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Stock Analysis on Net

DexCom Inc. (NASDAQ:DXCM)

This company has been moved to the archive! The financial data has not been updated since October 26, 2023.

Economic Value Added (EVA)

Microsoft Excel

EVA is registered trademark of Stern Stewart.

Economic value added or economic profit is the difference between revenues and costs,where costs include not only expenses, but also cost of capital.


Economic Profit

DexCom Inc., economic profit calculation

US$ in thousands

Microsoft Excel
12 months ended: Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Net operating profit after taxes (NOPAT)1 352,450 233,041 294,086 150,334 (115,440)
Cost of capital2 17.89% 17.95% 18.22% 18.05% 17.88%
Invested capital3 1,649,000 1,899,300 1,367,200 836,300 1,449,197
 
Economic profit4 57,373 (107,790) 45,012 (595) (374,513)

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

1 NOPAT. See details »

2 Cost of capital. See details »

3 Invested capital. See details »

4 2022 Calculation
Economic profit = NOPAT – Cost of capital × Invested capital
= 352,450 – 17.89% × 1,649,000 = 57,373


The financial performance between 2018 and 2022 demonstrates a volatile transition toward positive economic value creation. While operational profitability grew substantially over the period, the ability to consistently generate returns exceeding the cost of capital remained inconsistent.

Net Operating Profit After Taxes (NOPAT)
A significant upward trajectory is observed in operational earnings, transitioning from a loss of $115.4 million in 2018 to a peak of $352.5 million by 2022. Despite a moderate contraction in 2021, the overall trend indicates a strengthening of core operational profitability.
Cost of Capital
The cost of capital remained highly stable across the analyzed period, maintaining a narrow range between 17.88% and 18.22%. This consistent and relatively high rate established a rigorous benchmark for achieving positive economic profit.
Invested Capital
Invested capital exhibited considerable volatility. A sharp reduction occurred in 2019, reaching $836.3 million, followed by a period of expansion that peaked at $1.899 billion in 2021. A subsequent reduction to $1.649 billion was recorded in 2022.
Economic Profit
Economic profit results fluctuated, reflecting the dynamic between NOPAT and the invested capital base. The substantial value deficit of $374.5 million in 2018 improved to near break-even in 2019, with positive economic profit realized in 2020 and 2022. A regression into negative economic profit occurred in 2021; this was driven by the peak in invested capital, which raised the total cost of capital above the operating profit achieved during that year.

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Net Operating Profit after Taxes (NOPAT)

DexCom Inc., NOPAT calculation

US$ in thousands

Microsoft Excel
12 months ended: Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Net income (loss) 341,200 154,700 493,600 101,100 (127,100)
Deferred income tax expense (benefit)1 (21,600) (4,900) (277,300) 200 (2,200)
Increase (decrease) in allowance for doubtful accounts2 1,900 (1,800) 1,400 (1,400) (4,300)
Increase (decrease) in deferred revenue3 10,900 (100) 500 (1,200) (300)
Increase (decrease) in accrued warranty4 (100) 1,200 4,300 600 (2,000)
Increase (decrease) in equity equivalents5 (8,900) (5,600) (271,100) (1,800) (8,800)
Interest expense 18,600 100,300 84,700 60,300 22,700
Interest expense, operating lease liability6 6,906 5,955 5,915 4,300 3,198
Adjusted interest expense 25,506 106,255 90,615 64,600 25,898
Tax benefit of interest expense7 (5,356) (22,314) (19,029) (13,566) (5,439)
Adjusted interest expense, after taxes8 20,150 83,941 71,586 51,034 20,460
Net operating profit after taxes (NOPAT) 352,450 233,041 294,086 150,334 (115,440)

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

1 Elimination of deferred tax expense. See details »

2 Addition of increase (decrease) in allowance for doubtful accounts.

3 Addition of increase (decrease) in deferred revenue.

4 Addition of increase (decrease) in accrued warranty.

5 Addition of increase (decrease) in equity equivalents to net income (loss).

6 2022 Calculation
Interest expense on capitalized operating leases = Operating lease liability × Discount rate
= 115,100 × 6.00% = 6,906

7 2022 Calculation
Tax benefit of interest expense = Adjusted interest expense × Statutory income tax rate
= 25,506 × 21.00% = 5,356

8 Addition of after taxes interest expense to net income (loss).


Between 2018 and 2022, a significant transition from operational losses to consistent profitability is observed. Both Net Income and Net Operating Profit After Taxes (NOPAT) shifted from negative values in 2018 to positive trajectories, indicating a strengthening of the company's core financial position over the five-year period.

