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Insulet Corp.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 6 May 2026: press release. Guidance figures: 3 raised, 5 new, 4 kept. The quarter’s numbers.

Key takeaways

  • Revenue up 33.9%, 30.1% in constant currency: Total revenue was $761.7 million, up 33.9% from $569.0 million, or 30.1% in constant currency. Source
  • International Omnipod grew fastest: International Omnipod revenue was $242.9 million, up 59.4% from $152.3 million, or 45.2% in constant currency. Source
  • Adjusted operating margin rose 110 basis points: Adjusted operating income was $133.5 million, or 17.5% of revenue, against $93.5 million, or 16.4%, a year earlier. Source
  • Net income and diluted EPS rose: Net income was $91.1 million, or $1.30 per diluted share, against $35.4 million, or $0.50. Adjusted diluted EPS was $1.42, up 39.7%. Source
  • Free cash flow rose to $89.5 million: Free cash flow was $89.5 million, against $51.6 million, from operating cash flow of $113.8 million less capital expenditures of $24.3 million. Source
  • Repurchased 1.25 million shares: The company repurchased 1.25 million shares of common stock in the quarter. The dollar amount of the repurchases is not stated in the release. Source
  • Algorithm update adds 100 mg/dL target: Data on a new Omnipod 5 algorithm update was presented at ATTD. The update adds a 100 mg/dL target glucose setting, one of six settings from 100 to 150 mg/dL. Source

“We started the year strong, delivering continued growth momentum and robust operating margin expansion in the first quarter,”

Ashley McEvoy, President and CEO

Guidance

AreaPeriodFigureAgainst last quarter
U.S. Omnipod revenue growth (constant currency) SourceQ2 202618% - 20%New
International Omnipod revenue growth (constant currency) SourceQ2 202628% - 30%New
Total Omnipod revenue growth (constant currency) SourceQ2 202621% - 23%New
Drug Delivery revenue growth SourceQ2 2026~(50)%New
Total company revenue growth (constant currency) SourceQ2 202620% - 22%New
U.S. Omnipod revenue growth (constant currency) SourceFY 202620% - 22%Kept
International Omnipod revenue growth (constant currency) SourceFY 202626% - 28%Raised from 24% - 26%
Total Omnipod revenue growth (constant currency) SourceFY 202622% - 24%Raised from 21% - 23%
Drug Delivery revenue growth SourceFY 2026~(50)%Kept
Total company revenue growth (constant currency) SourceFY 202621% - 23%Raised from 20% - 22%
Adjusted operating margin SourceFY 2026~100 bps YoY expansionKept
Adjusted EPS growth SourceFY 2026>25%Kept

What changed from last quarter

  • Guidance raised: Full-year total company revenue growth guidance in constant currency raised to 21% to 23% from 20% to 22%. Source
  • Guidance raised: Full-year total Omnipod revenue growth guidance raised to 22% to 24% from 21% to 23%. Source
  • Guidance raised: Full-year International Omnipod revenue growth guidance raised to 26% to 28% from 24% to 26%. Source
  • New guidance: Second-quarter 2026 revenue growth guidance was provided for the first time. Source
  • Guidance kept: Full-year adjusted operating margin and adjusted EPS growth guidance were left unchanged from the February guidance. Source
  • New: Omnipod 5 and Omnipod Discover launched in five Middle East countries, taking Omnipod 5 availability to 19 countries. Source
  • New: A voluntary medical device correction was issued in March 2026. Source
  • New: Enrollment began in the EVOLVE pivotal study of a fully closed-loop system for adults with type 2 diabetes. Source

Revenue and growth drivers

  • Revenue up 33.9%, 30.1% in constant currency: Total revenue was $761.7 million, up 33.9% from $569.0 million, or 30.1% in constant currency. Source
  • International Omnipod grew fastest: International Omnipod revenue was $242.9 million, up 59.4% from $152.3 million, or 45.2% in constant currency. Source
  • U.S. Omnipod revenue up 28.3%: U.S. Omnipod revenue was $515.6 million, up 28.3% from $401.7 million in the prior-year quarter. Source
  • Drug Delivery revenue declined: Drug Delivery revenue was $3.3 million, against $14.9 million a year earlier, a decline of 77.9%. Source

