Senseonics Holdings, Inc. Common Stock Q1 2026 Earnings Call Transcript

Quartr
Provided by Quartr
May 7, 2026

Key Takeaways

  • Positive Sentiment: Q1 commercial momentum: Net revenue was $11.7 million with a 58% gross margin, and management raised 2026 guidance to $60M–$64M, signaling early validation of the in‑house commercial model.
  • Positive Sentiment: U.S. commercial integration and channels: The Ascensia U.S. transition was described as seamless, direct‑to‑consumer new patient shipments accounted for ~60% of additions and nearly doubled YoY, and EonCare now performs over one‑third of insertions, supporting the company’s goal to double U.S. patients in 2026.
  • Positive Sentiment: Product pipeline progress: Senseonics is on track for Gemini in H1 2027 and plans a first‑in‑human trial for Freedom in H2 2026, while advancing app enhancements and manufacturing scale‑up.
  • Positive Sentiment: Financing strengthens runway: The company raised $92 million in equity and expanded its Hercules credit facility to $140 million (with an additional $20M drawn), providing capital to fund commercialization and next‑gen launches.
  • Negative Sentiment: Higher costs and cash burn: SG&A and operating expenses rose sharply (Q1 SG&A of $30.2M), net loss widened to $32.3M, and 2026 guidance implies $150M–$160M operating expenses and $110M–$120M cash utilization, indicating continued near‑term losses despite new financing.
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Earnings Conference Call
Senseonics Holdings, Inc. Common Stock Q1 2026
00:00 / 00:00

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Operator

Good day everyone, welcome to Senseonics first quarter 2026 earnings call. At this time, all participants are in a listen-only mode. Later, you will have the opportunity to ask questions during the question-and-answer session. Please note, today's call will be recorded, and I'll be standing by should you need any assistance. It is now my pleasure to turn the conference over to Jeremy Feffer from LifeSci Advisors. Please go ahead.

Jeremy Feffer
Managing Director and Relationship Manager at LifeSci Advisors

Thank you. This is Jeremy Feffer from LifeSci Advisors. Before we begin today, let me remind you that the company's remarks include forward-looking statements. These statements reflect management's expectations about future events, operating plans, regulatory matters, product enhancements, company performance, and other matters, and speak only as of the date hereof. These forward-looking statements involve a number of risks and uncertainties. A list of the factors that could cause actual results to be materially different from those expressed or implied by any of these forward-looking statements is detailed under Risk Factors and elsewhere in our annual report on Form 10-K for the year ended December 31st, 2025, and our 10-Qs and our other reports filed with the SEC. These documents are available on the investor relations section of our website at www.senseonics.com.

