Core Insights - The article highlights significant structural changes in retirement and healthcare financing in the U.S. by 2026, which will impact consumer payment methods for care and competition among medical device companies [1] Policy Changes - The IRS has increased Health Savings Account (HSA) contribution limits for 2026 to $4,400 for individuals and $8,750 for families, up from $4,300 and $8,550 in 2025 respectively [2] - The age-55 "catch-up" contribution remains at $1,000, reflecting cost-of-living adjustments aimed at preserving the tax-advantaged nature of HSAs [3] - Medicare Part B premiums are rising to $202.90 per month, an increase of nearly $18 from 2025, with the Part B deductible increasing to $283 [4] Implications of HSA and Medicare Changes - The rising HSA limits make HSAs more attractive for managing out-of-pocket healthcare costs, while higher Medicare premiums may lead to increased enrollment in Medicare plans and ancillary services [5] - HSAs can be used for both current medical costs and qualified medical device expenses, allowing consumers to save more tax-free dollars for durable medical equipment [6] - Higher premiums may increase demand for technologies that improve disease self-management and prevent costly complications, influencing total care costs [7] Companies Positioned to Benefit - DexCom, ResMed, and Masimo are identified as companies likely to benefit from these trends due to their focus on markets where out-of-pocket costs and reimbursement policies significantly affect adoption [8] - DexCom's continuous glucose monitoring (CGM) systems may see increased adoption as higher HSA limits help patients manage diabetes costs [9] - ResMed's devices for sleep and respiratory care align with the aging Medicare demographic and rising out-of-pocket care needs [9] - Masimo's monitoring tools support preventive care, which becomes more relevant as Medicare premiums rise [9] Company-Specific Insights - DexCom is a leader in CGM systems, providing real-time glucose data that aids in insulin delivery and lifestyle management, with a focus on expanding Medicare coverage for CGM devices [10][11] - Higher HSA limits allow diabetes patients to allocate more pre-tax savings for CGM systems, reducing financial barriers to adoption [12] - ResMed specializes in devices for sleep-disordered breathing, with rising premiums incentivizing seniors to use HSAs for optimal therapy devices [15][16] - Masimo develops non-invasive monitoring systems, with increased demand for preventive monitoring as Medicare beneficiaries face higher premiums [18][19]

Core Viewpoint - DexCom, Inc. is a leading medical device company specializing in continuous glucose monitoring systems, with a market cap of $24.8 billion, indicating its significant influence in the diabetes care market [1][2]. Company Overview - DexCom designs and commercializes CGM systems, including a small implantable device for measuring glucose levels and an external receiver for data transmission [1]. - The company is categorized as a large-cap stock, reflecting its substantial market presence and dominance in the medical devices industry [2]. Market Performance - DexCom's stock has experienced a decline of 30.9% from its 52-week high of $93.25, reached on February 18, and has underperformed the S&P 500 Index, which gained 6.5% over the same period [3]. - Over the past six months, DexCom shares fell by 24.6%, and over the past year, they decreased by 18.7%, significantly lagging behind the S&P 500's gains of 15.1% and 12.9%, respectively [4]. Technical Analysis - The stock has been trading below its 200-day moving average since early August, indicating a bearish trend, although it recently traded above the 50-day moving average [4]. Challenges and Concerns - The company's underperformance is attributed to an FDA warning letter regarding manufacturing issues, trade war concerns with China affecting supply chains, and higher scrap rates along with sensor deployment issues [5]. - Management is optimistic about improvements due to new quality controls and shipping methods [5]. Financial Results - In Q3, DexCom reported an adjusted EPS of $0.61, exceeding Wall Street's expectation of $0.57, and revenue of $1.21 billion, surpassing the forecast of $1.18 billion [6]. - The company anticipates full-year revenue between $4.6 billion and $4.7 billion [6].

Core Viewpoint - Labaton Keller Sucharow LLP has filed a securities class action lawsuit against DexCom, Inc. and certain executives, alleging misleading statements regarding the reliability and safety of their continuous glucose monitoring systems [1][4]. Summary by Sections Lawsuit Details - The lawsuit was filed on November 25, 2025, on behalf of the Boston Retirement System against DexCom and its executives, asserting claims under the Securities Exchange Act of 1934 [1]. - The class period for the lawsuit is defined as January 8, 2024, to September 17, 2025 [1]. Allegations - The complaint alleges that DexCom made unauthorized design changes to its CGM products, which rendered them less reliable and posed health risks to users [4]. - It is claimed that these undisclosed issues led to increased regulatory scrutiny and negatively impacted the company's sales and public statements regarding product reliability [4]. Impact on Stock Price - Following disclosures about the accuracy problems of DexCom's CGM devices, the company's stock price fell by $8.99 per share, or 11.8%, closing at $67.45 on September 19, 2025 [5]. Legal Representation - The Boston Retirement System is represented by Labaton Keller Sucharow LLP, which has a strong reputation in securities litigation and manages over $4.5 trillion in assets [8].

