CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS



This document, including the following Management's Discussion and Analysis of
Financial Condition and Results of Operations, contains forward-looking
statements that are not purely historical regarding DexCom's or its management's
intentions, beliefs, expectations and strategies for the future. These
forward-looking statements fall within the meaning of the federal securities
laws that relate to future events or our future financial performance. In some
cases, you can identify forward-looking statements by terminology such as "may,"
"will," "expect," "plan," "anticipate," "believe," "estimate," "intend,"
"potential" or "continue" or the negative of these terms or other comparable
terminology. Forward-looking statements are made as of the date of this report,
deal with future events, are subject to various risks and uncertainties, and
actual results could differ materially from those anticipated in those
forward-looking statements. The risks and uncertainties include, among other
things, impacts on our business due to health pandemics or other contagious
outbreaks, such as the current COVID-19 pandemic. The risks and uncertainties
that could cause actual results to differ materially are more fully described
under "Risk Factors" in Item 1A of our Annual Report on Form 10-K for the year
ended December 31, 2019, elsewhere in this Quarterly Report, and in our other
reports filed with the SEC. We assume no obligation to update any of the
forward-looking statements after the date of this report or to conform these
forward-looking statements to actual results. You should read the following
discussion and analysis together with our consolidated financial statements and
related notes in Part I, Item 1 of this Quarterly Report.
Overview


We are a medical device company that develops and markets continuous glucose
monitoring, or CGM, systems for the management of diabetes by patients,
caregivers, and clinicians around the world. We received approval from the Food
and Drug Administration, or FDA, and commercialized our first product in 2006.
We launched our latest generation system, the DexCom G6® integrated Continuous
Glucose Monitoring System, or G6, in 2018. Unless the context requires
otherwise, the terms "we," "us," "our," the "company," or "DexCom" refer to
DexCom, Inc. and its subsidiaries.
We sell our Reusable Hardware and disposable sensors through a direct sales
force in the United States, Canada and some countries in Europe, and through
distribution arrangements in the United States, and certain countries in Africa,
Asia, Europe, Latin America, and the Middle East, as well as Australia, Canada,
and New Zealand. Most of our distributors stock our products and fulfill orders
for our products from their inventory.
We plan to develop future generations of technologies that are focused on
improved performance and convenience and that will enable intelligent insulin
administration. We also are aggressively exploring how to extend our offerings
to other opportunities, including for people with Type 2 diabetes that are
non-insulin using, people with pre-diabetes, people who are obese, people who
are pregnant, and people with diabetes in the hospital setting. We will continue
to develop a networked platform with open architecture, connectivity and
transmitters capable of communicating with other devices and software systems.
We also intend to expand our efforts to accumulate CGM patient data and metrics
and apply predictive modeling and machine learning to generate interactive CGM
insights that can inform patient behavior.
Impact of COVID-19 Pandemic
During the first six months of 2020, we were subject to challenging social and
economic conditions created as a result of the novel strain of coronavirus,
SARS-CoV-2 ("COVID-19"). The resulting impact of the COVID-19 outbreak created
various financial impacts to our operations as a result of taking necessary
precautions for essential personnel to operate safely both in person as well as
remotely. Costs incurred include items like incremental payroll costs,
consulting support, IT infrastructure and facilities-related costs.
During the second quarter of 2020, we made Dexcom CGM systems available for use
in hospital settings and other healthcare facilities to assist frontline workers
during the COVID-19 pandemic. During that time we started to see benefits from
the shift to telemedicine and growing appreciation in the market for DexCom's
real-time connectivity for virtual diabetes care as well as patient monitoring
in the hospital setting. However, we also saw some negative impact to new
patient additions due to broad stay-at-home orders and as clinicians moved to
adopt virtual care models. We are continuing to monitor these potential positive
and negative impacts closely.
The extent of the impact of the COVID-19 outbreak on our operational and
financial performance will depend on certain developments, including the
duration and spread of the outbreak, impact on our customers and our sales
cycles, employee or industry events, and effect on our vendors, all of which are
uncertain and cannot be predicted. The COVID-19 pandemic and its adverse effects
have become more prevalent in the locations where we, our customers, suppliers
or third-party business partners

