Revenue Growth (FY2025 & Q4)
Worldwide revenue of $1,260,000,000 in FY2025 vs $1,110,000,000 in 2024, representing reported growth of 13% (12% organic). Q4 US revenue $892,000,000 (+11% YoY); international revenue $368,000,000 (+18% YoY; +15% organic).
Gross Margin Expansion and Operational Recovery
Q4 gross profit $799.8M representing 63.5% of revenue vs 59.4% in prior year (up ~410 bps YoY). Management drove >200 bps of sequential gross-margin improvement in Q4 through rebuilt inventory, reestablished ocean freight, and improved scrap rates.
Profitability and Cash Generation
Q4 operating income $331.5M (26.3% of revenue) and adjusted EBITDA $422.2M (33.5% of revenue) vs 27% last year. Net income $265.1M ($0.68 per share). Company closed the quarter with ~$2.0B cash and cash equivalents and surpassed $1.0B of free cash flow in 2025 for the first time.
Product Innovation & G7 15-day Rollout
Broad US rollout of DexCom G7 15-day system (available across all channels as of early January) with strong early feedback on longer wear time and improved accuracy; management states this is the most accurate sensor they have produced and expects G7 15-day to contribute to margin expansion over time.
New Product Features & Clinical Initiatives
Smart Basal early-access launch beginning this month (aimed at type 2 patients on basal insulin); DexCom Direct EHR integration onboarding at >160 health systems; Stelo updates including a comprehensive nutrition database and redesigned app planned; clearance received for new patch technology expected to improve sensor survival.
International Momentum
International organic revenue growth of 15% in Q4 with notable strength in Germany, UK and France (France among fastest-growing markets due to type 2 access expansion); management targets further international expansion and plans additional product introductions for non-US markets.
Capital Allocation Actions
Settled $1.2B of expiring convertible notes in cash and repurchased $300M of stock in the open market during Q4 while maintaining a strong ~$2.0B cash position.
Stelo (Consumer Wellness) Contribution
Stelo delivered ~$130M of revenue in 2025 (contributed at the top end of the 2–3% growth contribution previously referenced) and is expected to contribute roughly one percentage point to 2026 growth; management views Stelo as both consumer product and a funnel for covered CGM as access expands.
2026 Financial Guidance
Guidance for 2026 revenue $5.16B–$5.25B (growth 11%–13%). Non-GAAP full-year gross margin expected 63%–64%; non-GAAP operating margin ~22%–23%; adjusted EBITDA margin ~30%–31%. Company expects gross margin expansion of 200–300 bps in 2026 driven by lower freight, manufacturing efficiencies and G7 15-day.