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Tandem Diabetes Care Announces Third Quarter 2023 Financial Results

Tandem Diabetes Care, Inc. (NASDAQ: TNDM), a global insulin delivery and diabetes technology company, today reported its financial results for the quarter ended September 30, 2023 and updated its financial guidance for the year ending December 31, 2023.

Third Quarter and Recent Highlights

  • Worldwide installed base increased 11 percent to approximately 444,000 in-warranty customers compared to the third quarter 2022.
  • Published prospective study data demonstrating the immediate and sustained benefit of t:slim X2 with Control-IQ technology for one year across approximately 3,000 individuals living with type 1 diabetes.
  • Commenced initial, limited release of Tandem Mobi in the United States.
  • Reached the milestone of full U.S. healthcare provider availability of Tandem Source, our second-generation data management application.
  • $498.2 million in cash, cash equivalents & short-term investments as of September 30, 2023.

“In this transitional year, we are focused on bringing the benefits of our #1 rated automated insulin delivery system to more people living with diabetes worldwide, providing customer care excellence and advancing our scalability initiatives,” said John Sheridan, president and chief executive officer. “There is a large and growing opportunity for Tandem’s technology to drive greater use of automated insulin delivery worldwide, and we are advancing our efforts to expand this adoption through our near-term portfolio of diabetes solutions.”

Third Quarter 2023 Financial Results Compared to 2022

In September 2022, the Company began offering the Tandem Choice Program (Tandem Choice) to eligible t:slim X2 customers to provide a pathway to ownership of its newest hardware platform, Tandem Mobi, for a fee when available. As a result of this program, the Company is providing select financial results for both GAAP and non-GAAP. Additional information, including the accounting treatment of this program and other non-GAAP measures, can be found under the heading “Reconciliation of GAAP versus Non-GAAP Financial Results” in this press release.

 

Three Months Ended

 

 

Nine Months Ended

 

September 30,

 

 

September 30,

$ in millions

2023

 

2022

 

 

2023

 

2022

 

GAAP

 

Non-GAAP

 

GAAP

 

Non-GAAP

 

 

GAAP

 

Non-GAAP

 

GAAP

 

Non-GAAP

Pump Shipments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

16,842

 

N/A

 

 

20,394

 

N/A

 

 

 

52,809

 

N/A

 

 

59,870

 

N/A

Outside United States

 

7,989

 

N/A

 

 

12,113

 

N/A

 

 

 

24,571

 

N/A

 

 

32,846

 

N/A

Total Worldwide

 

24,831

 

N/A

 

 

32,507

 

N/A

 

 

 

77,380

 

N/A

 

 

92,716

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sales

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

$

130.2

 

$

138.5

 

$

146.0

 

$

146.6

 

 

$

404.0

 

$

416.5

 

$

423.0

 

$

423.6

Outside United States

 

55.4

 

 

55.4

 

 

58.5

 

 

58.5

 

 

 

146.9

 

 

146.9

 

 

157.7

 

 

157.7

Total Worldwide

$

185.6

 

$

193.9

 

$

204.5

 

$

205.1

 

 

$

550.9

 

$

563.4

 

$

580.7

 

$

581.3

  • Gross profit: GAAP gross profit was $89.8 million, compared to $104.4 million. GAAP gross margin was 48 percent, compared to 51 percent.



    Non-GAAP gross profit(1) was $98.0 million compared to $105.0 million. Non-GAAP gross margin(1) was 51 percent for both periods.
  • Operating income (loss): GAAP operating loss totaled $31.5 million, or negative 17 percent of sales, compared to operating loss of $47.5 million, or negative 23 percent of sales.



    Non-GAAP operating loss(1) totaled $23.3 million, or negative 12 percent of sales, compared to $15.9 million or negative 8 percent of sales.



    Adjusted EBITDA(1) was $1.5 million, or 1 percent of sales, compared to $9.9 million, or 5 percent of sales.
  • Net income (loss): GAAP net loss(1) was $33.0 million, compared to net loss of $49.0 million.



