Good day, and thank you for standing by. Welcome to the Tandem Diabetes Care First Quarter 2025 Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. To ask a question during the session, you will need to press star one one on your telephone. You will then hear an automated message advising your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your speaker today, Susan Morrison, Executive Vice President and Chief Administrative Officer. Please go ahead. Hello, everyone, and thanks for joining Tandem's First Quarter 2025 Earnings Call. Today's discussion will include forward-looking statements. These statements reflect management's expectations about future events, our product pipeline, development timelines, and financial performance and operating plans, and speak only as of today's date. There are risks and uncertainties that could cause actual results to differ materially from those anticipated or projected in our forward-looking statements. A list of factors that could cause actual results to be materially different from those expressed or implied by any of these forward-looking statements is highlighted in our press release issued earlier today and under the risk factors portion and elsewhere in our most recent annual report on Form 10-K and quarterly report on Form 10-Q. We assume no obligation to publicly update any forward-looking statements, whether as a result of new information, future events, or other factors. Today's discussion will also include references to a number of GAAP and non-GAAP financial measures. Non-GAAP financial measures are provided to give our investors information that we believe is indicative of our core operating performance and reflects our ongoing business operations. We believe these non-GAAP financial measures facilitate better comparisons of operating results across reporting periods. Any non-GAAP information presented should not be considered as a substitution, independently or superior to results prepared in accordance with GAAP. Please refer to our earnings release issued earlier today and available on the Investor Center portion of our website for a reconciliation of these measures to their most directly comparable GAAP financial measure. Leading today's call is John Sheridan, Tandem's President and CEO, who will be joined by Leigh Vosseller, our Executive Vice President and Chief Financial Officer. Following their prepared remarks, the operator will open up the call for questions. Thank you in advance for limiting yourself to one question before getting back in the queue. John, you may begin. Thank you, Susan, and thanks everybody for joining us today. In the first quarter, we demonstrated strong execution throughout our business. We delivered more than 20% growth for the third quarter in a row, with record first quarter sales in the United States and our highest quarter ever internationally. In addition to driving top-line growth, we are delivering on key operational initiatives to strengthen and enhance our business while increasing profitability. In the first quarter, we demonstrated meaningful improvement in adjusted EBITDA year over year. Another highlight of the quarter was FDA's clearance of Control-IQ+ for people living with type 2 diabetes, followed by the New England Journal of Medicine's publication featuring the benefits of Control-IQ+. I'd like to thank our employees for an impressive start of the year, which positions us to deliver on our goals in 2025 and beyond while improving the lives of people with diabetes. Starting with a deeper look at our Q1 performance in the U.S., we continue to see growth year over year in new pump starts and achieved a double-digit increase in customers converting from multiple daily injections for the last four quarters in a row. This strength is from demand for our newest offering, Tandem Mobi, as well as our flagship pump, the t:slim X2. The product mix between these two offerings is healthy, and the demand for Mobi is on track to contribute meaningfully to our near and longer-term financial goals. Our products are expanding the large and under-penetrated insulin pump market, as approximately 2/3 of our new starts are coming from people converting from multiple daily injections. We also continue to see great loyalty from t:slim customers coming up for renewal. Renewal rates have remained at a consistently high level along with our customer satisfaction scores. Our mix of new and renewing customers remains roughly 50/50, which we anticipate will continue throughout the year. Q1 was also our first quarter operating under our newly expanded field sales and clinical structure. This expansion and our realignment of existing territories has progressed according to plan and is now complete. We welcomed a high caliber of talent to complement our more tenured field employees, and our territories are now poised to realize productivity gains throughout the remainder of this year. Another successful commercial initiative in Q1 was the launch of our best algorithm yet, Control-IQ+. This algorithm makes better control easy: easy to start, easy to use, and easy to personalize. For example, our profile setting calculator is a software wizard that only requires a person's total daily insulin and weight to get them started on Control-IQ+. This is a feature that benefits both patients and healthcare providers as it simplifies and streamlines onboarding to our AID technology, which is tested, trusted, and now better than ever. Control-IQ+ launched in late March and is indicated for use by people with type 1 diabetes ages 2 and older. Following FDA's recent clearance, it's also now cleared for adults living with type 2 diabetes. The pivotal study supporting this clearance is the first and only large-scale randomized controlled trial of automated insulin delivery in people with type 2 diabetes. It was also the most rigorous evaluation of AID for people with type 2 ever conducted, and the outcomes were incredible. Significant improvements in time in range and A1C were demonstrated for the people using Control-IQ+ compared to a control group. These results were seen cumulatively and across a broad range of ages. They were also equally demonstrated in people who chose to count carbohydrates in the study compared to people who had used a more simplified approach by entering fixed dosing at meals. This is significant as it makes the bolus process even easier without sacrificing improvement in clinical outcomes. Also, the synergy between