Jeremy Feffer
Managing Director and Relationship Manager at LifeSci Advisors

We undertake no obligation to update publicly or revise these forward-looking statements for any reason except as required by law. Joining me today from Senseonics are Tim Goodnow, President and Chief Executive Officer, and Rick Sullivan, Chief Financial Officer. Brian Hansen, Chief Commercial Officer, will also be available during the Q&A. Now I'll turn the call over to Tim.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Thanks, Jeremy, and I appreciate everyone joining us today. 2026 is off to a very strong start for Senseonics, commercially and strategically. In the first quarter, we delivered $11.7 million in revenue and 58% gross margin. We view the combination of top-line growth and margin expansion as early validation that our integrated commercial model can deliver with improving financial performance as we scale. Given all of this, we are raising our full year 2026 global net revenue guidance to $60 million-$64 million from $58 million-$62 million, representing year-over-year growth of 70%-82%. Beyond the financial results, we successfully completed the integration of the U.S. commercial organization, continued progress towards completing the European commercial integration, launched our first AID partnership, advanced our Gemini and Freedom development programs, and added over $100 million in growth capital to our balance sheet.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Taken together, these accomplishments give Senseonics the commercial control, the product pipeline, and the financial resources to drive Eversense revenue growth. First, through our compelling Eversense 365 offering, and then through the next generation CGM system that we are developing. We're at an exciting stage of our journey, and the opportunity ahead for Senseonics is significant. There's a lot more work to do, but we are now in control of our destiny with the right team, structure, and strategy in place to accelerate our recent momentum. Now, I'd like to provide more detail on the encouraging progress so far this year. On the commercial side, execution was strong. The first quarter of 2026 was our first full quarter with direct ownership of the Eversense commercial organization in the U.S. following the January first transition from Ascensia Diabetes Care.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Having the commercial team inside Senseonics gives us the ability to align sales strategy, field execution, to market access priorities with our product development and our qualified manufacturing partners. This has been invaluable, and that alignment contributed to an exceptional financial quarter. In the quarter, we generated revenue of $11.7 million, a strong financial result that reflects growing Eversense 365 adoption in the U.S. and a focused reimbursement channel mix, which Rick will detail shortly. Equally important, gross margin reached 58%, driven by more new users, higher manufacturing volumes, and the structural benefit of eliminating the Ascensia revenue share. We view the combination of top-line growth and margin expansion as early validation that our integrated commercial model can deliver with improving financial performance as we scale.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Eversense sales have continued to grow, and we believe we remain on track to double patients this year in the U.S. Our direct-to-consumer channel continues to yield strong results. In 2025, DTC sourced new patient shipments doubled year-over-year. Within the year, our monthly DTC new patient volumes grew more than four-fold from January through December as we scaled our investment. That momentum carried into 2026. In Q1, DTC sourced new patient shipments grew nearly 100% compared to the first quarter of 2025, with DTC accounting for roughly 60% of all new patient shipments in the quarter.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

The healthcare professional channel is also growing as our sales reps continue to become more efficient, with March providing the most HCP sales leads in the company's history. We're also encouraged that patient reorders tracked above plan in Q1, an early signal of the retention dynamics we expect from our year-long product. Following the positive reception of Eversense 365 in the U.S., we anticipate the current launch of our year-long sensor in Europe will support growth in these markets as well. In April, we inserted our first patients in Sweden, followed by Spain earlier this week. We're in the process of launching across Germany and Italy, rounding out the four European markets we'll be serving following the transition of Ascensia's commercial organization. We also see Eon Care as an increasingly important growth driver for Eversense.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Eon now has over 70 nurses available for insertions, and the team is well on its way towards our goal of 100 nurses by the end of the year. Critically, Eon Care now performs more than 1/3 of all Eversense insertion procedures. To put the reach of our broadening network in perspective, we have established Eon in 34 states and are continuing to grow its reach. This expansion across the country reduces geographic barriers that may have previously limited implantable CGM adoption. That reach is significant for several reasons. First, it means that we have built meaningful insertion capacity that is not dependent on individual physician practices. This lowers the barrier for prescribers to offer Eversense. Second, it gives patients a more convenient path to access the only year-long CGM, including in markets where inserting physician availability has historically been a constraint.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Third, it provides Senseonics with a scalable service infrastructure that grows alongside our patient base. We expect Eon Care's share of insertions to continue increasing over the rest of the year as we add more nurses and further expand geographic coverage. In addition, the availability of Eversense with our first automated insulin delivery platform will continue to support our growth. In February, we announced the integration of Sequel Med Tech's twiist insulin pump with Eversense 365, the first automated insulin delivery system to integrate with a year-long CGM. Not only does this integration expand the options available to people with diabetes, but it also provides a technology that fits the reality of their lives. Our efforts have brought two advanced platforms to users, this combining the precision of the twiist insulin delivery system with the unmatched longevity and performance of Eversense 365 in a flexible, convenient offering.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