    Non-GAAP net loss(1) was $24.7 million compared to $17.4 million.

See tables for additional financial information.

2023 Financial Guidance

“We are reaffirming our U.S. guidance, which is largely based on strong t:slim X2 renewal purchases and supply ordering trends. Our adjusted baseline expectations outside the U.S. factors in new disruption reported by our distribution partners in key markets and relates to the timing and process for new product launches,” said Leigh Vosseller, executive vice president and chief financial officer. “We continue to yield positive results from our cost saving initiatives, which is reflected in our reaffirmed margin expectations, as we focus on executing against our growth opportunity with efficiency and discipline.”

For the year ending December 31, 2023, the Company is updating its 2023 financial guidance as follows:

  • Non-GAAP sales(1) are estimated to be at least $765 million.
    • Sales inside the United States of at least $575 million.
    • Sales outside the United States of at least $190 million.
  • Non-GAAP gross margin(1) is estimated to be approximately 51 percent.
  • Adjusted EBITDA margin(1) is estimated to be at least breakeven as a percent of sales.
    • Includes approximately 3 percent from the impact of operating costs associated with the acquisitions of Capillary Biomedical and AMF Medical.
  • Non-cash charges included in cost of goods sold and operating expenses are estimated to be approximately $110 million. This includes:
    • Approximately $95 million non-cash, stock-based compensation expense.
    • Approximately $15 million depreciation and amortization expense.

(1) A reconciliation of non-GAAP financial measures to their closest GAAP equivalent and additional information can be found in Table E and under the heading “Reconciliation of GAAP versus Non-GAAP Financial Results.”

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, they will be calculated using a consistent method from period to period. A reconciliation of each of the GAAP financial measures to the most directly comparable non-GAAP financial measures has been provided in Table E “Reconciliation of GAAP versus Non-GAAP Financial Results” attached to this press release.

In particular, the accounting treatment for Tandem Choice has a high degree of complexity. In September 2022 when the program was launched, the Company began deferring a portion of sales for each eligible t:slim X2 pump shipped in the United States. Such deferrals will be recognized on a customer-by-customer basis following the commercial launch of the Company’s new hardware platform, Tandem Mobi. The timing of recognition will be based on either a) an affirmative election to participate in Tandem Choice or b) expiration of the right to participate. Notably:

  • Offering the program does not impact the economics associated with how or when the initial pump sale is reimbursed.
  • Customer eligibility is automatic and no election is necessary to participate in Tandem Choice at the time of a t:slim X2 purchase. An affirmative election is only required when the new hardware platform, Tandem Mobi, is commercially available, at which time any customer fees will be received and recognized as a sale.
  • The expiration date of Tandem Choice is December 31, 2024.

Consistent with SEC regulations, the Company has not provided a reconciliation of forward-looking non-GAAP financial measures to the most directly comparable GAAP financial measures in reliance on the “unreasonable efforts” exception set forth in the applicable regulations, because there is substantial uncertainty associated with predicting any future adjustments that may be made to the Company’s GAAP financial measures in calculating the non-GAAP financial measures.

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.vevent.com/register/BIef8a824a5ebe4f3fbec7ba819e215d96) and you will be provided with dial-in details, including a personal pin.

About Tandem Diabetes Care, Inc.

Tandem Diabetes Care, Inc., a global insulin delivery and diabetes technology company headquartered in San Diego, California, creates new possibilities for people living with diabetes, their loved ones, and healthcare providers through a positively different experience. The Company’s human-centered approach to design, development, and support delivers innovative products and services for people who use insulin. Tandem manufactures and sells the t:slim X2 insulin pump with Control-IQ technology. For more information, visit tandemdiabetes.com.

Tandem Diabetes Care, the Tandem logo, 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.

Follow Tandem Diabetes Care on Twitter @tandemdiabetes; use #tslimX2 and #TandemDiabetes.

Follow Tandem Diabetes Care on Facebook at www.facebook.com/TandemDiabetes.

Follow Tandem Diabetes Care on LinkedIn at https://www.linkedin.com/company/tandemdiabetes.

