The following discussion and analysis of our financial condition and results of
operations should be read in conjunction with our consolidated financial
statements and the accompanying notes included in this annual report. The
following discussion may contain forward-looking statements that reflect our
plans, estimates and beliefs, which are subject to risks, uncertainties and
assumptions. Our actual results could differ materially from those discussed in
these forward-looking statements. Factors that could cause or contribute to
these differences include those discussed under the headings "Risk Factors" and
"Forward-Looking Statements."
Overview
We are primarily engaged in the development, manufacture and sale of our
proprietary Omnipod System, a continuous insulin delivery system for people with
insulin-dependent diabetes. The Omnipod System features a small, lightweight,
self-adhesive disposable tubeless Omnipod device that is worn on the body for up
to three days at a time; and its wireless companion, the handheld PDM. The
Omnipod System, which features discreet and easy-to-use devices, communicates
wirelessly, provides for virtually pain-free automated cannula insertion and
eliminates the need for traditional MDI therapy or the use of traditional pump
and tubing. We believe that the Omnipod System's unique proprietary design and
features allow people with insulin-dependent diabetes to manage their diabetes
with unprecedented freedom, comfort, convenience and ease.
In addition to the diabetes market space, we have partnered with pharmaceutical
and biotechnology companies to tailor the Omnipod System technology platform for
the delivery of subcutaneous drugs across other therapeutic areas. Most of our
drug delivery revenue currently consists of sales of pods to Amgen for use in
the Neulasta® Onpro® kit, a delivery system for Amgen's white blood cell booster
to help reduce the risk of infection after intense chemotherapy.
Our mission is to improve the lives of people with diabetes. To assist in
achieving this mission, we are focused on the following key strategic
imperatives:
•driving access and awareness;
•delivering consumer-focused innovation;
•expanding our global addressable market; and
•driving operational excellence.
Our long-term financial objective is to sustain profitable growth. To achieve
this goal, our efforts are focused on the launch of Omnipod 5, powered by
Horizon™ ("Omnipod 5"), our AID system. We completed the first phase of our
Omnipod 5 pivotal trial in October. We also recently completed our Omnipod 5
clinical study of pediatric users ages two to six years old and are planning for
an expanded indication by the end of 2021. In addition, we have begun enrolling
individuals with Type 2 diabetes in an Omnipod 5 feasibility study. Based on the
results of the feasibility work, we plan to conduct additional studies with the
goal to further expand Omnipod 5's indications.
During 2020, we began producing salable product on our second highly automated
manufacturing line in the U.S. and secured a second contract manufacturer in
China, which increased our capacity and redundancy. Additionally, in order to
support our continued growth and the expected launch of Omnipod 5 in the first
half of 2021, we recently installed a third highly automated manufacturing line
in the U.S. on which salable product is expected in 2021.
In 2020, we completed the roll out of Omnipod DASH, our digital mobile Omnipod
platform, in the countries we serve in Europe. In January 2021, we completed our
full commercial launch of Omnipod DASH internationally with our roll out in
Canada. The majority of our global customers start on Omnipod DASH. We expect
the introduction of Omnipod DASH throughout our international markets to be a
growth driver as we increase our presence within our existing markets and enter
into new countries over the long term.
In 2020, we entered five new countries in Western Europe and the Middle East to
expand the commercial sale of Omnipod and our global footprint. While this
expansion into additional countries did not have a material impact on our 2020
revenues, it is expected to contribute to our long-term growth.
We are continuing to expand internationally in a targeted and strategic manner.
In the first quarter of 2021, we expanded into Turkey and we expect to launch
Omnipod DASH in Australia in 2021. Additionally, we are working on our strategy
to enter larger markets, such as Asia Pacific and Latin America.
Finally, we plan to continue our product development efforts and expand
awareness of and access to our products. Achieving the above strategic
imperatives is expected to require additional investments in certain initiatives
and personnel, as well as enhancements to our supply chain operation capacity,
efficiency and effectiveness.
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Results of Operations
The discussion of our results of operations for 2018 has been omitted from this
Form 10-K but can be found in Item 7. Management's Discussion and Analysis and
Results of Operations in our Form 10-K for the fiscal year ended December 31,
2019 filed with the Securities and Exchange Commission on February 26, 2020.
Comparison of the Years Ended December 31, 2020 and December 31, 2019
Revenue
                                         Years Ended December 31,
(In millions)                             2020                 2019                % Change             Currency Impact          Constant Currency(1)
U.S. Omnipod                        $       526.9          $   420.4                     25.3  %                     -  %                      25.3  %
International Omnipod                       308.0              253.1                     21.7  %                   1.8  %                      19.9  %
Total Omnipod                               834.9              673.5                     24.0  %                   0.7  %                      23.3  %
Drug Delivery                                69.5               64.7                      7.4  %                     -  %                       7.4  %
Total                               $       904.4          $   738.2                     22.5  %                   0.6  %                      21.9  %


(1) Constant currency revenue growth is a non-GAAP financial measure which
should be considered supplemental to, and not a substitute for, our reported
financial results prepared in accordance with GAAP. See "Management's Use of
Non-GAAP Measures."
Total revenue for 2020 increased $166.2 million, or 22.5%, to $904.4 million,
compared with $738.2 million in 2019. Constant currency revenue growth of 21.9%
was primarily driven by higher volume and, to a lesser extent, favorable sales
channel mix. The COVID-19 pandemic negatively impacted global new customer
starts throughout 2020, largely beginning in the second quarter. We expect our
revenues in 2021 to continue to be impacted by the global pandemic's effect on
both 2020 and 2021 new customer starts, particularly in our international
markets.
U.S. Omnipod
U.S. Omnipod revenue for 2020 increased $106.5 million, or 25.3%, to $526.9
million, compared with $420.4 million in 2019. This increase was primarily due
to higher volumes driven by growing our customer base and, to a lesser extent,
an increase due to growth through the pharmacy channel, where Pods have a higher
average selling price due in part to the fact that we offer the PDM for no
charge. In 2021, we expect strong Omnipod revenue growth driven by continued
market penetration and volume growth of Omnipod DASH, primarily in the pharmacy
channel. We expect this revenue growth to be partially offset by the impact of
lower new customer starts in 2020 stemming from COVID-19.
International Omnipod
International Omnipod revenue for 2020 increased $54.9 million, or 21.7%, to
$308.0 million, compared with $253.1 million in 2019. Excluding the 1.8%
favorable impact of currency exchange, the remaining 19.9% increase was
primarily due to higher volumes as we continue to expand awareness and access to
the Omnipod. Similar to in the U.S., in 2021, we expect higher International
Omnipod revenue due to continued volume growth and market penetration aided by
the full launch of Omnipod DASH throughout our international markets and our
virtual training capabilities. We expect this revenue growth to be partially
offset by the impact of lower new customer starts in 2020 stemming from COVID-19
and continued lockdowns in Europe.
Drug Delivery
Drug Delivery revenue for 2020 increased $4.8 million, or 7.4%,
to $69.5 million, compared with $64.7 million in 2019. This increase was
primarily due to increased demand for Amgen's Neulasta® Onpro® kit which
includes our pods. In 2021, we expect Drug Delivery revenue to decline or grow
slightly dependent upon forecasted demand.
Operating Expenses
                                                                       Years Ended December 31,
                                                           2020                                        2019
                                                                  Percent of
(In millions)                                 Amount                Revenue               Amount          Percent of Revenue
Cost of revenue                           $     322.1                    35.6  %       $   257.9                     34.9  %
Research and development expenses         $     146.8                    16.2  %       $   132.3                     17.9  %
Selling, general and administrative
expenses                                  $     384.0                    42.5  %       $   298.0                     40.4  %


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Cost of Revenue
Cost of revenue for 2020 increased $64.2 million, or 24.9%,
to $322.1 million, compared with $257.9 million in 2019. Gross margin was 64.4%
in 2020, compared with 65.1% in 2019. The 70 basis point decrease in gross
margin was primarily due to start-up costs and inefficiencies driven by the
addition of the second line at our U.S. manufacturing facility, as well as two
months of higher depreciation expense for under-utilized plant capacity,
recruiting and screening expenses, expedited shipping costs and manufacturing
incentives totaling $8.5 million, primarily associated with our contract
manufacturer in China as a result of COVID-19. This decrease was partially
offset by higher average selling price due to growth in the U.S. pharmacy
channel. We expect gross margin for 2021 to increase to 67% to 70%, which
reflects expected revenue growth both in the U.S. and internationally, including
in the pharmacy channel, and the benefits of continued improvements in
manufacturing and supply chain operations.
Research and Development
Research and development expenses for 2020 increased $14.5 million, or 11.0%,
to $146.8 million, compared with $132.3 million in 2019. This increase was
primarily due to year-over-year headcount additions as we focus on driving
innovation, particularly Omnipod 5, partially offset by reduced spend on Omnipod
DASH, which was launched in the prior year period. We expect research and
development spending in 2021 to increase compared with 2020 as we continue to
invest in advancing our innovation and clinical pipeline.
Selling, General and Administrative
Selling, general and administrative expenses for 2020 increased $86.0 million,
or 28.9%, to $384.0 million, compared with $298.0 million in 2019. This increase
was primarily attributable to investments in customer support and other
initiatives to support our growth, including year-over-year headcount additions,
mainly sales and customer service personnel, $18.8 million increase in
advertising expense driven by the pilot of our direct-to-consumer advertising
campaign and online advertising, $14.6 million of cumulative amortization
expense related to the resolution of a purchase price contingency associated
with the acquisition of customer relationships from a former European
distributor on July 1, 2018, as well as $4.8 million of stock-based compensation
expense from a company-wide 20th anniversary equity grant, a significant portion
of which vested immediately. These increases were partially offset by a $9.7
million decrease in travel and entertainment expenses due to reduced activity
resulting from COVID-19. We expect selling, general and administrative expenses
to increase in 2021 compared with 2020 due to expansion of our U.S. sales force
and customer support personnel, investments to expand market acceptance and
access for Omnipod 5, including direct-to-consumer advertising, and investments
in our operating structure to facilitate operational efficiencies and continued
growth.
Non-Operating Items
Interest Expense, Net
Interest expense, net for 2020 increased $17.4 million, or 62.8%, to
$45.1 million, compared with $27.7 million in 2019. This increase was primarily
due to a $9.6 million increase in non-cash interest expense resulting from the
net impact of the issuance of $800.0 million of 0.375% convertible notes and the
repayment of $402.5 million principal amount of 1.25% convertible notes, a $3.9
million decrease in capitalized interest, primarily due to U.S. manufacturing
line 2 being placed in service in the first quarter of 2020, and a $3.9 million
decrease in interest income due to lower market rates and a shift in a portion
of our investment portfolio to more liquid investments.
Loss on Extinguishment of Debt
During 2019, we incurred an $8.7 million loss on extinguishment of debt related
to the repurchase of our 1.25% Notes.
Other Income, Net
Other income, net for 2020 increased $2.4 million, to $3.3 million, compared
with $0.9 million in 2019. This increase was primarily driven by unrealized
foreign currency gains due to the change in exchange rates, partially offset by
a $1.8 million insurance recovery for damaged inventory in excess of our cost
received during the year ended December 31, 2019.
Income Tax Expense
Income tax expense was $2.9 million on pre-tax income of $9.7 million and $14.5
million for both 2020 and 2019, respectively. Our effective tax rate was 29.6%
and 19.8% for 2020 and 2019, respectively. The increase in our effective tax
rate primarily resulted from a decrease to pre-tax income in the U.S., which has
a valuation allowance. See Note 18 to the consolidated financial statements for
additional information on our income tax expense.
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Adjusted EBITDA
The table below presents reconciliations of Adjusted EBITDA, a non-GAAP
financial measure, to net income, the most directly comparable financial measure
prepared in accordance with accounting principles generally accepted in the
United States of America ("GAAP"):
                                           Years Ended December 31,
(in millions)                                 2020                 2019
Net income                          $         6.8                $  11.6
Interest expense, net                        45.1                   27.7
Income tax expense                            2.9                    2.9
Depreciation and amortization(1)             55.4                   27.9
Stock-based compensation(2)                  35.9                   28.7
Loss on extinguishment of debt                  -                    8.7
Adjusted EBITDA                     $       146.1                $ 107.5


(1) The year ended December 31, 2020 includes $14.6 million of cumulative
amortization expense associated with customer relationships that were acquired
on July 1, 2018. For more information see Note 13 to the consolidated financial
statements.
(2) The year ended December 31, 2020 includes $7.3 million of stock-based
compensation expense related to a company-wide 20th anniversary equity grant, a
significant portion of which immediately vested.
Non-GAAP Financial Measures
Management uses the following non-GAAP financial measures:
Constant currency revenue growth represents the change in revenue between
current and prior year periods using a constant currency, the exchange rate in
effect during the applicable prior year period. We present constant currency
revenue growth because we believe it provides meaningful information regarding
our results on a consistent and comparable basis. Management uses this non-GAAP
financial measure, in addition to financial measures in accordance with GAAP, to
evaluate our operating results. It is also one of the performance metrics that
determines management incentive compensation.
Adjusted EBITDA represents net income (loss) plus net interest expense, income
tax expense (benefit), depreciation and amortization, stock-based compensation
and other significant unusual items, as applicable. We present Adjusted EBITDA
because management uses it as a supplemental measure in assessing our operating
performance, and we believe that it is helpful to investors, and other
interested parties as a measure of our comparative operating performance from
period to period. Adjusted EBITDA is a commonly used measure in determining
business value and we use it internally to report results.
These non-GAAP financial measures should be considered supplemental to, and not
a substitute for, our reported financial results prepared in accordance with
GAAP. In addition, the above definitions may differ from similarly titled
measures used by others. Non-GAAP financial measures exclude the effect of items
that increase or decrease our reported results of operations; accordingly, we
strongly encourage investors to review our consolidated financial statements in
their entirety.
Liquidity and Capital Resources
As of December 31, 2020, we had $907.2 million in cash and cash equivalents and
$40.4 million of investments in marketable securities. We believe that our
current liquidity will be sufficient to meet our projected operating, investing
and debt service requirements for at least the next twelve months.
Convertible Debt
To finance our operations and global expansion, we have periodically issued
convertible senior notes, which are convertible into our common stock. As of
December 31, 2020, the following notes were outstanding:
                                                       Principal
                                                      Outstanding                                                                           Conversion Price
Issuance Date                     Coupon             (in millions)               Due Date                Conversion Rate (1)            per Share of Common Stock
November 2017                     1.375%            $       402.5             November 2024                    10.7315                           $93.18
September 2019                    0.375%                    800.0             September 2026                   4.4105                            $226.73
Total                                               $     1,202.5