Margins, profit and costs

  • Adjusted operating margin rose 110 basis points: Adjusted operating income was $133.5 million, or 17.5% of revenue, against $93.5 million, or 16.4%, a year earlier. Source
  • GAAP operating margin rose 40 basis points: GAAP operating income was $122.1 million, or 16.0% of revenue, against $88.8 million, or 15.6% a year earlier. Source
  • Net income and diluted EPS rose: Net income was $91.1 million, or $1.30 per diluted share, against $35.4 million, or $0.50. Adjusted diluted EPS was $1.42, up 39.7%. Source
  • Adjusted EBITDA margin reached 23.9%: Adjusted EBITDA was $181.7 million, or 23.9% of revenue, against $133.9 million, or 23.5% a year earlier. Source
  • Research and development and SG&A rose: Research and development expenses were $89.7 million, against $59.6 million. Selling, general and administrative expenses were $317.2 million, against $260.7 million. Source

“Our team executed on our strategic priorities, growing our global Podder community and strengthening our leadership in the AID market, and we are raising our total company revenue growth outlook to reflect our progress.”

Ashley McEvoy, President and CEO

Cash flow and balance sheet

  • Free cash flow rose to $89.5 million: Free cash flow was $89.5 million, against $51.6 million, from operating cash flow of $113.8 million less capital expenditures of $24.3 million. Source
  • Cash balance declined over the quarter: Cash and cash equivalents were $480.4 million at March 31, 2026, against $716.1 million at December 31, 2025. Source
  • Payables rose, accrued liabilities fell: Accounts payable rose to $149.8 million from $75.0 million, while accrued expenses and other current liabilities fell to $519.0 million from $586.7 million. Source
  • Stockholders' equity declined: Stockholders’ equity was $1,302.6 million, against $1,515.2 million at December 31, 2025. Total assets were $2,987.2 million. Source

Capital returns and share count

  • Repurchased 1.25 million shares: The company repurchased 1.25 million shares of common stock in the quarter. The dollar amount of the repurchases is not stated in the release. Source
  • Diluted share count declined: Diluted weighted-average shares were 70,202 thousand, against 74,111 thousand a year earlier. Basic weighted-average shares were 69,986 thousand. Source

“We are confident in our ability to achieve our long‑term growth objectives by accelerating innovation, developing our markets, strengthening our commercial engine, and scaling our global operations.”

Ashley McEvoy, President and CEO

Products and clinical milestones

  • Algorithm update adds 100 mg/dL target: Data on a new Omnipod 5 algorithm update was presented at ATTD. The update adds a 100 mg/dL target glucose setting, one of six settings from 100 to 150 mg/dL. Source
  • EVOLUTION 2 data for type 2 adults: Data from the EVOLUTION 2 trial, presented at ATTD, showed 68% time in range with no boluses in a fully closed-loop system for adults with type 2 diabetes. Source
  • Libre 3 Plus limited release completed: A U.S. limited market release of the Omnipod 5 algorithm with FreeStyle Libre 3 Plus was completed, broadening sensor connectivity across CGM platforms. Source

Leadership and other items

  • Former CFO severance adjustment: A severance benefit adjustment of $(0.3) million for the former Chief Financial Officer was excluded from adjusted results. Source
  • Interest expense versus prior-year income: Net interest was an expense of $9.8 million, against net interest income of $1.1 million a year earlier. No loss on debt extinguishment was recorded, against $39.5 million. Source

Coming up, as management said on 6 May 2026

  • Broader Omnipod 5 algorithm launch: Management expects a broader launch of the Omnipod 5 algorithm update in the coming weeks. Source
  • EVOLVE study to support 2027 filing: The EVOLVE pivotal study is to support a 510(k) filing in 2027 for the fully closed-loop system in adults with type 2 diabetes. Source

Risks management discussed

  • Regulatory: Warranty costs for the voluntary device correction are included in cost of revenue and are excluded from adjusted results. Source

Earlier plans management reported on

  • Ahead: First-quarter revenue growth at constant currency exceeded the high end of the guided range. Source
  • Not stated: The prior release planned about $300 million of repurchases in the first quarter; the current release reports 1.25 million shares repurchased without a dollar figure.
  • Not stated: First-quarter adjusted operating margin was up 110 basis points over the prior year. The release does not say whether this matches the full-year pace. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.