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 for this year, including the launch of multiple new products. 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 existing products and products under development; 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 complete the development and launch of new products when anticipated; risks associated with the regulatory approval process 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, 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, 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)

 

 

 

September 30,

 

December 31,

 

2023

 

2022

Assets

 

 

 

Current assets:

 

 

 

Cash, cash equivalents and short-term investments

$

498,158

 

$

616,901

Accounts receivable, net

 

100,318

 

 

114,717

Inventories

 

143,492

 

 

111,117

Other current assets

 

16,176

 

 

7,241

Total current assets

 

758,144

 

 

849,976

 

 

 

 

Property and equipment, net

 

75,760

 

 

68,552

Operating lease right-of-use assets

 

89,434

 

 

110,626

Other long-term assets

 

16,571

 

 

23,631

Total assets

$

939,909

 

$

1,052,785

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

Current liabilities:

 

 

 

Accounts payable, accrued expenses and employee-related liabilities

$

103,950

 

$

104,007

Operating lease liabilities

 

17,618

 

 

13,121

Deferred revenue

 

31,610

 

 

18,837

Other current liabilities

 

33,932

 

 

29,325

Total current liabilities

 

187,110

 

 

165,290

 

 

 

 

Convertible senior notes, net - long-term

 

284,580

 

 

283,232

Operating lease liabilities - long-term

 

116,012

 

 

123,524

Deferred revenue - long-term

 

14,089

 

 

16,874

Other long-term liabilities

 

24,118

 

 

23,918

Total liabilities

 

625,909

 

 

612,838

 

 

 

 

Total stockholders’ equity

 

314,000

 

 

439,947

Total liabilities and stockholders’ equity

$

939,909

 

$

1,052,785

TANDEM DIABETES CARE, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

Table B

(in thousands, except per share data)

(Unaudited)

 

 

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

2023

 

2022

 

2023

 

2022

Sales

$

185,622

 

 

$

204,547

 

 

$

550,922

 

 

$

580,716

 

Cost of sales

 

95,869

 

 

 

100,122

 

 

 

276,527

 

 

 

283,252

 

Gross profit

 

89,753

 

 

 

104,425

 

 

 

274,395

 

 

 

297,464

 

Operating expenses:

 

 

 

 

 

 

 

Selling, general and administrative

 

79,328

 

 

 

84,104

 

 

 

266,752

 

 

 

237,989

 

Research and development

 

41,970

 

 

 

36,798

 

 

 

127,063

 

 

 

103,529

 

Acquired in-process research and development expenses

 

 

 

 

31,016

 

 

 

78,750

 

 

 

31,016

 

Total operating expenses

 

121,298

 

 

 

151,918

 

 

 

472,565

 

 

 

372,534

 

Operating loss

 

(31,545

)

 

 

(47,493

)

 

 

(198,170

)

 

 

(75,070

)

Total other income (expense), net

 

816

 

 

 

144

 

 

 

9,226

 

 

 

(1,668

)

Loss before income taxes

 

(30,729

)

 

 

(47,349

)

 

 

(188,944

)

 

 

(76,738

)

Income tax expense

 

2,232

 

 

 

1,621

 

 

 

3,665

 

 

 

2,003

 

Net loss

$

(32,961

)

 

$

(48,970

)

 

$

(192,609

)

 

$

(78,741

)

 

 

 

 

 

 

 

 

Net loss per share - basic

$

(0.51

)

 

$

(0.76

)

 

$

(2.97

)

 

$

(1.23

)

Net loss per share - diluted

$

(0.51

)

 

$

(0.76

)

 

$

(2.97

)

 

$

(1.23

)

 

 

 

 

 

 

 

 

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

 

65,117

 

 

 

64,236

 

 

 

64,834

 

 

 

64,066

 

Weighted average shares used to compute diluted net loss per share

 

65,117

 

 

 

64,237

 

 

 

64,834

 

 

 

64,067

 

TANDEM DIABETES CARE, INC.

