Tandem Diabetes Care Q3 2025 Conference Call Summary Company Overview - **Company**: Tandem Diabetes Care (NasdaqGM:TNDM) - **Date**: November 11, 2025 - **Context**: Discussion of Q3 2025 results and future outlook Key Points Financial Performance - Q3 2025 results showed solid performance with outperformance relative to market expectations, primarily driven by pricing strategies [2][4] - U.S. pump sales experienced a slight decline year-over-year, indicating challenges in the market [2][4] - Pricing improved in Q3, with mid-single-digit year-over-year growth attributed to the pharmacy channel [5][13] Sales and Market Dynamics - The company is undergoing a transformation in the U.S. market, which has led to some turbulence but also signs of improved sales rep productivity [4][11] - September 2025 was noted as the strongest month of the quarter, with expectations for continued sales momentum into Q4 [6][12] - Pharmacy sales accounted for 5% of U.S. revenue in Q3, primarily driven by the introduction of t:slim supplies [7][8] Product Pipeline and Innovations - The company is prioritizing the launch of the tubeless Mobi product, expected to be a significant growth driver in 2026 [18][19] - The integration of Mobi with FreeStyle Libre 3 is anticipated, enhancing product offerings [23] - A fully closed-loop pivotal trial is set to begin in 2026, leveraging existing algorithms and clinical data [24][25] Competitive Landscape - The market is characterized by significant growth potential, with new entrants and competition emerging [34][35] - The company acknowledges the presence of competitors but believes in the overall market opportunity for all players [34] Type 2 Diabetes Market Opportunity - The company is expanding its focus on insulin-intensive Type 2 diabetes patients, which represents a significant market opportunity [42][46] - Current penetration of pumps in this segment is around 5%, with expectations to increase to 25-30% over the next few years [47] International Expansion - Tandem is moving towards a direct sales model in certain international markets, anticipating a minimum 30% ASP premium [51][52] - The transition is expected to be accretive to the bottom line, despite initial OPEX increases [52] Operational Efficiency - The company is implementing measures to improve operational efficiency, including automation and process improvements, which are expected to support a larger install base without proportional increases in headcount [56] 2026 Outlook - Gross margins are projected to improve by at least 300 basis points in 2026, driven by increased pump volumes and pricing benefits [54] - The company is optimistic about achieving OPEX leverage through enhanced sales force productivity and restructuring efforts [56] Additional Insights - The company is cautious about the competitive landscape and is monitoring new entrants closely, indicating a need for time to assess their impact [35][37] - The management emphasized the importance of understanding market dynamics and adapting strategies accordingly, particularly in the context of new product launches and market penetration efforts [41][46]

Financial Data and Key Metrics Changes - In Q3 2025, Tandem Diabetes Care achieved record sales of $249 million, with U.S. sales approximately $176 million, marking the highest third quarter to date and the second highest quarter ever [15][16] - Gross margin increased by 3 percentage points year over year, reaching 54% in Q3, with adjusted EBITDA returning to positive [15][17] - The company ended the quarter with $319 million in total cash and investments, indicating a strong financial position [19] Business Line Data and Key Metrics Changes - Pump shipments in the U.S. were over 20,000, slightly down from Q2 due to pharmacy stocking benefits recognized in the previous quarter [16] - International sales reached $74 million, also a record for Q3, primarily driven by favorable foreign currency exchange rates [17] - Renewals continue to track to a historical capture rate of over 70% of eligible customers within 18 months after warranty expiration [16] Market Data and Key Metrics Changes - The U.S. market saw a significant contribution from pricing, with a 5% increase in Q3, driven by both DME and pharmacy channels [16] - International sales are expected to grow approximately 12% year over year, despite headwinds from distributor inventory destocking [20] Company Strategy and Development Direction - The company is focused on three primary initiatives: modernization of commercial operations, driving innovation, and reshaping the business model [4][10] - Direct sales initiatives in Europe are set to begin in early 2026, with the aim of strengthening financial position and accelerating sales growth [6][20] - The launch of Mobi Tubeless is prioritized, expected to significantly enhance user preference and market presence [26][67] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving double-digit growth in 2025, with a target of $1 billion in worldwide sales [20][24] - The company anticipates a strong fourth quarter, with expectations for gross margins in the mid to high 50s [20][59] - Management highlighted the importance of pharmacy access and new product introductions in driving future growth [35][51] Other Important Information - The company has successfully increased pharmacy benefit coverage for Tandem Mobi to over 40% of U.S. lives [11] - A significant focus is placed on enhancing efficiencies and optimizing operations to strengthen operating margins [18][19] Q&A Session Summary Question: Can you provide insights on the cadence of growth for 2026? - Management indicated that multiple initiatives are expected to build momentum throughout 2026, with a focus on Mobi and pharmacy channel expansion [34][36] Question: What is the expected pricing uplift from supplies going through the pharmacy? - Management noted that pricing increases have been a significant contributor to revenue growth, with expectations for continued benefits as pharmacy access expands [39][41] Question: How do you expect Q4 to perform compared to last year? - Management confirmed that Q4 expectations are built on lessons learned from 2024, with a focus on new renewal opportunities [42][44] Question: What percentage of new patient starts were type 2 this quarter? - Management stated that renewals have been slightly more than half of shipments, with MDI conversions making up about two-thirds of new shipments [46][48] Question: Can you clarify the timeline for the Mobi Tubeless launch? - Management confirmed that Mobi Tubeless is expected to enter the market in 2026, pending 510(k) submission approval [90]

