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]

Core Insights - Tandem Diabetes Care reported Q3 CY2025 results with revenue of $249.3 million, exceeding analyst expectations by 5.6% and showing a year-on-year growth of 2.6% [1][6] - The company's GAAP loss per share was $0.31, which was 3.6% better than the consensus estimate of $0.32 [1][6] Operational Performance - The third quarter was characterized by improved operational efficiency and commercial execution, leading to a positive market reaction [3] - Management attributed the performance to the modernization of U.S. commercial operations, increased pricing contributions, and early traction from new product offerings [3][5] - Changes in sales processes and organizational restructuring have resulted in better sales productivity and a strong customer mix adopting both t:slim and Mobi pump platforms [3] Future Outlook - The company plans to expand pharmacy access, launch new products, and enhance direct international operations [4] - New product introductions, such as Mobi Tubeless and integration with continuous glucose monitoring systems, are expected to drive customer growth [4] - The focus on a fully closed-loop pump system and a multichannel approach is anticipated to improve both top-line and margin performance as the company enters new international markets [4] Financial Metrics - Adjusted EBITDA was reported at $2.77 million, which was a 50% miss compared to analyst estimates of $5.55 million [6] - The operating margin improved to -9.2%, up from -10.7% in the same quarter last year [6] - Sales volumes fell by 4.8% year on year, compared to a decline of 24.7% in the same quarter last year [6] - The company's market capitalization stands at $900.7 million [6]

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.