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conduct business and as a result, we have begun to experience more pronounced
disruptions in our operations. We may experience constrained supply or curtailed
customer demand that could materially adversely impact our business, results of
operations and overall financial performance in future periods. Specifically, we
may experience impact from changes in how we and companies worldwide conduct
business due to the COVID-19 pandemic, including but not limited to restrictions
on travel and in-person meetings, production delays, closures of manufacturing
facilities, warehouses and logistics supply and distribution chains and staffing
shortages, decreases or delays in customer demand and spending, difficulties or
changes to our sales process and customer support. As of the filing date of this
Form 10-Q, the extent to which COVID-19 may impact our financial condition or
results of operations or guidance is uncertain. The effect of the COVID-19
pandemic will not be fully reflected in our results of operations and overall
financial performance until future periods. See Risk Factors in Part II, Item 1A
of this Quarterly Report for further discussion of the possible impact of the
COVID-19 pandemic on our business.
Critical Accounting Policies and Estimates


The discussion and analysis of our financial condition and results of operations
are based on our consolidated financial statements, which we have prepared in
accordance with U.S. GAAP. The preparation of these consolidated financial
statements requires us to make estimates and assumptions that affect the
reported amounts of assets and liabilities and the disclosure of contingent
assets and liabilities at the date of the consolidated financial statements as
well as the reported revenue and expenses during the reporting periods. On an
ongoing basis, we evaluate our estimates and judgments. We base our estimates on
historical experience and on various other factors that we believe are
reasonable under the circumstances, the results of which form the basis for
making judgments about the carrying value of assets and liabilities that are not
readily apparent from other sources. Actual results may differ from these
estimates under different assumptions or conditions.
Our significant accounting policies are described in Note 1 to the consolidated
financial statements included in our Annual Report on Form 10-K for the fiscal
year ended December 31, 2019. The accounting policies and estimates that are
most critical to a full understanding and evaluation of our reported financial
results are described in Management's Discussion and Analysis of Financial
Condition and Results of Operations in Item 7 of our Annual Report on Form 10-K
for the fiscal year ended December 31, 2019. There were no material changes to
our critical accounting policies during the six months ended June 30, 2020.
Results of Operations


Financial Overview


                [[Image Removed: chart-bca7401069605d2c8ab.jpg]]


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                                           Three Months Ended June 30,            2020 - 2019
(In millions, except per share amounts)        2020            2019         $ Change        % Change
Total revenue                             $       451.8     $   336.4     $     115.4           34 %
Gross profit                                      284.1         206.5            77.6           38 %
Operating income (loss)                            67.8          (0.8 )          68.6            *
Net income (loss)                                  46.3         (10.5 )          56.8            *

Basic net income (loss) per share                  0.49         (0.12 )          0.61            *

Diluted net income (loss) per share $ 0.48 $ (0.12 ) $


     0.60            *


* = Not Meaningful
                                           Six Months Ended June 30,             2020 - 2019
(In millions, except per share amounts)        2020           2019         $ Change        % Change
Total revenue                             $      856.9     $   616.9     $     240.0           39 %
Gross profit                                     540.6         375.3           165.3           44 %
Operating income (loss)                          101.4         (15.2 )         116.6            *
Net income (loss)                                 66.2         (37.4 )         103.6            *

Basic net income (loss) per share                 0.71         (0.41 )          1.12            *

Diluted net income (loss) per share $ 0.69 $ (0.41 ) $

     1.10            *


* = Not Meaningful
Revenue, Cost of Sales and Gross Profit


We expect that revenues we generate from the sales of our products will
fluctuate from quarter to quarter. We typically experience seasonality, with
lower sales in the first quarter of each year compared to the immediately
preceding fourth quarter. This seasonal sales pattern relates to U.S. annual
insurance deductible resets and unfunded flexible spending accounts.
Cost of sales includes direct labor and materials costs related to each product
sold or produced, including assembly, test labor and scrap, as well as factory
overhead supporting our manufacturing operations. Factory overhead includes
facilities, material procurement and control, manufacturing engineering, quality
assurance, supervision and management. These costs are primarily salary, fringe
benefits, share-based compensation, facility expense, supplies and purchased
services. All of our manufacturing costs are included in cost of sales.
Quarter Ended June 30, 2020 Compared to Quarter Ended June 30, 2019
                                              Three Months Ended June 30,              2020 - 2019
(In millions)                                   2020               2019          $ Change        % Change
Total revenue                              $      451.8       $      336.4     $     115.4           34 %
Cost of sales                                     167.7              129.9            37.8           29 %
Gross profit                               $      284.1       $      206.5     $      77.6           38 %
Gross profit as a percent of total revenue           63 %               61 %


