Summary of Tandem Diabetes Conference Call Company Overview - **Company**: Tandem Diabetes - **Key Executives**: President and CEO, Susan Morrison (Senior Vice President and Chief Administrative Officer) Recent Performance - **2024 Growth**: Guided for 10% growth but achieved 18% growth, marking the highest fourth quarter performance ever [4][5] - **Q1 Performance**: Q1 growth exceeded 20%, driven by strong demand and the introduction of new products [9][20] Product Developments - **Tandem Mobi**: A smaller, discreet device utilizing Control IQ technology, leading to double-digit growth in MDI starts since its launch [6][7] - **Type 2 Approval**: Received approval for Type 2 diabetes management, with expectations for meaningful growth in the coming years [8][15] - **Pharmacy Channel**: Plans to fully leverage the pharmacy channel, which is expected to enhance accessibility and profitability [8][66] Market Dynamics - **Competitive Landscape**: Anticipated disruption from a competitor separating their diabetes business, but Tandem believes its pipeline and initiatives will maintain competitive advantage [18][19] - **Type 2 Market Potential**: Approximately 2.3 million people in the U.S. with insulin-intensive Type 2 diabetes, with only about 100,000 currently using pumps, indicating significant growth potential [30][31] Sales Strategy - **Sales Force Expansion**: Ongoing evaluation of sales force size and market access strategies, particularly for Type 2 diabetes management [34][36] - **Pharmacy Channel Strategy**: Focus on increasing covered lives and establishing contracts to enhance market access [70][72] Financial Outlook - **Gross Margin Expectations**: Anticipated increase from 51% to 54% for the year, with long-term targets of 60% gross margin by 2026 [78][82] - **Operational Efficiency**: Initiatives in place to improve operating margins while expanding sales force and entering new markets [80][86] Pipeline and Future Developments - **Integration with CGMs**: Ongoing integration of new technologies, including the FreeStyle Libre 3, to enhance product offerings [46][48] - **AdaNet Algorithm**: Collaboration with UVA to develop a new algorithm aimed at improving diabetes management [54][61] Key Takeaways - **Market Awareness**: Increased awareness of AID systems among Type 2 diabetes patients is expected to drive steady growth [32][33] - **Long-term Strategy**: Tandem is focused on a portfolio approach to address diverse market needs, ensuring a competitive edge through innovation and technology [40][43] Conclusion - Tandem Diabetes is positioned for significant growth driven by innovative product offerings, strategic market expansions, and a focus on improving patient access through pharmacy channels. The company is optimistic about its future performance and market potential, particularly in the Type 2 diabetes segment.

Financial Data and Key Metrics Changes - The company achieved record first quarter sales of $234 million, representing a 22% year-over-year growth [19] - Adjusted EBITDA improved by five percentage points year-over-year, indicating enhanced profitability [19][24] - Gross margin for Q1 was 51%, consistent with historical trends, driven by reduced per unit costs [24][29] Business Line Data and Key Metrics Changes - In the U.S., sales reached $151 million, a 15% increase year-over-year, driven by healthy pump shipments and strong supply sales [20] - Internationally, sales were $84 million, reflecting a 35% year-over-year growth, supported by demand for the t:slim X2 platform [23] - The product mix between the t:slim X2 and the new Tandem Movi is healthy, with a significant portion of new starts coming from patients converting from multiple daily injections [10][11] Market Data and Key Metrics Changes - Approximately 30% of U.S. lives are now covered under the pharmacy benefit, up from 20% previously reported [21][68] - The company anticipates that more than 70% of sales for the year will come from predictable and recurring revenue streams from supplies and renewals [26] Company Strategy and Development Direction - The company plans to launch new sensor integrations and enhance its technology ecosystem, including the introduction of the Control IQ Plus algorithm [32][34] - Direct sales efforts in select international markets are progressing well, with plans to enhance sales support and technology offerings [17] - The company aims to achieve sustained double-digit sales growth and profitability through improved pricing and disciplined cost management [30][37] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving 2025 commitments despite a dynamic economic environment [25][72] - The company is focused on expanding its pharmacy channel access and scaling growth into the type two diabetes market [37] - Management highlighted the importance of the Control IQ Plus launch and its potential to double the addressable market [15][78] Other Important Information - The company ended the quarter with nearly $370 million in total cash and investments, anticipating a return to positive free cash flow in the second half of 2025 [25] - The company is committed to bringing an industry-leading fully closed loop algorithm to market, with