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Dexcom (DXCM)
NASDAQ:DXCM

Dexcom (DXCM) AI Stock Analysis

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Dexcom

(NASDAQ:DXCM)

Rating:78Outperform
Price Target:
$100.00
▲(17.59%Upside)
Dexcom's strong financial performance and strategic expansion into the type 2 diabetes market are significant strengths. However, valuation concerns due to a high P/E ratio and challenges such as declining gross margins and an FDA warning letter impact the overall score. The company's strategic initiatives and management confidence, as reflected in the share repurchase program, provide a balanced outlook.
Positive Factors
Financial Performance
The conversion to a 15-day product is expected to significantly drive profit margins by potentially lowering the cost of goods sold by about one-third.
Market Expansion
The expansion to cover Type 2 non-insulin patients represents a significant growth opportunity for DXCM.
Product Development
DXCM's 15-day product approval, with excellent accuracy data, minimizes the risk of an FDA recall or disruption.
Negative Factors
Market Share Risks
Key risks include higher share losses in type 1, lower share gains in type 2, price erosion, less margin benefit from 15-day wear, and potential sales force issues.
Pricing Pressure
Price erosion and less margin benefit from the 15-day wear are considered key risks for DXCM.

Dexcom (DXCM) vs. SPDR S&P 500 ETF (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 generates revenue primarily through the sale of its continuous glucose monitoring systems and related components. The company's revenue model is centered on the direct sale of its CGM devices, which include sensors, transmitters, and receivers, to individuals with diabetes. Additionally, Dexcom engages in partnerships with healthcare providers, insurance companies, and diabetes management platforms to expand the reach and accessibility of its products. A significant portion of its earnings stems from recurring sales of disposable sensors, which need to be replaced regularly, typically every 10 days. Dexcom also benefits from collaborations with technology companies to integrate its CGM systems with various digital health platforms, enhancing user experience and expanding its market presence.

Dexcom Key Performance Indicators (KPIs)

Any
Any
Revenue by Geography
Revenue by Geography
Chart InsightsDexCom's U.S. revenue shows robust growth, driven by expanded type 2 diabetes coverage and the launch of the over-the-counter CGM, Stelo. Despite a slight dip in Q1 2024, the U.S. market rebounded strongly, aligning with a 15% growth in Q1 2025. Internationally, growth is slower, with challenges in coverage wins impacting performance. The company remains optimistic, maintaining its full-year revenue guidance and initiating a $750 million share repurchase program, reflecting confidence in its financial health despite margin pressures and regulatory challenges.
Data provided by:Main Street Data

Dexcom Earnings Call Summary

Earnings Call Date:May 01, 2025
(Q1-2025)
|
% Change Since: 21.04%|
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 Financial Statement Overview

Summary
Dexcom demonstrates strong revenue growth and efficient cost management, with a robust gross profit margin and healthy EBIT and EBITDA margins. However, the slight decrease in net profit margin and free cash flow growth indicates some pressure on profitability and cash flow, suggesting 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.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue4.15B4.03B3.62B2.91B2.45B1.93B
Gross Profit2.46B2.47B2.29B1.88B1.68B1.28B
EBITDA889.80M945.70M916.70M565.30M377.50M376.80M
Net Income535.20M576.20M541.50M341.20M154.70M493.60M
Balance Sheet
Total Assets6.75B6.48B6.26B5.39B4.86B4.29B
Cash, Cash Equivalents and Short-Term Investments2.70B2.58B2.72B2.46B2.73B2.71B
Total Debt2.58B2.59B2.59B2.09B1.82B1.84B
Total Liabilities4.49B4.38B4.20B3.26B2.61B2.46B
Stockholders Equity2.27B2.10B2.07B2.13B2.25B1.83B
Cash Flow
Free Cash Flow575.20M630.70M511.90M304.70M53.30M276.60M
Operating Cash Flow964.10M989.50M748.50M669.50M442.50M475.60M
Investing Cash Flow-182.10M-207.50M-507.20M-521.50M-216.10M-1.02B
Financing Cash Flow-727.00M-734.80M-318.60M-552.50M10.40M912.10M

Dexcom Technical Analysis

Technical Analysis Sentiment
Positive
Last Price85.04
Price Trends
50DMA
80.78
Positive
100DMA
79.11
Positive
200DMA
77.12
Positive
Market Momentum
MACD
0.43
Positive
RSI
54.83
Neutral
STOCH
75.67
Neutral
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 85.04 is above the 20-day moving average (MA) of 84.11, above the 50-day MA of 80.78, and above the 200-day MA of 77.12, indicating a bullish trend. The MACD of 0.43 indicates Positive momentum. The RSI at 54.83 is Neutral, neither overbought nor oversold. The STOCH value of 75.67 is Neutral, 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 (46)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
STSTE
80
Outperform
$23.65B37.889.46%0.95%0.32%64.36%
78
Outperform
$33.20B63.5723.72%9.11%-17.87%
76
Outperform
$21.55B55.7637.92%23.49%71.25%
EWEW
64
Neutral
$45.15B51.5516.73%-9.84%-35.77%
PHPHG
51
Neutral
$22.95B-7.10%3.70%-0.76%-55.03%
50
Neutral
$1.29B-92.31%27.65%-28.22%
46
Neutral
C$189.62M-4.26-8.56%3.09%13.57%-1.98%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DXCM
Dexcom
85.04
-28.34
-25.00%
EW
Edwards Lifesciences
77.15
-15.22
-16.48%
PODD
Insulet
309.83
108.03
53.53%
PHG
Koninklijke Philips
24.08
-0.36
-1.47%
STE
Steris
238.53
21.16
9.73%
TNDM
Tandem Diabetes Care
19.11
-21.18
-52.57%

Dexcom Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Dexcom Promotes Jacob S. Leach to President and COO
Positive
May 13, 2025

On May 9, 2025, Dexcom announced the promotion of Jacob S. Leach to President and Chief Operating Officer, effective immediately. Leach, who has been with the company for over 21 years, will now oversee corporate development and strategy efforts in addition to his existing responsibilities. This move is expected to strengthen Dexcom’s ability to innovate and achieve its goals in the metabolic health sector, benefiting customers, shareholders, and communities.

The most recent analyst rating on (DXCM) stock is a Buy with a $132.00 price target. To see the full list of analyst forecasts on Dexcom stock, see the DXCM Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Dexcom Stockholders Approve Equity Plan Amendments
Neutral
May 9, 2025

On May 8, 2025, Dexcom‘s stockholders approved amendments to the 2015 Equity Incentive Plan and the Employee Stock Purchase Plan, increasing the shares reserved for issuance by 3.4 million and 8 million respectively. Additionally, the board size was reduced to nine directors, and various proposals including the election of directors, ratification of Deloitte & Touche LLP as auditors, and executive compensation were approved.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

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.Date of analysis: Jun 25, 2025