SALES BY GEOGRAPHY

Table C(1)

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

($'s in thousands)

Three Months Ended September 30,

 

 

 

Nine Months Ended September 30,

 

 

 

2023

 

2022

 

% Change

 

2023

 

2022

 

% Change

United States:

 

 

 

 

 

 

 

 

 

 

 

Pump

$

66,365

 

 

$

81,295

 

 

(18

)%

 

$

207,180

 

 

$

236,448

 

 

(12

)%

Supplies and other

 

72,093

 

 

 

65,339

 

 

10

%

 

 

209,352

 

 

 

187,136

 

 

12

%

Deferral for Tandem Choice

 

(8,236

)

 

 

(599

)

 

1,275

%

 

 

(12,568

)

 

 

(599

)

 

1,998

%

Total GAAP Sales in the United States

$

130,222

 

 

$

146,035

 

 

(11

)%

 

$

403,964

 

 

$

422,985

 

 

(4

)%

Adjustment for Tandem Choice

 

8,236

 

 

 

599

 

 

1,275

%

 

 

12,568

 

 

 

599

 

 

1,998

%

Total Non-GAAP Sales in the United States

$

138,458

 

 

$

146,634

 

 

(6

)%

 

$

416,532

 

 

$

423,584

 

 

(2

)%

 

 

 

 

 

 

 

 

 

 

 

 

Outside the United States:

 

 

 

 

 

 

 

 

 

 

 

Pump

$

21,672

 

 

$

27,385

 

 

(21

)%

 

$

67,235

 

 

$

75,515

 

 

(11

)%

Supplies and other

 

33,728

 

 

 

31,127

 

 

8

%

 

 

79,723

 

 

 

82,216

 

 

(3

)%

Total Sales Outside the United States

$

55,400

 

 

$

58,512

 

 

(5

)%

 

$

146,958

 

 

$

157,731

 

 

(7

)%

 

 

 

 

 

 

 

 

 

 

 

 

Total GAAP Worldwide Sales

$

185,622

 

 

$

204,547

 

 

(9

)%

 

$

550,922

 

 

$

580,716

 

 

(5

)%

Adjustment for Tandem Choice

 

8,236

 

 

 

599

 

 

1,275

%

 

 

12,568

 

 

 

599

 

 

1,998

%

Total Non-GAAP Worldwide Sales

$

193,858

 

 

$

205,146

 

 

(6

)%

 

$

563,490

 

 

$

581,315

 

 

(3

)%

(1)

A reconciliation of non-GAAP financial measures to their closest GAAP equivalent and additional information can be found in Table E and under the heading “Reconciliation of GAAP versus Non-GAAP Financial Results.”

TANDEM DIABETES CARE, INC.

PUMP SHIPMENTS

Table D

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended September 30,

 

 

 

Nine Months Ended September 30,

 

 

 

2023

 

2022

 

% Change

 

2023

 

2022

 

% Change

Pumps Shipped:

 

 

 

 

 

 

 

 

 

 

 

United States

16,842

 

20,394

 

(17

)%

 

52,809

 

59,870

 

(12

)%

Outside the United States

7,989

 

12,113

 

(34

)%

 

24,571

 

32,846

 

(25

)%

Total Pumps Shipped

24,831

 

32,507

 

(24

)%

 

77,380

 

92,716

 

(17

)%

TANDEM DIABETES CARE, INC.

Reconciliation of GAAP versus Non-GAAP Financial Results (Unaudited)

Table E

 

 

 

 

 

 

 

 

($'s in thousands)

Three Months Ended September 30,

 

Nine Months Ended September 30,

 

2023

 

2022

 

2023

 

2022

GAAP sales

$

185,622

 

 

$

204,547

 

 

$

550,922

 

 

$

580,716

 

Adjustment for Tandem Choice (1)

 

8,236

 

 

 

599

 

 

 

12,568

 

 

 

599

 

Non-GAAP sales

$

193,858

 

 

$

205,146

 

 

$

563,490

 

 

$

581,315

 

 

 

 

 

 

 

 

 

GAAP gross profit

$

89,753

 

 

$

104,425

 

 

$

274,395

 

