10/29/2026 | Press release | Distributed by Public on 10/29/2026 15:23
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MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
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| Overview | ||
| Who We Are | |||||
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We are a medical device company primarily focused on the design, development and commercialization of continuous glucose monitoring, or CGM, systems for the management of diabetes and metabolic health by patients, caregivers, and clinicians around the world.
We received approval from the Food and Drug Administration, or FDA, and commercialized our first product in 2006. We launched our latest generation systems, the Dexcom G7 Continuous Glucose Monitoring System, or G7, in 2023, and the Dexcom G7 15 Day Continuous Glucose Monitoring System, or G7 15 Day, in late 2025. In August 2024, we launched Stelo, our biosensor designed for adults with prediabetes and Type 2 diabetes who do not use insulin, as the first over-the-counter glucose biosensor in the U.S. In June 2026, Stelo received FDA clearance expanding its indication to include children ages 2 years and older who do not use insulin.
Unless the context requires otherwise, the terms "we," "us," "our," the "company," or "Dexcom" refer to DexCom, Inc. and its subsidiaries.
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| Global Presence | |||||
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We have built a direct sales organization in North America and certain international markets to call on health care professionals, such as endocrinologists, physicians and diabetes educators, who can educate and influence patient adoption of continuous glucose monitoring. To complement our direct sales efforts, we have entered into distribution arrangements in North America and several international markets that allow distributors to sell our products.
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| Future Developments | |||||
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Product Development: We plan to develop future generations of technologies that are focused on improved performance and convenience and that will enable intelligent insulin administration. Over the longer term, we plan to continue to develop and improve networked platforms with open architecture, connectivity and transmitters capable of communicating with other devices. We also intend to expand our efforts to accumulate CGM patient data and metrics and apply predictive modeling and machine learning to generate interactive CGM insights that can inform patient behavior.
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Partnerships: We continue to support partnerships with insulin pump companies and companies or institutions developing insulin delivery systems, including automated insulin delivery systems. With the introduction of Stelo, we are also pursuing and supporting development partnerships with consumer technology product companies that seek to provide metabolic health insights to their customers.
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New Opportunities: We are also exploring how to extend our offerings to other opportunities, including for people with pre-diabetes, people who are obese, people who are pregnant, and people in the hospital setting. Eventually, we may apply our technological expertise to products beyond glucose monitoring.
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| Critical Accounting Estimates | ||
| Overview of Financial Results | ||||||||||||||||||||||||||||||||||||||
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The most important financial indicators that we use to assess our business are revenue, gross profit, operating income, net income, and operating cash flow.
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Key Highlights for the Three Months Ended September 30, 2026 include the following:
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| Revenue | Gross Profit | Operating Income | Net Income |
Operating Cash Flow |
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$1.34 billion
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$864.4 million
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$327.2 million
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$275.1 million
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$325.6 million
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up 11% from the same period in 2025
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up 18% from the same period in 2025
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up 35% from the same period in 2025
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down 3% from the same period in 2025
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down 51% from the same period in 2025
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| Results of Operations | ||
| Financial Overview | ||
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Three Months Ended September 30, 2026 Compared to Three Months Ended September 30, 2025
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| Three Months Ended September 30, | 2026 - 2025 | ||||||||||||||||||||||||||||||||||
| (In millions, except per share amounts) | 2026 |
% of Revenue (1)
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2025 |
% of Revenue (1)
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$ Change | % Change | |||||||||||||||||||||||||||||
| Revenue | $ | 1,344.5 | 100 | % | $ | 1,209.3 | 100 | % | $ | 135.2 | 11 | % | |||||||||||||||||||||||
| Cost of sales | 480.1 | 36 | % | 477.9 | 40 | % | 2.2 | - | % | ||||||||||||||||||||||||||
| Gross profit | 864.4 | 64 | % | 731.4 | 60 | % | 133.0 | 18 | % | ||||||||||||||||||||||||||
| Operating expenses: | |||||||||||||||||||||||||||||||||||
| Research and development | 161.6 | 12 | % | 157.5 | 13 | % | 4.1 | 3 | % | ||||||||||||||||||||||||||
| Selling, general and administrative | 375.6 | 28 | % | 331.4 | 27 | % | 44.2 | 13 | % | ||||||||||||||||||||||||||
| Total operating expenses | 537.2 | 40 | % | 488.9 | 40 | % | 48.3 | 10 | % | ||||||||||||||||||||||||||
| Operating income | 327.2 | 24 | % | 242.5 | 20 | % | 84.7 | 35 | % | ||||||||||||||||||||||||||
| Other income, net | 7.5 | 1 | % | 109.8 | 9 | % | (102.3) | (93) | % | ||||||||||||||||||||||||||
| Income before income taxes | 334.7 | 25 | % | 352.3 | 29 | % | (17.6) | (5) | % | ||||||||||||||||||||||||||
| Income tax expense | 59.6 | 4 | % | 68.5 | 6 | % | (8.9) | (13) | % | ||||||||||||||||||||||||||
| Net income | $ | 275.1 | 20 | % | $ | 283.8 | 23 | % | $ | (8.7) | (3) | % | |||||||||||||||||||||||
| Basic net income per share | $ | 0.73 | ** | $ | 0.73 | ** | $ | - | - | % | |||||||||||||||||||||||||
| Diluted net income per share | $ | 0.72 | ** | $ | 0.70 | ** | $ | 0.02 | 3 | % | |||||||||||||||||||||||||
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(1) The sum of the individual percentages may not equal the total due to rounding.