(1) Per $1,000 face value of notes.
In connection with the issuance of the 0.375% Convertible Senior Notes, we
purchased capped call options ("Capped Calls") on our common stock. By entering
into the Capped Calls, we expect to reduce the potential dilution to our common
stock (or, in
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the event the conversion is settled in cash, to provide a source of cash to
settle a portion of our cash payment obligation) in the event that at the time
of conversion our stock price exceeds the conversion price under the Convertible
Senior Notes. The Capped Calls have an initial strike price of $335.90 per share
and cover 3.5 million shares of our common stock.
Additional information regarding our debt is provided in Note 12 to the
consolidated financial statements.
Summary of Cash Flows
                                                      Years Ended December 31,
(in millions)                                             2020                  2019
Cash provided by (used in):
Operating activities                           $         84.0                 $ 98.4
Investing activities                                     14.0                  (73.6)
Financing activities                                    605.5                   73.5
Effect of exchange rate changes on cash                   4.8               

1.5


Net increase in cash and cash equivalents      $        708.3

$ 99.8




Operating Activities
Net cash provided by operating activities of $84.0 million in 2020 was primarily
attributable to net income, as adjusted for depreciation and amortization,
non-cash interest, and stock-based compensation, and a $63.4 million working
capital cash outflow. The working capital outflow was driven by a $50.5 million
increase in inventories, a $32.2 million increase in prepaid expenses and other
assets and a $15.6 million increase in accounts receivable, partially offset by
a $27.8 million increase in accrued expenses and other liabilities, primarily
driven by manufacturing operations costs associated with the addition of our new
contract manufacturer, as well as an increase in pharmacy rebates due to growth
in the pharmacy channel. The increase in inventories was primarily driven by a
planned inventory build associated with the further roll out of Omnipod DASH and
an increase in work in progress inventory due to additional capacity from our
new contract manufacturer. The increase in prepaid expenses and other assets was
primarily driven by an increase in software licenses due to head count
additions, and an increase in software-as-a-service to support our strategic
initiatives. The increase in accounts receivable was primarily driven by revenue
growth.
Net cash provided by operating activities of $98.4 million in 2019 was primarily
attributable to net income, as adjusted for non-cash interest, stock-based
compensation, depreciation and amortization, partially offset by a $19.7 million
working capital cash outflow. The working capital outflow was driven by a $30.2
million increase in inventories and a $22.0 million increase in prepaid expenses
and other assets, offset by a $25.6 million increase in accounts payable and a
$17.7 million increase in accrued expenses and other liabilities, primarily
driven by timing of payments. The increase in inventories was primarily due to
an increase in raw materials and finished goods related to the startup of our
U.S. manufacturing plant and an increase in work-in-process to support demand
for our product. The increase in prepaid expenses and other assets was primarily
driven by an increase in operating lease assets resulting from new leases
entered into during the year and an increase in deferred commissions.
Investing Activities
Net cash provided by investing activities was $14.0 million in 2020, compared
with net cash used in investing activities of $73.6 million in 2019.
Capital Spending-Capital expenditures were $129.0 million in 2020 and primarily
related to equipment to increase our manufacturing capacity. Capital
expenditures were $163.7 million in 2019 and primarily related to the
construction of our manufacturing and corporate headquarters facility in Acton,
Massachusetts. We expect capital expenditures for 2021 to increase compared with
2020 as we continue to expand manufacturing capacity to support our growth and
the launch of Omnipod 5. We expect to fund our capital expenditures using a
combination of existing cash and investments as well as cash generated from
operations.
Purchases and Sales of Investments-During 2020, net sales of marketable
securities were $180.5 million, compared with net purchases of marketable
securities of $97.3 million for 2019. The increase in net sales of marketable
securities was driven by a shift in a portion of our investment portfolio to
investments that are classified as cash equivalents in order to satisfy future
cash needs.
Acquisition of Intangible Assets-In 2020, following the resolution of a purchase
price contingency associated with our 2018 acquisition of customer relationships
from a former European distributor, we paid the distributor an additional $36.2
million for a total purchase price of $41.2 million. We had previously paid the
distributor $3.8 million in 2019 and the remainder in 2018.
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Financing Activities
Net cash provided by financing activities was $605.5 million in 2020, compared
with $73.5 million in 2019.
Issuance of Common Stock-In 2020, we sold 2.4 million common shares for $478.7
million in an underwritten registered offering. Net proceeds from the offering
were $477.5 million. The proceeds provide us with additional liquidity to
mitigate risk and allow us to continue investing in the growth of our business
and our strategic initiatives.
Debt Issuance and Repayment-In 2020, we received proceeds of $70.0 million upon
entering into a mortgage of our Acton facility. Additionally, we received
proceeds of $60.0 million upon entering into two equipment financing
transactions. Refer to Note 12 to our consolidated financial statements for
additional information regarding these transactions.
Option Exercises and Payment of Taxes for Restricted Stock Net Settlements-Total
proceeds from option exercises decreased 20.9 million to $25.7 million in 2020,
compared with $46.6 million in 2019. This decrease was primarily driven by less
option exercises in 2020 from the retirement of our former CEO in the prior year
period. Payments for taxes related to net restricted and performance stock unit
settlements increased $21.2 million to $29.8 million in 2020, compared with $8.6
million in 2019. The increase in payments for taxes related to restricted stock
net settlements was driven by increased vesting of restricted shares in 2020,
compared with 2019, including the immediate vesting of a significant portion of
a company-wide 20th anniversary equity grant in the fourth quarter 2020.
Revision to Nine Months Ended September 30, 2020 Condensed Consolidated Cash
Flow Statement
In February 2021, we identified an error in the presentation of certain cash
flow activity that impacted several line items within the previously issued
Condensed Consolidated Statement of Cash Flows for the nine months ended
September 30, 2020. While these items affected cash flows from operating and
investing activities, they had no impact on the net increase (decrease) in cash
and cash equivalents or net income. We have assessed the materiality of the
misstatement in accordance with ASC 250-10, Accounting Changes and Error
Corrections, and concluded that this misstatement was not material to our
previously issued consolidated financial statements. Accordingly, our Condensed
Consolidated Statement of Cash Flows for the nine months ended September 30,
2020 will be corrected prospectively in our Form 10-Q for the quarterly period
ended September 30, 2021 as shown below.
                                                     Previously
(in millions)                                         Reported             Adjustment           As Adjusted
Prepaid and other assets                           $      (16.8)         $       4.1          $      (12.7)
Accounts payable, accrued expenses and other
current liabilities                                $       36.1          $     (22.1)         $       14.0
Net cash provided by operating activities          $       85.0          $  

(18.0) $ 67.0



Capital expenditures                               $      (88.5)         $      10.3          $      (78.2)
Acquisition of intangible assets                   $       (8.3)         $       7.7          $       (0.6)
Net cash provided by investing activities          $       65.3          $  

18.0 $ 83.3




Commitments and Contingencies
Contractual Obligations-A summary of our contractual obligations and commitments
for debt, operating lease obligations and other obligations at December 31,
2020 is presented in the following table:
(in millions)                    Short Term       Long Term        Total
Operating lease obligations     $       5.6      $    13.1      $    18.7
Debt obligations                       15.6        1,315.1        1,330.7
Interest payments                      14.7           45.8           60.5
Purchase obligations (1)              257.3           36.7          294.0
Total contractual obligations   $     293.2      $ 1,410.7      $ 1,703.9


(1)Purchase obligations include commitments for the purchase of Omnipod System
components, commitments related to establishing additional manufacturing
capabilities and other commitments for purchases of goods or services in the
normal course of business. These commitments are derived from purchase orders,
supplier contracts and open orders based on projected demand information.
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Legal Proceedings-Roche Diabetes Care, Inc. ("Roche") filed a patent
infringement lawsuit against us and is seeking monetary damages and attorneys'
fees and costs. Since the patent expired in 2019, Roche is not seeking
injunctive relief and the lawsuit will have no impact on ongoing sales of our
products. We believe that we have meritorious defenses to Roche's claims and
intend to vigorously defend against them. At this time, based on available
information regarding this litigation, we are unable to reasonably assess the
ultimate outcome of this case or determine an estimate, or range of estimates,
of potential losses, which could be material; accordingly, we have excluded this
exposure from the contractual obligations table above. Refer to Note 13 to our
consolidated financial statements for additional information regarding this
matter.
Off-Balance Sheet Arrangements
As of December 31, 2020, we had various outstanding letters of credit and bank
guarantees totaling $2.8 million, none of which are individually significant.
The Company has restricted cash that serves as collateral for these outstanding
letters of credit and bank guarantees that is included in cash and cash
equivalents on the consolidated balance sheet.
Critical Accounting Policies and Estimates
The preparation of our consolidated financial statements in conformity with U.S.
GAAP requires management to use judgment in making estimates and assumptions
that affect the reported amounts of assets, liabilities, revenue and expenses,
and related disclosure of contingent assets and liabilities. The following
accounting policies are based on, among other things, judgments and assumptions
made by management that include inherent risks and uncertainties. Management's
estimates are based on the relevant information available at the end of each
period.
Revenue Recognition
We recognize revenue when a customer obtains control of the promised products in
an amount that reflects the net consideration to which we expect to be entitled.
We sell products both direct to consumers and through distributors who resell
the products to consumers. Transaction price is typically based on contracted
rates less any estimates of claim denials and historical reimbursement
experience, guidelines and payor mix, and less estimated variable consideration
adjustments including rebates. Recognizing revenue requires us to exercise
judgment and use estimates that can have a significant impact on the amount and
timing of revenue we report. We exercise significant judgment when we determine
the transaction price, including variable consideration adjustments. The amount
of variable consideration that is included in the transaction price is included
in revenue only to the extent that it is probable that a significant reversal in
the amount of the cumulative revenue recognized will not occur in a future
period. We estimate reductions to our revenues for rebates paid to distributors
in the United States and Canada and pharmacy benefit managers ("PBM") in the
United States. Rebates are based on contractual arrangements, which may vary.
Our estimates are based on products sold, historical experience, trends and, as
available, channel inventory data. Rebates charged against gross sales amounted
to $82.5 million, $59.1 million and $34.1 million in 2020, 2019 and 2018,
respectively. Provisions for rebates, sales discounts and returns, are accounted
for as a reduction of sales when revenue is recognized and are included within
accounts receivable trade or accrued expenses and other current liabilities on
our consolidated balance sheets, based upon the recipient of the rebate. If the
actual amounts of consideration that we receive differ from our estimates, we
would adjust our estimates and that would affect reported revenue in the period
that such variances become known.
Our drug delivery product line includes sales of a modified version of the
Omnipod to pharmaceutical and biotechnology companies who use our technology as
a delivery method for their drugs. Revenue from the drug delivery product was
$69.5 million for 2020. Revenue for this product line is recognized as the
product is produced. Accounting for drug delivery revenue requires us to select
a method to measure progress towards the satisfaction of the performance
obligation. This election of the most meaningful measure of progress by which to
recognize drug delivery revenue requires the application of judgment. We elected
the input method and selected a blend of cost and time to produce as the measure
of progress. Accordingly, revenue is recognized over time using a blend of costs
incurred to date relative to total estimated costs at completion and time
incurred to date relative to total production time to measure progress toward
the satisfaction of our performance obligations. We believe that both incurred
cost and elapsed time reflect the value generated, which best depicts the
transfer of control to the customer. Contract costs include third party costs as
well as an allocation of manufacturing overhead. Changes from quarter to quarter
in quantity and stage of production of in-process inventory could have a
significant quarterly impact on revenue.
Contingencies
We are involved in various legal proceedings that arise in the ordinary course
of business as further discussed in Note 13 to our consolidated financial
statements, including a patent infringement case with Roche. Accruals recorded
for various contingencies including legal proceedings, self-insurance and other
claims, are based on judgment, both regarding the probability of losses and
range of loss, and, where applicable, include the consideration of opinions of
internal and/or external legal counsel. When a range is established but a best
estimate cannot be made, we record the minimum loss contingency amount, which
could be zero. An estimate is often initially developed substantially earlier
than the ultimate loss is known and is reevaluated each accounting period. As
information becomes known, additional loss provision is recorded when either a
best estimate can be made, or the
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minimum loss amount is increased. When events result in an expectation of a more
favorable outcome than previously expected, our best estimate is changed to a
lower amount. We record receivables from third-party insurers up to the amount
of the related liability when we have determined that existing insurance
policies will provide reimbursement. In making this determination, we consider
applicable deductibles, policy limits and the historical payment experience of
the insurance carriers.
Accounting Standards Issued and Not Yet Adopted as of December 31, 2020
In December 2019, the Financial Accounting Standards Board ("FASB") issued ASU
2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes.
ASU 2019-12 eliminates certain exceptions in the current guidance regarding the
approach for intraperiod tax allocations, the methodology for calculating income
taxes in an interim period and the recognition of deferred tax liabilities for
outside basis differences. This new guidance also simplifies the accounting for
franchise taxes and enacted changes in tax laws or rates and clarifies such
things as the accounting for transactions that result in a step up in the tax
basis of goodwill. The guidance is effective for us beginning in the first
quarter of 2021 with early adoption permitted. The adoption of this guidance is
not expected to have a significant impact on our consolidated financial
statements.
In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible Debt
Instruments and Contracts in an Entity's Own Equity, which simplifies the
accounting for convertible instruments by eliminating certain separation models.
Under ASU 2020-06, a convertible debt instrument will generally be reported as a
single liability at its amortized cost with no separate accounting for embedded
conversion features. Consequently, the interest rate of convertible debt
instruments will be closer to the coupon interest rate. In addition, ASU 2020-06
eliminates the treasury stock method to calculate diluted earnings per share for
convertible instruments and requires the use of the if-converted method. The
guidance is effective for us beginning in the first quarter of 2022 with early
adoption permitted. Early adoption of ASU 2020-06 as of January 1, 2021, would
result in an approximate $330 million decrease in additional paid in capital
from the derecognition of the bifurcated equity component, $250 million increase
in debt from the derecognition of the discount associated with the bifurcated
equity component and $80 million decrease to the opening balance of accumulated
deficit, representing the cumulative interest expense recognized related to the
amortization of the bifurcated conversion option. Additionally, we expect to
write-off the related deferred tax liabilities with a corresponding adjustment
to the valuation allowance, resulting in no net impact to the cumulative
adjustment to retained earnings. Adoption of this standard will have no impact
on our diluted earnings per share as we calculate earnings per share using the
if-converted method. We are still evaluating whether we will early adopt this
guidance.
Forward-Looking Statements
This Annual Report on Form 10-K contains forward-looking statements.
Forward-looking statements relate to future events or our future financial
performance. We generally identify forward looking statements by terminology
such as "may," "will," "should," "expects," "plans," "anticipates," "could,"
"intends," "targets," "projects," "contemplates," "believes," "estimates,"
"predicts," "potential" or "continue" or the negative of these terms or other
similar words. These statements are only predictions. We have based these
forward-looking statements largely on our current expectations and projections
about future events and financial trends that we believe may affect our
business, results of operations and financial condition.
Forward-looking statements involve risks, uncertainties and assumptions. Actual
results may differ materially from those expressed in these forward-looking
statements. You should not put undue reliance on any forward-looking statements.
The risk factors discussed in "Risk Factors" could cause our results to differ
materially from those expressed in forward-looking statements. In addition,
there may be other risks and uncertainties that we are unable to predict at this
time or that we currently do not expect to have a material adverse effect on our
business. We expressly disclaim any obligation to update these forward-looking
statements other than as required by law.
Item 7A. Quantitative and Qualitative Disclosures about Market Risk
Interest Rate Risk
The primary objectives of our investment strategy are to preserve principal,
maintain proper liquidity to meet operating needs and maximize yields. To
minimize our exposure to an adverse shift in interest rates, we invest mainly in
cash equivalents and short-term investments in a variety of securities,
including money market funds, U.S. Treasury debt and corporate debt securities.
Due to the short-term nature of our investments, we believe that we have no
material exposure to interest rate risk.
Market Price Sensitive Instruments
As of December 31, 2020, we had outstanding debt related to our convertible
senior notes recorded on our consolidated balance sheet of $933.1 million, net
of unamortized discount and issuance costs totaling $269.4 million. Changes in
the fair value of our outstanding debt, which could be impacted by changes in
interest rates, are not recorded in these consolidated financial statements as
the debt is accounted for at cost less unamortized discount and issuance costs.
The fair value of the debt, which was $2.0 billion as of December 31, 2020, is
also impacted by changes in our stock price.
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In order to reduce potential equity dilution, in connection with the issuance of
$800.0 million aggregate principal amount of 0.375% Notes, we entered into
Capped Calls. We expect the Capped Calls to reduce the potential dilution to our
common stock (or, in the event the conversion is settled in cash, to provide a
source of cash to settle a portion of our cash payment obligation) in the event
that at the time of conversion our stock price exceeds the conversion price
under the 0.375% Notes. The Capped Calls have an initial strike price of $335.90
per share and cover 3.5 million shares of common stock.
Foreign Currency Exchange Risk
Foreign currency risk arises from our investments in subsidiaries owned and
operated in non-U.S. countries. Such risk is also a result of transactions with
customers in countries outside the United States. Approximately 34% of our
revenue was denominated in foreign currencies for the year ended December 31,
2020. As our business in regions outside of the United States continues to
increase, we will be increasingly exposed to foreign currency exchange risk
related to our foreign operations. The cost of revenue related to revenue
generated outside of the United States is primarily denominated in U.S. dollars;
however, operating costs related to these revenues are largely denominated in
the same respective currencies, thereby partially limiting our transaction risk
exposure. Fluctuations in the rate of exchange between the United States dollar
and foreign currencies, primarily the Euro, British Pound and 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 have intercompany receivables and payables from our foreign subsidiaries that
are denominated in foreign currencies, principally the Euro, the British pound
and the Canadian dollar. Fluctuations from the beginning to the end of a
reporting period result in the revaluation of our foreign currency-denominated
intercompany receivables and payables, generating currency translation gains or
losses. Net realized and unrealized gains (losses) from foreign currency
transactions are included in other income (expense), net in the consolidated
statement of income and amounted to a loss of $3.2 million for the year ended
December 31, 2020.
Item 8. Financial Statements and Supplementary Data
Our financial statements as of December 31, 2020 and 2019 and for each of the
three years in the period ended December 31, 2020, and the Report of the
Registered Independent Public Accounting Firm are included in this report as
listed in the index.
                                INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

