COMPANY OVERVIEW. July 30, 2018

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Transcription:

COMPANY OVERVIEW July 30, 2018

SAFE HARBOR & NON-GAAP FINANCIAL MEASURES Forward Looking Statements Certain statements in this presentation constitute forward-looking statements, including, without limitation, statements about: the perceived advantages of our products relative to competitive products and technologies; our anticipated growth and other measures of future operating results and financial performance; the development and commercialization of new products; our ability to secure and maintain necessary regulatory approvals for our existing products and new products under development. Our estimates and forward-looking statements are based on our management s current assumptions and expectations of future events and trends, which affect or may affect our business, strategy, operations or financial performance. These statements are not guarantees of future performance and involve a number of risks and uncertainties, many of which are beyond our control. Our actual results may differ materially from those expressed or implied by such forward-looking statements. Some of the factors that could cause actual results to differ materially from those expressed or implied by such forward-looking statements can be found under the captions Risk Factors and Management s Discussion and Analysis of Financial Condition and Results of Operations in our most recent Annual Report on Form 10-K, Quarterly Report on Form 10-Q, as well as in the other reports we file with the Securities and Exchange Commission. In addition, new risk factors and uncertainties emerge from time to time and it is not possible for our management to predict all risk factors and uncertainties, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. We qualify all of our forward-looking statements by these cautionary statements. Estimates and forward-looking statements speak only as of the date they were made, and, except to the extent required by law, we undertake no obligation to update or review any estimate and forward-looking statement because of new information, future events or other factors. Non-GAAP Financial Measures This presentation references certain non-gaap financial measures, including, without limitation, non-gaap sales and non-gaap operating margin. These non-gaap measures have not been calculated in accordance with GAAP and should not be considered an alternative for measures prepared in accordance with GAAP. The presentation of non-gaap information is not meant to be considered superior to, in isolation from or as a substitute for results prepared in accordance with GAAP. We believe these non-gaap financial measures enhance investors overall understanding of our current financial performance and our prospects for the future. A reconciliation of the non-gaap financial measures corresponding to the GAAP financial measures is provided on slide 24. 2

TANDEM DIABETES CARE Technology For A Simply Better Life Nearly 78,000 insulin pumps shipped in the United States since 2012 5 differentiated insulin pumps launched t:slim X2 with Basal-IQ technology now FDA approved First pump compatible with icgm Launching August 2018 Robust product pipeline t:slim X2 with Control-IQ technology 2 nd automated insulin delivery product t:sport - our next-generation hardware platform Connected (mobile) health offerings Sales momentum 1H 2018 sales of $61.4M 2017 sales of $107.6M Cash flow breakeven goal: 2H 2019 Assumes installed base >80,000 ordering customers; 55% gross margin 3

DIABETES OVERVIEW Cause Onset Type 1 Type 2 Autoimmune Body does not create insulin hormone Sudden Typically before age 40 Lifestyle Related Insulin resistance where cells do not use insulin properly Progressive Typically appears late in life Prevention None Diet and exercise Therapy Insulin Oral medication, insulin U.S. Prevalence 1 1.2 million 2.3 million Apx. 21 million, of which 3.2 million use insulin only Worldwide Prevalence 2 42.5 million 382.5 million 1) Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017. Atlanta, GA: Centers for Disease Control and Prevention, U.S. Dept of Health and Human Services; 2017. 2) International Diabetes Federation. IDF Diabetes Atlas, 8th edn. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org 4

INSULIN REPLACEMENT THERAPY Multiple Daily Injection MDI Continuous Subcutaneous Insulin Infusion CSII 5

Blood Glucose Levels PUMP THERAPY IS OPTIMAL Basal and Bolus Insulin Release Like The Pancreas 6