 

$

297,464

 

Adjustment for Tandem Choice(1)

 

8,236

 

 

 

599

 

 

 

12,568

 

 

 

599

 

Non-GAAP gross profit

$

97,989

 

 

$

105,024

 

 

$

286,963

 

 

$

298,063

 

Non-GAAP gross margin(2)

 

51

%

 

 

51

%

 

 

51

%

 

 

51

%

 

 

 

 

 

 

 

 

GAAP operating loss

$

(31,545

)

 

$

(47,493

)

 

$

(198,170

)

 

$

(75,070

)

Acquired in-process research and development(3)

 

 

 

 

31,016

 

 

 

78,750

 

 

 

31,016

 

Non-recurring facility consolidation costs(4)

 

 

 

 

 

 

 

14,099

 

 

 

 

Severance costs - cash and noncash

 

 

 

 

 

 

 

2,680

 

 

 

 

Adjustment for Tandem Choice(1)

 

8,236

 

 

 

599

 

 

 

12,568

 

 

 

599

 

Non-GAAP operating loss

$

(23,309

)

 

$

(15,878

)

 

$

(90,073

)

 

$

(43,455

)

Non-GAAP operating margin(2)

 

(12

)%

 

 

(8

)%

 

 

(16

)%

 

 

(7

)%

 

 

 

 

 

 

 

 

GAAP net loss

$

(32,961

)

 

$

(48,970

)

 

$

(192,609

)

 

$

(78,741

)

Income tax expense

 

2,232

 

 

 

1,621

 

 

 

3,665

 

 

 

2,003

 

Interest income and other, net

 

(5,656

)

 

 

(1,720

)

 

 

(17,305

)

 

 

(2,961

)

Interest expense

 

4,840

 

 

 

1,576

 

 

 

8,079

 

 

 

4,629

 

Depreciation and amortization

 

4,023

 

 

 

3,508

 

 

 

11,684

 

 

 

10,689

 

Stock-based compensation expense

 

20,741

 

 

 

22,236

 

 

 

64,946

 

 

 

60,477

 

Acquired in-process research and development(3)

 

 

 

 

31,016

 

 

 

78,750

 

 

 

31,016

 

Non-recurring facility consolidation costs(4)

 

 

 

 

 

 

 

14,099

 

 

 

 

Severance costs - cash and noncash

 

 

 

 

 

 

 

2,680

 

 

 

 

Adjustment for Tandem Choice(1)

 

8,236

 

 

 

599

 

 

 

12,568

 

 

 

599

 

Adjusted EBITDA

$

1,455

 

 

$

9,866

 

 

$

(13,443

)

 

$

27,711

 

Adjusted EBITDA margin(2)

 

1

%

 

 

5

%

 

 

(2

)%

 

 

5

%

 

 

 

 

 

 

 

 

GAAP net loss

$

(32,961

)

 

$

(48,970

)

 

$

(192,609

)

 

$

(78,741

)

Acquired in-process research and development(3)

 

 

 

 

31,016

 

 

 

78,750

 

 

 

31,016

 

Non-recurring facility consolidation costs(4)

 

 

 

 

 

 

 

14,099

 

 

 

 

Severance costs - cash and noncash

 

 

 

 

 

 

 

2,680

 

 

 

 

Adjustment for Tandem Choice(1)

 

8,236

 

 

 

599

 

 

 

12,568

 

 

 

599

 

Non-GAAP net loss

$

(24,725

)

 

$

(17,355

)

 

$

(84,512

)

 

$

(47,126

)

(1)

The accounting treatment for Tandem Choice has a high degree of complexity. Additional information can be found under the heading “Non-GAAP Financial Measures.”

(2)

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

(3)

Acquired in-process research and development charges representing the value of acquired in-process research and development assets with no alternative future use and acquisition related expenses recorded in connection with the acquisitions of AMF Medical SA in 2023, and Capillary BioMedical, Inc. in 2022.

(4)

The Company recorded $14.1 million of facility consolidation costs related to our Vista Sorrento lease in San Diego, California.

 

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