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Tandem Diabetes Care Announces Second Quarter 2025 Financial Results and Provides 2025 Annual Guidance

Tandem Diabetes Care, Inc. (Nasdaq: TNDM), a global insulin delivery and diabetes technology company, today reported its financial results for the quarter ended June 30, 2025 and provided full year 2025 guidance.

Second Quarter 2025 Highlights

  • Achieved record second quarter sales both in the United States (U.S.) and internationally.
  • Demonstrated year-over-year and sequential gross margin improvement.
  • Initiated an early access program for the t:slim X2™ insulin pump with Control-IQ+ technology integrated with Abbott’s FreeStyle Libre® 3 Plus continuous glucose monitoring sensor in the U.S.
  • Progressed multichannel initiative to include t:slim X2 supplies as a pharmacy benefit beginning in Q4 2025.
  • Received CE Mark for the Tandem Mobi insulin delivery system with Control-IQ+ technology.
  • Filed a 510(k) with the U.S. Food and Drug Administration for extended wear use of the SteadiSet Infusion Set.
  • Completed feasibility study to advance the development of a fully-closed loop automated insulin delivery system.

“In the second quarter, we increased U.S. pump shipments while strengthening our business model and improving operational efficiency,” said John Sheridan, president and chief executive officer. “Looking at the remainder of the year, we are advancing our product development and commercial initiatives, which positions us well for sustained double-digit growth and enhanced profitability.”

Second Quarter 2025 Results Compared to Second Quarter 2024

  • Sales (1): Worldwide sales increased to $240.7 million, which included sales outside the United States of $70.5 million. This is compared to worldwide sales of $221.9 million, which included sales of $65.2 million outside the United States.



    Shipments in the United States grew to approximately 21,000 pumps. Shipments outside the United States were approximately 9,000 pumps.
  • Gross profit (1): GAAP gross profit was $125.9 million, compared to $112.8 million. GAAP gross margin was 52%, compared to 51%.
  • Operating loss: GAAP operating loss was $51.8 million, or negative 22% of sales, compared to $30.8 million, or negative 14% of sales.



    Non-GAAP operating loss(2) was $31.9 million, or negative 13% of sales, compared to $30.9 million or negative 14% of sales.
  • Net loss: GAAP net loss was $52.4 million, compared to net loss of $30.8 million.



    Non-GAAP net loss(2) was $32.4 million, compared to $30.9 million.



    Adjusted EBITDA(2) was negative $1.8 million, or negative 1% of sales, compared to negative $1.9 million, or negative 1% of sales.

(1)

The Tandem Choice program concluded in 2024, and there was no impact to sales or margins for this program in 2025. See “Non-GAAP Financial Measures” below for additional information.

 

 

(2)

A reconciliation of non-GAAP financial measures to their most directly comparable GAAP financial measures and additional information can be found in Table D “Reconciliation of GAAP versus Non-GAAP Financial Results” attached to this press release. Also see “Non-GAAP Financial Measures” below for additional information.

 

 

See tables for additional financial information.

2025 Financial Guidance

“We expect to reach $1 billion in worldwide 2025 sales, which is a significant milestone for our company,” said Leigh Vosseller, executive vice president and chief financial officer. “Our narrowed guidance reflects insights gained in the first half of the year, including our U.S. growth expectations as we progress our commercial transformation, increased benefit from accelerated pharmacy channel initiatives and greater contributions from international sales."

For the year ending December 31, 2025, the Company is providing its 2025 financial guidance as follows:

  • Sales for the full year are estimated to be approximately $1.0 billion.
    • Sales in the United States of approximately $700 million.
    • Sales outside the United States of approximately $300 million, which reflects a $10 million headwind associated with the Company’s preparation for direct commercial operations in select countries.
  • Gross margin is estimated to be approximately 53% to 54% of sales for the full year.
  • Adjusted EBITDA margin(1) is being recast from approximately 3% to approximately negative 5% of sales for the full year, which has been updated to include a negative 8 percentage point impact for an acquired in-process research and development (“IPR&D”) charge that occurred in the first quarter of 2025. Beginning in the second quarter of 2025, the Company no longer included an adjustment for IPR&D expense in its Non-GAAP results to align with views expressed by the staff of the U.S. Securities and Exchange Commission.
  • Non-cash charges included in cost of goods sold and operating expenses are estimated to be approximately $115 million. This includes:
    • Approximately $95 million non-cash, stock-based compensation expense.
    • Approximately $20 million depreciation and amortization expense.

