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Dexcom (DXCM)
NASDAQ:DXCM

Dexcom (DXCM) AI Stock Analysis

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Dexcom

(NASDAQ:DXCM)

76Outperform
Dexcom's overall stock score reflects its strong financial performance and positive technical analysis signals, despite valuation concerns and operational challenges. The earnings call and recent corporate events indicate strategic growth initiatives, while the high P/E ratio and absence of a dividend yield remain key considerations for potential investors.
Positive Factors
New Product Launch
DXCM's announced FDA approval of the G7 15 Day sensor for people over the age of 18 in the US represents an incremental positive vs. expectations.
Sales Performance
DexCom achieved a strong performance driven by U.S. sales and a record number of new patient additions.
Strategic Partnerships
A notable uptick in new starts from non-insulin dependent T2s occurred after an additional 5mn patients gained access, with more access expected following a new agreement with the third major PBM.
Negative Factors
Cost Challenges
DXCM lowered its FY25 GM guidance to 62% due to higher inventory replenishment costs.
Gross Margin Pressure
DexCom faces a significant short-term headwind in gross margins due to increased costs from rebuilding inventory and freight expenses.
Supply Chain Issues
Margins came in below consensus due to supply chain issues and increased shipping costs.

Dexcom (DXCM) vs. S&P 500 (SPY)

Dexcom Business Overview & Revenue Model

Company DescriptionDexCom, Inc., a medical device company, focuses on the design, development, and commercialization of continuous glucose monitoring (CGM) systems in the United States and internationally. The company provides its systems for use by people with diabetes, as well as for use by healthcare providers. Its products include DexCom G6, an integrated CGM system for diabetes management; Dexcom Real-Time API, which enables invited third-party developers to integrate real-time CGM data into their digital health applications and devices; Dexcom ONE, that is designed to replace finger stick blood glucose testing for diabetes treatment decisions; and Dexcom Share, a remote monitoring system. The company's products candidature comprises Dexcom G7, a next generation G7 CGM system. DexCom, Inc. has a collaboration and license agreement with Verily Life Sciences LLC and Verily Ireland Limited to develop blood-based or interstitial glucose monitoring products. The company markets its products directly to endocrinologists, physicians, and diabetes educators. DexCom, Inc. was incorporated in 1999 and is headquartered in San Diego, California.
How the Company Makes MoneyDexcom makes money primarily through the sale of its continuous glucose monitoring systems, which include sensors, transmitters, and receivers or compatible smart devices. The company's revenue model is based on a combination of direct sales to consumers and healthcare providers, as well as through partnerships with insurance companies and healthcare systems that facilitate the reimbursement processes for patients. Additionally, Dexcom generates revenue through ongoing replacement sales of sensors and transmitters, which need regular replenishment. Significant partnerships with technology firms, such as those integrating Dexcom's data into broader health management platforms, also enhance its market reach and contribute to its earnings. The company's focus on innovation and product improvement helps maintain its competitive advantage in the growing diabetes management market.

Dexcom Financial Statement Overview

Summary
Dexcom presents a strong financial position with consistent revenue growth, efficient cost management, and effective cash flow utilization. The company maintains a balanced capital structure with manageable leverage. However, slight pressures on Net Profit Margin and Free Cash Flow Growth suggest areas for improvement.
Income Statement
85
Very Positive
Dexcom has demonstrated strong revenue growth, with a 14.4% increase in TTM revenue compared to the previous year. The Gross Profit Margin remains robust at 59.4%, reflecting efficient cost management. However, the Net Profit Margin slightly decreased to 12.9% from 14.3% in the previous year, indicating some pressure on net profitability. The EBIT and EBITDA margins are healthy at 15.2% and 21.5%, respectively, showcasing operational efficiency.
Balance Sheet
78
Positive
The company maintains a solid equity base, with a Debt-to-Equity Ratio of 1.11, indicating manageable leverage levels. The Return on Equity is strong at 23.6%, highlighting effective use of equity to generate profit. The Equity Ratio is 33.6%, suggesting a balanced capital structure, though slightly lower than the previous year, indicating increased liabilities.
Cash Flow
82
Very Positive
Dexcom exhibits strong cash flow management, with a Free Cash Flow of $575.2 million in TTM. The Free Cash Flow Growth Rate stands at -8.8%, indicating a slight decline compared to the previous period. The Operating Cash Flow to Net Income Ratio is robust at 1.8, demonstrating strong cash generation relative to net income. The Free Cash Flow to Net Income Ratio is 1.1, reflecting efficient cash utilization.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
4.03B3.62B2.91B2.45B1.93B
Gross Profit
2.47B2.29B1.88B1.68B1.28B
EBIT
600.00M597.70M391.20M175.40M299.50M
EBITDA
945.70M916.70M565.30M377.50M376.80M
Net Income Common Stockholders
576.20M541.50M341.20M154.70M493.60M
Balance SheetCash, Cash Equivalents and Short-Term Investments
2.58B2.72B2.46B2.73B2.71B
Total Assets
6.48B6.26B5.39B4.86B4.29B
Total Debt
2.59B2.59B2.09B1.82B1.84B
Net Debt
1.98B2.03B1.44B769.20M1.02B
Total Liabilities
4.38B4.20B3.26B2.61B2.46B
Stockholders Equity
2.10B2.07B2.13B2.25B1.83B
Cash FlowFree Cash Flow
630.70M511.90M304.70M53.30M276.60M
Operating Cash Flow
989.50M748.50M669.50M442.50M475.60M
Investing Cash Flow
-207.50M-507.20M-521.50M-216.10M-1.02B
Financing Cash Flow
-734.80M-318.60M-552.50M10.40M912.10M

