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Dexcom Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 30 July 2026: press release. Guidance figures: 4 raised. The quarter’s numbers.

Key takeaways

  • Revenue rose 13% to $1.308 billion: Organic revenue grew 12% to $1.298 billion, excluding $9.9 million of foreign exchange impact and $0.2 million of acquired non-CGM revenue. Prior-year reported revenue was $1.157 billion. Source
  • GAAP earnings per share rose to $0.64: GAAP net income was $249.1 million, or $0.64 per diluted share, against $179.8 million, or $0.45 per diluted share, a year earlier. Source
  • Non-GAAP gross margin reached 64.1%: Non-GAAP gross profit was $838.5 million, or 64.1% of reported revenue, against 60.1% a year earlier. GAAP gross margin was 63.4%, against 59.5%. Source
  • Operating margin up 590 basis points: GAAP operating income was $318.3 million, or 24.3% of revenue, against $212.6 million, or 18.4%. Non-GAAP operating income was $328.3 million, or 25.1% of reported revenue, against 19.2%. Source
  • CONNECT trial results positive: CONNECT trial results showed Dexcom CGM use among people with type 2 diabetes not using insulin gave statistically significant glucose control improvements versus routine care. Source
  • Investor Day set long-term financial framework: The 2026 Investor Day covered market opportunities, business strategy, innovation efforts and a new long-term financial framework through 2030. Source
  • Cash and securities fell to $1.95 billion: Cash, cash equivalents and marketable securities were $1.95 billion at June 30, against $2.42 billion at March 31. The revolving credit facility remains undrawn. Source
  • Adjusted EBITDA reached $421.3 million: Adjusted EBITDA was $421.3 million, against $327.6 million a year earlier. Six-month Adjusted EBITDA was $785.8 million, against $558.0 million. Source

“During the quarter, we had the opportunity to host many of you at our 2026 Investor Day, where we highlighted our substantial market opportunity and introduced a new long-term financial outlook through 2030,”

Jake Leach, Dexcom’s president and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefiscal year 2026$5.18 - $5.25 billion (approximately 11-13% growth)Raised from $5.16 - $5.25 billion (approximately 11-13% growth)
Non-GAAP Gross Profit Margin Sourcefiscal year 2026approximately 64%Raised from approximately 63-64%
Non-GAAP Operating Margin Sourcefiscal year 2026approximately 23.5-24%Raised from approximately 23-23.5%
Adjusted EBITDA Margin Sourcefiscal year 2026approximately 31.5-32%Raised from approximately 31-31.5%

What changed from last quarter

  • Guidance raised: Revenue guidance midpoint and three margin guidance lines were raised compared with first-quarter guidance. Source
  • New: The 2026 Investor Day was held, presenting market opportunities, strategy, innovation and a new long-term financial framework through 2030. Source
  • New: Positive results from the CONNECT randomized controlled trial were announced. Source
  • New: Launch of a fully reimagined Stelo app experience was initiated. Source

Revenue and earnings growth

  • Revenue rose 13% to $1.308 billion: Organic revenue grew 12% to $1.298 billion, excluding $9.9 million of foreign exchange impact and $0.2 million of acquired non-CGM revenue. Prior-year reported revenue was $1.157 billion. Source
  • GAAP earnings per share rose to $0.64: GAAP net income was $249.1 million, or $0.64 per diluted share, against $179.8 million, or $0.45 per diluted share, a year earlier. Source
  • Non-GAAP earnings per share reached $0.70: Non-GAAP net income was $269.1 million, or $0.70 per diluted share, against $192.8 million, or $0.48 per diluted share, a year earlier. Source

Regions and sales channels

  • U.S. revenue up 11%: U.S. revenue was $933.4 million, against $841.0 million a year earlier. Distributor revenue in the U.S. was $893.5 million and U.S. direct revenue was $39.9 million. Source
  • International revenue up 19%: International revenue was $375.0 million, against $316.1 million, and grew 16% on an organic basis. International distributor revenue was $208.9 million and direct revenue was $166.1 million. Source
  • Six-month regional revenue totals: For the six months, U.S. revenue was $1,765.7 million and international revenue was $734.6 million, against $1,591.5 million and $601.6 million a year earlier. Source

“This quarter’s performance and the successful outcomes from our CONNECT trial reinforce our confidence in the path ahead and position us well to deliver on our long-range plan.”

Jake Leach, Dexcom’s president and CEO

Margins and operating costs

  • Non-GAAP gross margin reached 64.1%: Non-GAAP gross profit was $838.5 million, or 64.1% of reported revenue, against 60.1% a year earlier. GAAP gross margin was 63.4%, against 59.5%. Source
  • Operating margin up 590 basis points: GAAP operating income was $318.3 million, or 24.3% of revenue, against $212.6 million, or 18.4%. Non-GAAP operating income was $328.3 million, or 25.1% of reported revenue, against 19.2%. Source
  • Operating expenses increased year over year: Research and development was $153.0 million, against $148.2 million. Selling, general and administrative expense was $358.7 million, against $328.0 million, and total operating expenses were $511.7 million. Source

Products, trial and strategy

  • CONNECT trial results positive: CONNECT trial results showed Dexcom CGM use among people with type 2 diabetes not using insulin gave statistically significant glucose control improvements versus routine care. Source
  • Reimagined Stelo app launch begins: Launch of the reimagined Stelo app experience was initiated, with a more consumer-friendly feel, AI-driven insights and enhanced food logging for Stelo customers. Source
  • Investor Day set long-term financial framework: The 2026 Investor Day covered market opportunities, business strategy, innovation efforts and a new long-term financial framework through 2030. Source

Cash, inventory and share count

  • Cash and securities fell to $1.95 billion: Cash, cash equivalents and marketable securities were $1.95 billion at June 30, against $2.42 billion at March 31. The revolving credit facility remains undrawn. Source
  • Inventory and receivables increased: Inventory was $726.4 million, against $693.6 million at March 31. Accounts receivable, net, was $1,257.7 million, against $1,088.6 million at March 31. Source
  • Treasury stock balance rose: Treasury stock at cost rose to $2,728.0 million from $2,120.6 million at March 31. Treasury shares rose to 35.0 million from 26.4 million over the quarter. Source
  • Diluted share count declined: Diluted shares used were 390.1 million, against 408.2 million a year earlier. Non-GAAP diluted shares were 382.4 million, against 400.5 million. Source

Adjusted EBITDA and non-GAAP items

  • Adjusted EBITDA reached $421.3 million: Adjusted EBITDA was $421.3 million, against $327.6 million a year earlier. Six-month Adjusted EBITDA was $785.8 million, against $558.0 million. Source
  • Items excluded from non-GAAP net income: Non-GAAP net income excluded $9.4 million of amortization of intangible assets, $0.6 million of business transition and other significant items, and $10.0 million of loss from equity investments. Source
  • No Abbott litigation costs excluded: No intellectual property litigation costs were excluded from non-GAAP results this quarter, against $0.2 million a year earlier. These costs relate to Dexcom's patent case against Abbott. Source

Coming up, as management said on 30 July 2026

  • Production capacity and market expansion: Management said the cash balance supports continued expansion of production capacity and the exploration of new markets. Source

Risks management discussed

  • External: Certain items affecting the fiscal 2026 non-GAAP margin estimates are uncertain or outside management's control and cannot be reasonably predicted. Source

Earlier plans management reported on

  • Not stated: The first-quarter release said management would work to build on that momentum through 2026. The second-quarter release does not restate this.

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.