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Dexcom (DXCM)
NASDAQ:DXCM

Dexcom (DXCM) AI Stock Analysis

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Dexcom

(NASDAQ:DXCM)

61Neutral
Dexcom's strong financial performance and positive earnings call are offset by technical analysis indicating downward momentum and valuation concerns due to a high P/E ratio. The strategic board appointment provides a moderate positive outlook amidst challenges.
Positive Factors
Financial Performance
DXCM reiterated revenue guidance in the 8k that originally disclosed the warning letter.
Market Position
DXCM is trading at a valuation that is attractive for its long-term growth rate.
Product Development
The G7 15-day sensor's MARD data underscores a strong value proposition, expected to be well-received by investors.
Negative Factors
Operational Concerns
FDA findings around non-conformities in manufacturing processes and quality management system after facilities inspections.
Regulatory Issues
Dexcom announced it had received a warning letter from the FDA following the agency’s inspection of its Mesa and San Diego facilities, which added near-term pressure on the stock.

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 exhibits strong income growth and profitability with a stable operational performance. The balance sheet shows effective equity use but highlights a reliance on liabilities. Incomplete cash flow data for 2024 limits full assessment, though previous data indicates good cash generation.
Income Statement
85
Very Positive
Dexcom demonstrates strong revenue growth, with a revenue increase from $3.62 billion in 2023 to $4.03 billion in 2024, reflecting a growth rate of 11.34%. The gross profit margin is robust at 61.13% for 2024. Net profit margin also improved to 14.29% from 14.95% in the previous year. The EBIT margin remains stable at 14.87%, indicating consistent operational efficiency. These metrics highlight a healthy and growing financial performance, supported by efficient cost management.
Balance Sheet
75
Positive
Dexcom maintains a moderate debt-to-equity ratio of 1.20 in 2024, suggesting a balanced use of debt and equity financing. The return on equity (ROE) is strong at 27.40%, indicating effective use of shareholders' equity to generate profits. However, the equity ratio is 32.42%, which could suggest a higher reliance on liabilities. Overall, the balance sheet reflects stability with a manageable level of debt.
Cash Flow
60
Neutral
The cash flow statement lacks complete data for 2024, making it challenging to fully assess the cash flow performance. However, in 2023, Dexcom had a positive free cash flow of $511.9 million, indicating good cash generation. The absence of 2024 cash flow data is a concern for assessing ongoing cash management and investment capacity.
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
840.70M916.70M565.30M377.50M376.80M
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
2.53B2.59B2.09B1.82B1.84B
Net Debt
1.92B2.03B1.44B769.20M1.02B
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
Negative
Last Price60.69
Price Trends
50DMA
79.06
Negative
100DMA
79.13
Negative
200DMA
79.74
Negative
Market Momentum
MACD
-3.61
Positive
RSI
31.77
Neutral
STOCH
11.73
Positive
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 60.69 is below the 20-day moving average (MA) of 69.01, below the 50-day MA of 79.06, and below the 200-day MA of 79.74, indicating a bearish trend. The MACD of -3.61 indicates Positive momentum. The RSI at 31.77 is Neutral, neither overbought nor oversold. The STOCH value of 11.73 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (48)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
STSTE
78
Outperform
$20.90B45.129.61%1.05%-0.17%-17.34%
76
Outperform
$17.99B42.6843.03%22.07%101.95%
EWEW
68
Neutral
$40.42B27.3817.17%-4.67%6.23%
61
Neutral
$24.17B42.6027.63%11.34%4.24%
56
Neutral
$1.12B-33.30%25.74%57.18%
PHPHG
50
Neutral
$20.63B-7.10%-0.76%-55.03%
48
Neutral
$6.27B1.17-48.19%2.68%17.28%1.24%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
DXCM
Dexcom
60.69
-79.63
-56.75%
EW
Edwards Lifesciences
67.07
-24.44
-26.71%
PODD
Insulet
247.04
69.63
39.25%
PHG
Koninklijke Philips
21.67
1.96
9.94%
STE
Steris
208.55
1.40
0.68%
TNDM
Tandem Diabetes Care
16.37
-18.20
-52.65%

Dexcom Earnings Call Summary

Earnings Call Date: Feb 13, 2025 | % Change Since: -27.83% | Next Earnings Date: May 1, 2025
Earnings Call Sentiment Positive
The earnings call presented a generally positive outlook for DexCom, with strong revenue growth, significant customer base expansion, and successful international market performance. However, challenges such as gross margin decline and operating income reduction were noted, indicating areas for improvement.
Highlights
Strong Revenue Growth
DexCom reported fourth quarter organic revenue growth of 8% compared to Q4 2023, with full-year organic revenue growth of 12%.
Customer Base Expansion
Ended 2024 with more than 2.8 million customers globally, representing a 25% increase compared to 2023.
Significant Coverage Expansion
Gained coverage for over five million people with type 2 diabetes not on insulin in the US, with two of the three largest PBMs now covering DexCom CGM for anyone with diabetes.
International Market Success
International revenue grew 17% in Q4, with significant demand in France and New Zealand following coverage expansions.
Stella Over-the-Counter Product Success
More than 140,000 people used Stella in the first four months of its launch, with strong demand across various populations.
Lowlights
Gross Margin Decline
Gross profit margin decreased to 59.4% from 64.2% in Q4 2023, impacted by a $21 million non-cash charge related to inventory issues.
Operating Income Reduction
Operating income dropped to $209.5 million (18.8% of revenue) in Q4 2024 from $242.7 million (23.5% of revenue) in Q4 2023.
Challenges with US Growth Rate
US revenue growth was negatively impacted by rebate eligibility, with a 4% increase compared to Q4 2023.
Company Guidance
In the earnings call for DexCom, Inc.'s fiscal year 2024, the company reported an 8% organic revenue growth for the fourth quarter compared to the same period in 2023, resulting in a full-year organic revenue growth of 12%. DexCom ended 2024 with over 2.8 million global customers, a 25% increase from the previous year. The company experienced notable progress in expanding its U.S. prescriber base by more than 50,000 and improving sales force productivity. International revenue grew by 17% to $311 million in Q4, with notable coverage wins in key markets like France and New Zealand. DexCom's guidance for 2025 anticipates a total revenue of $4.6 billion, representing a 14% growth, driven by continued strong category growth, new product launches, and expanded coverage for the Stella product, which contributed to 2-3% of revenue. The company also expects improvements in gross profit margins, targeting 64-65%, and adjusted EBITDA of approximately 30% for the year.

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.