Control-IQ+ and GLP-1 receptor agonist use was highlighted at our ATTD presentation in March, showing how well these therapies work together. We are proud of the outcomes from our pivotal study and the tremendous accomplishment of being featured in the New England Journal of Medicine. This most recent publication marks the fourth time that our Control-IQ technology has been featured in the journal, which is an unprecedented accomplishment in our industry and speaks to the strength of our studies and our AID algorithm. We are excited about the growth potential this type 2 indication provides as it more than doubles our addressable market. Control-IQ+ is now broadly available, and we have begun initial commercial efforts to people with type 2 in select areas. We are using this early phase of launch to gather customer experience data on training and onboarding, as well as reimbursement and channel access to inform our expanded launch plans and expectations for the remainder of the year. Channel access continues to be a top initiative for our company, and Leigh will discuss our Q1 progress more in her prepared remarks. Turning to our business outside the United States, the strong sales momentum we saw exiting 2024 continued in the first quarter, where we delivered our highest quarterly sales results ever. This was driven by demand for our t:slim X2 platform, which is available with Dexcom G6 and G7 sensor integration in approximately 25 countries. In addition to attracting new customers, we are also beginning to see customers renewing with Tandem, who first bought a pump when we entered these markets four or five years ago. It's a meaningful opportunity when you look at the historical pump adoption rates outside the United States., and it will serve as an additional source of growth as we look to the future. Operationally, our plans to begin direct sales OUS in select countries are progressing well. Transition service agreements are now in place in the select countries where we will go direct in 2026, and we are developing and executing joint transition plans that are designed to ensure the proper business continuity and minimize potential disruption. We've also been furthering the efforts we began last year to hire in-country talent. We are preparing to enhance our sales efforts, support, and technology offerings outside the United States, both for our direct and distributor-led countries. It's a pivotal step for our company as we deepen relationships within the European diabetes community while strengthening our financial position to accelerate sales growth and drive margin expansion. I'd now like to turn the call over to Leigh to talk about quarter one results and expectations for the year. Thanks, John. As a reminder, unless otherwise noted, the financial metrics I'll be discussing today are on a non-GAAP basis. Reconciliations from GAAP to non-GAAP results can be found in today's earnings release as well as on the Investor Center portion of our website. Please note that 2025 sales and margins in the U.S. are not impacted by the Tandem Choice Program, which ended in 2024. Our Q1 performance was a strong start to the year, exceeding our guidance for both top-line sales and bottom-line EBITDA, and we are on track to deliver our 2025 commitments. Worldwide, we achieved record first-quarter sales of $234 million, or 22% year-over-year growth. We also improved EBITDA 5% points year-over-year while investing in market expansion efforts, demonstrating our commitment to profitable growth. Focusing on the U.S. first, we delivered another Q1 record with $151 million in sales, representing a 15% increase year-over-year. This growth was driven by three factors that position us for longer-term growth. First, we had healthy pump shipments to both new and renewing customers. Second, we had strong supply sales driven by a high rate of retention and improved customer utilization across our sizable install base, which was the primary factor contributing to our outperformance. Third, we continued to improve our average selling prices. The favorable pricing came largely from our DME channel efforts, but we did realize meaningful pharmacy pricing benefit even on the small volumes we fulfilled this quarter. This continues to reinforce that our newly launched pharmacy channel initiative provides a significant opportunity for the future. We are pleased to report that we now have approximately 30% of U.S. lives covered under the pharmacy benefit, with a mix of commercial and government lives, compared to the 20% that we shared on our last call. The contracts we have in place, plus ongoing negotiations, confirm that durable pumps are well accepted under this benefit, and flexibility exists for the structure of reimbursement across pumps and supplies. The contracts we have entered into so far continue to be similar in structure to our DME agreements, which are not subscription models. We continue to scale our capabilities and gather data on our increasing pharmacy channel access. Our early experience in processing orders has been encouraging, enabling us to serve customers at significantly reduced out-of-pocket costs. This lowers the financial barrier that historically may have prevented people from adopting AID technology. We are focused on advancing our pharmacy capabilities as part of our broader market access strategy, which remains centered around having a multi-channel approach to best serve our customers while driving volume growth and profitability through improved pricing. Turning to markets outside the United States, we started the year off strong with all-time record sales of $84 million. This 35% year-over-year growth was driven by continued demand for t:slim, strong supply sales, and early positive momentum for renewals. The first quarter benefited from nearly $5 million in orders that we originally anticipated would be placed in Q2. This shift in timing was the largest part of our outperformance relative to Q1 guidance, and we're maintaining our expectations for the full year. Moving on to margins, our Q1 performance demonstrated progress on our path to achieving our near and long-term profitability goals. Our 51% gross margin was a significant accomplishment, as it's in line with Q4, where we have historically seen a seasonal decline from the fourth to the first quarter. This was primarily driven by a reduction in the per-unit cost of pumps, with efficiencies gained in both manufacturing and non-manufacturing