Non-GAAP Financial Measures

Certain non-GAAP financial measures are presented in this press release to provide information that may assist investors in understanding the Company’s financial results and assessing its prospects for future performance. The Company believes these non-GAAP financial measures are important operating performance indicators because they exclude items that are unrelated to, and may not be indicative of, the Company’s core operating results. These non-GAAP financial measures, as calculated, may not necessarily be comparable to similarly titled measures of other companies and may not be appropriate measures for comparing the performance of other companies relative to the Company. These non-GAAP financial results are not intended to represent, and should not be considered to be more meaningful measures than, or alternatives to, measures of operating performance as determined in accordance with GAAP. To the extent the Company uses such non-GAAP financial measures in the future, we expect they will be calculated using a consistent method from period to period and, if not, an explanation will be provided. A reconciliation of each of the historical GAAP financial measures to the most directly comparable historical non-GAAP financial measures has been provided in Table D “Reconciliation of GAAP versus Non-GAAP Financial Results” attached to this press release.

In the first quarter of 2025, the Company included an adjustment for IPR&D expense in its non-GAAP financials and provided guidance based on this practice. Beginning in the second quarter of 2025, the Company no longer included an adjustment for IPR&D expense in its non-GAAP results to align with views expressed by the staff of the U.S. Securities and Exchange Commission and 2025 results. The Company’s guidance has been revised accordingly.

The accounting treatment for Tandem Choice, which was in effect from September 2022 through December 2024, had a high degree of complexity. When the program originally launched, the Company began deferring a portion of sales for each eligible t:slim X2 pump shipped in the United States. When a customer elected to participate in Tandem Choice upon the launch of Tandem Mobi in 2024, the Company recognized the existing deferral, incremental fees received and the associated costs of providing the new insulin pump at the time of fulfillment. Historical non-GAAP financial measures are presented in this press release to facilitate better comparisons of the Company’s operating results across the reporting periods. Tandem Choice will not impact any financial measures for the year ending December 31, 2025.

Conference Call

The Company will hold a conference call and simultaneous webcast today at 4:30pm Eastern Time (1:30pm Pacific Time). The link to the webcast will be available by accessing the Events & Presentations tab in the Investor Center of the Tandem Diabetes Care website at http://investor.tandemdiabetes.com, and will be archived for 30 days. To access the call by phone, please use this link (https://register-conf.media-server.com/register/BI0dbe92e6165a48afa06c1c20d7527ea8) and you will be provided with dial-in details, including a personal pin.

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, a global insulin delivery and diabetes technology company, manufactures and sells advanced automated insulin delivery systems that reduce the burden of diabetes management, while creating new possibilities for patients, their loved ones, and healthcare providers. The Company’s pump portfolio features the Tandem Mobi system and the t:slim X2 insulin pump, both of which feature Control-IQ+ advanced hybrid closed-loop technology. Tandem Diabetes Care is headquartered in San Diego, California. For more information, visit tandemdiabetes.com.

Tandem Diabetes Care, the Tandem logo, Control-IQ, Control-IQ+, Tandem Mobi and t:slim X2 are either registered trademarks or trademarks of Tandem Diabetes Care, Inc. in the United States and/or other countries.

