Table of Contents
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Form 10-Q
 _____________________________________________________
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 20202021
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File Number 001-33462

INSULET CORPORATION
(Exact name of Registrant as specified in its charter)

Delaware 04-3523891
(State or Other Jurisdiction of
Incorporation or Organization)
 (I.R.S. Employer
Identification No.)
100 Nagog ParkActonMassachusetts 01720
(Address of Principal Executive Offices) (Zip Code)
Registrant’s Telephone Number, Including Area Code: (978) 600-7000

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes       No  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes      No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act. 
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 Par Value Per SharePODDThe NASDAQ Stock Market, LLC

As of July 30, 2020,2021, the registrant had 65,650,52868,873,869 shares of common stock outstanding.




TABLE OF CONTENTS
 
Condensed Consolidated Statements of Comprehensive(Loss)Income (Unaudited) for the three and six months ended June 30, 20202021 and 20192020


Table of Contents
PART I - FINANCIAL INFORMATION
Item 1.Condensed Consolidated Financial Statements (Unaudited)
INSULET CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
(in millions, except share and per share data)(in millions, except share and per share data)June 30, 2020December 31, 2019(in millions, except share and per share data)June 30, 2021December 31, 2020
ASSETSASSETSASSETS
Current AssetsCurrent AssetsCurrent Assets
Cash and cash equivalentsCash and cash equivalents$779.1  $213.7  Cash and cash equivalents$854.6 $907.2 
Short-term investmentsShort-term investments65.3  162.4  Short-term investments17.5 40.4 
Accounts receivable trade, less allowance for credit losses of $4.6 and $3.878.0  69.3  
Accounts receivable trade, less allowance for credit losses of $3.7 and $2.9 (Note 16)Accounts receivable trade, less allowance for credit losses of $3.7 and $2.9 (Note 16)100.3 83.8 
InventoriesInventories103.7  101.0  Inventories197.8 154.3 
Prepaid expenses and other current assetsPrepaid expenses and other current assets59.6  44.6  Prepaid expenses and other current assets82.7 63.0 
Total current assetsTotal current assets1,085.7  591.0  Total current assets1,252.9 1,248.7 
Long-term investments23.5  58.4  
Property, plant and equipment, netProperty, plant and equipment, net423.2  399.4  Property, plant and equipment, net505.5 478.7 
Other intangible assets, netOther intangible assets, net10.9  13.2  Other intangible assets, net33.4 28.7 
GoodwillGoodwill39.6  39.8  Goodwill39.9 39.8 
Other assetsOther assets43.8  41.1  Other assets92.0 77.0 
Total assetsTotal assets$1,626.7  $1,142.9  Total assets$1,923.7 $1,872.9 
LIABILITIES AND STOCKHOLDERS’ EQUITYLIABILITIES AND STOCKHOLDERS’ EQUITYLIABILITIES AND STOCKHOLDERS’ EQUITY
Current LiabilitiesCurrent LiabilitiesCurrent Liabilities
Accounts payableAccounts payable$35.6  $54.5  Accounts payable$49.3 $54.1 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities98.8  103.2  Accrued expenses and other current liabilities143.1 138.1 
Current portion of long-term debtCurrent portion of long-term debt20.9 15.6 
Total current liabilitiesTotal current liabilities134.4  157.7  Total current liabilities213.3 207.8 
Convertible debt, net910.2  887.9  
Long-term debt, netLong-term debt, net1,235.2 1,043.7 
Other liabilitiesOther liabilities18.8  21.4  Other liabilities16.1 17.8 
Total liabilitiesTotal liabilities1,063.4  1,067.0  Total liabilities1,464.6 1,269.3 
Commitments and contingencies (Note 9)
Commitments and contingencies (Note 10)Commitments and contingencies (Note 10)00
Stockholders’ EquityStockholders’ EquityStockholders’ Equity
Preferred stock, $.001 par value, 5,000,000 authorized; NaN issued and outstandingPreferred stock, $.001 par value, 5,000,000 authorized; NaN issued and outstanding—  —  Preferred stock, $.001 par value, 5,000,000 authorized; NaN issued and outstanding
Common stock, $.001 par value, 100,000,000 authorized; 65,604,347 and 62,685,492 issued and outstanding0.1  0.1  
Common stock, $.001 par value, 100,000,000 authorized; 68,610,078 and 66,017,444 issued and outstandingCommon stock, $.001 par value, 100,000,000 authorized; 68,610,078 and 66,017,444 issued and outstanding0.1 0.1 
Additional paid-in capitalAdditional paid-in capital1,227.6  749.0  Additional paid-in capital1,149.6 1,264.3 
Accumulated deficitAccumulated deficit(660.8) (672.0) Accumulated deficit(691.3)(666.3)
Accumulated other comprehensive loss(3.6) (1.2) 
Accumulated other comprehensive incomeAccumulated other comprehensive income0.7 5.5 
Total stockholders’ equityTotal stockholders’ equity563.3  75.9  Total stockholders’ equity459.1 603.6 
Total liabilities and stockholders’ equityTotal liabilities and stockholders’ equity$1,626.7  $1,142.9  Total liabilities and stockholders’ equity$1,923.7 $1,872.9 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INSULET CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
 
