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Insulet Corp.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 4 November 2026: press release. Guidance figures: 2 raised, 1 narrowed, 1 new, 2 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 19.2% in the quarter: Quarterly revenue was $842.0 million against $706.3 million a year earlier, up 19.2%, or 19.6% in constant currency. Source
  • Operating income and margin rose: Operating income was $189.8 million, or 22.5% of revenue, up 590 basis points. Adjusted operating income was $185.2 million, or 22.0% of revenue, up 490 basis points. Source
  • Full-year guidance raised on margin and growth: Full-year total growth range was raised at the low end, International growth range moved up, and adjusted operating margin expansion moved from about 100 to about 150 basis points. Source
  • International Omnipod revenue up 31.7%: International Omnipod revenue was $266.2 million, up 31.7% as reported and 33.0% in constant currency, from $202.1 million. Source
  • Type 2 action plan under way: Type 2 actions include improved onboarding and customer support, enhanced sampling, and sales force compensation aligned to new customer start and retention goals. Source
  • Gross margin rose to 75.1%: GAAP gross profit was $632.1 million, or 75.1% of revenue, against 70.2% GAAP in the second quarter. Non-GAAP gross margin was 74.2%. Source
  • Free cash flow fell in nine months: Nine-month free cash flow was $211.7 million, against $329.5 million. Operating cash flow was $325.7 million, against $386.0 million, and capital expenditures were $113.9 million, against $56.5 million. Source
  • Two key trials completed enrollment: Enrollment was completed in the STRIVE2 type 1 cohort, described as a milestone for Omnipod 6, and in the EVOLVE pivotal study for fully closed-loop AID in adults with type 2 diabetes. Source

“As we look ahead, the business is well positioned for durable, profitable growth.”

Ashley McEvoy, President and CEO

Guidance

AreaPeriodFigureAgainst last quarter
U.S. Omnipod revenue growth, constant currency Sourceyear ending December 31, 202617.5% - 18.5%
International Omnipod revenue growth, constant currency Sourceyear ending December 31, 202632% - 33%Raised from 30% - 32%
Total Omnipod revenue growth, constant currency Sourceyear ending December 31, 202621.5% - 22.5%
Drug Delivery revenue change, constant currency Sourceyear ending December 31, 2026~(40%)Kept
Total revenue growth, constant currency Sourceyear ending December 31, 202621% - 22%Narrowed, low end up from 20% - 22%
Adjusted operating margin change Sourceyear ending December 31, 2026~150 bps YoY expansionRaised from ~100 bps YoY expansion
Adjusted EPS growth Sourceyear ending December 31, 2026>30%Kept
Share repurchases Sourcefourth quarter of 2026approximately $400 millionNew

What changed from last quarter

  • Guidance raised: Full-year adjusted operating margin expansion guidance moved from about 100 basis points to about 150 basis points. Source
  • Guidance raised: Full-year International Omnipod growth range, constant currency, moved from 30% - 32% to 32% - 33%. Source
  • Guidance raised: Full-year total revenue growth range, constant currency, moved from 20% - 22% to 21% - 22%. Source
  • Guidance kept: Full-year adjusted EPS growth guidance remains greater than 30%, the same as the prior guidance. Source
  • New: The Board approved a $1 billion share repurchase program, which the company describes as an expanded authorization. Source
  • New: The company reported completing the full U.S. market release of Omnipod Discover during the quarter. Source

Results and growth drivers

  • Revenue rose 19.2% in the quarter: Quarterly revenue was $842.0 million against $706.3 million a year earlier, up 19.2%, or 19.6% in constant currency. Source
  • Operating income and margin rose: Operating income was $189.8 million, or 22.5% of revenue, up 590 basis points. Adjusted operating income was $185.2 million, or 22.0% of revenue, up 490 basis points. Source
  • Adjusted diluted EPS rose 59.9%: Net income was $141.1 million, or $2.03 per diluted share, against $87.6 million, or $1.24, a year earlier. Adjusted diluted EPS was $1.99. Source
  • Nine-month revenue rose 25.0%: Nine-month revenue was $2,405.4 million against $1,924.3 million, up 25.0%, or 23.8% in constant currency. Source
  • Full-year guidance raised on margin and growth: Full-year total growth range was raised at the low end, International growth range moved up, and adjusted operating margin expansion moved from about 100 to about 150 basis points. Source

Segments and regions

  • U.S. Omnipod revenue up 14.7%: U.S. Omnipod revenue was $570.4 million, up from $497.1 million a year earlier, with no currency effect. Source
  • International Omnipod revenue up 31.7%: International Omnipod revenue was $266.2 million, up 31.7% as reported and 33.0% in constant currency, from $202.1 million. Source
  • Drug Delivery revenue declined 22.7%: Drug Delivery revenue was $5.5 million, down from $7.1 million, a 22.7% decline in constant currency. Source
  • Nine-month international growth, constant currency: Nine-month International Omnipod revenue was $760.8 million, up 40.8% as reported and 36.4% in constant currency. Source

“The share repurchase we are announcing today demonstrates our confidence in the strength of the Omnipod platform and Insulet's long-term trajectory.”

