Sustained High Revenue Growth
Total company revenue of $784M in Q4 2025, up 29% year-over-year on a constant currency basis; full year revenue surpassed $2.7B, ~29.5%–30% YoY constant currency growth.
Strong U.S. and International Performance
Q4 U.S. revenue $568M (up 28% YoY) and Q4 international revenue $214M (up ~42% YoY constant currency); full year U.S. revenue ~$1.9B (27% YoY) and international ~$754M (39% YoY constant currency).
Record New Customer Starts and Conversion from MDI
Company reported record new customer starts in Q4 and full year across U.S. and international markets; during Q4 ~85% of new starts came from MDI and type 2 represented over 40% of all starts, indicating strong category expansion.
Expanding Prescriber and Type 2 Reach
U.S. prescriber base exceeded 30,000 clinicians (up ~28% YoY); U.S. type 2 prescriber base grew 62% to over 6,500 clinicians, supporting ramp of AID into primary care.
Margin Expansion and Profitability
Q4 gross margin 72.5% (40 bps YoY expansion) and full year gross margin 71.6% (180 bps YoY expansion); Q4 adjusted operating margin 18.7% and full year adjusted operating margin 17.6% (270 bps YoY expansion).
Strong Earnings and Cash Generation
Q4 adjusted EPS of $1.55 (up 35% YoY) and full year adjusted EPS $4.97 (up 53% YoY); 2025 free cash flow >$375M (up 24% YoY), cash balance $716M and full $500M available on credit facility.
Capital Allocation and Share Repurchase
Repurchased ~184,000 shares for $59.6M in 2025; Board approved additional $350M repurchase authorization with ~ $300M expected to be deployed in Q1 2026.
Product and Clinical Momentum
Omnipod 5 adoption and DASH-to-5 conversion driving positive price/mix (high single-digit contribution); launches and integrations (e.g., Dexcom G7, FreeStyle Libre 3 Plus planned) and Omnipod Discover data platform rolling out; STRIVE, RADIANT, SECURE-T2D and EVOLUTION clinical programs advanced.
International Expansion
Omnipod 5 available in 19 countries; launches in Canada and Australia drove robust growth (Canada: reimbursement in half of provinces and >60% growth in new starts; Australia: new starts >3x); nine new country launches in 2025.
Manufacturing Scale and Productivity
Acton and Malaysia facilities ramped ahead of plan; Malaysia became margin accretive 1 year after coming online; Q4 capex increased to $135M to add capacity and automation (Costa Rica facility planned for 2029).