Three Months Ended June 30,Six Months Ended June 30, Three Months Ended June 30,Six Months Ended June 30,
(in millions, except share and per share data)(in millions, except share and per share data)2020201920202019(in millions, except share and per share data)2021202020212020
Revenue$226.3  $177.1  $424.3  $336.7  
Revenue (Related Party Transactions Note 16)Revenue (Related Party Transactions Note 16)$263.2 $226.3 $515.5 $424.3 
Cost of revenueCost of revenue83.8  60.7  154.9  113.6  Cost of revenue80.5 83.8 165.3 154.9 
Gross profitGross profit142.5  116.4  269.4  223.1  Gross profit182.7 142.5 350.2 269.4 
Research and development expensesResearch and development expenses34.2  33.0  69.7  65.5  Research and development expenses40.1 34.2 80.8 69.7 
Selling, general and administrative expensesSelling, general and administrative expenses80.8  75.8  164.7  142.7  Selling, general and administrative expenses116.3 80.8 226.8 164.7 
Operating incomeOperating income27.5  7.6  35.0  14.9  Operating income26.3 27.5 42.6 35.0 
Interest expense, netInterest expense, net(11.1) (5.8) (21.2) (10.6) Interest expense, net(16.4)(11.1)(29.8)(21.2)
Other income, net1.0  0.1  1.0  2.3  
Income before income taxes17.4  1.9  14.8  6.6  
Income tax expense(3.0) (0.5) (2.5) (0.8) 
Net income$14.4  $1.4  $12.3  $5.8  
Loss on extinguishment of debtLoss on extinguishment of debt(40.1)(40.1)
Other income (expense), netOther income (expense), net1.8 1.0 (0.8)1.0 
(Loss) income before income taxes(Loss) income before income taxes(28.4)17.4 (28.1)14.8 
Income tax benefit (expense)Income tax benefit (expense)3.4 (3.0)3.1 (2.5)
Net (loss) incomeNet (loss) income$(25.0)$14.4 $(25.0)$12.3 
Net income per share:
Net (loss) income per share:Net (loss) income per share:
BasicBasic$0.22  $0.02  $0.19  $0.10  Basic$(0.37)$0.22 $(0.38)$0.19 
DilutedDiluted$0.22  $0.02  $0.19  $0.09  Diluted$(0.37)$0.22 $(0.38)$0.19 
Weighted-average number of common shares outstanding:
Weighted-average number of common shares outstanding (in thousands):Weighted-average number of common shares outstanding (in thousands):
BasicBasic64,370,791  59,844,991  63,627,231  59,601,365  Basic66,696 64,371 66,406 63,627 
DilutedDiluted65,578,513  61,486,325  64,970,187  61,332,451  Diluted66,696 65,579 66,406 64,970 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INSULET CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
(UNAUDITED)
 Three Months Ended June 30,Six months ended June 30,
(in millions)2020201920202019
Net income$14.4  $1.4  $12.3  $5.8  
Other comprehensive income (loss), net of tax:
Currency translation adjustment0.6  (0.4) (2.8) (1.2) 
Unrealized (loss) gain on available-for-sale debt securities(0.4) 0.7  0.4  1.3  
Total other comprehensive income (loss), net of tax0.2  0.3  (2.4) 0.1  
Comprehensive income$14.6  $1.7  $9.9  $5.9  
 Three Months Ended June 30,Six Months Ended June 30,
(in millions)2021202020212020
Net (loss) income$(25.0)$14.4 $(25.0)$12.3 
Other comprehensive (loss) income, net of tax:
Foreign currency translation adjustment(1.8)0.6 (3.9)(2.8)
Unrealized loss on cash flow hedges(0.6)(0.6)
Unrealized gain (loss) on available-for-sale debt securities, net of tax(0.1)(0.4)(0.3)0.4 
Total other comprehensive (loss) income, net of tax(2.5)0.2 (4.8)(2.4)
Comprehensive (loss) income$(27.5)$14.6 $(29.8)$9.9 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INSULET CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(UNAUDITED)

Three Months Ended June 30, 20202021
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive LossTotal
Shareholders’
Equity
(in millions, except share data)SharesAmount
Balance at March 31, 202063,057,874  $0.1  $737.9  $(675.2) $(3.8) $59.0  
Issuance of common stock2,369,668  —  477.5  —  —  477.5  
Exercise of options to purchase common stock131,542.0  —  5.1  —  —  5.1  
Issuance of employee stock purchase plan18,685  —  2.9  —  —  2.9  
Stock-based compensation—  —  5.8  —  —  5.8  
Restricted stock units vested, net of shares withheld for taxes26,578  —  (1.6) —  —  (1.6) 
Net income—  —  —  14.4  —  14.4  
Other comprehensive income—  —  —  —  0.2  0.2  
Balance at June 30, 202065,604,347  $0.1  $1,227.6  $(660.8) $(3.6) $563.3  
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive IncomeTotal
Shareholders’
Equity
(dollars in millions)Shares
(in thousands)
Amount
Balance at March 31, 202166,213 $0.1 $1,248.3 $(666.3)$3.2 $585.3 
Exercise of options to purchase common stock121 — 4.7 — — 4.7 
Issuance of shares for employee stock purchase plan17 — 3.8 — — 3.8 
Stock-based compensation expense— — 9.0 — — 9.0 
Restricted stock units vested, net of shares withheld for taxes17 — (1.2)— — (1.2)
Extinguishment of conversion feature on 1.375% Notes, net of issuance costs— — (737.7)— — (737.7)
Issuance of shares for debt repayment2,242 — 622.7 — 622.7 
Net loss— — — (25.0)— (25.0)
Other comprehensive loss— — — — (2.5)(2.5)
Balance at June 30, 202168,610 $0.1 $1,149.6 $(691.3)$0.7 $459.1 

Three Months Ended June 30, 20192020
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive LossTotal
Shareholders’
Equity
(in millions, except share data)SharesAmount
Balance at March 31, 201959,638,439  $0.1  $905.8  $(679.2) $(3.1) $223.6  
Exercise of options to purchase common stock447,214  —  14.6  —  —  14.6  
Issuance for employee stock purchase plan27,613  —  2.0  —  —  2.0  
Stock-based compensation—  —  8.3  —  —  8.3  
Restricted stock units vested, net of shares withheld for taxes36,660  —  (0.4) —  —  (0.4) 
Net income—  —  —  1.4  —  1.4  
Other comprehensive income—  —  —  —  0.3  0.3  
Balance at June 30, 201960,149,926  $0.1  $930.3  $(677.8) $(2.8) $249.8  
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive LossTotal
Shareholders’
Equity
(dollars in millions)Shares
(in thousands)
Amount
Balance at March 31, 202063,058 $0.1 $737.9 $(675.2)$(3.8)$59.0 
Issuance of common stock2,370 — 477.5 — — 477.5 
Exercise of options to purchase common stock131 — 5.1 — — 5.1 
Issuance of shares for employee stock purchase plan19 — 2.9 — — 2.9 
Stock-based compensation expense— — 5.8 — — 5.8 
Restricted stock units vested, net of shares withheld for taxes26 — (1.6)— — (1.6)
Net income— — — 14.4 — 14.4 
Other comprehensive income— — — — 0.2 0.2 
Balance at June 30, 202065,604 $0.1 $1,227.6 $(660.8)$(3.6)$563.3 


The accompanying notes are an integral part of these condensed consolidated financial statements.
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Table of Contents
Six Months Ended June 30, 2020
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive LossTotal
Shareholders’
Equity
(in millions, except share data)SharesAmount
Balance at December 31, 201962,685,492  $0.1  $749.0  $(672.0) $(1.2) $75.9  
Adoption of ASU 2016-13 (Note 1)—  —  —  (1.1) —  (1.1) 
Issuance of common stock2,369,668  —  477.5  —  —  477.5  
Exercise of options to purchase common stock304,374  —  11.3  —  —  11.3  
Issuance for employee stock purchase plan18,685  —  2.9  —  —  2.9  
Stock-based compensation—  —  13.7  —  —  13.7  
Restricted stock units vested, net of shares withheld for taxes226,128  —  (26.8) —  —  (26.8) 
Net income—  —  —  12.3  —  12.3  
Other comprehensive loss—  —  —  —  (2.4) (2.4) 
Balance at June 30, 202065,604,347  $0.1  $1,227.6  $(660.8) $(3.6) $563.3  

Six Months Ended June 30, 2019
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive LossTotal
Shareholders’
Equity
(in millions, except share data)SharesAmount
Balance at December 31, 201859,188,758  $0.1  $898.5  $(683.6) $(2.9) $212.1  
Exercise of options to purchase common stock716,687  —  23.6  —  —  23.6  
Issuance for employee stock purchase plan27,613  —  2.0  —  —  2.0  
Stock-based compensation—  —  14.1  —  —  14.1  
Restricted stock units vested, net of shares withheld for taxes216,868  —  (7.9) —  —  (7.9) 
Net income—  —  —  5.8  —  5.8  
Other comprehensive income—  —  —  —  0.1  0.1  
Balance at June 30, 201960,149,926  $0.1  $930.3  $(677.8) $(2.8) $249.8  