  Report of Independent Registered Public Accounting Firm                                              41

Consolidated Balance Sheets as of December 31, 2020 and 2019                                           43

Consolidated Statements of Income for the Years ended December 31, 2020, 2019 and 2018

                                                                                                   44

Consolidated Statements of Comprehensive I ncome for the Years Ended December 31, 2020, 2019 and 2018

                                                                                45

Consolidated Statements of Stockholders' Equity for the Years ended December 31,


  2020, 2019 and 2018                                                                                  46

Consolidated Statements of Cash Flows for the Years ended December 31, 2020, 2019 and 2018


                           47

  Notes to Consolidated Financial Statements                                                           48


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            Report of Independent Registered Public Accounting Firm

Board of Directors and Shareholders
Insulet Corporation

Opinions on the financial statements and internal control over financial
reporting
We have audited the accompanying consolidated balance sheets of Insulet
Corporation (a Delaware corporation) and subsidiaries (the "Company") as of
December 31, 2020 and 2019, and the related consolidated statements of income,
comprehensive income, changes in stockholders' equity, and cash flows for each
of the three years in the period ended December 31, 2020, and the related notes
and financial statement schedules included under Item 15(a) (collectively
referred to as the "financial statements"). We also have audited the Company's
internal control over financial reporting as of December 31, 2020, based on
criteria established in the 2013 Internal Control-Integrated Framework issued by
the Committee of Sponsoring Organizations of the Treadway Commission ("COSO").
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of the Company as of December 31,
2020 and 2019, and the results of its operations and its cash flows for each of
the three years in the period ended December 31, 2020 in conformity with
accounting principles generally accepted in the United States of America. Also
in our opinion, the Company maintained, in all material respects, effective
internal control over financial reporting as of December 31, 2020, based on
criteria established in the 2013 Internal Control-Integrated Framework issued by
COSO.
Basis for opinions
The Company's management is responsible for these financial statements, for
maintaining effective internal control over financial reporting, and for its
assessment of the effectiveness of internal control over financial reporting,
included in the accompanying Management's Annual Report on Internal Control Over
Financial Reporting. Our responsibility is to express an opinion on the
Company's financial statements and an opinion on the Company's internal control
over financial reporting based on our audits. We are a public accounting firm
registered with the Public Company Accounting Oversight Board (United States)
("PCAOB") and are required to be independent with respect to the Company in
accordance with the U.S. federal securities laws and the applicable rules and
regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those
standards require that we plan and perform the audits to obtain reasonable
assurance about whether the financial statements are free of material
misstatement, whether due to error or fraud, and whether effective internal
control over financial reporting was maintained in all material respects.
Our audits of the financial statements included performing procedures to assess
the risks of material misstatement of the financial statements, whether due to
error or fraud, and performing procedures that respond to those risks. Such
procedures included examining, on a test basis, evidence regarding the amounts
and disclosures in the financial statements. Our audits also included evaluating
the accounting principles used and significant estimates made by management, as
well as evaluating the overall presentation of the financial statements. Our
audit of internal control over financial reporting included obtaining an
understanding of internal control over financial reporting, assessing the risk
that a material weakness exists, and testing and evaluating the design and
operating effectiveness of internal control based on the assessed risk. Our
audits also included performing such other procedures as we considered necessary
in the circumstances. We believe that our audits provide a reasonable basis for
our opinions.
Definition and limitations of internal control over financial reporting
A company's internal control over financial reporting is a process designed to
provide reasonable assurance regarding the reliability of financial reporting
and the preparation of financial statements for external purposes in accordance
with generally accepted accounting principles. A company's internal control over
financial reporting includes those policies and procedures that (1) pertain to
the maintenance of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of the assets of the company; (2)
provide reasonable assurance that transactions are recorded as necessary to
permit preparation of financial statements in accordance with generally accepted
accounting principles, and that receipts and expenditures of the company are
being made only in accordance with authorizations of management and directors of
the company; and (3) provide reasonable assurance regarding prevention or timely
detection of unauthorized acquisition, use, or disposition of the company's
assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting
may not prevent or detect misstatements. Also, projections of any evaluation of
effectiveness to future periods are subject to the risk that controls may become
inadequate because of changes in conditions, or that the degree of compliance
with the policies or procedures may deteriorate.
Critical audit matter
The critical audit matter communicated below is a matter arising from the
current period audit of the financial statements that was communicated or
required to be communicated to the audit committee and that: (1) relates to
accounts or disclosures that
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are material to the financial statements and (2) involved our especially
challenging, subjective, or complex judgments. The communication of critical
audit matters does not alter in any way our opinion on the financial statements,
taken as a whole, and we are not, by communicating the critical audit matter
below, providing a separate opinion on the critical audit matter or on the
accounts or disclosures to which it relates.
Revenue Recognition - Drug Delivery
As described in Note 4 to the consolidated financial statements, the Company's
revenue from drug delivery was $69.5 million for the year ended December 31,
2020. Drug delivery revenue is recognized over time based on the Company's
determination of the pattern over which control transfers to the customer. This
transfer of control begins during the manufacturing process and continues
through the final quality control inspection process until there is complete
satisfaction of the performance obligation. We identified drug delivery revenue
recognition and the associated unbilled receivable as a critical audit matter.
The principal considerations for our determination that this matter is a
critical audit matter are as follows:
Accounting for drug delivery revenue requires the Company to select a method to
measure progress towards the satisfaction of the performance obligation. This
election of the most meaningful measure of progress by which to recognize drug
delivery revenue requires the application of significant management judgment.
The Company elected the input method and selected a blend of cost and time to
produce for measure of progress. Given the nature of the revenue being
recognized, additional audit effort including modification of the nature and
extent of our procedures beyond that of the Company's other revenue streams was
required.
Our audit procedures included, but were not limited to, the following:
•We tested the design and operating effectiveness of controls relating to
Management's estimate of the measure of progress.
•For the measure of progress, we inspected evidence related to the cost and
length of the production cycle.
•For revenue recognized on in-process or finished goods inventory (and the
related unbilled receivable), we inspected customer orders, binding customer
forecasts, inventory records, and third party shipping documentation.


/s/ GRANT THORNTON LLP
We have served as the Company's auditor since 2016.

Boston, Massachusetts
February 23, 2021
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                              INSULET CORPORATION
                          CONSOLIDATED BALANCE SHEETS
                                                                         As of December 31,
(in millions, except share and per share data)                         2020               2019
ASSETS
Current Assets
Cash and cash equivalents                                          $   907.2          $   213.7
Short-term investments                                                  40.4              162.4
Accounts receivable trade, net                                          83.8               69.3
Inventories                                                            154.3              101.0
Prepaid expenses and other current assets                               63.0               44.6
Total current assets                                                 1,248.7              591.0
Long-term investments                                                      -               58.4
Property, plant and equipment, net                                     478.7              399.4
Other intangible assets, net                                            28.7               13.2
Goodwill                                                                39.8               39.8
Other assets                                                            77.0               41.1
Total assets                                                       $ 1,872.9          $ 1,142.9
LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities
Accounts payable                                                   $    54.1          $    54.5
Accrued expenses and other current liabilities                         138.1              103.2
Current portion of long-term debt                                       15.6                  -
Total current liabilities                                              207.8              157.7
Long-term debt, net                                                  1,043.7              887.9
Other liabilities                                                       17.8               21.4
Total liabilities                                                    1,269.3            1,067.0
Commitment and Contingencies (Note 13)
Stockholders' Equity
Preferred stock, $.001 par value:
Authorized: 5,000,000 shares at December 31, 2020 and 2019.
Issued and outstanding: zero shares at December 31, 2020 and 2019.         -                  -
Common stock, $.001 par value:
Authorized: 100,000,000 shares at December 31, 2020 and 2019.
Issued and outstanding: 66,017 and 62,685 shares at December 31,
2020 and 2019                                                            0.1                0.1
Additional paid-in capital                                           1,264.3              749.0
Accumulated deficit                                                   (666.3)            (672.0)
Accumulated other comprehensive income (loss)                            5.5               (1.2)
Total stockholders' equity                                             603.6               75.9
Total liabilities and stockholders' equity                         $ 

1,872.9 $ 1,142.9

The accompanying notes are an integral part of these consolidated financial


                                  statements.
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                              INSULET CORPORATION
                       CONSOLIDATED STATEMENTS OF INCOME

                                                                            Years Ended December 31,
(in millions, except share and per share data)                      2020               2019              2018
Revenue                                                        $   904.4            $  738.2          $  563.8
Cost of revenue                                                    322.1               257.9             193.6
Gross profit                                                       582.3               480.3             370.2
Research and development                                           146.8               132.3              94.8
Selling, general and administrative                                384.0               298.0             248.0
Operating income                                                    51.5                50.0              27.4
Interest expense, net                                              (45.1)              (27.7)            (21.3)
Loss on extinguishment of debt                                         -                (8.7)                -
Other income (expense), net                                          3.3                 0.9              (0.9)
Income before income taxes                                           9.7                14.5               5.2
Income tax expense                                                  (2.9)               (2.9)             (1.9)
Net income                                                     $     6.8            $   11.6          $    3.3

