Tandem Diabetes Care Q1 2025 Earnings Report

Tandem Diabetes Care EPS Results

• Actual EPS: -$0.67
• Consensus EPS: -$0.60
• Beat/Miss: Missed by -$0.07
• One Year Ago EPS: -$0.65

Tandem Diabetes Care Revenue Results

• Actual Revenue: $234.42 million
• Expected Revenue: $220.19 million
• Beat/Miss: Beat by +$14.23 million
• YoY Revenue Growth: +22.30%

Tandem Diabetes Care Announcement Details

• Quarter: Q1 2025
• Date: 4/30/2025
• Time: After Market Closes
• Conference Call Date: Wednesday, April 30, 2025
• Conference Call Time: 4:30PM ET

Tandem Diabetes Care (NASDAQ:TNDM), a medical device company, designs, develops, and commercializes technology solutions for people living with diabetes in the United States and internationally. The company's flagship product is the t:slim X2 insulin delivery system, a pump platform for managing insulin delivery and display continuous glucose monitoring sensor information directly on the pump home screen; and Tandem Mobi insulin pump, an automated insulin delivery system. It also sells single-use products, including cartridges for storing and delivering insulin, and infusion sets that connect the insulin pump to the user's body. In addition, the company offers Tandem Device Updater used to update the pump software from a personal computer; Tandem Source, a web-based data management platform, which provides a visual way to display diabetes therapy management data from the pumps, integrated CGMs, and supported blood glucose meters; and Sugarmate, a mobile app used to help people visualize diabetes therapy data. The company was formerly known as Phluid Inc. and changed its name to Tandem Diabetes Care, Inc. in January 2008. Tandem Diabetes Care, Inc. was incorporated in 2006 and is headquartered in San Diego, California.

Tandem Diabetes Care Q1 2025 Earnings Call Transcript

Presentation

[Operator]

Good day, and thank you for standing by. Welcome to the Tandem Diabetes Care First Quarter twenty twenty five Earnings Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, there will be a question and answer session. To ask a question during the session, you will need to press 11 on your telephone.

[Operator]

Please be advised that today's conference is being recorded. I would now like to hand the conference over to your speaker today, Susan Morrison, Executive Vice President and Chief Administrative Officer. Please go ahead.

[Susan Morrison, EVP & Chief Administrative Officer at Tandem Diabetes Care]

Hello, everyone, and thanks for joining Tandem's First Quarter twenty twenty five Earnings Call. Today's discussion will include forward looking statements.

[Susan Morrison, EVP & Chief Administrative Officer at Tandem Diabetes Care]

These statements reflect management's expectations about future events, our product pipeline, development timelines, and financial performance and operating plans and speak only as of today's date. There are risks and uncertainties that could cause actual results to differ materially from those anticipated or projected in our forward looking statements. A list of factors that could cause actual results to be materially different from those expressed or implied by any of these forward looking statements is highlighted in our press release issued earlier today and under the Risk Factors portion and elsewhere in our most recent annual report on Form 10 ks and quarterly report on Form 10 Q. We assume no obligation to publicly update any forward looking statements, whether as a result of new information, future events, or other factors. Today's discussion will also include references to a number of GAAP and non GAAP financial measures.

[Susan Morrison, EVP & Chief Administrative Officer at Tandem Diabetes Care]

Non GAAP financial measures are provided to give our investors information that we believe is indicative of our core operating performance and reflects our ongoing business operations. We believe these non GAAP financial measures facilitate better comparisons of operating results across reporting periods. Any non GAAP information presented should not be considered as a substitution, independently or superior, to results prepared in accordance with GAAP. Please refer to our earnings release issued earlier today and available on the Investor Center portion of our website for a reconciliation of these measures to their most directly comparable GAAP financial measure. Leading today's call is John Sheridan, Tandem's President and CEO, who will be joined by Leigh Vossler, our Executive Vice President and Chief Financial Officer.

[Susan Morrison, EVP & Chief Administrative Officer at Tandem Diabetes Care]

Following their prepared remarks, the operator will open up the call for questions. Thank you in advance for limiting yourself to one question before getting back in the queue. John, you may begin.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Thank you, Susan, and thanks, everybody, for joining us today. In the first quarter, we demonstrated strong execution throughout our business. We delivered more than 20% growth for the third quarter in a row, with record first quarter sales in The United States and our highest quarter ever internationally. In addition to driving top line growth, we are delivering on key operational initiatives to strengthen and enhance our business while increasing profitability. And in the first quarter, we demonstrated meaningful improvement in adjusted EBITDA year over year.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Another highlight of the quarter was FDA clearance of Control IQ Plus for people living with type two diabetes, followed by the New England Journal of Medicine's publication featuring the benefits of Control IQ plus I'd like to thank our employees for an impressive start of the year, which positions us to deliver on our goals in 2025 and beyond, while improving the lives of people with diabetes. Starting with a deeper look at our Q1 performance in The US, we continue to see growth year over year in new pump starts and achieved a double digit increase in customers converting from multiple daily injections for the last four quarters in a row. This strength is from demand for our newest offering Tandem Movi as well as our flagship pump, the t:slim X2. The product mix between these two offerings is healthy and the demand for Movi is on track to contribute meaningfully to our near and longer term financial goals. Our products are expanding the large and underpenetrated insulin pump market as approximately two thirds of our new starts are coming from people converting from multiple daily injections.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We also continue to see great loyalty from t:slim customers coming up for renewal. Renewal rates have remained at a consistently high level along with our customer satisfaction scores. Our mix of new and renewing customers remains roughly fifty-fifty, which we anticipate will continue throughout the year. Q1 was also our first quarter operating under our newly expanded fuel sales and clinical structure. This expansion and our realignment of existing territories has progressed according to plan and is now complete.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We welcomed a high caliber of talent to complement our more tenured field employees, and our territories are now poised to realize productivity gains throughout the remainder of this year. Another successful commercial initiative in Q1 was the launch of our best algorithm yet, Control IQ Plus. This algorithm makes better control easy, easy to start, to use, and easy to personalize. For example, our profile setting calculator is a software wizard that only requires a person's total daily insulin and weight to get them started on Control IQ Plus. This is a feature that benefits both patients and healthcare providers as it simplifies and streamlines onboarding to our AID technology, which is tested, trusted, and now better than ever.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Control IQ plus launched in late March and is indicated for use by people with type one diabetes ages two and older. Following FDA's recent clearance, it's also now cleared for adults living with type two diabetes. The pivotal study supporting this clearance is the first and only large scale randomized control trial of automated insulin delivery in people with type two diabetes. It was also in the most rigorous evaluation of AID for people with type two ever conducted, and the outcomes were incredible. Significant improvements in time and range in A1C were demonstrated for the people using Control IQ plus compared to a control group.