We continue to pursue additional opportunities to integrate Eversense with other pump platforms and are very encouraged by the early uptake of Eversense 365 as part of our first AID system. We've seen good early adoption with twiist. We've had exceptional anecdotal feedback from the initial users, and the data presented at ATTD puts early numbers to the positive impact this combination is having. I'd also encourage you to check out the data to be presented by our Chief Medical Officer, Dr. Francine Kaufman, at the ADA. This is further real-world evidence on Eversense 365, and the data shows a full year of strong patient adherence, glucometrics, and hypoglycemic outcomes. It also validates our sensor's performance and accuracy across an entire year, with the same performance between the first and second six-month periods.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Generally, we're very pleased with the progress we are making in advancing our penetration in the type 1 population. All of these areas of commercial progress are encouraging, and I look forward to continuing the exciting commercial momentum that is building. Significantly, this momentum is driven by the successful integration of the Ascensia commercial organization into Senseonics. As an update on this initiative, we brought the Ascensia U.S. CGM organization into Senseonics on January first, and that transition has gone smoothly, as evidenced by our first quarter performance. The U.S. territories are effectively running and showing progress. We appreciate the continuing commitment of our new colleagues, and we're enjoying building our capabilities with them directly as part of one aligned team. We've continued to collaborate with Ascensia to complete the OUS transition and build a dedicated European commercial team to execute launches in Germany, Italy, Spain, and Sweden.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

As mentioned earlier, we are now live in Sweden and Spain, with Germany and Italy on track. As part of this, we have hired key additional roles to support those countries. We are working to finalize our business systems and to transfer the contracts, tenders, and employees to within the new Senseonics organization. We are planning to close the European transition this quarter. We've appreciated Ascensia's partnership over the past several years and their ongoing collaboration to make this transition smooth for both Eversense users, providers, and commercial employees. At the same time, we recognize the value of having the full view of the product life cycle inside Senseonics, being more equipped to drive operational strategies and having the control and agility to rapidly respond to market needs.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

In addition, the full team is excited about being part of a single organization that is fully aligned and committed to building and growing the world's most advanced offering in continuous glucose monitoring. While we continue our focused work to drive awareness and adoption of Eversense 365 today, we're also excited about further shaping the future of CGM with our compelling product pipeline for tomorrow. We remain on schedule to launch Gemini in the first half of 2027 as we target delivering a one-year sensor with a battery for continuous and optional on-demand readings. Moreover, in the second half of the year, we plan to initiate the first in-human trial for Freedom, the one-year sensor with built-in Bluetooth that will connect directly to the user's phone and insulin pump without a transmitter.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

We've also begun the important steps of building and scaling the manufacturing processes with our manufacturing partners as we advance towards the clinical trial and ultimate launch. Additionally, we're also working on enhancements to our Eversense 365 app. This is currently in development, and we expect that to launch later this year. The feedback that we've received during early testing has been positive, and we look forward to rolling out the app to advance our customers diabetes management decision-making, and we're excited about advanced AI features that will be added as well. Finally, I'd like to update you on our recent financing initiatives. Delivering on the value creation opportunity our shareholders have in Eversense requires us to have the growth capital to support these initiatives. To position us to execute on our strategies, we took two steps to substantially strengthen our balance sheet.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

On Friday, we executed an amendment and expansion to our credit facility with Hercules Capital, increasing that facility from $100 million-$140 million. We have drawn an additional $20 million above the $35 million that was previously outstanding, and there are additional draws of up to $85 million available subject to various terms and conditions. Additionally, on Monday, we closed on a public offering, raising $92 million in gross proceeds through the sale of common stock and pre-funded warrants. As a result of these two financing steps, Senseonics is in a stronger position to build on the progress we are describing today. I'll now turn the call over to Rick to walk through the numbers.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Thanks, Tim. I'd like to begin today with an overview of our sales channels, reimbursement channels, and revenue recognition to help clarify the mechanics of our financials. Now that the sales and marketing team is fully integrated into the company, I think it is important to provide additional details on what you should expect over the course of 2026. Senseonics has three primary sales channels in the U.S.: direct-to-consumer, healthcare providers, and reorders. Direct-to-consumer sales is the largest U.S. sales channel and currently accounts for approximately 60% of our new patient growth. In the second half of 2025, we made the strategic decision to invest heavily in the channel and will spend a similar amount this year at approximately $13 million.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

We learned a lot last year about effectively deploying and targeting this spending and have applied those learnings in 2026, resulting in lower cost per workable leads and higher conversion rates. Our second U.S. sales channel is healthcare providers targeted by our sales force. While HCP sales currently account for about 40% of new patient growth, this channel has the highest ROI due to repeat prescribers. In 2026, our sales forces continue to increase productivity, driving more and more new patient leads. We expect this trend to continue each quarter. Last, but critical to our business, is our patient reorders, which will continue to grow each year. We expect 40% of our U.S. volume to come from reorders in 2026 and are focused on continuing to improve patient retention.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

