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Dexcom (DXCM)
NASDAQ:DXCM
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Dexcom (DXCM) AI Stock Analysis

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DXCM

Dexcom

(NASDAQ:DXCM)

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Neutral 69 (OpenAI - 4o)
Rating:69Neutral
Price Target:
$64.00
▲(5.91% Upside)
Dexcom's overall stock score is driven by its strong financial performance and positive earnings call sentiment, reflecting robust revenue growth and strategic advancements. However, technical analysis indicates bearish momentum, and the high P/E ratio suggests potential overvaluation. Addressing gross margin pressures and operational challenges could enhance future performance.
Positive Factors
Revenue Growth
Strong revenue growth indicates expanding market presence and product demand, supporting long-term business sustainability.
Cash Generation
Robust cash generation enhances financial flexibility, enabling strategic investments and debt management for future growth.
Product Innovation
Innovative products like Smart Basal strengthen Dexcom's competitive edge and expand its market in diabetes management.
Negative Factors
Gross Margin Pressure
Decreasing gross margins could impact profitability, necessitating cost management to maintain financial health.
Quality Issues
Quality issues can affect brand reputation and customer retention, potentially hindering new customer acquisition.
Equity Ratio
A moderate equity ratio indicates reliance on debt, which can limit financial flexibility and increase risk during downturns.

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, including sensors, transmitters, and displays. The majority of its income comes from the sale of sensors, which are consumable devices that patients use on a regular basis. In addition to direct sales, Dexcom also benefits from partnerships with major insulin manufacturers and healthcare providers, which can include collaborations for integrated diabetes management solutions. The company has established reimbursement agreements with various insurance providers, enhancing patient access to its products and driving sales growth. Furthermore, ongoing innovation and product improvements contribute to maintaining a competitive edge in the diabetes care market, further solidifying its revenue streams.

Dexcom Key Performance Indicators (KPIs)

Any
Any
Revenue by Geography
Revenue by Geography
Breaks down revenue across different regions, revealing where the company is strongest and where it may face risk or growth potential due to local economic conditions or market share shifts.
Chart InsightsDexCom's U.S. and international revenues are both on an upward trajectory, with the latest quarter showing strong year-over-year growth. The earnings call highlights a 15% increase in U.S. revenue and a 16% rise internationally, driven by expanded coverage for type 2 non-insulin users and strategic launches like the 15-day G7 System. Despite a slight dip in gross margins due to supply chain investments, the company remains optimistic, projecting significant revenue growth and leveraging its cash reserves for strategic opportunities.
Data provided by:Main Street Data

Dexcom Earnings Call Summary

Earnings Call Date:Oct 30, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 05, 2026
Earnings Call Sentiment Positive
DexCom's earnings call highlighted robust revenue growth and strategic product expansions, particularly in type 2 diabetes CGM coverage, and noted the introduction of innovative products like DexCom Smart Basal. However, challenges in gross margin management and quality issues with the G7 sensor deployment were noted. The sentiment is buoyed by positive financial performance and strategic advancements, despite some operational challenges.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
DexCom reported worldwide revenue of $1.21 billion for Q3 2025, up 22% from $994 million in Q3 2024. U.S. revenue grew by 21%, and international revenue grew by 22%, with notable performance in France and Canada.
Expansion of CGM Access
There was significant progress in CGM access, with coverage now established for nearly 6 million type 2 non-insulin lives in the U.S. This represents about half of the type 2 NIT commercial population.
Introduction of DexCom Smart Basal
DexCom Smart Basal, a titration module designed to simplify basal insulin management, is under review with the FDA and for CE Mark. It aims to improve adherence and reduce workflow for healthcare providers.
Successful Launch of Stelo
Stelo, a new product in the market for just 12 months, has surpassed $100 million in revenue and increased awareness of CGM benefits for metabolic health.
Record Earnings Per Share
DexCom reported the highest quarterly earnings per share in its history at $0.61.
Negative Updates
Gross Margin Pressure
The gross margin decreased to 61.3% from 63.0% in Q3 2024, influenced by higher-than-expected scrap rates at manufacturing facilities and increased costs related to expedited shipping.
Quality and Deployment Issues
There were issues with G7 sensor deployment earlier in the year, impacting consumer perception and possibly affecting new patient starts.
Anticipated Slightly Lower 2026 Growth
DexCom anticipates that the top end of its 2026 growth range may come in slightly below current Street expectations, driven by existing coverage landscapes.
Company Guidance
During the DexCom Third Quarter 2025 Earnings Call, guidance highlighted a strong financial performance with worldwide revenue reaching $1.21 billion, a 22% increase from the previous year, and organic revenue growth of 20%. U.S. revenue rose by 21% to $852 million, and international revenue grew by 22% to $357.4 million. Gross margin guidance was lowered to 61% due to higher-than-expected scrap rates, but operating income increased to $272.9 million or 22.6% of revenue. Adjusted EBITDA stood at $368.4 million, representing 30.5% of revenue. DexCom raised its annual revenue guidance to between $4.630 billion and $4.650 billion, reflecting a 15% growth rate. The company plans to offset gross margin pressures through operational expense leverage, aiming for non-GAAP operating margins of 20% to 21% and adjusted EBITDA margins of 29% to 30%.

