DexCom, Inc.
CEO : Mr. Kevin Ronald Sayer

Quarterly earnings growth(YoY,%)

Period Revenue Operating Income EPS Release Date
2023 Q2 25.2% YoY 66.4% 130.8% 2023-07-27



Kevin Sayer says,

Q2 Organic Revenue Growth

  • Q2 organic revenue growth of 26% compared to Q2 2022

G7 Launch and Positive Feedback

  • G7 launch gaining momentum with positive feedback from customers and clinicians
  • G7 offers improved ease of use, discrete form factor, faster warm-up time, and redesigned software platform
  • Majority of G7 users are new to Dexcom
  • 8,000 physicians in the US are now prescribing G7 who were previously not prescribing Dexcom

Reimbursement for G7

  • All major PBMs now cover Dexcom G7, strengthening the position as the most covered CGM brand
  • Majority of customers pay less than $20 per month out of pocket in the pharmacy channel

Expansion of Coverage for Basal Insulin Users

  • CMS decision to expand Medicare coverage for people with type 2 diabetes using basal insulin only
  • Commercial payers quickly followed suit with greater than 60% commercial coverage for the basal population
  • Physicians prescribing Dexcom to basal patients for better outcomes
  • Highest new patient quarter within the Medicare channel in Q2

International Expansion

  • Share gains accelerated in Q2 with expansion into 6 new markets
  • G7 launch in Canada and regulatory clearance received
  • DexCom ONE rollout in Argentina marks initial entrance into Latin America

Evidence of Dexcom CGM’s Impact

  • Studies demonstrate Dexcom CGM’s ability to drive greater health and economic outcomes
  • Real-world study of adults with type 2 diabetes not using insulin showed a 40% increase in time in range and improvement in A1c levels
  • High levels of engagement and utilization of Dexcom CGM in type 2 studies

Future Plans and Product Launch

  • Increased LRP and plan to launch a product specifically for people not on insulin utilizing G7 hardware and custom software experience
  • Expect to launch early next year with a 15-day wear time and cash pay option
  • New product provides a glimpse into future plans to serve larger populations with tailored experiences



Jereme Sylvain says,

Revenue Growth

  • Q2 2023 worldwide revenue was $871 million, representing a growth of 26% on an organic basis compared to Q2 2022.
  • U.S revenue totaled $617 million, a growth of 21% compared to Q2 2022.
  • International revenue grew 38%, totaling $255 million in Q2 2023.

New Customer Growth

  • The company achieved another record new customer star quarter in Q2 with continued momentum in the U.S.
  • The G7 launch and recently finalized CMS coverage provided a new tailwind to the Medicare business in the U.S.

International Expansion

  • International organic revenue growth was 40% for the second quarter.
  • The company has consistently taken market share across its footprint in recent quarters and gained international market share for the ninth straight quarter.
  • In the U.K market, the company experienced acceleration in growth, posting one of the highest growth rates in recent years.
  • The company expanded connectivity leadership in the U.K market as Insulet extended their launch of Omnipod 5, powered by the G6 system.

Gross Margin

  • Q2 2023 gross profit was $553.5 million or 63.5% of revenue, slightly lower than Q2 2022.
  • The decline in gross margin was expected as G7 production scaled up, but cost profile will gradually improve with increased production volumes.
  • The Malaysia facility recently initiated commercial production, and similar dynamic is expected as production scales up in the near-term.

Guidance and Financial Position

  • Full year 2022 revenue guidance is raised to a range of $3.50 billion to $3.55 billion, representing growth of 20% to 22% for the year.
  • Non-GAAP gross margin guidance is 63%, representing the high-end of the previous guidance range.
  • Non-GAAP operating margin is projected to be approximately 17% and adjusted EBITDA margin of 26.5% for fiscal year 2023.
  • The company closed Q2 with over $3.6 billion of cash and cash equivalents, leaving them in a strong financial position.



Q & A sessions,

Revenue Growth and Market Share

  • Q2 was the highest revenue quarter ever for the company
  • Record new customer starts worldwide
  • Gained market share in nearly every major reimbursed geography

G7 Launch and International Expansion

  • G7 product launched in 13 international markets
  • Built broad reimbursement in the U.S.
  • G7 app had five flawless upgrades

Financial Performance

  • Operating expense leverage of over 450 basis points
  • Doubled earnings per share year-over-year
  • Posted one of the largest free cash flow quarters in company’s history

Challenges and Opportunities in the Market

  • Basal launch presents a big opportunity as it addresses the needs of a new patient group
  • Challenges in document gathering and distribution for Medicare patients
  • CJM adoption and awareness are more positive now compared to when the company initially launched
  • Education and expansion into the primary care physician market are ongoing efforts

Guidance and Outlook

  • Raised guidance due to strength in international markets and coverage/access wins in the U.S.
  • Expectation of a good back half of the year with derisked base case
  • No significant stocking, revenue growth driven by patient growth and market share gains

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