I'll move to U.S. reimbursement channels and the mix of bundled pay versus durable medical equipment. In bundled pay, the insertion procedure and the Eversense 365 sensor are combined in a single payment. It is the most profitable reimbursement channel, with good support from our inside sales team, approximately 60% of our volume is now flowing through this channel. This contributed to the favorable margins we saw in Q1. The remainder of the volume continues to flow through our DME reimbursement channel. The DME channel is serviced by distributors with payer contracts, we recognize revenue upon shipment to the DME distributors. These distributors maintain appropriate levels of inventory, typically 30-days or less. We service the bundled pay channel primarily in two ways. First, through our consignment program, where participating physicians keep inventory on their shelves, so the product is readily available for patients.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Second, through EonCare, our wholly owned subsidiary that utilizes contracted nurses to perform the procedure once a patient has a prescription. In the bundled pay channel, we recognize revenue at the time of the procedure. With the integration of the commercial organization, we'll no longer be reporting sales to Ascensia, our reported revenue growth will more closely align with our patient-based growth. I hope these descriptions were helpful. Let's turn to the financials for the quarter. In the first quarter of 2026, net revenue grew 85% year-over-year to $11.7 million, compared to $6.3 million in the prior year period on the continued momentum of Eversense 365 new patient additions, retention rates slightly above plan, and more of our business transitioning into the more profitable bundled pay reimbursement channel.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

U.S. revenue for the fourth quarter was $9.3 million, and revenue outside the U.S. was $2.4 million. In Q1 2026, gross profit was $6.9 million, an increase of $5.4 million from the prior year period. This increase in gross profit was primarily due to higher U.S. revenues driven by continued adoption of the Eversense 365 system, higher average selling prices as more of our business moves to the bundled pay channel, and a more streamlined manufacturing and supply chain contributing to improved margins. During the quarter, we recognized a one-time benefit of $0.5 million in cost of goods sold due to the utilization of raw materials for the continued commercialization of Eversense E3 outside of the U.S. Excluding this one-time benefit, gross profit margins would still be above plan at approximately 54%.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Research and development expenses in Q1 2026 were $8.6 million, an increase of $1.3 million compared to the prior year period. The increase was primarily due to new R&D projects, the ramp-up of new clinical trials, and increased headcount to support these activities. First quarter 2026 selling, general and administrative expenses were $30.2 million, an increase of $22.5 million compared to $7.7 million in the prior year period, primarily driven by the integration of the commercial organization, including increased personnel, transition support services from Ascensia, direct-to-consumer marketing, and other operational costs. Net loss was $32.3 million, or a $0.71 loss per share in the first quarter of 2026, compared to a net loss of $14.3 million, or a $0.40 loss per share in the first quarter of 2025.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Net loss increased by $18 million, primarily due to increased expenses resulting from the costs related to taking over the commercialization and distribution of Eversense. As of March 31st, 2026, cash, restricted cash, and cash equivalents totaled $64.6 million, and debt and accrued interest was $35.2 million. Q1 delivered. We're building on that momentum. We're raising our full year 2026 global net revenue guidance to $60 million-$64 million, compared to $58 million-$62 million previously. This updated revenue range represents notable year-over-year growth of 70%-82%. Our business is seasonal due to the resetting of patient deductibles at the beginning of the calendar year and heavier utilization of patient assistance programs at that time to offset out-of-pocket costs.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

The seasonality of our business, the fact that we launched Eversense 365 in the fourth quarter of 2024, and the second half focus of our investments in DTC to drive awareness in the back half of 2025 contribute to our revenue being more heavily weighted to the back half of the year. We expect to see approximately 40% of the sales in the first half of the calendar year and 60% in the second half. Taking into consideration our margin performance to date, along with the planned launch of Eversense 365 in Europe, which will allow us to focus primarily on a single product globally, we now expect full year 2026 gross profit margin to be between 55% and 58%, increasing in the back half of the year.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