Dexcom Financial Statement Overview

Summary
Dexcom exhibits a robust financial profile with consistent revenue growth, strong profitability, and effective cash flow management. The company's leverage is under control, and its return on equity is commendable. While the financial statements are generally positive, focusing on improving gross profit margins and equity ratios could further strengthen its financial standing.
Income Statement
85
Very Positive
Dexcom's income statement shows strong revenue growth with a 5% increase in the TTM period. The company maintains healthy margins, with a gross profit margin of 59% and a net profit margin of 15.96%. EBIT and EBITDA margins are also robust at 13.75% and 23.12%, respectively. The consistent growth trajectory and profitability indicate a well-managed income statement, though slight declines in gross profit margin over the years suggest room for improvement.
Balance Sheet
78
Positive
Dexcom's balance sheet reflects a stable financial position with a debt-to-equity ratio of 0.92, indicating manageable leverage. The return on equity is strong at 29.82%, showcasing effective utilization of shareholder funds. However, the equity ratio of 36.35% suggests a moderate reliance on debt financing. Overall, the balance sheet is solid but could benefit from a higher equity ratio to enhance financial stability.
Cash Flow
82
Very Positive
The cash flow statement highlights impressive free cash flow growth of 86.04% in the TTM period, indicating strong cash generation capabilities. The operating cash flow to net income ratio of 2.01 and free cash flow to net income ratio of 0.73 demonstrate efficient cash conversion. While the cash flow metrics are strong, maintaining this growth trajectory will be crucial for sustaining financial health.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue4.52B4.03B3.62B2.91B2.45B1.93B
Gross Profit2.67B2.44B2.29B1.88B1.68B1.28B
EBITDA1.22B945.70M916.70M565.30M377.50M376.80M
Net Income720.70M576.20M541.50M341.20M216.90M493.60M
Balance Sheet
Total Assets7.50B6.48B6.26B5.39B4.93B4.29B
Cash, Cash Equivalents and Short-Term Investments3.32B2.58B2.72B2.46B2.73B2.71B
Total Debt2.52B2.59B2.59B2.15B2.16B1.84B
Total Liabilities4.77B4.38B4.20B3.26B2.89B2.46B
Stockholders Equity2.73B2.10B2.07B2.13B2.04B1.83B
Cash Flow
Free Cash Flow1.06B630.70M511.90M304.70M53.30M276.60M
Operating Cash Flow1.45B989.50M748.50M669.50M442.50M475.60M
Investing Cash Flow-74.30M-207.50M-507.20M-521.50M-216.10M-1.02B
Financing Cash Flow-165.80M-734.80M-318.60M-552.50M10.40M912.10M

Dexcom Technical Analysis

Technical Analysis Sentiment
Negative
Last Price60.43
Price Trends
50DMA
70.64
Negative
100DMA
76.74
Negative
200DMA
78.14
Negative
Market Momentum
MACD
-1.66
Positive
RSI
32.46
Neutral
STOCH
22.76
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For DXCM, the sentiment is Negative. The current price of 60.43 is below the 20-day moving average (MA) of 67.10, below the 50-day MA of 70.64, and below the 200-day MA of 78.14, indicating a bearish trend. The MACD of -1.66 indicates Positive momentum. The RSI at 32.46 is Neutral, neither overbought nor oversold. The STOCH value of 22.76 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for DXCM.