NOPAT Growth Trajectory
NOPAT experienced a substantial recovery, moving from a deficit of 115.4 million USD in 2018 to a peak of 352.5 million USD by 2022. Although a moderate contraction occurred in 2021, where NOPAT decreased to 233.0 million USD from 294.1 million USD in 2020, the overall trend demonstrates a robust expansion in operational earning power.
Net Income Volatility
Net income exhibited higher volatility than NOPAT. Following a loss of 127.1 million USD in 2018, the figure rose to 101.1 million USD in 2019 and peaked sharply at 493.6 million USD in 2020. This was followed by a significant decline to 154.7 million USD in 2021 before recovering to 341.2 million USD in 2022.
Operational vs. Bottom-Line Performance
A divergence between NOPAT and Net Income is evident across different fiscal years. In 2020, Net Income substantially exceeded NOPAT, suggesting the influence of non-operating gains or one-time tax benefits. Conversely, in 2021 and 2022, NOPAT remained higher than Net Income, indicating that core operational performance was stronger than the final bottom-line result, likely due to the impact of interest expenses or other non-operating costs.

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Cash Operating Taxes

DexCom Inc., cash operating taxes calculation

US$ in thousands

Microsoft Excel
12 months ended: Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Provision for (benefit from) income taxes 49,600 19,200 (268,600) 3,100 600
Less: Deferred income tax expense (benefit) (21,600) (4,900) (277,300) 200 (2,200)
Add: Tax savings from interest expense 5,356 22,314 19,029 13,566 5,439
Cash operating taxes 76,556 46,414 27,729 16,466 8,239

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


An analysis of the tax-related figures reveals a significant divergence between the accounting provisions for income taxes and the actual cash operating taxes paid over the five-year period ending December 31, 2022.

Cash Operating Taxes Trend
A consistent and accelerating upward trend is observed in cash operating taxes. Payments increased from 8,239 thousand US dollars in 2018 to 76,556 thousand US dollars in 2022. This represents a sustained increase in the actual cash outflow for taxes, indicating a growth in the taxable operational base regardless of accounting adjustments.
Provision for Income Taxes Volatility
The provision for income taxes exhibits extreme volatility, contrasting sharply with the steady rise in cash taxes. While provisions remained low in 2018 and 2019, a substantial tax benefit of 268,600 thousand US dollars was recorded in 2020. This was followed by a return to positive provisions in 2021 and 2022, reaching 49,600 thousand US dollars by the end of the period.
Divergence Analysis
The disconnect between the negative provision in 2020 and the continued increase in cash operating taxes during that same year suggests that the accounting benefit was likely driven by non-cash items, such as deferred tax assets or one-time tax credits, rather than a reduction in current cash tax obligations. The steady growth of cash operating taxes serves as a more reliable indicator of the ongoing cash drain on the entity's economic value added (EVA) than the fluctuating accounting provisions.

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Invested Capital

DexCom Inc., invested capital calculation (financing approach)

US$ in thousands

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Short-term finance lease liabilities 4,200 3,300 8,800 600 —
Current portion of long-term senior convertible notes 772,600 — — — —
Long-term senior convertible notes 1,197,700 1,702,700 1,667,200 1,059,700 1,010,300
Long-term finance lease liabilities 59,600 57,000 54,000 14,400 7,300
Operating lease liability1 115,100 119,100 118,300 86,000 58,897
Total reported debt & leases 2,149,200 1,882,100 1,848,300 1,160,700 1,076,497
Stockholders’ equity 2,131,800 2,251,500 1,826,500 882,600 663,300
Net deferred tax (assets) liabilities2 (336,300) (214,900) (216,400) 100 (100)
Allowance for doubtful accounts3 7,300 5,400 7,200 5,800 7,200
Deferred revenue4 29,100 2,100 2,200 1,700 2,900
Accrued warranty5 12,800 12,900 11,700 7,400 6,800
Equity equivalents6 (287,100) (194,500) (195,300) 15,000 16,800
Accumulated other comprehensive (income) loss, net of tax7 11,600 (500) (3,200) (2,300) (1,500)
Adjusted stockholders’ equity 1,856,300 2,056,500 1,628,000 895,300 678,600
Construction in progress8 (542,600) (360,700) (219,000) (132,600) (57,300)
Available-for-sale debt securities9 (1,813,900) (1,678,600) (1,890,100) (1,087,100) (248,600)
Invested capital 1,649,000 1,899,300 1,367,200 836,300 1,449,197

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

1 Addition of capitalized operating leases.

2 Elimination of deferred taxes from assets and liabilities. See details »

3 Addition of allowance for doubtful accounts receivable.

4 Addition of deferred revenue.

5 Addition of accrued warranty.

6 Addition of equity equivalents to stockholders’ equity.

7 Removal of accumulated other comprehensive income.

8 Subtraction of construction in progress.

9 Subtraction of available-for-sale debt securities.


The analysis of the capital structure from 2018 to 2022 reveals a general expansion of the financial base, though the metric for invested capital exhibits significant volatility relative to the steady increase in debt.

