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Tandem Diabetes Care Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 6 August 2026: press release. Guidance figures: 2 lowered, 5 kept. The quarter’s numbers.

Key takeaways

  • Worldwide sales grew 6% to $254.6 million: Worldwide sales increased 6% year-over-year to $254.6 million from $240.7 million. Sales grew 5% in constant currency. U.S. sales rose 5% to $179.3 million and international sales grew 7% to $75.3 million. Source
  • Pump shipments reached 33,000 units worldwide: Total worldwide pump shipments exceeded 33,000 units in Q2 2026. U.S. shipments were more than 22,000 pumps compared to approximately 21,000 prior year. International shipments were approximately 11,000 pumps versus approximately 9,000 pumps in Q2 2025. Source
  • Gross margin expanded 460 basis points to 57%: Gross margin improved to 57% in Q2 2026 from 52% in Q2 2025, a 460 basis point increase. Gross profit dollars grew 15% to $144.8 million from $125.9 million, reflecting manufacturing efficiency and operational scale. Source
  • Operating loss improved 800 basis points: Operating loss improved to negative $13.8 million, or negative 5% of sales, from negative $51.8 million, or negative 22% of sales, in Q2 2025. The 800 basis point margin improvement reflects gross margin expansion combined with operating expense leverage. Source
  • FDA cleared Control-IQ+ for pregnancy and type 2: Received FDA clearance for Control-IQ+ advanced hybrid closed-loop use during pregnancy in type 1 diabetes, expanding patient population. Also received CE Mark for Control-IQ+ use by adults with type 2 diabetes, opening new addressable market. Source
  • Submitted 510(k) for Mobi tubeless capability: Submitted 510(k) application to FDA for Tandem Mobi tubeless capability, representing a significant product innovation for the Mobi platform pending regulatory clearance. Source
  • Pharmacy channel pay-as-you-go at 10% of U.S. sales: Scaled pay-as-you-go reimbursement model launched in Q1 2026 achieved 10% of U.S. sales through the pharmacy channel in Q2, demonstrating customer adoption of the new distribution and reimbursement pathway. Source
  • Tandem Mobi international commercial rollout begun: Began international commercial rollout of Tandem Mobi system in Q2 2026, representing a key geographic expansion for the company's newer platform. International pump shipments reached approximately 11,000 units, up 22% from 9,000 prior year. Source

“Our second quarter results reflect meaningful progress across the priorities we set for 2026.”

John Sheridan, President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Sales SourceYear ending December 31, 2026approximately $1.065 billion to $1.085 billionKept
U.S. Sales SourceYear ending December 31, 2026approximately $730 million to $745 millionKept
International Sales SourceYear ending December 31, 2026approximately $335 million to $340 millionKept
Gross Margin SourceYear ending December 31, 2026approximately 56% to 57% of salesKept
Non-cash Charges SourceYear ending December 31, 2026approximately $85 millionLowered from $100 million
Stock-Based Compensation SourceYear ending December 31, 2026approximately $65 millionLowered from $80 million
Adjusted EBITDA Margin SourceYear ending December 31, 2026approximately 5% to 6% of salesKept

What changed from last quarter

  • Guidance lowered: Non-cash charges guidance for full year 2026 reduced to approximately $85 million from $100 million. Source
  • Guidance lowered: Stock-based compensation guidance for 2026 reduced to approximately $65 million from $80 million. Source
  • New: Company began international commercial rollout of Tandem Mobi system in Q2 2026. Source
  • New: Submitted 510(k) application to FDA for Tandem Mobi tubeless capability. Source

Sales Growth and Volumes

  • Worldwide sales grew 6% to $254.6 million: Worldwide sales increased 6% year-over-year to $254.6 million from $240.7 million. Sales grew 5% in constant currency. U.S. sales rose 5% to $179.3 million and international sales grew 7% to $75.3 million. Source
  • Pump shipments reached 33,000 units worldwide: Total worldwide pump shipments exceeded 33,000 units in Q2 2026. U.S. shipments were more than 22,000 pumps compared to approximately 21,000 prior year. International shipments were approximately 11,000 pumps versus approximately 9,000 pumps in Q2 2025. Source