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** Not meaningful
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Three Months Ended September 30, 2026 Compared to Three Months Ended September 30, 2025
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| Three Months Ended September 30, | |||||||||||||||||||||||||||||||||||
| 2026 | 2025 | ||||||||||||||||||||||||||||||||||
| (In millions) | United States | International | Total | United States | International | Total | |||||||||||||||||||||||||||||
| Distributor | $ | 933.1 | $ | 214.9 | $ | 1,148.0 | $ | 818.1 | $ | 207.9 | $ | 1,026.0 | |||||||||||||||||||||||
| Direct | 36.7 | 159.8 | 196.5 | 33.8 | 149.5 | 183.3 | |||||||||||||||||||||||||||||
| Total revenue | $ | 969.8 | $ | 374.7 | $ | 1,344.5 | $ | 851.9 | $ | 357.4 | $ | 1,209.3 | |||||||||||||||||||||||
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Three Months Ended September 30, 2026 Compared to
Three Months Ended September 30, 2025
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| Revenue |
The revenue increase was primarily driven by increased sales volume of our disposable sensors due to the continued growth of our worldwide customer base. We added approximately 600,000 to 700,000 net customers, excluding Stelo customers, to our worldwide customer base in 2025.
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| Cost of sales & Gross profit |
The increase in gross profit and gross profit margin percentage in the third quarter of 2026 compared to the third quarter of 2025 was primarily driven by increased sales volume, G7 15 Day benefits, improved manufacturing efficiencies, higher production volumes, and a more favorable manufacturing mix, which resulted in better absorption of fixed costs. The increase in gross margin was attributable to the implementation of additional quality testing and material validation efforts relative to the prior year. These favorable impacts were partially offset by higher inventory reserve charges primarily associated with the planned discontinuation of G6 manufacturing. Cost of sales remained relatively consistent primarily as a result of improved manufacturing efficiencies.
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Three Months Ended September 30, 2026 Compared to
Three Months Ended September 30, 2025
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| Research and development expense |
Research and development expense was relatively consistent due to the timing of project spend.
We continue to believe that focused investments in research and development are critical to our future growth and competitive position in the marketplace, and to the development of new and enhanced products and services that are central to our core business strategy.
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| Selling, general and administrative expense |
Selling, general and administrative expense increased primarily due to $20.7 million in incremental investments in advertising and marketing costs, $11.1 million in higher facilities-related costs, and $6.9 million in higher third party and consulting fees.
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| Other income, net |
Other income, net, decreased primarily due to the absence of an $82.5 million prior year gain on equity investments and $18.4 million in lower interest and dividend income. The decrease in interest income was driven by a decrease in the average invested balances and changes in market interest rates.
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| Income tax expense |
The income tax expense recorded for the three months ended September 30, 2026 was primarily attributable to income tax expense from normal, recurring operations, partially offset by the release of reserves for uncertain tax positions due to statute of limitations expiration.
The income tax expense recorded for the three months ended September 30, 2025 was primarily attributable to income tax expense from normal, recurring operations and the tax benefit related to the commencement of our Malaysia tax holiday.
The decrease in our effective tax rate for the three months ended September 30, 2026 compared to the same period in 2025 is primarily attributable to the tax benefits recognized upon the release of reserves for uncertain tax positions due to statute of limitations expiration and mix of earnings by jurisdiction, partially offset by the prior-year benefit from the initial recognition of the Malaysia tax holiday in the third quarter of 2025.