[John Sheridan, President and CEO at Tandem Diabetes Care]

These results were seen cumulatively and across a broad range of ages. They were also equally demonstrated in people who chose to count carbohydrates in the study compared to people who had used a more simplified approach by entering fixed dosing at meals. This is significant as it makes the bolus process even easier without sacrificing improvement in clinical outcomes. Also, the synergy between Control IQ plus and GLP-one receptor agonist use was highlighted at our ATTD presentation in March, showing how well these therapies work together. We are proud of the outcomes from our pivotal study and the tremendous accomplishment of being featured in New England Journal of Medicine.

[John Sheridan, President and CEO at Tandem Diabetes Care]

This most recent publication marks the fourth time that our Control IQ technology has been featured in the journal, which is unprecedented accomplishment in our industry and speaks to the strength of our studies and our AID algorithm. We are excited about the growth potential this type two indication provides, as it more than doubles our addressable market. Control IQ plus is now broadly available, and we have begun initial commercial efforts to people with type two in select areas. We are using this early phase of launch to gather customer experience data on training and onboarding, as well as reimbursement and channel access to inform our expanded launch plans and expectations for the remainder of the year. Channel access continues to be a top initiative for our company, and Lee will discuss our Q1 progress more in her prepared remarks.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Turning to our business outside The United States, the strong sales momentum we saw exiting 2024 continued in the first quarter, where we delivered our highest quarterly sales results ever. This was driven by demand for our t:slim X2 platform, which is available with DexCom G6 and G7 sensor integration in approximately 25 countries. In addition to attracting new customers, we are also beginning to see customers renewing with Tandem, who first bought a pump when we entered these markets four or five years ago. It's a meaningful opportunity when you look at the historical pump adoption rates outside The United States, and it will serve as an additional source of growth as we look to the future. Operationally, our plans to begin direct sales OUS in select countries are progressing well.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Transition service agreements are now in place in the select countries where we would go direct in 2026, and we are developing and executing joint transition plans that are designed to ensure the proper business continuity and minimize potential disruption. We've also been furthering the efforts we began last year to hire in country talent. We are preparing to enhance our sales efforts, support and technology offerings outside The United States, both for our direct and distributor led countries. It's a pivotal step for our company as we deepen relationships within the European diabetes community, while strengthening our financial position to accelerate sales growth and drive margin expansion. I'd now like to turn the call over to Leigh to talk about quarter one results and expectations for the year.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Thanks, John. As a reminder, unless otherwise noted, the financial metrics I'll be discussing today are on a non GAAP basis. Reconciliations from GAAP to non GAAP results can be found in today's earnings release as well as on the Investor Center portion of our website. Please note that 2025 sales and margins in The U. S.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Are not impacted by the Tandem Choice program, which ended in 2024. Our Q1 performance was a strong start to the year exceeding our guidance for both top line sales and bottom line EBITDA, and we are on track to deliver our 2025 commitments. Worldwide, we achieved record first quarter sales of $234,000,000 or 22% year over year growth. We also improved EBITDA five percentage points year over year while investing in market expansion efforts, demonstrating our commitment to profitable growth. Focusing on The U.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

S. First, we delivered another Q1 record with $151,000,000 in sales, representing a 15% increase year over year. This growth was driven by three factors that position us for longer term growth. First, we had healthy pump shipments to both new and renewing customers. Second, we had strong supply sales driven by a high rate of retention and improved customer utilization supply across our sizable installed base, which was the primary factor contributing to our outperformance. And third, we continue to improve our average selling prices.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

The favorable pricing came largely from our DME channel efforts, but we did realize meaningful pharmacy pricing benefit even on the small volumes we fulfilled this quarter. This continues to reinforce that our newly launched pharmacy channel initiative provides a significant opportunity for the future. We are pleased to report that we now have approximately 30% of US lives covered under the pharmacy benefit with a mix of commercial and government lives compared to the 20% that we shared on our last call. The contracts we have in place plus ongoing negotiations confirm that durable pumps are well accepted under this benefit and flexibility exists for the structure of reimbursement across pumps and supplies.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

The contracts we have entered into so far continue to be similar in structure to our DME agreements, which are not subscription models. We continue to scale our capabilities and gather data on our increasing pharmacy channel access. Our early experience in processing orders has been encouraging, enabling us to serve customers at significantly reduced out of pocket costs. This lowers the financial barrier that historically may have prevented people from adopting AID technology. We are focused on advancing our pharmacy capabilities as part of our broader market access strategy, which remains centered around having a multichannel approach to best serve our customers while driving volume growth and profitability through improved pricing.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Turning to markets outside The United States, we started the year off strong with all time record sales of $84,000,000 This 35% year over year growth was driven by continued demand for t:slim, strong supply sales and early positive momentum for renewals. The first quarter benefited from nearly $5,000,000 in orders that we originally anticipated would be placed in Q2. This shift in timing was the largest part of our outperformance relative to Q1 guidance, and we're maintaining our expectations for the full year. Moving on to margins. Our Q1 performance demonstrated progress on our path to achieving our near and long term profitability goals.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Our 51% gross margin was a significant accomplishment as it's in line with Q4 where we have historically seen a seasonal decline from the fourth to the first quarter. This was primarily driven by a reduction in the per unit cost of pumps with efficiencies gained in both manufacturing and non manufacturing costs. Demonstrating improvement in profitability is a key objective for us this year, which we delivered in Q1 as our adjusted EBITDA margin expanded at an even higher rate than gross margin, improving five percentage points year over year. This improvement was primarily driven by leverage gained within R and D, which was also an important offset to SG and A as we invested in our U. S.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Sales force expansion and the infrastructure for direct European operations beginning next year. In addition, we began executing our plan to drive greater efficiency within our customer support functions, which are designed to modernize the customer experience while driving cost savings. The benefits from these initiatives will begin to be realized in the second half of this year. As a reminder, adjusted EBITDA does not include the impact of certain nonrecurring transactions, primarily associated with