costs. Demonstrating improvement in profitability is a key objective for us this year, which we delivered in Q1 as our adjusted EBITDA margin expanded at an even higher rate than gross margin, improving 5% points year-over-year. This improvement was primarily driven by leverage gained within R&D, which was also an important offset to SG&A as we invested in our U.S. Salesforce expansion and the infrastructure for direct European operations beginning next year. In addition, we began executing our plan to drive greater efficiency within our customer support functions, which are designed to modernize the customer experience while driving cost savings. The benefits from these initiatives will begin to be realized in the second half of this year. As a reminder, adjusted EBITDA does not include the impact of certain non-recurring transactions primarily associated with the amendment of our agreement with AMS Medical's original shareholders. As you can see, we achieved our objectives for Q1 on both the top and bottom line and are well-positioned for the remainder of the year. We ended the quarter with nearly $370 million in total cash and investments and anticipate returning to positive free cash flow both for the second half of 2025 and on a full-year basis. With that, we remain confident in our ability to support key commitments, including repayment of convertible notes due in the second quarter. As we look to the remainder of 2025, we are reaffirming our sales, gross margin, and EBITDA guidance. The broader environment is very dynamic, but the building blocks for our original guidance assumptions remain intact. Starting with worldwide sales, we accept a range of $997 million to just over $1 billion, reflecting our goal to deliver double-digit growth for the second year in a row. This includes U.S. sales in the range of $725 million-$730 million, where more than 70% of our sales for the year are expected to be generated from predictable and recurring revenue streams from supplies and renewals. Similar to years past, we anticipate sales will step up in Q2, highlighting that the average increase across the last three years was 13%. We anticipate sales will increase modestly from Q2 to Q3, with our highest sales achievement in Q4. This cadence comes from multiple factors that are the building blocks of our guidance. First is overall seasonality associated with insurance benefits. We assume this will be consistent with 2024, along with the progression of renewals, which are back half loaded based on the timing of pump sales four years ago. Next, and unique to this year, is the scaling productivity of our expanded Salesforce. Disruption from adding and realigning territories was well-managed in the first quarter, and we anticipate it will take 9 - 12 months for territories to scale to full productivity, which puts the greatest benefit in the fourth quarter. The last of the factors I'll highlight are all of our new growth opportunities, which are more heavily weighted to the second half of the year. These include new technology launches, benefit from our encouraging ASP trends, as well as broadened pharmacy channel access and type 2 commercial efforts. Sales outside the U.S. are expected to be in the range of $272 million-$277 million. We anticipate sales to be relatively flat across the remainder of the year, which reflects the timing shift of approximately $5 million in sales originally anticipated for Q2 that were fulfilled in Q1, as well as approximately $15-$20 million of potential headwinds in the back half of this year as we prepare to transition to direct sales in select markets beginning in 2026. Incorporating these factors into the second quarter specifically, we anticipate worldwide sales of approximately $238 million. For gross margin, we are reaffirming our 2025 expectations to improve gross margin to approximately 54% and adjusted EBITDA to approximately 3% of sales. We expect to see continued margin progress across the year as pump sales increase. Efficiencies are gained as Mobi scales, and we demonstrate further operating leverage. Our margin expectations incorporate minimal impact from tariffs, which we believe will be immaterial as we are employing a number of strategies for our supply chain structure and product category, including a well-established tariff exemption. It's been a strong start to the year, and our results are beginning to reflect the benefits of our strategy as we deliver on our technology portfolio, demonstrate strong retention, and enhance our business model. As our business continues to mature in addition to driving pump growth, we remain focused on improved profitability through increased pricing, executing our margin improvement initiatives, and disciplined cost management. I'll now hand the call back to John. Thanks, Leigh. As you can see, we are delivering on our key objectives for 2025. This is a testament to the rigorous planning and thoughtful execution of our team. We are continuing to transform our business to achieve our longer-term goals. As we look to the future, our pipeline remains the most innovative and robust in insulin therapy management. Our distinctive technology ecosystem includes insulin pump systems, advanced algorithms, and digital health solutions, and we are rolling out new commercial offerings under each of these pillars in 2025. Starting with our pump systems, we intend to offer two new sensor integrations in 2025. We will begin our U.S. launch of FreeStyle Libre 3 integrated with the t:slim in the second quarter, and that will be followed by Mobi. Internationally, we plan to begin offering Libre 3 integration with t:slim in the third quarter. We also intend to support the 15-day Dexcom G7 sensor at launch. Another feature enhancement we intend to begin offering for Mobi this year is an Android application, which will require an FDA 510(k) clearance before launch. Mobi is currently under CE Mark review. Following approval, we will begin country registration and reimbursement discussions to bring our newest pump platform to all the countries we serve. Our goal is to begin launching Mobi outside the U.S. with multiple sensor integrations by the end of this year and continue the rollout through 2026. Infusion sets are another key part of our system, and we have been developing proprietary technology to extend wear time. We made an FDA submission for a three-day indication using this technology late last year. Following its clearance, we are planning to quickly file