The accompanying notes are an integral part of these condensed consolidated financial statements.
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Six Months Ended June 30, 2021
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive IncomeTotal
Shareholders’
Equity
(dollars in millions)Shares
(in thousands)
Amount
Balance at December 31, 202066,017 $0.1 $1,264.3 $(666.3)$5.5 $603.6 
Exercise of options to purchase common stock164 — 6.2 — — 6.2 
Issuance of shares for employee stock purchase plan17 — 3.8 — — 3.8 
Stock-based compensation expense— — 17.6 — — 17.6 
Restricted stock units vested, net of shares withheld for taxes170 — (27.3)— — (27.3)
Extinguishment of conversion feature on 1.375% Notes, net of issuance costs— — (737.7)— — (737.7)
Issuance of shares for debt extinguishment2,242 — 622.7 — — 622.7 
Net loss— — — (25.0)— (25.0)
Other comprehensive loss— — — (4.8)(4.8)
Balance at June 30, 202168,610 $0.1 $1,149.6 $(691.3)$0.7 $459.1 

Six Months Ended June 30, 2020
 Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated Other Comprehensive LossTotal
Shareholders’
Equity
(dollars in millions)Shares
(in thousands)
Amount
Balance at December 31, 201962,685 $0.1 $749.0 $(672.0)$(1.2)$75.9 
Adoption of ASU 2016-13 (1)
— — — (1.1)— (1.1)
Issuance of common stock2,370 — 477.5 — — 477.5 
Exercise of options to purchase common stock304 — 11.3 — — 11.3 
Issuance of shares for employee stock purchase plan19 — 2.9 — — 2.9 
Stock-based compensation expense— — 13.7 — — 13.7 
Restricted stock units vested, net of shares withheld for taxes226 — (26.8)— — (26.8)
Net income— — — 12.3 — 12.3 
Other comprehensive loss— — — — (2.4)(2.4)
Balance at June 30, 202065,604 $0.1 $1,227.6 $(660.8)$(3.6)$563.3 
(1) The Company recorded a cumulative effect adjustment to retained earnings to reflect the adoption of Accounting Standards Update 2016-13, Credit Losses (Topic 326). Refer to Note 2 of Item 8 of our Annual Report on Form 10-K for the year ended December 31, 2020.
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INSULET CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)
Six Months Ended June 30,Six Months Ended June 30,
(in millions)(in millions)20202019(in millions)20212020
Cash flows from operating activitiesCash flows from operating activitiesCash flows from operating activities
Net income$12.3  $5.8  
Net (loss) incomeNet (loss) income$(25.0)$12.3 
Adjustments to reconcile net income to net cash provided by operating activities:Adjustments to reconcile net income to net cash provided by operating activities:Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortizationDepreciation and amortization18.8  11.0  Depreciation and amortization28.0 18.8 
Non-cash interest22.3  15.4  
Stock-based compensation13.7  14.1  
Non-cash interest expenseNon-cash interest expense23.5 22.3 
Stock-based compensation expenseStock-based compensation expense17.6 13.7 
Loss on extinguishment of debtLoss on extinguishment of debt40.1 
Provision for credit lossesProvision for credit losses2.6  2.0  Provision for credit losses2.1 2.6 
OtherOther—  (0.6) Other1.1 
Changes in operating assets and liabilities:Changes in operating assets and liabilities:Changes in operating assets and liabilities:
Accounts receivableAccounts receivable(13.8) (7.0) Accounts receivable(19.5)(13.8)
InventoriesInventories(2.8) (14.0) Inventories(45.0)(2.8)
Prepaid expenses and other assetsPrepaid expenses and other assets(14.0) (1.5) Prepaid expenses and other assets(30.0)(14.0)
Accounts payable, accrued expenses and other current liabilities(13.9) (3.5) 
Other liabilities(2.4) (1.3) 
Net cash provided by operating activities22.8  20.4  
Accounts payableAccounts payable(4.4)(9.8)
Accrued expenses and other liabilitiesAccrued expenses and other liabilities(5.3)(6.5)
Net cash (used in) provided by operating activitiesNet cash (used in) provided by operating activities(16.8)22.8 
Cash flows from investing activitiesCash flows from investing activitiesCash flows from investing activities
Capital expendituresCapital expenditures(51.7) (91.9) Capital expenditures(52.8)(51.7)
Acquisition of intangible assetsAcquisition of intangible assets(0.5) (5.0) Acquisition of intangible assets(3.8)(0.5)
Purchases of investmentsPurchases of investments(37.9) (39.1) Purchases of investments(37.9)
Receipts from the maturity or sale of investmentsReceipts from the maturity or sale of investments170.7  104.2  Receipts from the maturity or sale of investments22.5 170.7 
Net cash provided by (used in) investing activitiesNet cash provided by (used in) investing activities80.6  (31.8) Net cash provided by (used in) investing activities(34.1)80.6 
Cash flows from financing activitiesCash flows from financing activitiesCash flows from financing activities
Proceeds from issuance of debt, netProceeds from issuance of debt, net489.5 
Payment of debt issuance costsPayment of debt issuance costs(4.0)
Repayment of convertible debtRepayment of convertible debt(460.8)
Repayment of equipment financingsRepayment of equipment financings(6.4)
Repayment of mortgageRepayment of mortgage(1.0)
Proceeds from issuance of common stock, net of issuance costsProceeds from issuance of common stock, net of issuance costs477.5  —  Proceeds from issuance of common stock, net of issuance costs477.5 
Proceeds from exercise of stock options and issuance of common stock under employee stock purchase planProceeds from exercise of stock options and issuance of common stock under employee stock purchase plan14.2  25.6  Proceeds from exercise of stock options and issuance of common stock under employee stock purchase plan10.0 14.2 
Payment of withholding taxes in connection with vesting of restricted stock unitsPayment of withholding taxes in connection with vesting of restricted stock units(26.8) (7.9) Payment of withholding taxes in connection with vesting of restricted stock units(27.3)(26.8)
Net cash provided by financing activities464.9  17.7  
Net cash (used in) provided by financing activitiesNet cash (used in) provided by financing activities464.9 
Effect of exchange rate changes on cashEffect of exchange rate changes on cash(2.9) (0.3) Effect of exchange rate changes on cash(1.7)(2.9)
Net increase in cash, cash equivalents and restricted cash565.4  6.0  
Cash, cash equivalents and restricted cash at beginning of period213.7  113.9  
Cash, cash equivalents and restricted cash at end of period$779.1  $119.9  
Net (decrease) increase in cash, cash equivalents and restricted cashNet (decrease) increase in cash, cash equivalents and restricted cash(52.6)565.4 
Cash, cash equivalents and restricted cash at beginning of period (Note 3)Cash, cash equivalents and restricted cash at beginning of period (Note 3)922.0 213.7 
Cash, cash equivalents and restricted cash at end of period (Note 3)Cash, cash equivalents and restricted cash at end of period (Note 3)$869.4 $779.1 
Supplemental cash flow information:
Supplemental noncash information:Supplemental noncash information:
Purchases of property and equipment included in accounts payable and accrued expensesPurchases of property and equipment included in accounts payable and accrued expenses$4.5  $3.0  Purchases of property and equipment included in accounts payable and accrued expenses$5.6 $4.5 
Purchases of intangible assets included in accounts payable and accrued expensesPurchases of intangible assets included in accounts payable and accrued expenses$3.5 $
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INSULET CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
Note 1. Basis of Presentation and Summary of Significant Accounting Policies
Basis of Presentation
The accompanying financial statements reflect the consolidated operations of Insulet Corporation and its subsidiaries (“Insulet” or the “Company”). The unaudited 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 amounts 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. In management’s opinion, the unaudited consolidated financial statements contain all normal recurring adjustments necessary for a fair statement of the interim results reported. Operating results for the three and six months ended June 30, 20202021 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2020,2021, or for any other subsequent interim period.
The year-end balance sheet data was derived from audited consolidated financial statements. These unaudited consolidated financial statements do not include all of the annual disclosures required by GAAP; accordingly, they should be read in conjunction with the Company’s audited consolidated financial statements contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.2020.
Accounts ReceivableCloud Computing Arrangements
As of June 30, 2021 and AllowanceDecember 31, 2020, the Company had net capitalized implementation costs of $44.5 million and $24.2 million, respectively. Amortization expense recorded for Credit Losses
Trade accounts receivable consist of amounts due from third-party payors, customersthe three months ended June 30, 2021 and intermediaries2020 was $0.8 million and are presented at amortized cost. The allowance$0.2 million, respectively, and $1.3 million and $0.5 million 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 accountssix months ended June 30, 2021 and other available evidence. Accounts receivable are written off when management determines they are uncollectable.
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.2020, respectively.
Shipping and Handling Costs
Shipping and handling costs are included in selling, general and administrative expenses and were $1.9$2.6 million and $2.3$1.9 million for the three months ended June 30, 20202021 and 2019,2020, respectively, and were $3.8$4.7 million and $4.9$3.8 million for the six months ended June 30, 2021 and 2020, and 2019, respectively.
Derivative Instruments
The Company is exposed to certain risks relating to its business operations. Risks that relate to interest rate exposure are managed by using interest rate swaps. The Company recognizes derivative instruments as either assets or liabilities at fair value on the consolidated balance sheet. Changes in a derivative financial instrument’s fair value are recognized in earnings unless specific hedge criteria are met, in which case changes in fair value are recognized as adjustments to other comprehensive income. The Company has designated its interest rate swap contracts as cash flow hedges.
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. 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; and
Level 3—significant unobservable inputs for which there are little or no market data, which require the Company to develop its own assumptions.
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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 3 and 8 for financial assets and liabilities held at carrying amount on the consolidated balance sheet and Note 4 for investments measured at fair value on a recurring basis.
Reclassification