Net income per share:
Basic                                                          $    0.11            $   0.19          $   0.06
Diluted                                                        $    0.10            $   0.19          $   0.05

Weighted-average number of common shares outstanding (in thousands):
Basic                                                             64,735              60,594            58,860
Diluted                                                           65,946              62,304            61,008

The accompanying notes are an integral part of these consolidated financial


                                  statements.
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                              INSULET CORPORATION
                CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
                                                                               Years Ended December 31,
(in millions)                                                          2020               2019              2018
Net income                                                         $      6.8          $   11.6          $    3.3
Other comprehensive income, net of tax
Foreign currency translation adjustment                                   6.8               0.6              (2.2)

Unrealized (loss) gain on available-for-sale securities, net of tax

                                                                      (0.1)              1.1              (0.2)
Total other comprehensive income (loss), net of tax                       6.7               1.7              (2.4)
Total comprehensive income                                         $     13.5          $   13.3          $    0.9

The accompanying notes are an integral part of these consolidated financial


                                  statements.
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                              INSULET CORPORATION
                CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY

                                                     Common Stock                      Additional                                 Accumulated Other                Total
                                                Shares                                   Paid-in            Accumulated           Comprehensive Loss           Stockholders'
(dollars in millions)                       (in thousands)             Amount            Capital              Deficit                  (Income)                   Equity
Balance, December 31, 2017                            58,319          $  0.1          $    866.2          $     (707.3)         $              (0.5)         $        158.5
Exercise of options to purchase common
stock                                                    410               -                12.8                     -                            -                    12.8
Issuance of shares for employee stock
purchase plan                                             46               -                 3.0                     -                            -                     3.0
Stock-based compensation                                   -               -                37.5                     -                            -                    37.5
Restricted stock units vested, net of
shares withheld for taxes                                414               -               (17.8)                    -                            -                   (17.8)
Extinguishment of conversion feature on
2% Notes, net of issuance costs                            -               -                (3.2)                    -                            -                    (3.2)
Adoption of ASC 606 (Note 2)                               -               -                   -                  20.4                            -                    20.4
Net income                                                 -               -                   -                   3.3                            -                     3.3
Other comprehensive loss                                   -               -                   -                     -                         (2.4)                   (2.4)
Balance, December 31, 2018                            59,189             0.1               898.5                (683.6)                        (2.9)                  212.1
Exercise of options to purchase common
stock                                                  1,340               -                46.6                     -                            -                    46.6
Issuance of shares for employee stock
purchase plan                                             51               -                 4.3                     -                            -                     4.3
Stock-based compensation                                   -               -                28.7                     -                            -                    28.7
Restricted stock units vested, net of
shares withheld for taxes                                230               -                (8.6)                    -                            -                    (8.6)
Conversion feature of 0.375% Notes, net
of issuance costs                                          -               -               207.8                     -                            -                   207.8
Extinguishment of conversion feature on
1.25% Notes, net of issuance costs                         -               -              (642.3)                    -                            -                  (642.3)
Issuance of shares for debt repayment                  1,875               -               299.4                     -                            -                   299.4
Purchase of capped call options                            -               -               (85.4)                    -                            -                   (85.4)
Net income                                                 -               -                   -                  11.6                            -                    11.6
Other comprehensive income                                 -               -                   -                     -                          1.7                     1.7
Balance, December 31, 2019                            62,685             0.1               749.0                (672.0)                        (1.2)                   75.9
Adoption of ASU 2016-13 (Note 1)                           -               -                   -                  (1.1)                           -                    (1.1)
Issuance of common stock                               2,370               -               477.5                     -                            -                   477.5
Exercise of options to purchase common
stock                                                    674               -                25.7                     -                            -                    25.7
Issuance of shares for employee stock
purchase plan                                             38               -                 6.0                     -                            -                     6.0
Stock-based compensation                                   -               -                35.9                     -                            -                    35.9
Restricted stock units vested, net of
shares withheld for taxes                                250               -               (29.8)                    -                            -                   (29.8)
Net income                                                 -               -                   -                   6.8                            -                     6.8
Other comprehensive income                                 -               -                   -                     -                          6.7                     6.7
Balance, December 31, 2020                            66,017          $  0.1          $  1,264.3          $     (666.3)         $               5.5          $        603.6

The accompanying notes are an integral part of these consolidated financial


                                  statements.
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                              INSULET CORPORATION
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                                                                         Years Ended December 31,
(in millions)                                                     2020               2019             2018
Cash flows from operating activities
Net income                                                   $     6.8            $  11.6          $   3.3
Adjustments to reconcile net income to net cash provided by
operating activities:
Depreciation and amortization                                     55.4               27.9             15.6
Non-cash interest                                                 45.2               35.6             29.3
Stock-based compensation                                          35.9               28.7             37.5
Loss on extinguishment of convertible debt                           -                8.7                -
Provision for credit losses                                        3.3                4.5              3.4
Other                                                              0.8                1.1             (0.4)
Changes in operating assets and liabilities:
Accounts receivable                                              (15.6)             (10.8)           (14.6)
Inventories                                                      (50.5)             (30.2)           (38.8)
Prepaid expenses and other assets                                (32.2)             (22.0)           (19.9)
Accounts payable                                                   7.1               25.6             (5.4)
Accrued expenses and other liabilities                            27.8               17.7             25.9
Net cash provided by operating activities                         84.0               98.4             35.9
Cash flows from investing activities
Capital expenditures                                            (129.0)            (163.7)          (157.4)
Acquisition of intangible assets                                 (37.5)              (7.2)            (5.0)
Purchases of investments                                         (37.9)            (150.6)          (191.4)
Receipts from the maturity or sale of investments                218.4              247.9            169.3
Net cash provided by (used in) investing activities               14.0              (73.6)          (184.5)
Cash flows from financing activities
Proceeds from issuance of common stock, net of issuance
costs                                                            477.5                  -                -
Proceeds from mortgage, net of issuance cost                      68.3                  -                -
Proceeds from equipment financing                                 60.0                  -                -

Proceeds from issuance of convertible debt, net of issuance cost

                                                                 -              780.2                -
Purchase of capped call options                                      -              (85.4)               -
Repayment of convertible debt                                        -             (663.6)            (6.7)

Proceeds from exercise of stock options and issuance of common stock under employee stock purchase plan

                   31.7               50.9             15.8

Payment of withholding taxes in connection with vesting of restricted stock units

                                           (29.8)              (8.6)           (17.8)
Other                                                             (2.2)                 -                -
Net cash provided by (used in) financing activities              605.5               73.5             (8.7)
Effect of exchange rate changes on cash                            4.8                1.5             (1.4)

Net increase (decrease) in cash, cash equivalents, and restricted cash

                                                  708.3               99.8           (158.7)

Cash, cash equivalents, and restricted cash, beginning of year

                                                             213.7              113.9            272.6

Cash, cash equivalents, and restricted cash, end of year (Note 5)

$   922.0

$ 213.7 $ 113.9



Supplemental cash flow information
Cash paid for interest, net of amount capitalized            $     2.6            $     -          $     -
Cash paid for taxes                                          $     3.0

$ 2.5 $ 0.8 Purchases of property, plant and equipment included in accounts payable and accrued expenses

$     6.7            $  13.3          $  11.4

The accompanying notes are an integral part of these consolidated financial


                                  statements.
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INSULET CORPORATION
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Note 1. Nature of the Business
Insulet Corporation (the "Company") is primarily engaged in the development,
manufacture and sale of its proprietary Omnipod System, an innovative,
continuous insulin delivery system for people with insulin-dependent diabetes.
The Omnipod System features a small, lightweight, self-adhesive disposable
tubeless Omnipod device ("Pod") that is worn on the body for up to three days at
a time, and its wireless companion, the handheld Personal Diabetes Manager
("PDM"). The Omnipod System, which features two discreet, easy-to-use devices,
communicates wirelessly, provides for virtually pain-free automated cannula
insertion and eliminates the need for multiple daily injections using syringes
or insulin pens or the use of traditional pump and tubing. The Omnipod System
consists of two product lines: the Omnipod Insulin Management System ("Omnipod")
and its next generation Omnipod DASHTM Insulin Management System ("Omnipod DASH"
or "DASH"). Omnipod DASH features a secure Bluetooth enabled Pod and PDM with a
color touch screen user interface supported by smartphone connectivity.
The Company generates most of its revenue from sales of the Omnipod System,
which is sold in the U.S., Europe, Canada and the Middle East. The Omnipod
System is sold either directly to end-users or indirectly through
intermediaries. Intermediaries include independent distributors who resell the
Omnipod to end-users and wholesalers who sell the Company's product to end-users
through the pharmacy channel in the United States.
In addition to selling the Omnipod System for insulin delivery, the Company also
partners with global pharmaceutical and biotechnology companies to tailor the
Omnipod System technology platform for the delivery of subcutaneous drugs across
other therapeutic areas. The majority of the Company's drug delivery revenue
consists of sales of pods to Amgen for use in the Neulasta® Onpro® kit, a
delivery system for Amgen's white blood cell booster to help reduce the risk of
infection after intense chemotherapy.
Note 2. Summary of Significant Accounting Policies
Basis of Presentation
The accompanying financial statements reflect the consolidated operations of
Insulet Corporation and its subsidiaries. The consolidated financial statements
have been prepared in United States dollars, in accordance with accounting
principles generally accepted in the United States of America ("GAAP"). The
preparation of the consolidated financial statements in conformity with GAAP
requires management to make use of estimates and assumptions that affect the
reported amount of assets and liabilities, disclosure of contingent assets and
liabilities, and the reported amounts of revenues and expenses. Actual results
may differ from those estimates.
Principles of Consolidation
The consolidated financial statements include the accounts of the Company and
its wholly owned subsidiaries. All intercompany balances and transactions have
been eliminated.
Reclassification of Prior Period Amounts
Certain reclassifications have been made to prior period amounts to conform to
the current period financial statement presentation. A portion of facility costs
and certain information technology costs have been allocated from selling,
general and administrative to research and development expenses based on square
foot and system usage, respectively and certain quality assurance costs were
reclassified from research and development expenses to selling, general and
administrative expenses. The net impact of these adjustments was a $2.6 million
and $4.3 million increase to research and development expenses and decrease to
selling, general and administrative expenses for the years ended December 31,
2019 and December 31, 2018, respectively. There was no change to previously
reported operating or net income.
Foreign Currency Translation
For the foreign subsidiaries of the Company, assets and liabilities are
translated into U.S. dollars using exchange rates as of the balance sheet date,
and income and expenses are translated using the average exchange rates in
effect for the related month. The net effect of these translation adjustments is
reported in accumulated other comprehensive loss within stockholders' equity on
the consolidated balance sheet. Net realized and unrealized gains (losses) from
foreign currency transactions are included in other income (expense), net in the
consolidated statement of income and were $3.2 million, $0.6 million and
$1.0 million for the years ended December 31, 2020, 2019 and 2018, respectively.
Cash and Cash Equivalents
The Company considers all highly liquid investments with maturities of 90 days
or less at the time of purchase to be cash equivalents. Cash equivalents include
money market mutual funds, commercial paper and U.S. government and agency bonds
that are carried at cost, which approximates their fair value. Restricted cash
required to be set aside in connection with
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equipment financings or that serves as collateral for outstanding letters of
credit and bank guarantees is included in other assets and cash and cash
equivalents on the consolidated balance sheet.
Investments in Marketable Securities
Short-term and long-term investment securities consist of certificates of
deposit, commercial paper, U.S. government and agency bonds and corporate bonds.
Theses available-for-sale marketable securities are carried at fair value and
unrealized gains and losses are included as a component of accumulated other
comprehensive income (loss) in stockholders' equity on the consolidated balance
sheet. Investments with a stated maturity date of more than one year from the
balance sheet date and that are not expected to be used in current operations
are classified as long-term investments on the consolidated balance sheet. The
Company reviews investments for other-than-temporary impairment when the fair
value of an investment is less than its amortized cost. If an available-for-sale
security is other than temporarily impaired, the loss is included in other
income (expense), net in the consolidated statement of income.
Accounts Receivable and Allowance for Credit Losses
Trade accounts receivable consist of amounts due from third-party payors,
customers and intermediaries and are presented at amortized cost. The allowance
for credit losses reflects an estimate of losses inherent in the Company's
accounts receivable portfolio determined based on historical experience,
specific allowances for known troubled accounts and other available evidence.
Accounts receivable are written off when management determines they are
uncollectible.
The allowance for credit losses is measured on a collective (pool) basis when
similar risk characteristics exist. The Company has identified the following
portfolio segments and measures the allowance for credit losses using the
following methods:
Direct Customer Receivables-The Company measures expected credit losses on
direct customer receivables using an aging methodology. The risk of loss for
direct customer receivables is higher than other portfolios. The Company relies
on third-party payors to accept and timely process claims and on direct
consumers to have the ability to pay. The estimate of expected credit losses
considers historical credit loss information that is adjusted for current
conditions and supportable forecasts.
Distributor Receivables-The Company measures expected credit losses on
distributor receivables using an individual reserve methodology. The risk of
loss in this portfolio is low based on the Company's historical experience. The
estimate of expected credit losses considers payment history as well as credit
ratings of the distributors, in addition to current conditions and supportable
forecasts.
National Healthcare System Receivables-The Company measures expected credit
losses on national healthcare system receivables using an individual reserve
methodology. The risk of loss in this portfolio is low based on the Company's
historical experience. The estimate of expected credit losses considers
historical credit loss information that is adjusted for current conditions and
supportable forecasts.
Inventories
Inventories are stated at the lower of cost or net realizable value, with cost
determined under the first-in, first-out method. The Company reduces the
carrying value of inventories for those items that are potentially excess,
obsolete or slow-moving based on changes in customer demand, technology
developments or other economic factors in order to state inventories at net
realizable value. Factors influencing these adjustments include inventories on
hand compared to estimated future usage and sales. Work in process is calculated
based upon a buildup of cost based on the stage of production. Manufacturing
variances attributable to abnormally low production are expensed in the period
incurred.
Contract Acquisition Costs
The Company incurs commission costs to obtain a contract related to new customer
starts. These costs are capitalized as contract assets in other assets, net of
the short-term portion included in prepaid and other current assets. Costs to
obtain a contract are amortized as sales and marketing expense on a
straight-line basis over the expected period of benefit, which considers future
product upgrades for which a commission would be paid. These costs are
periodically reviewed for impairment.
Fair Value Measurements
Fair value is defined as the price that would be received from the sale of an
asset or paid to transfer a liability in the principal or most advantageous
market in an orderly transaction between market participants on the measurement
date. When estimating fair value, the Company may use one or all the following
approaches:
•Market approach, which is based on market prices and other information from
market transactions involving identical or comparable assets or liabilities.
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•Cost approach, which is based on the cost to acquire or construct comparable
assets less an allowance for functional and/or economic obsolescence.
•Income approach, which is based on the present value of the future stream of
net cash flows.
To measure fair value of assets and liabilities, the Company uses the following
fair value hierarchy based on three levels of inputs:
Level 1 - observable inputs, such as quoted prices in active markets for
identical assets or liabilities;
Level 2 - significant other observable inputs that are observable either
directly or indirectly;
Level 3 - significant unobservable inputs for which there is little or no market
data, which require the Company to develop its own assumptions.
Certain of the Company's financial instruments, including cash and cash
equivalents, accounts receivable, accounts payable, accrued expenses and other
liabilities are carried at cost, which approximates their fair value because of
their short-term maturity. See Notes 5 and 12 for financial assets and
liabilities held at carrying amount on the consolidated balance sheet and Note 6
for investments measured at fair value on a recurring basis.
Property, Plant and Equipment
Property, plant and equipment is stated at cost less accumulated depreciation.
Major improvements are capitalized, while routine repairs and maintenance are
expensed as incurred. Depreciation for property, plant and equipment, other than
land and construction in progress, is based upon the following estimated useful
lives using the straight-line method:
Building and building improvements                                             20 to 39 years
Leasehold improvements                                         Lesser of lease term or useful
                                                                                life of asset
Machinery and equipment                                                         2 to 15 years
Furniture and fixtures                                                           3 to 5 years