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

As you can see, we achieved our objectives for Q1 on both the top and bottom line and are well positioned for the remainder of the year. We ended the quarter with nearly $370,000,000 in total cash and investments and anticipate returning to positive free cash flow both for the second half of twenty twenty five and on a full year basis. With that, we remain confident in our ability to support key commitments, including repayment of convertible notes due in the second quarter. As we look to the remainder of 2025, we are reaffirming our sales, gross margin and EBITDA guidance. The broader environment is very dynamic, but the building blocks for our original guidance assumptions remain intact.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Starting with worldwide sales, we expect a range of $997,000,000 to just over $1,000,000,000 reflecting our goal to deliver double digit growth for the second year in a row. This includes U. Sales in the range of $725,000,000 to $730,000,000 where more than 70% of our sales for the year are expected to be generated from predictable and recurring revenue streams from supplies and renewals. Similar to years past, we anticipate sales will step up in Q2, highlighting that the average increase across the last three years was 13%. Then we anticipate sales will increase modestly from Q2 to Q3, with our highest sales achievement in Q4.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

This cadence comes from multiple factors that are the building blocks of our guidance. First is overall seasonality associated with insurance benefits. We assume this will be consistent with 2024 along with the progression of renewals, which are back half loaded based on the timing of pump sales four years ago. Next and unique to this year is the scaling productivity of our expanded sales force. Disruption from adding and realigning territories was well managed in the first quarter, and we anticipate it will take nine to twelve months for territories to scale to full productivity, which puts the greatest benefit in the fourth quarter.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

The last of the factors I'll highlight are all of our new growth opportunities, which are more heavily weighted to the second half of the year. These include new technology launches, benefit from our encouraging ASP trends, as well as broadened pharmacy channel access and type two commercial efforts. Sales outside The US are expected to be in the range of $272,000,000 to $277,000,000 We anticipate sales to be relatively flat across the remainder of the year, which reflects the timing shift of approximately $5,000,000 in sales originally anticipated for Q2 that were fulfilled in Q1, as well as approximately 15,000,000 to $20,000,000 of potential headwinds in the back half of this year as we prepare to transition to direct sales in select markets beginning in 2026. Incorporating these factors into the second quarter specifically, we anticipate worldwide sales of approximately $238,000,000 For gross margin, we are reaffirming our 2025 expectations to improve gross margin to approximately 54% and adjusted EBITDA to approximately 3% of sales. We expect to see continued margin progress across the year as pump sales increase, efficiencies are gained as Mobi scales and we demonstrate further operating leverage.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Our margin expectations incorporate minimal impact from tariffs, which we believe will be immaterial as we are employing a number of strategies for our supply chain structure and product category, including a well established tariff exemption. It's been a strong start to the year and our results are beginning to reflect the benefits of our strategy as we deliver on our technology portfolio, demonstrate strong retention and enhance our business model. As our business continues to mature in addition to driving pump growth, we remain focused on improved profitability through increased pricing, executing our margin improvement initiatives and disciplined cost management. I'll now hand the call back to John.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Thanks, Lee. As you can see, we are delivering on our key objectives for 2025. This is a testament to the rigorous planning and thoughtful execution of our team. We are continuing to transform our business to achieve our longer term goals. As we look to the future, our pipeline remains the most innovative and robust in insulin therapy management.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Our distinctive technology ecosystem includes an insulin pump systems, advanced algorithms and digital health solutions, and we are rolling out new commercial offerings under each of these pillars in 2025. Starting with our pump systems, we intend to offer two new sensor integrations in 2025. We will begin our US launch of PRESTILE Libre three integrated with the t:slim in the second quarter, and that will be followed by Mobi. Internationally, we plan to begin offering Libre three integration with t:slim in the third quarter. We also intend to support the fifteen day Dexcom G7 sensor at launch.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Another feature enhancement we intend to begin offering for Mobi this year is an Android application, which will require an FDA five ten clearance before launch. Mobi is currently under CE Mark review. Following approval, we will begin country registration and reimbursement discussions to bring our newest pump platform to all the countries we serve. Our goal is to begin launching Mobi outside The United States with multiple sensor integrations by the end of this year and continue to roll out through 2026. Infusion sets are another key part of our system, and we have been developing proprietary technology to extend wear time.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We made an FDA submission for a three day indication using this technology late last year. Following its clearance, we are planning to quickly file another submission in pursuit of a seven day indication. Advanced algorithms and our commitment to AID leadership also continue to be a top priority in 2025. As discussed, we launched our Control IQ plus algorithm in The US in the first quarter and are planning to begin launching internationally by the end of the year, pending regulatory approval. The last area of our portfolio I'd like to highlight is our progress in digital health solutions.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Tandem source is the foundation of our digital offerings, serving as the hub for patient therapy information, healthcare provider reporting, payer analytics, and as a portal for customer sales support. Tandem has offered a cloud platform for the past decade in The US, and last year we began rolling out these capabilities internationally. It's an important step for our launch of the t:slim Mobile bolus outside The United States that we are planning for the second quarter of this year, as well as our international launch of Mobi. Rounding out our pipeline are the technology solutions we plan to launch beyond 2025 that are designed to further expand our portfolio and bring the benefits of our technology to more people living with diabetes. We're making great progress on our tubeless feature for Mobi, which is now in the verification testing and manufacturing build out stage in support of a future five ten filing.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Development for our durable patch pump SIGI has moved to San Diego, allowing us to best leverage the expertise of our advanced pump development team. Lastly, we remain steadfast in our commitment to bring an industry leading fully closed loop algorithm to market. We recently completed a fully closed loop feasibility trial. In a Q1, we signed a collaboration agreement with the University of Virginia's Center for Diabetes Technology to advance our R and D efforts on fully automated closed loop systems. In conclusion, you can see that it's both a busy and exciting time at tandem.