THE PUMP THAT GETS UPDATED, NOT OUTDATED Touchscreen Remote Update Capability Up to 38% smaller than other pumps 1 Rechargeable Battery Dexcom CGM Ease of use provides clinical benefits 2 1) 38% smaller than MiniMed 630G and 670G and at least 28% smaller than MiniMed 530G, Animas Vibe and Omnipod System. Data on file, Tandem Diabetes Care 2) Schaeffer N, McCoy S, et. al. Touchscreen sensor-augmented insulin pump demonstrates less exposure to hypoglycemia and increased time in range compared to non-touchscreen SAPs and Manning M, Noar A, Marin G, Dokken B. Self-reported hypoglycemia reduction in Tandem pump use compared to previous methods of diabetes therapy. 10th Annual Advanced Technologies and Treatments for Diabetes Conference; 2016. 7

SMALLEST PUMP, BIG UNIQUE FEATURES t:slim X2 Medtronic 670G Touchscreen? YES NO Smallest CGM enabled pump? YES NO 38% Smaller Pump 44% Larger Screen 13% Lighter Pump Updateable? YES NO Bluetooth wireless technology? YES NO Rechargeable battery? YES NO #1 rated customer service? YES 1 NO Source: Company websites and product user guides. 1) dq&a USA Patient Connections Surveys, 2013-2017 8

DEXCOM TECHNOLOGY BENEFITS OUR PATIENTS ECOSYSTEM THE ONLY CGM WITHOUT FINGERPRICKS Dexcom G6 CGM Adult MARD* 9.0% Medtronic Guardian CGM 10.6% (Based on 2 calibrations/day) Finger Sticks/Day 0 5 9 Calibration 0 Glucose Data Sharing * Mean Absolute Relative Difference SHARE feature allows up to five followers to monitor a user s glucose 4 calibrations/day recommended 2 calibrations/day required None Source: Company websites and product user guides. 9

BRIDGING TODAY S HARDWARE WITH TOMORROW S SOFTWARE *A prescription and additional training may be required to access certain future software updates. Offer only available to in-warranty customers in the United States. Additional feature updates are subject to future FDA approvals. 10

BASAL-IQ: REDUCING HYPOGLYCEMIA t:slim X2 with predictive low-glucose suspend algorithm Utilizes Dexcom s G6 icgm data Suspends basal insulin to help minimize the frequency and/or duration of hypoglycemic events Commercial launch planned for August 2018 Approved June 21, 2018 Note: The graphics presented on this page are for illustrative purposes only, and do not reflect individual results 11 11

CONTROL-IQ: LEAP-FROGGING THE COMPETITION 1 t:slim X2 with TypeZero s hybrid closed loop algorithm; utilizes Dexcom s G6 CGM data Increases or decreases basal insulin to minimize hyper/hypoglycemia and improve time-in-range, and delivers automated correction boluses Launch goal: summer 2019, subject to FDA approval Anticipate using results from the International Diabetes Closed Loop Trial in PMA submission 1. Investigational Device, Not Approved For Sale. Note: The graphics presented on this page are for illustrative purposes only, and do not reflect individual results 12 12

T:SPORT OUR NEXT-GEN HARDWARE PLATFORM 1 Our next-generation hardware platform 50% of t:slim X2 s size 200 unit cartridge; evaluating 300 unit option AID algorithm Uses a short infusion set Controlled via a separate device or mobile app Controller Preserves current reimbursement model Pump 1 Not approved for use or sale. Note: The graphics presented on this page are for illustrative purposes only, and do not reflect individual results 13 13

OUR CONNECTED HEALTH STRATEGY t:connect (pumping, BG and CGM data) #1 rated consumer software by pump users since 2013 1 HCP version streamlines use for multiple patients and office efficiency Tandem mobile application (in development) Wirelessly upload data to t:connect Integration of data from 3rd party sources Receive notification of pump alerts and alarms Designed to support future pump-control capabilities 1) dq&a USA Patient Connections Surveys, 2013-2017 Note: The graphics presented on this page are for illustrative purposes only, and do not reflect individual results 14 14

