DexCom, Inc. (DXCM) Cash Flow Statement

NASDAQ: DXCMOperating cash, capex, free cash flow and buybacks.

Where DXCM’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$1.44B
+45.6% vs 2024
Capital expenditures
$363.5M
7.8% of revenue
Free cash flow
$1.08B
23.1% margin
Returned to shareholders
$500.0M
46% of free cash flow
Change in cash
$311.8M
cash at year-end $919.1M
Cash from operations: $1.44BCash from operations$1.44BInvestments (net): $898.9MInvestments (net)$898.9MShares issued, Currency & other: $50.2MOther sources$50.2MDebt repayment: $1.21BDebt repayment$1.21B · 51%Share buybacks: $500.0MShare buybacks$500.0M · 21%Capital expenditures: $363.5MCapital expenditures$363.5M · 15%Added to cash: $311.8MAdded to cash$311.8M · 13%Other financing: $7.0MOther financing$7.0M · 0%$2.39B
Cash from operations
$1.44B
Capital expenditures
−$363.5M
Investments (net)
+$898.9M
Share buybacks (net)
−$500.0M
Net borrowing (repayment)
−$1.21B
Shares issued
+$28.1M
Other financing
−$7.0M
Currency & other
+$22.1M
Change in cash
$311.8M

Drawn to scale: where the cash came from and how it was used. Hover for values.

DXCM operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

DXCM cash flow trends, 2016–2025

DexCom, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow$56.2M2016$1.44B2025+43.4%/yr
Capital expenditures$55.7M2016$363.5M2025+23.2%/yr
Free cash flow$500,0002016$1.08B2025+134.6%/yr
Free cash flow margin0.1%201623.1%2025+23.0 pts
Operating cash flow / net income3.1120191.722025−1.39
Stock-based compensation$110.8M2016$159.6M2025+4.1%/yr
Dividends paid$02016$1.23B2023—
Share buybacks (net)$02016$500.0M2025—
Capex / revenue9.7%20167.8%2025−1.9 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

DXCM cash flow by activity

OperatingInvestingFinancingChange in cash

DXCM net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

DXCM cash flow statement

DexCom, Inc. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income$836.3M$576.2M$541.5M$341.2M$154.7M$493.6M$101.1M−$127.1M−$50.2M−$65.6M
Depreciation & amortization$251.8M$217.7M$186.0M$155.9M$102.0M$67.1M$48.7M$29.1M$16.1M$15.0M
Stock-based compensation$159.6M$170.4M$150.8M$126.5M$113.4M$119.4M$102.7M$101.9M$106.2M$110.8M
Change in working capital$103.4M$108.8M$3.2M$27.7M−$132.0M−$20.8M$6.1M−$40.9M$2.6M−$6.3M
Other non-cash items$89.6M−$83.6M−$133.0M$18.2M$204.4M−$183.7M$55.9M$160.2M$17.3M$2.3M
Cash from operating activities$1.44B$989.5M$748.5M$669.5M$442.5M$475.6M$314.5M$123.2M$92.0M$56.2M
Investing activities
Capital expenditures−$363.5M−$358.8M−$236.6M−$364.8M−$389.2M−$199.0M−$180.0M−$67.1M−$66.0M−$55.7M
Investments (net)$898.9M−$207.5M−$1.12B−$138.5M$193.2M−$807.7M−$835.2M−$61.4M−$78.4M−$500,000
Acquisitions & other investing$600,000$358.8M$845.6M−$18.2M−$20.1M−$11.3M$0−$11.3M$0$300,000
Cash from investing activities$536.0M−$207.5M−$507.2M−$521.5M−$216.1M−$1.02B−$1.02B−$139.8M−$144.4M−$55.9M
Financing activities
Dividends paid——−$1.23B—————$0$0
Share repurchases & issuance (net)−$500.0M−$750.0M−$688.7M−$557.7M$20.3M$15.3M$11.9M−$100.0M$10.1M$10.4M
Net borrowing (repayment)−$1.21B$0$443.3M$0$0$1.19B$906.2M$836.6M$389.0M−$2.3M
Shares issued$28.1M$28.2M$26.6M$22.5M$20.3M$15.3M$11.9M$10.8M$0$0
Other financing−$7.0M−$13.0M$1.13B−$17.3M−$30.2M−$307.3M−$919.3M−$37.0M$0$0
Cash from financing activities−$1.69B−$734.8M−$318.6M−$552.5M$10.4M$912.1M$10.7M$710.4M$399.1M$8.1M
Summary
Net change in cash$311.8M$39.8M−$75.8M−$410.3M$235.4M$371.8M−$690.7M$695.6M$347.0M$8.4M
Cash at end of period$919.1M$607.3M$567.5M$643.3M$1.05B$818.2M$446.4M$1.14B$441.5M$94.5M
Free cash flow$1.08B$630.7M$511.9M$304.7M$53.3M$276.6M$134.5M$56.1M$26.0M$500,000
Free cash flow margin23.1%15.6%14.1%10.5%2.2%14.4%9.1%5.4%3.6%0.1%
Capex / revenue7.8%8.9%6.5%12.5%15.9%10.3%12.2%6.5%9.2%9.7%
Operating cash flow / net income1.721.721.381.962.860.963.11———

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

DXCM cash generation

In fiscal 2025 (ended December 31, 2025), DexCom generated $1.4 billion of cash from operations (up 45.6%) and spent $363.5 million on capital expenditures, leaving free cash flow of $1.1 billion, 23.1% of revenue. It returned $500.0 million to shareholders through dividends ($0) and net share buybacks ($500.0 million). Cash and equivalents rose by $311.8 million over the year.

Related: DXCM income statement, DXCM balance sheet. See the DXCM stock overview for the latest quote and news.

DXCM cash flow FAQ

What is DexCom's free cash flow?

DexCom's free cash flow was $1.1 billion in fiscal 2025: $1.4 billion of operating cash flow minus $363.5 million of capital expenditures It was $630.7 million a year earlier..

How much cash does DexCom generate from operations?

DexCom generated $1.4 billion of cash from operating activities in fiscal 2025, 1.72 times its net income of $836.3 million.

How much does DexCom spend on capital expenditures?

DexCom spent $363.5 million on capital expenditures in fiscal 2025, 7.8% of revenue, compared with $358.8 million the year before.

How much stock does DexCom buy back?

DexCom spent $500.0 million on net share repurchases in fiscal 2025.

Medical Devices: cash flow