[John Sheridan, President and CEO at Tandem Diabetes Care]

The opportunities in front of us are numerous as we execute on our sales strategy, increase pharmacy channel access, scale growth into type two, and commercialize our robust pipeline. By doing so, we are creating new possibilities for people living with diabetes, while achieving record results that align with our 2025 and longer term financial goals to deliver sustained double digit sales growth and profitability. Thank you for joining us today. We look forward to keeping you updated as the company continues to progress. Operator, we'd now like to turn the call over for questions.

[Operator]

Thank you. Our first question comes from the line of Matt Miksic with Barclays. Your line is now open.

[Matthew Miksic, Analyst at Barclays Capital]

Great. Thanks so much for taking the question. So I wanted to try to get a sense of, you know, how, in addition to the performance you outlined in the quarter, how some of the sales force changes, sales force realignment, you know, any of the sort of one time issues that came about in the fourth quarter have kind of moderated or gotten behind you or, you know, are they still in process? That's just kind of an update on that. And I'll skip the follow-up and pass to the next person.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Thanks, Matt. Well, first of all, want to say that there were really no disruptive events that occurred in the fourth quarter. All we were doing at that point in time was hiring people. And as of the beginning of the year, most of those people were on board. And as exit the first quarter, the expansion is essentially complete.

[John Sheridan, President and CEO at Tandem Diabetes Care]

The territory realignment is complete. And we saw some modest disruption, but nothing more than we anticipated. I would say that now it takes salespeople that are new to the company and new to the territories about nine to twelve months to just get accustomed, up to speed, and we'll see gradual improvement in their productivity over the next several quarters. And the good news is that we expect them to be fully on board and producing in the fourth quarter. So it's a high quality team.

[John Sheridan, President and CEO at Tandem Diabetes Care]

They complement our existing team, and we're very happy to have them on board. And we think this is just a logical thing for the company to do based on where we are in the market.

[Operator]

Thank you. Our next question comes from the line of Matthew Blackman with Stifel. Your line is now open.

[Mathew Blackman, Managing Director at Stifel Financial]

Good afternoon, everybody. Can you hear me Okay?

[John Sheridan, President and CEO at Tandem Diabetes Care]

We can.

[Mathew Blackman, Managing Director at Stifel Financial]

Great. Lee, I wanted to ask specifically how much price played a role in The U. S. I think our math says about 2% to 3% for pumps, maybe upwards of a 10% lift for supplies. Is that roughly right?

[Mathew Blackman, Managing Director at Stifel Financial]

And I guess the follow-up there is, is that the right magnitude for us to layer in going forward? Is this sustainable? Or is there something unique about the first quarter? Thanks,

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Matt. I would say you're in the ballpark there on the pump side, and the supplies are probably closer to what you are thinking from a pump perspective. And so it's really performing again like we did last year in terms of price increase. And I think this is the new bar to think about as we look to the rest of the year from a pricing perspective. I'll say in The U.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

S. In particular, the majority of the price benefit did come from our work in the DME channel. But even though we only had very small volumes in pharmacy at this time, we did see a meaningful contribution from a price perspective in the first quarter. So it gives us a lot of encouragement for what this can do for the business in the long term.

[Operator]

Thank you. Our next question comes from the line of Steve Lichtman with Oppenheimer. Your line is now open.

[Steven Lichtman, MD & Senior Analyst - Medical Devices at Oppenheimer & Co. Inc.]

Thank you. Excuse me. Evening, guys. So just on the sales force expansion and realignment, great to hear it's going as expected. Understanding the ramp that you mentioned through the year, but can you talk about where you're deploying the new individuals, where you expect to see benefits, and in particular, how that will dovetail with type two expansion?

[John Sheridan, President and CEO at Tandem Diabetes Care]

I would say that we've done a lot of analysis to see exactly where there is opportunities to realign and make the territories more productive. We're not going to speak specifically to that, nor will we talk about the numbers, etcetera. I would say that we are, as I indicated in the prepared remarks, we are now in the process of actually doing the Salesforce pilot. It's live. It's in a meaningful number of territories.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We've trained our internal people, and they're out there selling right now. So that's happening with our existing team. And typically, we evaluate the Salesforce size, and it's something that's traditionally done near the end of the year. But I think right now we feel good with where we're at. We've got a good plan for the existing type one and type two populations in terms of supporting them.

[John Sheridan, President and CEO at Tandem Diabetes Care]

And as we said, we're moving forward.

[Operator]

Thank you. Our next question comes from the line of Brooks O'Neil with Lake Street Capital Markets. Your line is now open.

[Aaron Wukmir, Healthcare Equity Research Associate at Lake Street Capital Markets, LLC]

Hey, good afternoon, guys. This is Aaron on the line for Brooks. Thanks for taking our questions and congrats on the progress. I'm just curious if you maybe had a mix in mind in terms of what you expect from pharmacy versus other channels longer term. Appreciate the color and commentary and the progress from last quarter to now.

[Aaron Wukmir, Healthcare Equity Research Associate at Lake Street Capital Markets, LLC]

But I guess my question is, how do you see that dynamic sort of playing out over the next twelve months or so? Any additional color there would be great. Thanks.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Great. Thanks for the question. So when we think about pharmacy this year, as we put together our assumptions from a guidance perspective, we only factored in modest contribution. And we're really just getting started there. The first quarter was really a lot about the operationalizing of it and making sure we are putting in an effective and efficient infrastructure to support this for the long term.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

But I'll say from the very, very early, very small volumes and very early learnings, it gives us it makes me super excited about this opportunity long term. And it's something that we think as we think about the risks and opportunities for the year, it could pose more of an opportunity than we originally even anticipated. So we look forward to continuing on this journey and talking more in the future about what kind of impact it can have on the big business long term.