Total revenue increased $115.4 million or 34% for the three months ended
June 30, 2020 compared to the three months ended June 30, 2019. The 2020 revenue
increase was primarily driven by increased sales volume of our disposable
sensors due to the continued growth of our worldwide customer base, partially
offset by pricing pressure due to the evolution of our channel strategy and
product mix. Disposable sensor and other revenue comprised approximately 81% of
total revenue and Reusable Hardware revenue comprised approximately 19% of total
revenue for the three months ended June 30, 2020. Disposable sensor and other
revenue comprised approximately 77% of total revenue and Reusable Hardware
revenue comprised approximately 23% of total revenue for the three months ended
June 30, 2019.
Cost of sales increased $37.8 million or 29% for the three months ended June 30,
2020 compared to the three months ended June 30, 2019 primarily due to increased
sales volume. The gross profit of $284.1 million or 63% of total revenue for the
three months ended June 30, 2020 increased $77.6 million compared to $206.5
million or 61% of total revenue for the same

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period in 2019. The increase in gross profit and gross margin in the second
quarter of 2020 compared to the second quarter of 2019 were primarily driven by
increased revenues and cost savings associated with incremental improvements to
product design and manufacturing efficiencies. These were partially offset by
charges associated with discontinuing certain manufacturing equipment and
processes as we shift to more automated manufacturing, charges for contract
manufacturing contractual obligations, and incremental payroll costs related to
the COVID-19 pandemic.
Six Months Ended June 30, 2020 Compared to Six Months Ended June 30, 2019
                                               Six Months Ended June 30,               2020 - 2019
(In millions)                                   2020               2019          $ Change        % Change
Total revenue                              $      856.9       $      616.9     $     240.0           39 %
Cost of sales                                     316.3              241.6            74.7           31 %
Gross profit                               $      540.6       $      375.3     $     165.3           44 %
Gross profit as a percent of total revenue           63 %               61 %


Total revenue increased $240.0 million or 39% for the six months ended June 30,
2020 compared to the six months ended June 30, 2019. The 2020 revenue increase
was primarily driven by increased sales volume of our disposable sensors due to
the continued growth of our worldwide customer base, partially offset by pricing
pressure due to the evolution of our channel strategy and product mix.
Disposable sensor and other revenue comprised approximately 80% of total revenue
and Reusable Hardware revenue comprised approximately 20% of total revenue for
the six months ended June 30, 2020. Disposable sensor and other revenue
comprised approximately 77% of total revenue and Reusable Hardware revenue
comprised approximately 23% of total revenue for the six months ended June 30,
2019.
Cost of sales increased $74.7 million or 31% for the six months ended June 30,
2020 compared to the six months ended June 30, 2019 primarily due to increased
sales volume. The gross profit of $540.6 million or 63% of total revenue for the
six months ended June 30, 2020 increased $165.3 million compared to $375.3
million or 61% of total revenue for the same period in 2019. The increase in
gross profit and gross margin in the first six months of 2020 compared to the
first six months of 2019 were primarily driven by increased revenues and cost
savings associated with incremental improvements to product design and
manufacturing efficiencies. These were partially offset by charges associated
with discontinuing certain manufacturing equipment and processes as we shift to
more automated manufacturing, higher excess and obsolete inventory charges and
charges for contract manufacturing contractual obligations, and incremental
payroll costs related to the COVID-19 pandemic.
Operating Expenses


