — to three different askers.
Tier 2 · stable
The long-term award is paid on adjusted EBITDA, and adjusted EBITDA was redefined when it was missed
Performance shares are earned on relative shareholder return and adjusted EBITDA margin. The FY2025 adjusted EBITDA guide of about +3% became -5% when $75.2M of acquired IPR&D was moved inside the measure, and one-offs were added back in both of the last two years ($20.0M of litigation, $11.2M of restructuring). Stock pay of $72.7M is itself the largest add-back inside the metric, and five years of it came to $427.6M against $144.6M of operating cash flow.
Tier 3 · stable
A thirteen-year audit chair, and officers' liability just limited
Christopher Twomey has chaired the audit committee since joining in 2013 and was at Ernst & Young, now the auditor, from 1981 to 1990; 15.2% then 12.8% of the vote went against him, against 0.2-2.0% on every other item either year. At the 2026 meeting holders also approved limiting officers' personal liability to the Delaware maximum, with 16.5% against — the largest protest on any item. His brother-in-law has been a manufacturing engineer at the company since 2019, paid about $169,000 in 2025.
Where shareholders voted no
At each annual meeting shareholders vote on who sits on the board, what the executives are paid and whether the company may create more shares. These are the votes that drew the most "no"s at the last two meetings: the shares voted against (or withheld) each year, then what share of all votes cast that was. Under each one, what the vote was about and what a no means.
| 2025 | 2026 | Share 2026 | |
|---|---|---|---|
| Christopher Twomey (audit chair)A board seat. Shareholders vote to keep this person on the board, the group that hires, pays and can fire the CEO. A no, or a withheld vote, says they want this director out, often because of the committee they sit on or a decision they signed off. | 8.5M | 7.0M | 12.8% |
| Limit officers' personal liabilityShielding executives from lawsuits. A change to the company's rulebook so that officers cannot be sued personally by shareholders for careless (not dishonest) decisions. Shareholders give up some of their power to hold executives to account; a no keeps it. | — | 9.0M | 16.5% |
| Say on pay (advisory)Executive pay. Shareholders say whether they accept what the top executives were paid. The vote is advisory: the board can ignore it, but a large no is a public rebuke and boards usually change the pay plan after one. | 1.6M | 1.5M | 2.7% |
| Amend the 2023 incentive planStock to pay staff and executives. Lets the company create new shares to hand out as pay. Every new share makes each existing share a slightly smaller slice of the company, so a no says shareholders think the dilution is too much. | — | 1.1M | 2.0% |
| Ratify Ernst & YoungThe auditor. Keeping the outside accounting firm that checks the company's books. This almost always passes; a sizeable no means shareholders doubt the audit or think the firm has been in place too long. | 0.6M | 0.5M | 0.8% |
Insiders who sold the most stock
Reported sales by executives and directors, biggest first.
| SEC insider data sets, Jul '25-Jun '26 | Sold | Note |
|---|---|---|
| All insiders — sales | $4,356 | two sales, by one person; nothing that looks like a position being exited |
| All insiders — purchases | $251,711 | two purchases, by two people — the only net insider buying among the companies covered here |
| The Form 4 sweep | nothing | read the same 365 days as vesting and tax withholding, with no open-market trade at all |