Dexcom Technical Analysis

Technical Analysis Sentiment
Positive
Last Price85.34
Price Trends
50DMA
72.34
Positive
100DMA
78.06
Positive
200DMA
75.48
Positive
Market Momentum
MACD
3.23
Negative
RSI
72.77
Negative
STOCH
95.76
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For DXCM, the sentiment is Positive. The current price of 85.34 is above the 20-day moving average (MA) of 72.27, above the 50-day MA of 72.34, and above the 200-day MA of 75.48, indicating a bullish trend. The MACD of 3.23 indicates Negative momentum. The RSI at 72.77 is Negative, neither overbought nor oversold. The STOCH value of 95.76 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for DXCM.

Dexcom Risk Analysis

Dexcom disclosed 74 risk factors in its most recent earnings report. Dexcom reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Dexcom Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$32.00B60.2623.72%9.11%-17.87%
STSTE
76
Outperform
$21.86B47.579.61%1.00%-0.17%-17.34%
74
Outperform
$18.21B44.7243.03%22.07%101.95%
EWEW
71
Outperform
$43.88B30.2616.73%-9.84%-35.77%
52
Neutral
$5.21B3.55-41.91%2.83%15.12%0.42%
PHPHG
49
Neutral
$23.15B-7.10%-0.76%-55.03%
49
Neutral
$1.42B-92.31%27.65%-28.22%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DXCM
Dexcom
85.34
-41.71
-32.83%
EW
Edwards Lifesciences
74.63
-12.09
-13.94%
PODD
Insulet
257.00
91.10
54.91%
PHG
Koninklijke Philips
24.07
-2.81
-10.45%
STE
Steris
225.86
-3.19
-1.39%
TNDM
Tandem Diabetes Care
22.74
-21.62
-48.74%

Dexcom Earnings Call Summary

Earnings Call Date:May 01, 2025
(Q1-2025)
|
% Change Since: 21.46%|
Next Earnings Date:Jul 24, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted strong revenue growth, significant expansion in coverage for type 2 diabetes, and successful product innovations. However, challenges included a decline in gross margin due to supply chain issues and an FDA warning letter that required attention. Overall, while there are notable achievements, the presence of significant challenges suggests a balanced sentiment.
Q1-2025 Updates
Positive Updates
Strong Organic Revenue Growth
DexCom reported first quarter organic revenue growth of 14% compared to the first quarter of 2024, with U.S. revenue increasing by 15%.
Expansion in Type 2 Diabetes Coverage
DexCom secured coverage for nearly 6 million people with type 2 diabetes who are not on insulin, including coverage from the 3 largest PBMs in the U.S.
Introduction of Over-the-Counter CGM - Stelo
DexCom launched Stelo as the first over-the-counter CGM, attracting customers across the type 2 diabetes, prediabetes, and health and wellness markets.
FDA Clearance for 15 Day Dexcom G7 System
Received FDA clearance for the 15 Day Dexcom G7 System, marking a milestone with improved wear time and accuracy.
Share Repurchase Program
Announced a $750 million share repurchase program, indicating confidence in the company's financial position.
Negative Updates
Gross Margin Decline
The first quarter gross profit margin declined to 57.5% from 61.8% in the first quarter of 2024, impacted by increased freight costs and supply chain challenges.
FDA Warning Letter
Received a warning letter from the FDA related to observations during inspections of the San Diego and Mesa facilities, requiring corrective actions.
International Revenue Challenges
International revenue growth was only 7%, with some coverage wins not materializing as expected in the first quarter.
Company Guidance
During DexCom's First Quarter 2025 Earnings Call, the company reported an organic revenue growth of 14% compared to the first quarter of 2024, with worldwide revenue reaching $1.036 billion, a 12% increase on a reported basis. U.S. revenue grew by 15% to $751 million, while international revenue rose by 7% to $286 million, with organic growth at 12%. The company maintained its full-year revenue guidance of $4.6 billion, representing a 14% growth. DexCom's gross profit margin was 57.5%, down from 61.8% the previous year, primarily due to increased freight costs and inflationary pressures. Despite these challenges, DexCom reaffirmed its full-year guidance for operating margin at approximately 21% and adjusted EBITDA margin at 30%. The company also announced a $750 million share repurchase program, reflecting confidence in its cash flow outlook. DexCom's continued expansion in the type 2 non-insulin patient market, bolstered by broader insurance coverage, contributed to a record level of new customer starts, particularly from this demographic.

Dexcom Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Dexcom Expands Board with New Director Appointment
Positive
Mar 10, 2025

On March 6, 2025, Dexcom’s Board of Directors expanded to eleven members with the appointment of Renée Galá as a director. Ms. Galá, recognized for her strategic and financial leadership in the life sciences sector, brings significant expertise to Dexcom, enhancing its potential to drive growth and create shareholder value. Her appointment reflects Dexcom’s strategic focus on expanding its influence in the metabolic health sector, leveraging her experience in global finance and operations.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.