Forward-Looking Statements

This press release contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, that concern matters that involve risks and uncertainties that could cause actual results to differ materially from those anticipated or projected in the forward-looking statements. These forward-looking statements include statements regarding, among other things, the Company’s projected financial results and the ability to achieve other operational and commercial goals. The Company’s actual results may differ materially from those indicated in these forward-looking statements due to numerous risks and uncertainties. For instance, the Company’s ability to achieve projected financial results will be impacted by market acceptance of the Company’s products; products marketed and sold or under development by competitors; the Company’s ability to establish and sustain operations to support international sales, including expanding into additional geographies; changes in reimbursement rates or insurance coverage for the Company’s products; the Company’s ability to meet increasing operational and infrastructure requirements from higher customer interest and a larger base of existing customers; the Company’s ability to successfully commercialize its products; the Company’s ability to develop and launch new products; risks associated with the regulatory approval process outside the United States for new products; the potential that newer products, or other technological breakthroughs for the monitoring, treatment or prevention of diabetes, may render the Company’s products obsolete or less desirable, or may otherwise negatively impact the purchasing trends of customers; reliance on third-party relationships, such as outsourcing and supplier arrangements; global economic conditions; and other risks identified in the Company’s most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q, and other documents that the Company files with the Securities and Exchange Commission. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this release. Tandem undertakes no obligation to update or review any forward-looking statement in this press release because of new information, future events or other factors.

TANDEM DIABETES CARE, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

Table A

(in thousands)

 

(Unaudited)

 

 

 

June 30,

 

December 31,

 

2025

 

2024

Assets

 

 

 

Current assets:

 

 

 

Cash, cash equivalents and short-term investments

$

315,361

 

$

438,329

Accounts receivable, net

 

128,443

 

 

114,585

Inventories

 

142,573

 

 

149,612

Other current assets

 

28,440

 

 

21,965

Total current assets

 

614,817

 

 

724,491

 

 

 

 

Property and equipment, net

 

77,513

 

 

78,150

Operating lease right-of-use assets

 

98,436

 

 

85,306

Equity method investment

 

67,628

 

 

74,545

Other long-term assets

 

17,342

 

 

5,166

Total assets

$

875,736

 

$

967,658

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

Current liabilities:

 

 

 

Accounts payable, accrued expenses and employee-related liabilities

$

121,293

 

$

127,028

Current portion of convertible senior notes, net

 

 

 

40,670

Operating lease liabilities

 

19,888

 

 

18,208

Deferred revenue

 

10,516

 

 

11,831

Other current liabilities

 

99,993

 

 

49,312

Total current liabilities

 

251,690

 

 

247,049

 

 

 

 

Convertible senior notes, net - long-term

 

309,146

 

 

308,266

Operating lease liabilities - long-term

 

119,974

 

 

106,421

Deferred revenue - long-term

 

9,575

 

 

10,455

Other long-term liabilities

 

52,068

 

 

32,369

Total liabilities

 

742,453

 

 

704,560

 

 

 

 

Total stockholders’ equity

 

133,283

 

 

263,098

Total liabilities and stockholders’ equity

$

875,736

 

$

967,658

TANDEM DIABETES CARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

Table B

(in thousands, except per share data)

(Unaudited)

 

 

Three Months Ended

June 30,

 

Six Months Ended

June 30,

 

2025

 

2024

 

2025

 

2024

Sales

$

240,678

 

 

$

221,910

 

 

$

475,100

 

 

$

413,584

 

Cost of sales

 

114,823

 

 

 

109,116

 

 

 

230,838

 

 

 

206,118

 

Gross profit

 

125,855

 

 

 

112,794

 

 

 

244,262

 

 

 

207,466

 

Operating expenses:

 

 

 

 

 

 

 

Selling, general and administrative

 

109,596

 

 

 

94,242

 

 

 

223,449

 

 

 

184,348

 

Litigation and settlement expense

 

19,951

 

 

 

 

 

 

19,951

 

 

 

 

Research and development

 

48,118

 

 

 

49,326

 

 

 

98,333

 

 

 

95,570

 

Acquired in-process research and development expenses

 

 

 

 

 

 

 

75,217

 

 

 

 

Total operating expenses

 

177,665

 

 

 

143,568

 

 

 

416,950

 

 

 

279,918

 

Operating loss

 

(51,810

)

 

 

(30,774

)

 

 

(172,688

)

 

 

(72,452

)

Total other income (expense), net

 

(5,912

)

 

 

1,031

 

 

 

(7,123

)

 

 

3,180

 

Loss before income taxes

 

(57,722

)

 

 

(29,743

)

 

 

(179,811

)

 

 

(69,272

)

Income tax expense (benefit)

 

(5,322

)

 

 

1,071

 

 

 

3,145

 

 

 

4,257

 

Net loss

$

(52,400

)

 

$

(30,814

)

 

$

(182,956

)

 

$

(73,529

)

 

 

 

 

 

 

 

 

Net loss per share - basic and diluted

$

(0.78

)

 

$

(0.47

)

 

$

(2.74

)

 

$

(1.13

)

Weighted average shares used to compute basic and diluted net loss per share

 

67,050

 

 

 

64,994

 

 

 

66,729

 

 

 

65,160

 

TANDEM DIABETES CARE, INC.

