Record Quarterly Shipments and Sales
Delivered a company first-quarter record with more than 29,000 pump shipments worldwide and $247 million in sales. U.S. shipments exceeded 19,000 (approximately +10% year‑over‑year) and U.S. sales were $161 million (+7% year‑over‑year). Renewals accounted for >50% of shipments; new starts were ~two‑thirds MDI patients.
Margin Expansion and Profitability Progress
Gross margin improved to 55% (nearly +5 percentage points year‑over‑year), the highest first‑quarter gross margin in company history. Adjusted EBITDA was ~1% of sales (benefited from a 32 percentage‑point swing tied to prior‑year IPR&D) and operating margin improved by ~40 percentage points to negative 7%.
Strong Cash Position and Financing
Generated $5 million in free cash flow for the quarter and ended with $570 million in total cash and investments. Completed a convertible debt financing in February with net proceeds of $276 million (0% interest) to strengthen the balance sheet.
Progress on Pharmacy PayGo Transition
Launched PayGo in the pharmacy channel in March and secured ~40% formulary coverage early; pharmacy accounted for ~6% of U.S. sales in Q1. Early adoption was within company assumptions and management reaffirmed conviction in PayGo’s long‑term economics and ability to scale.
International Direct‑to‑Customer Expansion
Launched direct commercial operations in the U.K., Switzerland and Austria; international shipments exceeded 10,000 pumps and international sales were $86 million (+3% year‑over‑year). Direct channel international sales increased to ~11% of international sales (from <5% historically).
Product and Technology Milestones
Expanded Tandem Mobi to Android users in the U.S.; received FDA clearance for Control‑IQ+ in pregnant women (first and only AID cleared for pregnancy in the U.S.); Abbott FreeStyle Libre 3+ integration to begin in select European countries in Q2; Dexcom G7 15‑day compatibility updates planned; commercial rollout of Mobi outside U.S. starting in Q2.
Pipeline Advancement: Mobi Tubeless and Closed‑Loop Pivotal
Planning 510(k) submission for Mobi Tubeless (first Tandem tubeless pump with extended‑wear tech) in Q2 and remain on track to start the pivotal study for Tandem’s fully closed‑loop system later this year.
Reaffirmed 2026 Guidance
Reaffirming full‑year 2026 guidance: worldwide sales $1.065B–$1.085B (U.S. $730M–$745M; international $335M–$340M), expected full‑year gross margin 56%–57% and adjusted EBITDA 5%–6%.