Our research and development expenses primarily consist of engineering and
research expenses related to our continuous glucose monitoring technology,
clinical trials, regulatory expenses, quality assurance programs, materials and
products for clinical trials. Research and development expenses are primarily
related to employee compensation, including salary, fringe benefits, share-based
compensation, and temporary employee expenses. We also incur significant
expenses to operate our clinical trials including clinical site reimbursement,
clinical trial product and associated travel expenses. Our research and
development expenses also include fees for design services, contractors and
development materials.
Our selling, general and administrative expenses primarily consist of salary,
fringe benefits and share-based compensation for our executive, financial,
sales, marketing, information technology and administrative functions. Other
significant expenses include commissions, marketing and advertising, IT software
license costs, insurance, professional fees for our outside legal counsel and
independent auditors, litigation expenses, patent application expenses and
consulting expenses.
Quarter Ended June 30, 2020 Compared to Quarter Ended June 30, 2019
                                             Three Months Ended June 30,              2020 - 2019
(In millions)                                  2020               2019          $ Change       % Change
Research and development                  $       79.9       $       69.0     $     10.9           16  %
as a % of total revenue                             18 %               21 %
Selling, general and administrative              136.4              138.3           (1.9 )         (1 )%
as a % of total revenue                             30 %               41 %
Total operating expenses                  $      216.3       $      207.3     $      9.0            4  %
as a % of total revenue                             48 %               62 %



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Research and Development Expense. Research and development expense increased
$10.9 million or 16% for the three months ended June 30, 2020 compared to the
same period of 2019. The increase was primarily due to $7.0 million in
additional salaries, bonuses, and payroll-related costs and $2.3 million in
additional software costs. We continue to believe that focused investments in
research and development are critical to our future growth and competitive
position in the marketplace, and to the development of new and updated products
and services that are central to our core business strategy.
Selling, General and Administrative Expense. Selling, general and administrative
expense decreased $1.9 million or 1% for the three months ended June 30, 2020
compared to the same period of 2019. Significant elements of the decrease in
selling, general, and administrative expenses included $6.8 million related to
variable compensation plans and $3.6 million in lower restructuring charges
associated with our 2019 Restructuring Plan, partially offset by $6.4 million in
additional consulting fees and $6.1 million in additional marketing costs.
Six Months Ended June 30, 2020 Compared to Six Months Ended June 30, 2019
                                              Six Months Ended June 30,               2020 - 2019
(In millions)                                  2020               2019          $ Change        % Change
Research and development                  $      153.0       $      128.0     $      25.0           20 %
as a % of total revenue                             18 %               21 %
Selling, general and administrative              286.2              262.5            23.7            9 %
as a % of total revenue                             33 %               43 %
Total operating expenses                  $      439.2       $      390.5     $      48.7           12 %
as a % of total revenue                             51 %               63 %


Research and Development Expense. Research and development expense increased
$25.0 million or 20% for the six months ended June 30, 2020 compared to the same
period of 2019. The increase was primarily due to $14.8 million in additional
salaries, bonuses, and payroll-related costs, $3.7 million in additional
additional software costs, and $2.8 million in additional facility costs. We
continue to believe that focused investments in research and development are
critical to our future growth and competitive position in the marketplace, and
to the development of new and updated products and services that are central to
our core business strategy.
Selling, General and Administrative Expense. Selling, general and administrative
expense increased $23.7 million or 9% for the six months ended June 30, 2020
compared to the same period of 2019. Significant elements of the increase in
selling, general, and administrative expenses included $14.3 million in
additional marketing costs, $8.1 million in additional consulting fees, $7.8
million in additional salaries, bonuses, and payroll-related costs and $5.0
million in additional litigation costs, partially offset by $6.8 million in
lower restructuring charges associated with our 2019 Restructuring Plan and $5.5
million related to variable compensation plans.
Non-Operating Income and Expenses


Interest Expense
Interest expense is comprised primarily of costs related to our senior
convertible notes. Interest expense increased $5.3 million to $20.3 million for
the three months ended June 30, 2020 compared to $15.0 million for the same
period of 2019. Interest expense increased $5.8 million to $35.7 million for the
six months ended June 30, 2020 compared to $29.9 million for the same period of
2019. The increase in interest expense for the periods presented is primarily
related to the issuance of our 2025 Notes.
Loss on Extinguishment of Debt
We recorded a $5.4 million loss on extinguishment of debt during the three
months ended June 30, 2020 in connection with the repurchase and conversions of
a portion of our 2022 Notes. See Note 4 to the consolidated financial statements
in Part I, Item 1 of this Quarterly Report for more information about these
transactions.
Loss from Equity Investments
The loss from equity investments of $4.2 million for the six months ended
June 30, 2019 consisted solely of realized losses on our equity investment in
Tandem Diabetes Care, Inc. We sold all of our remaining equity investment in
Tandem during the first quarter of 2019.