Total Debt and Leases
A consistent upward trajectory is observed in total reported debt and leases, which increased from 1,076,497 thousand US dollars in 2018 to 2,149,200 thousand US dollars in 2022. The most substantial growth occurred between 2019 and 2020, during which obligations rose by approximately 58%, suggesting a period of aggressive leveraging or expanded lease commitments.
Stockholders' Equity
Equity demonstrated strong growth for most of the analyzed period, rising from 663,300 thousand US dollars in 2018 to a peak of 2,251,500 thousand US dollars in 2021. A notable surge occurred between 2019 and 2020, where equity more than doubled. However, a slight contraction was recorded in 2022, with equity decreasing to 2,131,800 thousand US dollars.
Invested Capital Trends
Invested capital followed a non-linear pattern, beginning with a sharp decline from 1,449,197 thousand US dollars in 2018 to 836,300 thousand US dollars in 2019. This was followed by a recovery and growth phase, peaking at 1,899,300 thousand US dollars in 2021. By the end of 2022, invested capital retreated to 1,649,000 thousand US dollars, indicating a reduction in the net capital employed in the business operations.

The divergence between the steadily increasing total debt and the fluctuating levels of invested capital suggests that changes in non-interest-bearing current liabilities or cash balances significantly influenced the net invested capital calculations over this five-year period.

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Cost of Capital

DexCom Inc., cost of capital calculations

Capital (fair value)1 Weights Cost of capital
Equity2 41,439,004 41,439,004 ÷ 45,069,004 = 0.92 0.92 × 19.39% = 17.83%
Debt3 3,514,900 3,514,900 ÷ 45,069,004 = 0.08 0.08 × 0.87% × (1 – 21.00%) = 0.05%
Operating lease liability4 115,100 115,100 ÷ 45,069,004 = 0.00 0.00 × 6.00% × (1 – 21.00%) = 0.01%
Total: 45,069,004 1.00 17.89%

Based on: 10-K (reporting date: 2022-12-31).

1 US$ in thousands

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 39,505,713 39,505,713 ÷ 43,707,613 = 0.90 0.90 × 19.39% = 17.53%
Debt3 4,082,800 4,082,800 ÷ 43,707,613 = 0.09 0.09 × 5.53% × (1 – 21.00%) = 0.41%
Operating lease liability4 119,100 119,100 ÷ 43,707,613 = 0.00 0.00 × 5.00% × (1 – 21.00%) = 0.01%
Total: 43,707,613 1.00 17.95%

Based on: 10-K (reporting date: 2021-12-31).

1 US$ in thousands

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 39,451,954 39,451,954 ÷ 42,788,654 = 0.92 0.92 × 19.39% = 17.88%
Debt3 3,218,400 3,218,400 ÷ 42,788,654 = 0.08 0.08 × 5.53% × (1 – 21.00%) = 0.33%
Operating lease liability4 118,300 118,300 ÷ 42,788,654 = 0.00 0.00 × 5.00% × (1 – 21.00%) = 0.01%
Total: 42,788,654 1.00 18.22%

Based on: 10-K (reporting date: 2020-12-31).

1 US$ in thousands

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 23,100,043 23,100,043 ÷ 25,351,843 = 0.91 0.91 × 19.39% = 17.67%
Debt3 2,165,800 2,165,800 ÷ 25,351,843 = 0.09 0.09 × 5.42% × (1 – 21.00%) = 0.37%
Operating lease liability4 86,000 86,000 ÷ 25,351,843 = 0.00 0.00 × 5.00% × (1 – 21.00%) = 0.01%
Total: 25,351,843 1.00 18.05%

Based on: 10-K (reporting date: 2019-12-31).

1 US$ in thousands

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 13,161,858 13,161,858 ÷ 14,627,856 = 0.90 0.90 × 19.39% = 17.45%
Debt3 1,407,100 1,407,100 ÷ 14,627,856 = 0.10 0.10 × 5.43% × (1 – 21.00%) = 0.41%
Operating lease liability4 58,897 58,897 ÷ 14,627,856 = 0.00 0.00 × 5.43% × (1 – 21.00%) = 0.02%
Total: 14,627,856 1.00 17.88%

Based on: 10-K (reporting date: 2018-12-31).