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| Results of Operations | ||||||||||||||
| Financial Overview | ||||||||||||||
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Nine Months Ended September 30, 2026 Compared to Nine Months Ended September 30, 2025
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| Nine Months Ended September 30, | 2026 - 2025 | ||||||||||||||||||||||||||||||||||
| (In millions, except per share amounts) | 2026 |
% of Revenue (1)
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2025 |
% of Revenue (1)
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$ Change | % Change | |||||||||||||||||||||||||||||
| Revenue | $ | 3,844.8 | 100 | % | $ | 3,402.4 | 100 | % | $ | 442.4 | 13 | % | |||||||||||||||||||||||
| Cost of sales | 1,400.1 | 36 | % | 1,393.2 | 41 | % | 6.9 | - | % | ||||||||||||||||||||||||||
| Gross profit | 2,444.7 | 64 | % | 2,009.2 | 59 | % | 435.5 | 22 | % | ||||||||||||||||||||||||||
| Operating expenses: | |||||||||||||||||||||||||||||||||||
| Research and development | 459.9 | 12 | % | 450.9 | 13 | % | 9.0 | 2 | % | ||||||||||||||||||||||||||
| Selling, general and administrative | 1,084.0 | 28 | % | 969.5 | 28 | % | 114.5 | 12 | % | ||||||||||||||||||||||||||
| Total operating expenses | 1,543.9 | 40 | % | 1,420.4 | 42 | % | 123.5 | 9 | % | ||||||||||||||||||||||||||
| Operating income | 900.8 | 23 | % | 588.8 | 17 | % | 312.0 | 53 | % | ||||||||||||||||||||||||||
| Other income, net | 20.9 | 1 | % | 158.9 | 5 | % | (138.0) | (87) | % | ||||||||||||||||||||||||||
| Income before income taxes | 921.7 | 24 | % | 747.7 | 22 | % | 174.0 | 23 | % | ||||||||||||||||||||||||||
| Income tax expense | 198.0 | 5 | % | 178.7 | 5 | % | 19.3 | 11 | % | ||||||||||||||||||||||||||
| Net income | $ | 723.7 | 19 | % | $ | 569.0 | 17 | % | $ | 154.7 | 27 | % | |||||||||||||||||||||||
| Basic net income per share | $ | 1.90 | ** | $ | 1.45 | ** | $ | 0.45 | 31 | % | |||||||||||||||||||||||||
| Diluted net income per share | $ | 1.87 | ** | $ | 1.42 | ** | $ | 0.45 | 32 | % | |||||||||||||||||||||||||
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(1) The sum of the individual percentages may not equal the total due to rounding.
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** Not meaningful
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Nine Months Ended September 30, 2026 Compared to Nine Months Ended September 30, 2025
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| Nine Months Ended September 30, | |||||||||||||||||||||||||||||||||||
| 2026 | 2025 | ||||||||||||||||||||||||||||||||||
| (In millions) | United States | International | Total | United States | International | Total | |||||||||||||||||||||||||||||
| Distributor | $ | 2,623.5 | $ | 637.2 | $ | 3,260.7 | $ | 2,338.7 | $ | 545.1 | $ | 2,883.8 | |||||||||||||||||||||||
| Direct | 112.0 | 472.1 | 584.1 | 104.7 | 413.9 | 518.6 | |||||||||||||||||||||||||||||
| Total revenue | $ | 2,735.5 | $ | 1,109.3 | $ | 3,844.8 | $ | 2,443.4 | $ | 959.0 | $ | 3,402.4 | |||||||||||||||||||||||
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Nine Months Ended September 30, 2026 Compared to
Nine Months Ended September 30, 2025
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| Revenue |
The revenue increase was primarily driven by increased sales volume of our disposable sensors due to the continued growth of our worldwide customer base. We added approximately 600,000 to 700,000 net customers, excluding Stelo customers, to our worldwide customer base in 2025. The increase was also driven by favorable revenue per customer primarily due to payor mix and utilization. These favorable impacts were partially offset by channel and product mix and rebate eligibility.
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| Cost of sales & Gross profit |
The increase in gross profit and gross profit margin percentage in 2026 compared to 2025 was primarily driven by increased sales volume, G7 15 Day benefits, improved manufacturing efficiencies, higher production volumes, and a more favorable manufacturing mix, which resulted in better cost absorption of fixed costs. The increase in gross margin was attributable to the implementation of additional quality testing and material valuation efforts relative to the prior year. These favorable impacts were partially offset by higher inventory reserve charges primarily associated with the planned discontinuation of G6 manufacturing and higher enhanced product replacement program costs. Cost of sales remained relatively consistent primarily as a result of improved manufacturing efficiencies.