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Interest and Other Income (Expense), Net
Interest income is related to our marketable debt securities portfolio. Interest
income was $3.6 million and $9.6 million for the three and six months ended
June 30, 2020, respectively, compared to $6.8 million and $14.1 million for the
three and six months ended June 30, 2019, respectively. The decrease in interest
income was primarily related to a decline in market interest rates, partially
offset by an increase in the average invested balances during 2020 compared to
2019.
Other income (expense) for the three and six months ended June 30, 2020 and 2019
consists primarily of foreign currency transaction gains and losses due to the
effects of foreign currency fluctuations.
Income Tax Expense
We recorded an income tax benefit of $0.1 million on pre-tax income of $46.2
million for the three months ended June 30, 2020 compared to income tax expense
of $1.2 million on a pre-tax loss of 9.3 million for the three months ended
June 30, 2019. We recorded income tax expense of $2.4 million on pre-tax income
of $68.6 million for the six months ended June 30, 2020 compared to income tax
expense of $1.5 million on a pre-tax loss of $35.9 million for the six months
ended June 30, 2019.
The income tax benefit for the three months ended June 30, 2020 is primarily
related to an increase in forecasted U.S. income causing an increase in state
tax expense, offset by a reversal of foreign income tax expense recognized in
the prior quarter. Income tax expense for the three months ended June 30, 2019
is primarily related to foreign income tax in jurisdictions with current taxable
income.
Income tax expense for the six months ended June 30, 2020 is primarily related
to state and foreign income taxes in jurisdictions where we have no operating
losses. Income tax expense for the six months ended June 30, 2019 is primarily
related to foreign income taxes in jurisdictions with current taxable income.
We maintain a full valuation allowance against our net deferred tax assets as of
June 30, 2020 based on our assessment that it is not more likely than not these
future benefits will be realized before expiration. We analyze our ability to
realize our deferred tax assets quarterly, weighing all available positive and
negative evidence of future taxable income. The future release of our valuation
allowance will result in a material benefit recognized in the quarter of
release.
Liquidity and Capital Resources


Overview, Capital Resources, and Capital Requirements




 The impact of the COVID-19 outbreak created various financial impacts to our
operations as a result of taking necessary precautions for essential personnel
to operate safely both in person as well as remotely. Costs incurred include
items like incremental payroll costs, consulting support, IT infrastructure and
facilities related costs. The estimated impact of COVID-19 for the year is
currently unknown. The final impact may vary based on how long the current
social and economic conditions exist. We do not believe the accumulated costs
will present a material impact to our financial liquidity or position.
Our principal sources of liquidity are our existing cash, cash equivalents and
marketable securities, cash generated from operations, proceeds from issuance of
senior convertible notes, and access to our revolving line of credit. Our
primary uses of cash have been for research and development programs, selling
and marketing activities, capital expenditures, acquisitions of businesses, and
debt service costs.
We expect that cash provided by our operations may fluctuate in future periods
as a result of a number of factors, including fluctuations in our operating
results, working capital requirements and capital deployment decisions. We have
historically invested our cash primarily in U.S. dollar-denominated, investment
grade, highly liquid obligations of U.S. government-sponsored enterprises,
commercial paper, corporate debt, and money market funds. Certain of these
investments are subject to general credit, liquidity and other market risks. The
general condition of the financial markets and the economy may increase those
risks and may affect the value and liquidity of investments and restrict our
ability to access the capital markets.
Our future capital requirements will depend on many factors, including but not
limited to:
•      the revenue generated by sales of our approved products and other future

products;

• the expenses we incur in manufacturing, developing, selling and marketing

our products;

• the quality levels of our products and services;

• the third-party reimbursement of our products for our customers;




•      our ability to efficiently scale our operations to meet demand for our
       current and any future products;

• the costs, timing and risks of delays of additional regulatory approvals;





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• the costs of filing, prosecuting, defending and enforcing any patent

claims and other intellectual property rights;

• the rate of progress and cost of our clinical trials and other development

activities;

• the success of our research and development efforts;

• the emergence of competing or complementary technological developments;




•      the terms and timing of any collaborative, licensing and other
       arrangements that we may establish;

• the acquisition of businesses, products and technologies and our ability

to integrate and manage any acquired businesses, products and

technologies; and

• the evolution of the international expansion of our business.