[Operator]

Thank you. Our next question comes from the line of Matthew O'Brien with Piper Sandler. Your line is now open.

[Matthew O'Brien, Analyst at Piper Sandler Companies]

Afternoon. Thanks for taking the questions. And I know Susan is going to kill me for asking too, but I'm going to Just one please.

[Susan Morrison, EVP & Chief Administrative Officer at Tandem Diabetes Care]

Just one.

[Matthew O'Brien, Analyst at Piper Sandler Companies]

All right. I hate to burn it on this one then, but just the AMS write off, is that saying anything about timing of SIGI? Because I think John or Levy kind of had it in our heads that that would be out sometime in 2027. But given the write off, does that mean that the timeframe to get this thing to market is even further out maybe very end of the decade? I mean, how do we interpret that write off and what it means for timing of SIGI?

[Matthew O'Brien, Analyst at Piper Sandler Companies]

Thanks.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Thanks, Matt. I think it's actually the opposite, Matt. It turns out that the agreement we had in place had a number of contingent liabilities in it. And by terminating the agreement, it just gave us more control and flexibility over the development path. It was a great I think it was a great deal for both parties.

[John Sheridan, President and CEO at Tandem Diabetes Care]

But now we've brought the development activity back here to San Diego. We have a very experienced team of pump and system developers that are working on it. And so as I said, if anything, this is going to improve our time to market, not reduce it.

[Operator]

Thank you. Our next question comes from the line of David Roman with Goldman Sachs. Your line is now open.

[David Roman, Managing Director at Goldman Sachs]

Thank you and good afternoon, everybody. I wanted to talk on the gross margin line here for a second. Given the strength you saw in the quarter, can we help us understand what were the puts and takes keeping the gross margin at the 51 percent level that you had indicated given the significant strength you saw in The U. S. Here and the traction you're seeing with Mobi?

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Sure. So I would say, first of all, we're very excited to have Mobi as part of the mix and a growing part of the mix of our business because it's one of the most important factors in delivering on our long term gross margin targets. So as we look at how we came in, in Q1, it really was, especially compared to a year ago, showing an improvement in pump costs, but actually both in t:slim and in Mobi, because Mobi is just beginning on its journey of becoming accretive to the business. So this year, think about the Mobi pump driving accretion. In 2026, you think about it coming from the perspective of the cartridges.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

And so those will continue to build up over time. And we've often said that Mobi gets us more than halfway through our long term gross margin target of 65%. And maybe another piece of color today as well that I don't think we've shared before is thinking about how to think about that progression and with movie in the mix with what we are thinking about from a pharmacy perspective from this early evidence. And also thinking about going direct in 2026. We believe we see a pathway to get to a 60% gross margin as early as next year.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

So we're really excited about where we are right now and where we're progressing and our ability to deliver on that.

[Operator]

Thank you. Our next question comes from the line of Matt Taylor with Jefferies. Your line is now open.

[Matthew Taylor, Managing Director at Jefferies]

Hi, thanks for taking the question. I guess I wanted to ask, I know you made some comments in the prepared remarks about the pharmacy progress and hoping to just double click on that. You talked about, excuse me, lives covered. It does sound like you're just really getting started with those patients. I was wondering if you could give us some color on the early experience and maybe talk about how you think the uptake will be through this year and next, when it could actually be sort of a material portion of your business.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Yes, thanks for the question, Matt. So, first of all, were excited to share that we've increased our percentage of lives covered in The U. S. Under pharmacy, going from 20%, which is what we shared at our last earnings call to 30% now. So we're starting, I would say, at a really high mark in terms of coverage.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

What we were learning in the first quarter, particularly as we were testing out the benefits with different people coming to tandem with that. It really does dramatically offer a lower out of pocket costs for patients. And so that can be one of the most pivotal factors in terms of addressing one of the bigger barriers to adopting pump therapy, particularly durable pump therapy. So, we think it can create increase our access or expansion over time in that regard. The other element of it is in the pharmacy channel, as you're probably seeing and hearing from many of the competitors in the space.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

There is a pricing premium associated with the value that they put on these advanced algorithms and the clinical benefits from the patients. And so that really can help drive profitability for us. And so, like we said, it's very early right now, but the contracts that we have in place are really good, solid contracts that can deliver on that profitability. And we'll continue to drive it forward and give more color in the future as it becomes a bigger piece of our business. But for 2025, still think about it as only a modest contributor.

[Operator]

Thank you. Our next question comes from the line of Chris Pasquale with Nephron Research. Your line is now open.

[Chris Pasquale, Partner - Medical Devices & Supplies at Nephron Research LLC]

Thanks. It was something you could talk about the decision to just reiterate guidance after the good 1Q. You beat consensus by about 14,000,000 back out the $5,000,000 that got pulled forward OUS, you're still up 9,000,000 Is there anything that you're looking at now that you're more concerned about than you were at the end of the year, maybe in terms of the economy? And then does the margin guidance contemplate any impact from tariffs? Thanks.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Yeah, thanks for the question. So, when we looked at the building blocks for how we put together our guidance at the beginning of the year, there's nothing that's changed about our confidence level, our ambition this year, what we think we can deliver on. It really was looking at the broader economic environment and just thinking about how dynamic it has been and how dynamic it may continue to be across this year. So, we thought at this point, despite the nice deliverable in Q1, that it was more prudent to reaffirm at this time. And then we'll continue to execute on that as we look across the year.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

And then from a tariff perspective, factored in at the beginning of the year and still factored in is the minimal impact that we expect from tariffs this year. So we really don't see it being a big headwind for us.

[Operator]

Thank you. Our next question comes from the line of Anthony Patrone with Mizuho Financial Groups. Your line is now open. Anthony, your line is open. Please check your mute button.

