Tandem Diabetes Care Conference Call Summary Company Overview - **Company**: Tandem Diabetes Care (NasdaqGM:TNDM) - **Date**: September 10, 2025 - **Speakers**: CEO John Sheridan, CFO Leigh Vosseller Key Points Industry and Market Dynamics - Tandem Diabetes Care is undergoing a transformation aimed at driving double-digit growth and profitability starting next year and beyond [2][5] - The company is focusing on a multi-channel access strategy, particularly expanding into the pharmacy channel, which offers lower out-of-pocket costs for patients and easier prescription processes for physicians [2][3] - The type 2 diabetes market presents a significant opportunity, potentially doubling the available market in the U.S. with approximately 2.3 million people requiring insulin-intensive treatment [12][13] Financial Performance and Strategy - Approximately 30% of U.S. lives are currently covered under pharmacy contracts, with expectations to increase coverage significantly in the next two to three years [7][11] - The company aims for a gross margin of 60% by the end of 2026, with a focus on improving profitability through increased supply sales and reduced manufacturing costs [28][22][25] - Recurring revenue from supply sales and renewals is becoming a larger part of the revenue base, providing predictability and driving growth [22][23] Product Pipeline and Innovations - Tandem has an exciting product pipeline, including the Tandem Mobi system and upcoming Tubeless Mobi system, which are designed to meet diverse patient needs [5][42][44] - The SteadySet infusion set, which allows for extended wear of up to seven days, has received FDA approval and is expected to enhance the customer experience [46] - Control-IQ technology continues to be a competitive advantage, with recent improvements aimed at simplifying user interaction and enhancing diabetes management [49][50] Competitive Landscape - The diabetes management market is becoming increasingly competitive, with new entrants expected to create turbulence. However, Tandem believes that competition drives innovation and benefits patients [17][20] - The company is prepared to leverage its superior algorithm and product offerings to capture market share, particularly in the underpenetrated type 2 diabetes segment [15][48] International Expansion - Tandem plans to expand its direct sales operations in certain international markets starting January 1, 2026, aiming to improve sales effectiveness and capture more market share [3][34][36] - The company operates in about 25 countries outside the U.S., with significant growth potential due to low penetration rates [39][41] Operational Improvements - The company is focused on enhancing operational efficiency through automation and improved sales processes, which are expected to contribute to margin improvements [26][30] - Recent expansions in the commercial team are aimed at increasing productivity and effectiveness in the sales organization [3][32] Conclusion - Tandem Diabetes Care is positioned for significant growth through strategic expansion into the pharmacy channel, innovative product offerings, and operational efficiencies. The company is optimistic about its future prospects in both the U.S. and international markets, particularly in the type 2 diabetes segment.

Financial Data and Key Metrics Changes - The company achieved record second quarter sales of $241 million, representing a 15% year-to-date growth with $475 million in worldwide sales [19][20] - Gross margin for the second quarter was 52%, reflecting an increase year-over-year and compared to the first quarter, driven by pricing improvements [26][32] - The company expects to achieve $1 billion in worldwide sales for 2025, with a geographic mix of approximately $700 million in the U.S. and $300 million outside the U.S. [30][31] Business Line Data and Key Metrics Changes - In the U.S., pump shipments saw a year-over-year increase, with renewals making up over half of the shipments, indicating strong retention [6][7] - The Tandem Mobi platform received positive feedback and contributed to new user demand, with year-over-year increases in adoption [9] - The flagship t:slim X2 pump continues to receive high customer satisfaction scores, with new integrations announced [10] Market Data and Key Metrics Changes - International markets delivered strong performance, driven by demand for t:slim and increasing pump renewals [13][25] - The company is preparing for the launch of Tandem OBI in international markets after receiving CE Mark [14] - The company anticipates a reduced headwind of approximately $10 million from transitioning to direct sales in international markets [30][52] Company Strategy and Development Direction - The company is focused on expanding its multi-channel market access strategy, including pharmacy channel initiatives to lower out-of-pocket costs for patients [5][21] - There is a strategic push to bring Tandem's technology to type two diabetes patients, with pilot activities showing promising adoption rates [11][12] - The company aims to modernize its business systems and expand its sales force to improve efficiency and effectiveness [62] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving double-digit growth and highlighted the importance of ongoing commercial transformation efforts [30][62] - The competitive environment remains intense, with new market entrants causing some caution in the second half of the year [66][112] - Management noted that traditional Medicare represents a small portion of sales, and changes in reimbursement structures could ultimately benefit the business [41][24] Other Important Information - The company ended the quarter with $315 million in total cash and investments, with notable cash uses including settling convertible notes and a settlement agreement [29] - The company is committed to innovation, with ongoing R&D efforts and a focus on enhancing its product portfolio [35][37] Q&A Session Summary Question: Impact of CMS proposal on business - Management does not anticipate a material impact from the CMS proposal, viewing it as a potential driver for more people to adopt pump therapy [41][42] Question: Progress on pharmacy channel - The pharmacy channel is expected to bring more volume and revenue, with plans to move t:slim supplies into this channel starting in Q4 [45][47] Question: Changes in international outlook - The international business has performed well, with a reduced headwind expected from transitioning to direct sales [52] Question: U.S. renewal rates and new patient numbers - Renewals grew double digits and represent over half of shipments, with a focus on MDI conversions for new starts [57][58] Question: Lowered U.S. guidance - The lowered guidance reflects ongoing commercial transformation efforts and increased competition from new entrants [62][112]