CAPITALIZING ON OUR EARLY INVESTMENTS Driving Toward 2019 Goal of Cash Flow Breakeven at 80,000+ Installed Base Actual 1 ($ in millions) 2013 2014 2015 2016 2017 Total Product Sales $29.0 $ 49.7 $ 72.9 $88.5 $102.6 % Increase 71% 47% 21% 16% Pump Shipments 6,472 10,822 15,483 16,938 17,061 Operating expense $55.6 $90.9 $95.6 $101.6 $107.0 % Increase 64% 5% 6% 5% Operating Loss % -170% -152% -95% -83% -64% Historical sales growth driven by launch of 5 differentiated insulin pumps since 2012 Approximately 50% of our customers report being new to pump therapy from MDI Annual increases in operating expenses contained to 5-6% from 2015-2017 Return to growth experienced in 1H 2018 following challenging competitive environment in 2016-2017 1) 2013 2015 are GAAP; 2016 and 2017 are Non-GAAP. Non-GAAP sales are determined in accordance with GAAP, adjusted for the impact of the Technology Upgrade Program. See the information under the heading Non-GAAP Financial Measures" on slide 2. A reconciliation of the non-gaap financial measures to the most directly comparable GAAP financial measures is provided on slide 24. 15

INSULIN PUMP BUSINESS MODEL IN THE U.S. Highly seasonal business Sales are typically back-end loaded (Q1 lowest percent of sales, Q4 highest percent of sales) Highly influenced by timing of when people typically meet their insurance deductibles Customer Order Payor Contract? DTC sales model (commercial payors and patient coinsurance) Billed using existing HCPC codes with longstanding defined allowable rates Utilize direct contracts with commercial payors or distributor arrangements Network of distributors used for 70% - 75% of sales Distributors pricing adjusted for a logistics margin Process w/ Payor Process w/ Distributor Single Case Agreement Allowed? Negotiate Single Case Agreement w/ Payor 16

KEY CATALYSTS TO SALES GROWTH Record pump shipments in Q4 2017 (up 80% over Q3 2017), Q1 2018 and Q2 2018 Organic Pump Sales Cartridge Sales Pump Renewals Infusion Set Sales Animas Opportunity AID Algorithms International TNDM Historical TNDM as of Q4 2017 TNDM Go-Forward 2 1 2 1. t:slim X2 with Basal-IQ approved June 21, 2018, commercial launch planned for August 2018 2. Plan to launch outside the United States in H2 2018 17

PUMP RENEWALS: A NEW CATALYST FOR DOMESTIC GROWTH Domestic Pump Cartridge Infusion Set Reimbursement Frequency (use frequency) Once every 4 years Once every 90 days (Every 3 days or 120/year) Once every 90 days (Every 3 days or 120/year) Payor Reimbursement $4,000 - $5,000 $2.50 - $3.00 $8.00 - $10.00 Pumps represent greatest percentage of sales due to the significant average selling price difference Supplies represent approximately $1,200 - $1,600 annually (75% infusion set) per direct customer Not a traditional razor/razorblade model due to reoccurring pump reimbursement cycle Longer-term renewals goal to reach 70% success rate Network of distributors used for 75% - 80% of domestic sales Distributors pricing adjusted for a logistics margin 18 18

INFUSION SET SUCCESS STRENGTHENS BUSINESS MODEL Infusion sets: Ratio of infusion set shipments to cartridge shipments was 100% beginning Q1 2018 ($ in 000s) $100,000 $80,000 Annual Sales by Product Apx 26% of sales in Q2 2018 Drive both incremental revenue and gross profit $60,000 $40,000 $20,000 Cartridges Infusion Sets Pumps Infusion set to cartridge shipments percentage $- 2013 2014 2015 2016 2017 27% 20% 18% 31% 66% 1 1 1) 2013-2015 are GAAP; 2016 and 2017 are Non-GAAP. Non-GAAP gross margin is determined in accordance with GAAP, adjusted for the impact of the Technology Upgrade Program. See the information under the heading "Non-GAAP Financial Measures" on slide 2. A reconciliation of the non-gaap financial measures to the most directly comparable GAAP financial measures is provided on slide 24. 19