Core Insights - DexCom Inc. is recognized as a strong stock within the QQQ index, despite recent price target reductions by analysts [1][2] - The company reported a significant year-over-year revenue increase, but faced challenges with gross margins [3][4] Financial Performance - DexCom achieved $1.21 billion in worldwide revenue for Q3 2025, reflecting a 22% increase year-over-year and 20% organic growth [3] - The company reported a net income of $242.5 million, translating to an earnings per share (EPS) of $0.61, marking the highest quarterly EPS in its history [3] Margin and Guidance Adjustments - Despite record revenue, DexCom's gross profit margin declined to 61.3% from 63% in Q3 2024, attributed to higher-than-expected scrap rates in manufacturing [4] - The company revised its 2025 non-GAAP gross profit margin guidance to approximately 61% while raising its overall revenue guidance to a range of $4.630 to $4.650 billion [4] Analyst Ratings - Morgan Stanley reduced its price target for DexCom to $63 from $89 but maintained an Overweight rating [1] - Truist lowered its price target to $82 from $94, citing a modest earnings beat and weaker-than-expected gross margins [2]

Core Viewpoint - Carillon Tower Advisers' "Carillon Eagle Mid Cap Growth Fund" reported a continued rally in equity markets during Q3 2025, driven by AI enthusiasm, limited inflationary effects from tariffs, and expectations for interest rate cuts from the U.S. Federal Reserve [1] Market Performance - The Russell Midcap Growth Index increased by 2.78%, while the Russell Midcap® Value Index outperformed with a gain of 6.16% during the same quarter [1] Sector Insights - The investor letter provided detailed insights on various sectors including Cyclicals, Healthcare, Information Technology, Financials, and Consumer sectors [1] Company Focus: DexCom, Inc. - DexCom, Inc. (NASDAQ:DXCM) is highlighted as a key stock, known for its continuous glucose monitoring systems, but has faced challenges including a one-month return of -10.14% and a 52-week loss of 20.18% [2][3] - As of November 24, 2025, DexCom's stock closed at $62.21, with a market capitalization of $24.396 billion [2] Financial Performance of DexCom - DexCom reported global revenue of $1.21 billion in Q3 2025, an increase from $994 million in Q3 2024, indicating a positive revenue trend despite recent challenges [4] Concerns and Market Position - There are concerns regarding accuracy issues with DexCom's latest G7 continuous glucose monitor, which may impact its brand and market share [3] - Despite the potential of DexCom as an investment, the company is viewed as having less upside compared to certain AI stocks [4]

Company Overview - DexCom, Inc. (DXCM) is a leading medical-device company specializing in continuous glucose monitoring (CGM) systems for diabetes management, with a market capitalization of approximately $23.2 billion [1] Stock Performance - Over the past 52 weeks, DXCM stock has declined by 19.8%, while the S&P 500 Index has increased by 14.5%. Year-to-date, the stock is down 23.4%, compared to a 16.5% rise in the S&P 500 [2] - DexCom's shares have also underperformed the Health Care Select Sector SPDR Fund, which returned 3.8% over the past 52 weeks and 11.1% year-to-date [3] Earnings and Outlook - The company reported a solid third-quarter earnings performance, beating estimates; however, management's outlook indicated that growth in 2026 may be slightly below market expectations, raising concerns among investors [4] - For the fiscal year ending December 2025, analysts project DexCom's earnings per share (EPS) to grow by 26.2% year-over-year to $2.07. The company's earnings surprise history is mixed, with two beats and two misses in the last four quarters [5] Analyst Ratings - Among 28 analysts covering DexCom, the consensus rating is a "Strong Buy," consisting of 21 "Strong Buys," one "Moderate Buy," and six "Hold" ratings [6] - The consensus rating has become slightly more bullish compared to three months ago, when there were 20 "Strong Buy" ratings [7] Price Targets - Bernstein SocGen Group recently lowered its price target for DexCom from $98 to $84 while maintaining an "Outperform" rating. The mean price target of $87.38 suggests a potential upside of 46.7% from current levels, while the highest target of $125 indicates a possible rally of 109.7% [7]