The Company assesses the recoverability of assets whenever events or changes in
circumstances suggest that the carrying value of an asset may not be
recoverable. The Company recognizes an impairment loss if the carrying amount of
a long-lived asset is not recoverable based on its undiscounted future cash
flows. The impairment loss is measured as the difference between the carrying
amount and the fair value of the asset.
Business Combinations
The Company recognizes the assets and liabilities assumed in business
combinations based on their estimated fair values at the date of acquisition.
The Company allocates the purchase price in excess of net tangible assets
acquired to identifiable intangible assets. The Company assesses the fair value
of assets, including intangible assets, using a variety of methods and each
asset is measured at fair value from the perspective of a market participant.
Assets recorded from the perspective of a market participant that are determined
to not have economic use for the Company are expensed immediately. Any excess
purchase price over the fair value of the net tangible and intangible assets
acquired is allocated to goodwill. Transaction costs and restructuring costs
associated with a business combination are expensed as incurred.
Goodwill and Other Intangible Assets
Goodwill represents the excess of the purchase price of an acquired entity over
the amounts assigned to assets and liabilities assumed in a business
combination. The Company performs an assessment of its goodwill for impairment
annually on October 1 or whenever events or changes in circumstances indicate
there might be impairment. Goodwill is evaluated for impairment at the reporting
unit level.
The Company may assess its goodwill for impairment initially using a qualitative
approach to determine whether conditions exist that indicate it is more likely
than not that the fair value of a reporting unit is less than its carrying
value. If management concludes, based on its assessment of relevant events,
facts and circumstances that it is more likely than not that a reporting unit's
carrying value is greater than its fair value, then a quantitative analysis will
be performed to determine if there is any impairment. Alternatively, the Company
may elect to initially perform a quantitative analysis instead of starting with
a qualitative analysis. In performing the quantitative test, the Company
utilizes a two-step approach. The first step compares the carrying value of the
reporting unit to its fair value. If the reporting unit's carrying value exceeds
its fair value, the Company would perform the second step and record an
impairment loss to the extent that the carrying value of the reporting unit's
goodwill exceeds its implied fair value.
Intangible assets acquired in a business combination are recorded at fair value,
while intangible assets acquired in other transactions are recorded at cost and
are stated at cost less accumulated amortization. Intangible assets with finite
useful lives
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are amortized based on the pattern in which the economic benefits of the assets
are estimated to be consumed over the following estimated useful lives of the
assets:
                      Customer relationships     14 years
                      Internal-use software      3 to 5 years
                      Intellectual property      15 years


Amortization expense is included in selling, general and administrative expenses
in the consolidated statement of income. The Company reviews intangible assets
for impairment by comparing the fair value of the assets, estimated using an
income approach, with their carrying value. If the carrying value exceeds the
fair value of the intangible asset, the Company recognizes an impairment equal
to the difference between the carrying value of the asset and the present value
of future cash flows. The Company assesses the remaining useful life and the
recoverability of intangible assets whenever events or circumstances indicate
that the carrying value of an asset may not be recoverable using undiscounted
cash flows.
Cloud Computing Arrangements
The Company capitalizes costs incurred to implement cloud computing arrangements
that are service contracts within other current and non-current assets and
amortizes such costs over the expected term of the hosting arrangement to the
same income statement line as the associated cloud operating expenses. As of
December 31, 2020 and 2019, the Company had net capitalized implementation costs
of $24.2 million and $3.5 million, respectively. Amortization expense recorded
during the period ended December 31, 2020 was $1.4 million and was insignificant
for the period ended December 31, 2019.
Leases
The Company determines if an arrangement includes a lease at inception. Lease
agreements generally have lease and non-lease components, which are accounted
for separately. At lease commencement, the Company recognizes operating lease
liabilities equal to the present value of the lease payments and operating lease
assets representing the right to use the underlying asset for the lease term.
The Company assesses if it is reasonably certain to exercise lease options to
extend or terminate the lease for inclusion or exclusion in the lease term when
the Company measures the lease liability. As the Company's leases do not provide
an implicit rate, the Company uses an incremental borrowing rate based on the
information available at lease commencement in determining the present value of
lease payments. The Company's incremental borrowing rate estimates a secured
rate that reflects the term of the lease, the nature of the underlying asset and
the economic environment. The Company excludes leases with an expected term of
one year or less from recognition on the consolidated balance sheet. Operating
lease assets includes lease payments made prior to lease commencement and
excludes lease incentives and initial direct costs incurred. Lease expense is
recognized on a straight-line basis over the lease term.
Contingencies
The Company records a liability on the consolidated balance sheet for loss
contingencies when a loss is considered probable and the amount can be
reasonably estimated. If the reasonable estimate of a known or probable loss is
a range, and no amount within the range is a better estimate than any other, the
minimum amount of the range is accrued. If a loss is reasonably possible but not
known or probable, and can be reasonably estimated, the estimated loss or range
of loss is disclosed.
Product Warranty
The Company provides a four-year warranty on its PDMs sold in the United States
and Europe and a five-year warranty on PDMs sold in Canada and may replace Pods
that do not function in accordance with product specifications. The Company
estimates its warranty obligation at the time the product is shipped based on
historical experience and the estimated cost to service the claims. Warranty
expense is recorded in cost of revenue in the consolidated statements of income.
Costs to service the claims reflect the current product cost. Since the Company
continues to introduce new products and versions, the anticipated performance of
the product over the warranty period is also considered in estimating warranty
reserves.
Revenue Recognition
Effective January 1, 2018, the Company adopted ASU 2014-09, Revenue from
Contracts with Customers, and its related amendments (collectively referred to
as ASC 606) using the modified retrospective method for all contracts not
completed as of the date of adoption. The cumulate effect of applying the new
revenue standard resulted in a $20.4 million decrease to the opening balance of
accumulated deficit upon adoption, primarily related to how revenue is
recognized for the Company's drug delivery product line and the capitalization
of contract acquisition costs such as commissions.
Revenue is recognized when a customer obtains control of the promised products.
The amount of revenue recognized reflects the consideration the Company expects
to be entitled to receive in exchange for these products. To achieve this core
principle, the Company applies the following five steps:
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•Identify Contracts with Customers. The Company's contracts with its direct
customers generally consist of a physician order form, a customer information
form and, if applicable, third-party insurance (payor) approval. Contracts with
the Company's intermediaries are generally in the form of master service
agreements against which firm purchase orders are issued. At the outset of the
contract, the Company assesses the customer's ability and intention to pay,
which is based on a variety of factors including historical payment experience
or, in the case of a new intermediary, published credit, credit references and
other available financial information pertaining to the customer and, in the
case of a new direct customer, an investigation of insurance eligibility.
•Identify Performance Obligations. The performance obligations in contracts for
the delivery of the Omnipod to new end-users, either directly to end-users or
through intermediaries, primarily consist of the PDM and the initial and
subsequent quantity of Pods ordered. In the Company's judgment, these
performance obligations are capable of being distinct and distinct in the
context of the contract in that the customer can benefit from each item in
conjunction with other readily available resources and the transfer of the PDM
and the Pods is separately identifiable in the contract with the customer.
•Determine Transaction Price. The price charged for the PDM and Pods is
dependent on the Company's pricing as established with third party payors and
intermediaries. The Company provides a right of return for sales of its Omnipod
to end-users and certain of our distributors and wholesalers. The Company also
provides for certain rebates and discounts for sales of its product through
intermediaries. These rights of return, discounts and rebates represent variable
consideration and reduce the transaction price at the outset of the contract
based on the Company's estimates, which are primarily based on the expected
value method using historical and other data (such as product return trends or
forecast sale volumes) related to actual product returns, discounts and rebates
paid in each market in which the Omnipod is sold. Variable consideration is
included in the transaction price if it is probable that a significant future
reversal of cumulative revenue under the contract will not occur; otherwise, the
Company reduces the variable consideration. The variable consideration in the
Company's contracts is not typically constrained and the Company's contracts do
not contain significant financing components.
•Allocate Transaction Price to Performance Obligations. The Company allocates
the transaction price to each performance obligation based on its relative
stand-alone selling price, which is determined based on the price at which the
Company typically sells the deliverable or, if the performance obligation is not
typically sold separately, the stand-alone selling price is estimated based on
cost plus a reasonable profit margin or the price that a third party would
charge for a similar product or service.
•Recognize Revenue as Performance Obligations are Satisfied. The Company
transfers the Omnipod at a point in time, which is determined based on when the
customer gains control of the product. Generally, intermediaries in the U.S.
obtain control upon shipment based on the contractual terms including right to
payment and transfer of title and risk of ownership. For sales directly to
end-users and international intermediaries, control is generally transferred at
the time of delivery based on customary business practices related to risk of
ownership, including transfer of title.
The Company's drug delivery product line includes sales of a modified version of
the Omnipod to pharmaceutical and biotechnology companies who use the Company's
technology as a delivery method for their drugs. For the majority of this
product line, revenue is recognized as the product is produced pursuant to the
customer's firm purchase commitments as the Company has an enforceable right to
payment for performance completed to date and the inventory has no alternative
use to the Company. Judgment is required in the assessment of progress toward
completion of in-process inventory. The Company recognizes revenue over time
using a blend of costs incurred to date relative to total estimated costs at
completion and time incurred to date relative to total production time to
measure progress toward the satisfaction of its performance obligations. The
Company believes that both incurred cost and elapsed time reflect the value
generated, which best depicts the transfer of control to the customer. Contract
costs include third party costs as well as an allocation of manufacturing
overhead.
Shipping and Handling Costs
The Company does not typically charge its customers for shipping and handling
costs associated with shipping its product to its customers unless non-standard
shipping and handling services are requested. These shipping and handling costs
are included in selling, general and administrative expenses and were $10.1
million, $9.7 million and $6.6 million for the years ended December 31, 2020,
2019 and 2018, respectively.
Advertising Costs
The Company expenses advertising costs as they are incurred. Advertising
expenses were $30.0 million, $11.2 million and $10.5 million for the years ended
December 31, 2020, 2019 and 2018, respectively.
Stock-Based Compensation
The Company measures stock-based compensation on the grant date based on the
fair value of the award and recognizes the compensation expense over the
requisite service period, which is generally the vesting period. The amount of
stock-based
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compensation recognized during a period is based on the portion of the awards
that are expected to vest. Forfeitures are estimated at the time of grant and
revised, if necessary, in subsequent periods if actual forfeitures differ from
those estimates.
Income Taxes
The Company recognizes deferred tax assets and liabilities for the expected
future tax consequences of events that have been included in the consolidated
financial statements. Deferred tax assets and liabilities are determined based
on differences between the financial reporting and tax bases of assets and
liabilities and are measured using the enacted tax rates that will be in effect
in the years in which the differences are expected to reverse. The Company
reviews its deferred tax assets for recoverability considering historical
profitability, projected future taxable income, and the expected timing of the
reversals of existing temporary differences and tax planning strategies. A
valuation allowance is provided to reduce the deferred tax assets if, based on
the available evidence, it is more likely than not that some or all the deferred
tax assets will not be realized. The effect of a change in enacted tax rates on
deferred tax assets and liabilities is recognized in income in the period that
includes the enactment date.
Concentration of Credit Risk
Financial instruments that subject the Company to credit risk primarily consist
of cash and cash equivalents, short-term and long-term investments in marketable
securities and accounts receivable. The Company maintains most of its cash, and
short-term and long-term investments with a limited number of financial
institutions that have a high investment grade credit rating.
In addition to manufacturing the Omnipod System, the Company also purchases
Omnipod Systems from two contract manufacturers. As of December 31, 2020,
neither of these vendors represented 10% or more of the combined balance of
accounts payable and accrued expenses and other current liabilities. As of
December 31, 2019, one of these vendors represented 10% of the combined balance
of accounts payable and accrued expenses and other current liabilities. See Note
4 for customer concentration.
Recently Adopted Accounting Standards
Effective January 1, 2020, the Company adopted Accounting Standards Update
("ASU") 2016-13, Credit Losses (Topic 326) ("ASU 2016-13"). ASU 2016-13 requires
financial assets measured at amortized cost, such as the Company's trade
receivables and contract assets, to be presented net of expected credit losses,
which may be estimated based on relevant information such as historical
experience, current conditions and future expectation for each pool of similar
financial assets. The new guidance also requires enhanced disclosures related to
trade receivables and associated credit losses. The Company adopted ASU 2016-13
using the modified retrospective method, whereby the guidance is applied
prospectively as of the date of adoption and prior periods are not restated. The
cumulative effect of adopting ASU 2016-13 resulted in a $1.1 million increase to
the opening balance of accumulated deficit upon adoption related to an increase
in the allowance for credit losses on accounts receivable.
The following table presents the activity in the allowance for credit losses,
which is comprised primarily of our direct consumer receivable portfolio. The
allowance for credit losses of other portfolios is insignificant.
                                                                        