ANIMAS EXIT CHANGES THE LANDSCAPE Animas ceased U.S. pump sales in October 2017 Approximately 90,000 customers worldwide Tandem offers the only alternative durable pump to Medtronic in the U.S. Medtronic aiding customers in the transition 20

MEANINGFUL GROSS MARGIN PROGRESS E 55% 32% Reduction in Component Costs Improved Warranty Costs A& 40% Increased Production Volumes 1 2016 2017 2H19 Goal 1 Q2 2018 gross margin: 44% Pumps: largest percentage of sales, greatest impact on gross margin Apx. 20% reduction in pump component cost 2016 to 2017 Reduction in warranty expense from 12% of sales in 2016 to 7% in Q2 2018 Positive supplies gross margin Breakeven was reached Q3 2016; increasingly positive margin each subsequent quarter 1) 2016 & 2017 are Non-GAAP. Non-GAAP gross margin is determined in accordance with GAAP, adjusted for the impact of the Technology Upgrade Program. See the information under the heading "Non-GAAP Financial Measures" on slide 2. A reconciliation of the non-gaap financial measures to the most directly comparable GAAP financial measures is provided on slide 24. 21

LEVERAGING OUR INFRASTRUCTURE IN 2018 New manufacturing facility doubles capacity without materially increasing cost No planned domestic salesforce expansion Leveraging infrastructure for international expansion Customer support to scale with sales growth 22

TANDEM DIABETES CARE Technology For A Simply Better Life Nearly 78,000 insulin pumps shipped in the United States since 2012 5 differentiated insulin pumps launched t:slim X2 with Basal-IQ technology now FDA approved First pump compatible with icgm Launching August 2018 Robust product pipeline t:slim X2 with Control-IQ technology 2 nd automated insulin delivery product t:sport - our next-generation hardware platform Connected (mobile) health offerings Sales momentum 1H 2018 sales of $61.4M 2017 sales of $107.6M Cash flow breakeven goal: 2H 2019 Assumes installed base >80,000 ordering customers; 55% gross margin 23

GAAP TO NON-GAAP RECONCILIATION 1 Sales (in millions) 2016 2017 Q1 Q2 Q3 Q4 Full Year Q1 Q2 Q3 Q4 Full Year GAAP $20.1 $23.0 $12.3 $28.9 $84.2 $19.0 $21.3 $27.0 $40.3 $107.6 Non-GAAP - - $20.7 $24.8 $88.5 $17.5 $21.3 $23.7 $40.3 $102.6 Gross Profit GAAP $6.9 $8.2 ($1.6) $10.1 $23.6 $6.8 $8.0 $11.9 $17.5 $44.1 Non-GAAP - - $5.4 $7.7 $28.2 $6.0 $8.1 $9.3 $17.6 $41.0 Gross Margin GAAP 35% 36% (13%) 35% 28% 36% 38% 44% 43% 41% Non-GAAP - - 26% 31% 32% 35% 38% 39% 44% 40% 1) A Technology Upgrade Program was launched in Q3 2016. Sales and cost of sales for eligible t:slim and t:slim G4 shipments were subject to deferral beginning 7/1/16. The amount deferred varied based on a number of factors, including the model of pump involved and the timing of the initial sales relative to the availability of certain future products. In general, the deferrals had the effect of initially decreasing our GAAP sales even when the number of our pump shipments increased. We discontinued new sales of t:slim and sales of t:slim G4 significantly decreased following the launch of t:slim X2 in Q4 2016, resulting in a significant decrease in the amount of sales and cost of sales related to new product shipments that were deferred under the program. 24

Questions? Contact Investor Relations T: 858-366-6900 x7005 E: IR@tandemdiabetes.com