DexCom Stock: Earnings Beat and New Market Access Drive Bull Case

Core Insights - DexCom, Inc. has shown strong performance in the continuous glucose monitoring (CGM) market, with significant financial results in Q1 2025, indicating a solid growth trajectory for the year [1][12] Financial Performance - Q1 2025 revenue reached $1.036 billion, marking a 12% increase year-over-year and a 14% organic growth [2] - U.S. market revenue increased by 15% to $750.5 million, while international revenue grew by 7% reported and 12% organic to $285.5 million [3] - GAAP operating income for Q1 2025 was $133.7 million (12.9% of revenue), and Non-GAAP operating income was $143.1 million (13.8% of revenue) [5] - Adjusted EBITDA was $230.4 million, representing 22.2% of revenue [5] Market Expansion and Innovation - The launch of the Dexcom G7 15-Day system is anticipated in H2 2025, promising extended wear time and improved accuracy [6] - The Stelo OTC biosensor, launched in Q1 2025, has gained over 200,000 app downloads, indicating strong interest among Type 2 diabetes and wellness-focused users [6] - Coverage expansion includes two major PBMs covering Dexcom CGM for all diabetes patients, potentially reaching nearly six million Type 2 non-insulin users by year-end [7] Strategic Guidance - DexCom maintains a full-year 2025 revenue guidance of $4.60 billion, reflecting a projected 14% increase over 2024 [8] - Non-GAAP gross profit margin guidance has been revised to approximately 62%, down from 64-65%, due to near-term investments [9] - The company reaffirmed its Non-GAAP operating margin guidance at approximately 21% and adjusted EBITDA margin guidance at approximately 30% [10] Financial Position - DexCom announced a $750 million share repurchase program, concluding Q1 2025 with $2.7 billion in cash and marketable securities [11]