Year Ended


 (in millions)                                                      

December 31, 2020


 Credit losses at the beginning of the year                        $        

3.8


 Effect of adoption                                                         

1.1


 Credit losses at the beginning of the year, after adoption                 

4.9


 Provision for expected credit losses                                       

3.3


 Write-offs charged against allowance                                       

(5.8)


 Recoveries of amounts previously written-off                               

0.5


 Credit losses at the end of the year                              $        

2.9




Effective January 1, 2020, the Company adopted ASU 2017-04, Simplifying the Test
for Goodwill Impairment ("ASU 2017-04"). ASU 2017-04 requires an entity to
measure the impairment of goodwill assigned to a reporting unit as the amount by
which the carrying value of the assets and liabilities of the reporting unit,
including goodwill, exceeds the reporting units' fair value. The adoption of
this guidance had no impact on the consolidated financial statements.
Note 3. Segment and Geographic Data
The Company operates under one reportable segment. Operating segments are
defined as components of an enterprise for which separate financial information
is available that is evaluated on a regular basis by the chief operating
decision-maker ("CODM") in deciding how to allocate resources to an individual
segment and in assessing performance of the segment. The Company has concluded
that its Chief Executive Officer ("CEO") is the CODM as the CEO is the ultimate
decision maker for key operating
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decisions, determining the allocation of resources and assessing the financial
performance of the Company. These decisions, allocations and assessments are
performed by the CODM using consolidated financial information, as the Company's
current product offering primarily consists of the Omnipod System and drug
delivery devices based on the Omnipod platform.
Geographic information about revenue, based on customer location, is as follows:
                           Years Ended December 31,
(in millions)           2020           2019         2018
United States(1)   $   596.4         $ 485.1      $ 391.8
International          308.0           253.1        172.0
Total              $   904.4         $ 738.2      $ 563.8

(1) Includes U.S. Omnipod and Drug Delivery revenues. Geographic information about long-lived assets, net, excluding goodwill and other intangible assets is as follows:


                       As of December 31,
(in millions)           2020            2019
United States     $    409.7          $ 363.0
China                   66.2             35.9
Other                    2.8              0.5
Total             $    478.7          $ 399.4


Note 4. Revenue and Contract Acquisition Costs
The following table summarizes the Company's disaggregated revenues:
                                                Years Ended December 31,
                (in millions)                2020           2019         2018
                U.S. Omnipod            $   526.9         $ 420.4      $ 323.5
                International Omnipod       308.0           253.1        172.0
                Total Omnipod               834.9           673.5        495.5
                Drug Delivery                69.5            64.7         68.3
                Total revenue           $   904.4         $ 738.2      $ 563.8


Revenue for customers comprising 10% or more of total revenue was as follows:
                                                   Years Ended December 31,
                                            2020              2019             2018
Anda, Inc.                                  11%                *                *
Cardinal Health Inc. and affiliates         10%               11%              12%
Amgen, Inc.                                  *                 *               12%


* Represents less than 10% of revenue for the period.
At December 31, 2020, the Company had one customer that accounted for 15% of
consolidated net accounts receivable. No customer accounted for more than 10% of
consolidated net accounts receivable at December 31, 2019.
Deferred revenue related to unsatisfied performance obligations was included in
the following consolidated balance sheet accounts in the amounts shown:
                                                            As of December 

31,


(in millions)                                                 2020          

2019


Accrued expenses and other current liabilities        $      5.4              $ 3.2
Other liabilities                                            1.0                1.0
Total deferred revenue                                $      6.4              $ 4.2

Revenue recognized from amounts included in deferred revenue at the beginning of each respective period was as follows:


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                                            As of December 31,
(in millions)                            2020              2019      2018
Deferred revenue recognized      $               1.8       1.2       2.4


Contract acquisition costs, representing capitalized commission costs related to
new customers, net of amortization, were included in the following consolidated
balance sheet accounts in the amounts shown:
                                                               As of December 31,
(in millions)                                                   2020        

2019


Prepaid expenses and other current assets                $     11.0            $  9.5
Other assets                                                   21.9         

19.9

Total capitalized contract acquisition costs, net $ 32.9

$ 29.4




The Company recognized $10.6 million, $8.8 million, and $6.9 million of
amortization of capitalized contract acquisition costs for the years ended
December 31, 2020, 2019, and 2018, respectively.
The Company had unbilled receivables of $11.6 million and $13.5 million at
December 31, 2020 and 2019, respectively.
Note 5. Cash and Cash Equivalents
The following table provides a summary of cash and cash equivalents as of
December 31, 2020 and 2019 and the level in the fair value hierarchy in which
those measurements fall:
                                                                           As of December 31,
(in millions)                                                           2020                  2019
Cash                                                              $     164.6             $     85.3
Money market mutual funds                                               739.8                  115.5
Commercial paper                                                            -                   10.0
Restricted cash                                                           2.8                    2.9
Total cash and cash equivalents                                         907.2                  213.7
Restricted cash included in other assets                                 14.8                      -

Total cash, cash equivalents, and restricted cash shown in the consolidated statement of cash flows

$     922.0             $    213.7


The restricted cash included in other assets on the consolidated balance sheet
is held as a compensating balance against long-term borrowings.
All cash and cash equivalents are level 1, except for commercial paper, which is
level 2. The fair value of commercial paper was determined using market prices
obtained from third-party pricing sources.
Note 6. Investments
The Company's short-term and long-term investments in debt securities had
maturity dates that range from two months to one year at December 31, 2020.
Realized gains or losses in each of the three years ended December 31, 2020,
2019 and 2018 were insignificant. The following tables provides amortized costs,
gross unrealized gains and losses, fair values and the level in the fair value
hierarchy for the Company's investments at December 31, 2020 and 2019:
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                                                            Gross Unrealized       Gross Unrealized
(in millions)                        Amortized Cost              Gains                  Losses              Fair Value          Level 1           Level 2 (1)
December 31, 2020
U.S. government and agency bonds    $         35.1          $         0.2          $           -          $      35.3          $  35.3          $          -
Corporate bonds                                2.8                    0.1                      -                  2.9                -                   2.9
Certificates of deposit                        2.2                      -                      -                  2.2                -                   2.2
Total short-term investments        $         40.1          $         0.3          $           -          $      40.4          $  35.3          $        5.1

December 31, 2019
U.S. government and agency bonds    $         94.7          $         0.3          $           -          $      95.0          $  85.0          $       10.0
Corporate bonds                               51.0                    0.1                      -                 51.1                -                  51.1
Certificates of deposit                        6.3                      -                      -                  6.3                -                   6.3
Commercial paper                              10.0                      -                      -                 10.0                -                  10.0
Total short-term investments        $        162.0          $         0.4          $           -          $     162.4          $  85.0          $       77.4

U.S. government and agency bonds $ 52.9 $ 0.1

$        (0.1)         $      52.9          $  42.9          $       10.0
Corporate bonds                                2.8                      -                      -                  2.8                -                   2.8
Certificates of deposit                        2.7                      -                      -                  2.7                -                   2.7
Total long-term investments         $         58.4          $         0.1          $        (0.1)         $      58.4          $  42.9          $       15.5


(1) Fair value was determined using market prices obtained from third-party
pricing sources.
Note 7. Inventories
At the end of each period, inventories were comprised of the following:
                           As of December 31,
(in millions)               2020            2019
Raw materials         $     30.7          $  23.3
Work-in-process             59.6             40.3
Finished goods              64.0             37.4
  Total inventories   $    154.3          $ 101.0


Note 8. Property, Plant and Equipment, Net
Property, plant and equipment at cost and accumulated depreciation were as
follows:
                                                          As of December 31,
            (in millions)                                  2020            2019
            Land                                     $      2.5          $   2.5
            Building and building improvements            147.3            116.9
            Machinery and equipment                       318.7            194.8
            Furniture and fixtures                         14.8             12.7
            Leasehold improvements                          4.4              1.6
            Construction in process                       119.6            161.5
            Total property, plant and equipment           607.3            490.0
            Less: accumulated depreciation               (128.6)           (90.6)
            Property, plant and equipment, net       $    478.7          $ 399.4


Depreciation expense related to property and equipment was $38.0 million, $25.2
million and $13.8 million for the years ended December 31, 2020, 2019 and 2018,
respectively. Construction in process primarily consists of manufacturing
equipment located at the Company's U.S. manufacturing facility in Acton,
Massachusetts and new contract manufacturer in China, most of which is expected
to be placed into service during 2021.
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Note 9. Goodwill and Other Intangible Assets, Net
Goodwill
The changes in the carrying amount of goodwill for 2020 and 2019 were as
follows:
                                      Years Ended December 31,
(in millions)                             2020                 2019
Beginning balance              $       39.8                  $ 39.6

Foreign currency adjustment               -                     0.2
Ending balance                 $       39.8                  $ 39.8

Intangible Assets, Net The gross carrying amount, accumulated amortization and net book value of intangible assets at the end of each period were as follows:


                                                                                         As of December 31,
                                                                2020                                                            2019
                                     Gross Carrying          Accumulated             Net Book         Gross Carrying          Accumulated            Net Book
(in millions)                            Amount              Amortization             Value               Amount             Amortization             Value
Customer relationships (1)           $      43.3          $         (18.3)         $    25.0          $       9.9          $         (2.8)         $     7.1
Internal-use software                       11.4                     (8.6)               2.8                 12.0                    (6.8)               5.2
Intellectual property                        1.1                     (0.2)               0.9                  1.0                    (0.1)               0.9
Total intangible assets              $      55.8          $         (27.1)         $    28.7          $      22.9          $         (9.7)         $    13.2


(1) Includes customer relationships acquired from the Company's former European
distributor. See Note 13.
Intangible asset amortization expense was $17.4 million, $2.7 million and $1.8
million for the years ended December 31, 2020, 2019 and 2018, respectively.
Amortization expense associated with the intangible assets included on the
Company's consolidated balance sheet as of December 31, 2020 is expected to be
as follows:
Years Ending December 31,         (in millions)
2021                             $          6.5
2022                                        5.1
2023                                        3.9
2024                                        3.0
2025                                        2.3



Note 10. Accrued Expenses and Other Current Liabilities
The components of accrued expenses and other current liabilities were as
follows:
                                                             As of December 31,
     (in millions)                                            2020            2019

     Employee compensation and related costs            $     53.1

$ 45.8


     Professional and consulting services                     19.1         

   19.3
     Accrued rebates                                          13.1              7.5
     Supplier purchases                                        7.1              2.4

     Value added taxes payable                                 5.0         

1.8


     Other                                                    40.7         

26.4

Accrued expenses and other current liabilities $ 138.1 $ 103.2


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Reconciliations of the changes in the Company's product warranty liability were
as follows:
                                                                    Years Ended December 31,
(in millions)                                                       2020                  2019
Product warranty liability at beginning of year               $         8.5          $       6.4
Warranty expense                                                       10.7                 13.4
Warranty claims settled                                               (12.5)               (11.3)
Product warranty liability at end of year                     $         6.7 

$ 8.5




Note 11. Leases
As of December 31, 2020, the Company leased certain office spaces, laboratory
space, warehouse space and automobiles, all of which were classified as
operating leases. Certain of the Company's operating leases include escalating
rental payments, some include the option to extend, and some include options to
terminate the leases at certain times within the lease term. As of December 31,
2020, the Company included options to extend certain leases for 5 years in the
measurement of the lease liability.
As of December 31, 2020, operating lease assets and operating lease liabilities
were included in the following consolidated balance sheet accounts in the
amounts shown:
                                                           Years Ended December 31,
 (in millions)                                                 2020                 2019
 Operating lease asset:
 Other assets                                       $       14.9                  $ 16.1

Operating lease liabilities:


 Accrued expenses and other current liabilities     $        4.9

$ 3.6


 Other liabilities                                          12.0                    14.4
   Total operating lease liabilities                $       16.9                  $ 18.0


The Company's total operating lease cost was $5.4 million and $4.3 million for
the years ended December 31, 2020 and 2019, respectively. Total rental expense
was $3.3 million for the year ended December 31, 2018. Cash paid for amounts
included in the measurement of lease liabilities was $4.6 million and $3.6
million for the years ended December 31, 2020 and 2019, respectively. Operating
lease liabilities arising from obtaining operating lease assets was $2.5 million
and $9.8 million for the years ended December 31, 2020 and 2019, respectively.
Maturities of lease liabilities as of December 31, 2020 are as follows:
         Years Ending December 31,                              (in millions)
         2021                                                  $          5.6
         2022                                                             5.4
         2023                                                             2.9
         2024                                                             2.8
         2025                                                             1.9
         Thereafter                                                       0.1
           Total future minimum lease payments                           18.7
         Less: imputed interest                                          (1.8)
           Present value of future minimum lease payments      $         16.9


As of December 31, 2020, the weighted average remaining lease term for operating
leases was 3.8 years and the weighted-average discount rate used to determine
the operating lease liability was 5.6%.
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Note 12. Debt
The components of debt consisted of the following:
                                                          As of December 

31,


(in millions)                                             2020           

2019


1.375% Convertible Senior Notes, due November 2024    $     402.5      $ 402.5
0.375% Convertible Senior Notes, due September 2026         800.0        800.0
Equipment financing, due May 2024                            22.2           