We expect that existing cash and cash flows from our future operations will
generally be sufficient to fund our ongoing core business. As current borrowing
sources become due, we may be required to access the capital markets for
additional funding. As we assess inorganic growth strategies, we may need to
supplement our internally generated cash flow with outside sources. In the event
that we are required to access the debt market, we believe that we will be able
to secure reasonable borrowing rates. As part of our liquidity strategy, we will
continue to monitor our current level of earnings and cash flow generation as
well as our ability to access the market in light of those earning levels.
A substantial portion of our operations are located in the United States, and
the majority of our sales since inception have been made in U.S. dollars.
However, as our business in markets outside of the United States continues to
increase, we will be exposed to foreign currency exchange risk related to our
foreign operations. As a result, we monitor exposures in foreign currencies and
where necessary employ various methods, including financial instruments, to
mitigate the impact of foreign currency as needed. Fluctuations in the rate of
exchange between the U.S. dollar and foreign currencies, primarily the British
Pound, the Euro, and the Canadian Dollar, could adversely affect our financial
results, including our revenues, revenue growth rates, gross margins, income and
losses as well as assets and liabilities. We currently engage in limited hedging
transactions to reduce foreign currency risks on certain intercompany balances.
We will continue to monitor and manage our financial exposures due to exchange
rate fluctuations as an integral part of our overall risk management program.
Our cash, cash equivalents and short-term marketable securities totaled $2.51
billion as of June 30, 2020. None of those funds were restricted and
approximately 97% of those funds were located in the United States. We intend to
reinvest a substantial portion of our foreign earnings in those businesses, and
we currently do not anticipate that we will need funds generated by foreign
operations to fund our domestic ones.
Our cash, cash equivalents and short-term marketable securities as of June 30,
2020 increased by $975.5 million from December 31, 2019 due to the factors
described in "Cash Flows" below. We believe that our cash, cash equivalents, and
marketable securities balances, projected cash contributions from our commercial
operations, and our $200.0 million revolving line of credit, of which $194.6
million remains available, will be sufficient to meet our anticipated seasonal
working capital needs, capital expenditure requirements, contractual
obligations, commitments, debt service requirements, and other liquidity
requirements associated with our operations for at least the next 12 months.
Revolving Credit Agreement
In December 2018, we entered into an amended and restated five-year $200.0
million revolving credit agreement which was subsequently amended on May 11,
2020 (as amended, the Credit Agreement). The Credit Agreement also includes a
sub-facility of up to $10.0 million for letters of credit. Subject to customary
conditions and the approval of any lender whose commitment would be increased,
we have the option to increase the maximum principal amount available under the
Credit Agreement by up to an additional $300.0 million, resulting in a maximum
available principal amount of $500.0 million. However, at this time none of the
lenders have committed to provide any such increase in their commitments.
Revolving loans under the Credit Agreement will be available for general
corporate purposes, including working capital and capital expenditures. As of
June 30, 2020, we had no outstanding borrowings, $5.4 million in outstanding
letters of credit, and a total available balance of $194.6 million under the
Credit Agreement. We monitor counterparty risk associated with the institutional
lenders that are providing this credit facility. We currently believe that this
credit facility will be available to us should we choose to borrow under it.