another submission in pursuit of a seven-day indication. Advanced algorithms and our commitment to AID leadership also continue to be a top priority in 2025. As discussed, we launched our Control-IQ+ algorithm in the U.S. in the first quarter and are planning to begin launching internationally by the end of the year, pending regulatory approval. The last area of our portfolio I'd like to highlight is our progress in digital health solutions. Tandem Source is the foundation of our digital offerings, serving as the hub for patient therapy information, healthcare provider reporting, payer analytics, and as a portal for customer sales support. Tandem has offered a cloud platform for the past decade in the U.S., and last year we began rolling out these capabilities internationally. It's an important step for our launch of the t:slim mobile bolus outside the United States that we are planning for the second quarter of this year, as well as our international launch of Mobi. Rounding out our pipeline are the technology solutions we plan to launch beyond 2025 that are designed to further expand our portfolio and bring the benefits of our technology to more people living with diabetes. We're making great progress on our tubeless feature for Mobi, which is now in the verification, testing, and manufacturing build-out stage in support of a future 510(k) filing. Development for our durable patch pump, SIGGI, has moved to San Diego, allowing us to best leverage the expertise of our advanced pump development team. Lastly, we remain steadfast in our commitment to bring an industry-leading fully closed-loop algorithm to market. We recently completed a fully closed-loop feasibility trial. In Q1, we signed a collaboration agreement with the University of Virginia's Center for Diabetes Technology to advance our R&D efforts on fully automated closed-loop systems. In conclusion, you can see that it's both a busy and exciting time at Tandem. The opportunities in front of us are numerous as we execute on our sales strategy, increase pharmacy channel access, scale growth into type 2, and commercialize our robust pipeline. By doing so, we are creating new possibilities for people living with diabetes while achieving record results that align with our 2025 and longer-term financial goals to deliver sustained double-digit sales growth and profitability. Thank you for joining us today. We look forward to keeping you updated as the company continues to progress. Operator, we'd now like to turn the call over for questions. Thank you. As a reminder, to ask a question, please press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. We ask that you please limit yourself to one question. You may re-queue for any additional questions. Please stand by while we compile the Q&A roster. Our first question comes from the line of Matt Miksic with Barclays. Your line is now open. Great. Thanks so much for taking the question. I wanted to try to get a sense of how, in addition to the performance you outlined in the quarter, how some of the Salesforce changes or Salesforce realignment, any of the sort of one-time issues that came about in the fourth quarter have kind of moderated or gotten behind you, or are they still in process? Just kind of an update on that. I'll skip the follow-up and pass to the next person. Thanks, Matt. First of all, I want to say that there were really no disruptive events that occurred in the fourth quarter. All we were doing at that point in time was hiring people. As of the beginning of the year, most of those people were on board. As we exit the first quarter, the expansion is essentially complete. The territory realignment is complete. We saw some modest disruption, but nothing more than we anticipated. I would say that now it takes salespeople that are new to the company and new to the territories about 9-12 months to just get accustomed, up to speed, and we'll see gradual improvement in their productivity over the next several quarters. The good news is that we expect them to be fully on board and producing in the fourth quarter. It is a high-quality team. They complement our existing team, and we're very happy to have them on board. We think this is just a logical thing for the company to do based on where we are in the market. Thank you. Our next question comes from the line of Mathew Blackman with Stifel. Your line is now open. Good afternoon, everybody. Can you hear me okay? We can. Great. Leigh, I wanted to ask specifically how much price played a role in the U.S.. I think our math says about 2-3% for pumps, maybe upwards of a 10% lift for supplies. Is that roughly right? I guess the follow-up there is, is that the right magnitude for us to layer in going forward? Is this sustainable, or is there something unique about the first quarter? Thanks. Thanks, Mat. I would say you're in the ballpark there on the pump side, and the supplies are probably closer to what you are thinking from a pump perspective. It is really performing again like we did last year in terms of price increase. I think this is the new bar to think about as we look to the rest of the year from a pricing perspective. I'll say in the U.S. in particular, the majority of the price benefit did come from our work in the DME channel. Even though we only had very small volumes in pharmacy at this time, we did see a meaningful contribution from a price perspective in the first quarter. It gives us a lot of encouragement for what this can do for the business in the long term. Thank you. Our next question comes from the line of Steve Lichtman with Oppenheimer. Your line is now open. Thank you. Excuse me. Evening, guys. Just on the Salesforce expansion and realignment, great to hear it's going as expected. Understanding the ramp that you mentioned through the year, can you talk about where you're deploying the new individuals, where you expect to see benefits, and in particular, how that will dovetail with type 2 expansion? I would say that we've done a lot of analysis to see exactly where there are opportunities to realign and make the territories more productive. We're not going to speak specifically to that, nor will we talk about the numbers, etc. I would say that we are, as I indicated in the prepared remarks, we are now in the process of actually doing the Salesforce pilot. It's live. It's in a meaningful number of territories. We've trained our internal people, and they're out there selling right now. That is happening with our existing