SALES BY GEOGRAPHY

Table C(1)

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

($'s in thousands)

Three Months Ended

June 30,

 

 

 

Six Months Ended

June 30,

 

 

 

2025

 

2024

 

% Change

 

2025

 

2024

 

% Change

United States:

 

 

 

 

 

 

 

 

 

 

 

Pump

$

85,467

 

$

81,745

 

 

5%

 

$

157,608

 

$

143,465

 

 

10%

Supplies and other

 

84,742

 

 

74,812

 

 

13%

 

 

163,233

 

 

143,999

 

 

13%

Adjustment for Tandem Choice

 

 

 

154

 

 

(100)%

 

 

 

 

(992

)

 

100%

Total GAAP Sales in the United States

$

170,209

 

$

156,711

 

 

9%

 

$

320,841

 

$

286,472

 

 

12%

Adjustment for Tandem Choice

 

 

 

(154

)

 

100%

 

 

 

 

992

 

 

(100)%

Total Non-GAAP Sales in the United States

$

170,209

 

$

156,557

 

 

9%

 

$

320,841

 

$

287,464

 

 

12%

 

 

 

 

 

 

 

 

 

 

 

 

Outside the United States:

 

 

 

 

 

 

 

 

 

 

 

Pump

$

26,404

 

$

26,130

 

 

1%

 

$

56,354

 

$

51,697

 

 

9%

Supplies and other

 

44,065

 

 

39,069

 

 

13%

 

 

97,905

 

 

75,415

 

 

30%

Total Sales Outside the United States

$

70,469

 

$

65,199

 

 

8%

 

$

154,259

 

$

127,112

 

 

21%

 

 

 

 

 

 

 

 

 

 

 

 

Total GAAP Worldwide Sales

$

240,678

 

$

221,910

 

 

8%

 

$

475,100

 

$

413,584

 

 

15%

Adjustment for Tandem Choice

 

 

 

(154

)

 

100%

 

 

 

 

992

 

 

(100)%

Total Non-GAAP Worldwide Sales

$

240,678

 

$

221,756

 

 

9%

 

$

475,100

 

$

414,576

 

 

15%

(1)

The Tandem Choice program concluded in 2024, and there was no impact to sales for this program in 2025. A reconciliation of non-GAAP financial measures to their closest GAAP equivalent and additional information can be found in Table D and under the heading “Non-GAAP Financial Measures.”

TANDEM DIABETES CARE, INC.

Reconciliation of GAAP versus Non-GAAP Financial Results

Table D

(Unaudited)

 

 

 

 

 

 

 

 

($'s in thousands)

Three Months Ended

June 30,

 

Six Months Ended

June 30,

 

2025

 

2024

 

2025(5)

 

2024

GAAP sales

$

240,678

 

 

$

221,910

 

 

$

475,100

 

 

$

413,584

 

Adjustment for Tandem Choice (1)

 

 

 

 

(154

)

 

 

 

 

 

992

 

Non-GAAP sales

$

240,678

 

 

$

221,756

 

 

$

475,100

 

 

$

414,576

 

 

 

 

 

 

 

 

 

GAAP gross profit

$

125,855

 

 

$

112,794

 

 

$

244,262

 

 

$

207,466

 

Adjustment for Tandem Choice(1)

 

 

 

 

(127

)

 

 

 

 

 

1,019

 

Non-GAAP gross profit

$

125,855

 

 

$

112,667

 

 

$

244,262

 

 

$

208,485

 

GAAP gross margin(2)

 

52

%

 

 

51

%

 

 

51

%

 

 

50

%

Non-GAAP gross margin(2)

 

52

%

 

 

51

%

 

 

51

%

 

 