[Anthony Petrone, Managing Director Equity Research at Mizuho Financial Group]

About that. I was on mute. Thank you for fitting us in and congrats on the solid quarter. Maybe a little bit just on Control IQ Type two indication, early days out there. Just a review and recap on what's baked in for guidance for Type two MDI conversion specifically for this year and how you expect that to progress into the second half specifically within the PBM world?

[Anthony Petrone, Managing Director Equity Research at Mizuho Financial Group]

Thanks again.

[John Sheridan, President and CEO at Tandem Diabetes Care]

I'll start off by saying, know, it's been approved now for about a month. We have already provided about 300,000 people in the marketplace access to Control IQ plus and all of our new pump shipments are underway. I think that you know when it comes to the actual benefit right now it's too early for us to measure. But I think Leigh you may want to comment a little bit on just what's planned and guidance and things like that.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Sure. So, from the perspective of this year, I mean, we really just launched not too long ago, and we've only factored in modest contribution in 2025. '1 of the areas that you mentioned from a PBM perspective, it's really focused on the reimbursement element of it. So, from a commercial perspective, the coverage for type two patient is very similar to type one in terms of access. And so, concerns there.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

From a Medicare perspective, there is coverage, but it is a little more onerous to get someone approved. And so, that's where are focused is really on actually, from an industry wide perspective. We're all focused on trying to improve that access through Medicare. And so that could be a bit of a gating factor initially, as we think about the opportunity, but we're confident in our ability to drive it in the longer term, both through the DME and the pharmacy channel.

[John Sheridan, President and CEO at Tandem Diabetes Care]

I'll just add one other thing. And that is that when you look at the type two study we did, we actually produced the first clinical data that's been available that actually evaluates the effectiveness of the C peptide test. And so we monitor people with high and with low C peptide results. And in both cases we saw great results from Control IQ. So I think this arms us and individuals are seeking to reduce some of the burden and hurdles that people have to get over to get on to a pump of type two and we're excited about having that data.

[Operator]

Thank you. Our next question comes from the line of Josh Jennings with TD Cowen. Your line is now open.

[Joshua Jennings, Managing Director at TD Cowen]

Good afternoon. Thank you. Wanted to just follow-up on your comments Lee on pharm, the contracts with pharmacy access. Have you mentioned that the revenue recognition will be similar to the DME channel. Has there been any limitations or have there been any pushback in terms of your negotiations with payers?

[Joshua Jennings, Managing Director at TD Cowen]

Or is it smooth sailing and do you expect every contract going forward to mirror what you have in place today? Thanks.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Sure. Thanks for the question, Josh. So, first, I'll confirm there are a couple of things we've learned in our early negotiations, which are DME pumps are durable pumps are widely accepted in the pharmacy channel. And secondly, you can employ a variety of reimbursement structures in the channel. There's no one set solution.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

And so, to your point, the contracts we have in place today do follow more of a DME like model. They're not subscription based. It doesn't mean that we might not consider something like that in the future. But for now, that's what it looks like for us as a business. And so we don't anticipate any headwinds that you may hear when people transition to a subscription model in the future.

[Operator]

Thank you. Our next question comes from the line of Issy Kirby with Redburn Atlantic. Your line is now open.

[Issie Kirby, Vice President- Equity Research - Medical Technology & Life Sciences at Redburn Atlantic]

Hi, guys. Thanks for taking my question.

[Issie Kirby, Vice President- Equity Research - Medical Technology & Life Sciences at Redburn Atlantic]

I wanted to touch upon OUS international, a lot going on there with respect to new launches. Just wanted to ask about sort of the competitive dynamics and the win rate you're seeing internationally. And then how should we think about retention internationally? Is this going to be based on what you've seen so far roughly comparable with The US renewal retention rate? Thanks.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Right. Well, I'll say that first of all, it's a very large market that's less penetrated than The US. And you know the good news about it is that the healthcare systems in the OUS countries seem to see the benefit of AID systems for their patients as well as for the economics for their you know for the various country systems. So we're excited about being there. I would say that, you know, there are our two main competitors exist in The US markets, and, you know, we're competing against them.

[John Sheridan, President and CEO at Tandem Diabetes Care]

There is the third player, a smaller player that's up and coming that's doing reasonably well. But I would say that the competitive environment really hasn't changed in the last couple of quarters. We're holding our own and I think it's just as it is. The other thing I'll say though is that if you look at the technology we're planning to bring to market we have mobile bolus, we have source, we have Freestyle Libre three, we have G7 fifteen day, We've also got, you know, Mobi OUS under review. So we have a tremendous amount of technology that is under review right now or in the process of being transferred.

[John Sheridan, President and CEO at Tandem Diabetes Care]

And we think that, as I said, we feel very competitive in that market today. You can see the results we're experiencing are quite good. And when we have this new technology there it'll even be better.

[Operator]

Thank you. Our next question comes from the line of Larry Biegelsen with Wells Fargo. Your line is now open.

[Nathan Treybeck, Analyst at Wells Fargo]

Hi, this is Nathan Traybeck on for Larry. Congrats on a strong quarter. Just a question on competition in The U. S. What are you seeing today and I guess your outlook for the rest of the year when we think about Databionics and Medtronic as there some players think approval?

[Nathan Treybeck, Analyst at Wells Fargo]

Thanks.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Sure. I think that it's a large expanding and underpenetrated market in The US. And it's not a zero sum game. Mean multiple players can be successful in this market. But I said it's very much like the OUS countries right now.

[John Sheridan, President and CEO at Tandem Diabetes Care]

It's very competitive, but there hasn't been a lot of changes in the last couple of quarters. And I think that we're holding our own. I mean currently there continues to be two large players. A scaling startup is working on it. Just making progress in the market.

[John Sheridan, President and CEO at Tandem Diabetes Care]

And we also acknowledge that there's a new competitor coming. But we're ready for it. We've understood this for a while and we're prepared. Relative to the Sinclair approval, as I understand it, it's probably a second half commercial launch. Right now we're very close to launching Freestyle Libre three in The US market.