team. Typically, we evaluate the Salesforce size, and it's something that's traditionally done near the end of the year. I think right now we feel good with where we're at. We've got a good plan for the existing type 1 and type 2 populations in terms of supporting them. As we said, we're moving forward. Thank you. Our next question comes from the line of Brooks O'Neill with Lake Street Capital Markets. Your line is now open. Hey, good afternoon, guys. This is Aaron on the line for Brooks. Thanks for taking our questions and congrats on the progress. I'm just curious if you maybe had a mix in mind in terms of what you expect from pharmacy vs other channels longer term. I appreciate the color and commentary and the progress from last quarter to now. I guess my question is, how do you see that dynamic sort of playing out over the next 12 months or so? Any additional color there would be great. Thanks. Great. Thanks for the question. When we think about pharmacy this year, as we put together our assumptions from a guidance perspective, we only factored in modest contribution. We are really just getting started there. The first quarter was really a lot about the operationalizing of it and making sure we are putting in an effective and efficient infrastructure to support this for the long term. I'll say from the very early, very small volumes and very early learnings, it gives us, it makes me super excited about this opportunity long term. It is something that we think, as we think about the risks and opportunities for the year, could pose more of an opportunity than we originally even anticipated. We look forward to continuing on this journey and talking more in the future about what kind of impact it can have on the business long term. Thank you. Our next question comes from the line of Matthew O'Brien with Piper Sandler. Your line is now open. Good afternoon. Thanks for taking the questions. I know Susan's going to kill me for asking two, but I'm going to. Just one, please. Just one. All right. I hate to burn it on this one then, but just the AMF write-off, is that saying anything about timing of SIGGI? Because I think John or Leigh kind of had it in our heads that that would be out sometime in 2027. Given the write-off, does that mean that the timeframe to get this thing to market is even further out, maybe very end of the decade? I mean, how do we interpret that write-off and what it means for timing of SIGGI? Thanks. Thanks, Matt. I think it's actually the opposite, Matt. It turns out that the agreement we had in place had a number of contingent liabilities in it. By terminating the agreement, it just gave us more control and flexibility over the development path. It was a great, I think it was a great deal for both parties. Now we've brought the development activity back here to San Diego. We have a very experienced team of pump and system developers that are working on it. As I said, if anything, this is going to improve our time to market, not reduce it. Thank you. Our next question comes from the line of David Roman with Goldman Sachs. Your line is now open. Thank you. Good afternoon, everybody. I wanted to talk on the gross margin line here for a second. Given the strength you saw in the quarter, can we always understand what were the puts and takes keeping the gross margin at the 51% level that you had indicated, given the significant strength you saw in the U.S. here and the traction you're seeing with Mobi? Sure. I would say, first of all, we're very excited to have Mobi as part of the mix and a growing part of the mix of our business because it's one of the most important factors in delivering on our long-term gross margin targets. As we look at how we came in in Q1, it really was, especially compared to a year ago, showing an improvement in pump costs, actually both in t:slim and in Mobi because Mobi is just beginning on its journey of becoming accretive to the business. This year, you think about the Mobi pump driving accretion. In 2026, you think about it coming from the perspective of the cartridges. Those will continue to build up over time. We've often said that Mobi gets us more than halfway to our long-term gross margin target of 65%. Maybe another piece of color I had today as well that I do not think we have shared before is thinking about how to think about that progression. With Mobi in the mix, with what we are thinking about from a pharmacy perspective from this early evidence, and also thinking about going direct in 2026, we believe we see a pathway to get to a 60% gross margin as early as next year. We are really excited about where we are right now and where we are progressing and our ability to deliver on that. Thank you. Our next question comes from the line of Matt Taylor with Jefferies. Your line is now open. Hi. Thanks for taking the question. I guess I wanted to ask, I know you made some comments in the prepared remarks about the pharmacy progress, and I'm hoping to just double-click on that. You talked about, excuse me, lives covered. It does sound like you're just really getting started with those patients. I was wondering if you could give us some color on the early experience and maybe talk about how you think the uptake will be through this year and next, when it could actually be sort of a material portion of your business. Yes. Thanks for the question, Matt. First of all, we were excited to share that we've increased our% of lives covered in the U.S. under pharmacy, going from 20%, which was what we shared at our last earnings call, to 30% now. We are starting, I would say, at a really high mark in terms of coverage. What we were learning in the first quarter, particularly as we were testing out the benefits with different people coming to Tandem, was that it really does dramatically offer a lower out-of-pocket cost for patients. That can be one of the most pivotal factors in terms of addressing one of the bigger barriers to adopting pump therapy, particularly durable pump therapy. We think it can create an increase in our access or our MDI expansion over time in that regard. The other element of it is in the pharmacy channel, as you're probably seeing and hearing from many of the competitors in the space, there is a pricing premium associated with it, with the value that they put on these advanced algorithms and the clinical benefits from the patients. That really can help drive profitability for us. Like we said, it's very early right now, but the contracts that we have