Tandem Diabetes Care (TNDM) Conference Summary Company Overview - **Company**: Tandem Diabetes Care (TNDM) - **Industry**: Diabetes management technology, specifically insulin delivery systems Key Points and Arguments Market Expansion - Tandem has expanded its focus from primarily Type 1 diabetes to include Type 2 diabetes, which has more than doubled its addressable market in the U.S. [4][7] - The company is also exploring opportunities in the pharmacy channel, which could enhance revenue and margins [5][21] Product Offerings - Tandem's product portfolio includes the t:slim and Mobi insulin pumps, with Mobi designed to attract new users, particularly in the pediatric population [10][12] - Mobi has seen double-digit growth in new pump starts, particularly among those transitioning from multiple daily injections (MDI) [12][14] Pipeline Developments - Upcoming products include enhancements to Mobi and the introduction of the SIGI pump, which will offer tubeless functionality [15][17] - The company plans to share updates on its Control IQ study at the upcoming ADA conference, which could further validate its technology [19][20] Financial Outlook - Tandem aims for gross margins of 60% by 2026, with a long-term goal of 65% [21][22] - The introduction of Mobi and its lower cost profile, along with pharmacy channel penetration, are expected to drive margin improvements [23][24] Sales Strategy - Tandem is transitioning to a direct sales model in select international markets, which is anticipated to improve margins and market penetration [27][30] - The company has been expanding its sales force in the U.S. to enhance market awareness and support for physicians prescribing insulin pumps [50][51] Competitive Landscape - The competitive dynamics may shift with Medtronic's business changes, but Tandem remains confident in its ability to compete effectively [60][61] - The company is focused on differentiating its products, particularly with the upcoming SIGI pump [62][63] Pharmacy Channel Opportunity - The pharmacy channel is seen as a significant growth opportunity, with about 30% of lives in the U.S. covered under pharmacy agreements [34][40] - Tandem is testing the waters in the pharmacy space, with the potential for it to become a material part of the business before the SIGI launch [32][34] Investor Sentiment - There is a growing appreciation among investors for Tandem's pharmacy opportunity, which is expected to enhance revenue and profitability [74][75] Additional Important Insights - The company is focused on innovation as a driver for market adoption, with expectations for increased penetration rates in both Type 1 and Type 2 diabetes populations [42][44] - Tandem's strategy includes offering a diverse portfolio of products to meet varying customer needs, which is expected to enhance its competitive position [65][66]

Tandem Diabetes Conference Call Summary Company Overview - **Company**: Tandem Diabetes - **Event**: RBC's 2025 Global Healthcare Conference - **Key Speakers**: Lee Wassler (CFO), Susan Morrison (Chief Administrative Officer) Key Points Industry and Market Dynamics - **Strong Q1 Performance**: Tandem Diabetes reported a strong first quarter with a 6.5% upside surprise and 22% year-over-year growth, shipping 28,000 new pumps [4][1] - **Market Expansion**: The company is focused on doubling its market size in the U.S. with type two diabetes indications and exploring direct sales outside the U.S. in future years [3][2] - **Under-Penetrated Market**: Approximately 1 million people in the U.S. live with type one diabetes, with only 40% using pumps, indicating significant growth potential [8][2] Product Performance - **Pump Shipments**: The breakdown of pump shipments is expected to be roughly 50% new starts and 50% renewals, with a notable shift towards MDI (Multiple Daily Injections) conversions driving growth [5][6] - **MDI Conversion Growth**: Mobi product has been a key driver for MDI conversions, contributing to double-digit growth for four consecutive quarters [7][8] - **Retention and Utilization**: Strong customer retention trends were noted, with close to 500,000 users worldwide and improved customer utilization in Q1 [14][15] Type Two Diabetes Opportunity - **Market Size**: There are approximately 2.3 million insulin-dependent type two diabetes patients in the U.S., with only 5% currently using pumps, presenting a substantial growth opportunity [20][21] - **Cautious Rollout**: The company is taking a measured approach to marketing and training for the type two market, focusing on understanding the population's needs [21][22] - **Synergistic Therapies**: The combination of GLP-1 medications and Control IQ technology has shown to improve patient outcomes, indicating a synergistic relationship [26][27] Financial Guidance and Projections - **2025 Guidance**: The company has included a modest benefit from type two opportunities and pharmacy expansion in its 2025 guidance, with expectations for significant growth in the back half of the year [25][48] - **Gross Margin Targets**: Tandem Diabetes aims for 60% gross margins by 2026, driven by Mobi and pharmacy channel expansion [38][39] - **Operating Margins**: The company is targeting 25% operating margins at 1 million customers, with potential to achieve this sooner than previously anticipated [53][54] Pipeline and Future Initiatives - **Product Development**: Tandem is advancing multiple projects, including t:slim x MobiPatch and SIGI, leveraging R&D expertise from previous product developments [56][59] - **Integration with CGM**: The integration with DexCom and Abbott's CGM technologies is expected to drive incremental adoption of pump therapy [40][41] Investor Insights - **Opportunities for Growth**: The company highlighted multiple growth opportunities, including type two market penetration and pharmacy channel expansion, which are not fully factored into current market valuations [60][61] - **Market Positioning**: Tandem Diabetes believes it has more opportunities than many competitors in the diabetes space, positioning itself for significant upside potential [61][62]