Dexcom Risk Analysis

Dexcom disclosed 75 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 (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
$48.77B35.420.19%65.34%
$15.53B32.539.20%2.04%5.78%61.52%
$23.37B35.989.73%0.99%2.47%63.68%
$22.44B97.0119.18%25.99%-40.46%
$23.57B33.6330.63%14.21%5.66%
$7.86B-0.30-43.30%2.27%22.53%-2.21%
$945.97M-111.91%25.84%-47.67%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DXCM
Dexcom
60.43
-8.57
-12.42%
EW
Edwards Lifesciences
83.07
16.38
24.56%
PODD
Insulet
318.77
77.45
32.09%
SNN
Smith & Nephew Snats
36.77
11.81
47.32%
STE
Steris
237.32
12.18
5.41%
TNDM
Tandem Diabetes Care
14.36
-18.75
-56.63%

Dexcom Corporate Events

Dexcom’s $750 Million Share Buyback: Uncertainty Looms Amid Market Volatility
Nov 1, 2025

Dexcom’s 2025 Share Repurchase Program, authorized by its Board of Directors, aims to buy back up to $750 million of its common stock by June 30, 2026. However, the program’s success in enhancing long-term share value is uncertain due to potential market volatility and other factors such as unfavorable market conditions and strategic opportunities. The company retains discretion over the timing and amount of repurchases, which may impact stock price and earnings per share. As of September 30, 2025, Dexcom has repurchased 2.4 million shares for $187.2 million, but the program’s future impact remains unpredictable.

DexCom’s Earnings Call Highlights Robust Growth and Strategic Expansions
Nov 1, 2025

DexCom’s recent earnings call conveyed a generally positive sentiment, underscored by robust revenue growth and strategic product expansions. The company showcased its advancements in type 2 diabetes continuous glucose monitoring (CGM) coverage and introduced innovative products like the DexCom Smart Basal. Despite these achievements, challenges in managing gross margins and quality issues with the G7 sensor deployment were acknowledged. Overall, the sentiment was buoyed by strong financial performance and strategic progress, even as some operational hurdles were noted.

Dexcom Reports Strong Q3 2025 Growth and Raises Guidance
Oct 31, 2025

Dexcom, Inc., a leader in glucose biosensing technology, continues to innovate in the healthcare sector by providing advanced solutions for diabetes management. The company has reported a strong financial performance for the third quarter of 2025, with significant revenue growth and strategic advancements.

Business Operations and StrategyExecutive/Board Changes
Dexcom Expands Board with New Appointment
Positive
Oct 27, 2025

On October 24, 2025, Dexcom‘s Board of Directors expanded to include Dr. Euan Ashley, a renowned researcher and clinician, who will serve on the Nominating and Governance Committee and the Technology Committee. This appointment, along with the planned addition of Jacob S. Leach in January 2026, is part of Dexcom’s strategic efforts to strengthen its leadership in medical technology and healthcare innovation, enhancing its capacity to advance metabolic health globally.

The most recent analyst rating on (DXCM) stock is a Buy with a $100.00 price target. To see the full list of analyst forecasts on Dexcom stock, see the DXCM Stock Forecast page.

Dexcom’s Latest Study: A New Approach to Managing Uncontrolled Type 2 Diabetes
Oct 27, 2025

Study Overview: The COMPASS Program, officially titled ‘Continuous Monitoring, Peer And Structured Support for Management of Uncontrolled Type 2 Diabetes,’ is a prospective single-arm study aimed at evaluating the efficacy of a virtual group visit program using continuous glucose monitoring (CGM) to improve glucose levels and quality of life in individuals with uncontrolled type 2 diabetes. This study is significant as it explores the integration of technology and peer support in diabetes management.

Executive/Board Changes
Dexcom CEO Takes Medical Leave, Interim Roles Announced
Neutral
Sep 16, 2025

On September 14, 2025, Dexcom announced that CEO and Chairman Kevin R. Sayer took a temporary medical leave of absence. Jacob S. Leach, the company’s President and COO, was appointed interim principal executive officer, while Mark Foletta was named interim chairman of the board. Both appointees will not receive additional compensation for their interim roles.

The most recent analyst rating on (DXCM) stock is a Buy with a $100.00 price target. To see the full list of analyst forecasts on Dexcom stock, see the DXCM Stock Forecast page.

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: Nov 01, 2025