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Table of Prior Period AmountsContents
Certain reclassifications have been made to prior period amounts to conform to the current period financial statement presentation. A portion of facilityAdvertising Costs
The Company expenses advertising costs and certain information technology costs have been allocated from selling, general and administrative to research and developmentas they are incurred. Advertising expenses based on square foot and system usage, respectively. In addition, 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 $0.7$12.0 million and $1.3$2.9 million increase to research and development expenses and a corresponding decrease to selling, general and administrative expenses for the three months ended June 30, 2021 and 2020, respectively, and were $21.4 million and $5.6 million for the six months ended June 30, 2021 and 2020, respectively. There was no change to previously reported operating or net income. Further, the Company reclassified the $1.6 million change in unbilled receivables from the change in accounts and unbilled receivables to the change in prepaid expenses and other assets in the prior year statement of cash flows. This reclassification had no effect on previously reported net cash provided by operating activities.respectively.
Recently Adopted Accounting Standards
Effective January 1, 2020,2021, the Company adopted Accounting Standards Update (“ASU”("ASU") 2016-13,2019-12, Credit LossesIncome Taxes (Topic 326)740): Simplifying the Accounting for Income Taxes (“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 increase2019-12 eliminates certain exceptions in the allowancecurrent guidance regarding the approach for credit losses on accounts receivable.
The following table presentsintraperiod tax allocations, the activitymethodology for calculating income taxes in an interim period and the allowancerecognition of deferred tax liabilities for credit losses for the three and six months ended June 30, 2020, comprised primarily of our direct consumer receivable portfolio. The allowance for credit losses of other portfolios is insignificant.
(in millions)Three Months Ended June 30, 2020Six Months Ended June 30, 2020
Credit losses at the beginning of the period$4.1  $3.8  
Effect of adoption—  1.1  
Credit losses at the beginning of the period after adoption4.1  4.9  
Provision for expected credit losses2.0  2.6  
Write-offs charged against allowance(1.6) (3.1) 
Recoveries of amounts previously written-off0.1  0.2  
Credit losses at the end of the period$4.6  $4.6  
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.outside basis differences. The adoption of this guidance had nodid not have a significant impact on theour consolidated financial statements.
Note 2. Revenue and Contract Acquisition Costs
The following table summarizes the Company’s disaggregated revenues:revenue:
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,Six Months Ended June 30,
(in millions)(in millions)2020201920202019(in millions)2021202020212020
U.S. OmnipodU.S. Omnipod$128.8  $98.1  $245.4  $184.2  U.S. Omnipod$150.5 $128.8 $293.8 $245.4 
International OmnipodInternational Omnipod73.2  62.7  146.3  119.6  International Omnipod91.6 73.2 181.5 146.3 
Total OmnipodTotal Omnipod202.0  160.8  391.7  303.8  Total Omnipod242.1 202.0 475.3 391.7 
Drug DeliveryDrug Delivery24.3  16.3  32.6  32.9  Drug Delivery21.1 24.3 40.2 32.6 
Total$226.3  $177.1  $424.3  $336.7  
Total revenueTotal revenue$263.2 $226.3 $515.5 $424.3 
During both the three and six months ended June 30, 2020, the Company had two customers that represented 21% of total revenue. During the three and six months ended June 30, 2019,2021, the Company had one customertwo customers that in aggregate represented 12%26% and 25% of total revenue, respectively. During both the three and six months ended June 30, 2020, the Company had two customers that in aggregate represented 21% of total revenue, respectively.revenue.
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TableAt June 30, 2021, the Company had two customers that in aggregate accounted for 26% of Contents
consolidated net accounts receivable, compared with one customer that accounted for 15% of consolidated net accounts receivable at December 31, 2020.
Deferred revenue related to unsatisfied performance obligations was included in the following consolidated balance sheet accounts in the amounts shown:
(in millions)(in millions)June 30, 2020December 31, 2019(in millions)June 30, 2021December 31, 2020
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities$5.0  $3.2  Accrued expenses and other current liabilities$3.2 $5.4 
Other liabilitiesOther liabilities0.9  1.0  Other liabilities1.4 1.0 
Total deferred revenueTotal deferred revenue$5.9  $4.2  Total deferred revenue$4.6 $6.4 
Revenue recognized duringDuring the three and six months ended June 30, 2021 and 2020, the Company recognized $0.2 million and $0.1 million of revenue, respectively, that was included in deferred revenue at the beginning of 2020 was $0.1 million and $1.6 million, respectively. Revenue recognized duringeach period. During the three and six months ended June 30, 20192021 and 2020, the Company recognized $3.9 million and $1.6 million of revenue, respectively, that was included in deferred revenue at the beginning of 2019 was $0.2 million and $1.1 million, respectively.each period.
Contract acquisition costs, representing capitalized commission costs related to new customers, net of amortization, were included in the following consolidated balance sheet captions in the amounts shown:
(in millions)June 30, 2020December 31, 2019
Prepaid expenses and other current assets$9.9  $9.5  
Other assets19.7  19.9  
Total capitalized contract acquisition costs, net$29.6  $29.4  
The Company had unbilled receivables of $22.3 million and $13.5 million at June 30, 2020 and December 31, 2019, respectively.
(in millions)June 30, 2021December 31, 2020
Prepaid expenses and other current assets$12.3 $11.0 
Other assets24.4 21.9 
Total capitalized contract acquisition costs, net$36.7 $32.9 
The Company recognized $3.0 million and $2.6 million of amortization of capitalized contract acquisition costs during the three months ended June 30, 2021 and 2020, respectively. The Company recognized $6.0 million and $5.1 million of amortization of capitalized contract acquisition costs during the three and six months ended June 30, 2021 and 2020, respectively.
The Company recognized $2.1had unbilled receivables of $18.0 million and $4.1$11.6 million of amortization of capitalized contract acquisition costs during the three and six months endedat June 30, 2019,2021 and December 31, 2020, respectively.
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Note 3. Cash and Cash Equivalents
The following table provides a summary of cash and cash equivalents:
(in millions)June 30, 2021December 31, 2020
Cash$238.9 $164.6 
Money market mutual funds612.9 739.8 
Restricted cash2.8 2.8 
Total cash and cash equivalents854.6 907.2 
Restricted cash included in other assets14.8 14.8 
Total cash, cash equivalents, and restricted cash shown in the consolidated statements of cash flows$869.4 $922.0 
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 and the levelare Level 1 in the fair value hierarchy in which those measurements fall:hierarchy.
June 30, 2020December 31, 2019
(in millions)TotalLevel 1Level 2TotalLevel 1
Level 2 (1)
Cash$470.3  $470.3  $—  $85.3  $85.3  $—  
Money market mutual funds305.9  305.9  —  115.5  115.5  —  
Commercial paper—  —  —  10.0  —  10.0  
Restricted cash2.9  2.9  —  2.9  2.9  —  
Total cash and cash equivalents$779.1  $779.1  $—  $213.7  $203.7  $10.0  
(1) Fair value was determined using market prices obtained from third-party pricing sources.
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Note 4. Investments
The Company’s short-term and long-term investments in debt securities had maturity dates that range from one month to two yearssix months at June 30, 20202021. Realized gains or losses for both the three and six months ended June 30, 20202021 and 20192020 were insignificant.
The following table provides amortized costs, gross unrealized gains and losses, fair values and the level in the fair value hierarchy for the Company’s investments at June 30, 2020 and December 31, 2019:investments:
(in millions)(in millions)Amortized CostGross Unrealized GainsGross Unrealized LossesFair ValueLevel 1
Level 2 (1)
(in millions)Amortized CostGross Unrealized GainsFair ValueLevel 1
Level 2 (1)
June 30, 2020
June 30, 2021June 30, 2021
U.S. government and agency bondsU.S. government and agency bonds$60.1  $0.5  $—  $60.6  $60.6  $—  U.S. government and agency bonds$15.0 $$15.0 $15.0 $
Corporate bondsCorporate bonds0.8  —  —  0.8  —  0.8  Corporate bonds2.0 2.0 2.0 
Certificates of depositCertificates of deposit3.9  —  —  3.9  —  3.9  Certificates of deposit0.5 0.5 0.5 
Commercial Paper—  —  —  —  —  —  
Total short-term investmentsTotal short-term investments$64.8  $0.5  $—  $65.3  $60.6  $4.7  Total short-term investments$17.5 $$17.5 $15.0 $2.5 
December 31, 2020December 31, 2020
U.S. government and agency bondsU.S. government and agency bonds$20.7  $0.3  $—  $21.0  $15.4  $5.6  U.S. government and agency bonds$35.1 $0.2 $35.3 $35.3 $
Corporate bondsCorporate bonds2.0  —  —  2.0  —  2.0  Corporate bonds2.8 0.1 2.9 2.9 
Certificates of depositCertificates of deposit0.5  —  —  0.5  —  0.5  Certificates of deposit2.2 2.2 2.2 
Total long-term investments$23.2  $0.3  $—  $23.5  $15.4  $8.1  
December 31, 2019
U.S. government and agency bonds$94.7  $0.3  $—  $95.0  $85.0  $10.0  
Corporate bonds51.0  0.1  —  51.1  —  51.1  
Certificates of deposit6.3  —  —  6.3  —  6.3  
Commercial Paper10.0  —  —  10.0  —  10.0  
Total short-term investmentsTotal short-term investments$162.0  $0.4  $—  $162.4  $85.0  $77.4  Total short-term investments$40.1 $0.3 $40.4 $35.3 $5.1 
U.S. government and agency bonds$52.9  $0.1  $(0.1) $52.9  $42.9  $10.0  
Corporate bonds2.8  —  —  2.8  —  2.8  
Certificates of deposit2.7  —  —  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 5. Inventories
At the end of each period, inventories were comprised of the following:
(in millions)(in millions)June 30, 2020December 31, 2019(in millions)June 30, 2021December 31, 2020
Raw materialsRaw materials$33.7  $23.3  Raw materials$45.7 $30.7 
Work-in-processWork-in-process37.2  40.3  Work-in-process40.1 59.6 
Finished goodsFinished goods32.8  37.4  Finished goods112.0 64.0 
Total inventories Total inventories$103.7  $101.0   Total inventories$197.8 $154.3 
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Note 6. Goodwill and Other Intangible Assets, Net
The change in the carrying amount of goodwill for the six months ended June 30, 20202021 was as follows:
(in millions)
Goodwill at December 31, 20192020$39.8 
Foreign currency translation(0.2)0.1 
Goodwill at June 30, 20202021$39.639.9 