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Nine Months Ended September 30, 2026 Compared to
Nine Months Ended September 30, 2025
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| Research and development expense |
Research and development expense was relatively consistent due to the timing of project spend.
We continue to believe that focused investments in research and development are critical to our future growth and competitive position in the marketplace, and to the development of new and updated products and services that are central to our core business strategy.
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| Selling, general and administrative expense |
Selling, general and administrative expense increased primarily due to $47.9 million in incremental investments in advertising and marketing costs, $22.6 million in higher facilities-related costs, and $20.8 million in higher compensation and related costs.
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| Other income, net |
Other income, net, decreased primarily due to the absence of an $82.5 million prior year gain on equity investments, $38.5 million in lower interest and dividend income, and $16.4 million in net foreign currency losses. The decrease in interest income was driven by a decrease in the average invested balances and changes in market interest rates.
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| Income tax expense |
The income tax expense recorded for the nine months ended September 30, 2026 was primarily attributable to income tax expense from normal, recurring operations at an estimated annual effective tax rate of 21.7%, decreased by the release of reserves for uncertain tax positions due to statute of limitations expiration, partially offset by discrete shortfalls recognized for share-based compensation for employees, net of nondeductible executive compensation.
The income tax expense recorded for the nine months ended September 30, 2025 was primarily attributable to income tax expense from normal, recurring operations at an estimated annual effective tax rate of 22.5%, increased by discrete shortfalls recognized for share-based compensation for employees, net of nondeductible executive compensation, offset by the tax benefit related to the commencement of our Malaysia tax holiday.
The decrease in our effective tax rate for the nine months ended September 30, 2026 compared to the same period in 2025 is primarily attributable to the tax benefits recognized upon the release of reserves for uncertain tax positions due to statute of limitations expiration and the mix of earnings by jurisdiction.
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| Liquidity and Capital Resources | ||
| Overview, Capital Resources, and Capital Requirements | ||
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The evolution of the international expansion of our business and the revenue generated by sales of our approved products and any future products;
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Our ability to efficiently scale our operations to meet demand for our current and any future products; | The success of our research and development efforts; | |||||||||||||||||||||
| The expenses we incur in manufacturing, developing, selling and marketing our products; | The costs, timing and risks of delays of additional regulatory approvals; | The costs of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights; | |||||||||||||||||||||
| The quality levels of our products and services; | The emergence of competing or complementary technological developments; | The terms and timing of any collaborative, licensing and other arrangements that we may establish; and | |||||||||||||||||||||
| The third-party reimbursement of our products for our customers; | The rate of progress and cost of our clinical trials and other development activities; | The acquisition of businesses, products and technologies and our ability to integrate and manage any acquired businesses, products and technologies. | |||||||||||||||||||||
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Cash Flows
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| Nine Months Ended September 30, | |||||||||||||||||
| (In millions) | 2026 | 2025 | $ Change | ||||||||||||||
| Net cash provided by operating activities | $ | 1,120.4 | $ | 1,146.7 | $ | (26.3) | |||||||||||
| Net cash provided by (used in) investing activities | (45.4) | 229.4 | (274.8) | ||||||||||||||
| Net cash used in financing activities | (1,023.8) | (164.2) | (859.6) | ||||||||||||||
| Effect of exchange rate changes on cash, cash equivalents and restricted cash | (8.8) | 17.7 | (26.5) | ||||||||||||||
| Increase in cash, cash equivalents and restricted cash | $ | 42.4 | $ | 1,229.6 | $ | (1,187.2) | |||||||||||
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Nine Months Ended September 30, 2026 Compared to Nine Months Ended September 30, 2025
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| Operating Cash Flows |
$154.7 million increase in net income
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$24.6 million increase in net non-cash adjustments primarily due to net (gains) losses on equity investments and depreciation and amortization, partially offset by deferred income taxes
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$205.6 million decrease in net changes in operating assets and liabilities primarily due to the timing of payables and increase in inventory, partially offset by timing of sales and customer collections in accounts receivables
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| Investing Cash Flows |
$289.0 million decrease in net proceeds from marketable securities due to the management of our liquidity
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$41.2 million increase in cash used for an acquisition in the second quarter of 2026
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| Financing Cash Flows |
$816.4 million increase in cash used to repurchase our common stock
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$39.2 million increase in payments for taxes related to net share settlement of equity awards
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| Recent Accounting Guidance | ||