[John Sheridan, President and CEO at Tandem Diabetes Care]

And we've got fifteen day DexCom sensor, G7 sensor coming as well. So I think when it comes to sensor technology we have the very best on our products and I think that when you look at the actual technology that is used to pump I think we feel very confident that the pump technology that we're using is very competitive with the devices that are in the market.

[Operator]

Thank you. Our next question comes from the line of Mike Kratky with Leerink Partners. Your line is now open.

[Mike Kratky, Senior Managing Director - Medical Devices & Technology at Leerink Partners]

Hey, everyone. Thanks for taking our questions. Maybe just one on The U. S. New starts and sorry if I missed this.

[Mike Kratky, Senior Managing Director - Medical Devices & Technology at Leerink Partners]

Can you just confirm whether you're still tracking that mid single digit percent growth in The U. S. For new starts this year? And what does that assume between MDI starts versus competitive conversions?

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Sure. Happy to speak to that. So, I'll start with in the first quarter, we saw double digit growth in MDI conversions, which is the fourth quarter in a row of that since we returned to growth last year in the second quarter. We do still in our guidance assume that that new starts will be mid single digit growth year over year. And as you think about new starts as a mix of the business, between new and renewal, it's roughly a fiftyfifty mix within that new population.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

It's starting to lean more towards the MDI conversions, which are roughly about two thirds of new starts. So, I'm feeling very good about our opportunities there in our ability to continue driving that with the products that we have and all the great products that John just listed out that we'll be adding this year.

[Operator]

Thank you. Our next question comes from the line of Joanne Wuensch with Citi. Your line is now open.

[Anthony Petrone, Managing Director Equity Research at Mizuho Financial Group]

Hey, good afternoon. This is Anthony on for Joanne. I know it's early days for OUS renewals, but are you expecting sort of a similar high rate of renewals OUS as we've been seeing in The U. S?

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Yes, I would say in time. We're just at the beginning of the renewal opportunity, and we're starting to see the early momentum we're hearing from our distributors, their success there. I wouldn't anticipate that we'll get to that exact same measure immediately that we share in The US, which is that we get to about a 70% capture rate within eighteen months. It took us a few years to build to that here in The US and I think the same will occur outside The US, but we have no reason to be concerned about our ability to hit that goal long term.

[Operator]

Thank you. Our next question comes from the line of Jason Bedford with Raymond James and Associates. Your line is now open.

[Jayson Bedford, Managing Director - Medical Technology at Raymond James Financial]

Good afternoon and congrats on the progress here. Just a quick one for me. Have you seen I know it's early, but have you seen any change in the mix of your Type one versus Type two new user mix?

[John Sheridan, President and CEO at Tandem Diabetes Care]

I would say, Jason, it's probably it's too early for us to say. As I said, we have started the programs. The people are out selling right now into the type two community. Know we continue to see good progress on the type one side but I think that there's really we don't really have any data here we could share at this point in time. But I would imagine in the next call that'll be a different story.

[Operator]

Thank you. Our next question comes from the line of William Plavonic with Canaccord Genuity. Your line is now open.

[William Plovanic, Managing Director - Equity Research at Canaccord Genuity - Global Capital Markets]

Great. Thanks. Good evening. Just to switch over to the P and L. I'm wondering, we did see a pretty good healthy jump up in SG and A nominally.

[William Plovanic, Managing Director - Equity Research at Canaccord Genuity - Global Capital Markets]

Is this a new normal as we should look at a nominal level for the rest of the year or were there some one time charges that we should think about backing out as we go into the four quarters?

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Sure. When you look at SG and A on a non GAAP basis, it did increase year over year, and that's tied mostly to our sales force expansion in The US. Also, starting to make the investments in building our OUS infrastructure, hitting that SG and A line. That step up it took in from a year ago was pretty hefty. But when you look across of the year, it won't be as much of an increase across the quarters.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

And that comes particularly from the fact that we have some other cost saving initiatives underway in support of our customer service operations that will help to fund these investments that we're making in the field. So so this year, we're still very focused on delivering on our profitability, even with these investments. And I think you'll see that come through in the P and L.

[Operator]

Thank you. Our next question comes from the line of Michael with Your line is now open.

[Michael Polark, Senior Equity Research Analyst at Wolfe Research LLC]

Hey, good afternoon. Thank you. I want to make sure I understand this SIGI charge. If I look at the original agreement, there was up to CHF 130,000,000 of earn out potential. It looks like the renegotiated agreement is CHF 68,000,000.

[Michael Polark, Senior Equity Research Analyst at Wolfe Research LLC]

And so the question is, why would the AMF shareholders agree to this? If I put words in your mouth, it seems like they're getting something sooner, so not waiting as long. And the trade off for you is you get to maybe go faster than you otherwise would have. And I'm tying together tying this with the San Diego move for city development. Do I have the numbers correct?

[Michael Polark, Senior Equity Research Analyst at Wolfe Research LLC]

Do I have the why you took this deal correct? Any color would be welcome.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Yeah, I think that's roughly the numbers. And I would just say if you look at it on a discounted cash flow basis, it's not a bad deal for either party. And I think it's like I said, there's the opportunity to take control over this ourselves and not you know not be linked to another entity which is the primarily the reason we did it. And as I said we did it in a way that both parties I think were pleased with the results.

[Operator]

Thank you. Our next question comes from the line of Danielle Antolffy with UBS. Your line is now open.

[Danielle Antalffy, Analyst at UBS Group]

Hey, good afternoon, guys. Thanks so much for taking the question. And I was hoping, Lee, if you could bridge us a little bit. So you commented on potentially reaching 60% gross margins by early next year or by next year. I appreciate that Mobi's a a part of that, but you also have the potential headwinds from shift to the pharmacy.