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Senior Convertible Notes The following table summarizes our outstanding senior convertible note obligations as of June 30, 2020:


                                                                          Initial
                                                                        Conversion
                                   Aggregate                            

Rate per Conversion Price


                                   Principal                             Share of      per Share of Common
Issuance Date   Coupon Rate      (in millions)       Maturity Date     Common Stock           Stock
June 2017          0.75%       $          37.2     May 15, 2022            10.0918     $           99.09
November 2018      0.75%                 850.0     December 1, 2023         6.0869     $          164.29
May 2020           0.25%               1,207.5     November 15, 2025        1.6655     $          600.42
Total                          $       2,094.7


We used a portion of the net proceeds from the offering of the 2022 Notes to
repay $75.0 million of borrowings under our existing credit facility in 2017. We
used a portion of the net proceeds from the offering of the 2023 Notes to
repurchase 0.8 million shares of our common stock for $100.0 million in 2018. We
used $282.6 million of the net proceeds from the offering of the 2025 Notes to
repurchase a portion of our 2022 Notes. We intend to use the remainder of the
net proceeds from the Notes offerings for general corporate purposes and capital
expenditures, including working capital needs. We may also use the net proceeds
to expand our current business through in-licensing or acquisitions of, or
investments in, other businesses, products or technologies; however, we do not
have any significant commitments with respect to any such acquisitions or
investments at this time.
On June 29, 2020, we issued a notice of redemption to the holders of our
outstanding 2022 Notes pursuant to which we will redeem the outstanding 2022
Notes for cash at a price of 100% of the principal amount of the 2022 Notes plus
accrued and unpaid interest, if any, on July 31, 2020, unless earlier converted.
Prior to July 31, 2020, holders of outstanding 2022 Notes are entitled to
convert their 2022 Notes to shares of our common stock at a rate of 10.0918
shares per $1,000 principal amount of 2022 Notes. In the event any holder
delivers a conversion notice as provided in the indenture related to the 2022
Notes, we intend to satisfy our conversion obligation by delivering shares of
our common stock.
2023 Note Hedge
In connection with the offering of the 2023 Notes, in November 2018 we entered
into convertible note hedge transactions (the 2023 Note Hedge) with two of the
initial purchasers of the 2023 Notes (the 2023 Counterparties) entitling us to
purchase up to 5.2 million shares of our common stock at an initial price
of $164.29 per share, each of which is subject to adjustment. The cost of the
2023 Note Hedge was $218.9 million and it will expire on December 1, 2023. The
2023 Note Hedge is expected to reduce the potential equity dilution upon any
conversion of the 2023 Notes and/or offset any cash payments we are required to
make in excess of the principal amount of converted 2023 Notes if the daily
volume-weighted average price per share of our common stock exceeds the strike
price of the 2023 Note Hedge. The strike price of the 2023 Note Hedge initially
corresponds to the conversion price of the 2023 Notes and is subject to certain
adjustments under the terms of the 2023 Note Hedge.
2023 Warrants
In November 2018, we also sold warrants (the 2023 Warrants) to the 2023
Counterparties to acquire up to 5.2 million shares of our common stock for cash
proceeds of $183.8 million. The 2023 Warrants require net share settlement and a
pro-rated number of warrants will expire on each of the 60 scheduled trading
days starting on March 1, 2024.
See Note 4 to the consolidated financial statements in Part I, Item 1 of this
Quarterly Report for more information about the terms of the Credit Agreement,
the senior convertible notes, the 2023 Note Hedge, and the 2023 Warrants.
Cash Flows


The following table sets forth a summary of our cash flows for the periods
indicated. See the consolidated financial statements in Part I, Item 1 of this
Quarterly Report for complete consolidated statements of cash flows for these
periods.

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                                                          Six Months Ended
                                                              June 30,              Change
(In millions)                                             2020         2019       2020 - 2019
Net cash provided by operating activities              $  156.0     $   76.3     $      79.7
Net cash used in investing activities                    (984.7 )     (508.1 )        (476.6 )
Net cash provided by financing activities                 912.5          4.8           907.7

Effect of exchange rates on cash, cash equivalents, and restricted cash

                                        (0.2 )       (0.3 )           0.1
Increase (decrease) in cash, cash equivalents and
restricted cash                                        $   83.6     $ 