50

%

 

 

 

 

 

 

 

 

GAAP operating loss

$

(51,810

)

 

$

(30,774

)

 

$

(172,688

)

 

$

(72,452

)

Litigation and settlement expense

 

19,951

 

 

 

 

 

 

19,951

 

 

 

 

Non-recurring facility impairment costs(3)

 

 

 

 

 

 

 

6,697

 

 

 

 

Restructuring costs(4)

 

 

 

 

 

 

 

4,470

 

 

 

 

Adjustment for Tandem Choice(1)

 

 

 

 

(127

)

 

 

 

 

 

1,019

 

Non-GAAP operating loss

$

(31,859

)

 

$

(30,901

)

 

$

(141,570

)

 

$

(71,433

)

GAAP operating margin(2)

 

(22

)%

 

 

(14

)%

 

 

(36

)%

 

 

(18

)%

Non-GAAP operating margin(2)

 

(13

)%

 

 

(14

)%

 

 

(30

)%

 

 

(17

)%

 

 

 

 

 

 

 

 

GAAP net loss

$

(52,400

)

 

$

(30,814

)

 

$

(182,956

)

 

$

(73,529

)

Income tax expense

 

(5,322

)

 

 

1,071

 

 

 

3,145

 

 

 

4,257

 

Interest income, interest expense and other, net

 

5,912

 

 

 

(1,031

)

 

 

7,123

 

 

 

(3,180

)

Depreciation and amortization

 

4,367

 

 

 

4,108

 

 

 

8,678

 

 

 

8,151

 

Litigation and settlement expense

 

19,951

 

 

 

 

 

 

19,951

 

 

 

 

Stock-based compensation expense

 

25,641

 

 

 

24,897

 

 

 

51,130

 

 

 

46,936

 

Non-recurring facility impairment costs(3)

 

 

 

 

 

 

 

6,697

 

 

 

 

Restructuring costs(4)

 

 

 

 

 

 

 

4,470

 

 

 

 

Adjustment for Tandem Choice(1)

 

 

 

 

(127

)

 

 

 

 

 

1,019

 

Adjusted EBITDA

$

(1,851

)

 

$

(1,896

)

 

$

(81,762

)

 

$

(16,346

)

Adjusted EBITDA margin(2)

 

(1

)%

 

 

(1

)%

 

 

(17

)%

 

 

(4

)%

 

 

 

 

 

 

 

 

GAAP net loss

$

(52,400

)

 

$

(30,814

)

 

$

(182,956

)

 

$

(73,529

)

Litigation and settlement expense

 

19,951

 

 

 

 

 

 

19,951

 

 

 

 

Non-recurring facility impairment costs(3)

 

 

 

 

 

 

 

6,697

 

 

 

 

Restructuring costs(4)

 

 

 

 

 

 

 

4,470

 

 

 

 

Adjustment for Tandem Choice(1)

 

 

 

 

(127

)

 

 

 

 

 

1,019

 

Non-GAAP net loss

$

(32,449

)

 

$

(30,941

)

 

$

(151,838

)

 

$

(72,510

)

(1)

The accounting treatment for Tandem Choice had a high degree of complexity. The Tandem Choice program concluded in 2024, and there was no impact to sales for this program in 2025. Additional information can be found under the heading “Non-GAAP Financial Measures.”

(2)

GAAP margins including GAAP gross margin and GAAP operating margin are calculated using GAAP sales. Non-GAAP margins including non-GAAP gross margin, non-GAAP operating margin, and adjusted EBITDA margin are calculated using non-GAAP sales.

(3)

The Company recorded $6.7 million in impairment charges related to its operating lease right-of-use assets for certain facilities in the U.S. and Switzerland.

(4)

The Company recorded $4.3 million in severance and other restructuring costs associated with the relocation of certain research and development activities.

(5)

In the first quarter of 2025, the Company included an adjustment for IPR&D expense in its non-GAAP financials and provided guidance based on this practice. Beginning in the second quarter of 2025, the Company no longer included an adjustment for IPR&D expense in its non-GAAP results to align with views expressed by the staff of the U.S. Securities and Exchange Commission and 2025 results and guidance have been revised accordingly.

 

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