Core Insights - DexCom, Inc. (DXCM) is positioned for growth in the continuous glucose monitoring (CGM) market, with a strong third-quarter performance and favorable coverage decisions expected to drive further growth, despite facing stiff competition [1][2] Company Overview - DexCom has a market capitalization of $21.45 billion and projects a 22.5% growth rate over the next five years, indicating strong future performance [2] - The company has surpassed earnings estimates in two of the last four quarters, with an average surprise of 0.17% [2] CGM Market Potential - The diabetes market presents significant potential, with over 130 million people in the U.S. and more than 400 million globally affected by diabetes, driving demand for CGM devices [3] - The global CGM device market is expected to grow at a CAGR of nearly 10%, reaching $14 billion by 2032 from over $6 billion currently [4] Product Ecosystem and Innovation - DexCom generates nearly 90% of its revenue from disposable CGM sensors, with strong demand driven by product performance and user experience [6] - The G7 and One+ products are gaining traction due to broader insurance coverage and growing physician support, particularly among Type 2 diabetes patients [6] - DexCom's software ecosystem, including features like AI-powered insights, is enhancing patient engagement and supporting reimbursement efforts [7] Recent Developments - The launch of Stelo in 2024 has already generated over $100 million in its first year, indicating strong market acceptance [8] - DexCom is expanding global reimbursement for its CGM sensors, which is expected to drive broader adoption, especially among Type 2 diabetes patients [9] International Expansion - DexCom has made significant progress in international markets, securing reimbursements in countries like France, Canada, and Japan, which is expected to improve affordability and patient access [11] Financial Performance - DexCom reported strong third-quarter results with double-digit top-line growth and raised full-year guidance, reflecting successful execution in expanding access to CGM [12] - The Zacks Consensus Estimate for 2025 earnings per share has increased to $2.07, with fourth-quarter revenue expected to improve by 11.7% year over year [15]

Core Insights - Tandem Diabetes Care reported Q3 CY2025 results with revenue of $249.3 million, exceeding analyst expectations by 5.6% and showing a year-on-year growth of 2.6% [1][6] - The company's GAAP loss per share was $0.31, which was 3.6% better than the consensus estimate of $0.32 [1][6] Operational Performance - The third quarter was characterized by improved operational efficiency and commercial execution, leading to a positive market reaction [3] - Management attributed the performance to the modernization of U.S. commercial operations, increased pricing contributions, and early traction from new product offerings [3][5] - Changes in sales processes and organizational restructuring have resulted in better sales productivity and a strong customer mix adopting both t:slim and Mobi pump platforms [3] Future Outlook - The company plans to expand pharmacy access, launch new products, and enhance direct international operations [4] - New product introductions, such as Mobi Tubeless and integration with continuous glucose monitoring systems, are expected to drive customer growth [4] - The focus on a fully closed-loop pump system and a multichannel approach is anticipated to improve both top-line and margin performance as the company enters new international markets [4] Financial Metrics - Adjusted EBITDA was reported at $2.77 million, which was a 50% miss compared to analyst estimates of $5.55 million [6] - The operating margin improved to -9.2%, up from -10.7% in the same quarter last year [6] - Sales volumes fell by 4.8% year on year, compared to a decline of 24.7% in the same quarter last year [6] - The company's market capitalization stands at $900.7 million [6]

Core Viewpoint - DexCom Inc. is identified as a promising growth stock in the NASDAQ for the next five years, despite a recent price target reduction by Truist analyst Richard Newitter from $102 to $94 while maintaining a Buy rating [1][2]. Group 1: Company Overview - DexCom Inc. specializes in designing, developing, and commercializing continuous glucose monitoring (CGM) systems both in the US and internationally [3]. Group 2: Market Outlook - Truist anticipates healthy revenue and earnings for Q3 2025 across the MedTech sector, although it warns of potential stock volatility [1]. - Stifel has resumed coverage on several MedTech companies, citing an optimistic outlook for sector growth driven by the adoption of CGMs and insulin pumps, particularly highlighting long-term growth opportunities in the CGM market for Type 2 Basal-only and Type 2 Non-insulin patient segments [2].

Core Viewpoint - Investing in companies that have underperformed but show potential for long-term recovery can yield above-average market returns, exemplified by DexCom and Regeneron Pharmaceuticals, whose shares are down 17% and 21% this year respectively due to company-specific challenges [1]. DexCom - DexCom specializes in continuous glucose monitoring (CGM) systems for diabetes patients, facing challenges such as worse-than-expected financial results and a faster-than-anticipated rebate eligibility impacting revenue [3][4]. - In Q2, DexCom's revenue increased by 15% year-over-year to $1.2 billion, with non-GAAP net earnings per share at $0.48, reflecting an 11.6% increase compared to the previous year, indicating a rebound in financial performance [4]. - The CGM market presents significant growth opportunities, with over 4.5 million insulin patients in the U.S. eligible for coverage but not yet using CGM, and the launch of Stelo as an over-the-counter option for non-insulin patients further expands market potential [6][7]. - DexCom benefits from a network effect due to its large installed base and integration with third-party devices, which could help mitigate tariff threats through a multipronged strategy [7][8]. Regeneron Pharmaceuticals - Regeneron is working to overcome a recent patent cliff, indicating potential for future growth and recovery in its stock performance [8].