(427.3 ) $ 510.9




As of June 30, 2020, we had $2.51 billion in cash, cash equivalents and
short-term marketable securities, which is an increase of $975.5 million
compared to $1.53 billion as of December 31, 2019. The primary cash flows during
the six months ended June 30, 2020 and 2019 are described below.
Operating Cash Flows
Net cash provided by operating activities during the six months ended June 30,
2020 was comprised of net income of $66.2 million and net non-cash adjustments
of $122.1 million, partially offset by $32.3 million of net changes in working
capital balances. Net non-cash adjustments were primarily related to share-based
compensation, depreciation and amortization, and non-cash interest expense for
our senior convertible notes.
Net cash provided by operating activities during the six months ended June 30,
2019 was comprised of a net loss of $37.4 million, net non-cash adjustments of
$103.0 million, and $10.7 million of net changes in working capital balances.
Net non-cash adjustments were primarily related to share-based compensation,
non-cash interest expense for our senior convertible notes, depreciation and
amortization, and a loss on the sale of our remaining equity investment in
Tandem Diabetes Care, Inc.
Investing Cash Flows
Net cash used in investing activities during the six months ended June 30, 2020
was primarily comprised of $890.5 million for net purchases of marketable
securities and $91.4 million for capital expenditures.
Net cash used in investing activities during the six months ended June 30, 2019
was primarily comprised of $421.9 million for net purchases of marketable
securities and $86.2 million for capital expenditures.
Financing Cash Flows
Net cash provided by financing activities during the six months ended June 30,
2020 was primarily comprised of $1.19 billion in net proceeds from the issuance
of our 2025 Notes and $6.7 million in proceeds from the issuance of common stock
under our employee stock plans, partially offset by $282.6 million for the
repurchase of a portion of our 2022 Notes.
Net cash provided by financing activities during the six months ended June 30,
2019 was primarily comprised of $5.1 million from the issuance of common stock
under our employee stock plans.
Contractual Obligations


The following table summarizes the future expected payment obligations related to our outstanding contractual obligations as of June 30, 2020:


                                              Less                             More
                                              than       1-3       3-5         than
(in millions)                    Total       1 Year     Years     Years      5 Years
Senior convertible notes (1)   $ 2,134.2    $   9.7    $ 56.3    $ 859.2    $ 1,209.0
Lease obligations (2)              122.8       20.2      36.0       31.5         35.1
Total                          $ 2,257.0    $  29.9    $ 92.3    $ 890.7    $ 1,244.1

(1) We issued senior convertible notes in May and June 2017, November 2018, and

May 2020. The obligations presented above include both principal and interest

for these notes. Although these notes mature in 2022, 2023, and 2025, they

may be converted into cash and shares of our common stock prior to maturity

if certain conditions are met. Any conversion prior to maturity can result in

repayment of the principal amounts sooner than the scheduled repayments as

indicated in the table. On June 29, 2020, we issued a notice of redemption to

the holders of our outstanding 2022 Notes pursuant to which we will redeem

the outstanding 2022 Notes for cash on July 31, 2020, unless earlier

converted. In the event any holder of 2022 Notes delivers a conversion

notice, we intend to satisfy our conversion obligation by delivering shares

of DexCom common stock. The amount shown in the table as due in less than one

year does not include the $37.2 million principal amount of 2022 Notes

outstanding at June 30, 2020. See "Liquidity and Capital Resources" above and

Note 4 to the consolidated financial statements in Part I, Item 1 of this


    Quarterly Report for further discussion of the terms of our senior
    convertible notes.



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Table of Contents

(2) Includes a finance lease obligation related to our Mesa, Arizona facility.

See Note 6 to the consolidated financial statements in Part II, Item 8 of our

Annual Report on Form 10-K for the year ended December 31, 2019 for more


    information.



We are also party to various purchase arrangements related to components used in
manufacturing and research and development activities. As of June 30, 2020, we
had approximately $165 million of open purchase orders and contractual
obligations in the ordinary course of business, most of which are due within one
year.
Off-Balance Sheet Arrangements


As of June 30, 2020, we did not have any significant off-balance sheet arrangements, as defined in Item 303(a)(4)(ii) of Regulation S-K. Recent Accounting Guidance




For a description of recent accounting pronouncements and the potential impact
of these pronouncements on our consolidated financial statements, see Note 1 to
the consolidated financial statements in Part I, Item 1 of this Quarterly
Report.

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