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The gross carrying amount, accumulated amortization and net book value of intangible assets at the end of each period were as follows:
June 30, 2020December 31, 2019
(in millions)Gross Carrying AmountAccumulated AmortizationNet Book
Value
Gross Carrying AmountAccumulated AmortizationNet Book
Value
Customer relationships (1)
$9.9  $(3.3) $6.6  $9.9  $(2.8) $7.1  
Internal-use software11.2  (7.8) 3.4  12.0  (6.8) 5.2  
Intellectual property1.0  (0.1) 0.9  1.0  (0.1) 0.9  
Total$22.1  $(11.2) $10.9  $22.9  $(9.7) $13.2  
(1) Includes customer relationships acquired from the Company’s former European distributor. See Note 9.
June 30, 2021December 31, 2020
(in millions)Gross
Carrying Amount
Accumulated AmortizationNet
Book Value
Gross
Carrying Amount
Accumulated AmortizationNet
Book Value
Customer relationships$43.4 $(20.9)$22.5 $43.3 $(18.3)$25.0 
Internal-use software19.0 (9.5)9.5 11.4 (8.6)2.8 
Intellectual property1.6 (0.2)1.4 1.1 (0.2)0.9 
Total intangible assets$64.0 $(30.6)$33.4 $55.8 $(27.1)$28.7 
Amortization expense for intangible assets was $0.7$1.8 million and $0.6$0.7 million for the three months ended June 30, 20202021 and 2019,2020, respectively. Amortization expense for intangible assets was $1.5$3.5 million and $1.2$1.5 million for the six months ended June 30, 2021 and 2020, and 2019, respectively. Amortization expense associated with intangible assets included on the Company’s balance sheet as of June 30, 2020 is expected to be as follows:
Years Ending December 31,(in millions)
2020 (remaining)$1.3  
20212.2  
20221.6  
20231.2  
20241.1  
Thereafter3.5  
     Total$10.9  
Note 7. Accrued Expenses and Other Current Liabilities
The components of accrued expenses and other current liabilities were as follows:
(in millions)(in millions)June 30, 2020December 31, 2019(in millions)June 30, 2021December 31, 2020
Employee compensation and related costsEmployee compensation and related costs$32.6  $45.9  Employee compensation and related costs$49.3 $53.1 
Professional and consulting servicesProfessional and consulting services22.9 19.1 
Accrued rebatesAccrued rebates10.3  7.5  Accrued rebates20.6 13.1 
Supplier purchasesSupplier purchases4.7  2.4  Supplier purchases4.5 7.1 
Value added taxes payableValue added taxes payable3.9  1.8  Value added taxes payable2.9 5.0 
Deferred revenue5.0  3.2  
Income taxes payableIncome taxes payable2.1 5.0 
Accrued interestAccrued interest1.2 1.8 
OtherOther42.3  42.4  Other39.6 33.9 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities$98.8  $103.2  Accrued expenses and other current liabilities$143.1 $138.1 
Product Warranty Costs
The Company provides a four-year warranty on Personal Diabetes Managers (“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. 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. Warranty expense is recorded in cost of revenue in the consolidated statements of operations. Cost to service the claims reflects the current product cost.
The following table is a summary Reconciliations of the activity related tochanges in the Company’s product warranty liability:liability were as follows: 
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,Six Months Ended June 30,
(in millions)(in millions)2020201920202019(in millions)2021202020212020
Product warranty liability at beginning of periodProduct warranty liability at beginning of period$8.3  $6.3  $8.5  $6.4  Product warranty liability at beginning of period$6.7 $8.3 $6.7 $8.5 
Warranty expenseWarranty expense2.7  3.1  5.2  5.3  Warranty expense2.3 2.7 4.9 5.2 
Warranty claims settledWarranty claims settled(2.9) (2.8) (5.6) (5.1) Warranty claims settled(2.5)(2.9)(5.1)(5.6)
Product warranty liability at the end of periodProduct warranty liability at the end of period$8.1  $6.6  $8.1  $6.6  Product warranty liability at the end of period$6.5 $8.1 $6.5 $8.1 
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Note 8. Convertible Debt Net
The components of outstanding convertible debt consisted of the following:
(in millions)(in millions)June 30, 2020December 31, 2019(in millions)June 30, 2021December 31, 2020
1.375% Convertible Senior Notes, due November 2024$402.5  $402.5  
0.375% Convertible Senior Notes, due September 2026800.0  800.0  
1.375% Convertible Senior Notes due November 20241.375% Convertible Senior Notes due November 2024$32.1 $402.5 
0.375% Convertible Senior Notes due September 20260.375% Convertible Senior Notes due September 2026800.0 800.0 
Term loan due May 2028Term loan due May 2028500.0 
Equipment financing due May 2024Equipment financing due May 202419.2 22.2 
Equipment financing due November 2025Equipment financing due November 202533.0 36.4 
5.15% Mortgage due November 20255.15% Mortgage due November 202568.7 69.7 
Unamortized debt discountUnamortized debt discount(274.0) (294.8) Unamortized debt discount(179.9)(252.5)
Debt issuance costsDebt issuance costs(18.3) (19.8) Debt issuance costs(17.0)(19.0)
Total convertible debt, net$910.2  $887.9  
Total debtTotal debt1,256.1 1,059.3 
Less: current portionLess: current portion20.9 15.6 
Total long-term debtTotal long-term debt$1,235.2 $1,043.7 
1.375% Convertible Senior Notes
During the three months ended June 30, 2021, the Company repurchased $370.4 million in principal ($305.7 million net of discount and issuance costs) of its 1.375% Convertible Senior Notes due November 2024 (“1.375% Notes”) for $460.8 million in cash and the issuance of 2.2 million shares with a fair value of $622.7 million. The debt repurchase resulted in a $40.1 million loss on extinguishment, including cash paid to the note holders as an inducement to convert and transaction costs.
Senior Secured Credit Agreement
In May 2021, the Company entered into a senior secured credit agreement (the “Credit Agreement”), which includes a $500 million seven year senior secured term loan B (the “Term Loan”) for net proceeds of $489.5 million, which was used to fund the cash portion of the repurchase of the 1.375% Notes discussed above. The Term Loan bears interest at a rate of LIBOR plus 3.25%, with a 0.50% LIBOR floor, and contains leverage and fixed charge coverage ratio covenants, both of which are measured upon the occurrence of future debt. In addition, the Term Loan contains other customary covenants, none of which are considered restrictive to the Company’s operations.
Under the same agreement, the Company obtained a $60 million three year senior secured revolving credit facility (the “Revolving Credit Facility”), which bears interest at a rate of LIBOR plus an applicable margin of 2.75% to 3.25% based on the Company’s net leverage ratio. The Revolving Credit Facility contains a covenant to maintain a certain leverage ratio when there are amounts outstanding, in addition to other customary covenants, none of which are considered restrictive to the Company’s operations. NaN amount was outstanding under the Revolving Credit Facility at June 30, 2021.
Borrowings under the Credit Agreement are guaranteed by the Company’s wholly owned domestic subsidiaries, and are secured by substantially all assets of the Company and of each subsidiary guarantor, subject to certain exceptions. Additionally, borrowings under the Credit Agreement are senior to all of the Company’s unsecured indebtedness, including the convertible notes.
Fair Value of Debt
The carrying amount and the estimated fair value of the Company’s convertible debt which is based on the Level 2 quoted market prices, were as follows:
June 30, 2020December 31, 2019June 30, 2021December 31, 2020
(in millions)(in millions)Carrying Value
Estimated Fair Value (1)
Carrying Value
Estimated Fair Value (1)
(in millions)Carrying
Value
Estimated
Fair Value
Carrying
Value
Estimated
Fair Value (1)
1.375% Convertible Senior Notes, due November 2024$315.2  $512.8  $306.9  $512.8  
0.375% Convertible Senior Notes, due September 2026595.0  867.0  581.0  840.0  
1.375% Convertible Senior Notes due November 2024 (1)
1.375% Convertible Senior Notes due November 2024 (1)
$26.6 $95.8 $323.9 $1,104.2 
0.375% Convertible Senior Notes due September 2026 (1)
0.375% Convertible Senior Notes due September 2026 (1)
623.8 980.9 609.2 902.0 
Term loan due May 2028 (2)
Term loan due May 2028 (2)
486.7 $500.6 $$
Total Total$910.2  $1,379.8  $887.9  $1,352.8   Total$1,137.1 $1,577.3 $933.1 $2,006.2 
(1) Convertible debt is classified as Level 2 in the fair value hierarchy. Fair value was determined using market prices obtained from third-party pricing sources.the Company’s quoted stock price and the contractual conversion rate.
(2) Term debt is classified as Level 1 in the fair value hierarchy. Fair value was determined using quoted market prices.
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The fair values of the mortgage and equipment financings approximate their carrying values.
Note 9. Derivative Instruments
The Company manages interest rate exposure through the use of interest rate swap transactions with financial institutions acting as principal counterparties. In May 2021, the Company entered into 2 interest rate swap agreements that expire on April 30, 2025. Under the interest rate swap agreements, the Company receives variable rate interest payments and pays fixed interest rates on a total notional value of $480 million of its Term Loan. As a result of the interest rate swaps 96% of the Term Loan exposed to interest rate risk from changes in LIBOR is fixed at a rate of 4.20%. The Company has designated the interest rate swaps as cash flow hedges.
The fair value of interest rate swaps, which are classified as Level 2 in the fair value hierarchy, represent the estimated amounts the Company would receive or pay to terminate the contracts and is determined using industry standard valuation models and market-based observable inputs, including credit risk and interest rate yield curves. At June 30, 2021, the fair value of the interest rate swaps was a liability of $0.7 million.
Note 9.10. Commitments and Contingencies
Legal Proceedings
Between May 5, 2015 and June 16, 2015, 3 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. NaN 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 tooksettlement. On June 25, 2021, the Court issued an order on the plaintiffs’ motion for fees and expenses, under advisement, which motion remains pending.a final judgement approving the settlement, and an order of dismissal with prejudice. 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. On June 28, 2021, the Court issued an order preliminarily approving the proposed settlement which is pending.and scheduling a hearing to decide whether the proposed settlement should be finally approved for September 9, 2021. 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 Kitincluding OmniPods, Personal Diabetes Managers, and Omnipod 10 Pod Packother components of the system, and kits 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. The court has not yet set a schedule for the case.losses, which could be material.