-


Equipment financing, due November 2025                       36.4           

-


5.15% Mortgage, due November 2025                            69.7            -
Unamortized debt discount                                  (252.5)      (294.8)
Debt issuance costs                                         (19.0)       (19.8)
Total debt                                                1,059.3        887.9
Less: current portion                                        15.6            -
Total long term-debt                                  $   1,043.7      $ 887.9


1.375% Convertible Senior Notes
In November 2017, the Company issued and sold $402.5 million in aggregate
principal amount of 1.375% Convertible Senior Notes, due November 15, 2024 (the
"1.375% Notes"). The notes are convertible into the Company's common stock at an
initial conversion rate of 10.7315 shares of common stock per $1,000 principal
amount of the notes, which is equivalent to a conversion price of $93.18 per
share, subject to adjustment under certain circumstances. The notes will be
convertible August 15, 2024 through November 13, 2024 and prior to then only
under certain circumstances.
The Company recorded a debt discount of $120.7 million related to the 1.375%
Notes resulting from the allocation of a portion of the proceeds to the fair
value of the conversion feature reflecting a nonconvertible debt borrowing rate
of 6.8% per annum. The Company also incurred debt issuance costs and other
expenses of $10.9 million, of which $3.3 million was recorded as a reduction to
the value of the conversion feature allocated to equity. The remaining $7.6
million of debt issuance costs was recorded as a reduction of debt on the
consolidated balance sheet.
Additional interest of 0.5% per annum is payable if the Company fails to timely
file required documents or reports with the SEC. If the Company merges or
consolidates with a foreign entity, the Company may be required to pay
additional taxes. The Company determined that the higher interest payments and
tax payments required in certain circumstances were embedded derivatives that
should be bifurcated and accounted for at fair value. The Company assessed the
value of the embedded derivatives at each balance sheet date and determined it
had nominal value.
0.375% Convertible Senior Notes
In September 2019, the Company issued $800.0 million aggregate principal amount
of 0.375% Convertible Senior Notes due September 2026 (the "0.375% Notes"). The
notes are convertible into the Company's common stock at an initial conversion
rate of 4.4105 shares of common stock per $1,000 principal amount of the notes,
which is equivalent to a conversion price of $226.73 per share, subject to
adjustment under certain circumstances. The notes will be convertible June 1,
2026 through August 28, 2026 and prior to then under certain circumstances.
The Company recorded a debt discount of $213.0 million related to the 0.375%
Notes resulting from the allocation of a portion of the proceeds to the fair
value of the conversion feature reflecting a nonconvertible debt borrowing rate
of 5.29% per annum. The Company also incurred debt issuance costs and other
expenses of $19.8 million, of which $5.3 million was recorded as a reduction to
the value of the conversion feature allocated to equity. The remaining $14.5
million of debt issuance costs was recorded as a reduction of debt on the
consolidated balance sheet. The net proceeds of $780.2 million were used to fund
the redemption of the Company's 1.25% Convertible Senior Notes due September
2021 (the "1.25% Notes") and to purchase capped call options ("Capped Calls"),
both of which are discussed below.
Additional interest of 0.5% per annum is payable if the Company fails to timely
file required documents or reports with the Securities and Exchange Commission
("SEC"). If the Company merges or consolidates with a foreign entity, the
Company may be required to pay additional taxes. The Company determined that the
higher interest payments and tax payments required in certain circumstances were
embedded derivatives that should be bifurcated and accounted for at fair value.
The Company assessed the value of the embedded derivatives at each balance sheet
date and determined it had nominal value.
In conjunction with the issuance of the 0.375% Notes, the Company paid $85.4
million to enter into Capped Calls on the Company's common stock with certain
counterparties, which was recorded as a reduction to additional paid-in capital
on the
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consolidated balance sheet. By entering into the Capped Calls, the Company
expects to reduce the potential dilution to its common stock (or, in the event
the conversion is settled in cash, to provide a source of cash to settle a
portion of its cash payment obligation) in the event that at the time of
conversion its stock price exceeds the conversion price under the 0.375% Notes.
The Capped Calls have an initial strike price of $335.90 per share, which
represents a premium of 100% over the last reported sale price of the Company's
common stock of $167.95 per share on the date of the transaction. The Capped
Calls cover 3.5 million shares of common stock.
1.25% Convertible Senior Notes
In 2019, the Company repurchased its $345.0 million principal amount ($312.0
million net of discount and issuance costs) 1.25% Notes for total consideration
of $963.0 million comprised of $663.6 million in cash and $299.4 million
representing the fair value of the 1.87 million shares issued. The Company
allocated $642.3 million of the settlement to the fair value of the equity
component and $320.7 million to the debt component, which resulted in an $8.7
million loss on extinguishment.
2% Convertible Senior Notes
In 2017, the Company repurchased $63.4 million in principal of its 2%
Convertible Senior Notes due June 2019 (the "2% Notes"). The Company called the
remaining 2% Notes in 2018 and settled the outstanding principal and conversion
feature for $6.7 million in cash. The Company allocated $3.2 million of the
settlement to the fair value of the equity component and $3.5 million to the
debt component, which was consistent with the carrying value of the notes as of
the settlement date, resulting in no gain or loss on extinguishment.
Equipment Financings
In October 2020, the Company entered into a Master Equipment Lease Agreement for
a loan of $60.0 million secured by two manufacturing lines located at the
Company's Acton, Massachusetts manufacturing facility. The loan for the first
manufacturing line is payable over 42 months and has an effective interest rate
of 5.8%. The loan for the second manufacturing line is payable over 60 months
and has an effective interest rate of 4.8%.
5.15% Mortgage
In October 2020, the Company entered into a Mortgage Loan Agreement (the
"Mortgage"), which provides for a $70.0 million loan with an effective interest
rate of 5.7%. Proceeds under the Mortgage are secured by the Company's Acton,
Massachusetts headquarters. The Mortgage is repayable in monthly installments of
$0.5 million, with the outstanding principal balance of the loan due in November
2025. The Mortgage contains customary covenants, none of which are considered
restrictive to the Company's operations.
Maturity of Debt
The maturity of debt as of December 31, 2020 is as follows:
Years Ending December 31,         (in millions)
2021                             $         15.6
2022                                       15.9
2023                                       16.7
2024                                      415.4
2025                                       67.2


Fair Value
The carrying amount and the estimated fair value of the Company's convertible
debt, which is based on the Level 2 quoted market prices as of December 31, 2020
and 2019 are as follows:
                                                            As of December 31,
                                                 2020                               2019
                                     Carrying         Estimated         Carrying         Estimated
(in millions)                         Value        Fair Value (1)        Value        Fair Value (1)
1.375% Convertible Senior Notes     $  323.9      $       1,104.2      $  306.9      $         512.8
0.375% Convertible Senior Notes        609.2                902.0         581.0                840.0
Total                               $  933.1      $       2,006.2      $  887.9      $       1,352.8

(1) Fair value was determined using the Company's quoted stock price and contractual conversion rate.


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The Mortgage and equipment financings carrying values of $69.7 million and
$58.6 million, respectively, approximate their fair values.
Note 13. Commitments and Contingencies
Legal Proceedings
Between May 5, 2015 and June 16, 2015, three class action lawsuits were filed by
shareholders in the U.S. District Court, for the District of Massachusetts,
against the Company and certain then current and former executives of the
Company. Two suits subsequently were voluntarily dismissed. Arkansas Teacher
Retirement System v. Insulet, et al., 1:15-cv-12345, ("ATRS") alleged that the
Company (and certain then current and former executives) committed violations of
Sections 10(b) and 20(a) and Rule 10b-5 of the Securities Exchange Act of 1934
by making allegedly false and misleading statements about the Company's
business, operations, and prospects. On February 8, 2018, the parties executed a
binding stipulation of settlement, under which all claims were released, and a
payment was made into an escrow account for the plaintiffs and the class they
purport to represent. On August 6, 2018, the Court issued an order approving the
settlement, but took the plaintiffs' motion for fees and expenses under
advisement, which motion remains pending. The Company had previously accrued
fees and expenses in connection with this matter for the amount of the final
settlement liability that was not covered by insurance, the amount of which was
not material to the Company's consolidated financial statements.
In addition, on April 26, 2017, a derivative action (Walker v. DeSisto, et al.,
1:17-cv-10738) ("Walker") was filed, and on October 13, 2017, a second
derivative action (Carnazza v. DeSisto, et al., 1:17-cv-11977) ("Carnazza") was
filed, both on behalf of the Company, each by a shareholder in the U.S. District
Court for the District of Massachusetts against the Company (as a nominal
defendant) and certain individual then current and former officers and directors
of the Company. The allegations in the actions are substantially similar to
those alleged in the securities class action. The actions seek, among other
things, damages, disgorgement of certain types of compensation or profits, and
attorneys' fees and costs. On July 11, 2018, the parties executed a binding
stipulation of settlement, under which all claims were released, and a payment
of attorneys' fees and reimbursement of expenses will be paid to plaintiffs'
counsel, subject to the Court's approval. On July 13, 2018, the plaintiffs filed
a motion for preliminary approval of the settlement, which is pending. The
Company expects that such fees and expenses payable to plaintiff's counsel will
be covered by the Company's insurance.
In June 2020, Roche Diabetes Care, Inc. ("Roche") filed a patent infringement
lawsuit against the Company in the United States District Court for the District
of Delaware alleging that the Company's manufacture and sale of its Omnipod
Insulin Management System, Omnipod Starter Kit and Omnipod 10 Pod Pack in the
United States infringed Roche's now-expired U.S. Patent 7,931,613. Roche is
seeking monetary damages and attorneys' fees and costs. Since the patent expired
in 2019, Roche is not seeking injunctive relief and the lawsuit will have no
impact on ongoing sales of the Company's products. The Company believes that it
has meritorious defenses to Roche's claims and intends to vigorously defend
against them. The court has set a trial date of July 25, 2022. At this time,
based on available information regarding this litigation, the Company is unable
to reasonably assess the ultimate outcome of this case or determine an estimate,
or range of estimates, of potential losses, which could be material.
In July 2020, the Company filed a patent infringement claim against Roche
Diabetes Care Limited ("Roche Ltd.") in the United Kingdom alleging that Roche
Ltd.'s manufacture and sale of the Accu-Chek® Solo insulin pump and its
consumable components infringes European Patent No. 1 335 764 in the United
Kingdom. The Company is seeking an injunction to last until expiry of the patent
and monetary damages. Roche Ltd. has responded to the complaint and argues that
the patent is invalid and not infringed.
The Company is, from time to time, involved in the normal course of business in
various legal proceedings, including intellectual property, contract, employment
and product liability suits. Other than as described above, the Company does not
expect the outcome of these proceedings, either individually or in the
aggregate, to have a material adverse effect on its results of operations.
Fees to Former European Distributor
Following the expiration of an agreement with a former European distributor on
June 30, 2018, the Company was required to pay a quarterly per-unit fee for
Omnipod sales to certain customers of the former European distributor for a
one-year period through June 30, 2019. The Company recognized a liability and an
associated intangible asset for this fee as qualifying sales occurred. The
methodology applicable for determining the total fee under the distribution
agreement was subject to an arbitration proceeding in Switzerland. In December
2020, Insulet entered into a settlement agreement with the former distributor
pursuant to which the Company paid the distributor an additional one-time
payment of $36.2 million, for a total fee of $41.2 million, representing the
cost to acquire the customer relationships. This amount was recorded as an
intangible asset on the consolidated balance sheet. Since the customer
relationships were acquired on July 1, 2018, the Company recorded cumulative
amortization in the amount of $14.6 million during the fourth quarter of 2020,
as if the total fee for the intangible
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asset had been amortized since the acquisition date.

Note 14. Stock-Based Compensation
Equity Award Plan
In May 2017, the Company adopted the 2017 Stock Option and Incentive Plan (the
"2017 Plan"), which replaced its previous stock option and incentive plan (the
"2007 Plan"). The 2017 Plan provides for a maximum of 5.2 million shares to be
issued, in addition to the number of shares related to awards outstanding under
the 2007 Plan that are terminated by expiration, forfeiture or cancellation. The
shares can be issued as stock options, restricted stock units, stock
appreciation rights, deferred stock awards, restricted stock, unrestricted
stock, cash-based awards, performance share awards or dividend equivalent
rights. As of December 31, 2020, 3.6 million shares remain available for future
issuance under the 2017 Plan.
Stock-Based Compensation
Compensation cost related to stock-based awards recognized for the years ended
December 31, 2020, 2019 and 2018 was recorded as follows:
                                                        Year Ended December 31,
         (in millions)                                2020            2019        2018
         Cost of revenue                        $     1.2           $  1.0      $  0.8
         Research and development                    10.9              9.1         8.2
         Selling, general and administrative         23.8             18.6        28.5
         Total                                  $    35.9           $ 28.7      $ 37.5


Stock Options
Options are granted to purchase common shares at prices that are equal to the
fair market value of the shares on the date the options are granted. Options
generally vest in equal annual installments over a period of four years and
expire 10 years after the date of grant. The grant-date fair value of options,
adjusted for estimated forfeitures, is recognized as expense on a straight-line
basis over the requisite service period, which is generally the vesting period.
The following summarizes the activity under the Company's stock option plans:
                                                                                             Weighted Average             Aggregate
                                                                                                 Remaining                Intrinsic
                                             Number of             Weighted Average          Contractual Term               Value
                                              Options               Exercise Price              (in years)              (in millions)
Outstanding at December 31, 2019             1,729,512            $          45.39
Granted                                         68,832            $         202.18
Exercised                                     (674,542)           $          38.39                                    $        115.9
Forfeited and canceled                         (45,314)           $          89.64
Outstanding at December 31, 2020             1,078,488            $          57.99                  5.4               $        213.2
Vested, December 31, 2020                      868,407            $          43.33                  4.8               $        184.4
Vested or expected to vest, December
31, 2020                                     1,056,479            $          56.36                  5.4               $        210.5