in place are really good, solid contracts that can deliver on that profitability. We'll continue to drive it forward and give more color in the future as it becomes a bigger piece of our business. For 2025, still think about it as only a modest contributor. Thank you. Our next question comes from the line of Chris Pasquale with Nephron Research. Your line is now open. Thanks. I was hoping you'd talk about the decision to just reiterate guidance after the good one Q. You beat consensus by about $14 million, back out the $5 million that got pulled forward OUS, and you're still up $9 million. Is there anything that you're looking at now that you're more concerned about than you were at the end of the year, maybe in terms of the economy? Does the margin guidance contemplate any impact from tariffs? Thanks. Yeah. Thanks for the question. When we look at the building blocks for how we put together our guidance at the beginning of the year, there's nothing that's changed about our confidence level, our ambition this year, what we think we can deliver on. It really was looking at the broader economic environment and just thinking about how dynamic it has been and how dynamic it may continue to be across this year. We thought at this point, despite the nice deliverable in Q1, that it was more prudent to reaffirm at this time, and then we'll continue to execute on that as we look across the year. From a tariff perspective, factored in at the beginning of the year and still factored in is the minimal impact that we expect from tariffs this year. We really don't see it being a big headwind for us. Thank you. Our next question comes from the line of Anthony Patrone with Mizuho Financial Group. Your line is now open. Anthony, your line is open. Please check your mute button. Oh, sorry about that. I was on mute. Thank you for fitting us in. And congrats on the solid quarter. Maybe a little bit just on Control-IQ, type 2 indication, early days out there. Just a review and a recap on what's baked in for guidance for type 2 MDI conversion specifically for this year and how you expect that to progress into the second half, specifically within the PBM world. Thanks again. I'll start off by saying it's been approved now for about a month. We have already provided about 300,000 people in the marketplace access to Control-IQ+, and all of our new pump shipments are underway. I think that when it comes to the actual benefit right now, it's too early for us to measure. I think Leigh may want to comment a little bit on just what's planned in guidance and things like that. Sure. From the perspective of this year, I mean, we really just launched not too long ago. We've only factored in modest contribution in 2025. One of the areas that you mentioned from a PBM perspective is really focused on the reimbursement element of it. From a commercial perspective, the coverage for a type 2 patient is very similar to type 1 in terms of access. No concerns there. From a Medicare perspective, there is coverage, but it is a little more onerous to get someone approved. That's where our efforts are focused, actually, from an industry-wide perspective. We're all focused on trying to improve that access through Medicare. That could be a bit of a gating factor initially as we think about the opportunity, but we're confident in our ability to drive it in the longer term, both through the DME and the pharmacy channel. I'll just add one other thing. That is that when you look at the type 2 study we did, we actually produced the first clinical data that's been available that actually evaluates the effectiveness of the C-peptide test. We monitored people with high and with low C-peptide results. In both cases, we saw great results from Control-IQ. I think this arms us and individuals that are seeking to reduce some of the burden and hurdles that people have to get over to get onto a pump of type 2. We're excited about having that data. Thank you. Our next question comes from the line of Josh Jennings with TD Cowen. Your line is now open. Good afternoon. Thank you. Wanted to just follow up on your comments, Lee, on the contracts with the pharmacy access. You mentioned that the revenue recognition will be similar to the DME channel. Has there been any limitations or have there been any pushback in terms of your negotiations with payers? Or is it smooth sailing and you expect every contract going forward to mirror what you have in place today? Thanks. Sure. Thanks for the question, Josh. First, I'll confirm there are a couple of things we've learned in our early negotiations, which are DME pumps or durable pumps are widely accepted in the pharmacy channel. Secondly, you can employ a variety of reimbursement structures in the channel. There's no one set solution. To your point, the contracts we have in place today do follow more of a DME-like model. They're not subscription-based. It doesn't mean that we might not consider something like that in the future, but for now, that's what it looks like for us as a business. We don't anticipate any headwinds that you may hear when people transition to a subscription model in the future. Thank you. Our next question comes from the line of Issie Kirby with Redburn Atlantic. Your line is now open. Hi guys. Thanks for taking my question. I wanted to touch upon OUS International. A lot going on there with respect to new launches. Just wanted to ask about sort of the competitive dynamics and the win rate you're seeing internationally. How should we think about retention internationally? Is this going to be based on what you've seen so far, roughly comparable with the U.S. renewal retention rate? Thanks. Right. I'll say that first of all, it's a very large market that's less penetrated than the U.S.. The good news about it is that the healthcare systems in the OUS countries seem to see the benefit of AID systems for their patients as well as for the economics for the various country systems. We're excited about being there. I would say that there are two main competitors that exist in the OUS markets, and we're competing against them. There is the third player, a smaller player that's up and coming that's doing reasonably well. I would say that the competitive environment really hasn't changed in the last couple of quarters. We're holding our own, and I think it's just as it is. The other thing I'll say, though, is that if you look at the technology that we're planning to bring to market, we have Mobi Bolus, we have Source, we