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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®Accu-Chek® Solo insulin pump and its consumable components infringes European Patent No. 1 335 764 in the United Kingdom. The Company iswas seeking an injunction to last until expiry of the patent and monetary damages. A trial was held in May 2021 and the judge ultimately sided with Roche Ltd. on non-infringement and invalidity of the patent, which was slated to expire in August 2021. Accordingly, no injunction was issued and no monetary damages were awarded.
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
14

Following the expirationTable 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 is subject to an active arbitration proceeding in Switzerland. The final amount of the fee could vary significantly depending on the number of customers who count for purposes of calculating the fee under the terms of the agreement. The Company estimates that the final aggregate fee is in the range of $5 million to $55 million. As of both June 30, 2020 and December 31, 2019, the Company had $2.7 million accrued related to this matter. The associated gross intangible asset was $7.8 million at both June 30, 2020 and December 31, 2019.Contents
Note 10.11. Accumulated Other Comprehensive LossIncome (Loss)
Changes in the components of accumulated other comprehensive loss,income (loss), net of tax, were as follows:
Three Months Ended June 30, 2020Six Months Ended June 30, 2020Three Months Ended June 30, 2021Six Months Ended June 30, 2021
(in millions)(in millions)Foreign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesAccumulated Other Comprehensive LossForeign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesAccumulated Other Comprehensive Loss(in millions)Foreign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesUnrealized Loss on Cash Flow HedgesAccumulated Other Comprehensive IncomeForeign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesUnrealized Loss on Cash Flow HedgesAccumulated Other Comprehensive Income
Balance at beginning of periodBalance at beginning of period$(5.0) $1.2  $(3.8) $(1.6) $0.4  $(1.2) Balance at beginning of period$3.1 $0.1 $$3.2 $5.2 $0.3 $$5.5 
Other comprehensive income (loss)0.6  (0.4) 0.2  (2.8) 0.4  (2.4) 
Other comprehensive loss before reclassificationsOther comprehensive loss before reclassifications(1.8)(0.1)(1.0)(2.9)(3.9)(0.3)(1.0)(5.2)
Amounts reclassified to net lossAmounts reclassified to net loss$$$0.4 $0.4 $$$0.4 $0.4 
Balance at the end of periodBalance at the end of period$(4.4) $0.8  $(3.6) $(4.4) $0.8  $(3.6) Balance at the end of period$1.3 $$(0.6)$0.7 $1.3 $$(0.6)$0.7 