The aggregate intrinsic value of options exercised for the years ended December
31, 2019 and 2018 was $119.2 million and $23.5 million, respectively.
The Company uses the Black-Scholes pricing model to determine the fair value of
options granted. The calculation of the fair value of stock options is affected
by the stock price on the grant date, the expected volatility of the Company's
stock over the expected term of the award, the expected life of the award, the
risk-free interest rate and the dividend yield. The assumptions used in the
Black-Scholes pricing model for options granted during each year, along with the
weighted-average grant-date fair values, were as follows:
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                                                       Years Ended December 31,
                                              2020               2019               2018
   Risk-free interest rate                 0.3% - 1.4%        1.8% - 2.6%        2.2% - 2.9%
   Expected life of options (in years)         4.5             4.4 - 4.8          4.5 - 5.4
   Dividend yield                              -%                 -%                 -%
   Expected stock price volatility        39.5% - 41.7%      40.1% - 40.5%      38.7% - 40.7%
   Fair value per option                 $    69.90         $       34.98      $       30.34


As of December 31, 2020, there was $6.7 million of unrecognized compensation
cost related to non-vested stock options. This cost is expected to be recognized
over a weighted average period of 2.5 years.
Restricted Stock Units
Restricted Stock Units ("RSUs") generally vest in equal annual installments over
a three-year period, however during the fourth quarter of 2020, the Company
issued a company-wide grant, a significant portion of which immediately vested.
The grant-date fair value of RSUs, adjusted for estimated forfeitures, is
recognized as expense on a straight-line basis over the requisite service
period, which is generally the vesting period. The Company determines the fair
value of restricted stock units based on the closing price of its common stock
on the date of grant.
RSU activity is as follows:
                                                        Weighted
                                      Number of          Average
                                        Shares         Fair Value

Outstanding at December 31, 2019 352,287 $ 83.44 Granted

                               137,647              211.77
Vested                               (206,257)             100.29
Forfeited                             (23,990)             120.64

Outstanding at December 31, 2020 259,687 $ 134.90




The weighted-average grant-date fair value per share of RSUs granted
was $96.62 and $76.03 for the years ended December 31, 2019 and 2018,
respectively. The total fair value of RSUs vested was $20.7 million, $11.6
million and $14.7 million for the years ended December 31, 2020, 2019 and 2018,
respectively.
As of December 31, 2020, there was $22.5 million of unrecognized compensation
cost related to time-based RSUs, which is expected to be recognized over a
weighted-average period of 1.8 years.
Performance Stock Units
Performance stock units ("PSUs") generally vest over a three-year period from
the grant date and include both a service and performance component. Stock-based
payments that contain performance conditions are recognized when such conditions
are probable of being achieved. Certain of these performance stock units could
ultimately vest at up to 200% of the target award depending on the achievement
of the performance criteria.
PSU activity is as follows:
                                                           Weighted
                                         Number of          Average
                                           Shares         Fair Value

Outstanding at December 31, 2019 299,156 $ 73.35 Granted

                                  141,942              202.23
Vested                                  (187,660)              48.66
Forfeited                                (23,349)             105.58

Outstanding at December 31, 2020 (1) 230,089 $ 110.63




(1) Based on 154% achievement of the performance metrics,
approximately 83,000 shares of Insulet were earned for awards that were granted
in 2018 for the performance period ended December 31, 2020. These shares vested
in February 2021.
The weighted-average grant-date fair value per share of PSUs granted
was $95.91 and $75.07 for the years ended December 31, 2019 and 2018,
respectively. The total fair value of PSUs vested was $9.1 million, $3.2
million and $7.6 million for the years ended December 31, 2020, 2019 and 2018,
respectively.
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As of December 31, 2020, there was $12.4 million of unrecognized compensation
cost related to PSUs, which is expected to be recognized over a weighted-average
period of 1.9 years.
Employee Stock Purchase Plan
The Employee Stock Purchase Plan ("ESPP") authorizes the issuance of up to
880,000 shares of common stock to participating employees. Employees that
participate in the Company's ESPP may annually purchase up to a maximum of 800
shares per offering period or $25,000 worth of common stock by authorizing
payroll deductions of up to 10% of their base salary. The purchase price for
each share purchased is 85% of the lower of the fair market value of the common
stock on the first or last day of the offering period. The Company issued
38,313, 51,502 and 46,343 shares of common stock for the years ended December
31, 2020, 2019 and 2018, respectively, to employees participating in the ESPP.
As of December 31, 2020, 508,762 shares remain available for future issuance
under the ESPP Plan.
The Company uses the Black-Scholes pricing model to determine the fair value of
shares purchased under the ESPP. The calculation of the fair value of shares
purchased is affected by the stock price on the purchase date, the expected
volatility of the Company's stock over the expected term, the risk-free interest
rate and the dividend yield. The estimated fair value of shares purchased under
the ESPP were based on the following assumptions:
                                                                                 Years Ended December 31,
                                                              2020                          2019                         2018
Risk-free interest rate                                   0.1% - 0.2%                   1.6% - 2.3%                   2.1% - 2.5%
Expected term (in years)                                      0.5                           0.5                           0.5
Dividend yield                                                 -%                            -%                           -%
Expected stock price volatility                          29.7% - 38.5%                 27.5% - 31.4%                 23.4% - 27.0%


The weighted average grant date fair value of the six-month option inherent in
the ESPP was $55.10, $46.30, and $26.01, for the years ended December 31, 2020,
2019 and 2018, respectively.
As of December 31, 2020, there was $1.0 million of unrecognized compensation
cost related to the ESPP. This cost is expected to be recognized over a weighted
average period of 0.4 years.
Note 15. Accumulated Other Comprehensive Income (Loss)
Changes in the components of accumulated other comprehensive income (loss), net
of tax, were as follows:
                                                                                    Unrealized (Losses)
                                                          Foreign Currency               Gains on                Accumulated Other
                                                            Translation             Available-for-sale          Comprehensive Income
(in millions)                                                Adjustment                 Securities                     (Loss)
Balance, December 31, 2017                              $               -          $             (0.5)         $              (0.5)
Other comprehensive loss                                             (2.2)                       (0.2)                        (2.4)

Balance, December 31, 2018                                           (2.2)                       (0.7)                        (2.9)
Other comprehensive income                                            0.6                         1.1                          1.7

Balance, December 31, 2019                                           (1.6)                        0.4                         (1.2)
Other comprehensive income (loss)                                     6.8                        (0.1)                         6.7

Balance, December 31, 2020                              $             5.2          $              0.3          $               5.5



Note 16. Defined Contribution Plan
The Company maintains a tax-qualified 401(k) retirement plan in the United
States. The Company generally makes a matching contribution equal to 50% of each
employee's elective contribution to the plan up to 6% of the employee's eligible
pay. In addition, the Company offers defined contribution plans for eligible
employees in its foreign subsidiaries. The total amount contributed by the
Company to these defined contribution plans was $5.4 million, $5.3 million and
$3.6 million for the years ended December 31, 2020, 2019 and 2018, respectively.
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Note 17. Interest Expense, Net
Interest expense, net of portion capitalized was as follows:
                                                           Years Ended December 31,
    (in millions)                                        2020             2019        2018
    Contractual interest                           $     9.5            $  9.5      $  9.8
    Accretion of debt discount                          42.3              

32.8 26.7


    Amortization of debt issuance costs                  2.9               

2.8 2.6


    Capitalized interest                                (6.6)            

(10.5) (10.2)


    Interest expense, net of portion capitalized        48.1              34.6        28.9
    Interest income                                     (3.0)             (6.9)       (7.6)
    Interest expense, net                          $    45.1            $ 27.7      $ 21.3



Note 18. Income Taxes
The U.S. and foreign components of income before income taxes were as follows:
                                                   Years Ended December 31,
             (in millions)                       2020             2019        2018
             U.S.                          $    (1.6)           $  2.5      $ (3.0)
             Foreign                            11.3              12.0         8.2
             Income before income taxes    $     9.7            $ 14.5

$ 5.2

Income tax expense consists of the following:


                                                 Years Ended December 31,
               (in millions)                    2020             2019       2018
               Current:
               U.S. State               $     0.2               $ 0.2      $ 0.2
               Foreign                        4.0                 3.4        2.1
               Total current expense          4.2                 3.6        2.3
               Deferred:
               U.S. Federal                     -                (0.1)         -

               Foreign                       (1.3)               (0.6)      (0.4)
               Total deferred expense        (1.3)               (0.7)      (0.4)
               Income tax expense       $     2.9               $ 2.9      $ 1.9


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Reconciliations of the federal statutory income rate to the Company's effective
income tax rate are as follows:
                                                        Years Ended December 31,
                                                    2020                 2019          2018
  U.S. statutory rate                                      21.0  %       21.0  %       21.0  %
  Foreign rate differential                                 7.0           4.2          (2.4)
  State taxes, net of federal benefit                       1.3           1.3           2.9
  Tax credits                                             (40.5)        

(15.4) (13.7)


  Stock-based compensation                               (311.1)       

(158.7) (159.1)


  Loss on extinguishment of debt                              -          14.8             -
  Non-deductible officers' compensation                    30.0           

1.9 81.3


  Permanent items                                           2.1           

3.0 16.8


  Foreign income taxed in the U.S.                        (21.0)         

19.0 26.1


  Change in valuation allowance                           336.2         130.6          67.0
  Other                                                     4.6          (1.9)         (2.9)
  Effective income tax rate                                29.6  %       19.8  %       37.0  %


As of December 31, 2020, 2019 and 2018 the Company had no uncertain tax
positions.
No provision for income taxes has been provided on undistributed earnings of the
Company's foreign subsidiaries, except for Canada, because such earnings are
indefinitely reinvested in the foreign operations. The Company has recorded a
deferred tax liability for withholding tax that could be incurred upon
repatriation of earnings from its Canadian subsidiary, the amount of which is
not significant. A deferred tax liability related to the repatriation of
approximately $24.3 million indefinitely reinvested earnings would not be
material to the Company's consolidated financial statements, primarily due to
treaty-based withholding tax rates in the jurisdictions in which the Company
operates.
The Company files federal, state and foreign tax returns, which are subject to
examination by the relevant tax authorities. The tax filings relating to the
Company's U.S. federal and state tax returns are currently open to examination
for tax years 2017 through 2019. The Company is currently under exam in Ontario,
Canada. There are no uncertain tax positions or adjustments associated with the
exam at this time. In addition, the Company's U.S. net operating loss
carryforwards from 2001 and forward may be subject to examination if the losses
are utilized in future years.
Interest and penalties are classified as a component of income tax expense and
were not material for any period presented.
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The components of the net deferred tax asset at the end of each year are as
follows:
                                                         As of December 31,
(in millions)                                             2020            2019
Deferred tax assets:
Net operating loss carryforwards                    $    173.8          $ 144.6
Tax credits                                               21.3             15.2
Capital loss carryforwards                                12.2             12.7
Stock-based compensation                                   5.8              8.9
Other                                                     15.4             13.8
Total deferred tax assets                                228.5            195.2
Deferred tax liabilities:
Prepaid assets                                            (3.5)            (2.1)
Depreciation and amortization                             (6.9)            (2.2)
Amortization of debt discount                            (60.6)           (73.4)
Capitalized contract acquisition costs                    (7.5)            

(7.1)


Other                                                     (4.6)            

(5.0)


Total deferred tax liabilities                           (83.1)           

(89.8)


Net deferred tax asset before valuation allowance        145.4            105.4
Valuation allowance                                     (143.4)          (104.4)
Net deferred tax asset                              $      2.0          $   1.0


The Company maintained a valuation allowance of $143.4 million and $104.4
million at December 31, 2020 and 2019, respectively, against U.S. federal and
state deferred tax assets, as management has determined that it is
more-likely-than-not that these net deferred tax assets will not be realized.
The valuation allowance is based on cumulative tax losses in the U.S. and the
uncertainty of generating future taxable income in the U.S. to utilize our loss
and credit carryforwards. The $39.0 million increase in the Company's valuation
allowance during the year ended December 31, 2020 was primarily due to
current-year net operating losses in the U.S.
The Company's net operating loss carryforwards consist of the following:
                                          Years Ended December 31,
                 (in millions)               2020                 2019
                 U.S. Federal      $       732.4                $ 607.4
                 State             $       341.3                $ 298.8
                 Foreign           $         5.4                $     -


For U.S. federal tax purposes, $192.1 million of the net operating losses have
an indefinite carryforward period. The remaining U.S. federal carryforwards, if
not utilized, will begin to expire in 2021 and will continue to expire through
2037, and the state net operating loss carryforwards expire through 2040. The
utilization of such net operating loss carryforwards and the realization of tax
benefits in future years depends predominantly upon the Company's ability to
generate taxable income in the U.S. Research and development and other tax
credits were $22.8 million and $16.1 million at December 31, 2020 and 2019,
respectively. If not utilized, federal research and development credits will
begin to expire in 2022. These loss and credit carryforwards, which may be
utilized in a future period, may be subject to limitations based on changes in
the ownership of the Company ordinary shares.
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Note 19. Net Income Per Share
Basic net income per share is computed by dividing net income by the weighted
average number of common shares outstanding for the period. Diluted net income
per share is computed using the weighted average number of common shares
outstanding and, when dilutive, common share equivalents from outstanding stock
options and restricted stock units (using the treasury-stock method), and
potential common shares from the Company's convertible notes (using the
if-converted method). The weighted-average number of common shares used in the
computation of basic and diluted net income per share were as follow:
                                                                           Years Ended December 31,
(in thousands)                                             2020                       2019                      2018
Weighted average number of common shares                    64,735                    60,594                     58,860
outstanding, basic
Stock options                                                1,025                     1,487                      1,678
Restricted stock units                                         186                       223                        470

Weighted average number of common shares                    65,946                    62,304                     61,008

outstanding, diluted




The number of common share equivalents excluded from the computation of diluted
net income per share because either the effect would have been anti-dilutive, or
the performance criteria related to the units had not yet been met, were as
follows:
                                              Years Ended December 31,
(in thousands)                       2020                2019               2018

1.25% Convertible Senior Notes         -                   -                

5,911


1.375% Convertible Senior Notes    4,319               4,319                

4,319


0.375% Convertible Senior Notes    3,528               3,528                

-


Unvested restricted stock units      282                 431                  290
Outstanding stock options             58                  13                  237

Total                              8,187               8,291               10,757



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