[Danielle Antalffy, Analyst at UBS Group]

So, and, you know, that's 10 points from where we are today. So just wondering if you give a little bit more color about the puts and takes that could get you there when when you

[Danielle Antalffy, Analyst at UBS Group]

do get get there. Thank you so much.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Yes, great question. So, I would say there are three main drivers that I would say give us the confidence that we can get to 60% as early as next year. And I'll start with Mobi, and we have demonstrated proof with Mobi on the market.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

As we're seeing the volume scale. We're achieving that cost efficiency that we anticipated. The Mobi pump this year will become accretive, which is why we are guiding to a four margin point or three margin point improvement over last year, getting to 54. As we turn the corner to 2026, the cartridges will start to show their benefit as well, becoming more accretive. And so that alone is one of the most significant pieces.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Then, as we look at the early learnings from pharmacy and you categorize pharmacy as a headwind, but in our world, it's actually a tailwind. So, our structure is very much like, meaning that we get reimbursement for the pump as well as for the supply. And as we look at the nature of our contracts, the early evidence of what we're seeing as we are checking patient benefits, we believe that we will get meaningful price improvement as we look ahead. And so, as we continue to penetrate pharmacy, that will also really help from a profitability perspective. And then the last piece that will only be the early beginnings of it, but as we go direct and select markets outside The U.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

S, we will see a revenue and a margin benefit there. And so, the combination of those three factors together are what can help us to deliver on that 60% as early as 2026.

[Operator]

Thank you. Our next question comes from the line of Travis Steed with Bank of America Securities. Your line is now open.

[Stephanie Piazzola, VP - Equity Research at Bank of America]

Hey, this is Stephanie Piazzola on for Travis. Thanks for taking the question. I just wanted to clarify or follow-up on the new patient numbers in the quarter. I heard the comment on double digit growth in MDI, but curious about overall growth in new patients when you consider the competitive conversions as well. Thank you.

[Leigh Vosseller, EVP, CFO & Treasurer at Tandem Diabetes Care]

Yes. So, when we looked at new patient starts, they were up year over year with the biggest driver or contributor being those NBI conversions. We do continue to see some headwinds from a competitive conversion perspective. But really, I would say that's in line with what we anticipated starting last year, going into this year and in our long term models. And so everything's moving in the right direction.

[Operator]

You. Our next question comes from the line of Shagun Singh with RBC. Your line is now open.

[Shagun Singh, Senior Equity Analyst at RBC Capital Markets]

Great, thank you so much. I was wondering if you could maybe elaborate a little bit more on your Type two opportunity, go to market strategy, you know, how you're positioning yourself versus competition, Obviously, the massive MDI population there, but how are folks deciding between your offering and competition, especially patch pumps? Any detail there would be helpful.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Well I guess I would say that first of all it is a large opportunity. It's I think roughly three million people in The U. S. That have insulin intensive diabetes. And you know we are working aggressively know to get out there and take advantage of it.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We think our pipeline lines up very well with community. One of the things that was very interesting about our type two study was just the number of subgroups we looked at. And I think the subgroups certainly indicate that it is a very segmented market. And as a result of that we feel that having a portfolio approach to our product strategy is the right one for this significant segmentation. So I think that right now as we indicated we have began our sales initiative.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We have a meaningful number of sites that we're doing I'd say a pilot study. We're evaluating the training, evaluating the materials we're using, we're basically understanding the messaging towards HCPs, and we're also looking at reimbursement and market access. And so as we refine that our intent is to move that out beyond just just these these sites and and have it deployed throughout the entire country. So you know as I said these are this is just early going. It's the right thing to do.

[John Sheridan, President and CEO at Tandem Diabetes Care]

We want to make sure that when we do step on the gas that we have an effective program that will catch on. As I said, expect this to drive significant growth for the business going forward. I'll also just finish in that saying that our you know a lot of the research that we've done recently has indicated that people who have type two have seen the results of these AID systems and I think that they're very concerned about their own health and I think the ease of use and simplicity that comes along with the therapy benefits is making them more likely to consider that And so we're excited about that.

[Operator]

Thank you. And I'm currently showing no further questions at this time. This does conclude today's conference call.

[John Sheridan, President and CEO at Tandem Diabetes Care]

Shannon let me just say one thing before we leave. I just want to say that you know this is a busy and exciting time for Tandem. The team is executing at a very high level. There's numerous opportunities in front of us such as the sales strategy, the pharmacy channel access, the type two expansion. We've got a robust pipeline and these enable us to continue achieving our results and more importantly helping people with type two diabetes in general.

[John Sheridan, President and CEO at Tandem Diabetes Care]

These opportunities are also they align with our plans to deliver sustained double digit growth and profitability in 2025 and beyond. We're excited about where we are. Thank you.

[Operator]

Thank you. This does conclude today's conference call. Thank you for your participation. You may now disconnect.

Participants

Executives

• Susan Morrison, EVP & Chief Administrative Officer
• John Sheridan, President and CEO
• Leigh Vosseller, EVP, CFO & Treasurer

Analysts

• Matthew Miksic, Analyst at Barclays Capital
• Mathew Blackman, Managing Director at Stifel Financial
• Steven Lichtman, MD & Senior Analyst - Medical Devices at Oppenheimer & Co. Inc.
• Aaron Wukmir, Healthcare Equity Research Associate at Lake Street Capital Markets, LLC
• Matthew O'Brien, Analyst at Piper Sandler Companies
• David Roman, Managing Director at Goldman Sachs
• Matthew Taylor, Managing Director at Jefferies
• Chris Pasquale, Partner - Medical Devices & Supplies at Nephron Research LLC
• Anthony Petrone, Managing Director Equity Research at Mizuho Financial Group
• Joshua Jennings, Managing Director at TD Cowen
• Issie Kirby, Vice President- Equity Research - Medical Technology & Life Sciences at Redburn Atlantic
• Nathan Treybeck, Analyst at Wells Fargo
• Mike Kratky, Senior Managing Director - Medical Devices & Technology at Leerink Partners
• Jayson Bedford, Managing Director - Medical Technology at Raymond James Financial
• William Plovanic, Managing Director - Equity Research at Canaccord Genuity - Global Capital Markets
• Michael Polark, Senior Equity Research Analyst at Wolfe Research LLC
• Danielle Antalffy, Analyst at UBS Group
• Stephanie Piazzola, VP - Equity Research at Bank of America
• Shagun Singh, Senior Equity Analyst at RBC Capital Markets