1 US$ in thousands

2 Equity. See details »

3 Debt. See details »

4 Operating lease liability. See details »


Economic Spread Ratio

DexCom Inc., economic spread ratio calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Selected Financial Data (US$ in thousands)
Economic profit1 57,373 (107,790) 45,012 (595) (374,513)
Invested capital2 1,649,000 1,899,300 1,367,200 836,300 1,449,197
Performance Ratio
Economic spread ratio3 3.48% -5.68% 3.29% -0.07% -25.84%
Benchmarks
Economic Spread Ratio, Competitors4
Abbott Laboratories -2.43% -1.95% — — —
Elevance Health Inc. 0.14% 1.46% — — —
Intuitive Surgical Inc. -3.21% 12.41% — — —
Medtronic PLC -5.06% -6.71% — — —
UnitedHealth Group Inc. 4.06% 3.91% — — —

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

1 Economic profit. See details »

2 Invested capital. See details »

3 2022 Calculation
Economic spread ratio = 100 × Economic profit ÷ Invested capital
= 100 × 57,373 ÷ 1,649,000 = 3.48%

4 Click competitor name to see calculations.


The financial performance from 2018 to 2022 is characterized by significant volatility in value creation, alternating between periods of economic profit and capital destruction. While a stark recovery from the initial 2018 deficit is evident, the inability to maintain a consistent positive spread indicates instability in generating returns that exceed the cost of capital.

Economic Spread Ratio Trends
A substantial recovery in the economic spread ratio is observed between 2018 and 2020, moving from a deep negative of -25.84% to a positive 3.29%. This shift suggests a rapid improvement in operational efficiency or a reduction in the cost of capital. However, this trajectory was interrupted in 2021, where the ratio fell to -5.68%, before rebounding to 3.48% in 2022. This cyclical pattern reflects an inconsistent ability to generate economic value added.
Economic Profit Analysis
Economic profit exhibited extreme fluctuations over the five-year period. The period opened with a significant loss of 374,513 thousand US dollars in 2018, which narrowed drastically to nearly break-even levels in 2019. Positive economic profit was achieved in 2020 and 2022, though the return to a negative position of 107,790 thousand US dollars in 2021 highlights a periodic failure to cover the imputed cost of invested capital.
Invested Capital Correlation
Invested capital showed no linear trend, dropping sharply in 2019 to 836,300 thousand US dollars before climbing to a peak of 1,899,300 thousand US dollars in 2021. Notably, the peak in invested capital in 2021 coincides with a return to negative economic profit and a negative economic spread ratio. This suggests that the expansion of the capital base during that period did not yield proportional increases in returns, thereby eroding the economic spread.

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Economic Profit Margin

DexCom Inc., economic profit margin calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Selected Financial Data (US$ in thousands)
Economic profit1 57,373 (107,790) 45,012 (595) (374,513)
 
Revenue 2,909,800 2,448,500 1,926,700 1,476,000 1,031,600
Add: Increase (decrease) in deferred revenue 10,900 (100) 500 (1,200) (300)
Adjusted revenue 2,920,700 2,448,400 1,927,200 1,474,800 1,031,300
Performance Ratio
Economic profit margin2 1.96% -4.40% 2.34% -0.04% -36.31%
Benchmarks
Economic Profit Margin, Competitors3
Abbott Laboratories -3.41% -2.81% — — —
Elevance Health Inc. 0.06% 0.68% — — —
Intuitive Surgical Inc. -2.77% 9.76% — — —
Medtronic PLC -11.11% -16.09% — — —
UnitedHealth Group Inc. 2.08% 1.92% — — —

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

1 Economic profit. See details »

2 2022 Calculation
Economic profit margin = 100 × Economic profit ÷ Adjusted revenue
= 100 × 57,373 ÷ 2,920,700 = 1.96%

3 Click competitor name to see calculations.


The financial performance between 2018 and 2022 is characterized by consistent revenue expansion contrasted with significant volatility in economic profit and its associated margin. While adjusted revenue grew steadily every year, the ability to generate economic value above the cost of capital remained inconsistent, fluctuating between negative and positive territory.

Adjusted Revenue Trend
A sustained upward trajectory is observed in adjusted revenue, which increased from 1,031,300 thousand US dollars in 2018 to 2,920,700 thousand US dollars by 2022. This represents a continuous growth pattern, indicating a significant expansion in the scale of operations over the five-year period.
Economic Profit Volatility
Economic profit exhibited substantial instability. A severe deficit of 374,513 thousand US dollars in 2018 improved sharply to a near-break-even position in 2019 and a positive result of 45,012 thousand US dollars in 2020. However, this trend reversed in 2021 with a loss of 107,790 thousand US dollars, before returning to a positive value of 57,373 thousand US dollars in 2022.
Economic Profit Margin Analysis
The economic profit margin mirrors the volatility of the absolute economic profit. The margin began at a deep negative of -36.31% in 2018, reflecting a period where capital costs heavily outweighed economic returns. This figure improved to -0.04% in 2019 and 2.34% in 2020. Despite a contraction to -4.40% in 2021, the margin recovered to 1.96% by the end of 2022, suggesting an overall long-term improvement in capital efficiency and value creation relative to revenue.

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