Core Insights - Abbott Laboratories' Diabetes Care business is experiencing significant growth, primarily driven by the FreeStyle Libre continuous glucose monitoring (CGM) platform, which has achieved global leadership in the CGM market for both Type 1 and Type 2 diabetes users [1][2]. Company Developments - Abbott has received FDA approvals for two new over-the-counter CGM systems, Lingo and Libre Rio, expanding its consumer reach and marking a new era in the U.S. market [2][8]. - In Q2 2025, Abbott's CGM sales exceeded $1.90 billion, reflecting a 19.6% organic growth, with U.S. Libre sales increasing nearly 26% [4][8]. - The upcoming launch of Abbott's dual-analyte sensor, which includes ketone monitoring, is expected to enhance its market share, particularly among intensive insulin users [4][8]. Market Trends - The diabetes care devices market is projected to grow significantly, reaching $99.81 billion by 2035, with a compound annual growth rate (CAGR) of 9.6% from 2025 to 2035 [3]. - The increasing aging population, rising obesity rates, and sedentary lifestyles are driving demand in this fast-growing market [3]. Competitive Landscape - Competitors like DexCom and Tandem Diabetes are also expanding their offerings in the CGM space, with DexCom focusing on its G6 and G7 systems and Tandem enhancing its pump portfolio and digital solutions [5][6]. Financial Performance - Year-to-date, Abbott's shares have increased by 19.7%, outperforming the industry growth of 7.9% and the S&P 500's growth of 21.5% [7]. - Abbott currently trades at a forward 12-month Price-to-Sales (P/S) ratio of 4.84X, below the industry average of 5.63X [10].

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]

Core Insights - The aging population is significantly reshaping healthcare delivery and resource allocation, with longer life expectancies and declining birth rates creating demographic imbalances [1][2] - By 2030, one in six people globally will be over 60, and by 2050, this figure is expected to rise to 2.1 billion, increasing the share of older adults from 12% in 2015 to 22% [2] - The rise in non-communicable diseases (NCDs) alongside communicable diseases poses challenges for healthcare financing and system sustainability [2] Industry Trends - The global geriatric care market is projected to reach approximately $1.2 trillion by 2025, with a CAGR of 6.4% through 2034, driven by chronic conditions such as cardiovascular disease, diabetes, and dementia [3] - Innovations in medical technology and home care services are enhancing the sector's attractiveness, with digital health solutions and AI-driven diagnostics creating new revenue opportunities [6] Company Strategies - Healthcare companies like Abbott, Novo Nordisk, Exact Sciences, and Tandem Diabetes are positioning themselves to benefit from the aging demographic by expanding their focus on age-related therapeutics and technologies [4][5] - Abbott is a leader in adult nutrition and diabetes care, with products like Ensure and FreeStyle Libre, and is expanding its cardiovascular offerings [8][9] - Novo Nordisk is focusing on Type 2 diabetes and obesity treatments, with drugs like Ozempic and Wegovy, and is addressing supply constraints to meet rising demand [11][12] - Exact Sciences is advancing in cancer diagnostics, with a focus on early detection and personalized treatment solutions, particularly for the elderly [13][14] - Tandem Diabetes is expanding its market share in diabetes care, particularly with its t:slim X2 insulin pump, which integrates with Dexcom's continuous glucose monitoring systems [15][16]