Record Revenue and Milestone of $1 Billion
Tandem surpassed $1.0 billion in worldwide sales for FY2025. Full-year worldwide sales grew 12% year-over-year, with U.S. sales up 10% to $707 million and international sales up 15% to $308 million.
Strong Q4 Performance
Q4 record worldwide sales of $290 million, up 15% year-over-year. U.S. Q4 sales were $210 million (+14% YoY) with >27,000 U.S. pump shipments; international Q4 sales were $80 million (+17% YoY) with ~11,000 pump shipments.
Margin and Profitability Improvements
Full-year gross margin expanded by 3 percentage points to 54%. Q4 reported highest quarterly gross margin at 58%. Adjusted EBITDA in Q4 was 11% of sales (improving ~10 percentage points YoY) and Tandem returned to a positive operating margin in Q4 of 3% (up ~15 percentage points YoY).
Cash Position and Free Cash Flow
Exited 2025 with nearly $300 million in cash and investments and generated free cash flow in both Q3 and Q4; exited the year free cash flow positive.
Product and Technology Pipeline
Launched Control-IQ+ (T1 down to age 2 and adults with T2), FreeStyle Libre 3 Plus integration for t:slim and Android Control for Mobi. Planned near-term launches: scaled Mobi international rollouts, Mobi + Libre3 Plus integration in U.S., and Dexcom 15-day sensor integration globally. Filed/submitted 510(k) for pregnancy indication and planning Mobi Tubeless 510(k) in Q2 with anticipated H2 2026 launch.
Commercial Modernization and International Direct Expansion
Expanded U.S. sales organization, implemented new sales systems, and began direct operations in the U.K., Switzerland and Austria (team hires, distributor separations, back-end infrastructure). Management expects these direct launches to serve as a playbook for further direct expansions in 2026-2027.
Pharmacy Strategy Momentum and PayGo Adoption
Q4 U.S. pharmacy sales nearly doubled from Q3 to $16 million (7% of U.S. sales in Q4). Management announced acceleration to a pay-as-you-go (PayGo) pharmacy model expected to increase accessibility and long-term reimbursement economics; pharmacy sales expected to be ~15% of U.S. sales in 2026 (up from 4% in 2025).
2026 Financial Targets and Shipments Outlook
2026 guidance: worldwide sales $1.065B–$1.085B; U.S. sales $730M–$745M (incorporates $70M–$80M PayGo pricing headwind); international sales $335M–$340M (incorporates ~$15M distributor impacts). Company expects U.S. pump shipments to increase 10%–11% in 2026 and gross margin to step up to ~56%–57% for the year (scaling to ~60% in Q4).