ongoing R&D efforts [36] Q&A Session Summary Question: Update on sales force changes and realignment - Management confirmed that the territory realignment is complete and expects gradual improvement in sales productivity over the next several quarters [40][41] Question: Impact of pricing on U.S. sales - Management indicated that pricing contributed approximately 2% to 3% for pumps and around 10% for supplies, suggesting this is a sustainable level moving forward [45][46] Question: Competitive dynamics in the U.S. market - Management noted that the U.S. market remains competitive but has not seen significant changes recently, with confidence in their product offerings [92][94] Question: Expectations for pharmacy channel contributions - Management stated that pharmacy contributions are expected to be modest in 2025, but early experiences indicate strong potential for future growth [53][68] Question: Guidance reaffirmation after strong Q1 - Management reaffirmed guidance due to the dynamic economic environment, despite a strong performance in Q1 [72] Question: Type two diabetes market potential - Management highlighted that the recent approval of Control IQ Plus has provided access to approximately 300,000 people, with modest contributions factored into 2025 guidance [77][78]

Financial Data and Key Metrics Changes - The company achieved record first quarter sales of $234 million, representing a 22% year-over-year growth [17] - Adjusted EBITDA improved by five percentage points year-over-year, indicating a strong operational performance [22] - Gross margin for Q1 was 51%, consistent with Q4, driven by reduced per unit costs of pumps [22][28] Business Line Data and Key Metrics Changes - In the U.S., sales reached $151 million, a 15% increase year-over-year, driven by healthy pump shipments and strong supply sales [18] - Internationally, sales were $84 million, reflecting a 35% year-over-year growth, supported by demand for the t:slim X2 platform [21] - The product mix between the t:slim X2 and the new Tandem Movi is healthy, with a significant portion of new starts coming from patients converting from multiple daily injections [7][8] Market Data and Key Metrics Changes - Approximately 30% of U.S. lives are now covered under the pharmacy benefit, up from 20% previously, indicating improved market access [19][67] - The company anticipates that sales outside the U.S. will be relatively flat for the remainder of the year due to a timing shift in orders [27] Company Strategy and Development Direction - The company plans to enhance its sales efforts and technology offerings outside the U.S. as it prepares for direct sales in select countries starting in 2026 [15] - New product launches, including the Control IQ Plus algorithm and sensor integrations, are expected to drive growth in both U.S. and international markets [30][32] - The company is focused on improving profitability through increased pricing, margin improvement initiatives, and disciplined cost management [28] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving 2025 commitments despite a dynamic economic environment [23][73] - The company is optimistic about the growth potential from the type two diabetes indication, which more than doubles the addressable market [13][79] - Management reaffirmed guidance for sales, gross margin, and EBITDA for 2025, indicating a strong outlook for the year [24][73] Other Important Information - The company has completed its sales force expansion and territory realignment, which is expected to enhance productivity over the coming quarters [9][39] - The recent FDA clearance of Control IQ Plus for type two diabetes is a significant milestone, with initial commercial efforts already underway [11][13] Q&A Session Summary Question: Update on sales force changes and realignment - Management confirmed that the territory realignment is complete and expects gradual improvement in productivity over the next several quarters [39] Question: Impact of pricing on U.S. sales - Management indicated that pricing contributed approximately 2% to 3% for pumps and around 10% for supplies, suggesting this is a sustainable level moving forward [44][45] Question: Competitive dynamics in international markets - Management noted that the competitive environment remains stable, with strong demand for their technology and products in international markets [88] Question: Expectations for pharmacy channel contributions - Management stated that pharmacy contributions are expected to be modest in 2025, but early experiences indicate significant long-term potential [52][68] Question: Clarification on SIGI development timeline - Management clarified that the termination of the previous agreement allows for more control over the development path, potentially improving time to market [58][59] Question: Gross margin performance and future expectations - Management highlighted that improvements in pump costs and the introduction of Mobi are key factors in achieving long-term gross margin targets [62][63] Question: Type two indication and market access - Management acknowledged that while there is coverage for type two patients, Medicare approval processes may present initial challenges [78][80]