We are excited by the financial results in Q1 driven by the integration of the commercial organization and expect to see continued improvements in our top line and the expansion of our gross profit margins. Due to the integration of the commercial organization and supporting transition service agreements from Ascensia, we expect operating expenses to be between $150 million and $160 million, with increases primarily in SG&A and a smaller increase in R&D for the Gemini pivotal trial. We expect cash utilization in 2026 to be between $110 million and $120 million, largely as a result of increasing SG&A due to bringing the sales and marketing teams in-house. Earlier this week, we completed an equity financing and expanded our debt facility with Hercules Capital, adding more than $100 million to our balance sheet.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

We issued common stock and pre-funded warrants to institutional investors for gross proceeds of $92 million and drew an additional $20 million on our $140 million debt facility, bringing total debt outstanding to $55 million. We believe this is the right mix of debt and equity in our capital structure, and we believe we now have the financing in place to get us to the anticipated launch of the Freedom product in 2028. We're excited that our strengthened balance sheet will allow us to drive shareholder value by supporting the continued investment in Eversense 365 and future generation products while focusing on executing our commercial strategy. With that, I'll turn it back to Tim.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Thank you, Rick. To wrap up, I want to step back and frame where we stand. Senseonics entered 2026 with a clear thesis that bringing the commercial organization in-house, combined with the strength of the Eversense 365 product, would unlock revenue growth and margin improvement. The first quarter results support that thesis. $11.7 million in revenue, gross margins at 58%. DTC new patient shipments nearly doubling, and EonCare now performing more than 1/3 of all insertions. Patient reorders are tracking above plan. At the same time, our balance sheet is healthy. Our pipeline is advancing on schedule with Gemini targeted in the first half of 2027 and Freedom on track to enter its first human trial later this year. We have the organizational structure in place with a full U.S. team integrated.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

The European transition is underway. EonCare is scaling. We believe Senseonics is positioned to become the company that reshapes continuous glucose monitoring. We intend to execute with the discipline and urgency that this opportunity demands. With the momentum that we are building across our commercial, development, and financial initiatives, we're optimistic about the remainder of 2026 and beyond. We look forward to speaking with many of you at our event during this year's American Diabetes Association conference in New Orleans. With that, I'll now turn the call over to the operator to answer any questions that you may have. Thanks once again for your time today. Operator, let's go ahead and open up the call for questions.

Operator

Thank you. At this time, if you would like to ask a question, please press star one on your telephone keypad. To withdraw yourself from the queue, you may press star two. Once again, to ask a question, please press star one. We'll take our first question from Anthony Petrone with Mizuho Group. Your line is open.

Anthony Petrone
Anthony Petrone
Managing Director of Equity Research at Mizuho

Thanks, congrats to the team here. Good afternoon. Maybe Tim and Brian, you know, sort of a two-part question here. Ascensia coming over in the U.S., you know, described as a seamless transition. Just wondering, though, as you know, sort of put them under a new corporate umbrella, is there any, like, lag as to what their contribution is gonna look like for turning on new sites, contributing to patient growth? It seems like there can be, you know, more of a tailwind that certainly as this year goes on, and then that follows through to the European experience. A follow-up here quickly would be on the cadence of investments. You're coming off the capital raise, debt and equity, investments in regions was a gating factor. DTC drives new patients.

Anthony Petrone
Anthony Petrone
Managing Director of Equity Research at Mizuho

You have the investment opportunity with the EonCare inserter. How do you look at the pace of investments? You know, where will they be focused kind of initially in the first half to the second half? How meaningful do you expect, you know, a conversion in new patient growth this year from the increased investments? Thanks.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Thanks, Anthony. In regards to the transition, I'll speak to that or at least introduce, then Brian can come in. It really has gone quite smooth, right? The sales reps were obviously, you know, we worked with them pretty extensively in the fourth quarter, made sure they had everything you need. You know, even simple things like keeping the exact same cell phone numbers, all of that happened. We pretty much flipped a switch on December 31st, they were calling on the same accounts, you know, really picked up everywhere that they should have. We haven't seen and don't anticipate any lag in regards to their efforts and capability. Brian, I don't know if you had any further qualification for that?