Gross Margin Expansion and Profitability

  • Gross margin expanded 460 basis points to 57%: Gross margin improved to 57% in Q2 2026 from 52% in Q2 2025, a 460 basis point increase. Gross profit dollars grew 15% to $144.8 million from $125.9 million, reflecting manufacturing efficiency and operational scale. Source
  • Operating loss improved 800 basis points: Operating loss improved to negative $13.8 million, or negative 5% of sales, from negative $51.8 million, or negative 22% of sales, in Q2 2025. The 800 basis point margin improvement reflects gross margin expansion combined with operating expense leverage. Source

“We are seeing tangible evidence that our strategy is gaining traction and the momentum we are building reinforces our confidence in Tandem's ability to drive broader customer impact, strengthen our financial performance and create long-term value.”

John Sheridan, President and Chief Executive Officer

Product Portfolio Expansion

  • FDA cleared Control-IQ+ for pregnancy and type 2: Received FDA clearance for Control-IQ+ advanced hybrid closed-loop use during pregnancy in type 1 diabetes, expanding patient population. Also received CE Mark for Control-IQ+ use by adults with type 2 diabetes, opening new addressable market. Source
  • Submitted 510(k) for Mobi tubeless capability: Submitted 510(k) application to FDA for Tandem Mobi tubeless capability, representing a significant product innovation for the Mobi platform pending regulatory clearance. Source
  • Expanded sensor compatibility across markets: Introduced Dexcom G7 15-day sensor compatibility for both t:slim X2 and Tandem Mobi in the U.S. Launched t:slim X2 compatibility with Abbott FreeStyle Libre 3 Plus Sensor in four European markets. Source

Reimbursement Model Progress

  • Pharmacy channel pay-as-you-go at 10% of U.S. sales: Scaled pay-as-you-go reimbursement model launched in Q1 2026 achieved 10% of U.S. sales through the pharmacy channel in Q2, demonstrating customer adoption of the new distribution and reimbursement pathway. Source

International Expansion

  • Tandem Mobi international commercial rollout begun: Began international commercial rollout of Tandem Mobi system in Q2 2026, representing a key geographic expansion for the company's newer platform. International pump shipments reached approximately 11,000 units, up 22% from 9,000 prior year. Source
  • International sales grew 7% to $75.3 million: International sales increased 7% year-over-year to $75.3 million from $70.5 million, with constant currency growth of 6%. International pump sales specifically grew 20% to $31.7 million. Source

Full Year 2026 Guidance Status

  • Core 2026 guidance metrics reaffirmed: Company reaffirmed full year 2026 sales guidance of $1.065-$1.085 billion, gross margin of 56-57%, and adjusted EBITDA margin of 5-6%, with no changes from Q1 guidance. Source
  • Non-cash charges reduced by $15 million: Updated non-cash charges guidance to approximately $85 million for 2026, a reduction from $100 million. Stock-based compensation lowered to $65 million from $80 million. Source

Coming up, as management said on 6 August 2026

  • Tandem Mobi tubeless 510(k) FDA decision pending: 510(k) application for Tandem Mobi tubeless capability submitted to FDA in Q2; regulatory decision timeline not specified but represents key product enhancement. Source
  • International Tandem Mobi rollout continuing across markets: International commercial rollout of Tandem Mobi begun in Q2 2026 with planned expansion into additional geographic markets. Source

Earlier plans management reported on

  • On track: Company reaffirmed full year 2026 sales guidance at Q2 earnings, unchanged from Q1 guidance, indicating confidence in achieving the range. Source
  • On track: Gross margin guidance reaffirmed at 56-57% for full year 2026, consistent with Q2 achievement of 57%. Source
  • On track: Model launched in Q1 achieved 10% of U.S. sales penetration by Q2, demonstrating successful market adoption and channel development. Source
  • On track: International commercial rollout of Tandem Mobi begun in Q2 2026 as planned. 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.