have FreeStyle Libre 3, we have G7 15-day. We've also got Mobi OUS under review. We have a tremendous amount of technology that is under review right now or in the process of being transferred. We think that, as I said, we feel very competitive in that market today. You can see the results we're experiencing are quite good. When we have this new technology there, it'll even be better. Thank you. Our next question comes from the line of Larry Biegelson with Wells Fargo. Your line is now open. Hi. This is Nathan Treybeck on for Larry. Congrats on a strong quarter. Just a question on competition in the U.S.. What are you seeing today and I guess your outlook for the rest of the year when we think about Data Bionics and Medtronic as their Simplera Sync approval? Thanks. Sure. I think that it's a large, expanding, and underpenetrated market in the U.S.. It's not a zero-sum game. I mean, multiple players can be successful in this market. I said it's very much like the OUS countries right now. It's very competitive, but there hasn't been a lot of changes in the last couple of quarters. I think that we're holding our own. I mean, currently, there continues to be two large players. A scaling startup is working on it, on just making progress in the market. We also acknowledge that there's a new competitor coming, but we're ready for it. We've understood this for a while, and we're prepared. Relative to Simplera approval, as I understand it, it's probably a second-half commercial launch. Right now, we're very close to launching FreeStyle Libre 3 in the U.S. market. We have the 15-day Dexcom G7 sensor coming as well. I think when it comes to sensor technology, we have the very best on our products. I think that when you look at the actual technology that is used to pump, I think we feel very confident that the pump technology that we're using is very competitive with the devices that are in the market. Thank you. Our next question comes from the line of Mike Kratky with Leerink Partners. Your line is now open. Hey, everyone. Thanks for taking our questions. Maybe just one on the U.S. new starts. Sorry if I missed this. Can you just confirm whether you're still tracking that mid-single-digit% growth in the U.S. for new starts this year? What does that assume between MDI starts vs competitive conversions? Sure. Happy to speak to that. I'll start with, in the first quarter, we saw double-digit growth in MDI conversions, which is the fourth quarter in a row of that since we returned to growth last year in the second quarter. We do still, in our guidance, assume that new starts will be mid-single-digit growth year over year. As you think about new starts as a mix of the business, between new and renewal, it's roughly a 50/50 mix. Within that new population, it's starting to lean more towards the MDI conversions, which are roughly about two-thirds of new starts. Feeling very good about our opportunities there and our ability to continue driving that with the products that we have and all the great products that John just listed out that we'll be adding this year. Thank you. Our next question comes from the line of Joanne Winch with Citi. Your line is now open. Hey, good afternoon. This is Anthony on for Joanne. I know it's early days for OUS renewals, but are you expecting sort of a similar high rate of renewals OUS as we've been seeing in the U.S.? Yes, I would say in time. We're just at the beginning of the renewal opportunity, and we're starting to see the early momentum. We're hearing from our distributors their success there. I wouldn't anticipate that we'll get to that exact same measure immediately that we share in the U.S., which is that we get to about a 70% capture rate within 18 months. It took us a few years to build to that here in the U.S., and I think the same will occur outside the U.S., but we have no reason to be concerned about our ability to hit that goal long term. Thank you. Our next question comes from the line of Jayson Bedford with Raymond James and Associates. Your line is now open. Good afternoon, and congrats on the progress here. Just a quick one for me. Have you seen—I know it's early—but have you seen any change in the mix of your type 1 vs type 2 new user mix? I would say, Jason, it's too early for us to say. As I said, we have started the programs. The people are out selling right now into the type 2 community. We continue to see good progress on the type 1 side, but I think that there's really—we don't really have any data here we could share at this point in time. I would imagine in the next call, that'll be a different story. Thank you. Our next question comes from the line of William Plovanic with Canaccord Genuity. Your line is now open. Great. Thanks. Good evening. Just to switch over to the P&L, I'm wondering, we did see a pretty good, healthy jump up in SG&A nominally. Is this a new normal? Is Is we should look as a nominal level for the rest of the year, or were there some one-time charges that we should think about backing out as we go into the fourth quarters? Sure. When you look at SG&A on a non-GAAP basis, it did increase year over year, and that's tied mostly to our Salesforce expansion in the U.S.. Also, starting to make the investments in building our OUS infrastructure, all hitting that SG&A line. That step up it took in from a year ago was pretty hefty, but when you look across the rest of the year, it won't be as much of an increase across the quarters. That comes particularly from the fact that we have some other cost-saving initiatives underway in support of our customer service operations that will help to fund these investments that we're making in the field. This year, we're still very focused on delivering on our profitability even with these investments, and you'll see that come through in the P&L. Thank you. Our next question comes from the line of Michael Polark with Wolfe Research. Your line is now open. Hey, good afternoon. Thank you. I want to make sure I understand this SIGGI charge. If I look at the original agreement, there was up to CHF 130 million of earnout potential. It looks like the renegotiated agreement is CHF 68 million. The question is, why would the AMS shareholders agree to this? If I put words in your mouth, it seems like they're getting something sooner, not waiting as long. The trade-off for you is you get to maybe go faster than you otherwise would have. I'm tying this with the San Diego move for SIGGI development. Do I have the numbers