Three Months Ended June 30, 2019Six Months Ended June 30, 2019Three Months Ended June 30, 2020Six Months Ended June 30, 2020
(in millions)(in millions)Foreign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesAccumulated Other Comprehensive LossForeign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesAccumulated Other Comprehensive Loss(in millions)Foreign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesAccumulated Other Comprehensive LossForeign Currency Translation AdjustmentUnrealized Gain on Available-for-sale SecuritiesAccumulated Other Comprehensive Loss
Balance at beginning of periodBalance at beginning of period$(3.0) $(0.1) $(3.1) $(2.2) $(0.7) $(2.9) Balance at beginning of period$(5.0)$1.2 $(3.8)$(1.6)$0.4 $(1.2)
Other comprehensive income(0.4) 0.7  0.3  (1.2) 1.3  0.1  
Other comprehensive income (loss)Other comprehensive income (loss)0.6 (0.4)0.2 (2.8)0.4 (2.4)
Balance at the end of periodBalance at the end of period$(3.4) $0.6  $(2.8) $(3.4) $0.6  $(2.8) Balance at the end of period$(4.4)$0.8 $(3.6)$(4.4)$0.8 $(3.6)
Note 11.12. Interest Expense, Net
Interest expense, net was as follows: 
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,Six Months Ended June 30,
(in millions)(in millions)2020201920202019(in millions)2021202020212020
Contractual coupon interest$2.2  $2.5  $4.3  $4.9  
Contractual interest, net of interest rate swapsContractual interest, net of interest rate swaps$6.8 $2.2 $10.5 $4.3 
Accretion of debt discountAccretion of debt discount10.5  7.1  20.9  14.0  Accretion of debt discount10.7 10.5 21.7 20.9 
Amortization of debt issuance costsAmortization of debt issuance costs0.7  0.7  1.4  1.4  Amortization of debt issuance costs1.0 0.7 1.8 1.4 
Capitalized interestCapitalized interest(1.6) (2.6) (3.2) (6.0) Capitalized interest(1.9)(1.6)(3.8)(3.2)
Interest expense, net of portion capitalized Interest expense, net of portion capitalized11.8  7.7  23.4  14.3   Interest expense, net of portion capitalized16.6 11.8 30.2 23.4 
Interest incomeInterest income(0.7) (1.9) (2.2) (3.7) Interest income(0.2)(0.7)(0.4)(2.2)
Interest expense, netInterest expense, net$11.1  $5.8  $21.2  $10.6  Interest expense, net$16.4 $11.1 $29.8 $21.2 
Note 13. Stock-Based Compensation Expense
Compensation expense related to stock-based awards was recorded as follows:
Three Months Ended June 30,Six Months Ended June 30,
(in millions)2021202020212020
Cost of revenue$0.1 $0.1 $0.2 $0.2 
Research and development expenses2.0 2.3 3.9 5.0 
Selling, general and administrative expenses6.9 3.4 13.5 8.5 
Total$9.0 $5.8 $17.6 $13.7 
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Note 12. Stock-Based Compensation
Compensation expense related to stock-based awards was recorded as follows:
Three Months Ended June 30,Six Months Ended June 30,
(in millions)2020201920202019
Cost of revenue$0.1  $0.3  $0.2  $0.6  
Research and development expenses2.3  2.4  5.0  4.2  
Selling, general and administrative expenses3.4  5.6  8.5  9.3  
Total$5.8  $8.3  $13.7  $14.1  
Note 13.14. Income Taxes
The Company’s effective tax rate for the three and six months ended June 30, 20202021 was 12.1% and 11.2%, compared with 17.2% and 17.0%, compared with 25.6% and 12.3% for the three and six months ended June 30, 2019.2020, respectively. Income tax benefits have not been recorded for losses in jurisdictions where valuation allowances exist against net deferred tax assets, primarily in the United States. As of June 30, 2020 and December 31, 2019, theassets. The Company maintainedhad a full valuation allowance against its U.S. net deferred tax assets based onin the determination that it is not more likely than not these future benefits will be realized.United Kingdom and the United States at June 30, 2021, and a full valuation allowance against its net deferred tax assets in the United States at December 31, 2020. The Company had no0 uncertain tax positions at both June 30, 20202021 and December 31, 2019.
In April 2020, new interpretations of a German tax law related to intellectual property and withholding tax were released. The Company is evaluating whether these new interpretations, applicable to corporate multinationals, will have an impact on the consolidated financial statements.2020.
Note 14.15. Net (Loss) Income Per Share
Basic net (loss) income per share is computed by dividing net (loss) income by the weighted average number of common shares outstanding for the period. Diluted net (loss) 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 follows:
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,Six Months Ended June 30,
(in millions)2020201920202019
(in thousands)(in thousands)2021202020212020
Weighted average number of common shares outstanding, basicWeighted average number of common shares outstanding, basic64,370,791  59,844,991  63,627,231  59,601,365  Weighted average number of common shares outstanding, basic66,696 64,371 66,406 63,627 
Stock optionsStock options1,086,474  1,479,713  1,129,985  1,513,886  Stock options1,087 1,130 
Restricted stock unitsRestricted stock units121,248  161,621  212,971  217,200  Restricted stock units121 213 
Weighted average number of common shares outstanding, dilutedWeighted average number of common shares outstanding, diluted65,578,513  61,486,325  64,970,187  61,332,451  Weighted average number of common shares outstanding, diluted66,696 65,579 66,406 64,970 
The number of common share equivalents excluded from the computation of diluted net (loss) 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:
Three Months Ended June 30,Six Months Ended June 30,
 2020201920202019
1.25% Convertible Senior Notes—  5,910,954  —  5,910,954  
1.375% Convertible Senior Notes4,319,429  4,319,429  4,319,429  4,319,429  
0.375% Convertible Senior Notes3,528,400  —  3,528,400  —  
Unvested restricted stock units298,600  426,550  356,577  421,776  
Stock options66,855  181,132  52,069  231,289  
Total8,213,284  10,838,065  8,256,475  10,883,448  
Three Months Ended June 30,Six Months Ended June 30,
 (in thousands)
2021202020212020
1.375% Convertible Senior Notes due November 20243,657 4,319 3,988 4,319 
0.375% Convertible Senior Notes due September 20263,528 3,528 3,528 3,528 
Restricted stock units283 299 364 357 
Stock options788 67 809 52 
Total8,256 8,213 8,689 8,256 
Note 16. Related Party Transactions
In February 2021, the Company entered into a distribution agreement, the terms of which are consistent with those prevailing at arm's-length. The spouse of one of the members of the Company’s Board of Directors is an executive officer of the distributor. During the three and six months ended June 30, 2021, the Company recorded $3.3 million and $5.5 million, respectively, of net revenues from the distributor. At June 30, 2021, the Company had $1.3 million of net accounts receivable due from the distributor on its condensed consolidated balance sheet.
Note 17. Subsequent Events
In July 2021, $20.0 million in principal of 1.375% Notes were converted into approximately 215,000 shares.
In July 2021, the Company entered into a $43.1 million equipment financing transaction secured by machinery and equipment associated with one of its highly automated manufacturing lines located in Acton, Massachusetts. The equipment financing has a term of 7 years and an interest rate of approximately 4.25%.