Brian Hansen
Brian Hansen
Chief Commercial Officer and Board Director at Senseonics

Yeah, Anthony, I'd probably add to that on the EU side, right, for our four European countries, we're moving from the BGM sales efforts to hiring sales reps to now take over those activities. If there's a lag, it's in our four EU countries, but as Tim said, the U.S. was fairly seamless.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Yeah, then Anthony, I'll cover the investment question. You know, we stuck to our original plan. Our original plan does call for an increase in DTC spend in the back half of the year from where it is in the first half, but still in that $13 million ballpark. We are certainly monitoring the sales force. We have 43 territories today with a plan to maintain that level and increase it next year and the following with our future generation product launches.

Operator

We'll take our next question from Josh Jennings with TD Cowen. Your line is open.

Josh Jennings
Josh Jennings
Managing Director at TD Cowen

Hi, good afternoon. Thanks for taking the questions. Nice to see the strong momentum here in early part of 2026. Wanted to ask just about the stat about, you know, 60% of insertions are coming through the bundled pay channel, Tim and Rick. I mean, that's a, that's some nice, higher number than we were anticipating here in the early days of 1Q 2026 relative to, I think, where you exited in 2025. How do you see that mix evolving? Is that 60% kind of a steady state, or should we be thinking that that continues to move higher over the course of 2026 and into 2027, with it being kind of, I think, a higher revenue, higher margin channel?

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Yeah, you're right. Historically, we've been about 50/50 DME and bundled pay. We certainly have focused some of our DTC spending and inside sales efforts on that bundled pay channel. We were pretty excited as that our channel mix moved to that channel being more profitable, which was a good piece of the reason we saw the upside in our margins. We're gonna keep focusing on that channel over the course of the year, but right now thinking that the 60/40 is an appropriate target.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Yeah, we are-

Josh Jennings
Josh Jennings
Managing Director at TD Cowen

Okay.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

As Rick's pointing out, we are, you know, Brian's team is doing a great job to reaching out to the folks that are on Medicare, which is a pretty good portion of that. We are also seeing some of the commercial payers transition to the bundled pay. Josh, I would expect that to transition, but over a couple of year time period. I don't think it's anything that'll happen precipitously in this year.

Josh Jennings
Josh Jennings
Managing Director at TD Cowen

Thanks for the help thinking through that. Maybe a follow-up, just a two part pipeline question. The first part, just thinking about the data that hit at ATTD with the Sequel integration, and what will be put forward at ADA just on the performance for Eversense 365. There may be some other pump partners that are interested in integrating Eversense 365. Hear any updates on any partnership discussions? Also, just with the Freedom progress and getting into a human trial second half of this year, can you just help us think about how de-risked that program is? Are there any further steps that need to be taken before you guys can move into that trial? Just what boxes are left to be checked before that trial can kick off? Thanks for taking all the questions.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Sure, Josh. On the first part on the.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Data.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Yeah, sorry, the data with that Fran's gonna speak to. That's gonna be an extension of the work that she did. We now have a notably much larger population of the Sequel folks. We're seeing, you know, really encouraging results there. She did get an oral presentation. We'll also have a lot more extension of the Eversense 365 data. That'll certainly be encouraging, and we're looking forward to the results from that. On the pump partnership, we continue to be very active. We don't have anything to announce, but it is an important focus for us, and we're continuing to make progress. On Freedom?

Mukul Jain
Mukul Jain
COO at Senseonics

Yeah. Hey, Josh. This is Mukul. On Freedom, we have been making a lot of progress. We are doing a second preclinical in animals. Now we think we are at a stage where we've taken the risk out of the product and take it into humans. The first in human, we'll be doing outside U.S. in a feasibility study. Then we'll bring the data over to start discussions with FDA to get a pivotal study IDE in by end of the year.

Operator

We'll take our next question from Matt Miksic with Barclays. Your line is open.