correct? Do I have the why you took this deal correct? Any color would be welcome. Yeah. I mean, I think that's roughly the numbers. I would just say, if you look at it on a discounted cash flow basis, it's not a bad deal for either party. I think it's, like I said, there's the opportunity to take control over this ourselves and not be linked to another entity, which is primarily the reason we did it. As I said, we did it in a way that both parties, I think, were pleased with the results. Thank you. Our next question comes from the line of Danielle Antalffy with UBS. Your line is now open. Hey, good afternoon, guys. Thanks so much for taking the question. I was hoping if you could bridge us a little bit to you commented on potentially reaching 60% gross margins by early next year or by next year. I appreciate that Mobi is a part of that, but you also have the potential headwinds from shift to the pharmacy. That is 10% points from where we are today. Just wondering if you give a little bit more color about the puts and takes that could get you there when you do get there. Thank you so much. Great question. I would say there are three main drivers that I would say give us the confidence that we can get to 60% as early as next year. I'll start with Mobi, and we have demonstrated proof with Mobi on the market. As we're seeing the volume scale, we're achieving that cost efficiency that we anticipated. The Mobi pump this year will become accretive, which is why we are guiding to a three-margin point improvement over last year, getting to 54%. As we turn the corner into 2026, the cartridges will start to show their benefit as well, becoming more accretive. That alone is one of the most significant pieces. As we look at the early learnings from pharmacy, and you categorize pharmacy as a headwind, in our world, it's actually a tailwind. Our structure is very much CME-like, meaning that we get reimbursement for the pump as well as for the supplies. As we look at the nature of our contracts, the early evidence of what we're seeing as we are checking patient benefits, we believe that we will get meaningful price improvement as we look ahead. As we continue to penetrate pharmacy, that will also really help from a profitability perspective. The last piece, it will only be the early beginnings of it, but as we go direct in select markets outside the U.S., we will see a revenue and a margin benefit there. The combination of those three factors together are what can help us to deliver on that 60% as early as 2026. Thank you. As a reminder to ask a question at this time, please press star one one on your touchstone telephone. Our next question comes from the line of Travis Steed with Bank of America Securities. Your line is now open. Hey, this is Stephanie Piazzolla for Travis. Thanks for taking the question. I just wanted to clarify or follow up on the new patient numbers in the quarter. I heard the comment on double-digit growth in MDI, but curious about overall growth in new patients when you consider the competitive conversions as well. Thank you. Yes. When we look at new patient starts, they were up year over year, with the biggest driver or contributor being those MDI conversions. We do continue to see some headwinds from a competitive conversion perspective, but really, I would say that's in line with what we anticipated starting last year, going into this year, and in our long-term models. Everything's moving in the right direction there. Thank you. Our next question comes from the line of Shagun Singh with RBC. Your line is now open. Great. Thank you so much. I was wondering if you could maybe elaborate a little bit more on your type 2 opportunity, go-to-market strategy, how you're positioning yourself vs competition. Obviously, massive MDI population there, but how are folks deciding between your offering and competition, especially patch pumps? Any detail that would be helpful? I guess I would say that, first of all, it is a large opportunity. It's, I think, roughly 3 million people in the U.S. that have insulin-intensive diabetes. We are working aggressively to get out there and take advantage of it. We think our pipeline lines up very well with the community. One of the things that was very interesting about our type 2 study was just the number of subgroups we looked at. I think the subgroups certainly indicate that it is a very segmented market. As a result of that, we feel that having a portfolio approach to our product strategy is the right one for this significant segmentation. I think that right now, as we indicated, we have begun our sales initiative. We have a meaningful number of sites that we're doing, I'd say, a pilot study. We're evaluating the training, we're evaluating the materials we're using, we're basically understanding the messaging towards HCPs, and we're also looking at reimbursement and market access. As we refine that, our intent is to move that out beyond just these sites and have it deployed throughout the entire country. As I said, this is just early going. It's the right thing to do. We want to make sure that when we do step on the gas, that we have an effective program that will catch on. As I said, we expect this to drive significant growth for the business going forward. I'll also just finish in that saying that a lot of the research that we've done recently has indicated that people who have type 2 have seen the results of these AID systems, and I think that they're very concerned about their own health. I think the ease of use and simplicity that comes along with the therapy benefits is making them more likely to consider that. We are excited about that. Thank you. I'm currently showing no further questions at this time. This does conclude today's conference call. Shannon, let me just say one thing before we leave. I just want to say that this is a busy and exciting time for Tandem. The team is executing at a very high level. There are numerous opportunities in front of us, such as the sales strategy, the pharmacy channel access, the type 2 expansion. We have got a robust pipeline. These enable us to continue achieving our results and, more importantly, helping people with type 2 diabetes in general. These opportunities also align with our plans to deliver sustained double-digit growth and profitability in 2025 and beyond. We are excited about where we are. Thank you. Thank you. This does conclude today's conference call. Thank you for your participation. You may now disconnect.