Ashley McEvoy, President and CEO

Products, customers and commercial execution

  • Discover engagement platform reached full U.S. release: The full U.S. release of Omnipod Discover extends the company's engagement platform to people with diabetes and healthcare professionals, providing personalized insights and decision support. Source
  • Omnipod 5 algorithm extended to full U.S. retail: The Omnipod 5 algorithm enhancement now extends to full retail across the U.S. Management cited real-world evidence of better user outcomes with less effort. Source
  • Libre 3 Plus sensor choice expanded abroad: Integration with Abbott's FreeStyle Libre 3 Plus CGM was extended to ten named countries, including Belgium, the Netherlands, the UK, Italy and Germany. Source
  • Type 2 action plan under way: Type 2 actions include improved onboarding and customer support, enhanced sampling, and sales force compensation aligned to new customer start and retention goals. Source
  • U.S. sales force expansion completed: Management said the company completed its U.S. sales force expansion during the quarter as part of its commercial objectives. Source

Costs, margins and tax

  • Gross margin rose to 75.1%: GAAP gross profit was $632.1 million, or 75.1% of revenue, against 70.2% GAAP in the second quarter. Non-GAAP gross margin was 74.2%. Source
  • R&D and SG&A spending increased: Research and development expenses were $91.6 million, up from $77.2 million. Selling, general and administrative expenses were $350.7 million, up from $315.2 million. Source
  • Device-correction warranty adjustment reduced costs: GAAP results for the quarter include a $4.5 million net reduction from warranty adjustments on the voluntary device corrections, which non-GAAP results exclude. Nine-month costs total $32.2 million. Source
  • Effective tax rate 20.4%: Income tax expense was $36.1 million, against $35.2 million a year earlier. The GAAP effective tax rate was 20.4%, compared with 28.7% in the prior-year quarter. Source
  • Former CFO severance adjustment excluded: A severance benefit adjustment of $0.5 million for the former CFO is excluded from non-GAAP results for the nine months. Source

“We are making continued progress on our type 2 action plan, strengthening our commercial capabilities, expanding our customer base, increasing manufacturing scale and advancing innovation.”

Ashley McEvoy, President and CEO

Cash, balance sheet and share count

  • Free cash flow fell in nine months: Nine-month free cash flow was $211.7 million, against $329.5 million. Operating cash flow was $325.7 million, against $386.0 million, and capital expenditures were $113.9 million, against $56.5 million. Source
  • Cash balance below year-end level: Cash and cash equivalents were $584.4 million at September 30, against $716.1 million at December 31, 2025. Accounts receivable rose to $689.0 million from $516.9 million. Source
  • Term Loan B repricing expense: A $0.3 million loss on extinguishment of debt was recorded in the quarter, tied to the Term Loan B repricing. Source
  • Diluted share count lower: Diluted weighted-average shares were 69.5 million in the quarter, against 70.7 million, and 69.7 million for the nine months, against 72.3 million. Source

Strategy, innovation and clinical evidence

  • Two key trials completed enrollment: Enrollment was completed in the STRIVE2 type 1 cohort, described as a milestone for Omnipod 6, and in the EVOLVE pivotal study for fully closed-loop AID in adults with type 2 diabetes. Source
  • EVOLUTION 3 type 2 feasibility data: The EVOLUTION 3 feasibility study, presented at EASD, showed additional time-in-range benefit with no user-initiated boluses in adults with type 2 diabetes using a GLP-1 and CGM. Source
  • Omnipod 5 real-world data presented: Management presented real-world Omnipod 5 data at EASD from people with type 1 diabetes across 17 countries, reporting consistent time-in-range outcomes. Source

Coming up, as management said on 4 November 2026

  • Fourth-quarter share repurchases: Management expects to allocate about $400 million toward share repurchases in the fourth quarter of 2026, funded with existing cash. Source

Figures management reported

FigureReported
Omnipod Discover users and healthcare professionals Source35,000 users and 5,000 healthcare professionals

Risks management discussed

  • Operational: Warranty and related cost estimates for the voluntary device corrections are adjusted each period; the quarter's net adjustment was a $4.5 million reduction. Source
  • External: Currency affected reported International growth: 31.7% as reported against 33.0% in constant currency, a 1.3-point effect in the quarter. Source

Earlier plans management reported on

  • Ahead: Management said third-quarter revenue growth at constant currency was slightly above the high end of the 17.5% - 19.5% guidance range. 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.