Matt Miksic
Matt Miksic
Equity Research Analyst of Medical Supplies and Devices at Barclays

Great. Thanks so much for taking the questions, congrats on a really great quarter. You know, I had one question on just sort of like the retention of some of the folks using the system, and then one on the next gen technology platform power, you know, enhancements that you've made. It's a question that I get, you know, fairly often from investors. The first, you know, you've talked about sort of like the percentage of folks that will renew the first time, the second time, and the third time. I'm wondering now that you're a year and change in on Eversense 365, if you're seeing any changes in that or improvements in that? Just because I think that was like a six-month, you know, statistic before. Just wondering if that's changing at all, and then I have a quick follow-up.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Yeah. Well, obviously we don't, you know, we don't have the multi-sensors at this point, but we are encouraged. The historical has been, you know, first to second is around 75%, second to third is around 85%. By the time you get to your third sensor, it's well into the 90s. I think we're continuing on that track. We don't yet have the data, obviously, for the second year, but the first data is quite encouraging and frankly was a little bit stronger than we had modeled. We feel quite good about the experience we're seeing in the one-year sensor.

Rick Sullivan
Rick Sullivan
CFO at Senseonics

What was the question on the battery powering?

Mukul Jain
Mukul Jain
COO at Senseonics

Yeah. He was going to ask the question to follow up.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Did you have a question on the battery, Matt?

Matt Miksic
Matt Miksic
Equity Research Analyst of Medical Supplies and Devices at Barclays

Hi. Yeah, sorry about that. Yeah, I accidentally put myself back on mute. Yeah, just maybe talk about how to think about the sort of level of work that you've done so far on sort of the next-gen battery platform, what the maybe the technology risk is to that or the manufacturing risk or, you know, how to frame that just given that, you know, it's the next big thing in the pipeline. Thanks.

Mukul Jain
Mukul Jain
COO at Senseonics

Sure, Matt. The battery comes from Integer, right? That they're pretty much the only manufacturer of implantable battery for all medical devices. There's no technological risk. The chemistry we are using is very well known in the cardiac and neuromodulation devices used over two-decades. And all those choices were made just to make sure that the risk is low. FDA knows that company pretty well. For Gemini, we have already attached the battery. We already have it in clinical study, so there is no technical risk left in Gemini. Going beyond the battery is the Bluetooth that comes new to Freedom, and we have made a lot of progress there. As we have stated earlier, we are ready to go into humans to kind of start collecting data while we continue to refine the Bluetooth technology in that really small form factor.

Matt Miksic
Matt Miksic
Equity Research Analyst of Medical Supplies and Devices at Barclays

Thanks so much.

Mukul Jain
Mukul Jain
COO at Senseonics

You're welcome.

Operator

We'll move next to Sean Lee with H.C. Wainwright. Your line is open.

Sean Lee
Sean Lee
VP of Equity Research at H.C. Wainwright

Hey, good afternoon, guys, thanks for taking my questions. In the prepared remarks, you mentioned that DTC is becoming an increasing larger piece of the new patient ads. I was wondering, have you seen any changes in the cost per patient ad through this channel of pre and post the Ascensia transition? What point do you think we can get to once it's fully ramped up?

Rick Sullivan
Rick Sullivan
CFO at Senseonics

Yeah, sure, Sean. I'll take that. I think if you remember the back half of 2025, we made significant investment in DTC. Certainly, drove increased awareness of our product. Those cost per workable leads were higher. It did become a little bit less efficient. In 2026, what we did is take the same amount of spend that we spent in the back half of 2025 and spread it all year long. Although we're making smaller investments on a monthly basis, we're seeing improvements in both cost per workable lead and in our conversion rates. We've learned a lot with that investment we made in the back half of the year and are certainly tweaking algorithms and spend levels to make sure that it's extremely efficient. We're pretty happy with the progress we've made so far in Q1.

Sean Lee
Sean Lee
VP of Equity Research at H.C. Wainwright

Great. Great to hear that. With the competition that, you know, Dexcom and others are coming up with these long next gen short durations, again, how do you defend the value proposition of Eversense 365 versus these, you know, other sensors that are coming in and potentially lower price points?

