Strong Top-Line Growth
Q1 total revenues of $762M, up 34% reported and 30% constant currency year-over-year; total Omnipod revenue grew ~33% on a constant currency basis. U.S. Omnipod revenue grew 28% in Q1 (approximately 26% underlying after a ~$10M timing benefit). International Omnipod revenue grew 59% reported and 45% constant currency.
Margin and Profitability Expansion
Adjusted operating margin expanded 110 basis points year-over-year to 17.5%. Adjusted EPS was $1.42, up ~40% from $1.02 in the prior-year period. GAAP gross margin was 69.5% and adjusted gross margin was 71% (adjusted margin down 90 bps after one-time items).
Raised Full-Year Guidance
Raised full-year 2026 revenue guidance: total company revenue growth now expected 21%–23% (previously ~20%); total Omnipod revenue growth now expected 22%–24%. Q2 Omnipod revenue growth guide 21%–23% and total company 20%–22%.
Cash Generation and Capital Allocation
Generated approximately $90M of free cash flow in Q1. Repurchased ~1.25M shares for $300M during the quarter. Ended Q1 with $480M cash and the full $500M available under the credit facility.
Outstanding International Momentum and Market Development
International delivered a third consecutive quarter of >40% growth (45% constant currency). Strong new customer starts across established European markets (U.K., France, Germany) and record NCS in the U.K. Omnipod 5 is now available in 19 countries; secured reimbursement approval covering ~85% of the Canadian market and new coverage across four Canadian provinces.
Product and R&D Progress
Integration with Libre 3 Plus sensor planned this quarter to address ~450,000 Libre 3 Plus users; launching algorithm enhancements (including a new 100 mg/dL target option estimated to deliver ~5% improvement in time-in-range in simulations). Omnipod 6 (sixth generation device) and third-generation algorithm progressing for 2027; STRIVE pivotal data to be shared at ADA. Enrolled first participant in EVOLVE pivotal study for a fully closed-loop type 2 system (targeted FDA filing 2027, launch 2028).
Commercial and Brand Strength
Global customer base grew nearly 25% YoY; U.S. market leadership reinforced with >90% U.S. coverage and positive net pricing in the U.S. Expanded peer-to-peer education programs (doubled U.S. program size in 2025 and +50% YoY this quarter). Brand awareness initiatives (e.g., TV placement) drove re-engagement and demand.
Operational Scaling and Manufacturing Investments
Continuing capacity and automation investments in Acton, Malaysia and Costa Rica to support growth. Company emphasized manufacturing productivity gains as a driver of market-leading gross margins and plans further global manufacturing expansion.