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

The value proposition for Eversense continues to be the same. They have, you know, they have made some changes from 14 to 15-days, obviously that's significantly different than a year-long sensor. The primary premise, of course, for a person with diabetes is they'd like to think less about their diabetes technology and more about the rest of their life. As, as we manufacturers can make it simpler and easier to use, they will reward you for the purchase of a quality product. Eversense certainly fits that bill. A year long of not having to think about a sensor change is really very attractive to people, and that's why we're seeing the growing penetration that we're seeing.

Sean Lee
Sean Lee
VP of Equity Research at H.C. Wainwright

Good. Thanks again for taking my questions. That's all I have.

Operator

Once more, that is star one for your questions. We'll move next to Ben Haynor with Lake Street Capital Markets. Your line is open.

Ben Haynor
Managing Director of Medical Technology Research at Lake Street Capital Markets

Good afternoon, gentlemen. Thanks for taking the questions. First off for me, just thinking about some of that data that you presented at the ATTD conference on the first 5,355 patients. You know, you had really good time in range, really good GMI. It looked better than what a lot of competitors have published, both on the CGM and CGM plus pump side. Can you talk about whether that got much attention or, you know, any color on how that was received at that conference?

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Yeah. We've actually received quite nice feedback from it. I think, you know, one of the things is we'll have an extension on that at the ADA that I think will get further coverage. We're also, Ben, in the process of getting that peer-reviewed, written up and peer-reviewed. That's really the next big step for us to get further visibility of it. I would hope that, you know, later this summer, we'll have a peer-reviewed publication that'll, you know, that'll strengthen the publication and rollout of that information. The feedback certainly has been positive. You know, as we've pointed out, we feel very comfortable. You get the long-term compliance, obviously, of Eversense at 365-days. The algorithm, the loop algorithm, has some pretty attractive attributes and is performing pretty well.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

When you put those together with a high-precision pump like you get out of Sequel, you get those very good results.

Ben Haynor
Managing Director of Medical Technology Research at Lake Street Capital Markets

You know, I guess this kind of dovetails with one of Josh's questions. On that, the data that was with the first 100 or whatever it was Sequel pump users was. Does that help the level of attention and maybe get some of the other potential pump partners across the finish line, or is that, you know, not enough patients yet? How's the right way to think about that?

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

I mean, it's definitely, you know, it's definitely helping, you know, with the partnership. Brian, you wanna speak to that? Your team is spending a lot of time working with them, so.

Brian Hansen
Brian Hansen
Chief Commercial Officer and Board Director at Senseonics

Yeah. I think both the success we've had in the first couple months of the combined system has opened some eyes and exceeded our expectations. Clearly the data was good, both on the sensor and the pump. Anytime you can show that data in real life now, it substantiates a whole lot. It just helps a lot of conversations, Ben. Very happy with it. Yes, it's helping the conversations move forward.

Ben Haynor
Managing Director of Medical Technology Research at Lake Street Capital Markets

Great. That's all I had, gentlemen. Thanks. Thanks for taking the questions and congrats on the quarter.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

Thanks, Ben.

Ben Haynor
Managing Director of Medical Technology Research at Lake Street Capital Markets

Thanks.

Operator

This does conclude the Q&A portion of today's event. I would now like to turn back to CEO Tim Goodnow for any additional or closing remarks.

Tim Goodnow
Tim Goodnow
President and CEO at Senseonics

I'd like to thank everybody for participating, and we look forward to updating you next quarter. With that, we'll go ahead and end the call. Thank you.

Operator

Thank you. This brings us to the end of today's meeting. We appreciate your time and participation. You may now disconnect.

Analysts
    • Anthony Petrone
      Managing Director of Equity Research at Mizuho
    • Ben Haynor
      Managing Director of Medical Technology Research at Lake Street Capital Markets
    • Brian Hansen
      Chief Commercial Officer and Board Director at Senseonics
    • Jeremy Feffer
      Managing Director and Relationship Manager at LifeSci Advisors
    • Josh Jennings
      Managing Director at TD Cowen
    • Matt Miksic
      Equity Research Analyst of Medical Supplies and Devices at Barclays
    • Mukul Jain
      COO at Senseonics
    • Rick Sullivan
      CFO at Senseonics
    • Sean Lee
      VP of Equity Research at H.C. Wainwright
    • Tim Goodnow
      President and CEO at Senseonics
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