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Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
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 quarterly report. The following discussion may contain forward-looking statements that reflect our plans, estimates and beliefs, and involvewhich 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” in both our annual report on Form 10-K for the year ended December 31, 20192020 and in this quarterly report.
Overview
We are primarily engaged in the development, manufacture and sale of our proprietary Omnipod® System (“Omnipod”), an innovative,a continuous insulin delivery system for people with insulin-dependent diabetes. There are two primary types of insulin therapy practiced today: multiple daily injection (“MDI”) therapy using syringes or insulin pens; and pump therapy using insulin pumps. Insulin pumps are used to perform continuous subcutaneous insulin infusion, or insulin pump therapy, and typically use a programmable device and an infusion set to administer insulin into a person’s body. Insulin pump therapy has been shown to provide people with insulin-dependent diabetes with numerous advantages relative to MDI therapy. 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. 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 MDImultiple daily injection therapy, using syringes or insulin pens, 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 non-insulin subcutaneous drugs across other therapeutic areas. Most of our drug delivery revenue currently consists of sales of Podspods to Amgen for use in the Neulasta® Onpro® kit, an innovativea 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:
expanding access and awareness;
delivering consumer-focused innovation;
ensuring the best customer experience globally;
expandinggrowing our global footprint;addressable market; and
driving operational excellence.
Our long-term financial objective is to sustain profitable growth. To achieve this goal, we expect our efforts in 20202021 to focus primarily on our planned launch of the pivotal trial in the United States for Omnipod® 5 powered by Horizon™Automated Insulin Delivery System (“Omnipod 5”), which is currently under review with the U.S. Food and Drug Administration (“FDA”). This review is taking longer than we had anticipated. We now expect to receive FDA clearance and launch our automated insulin delivery system. limited commercial release in the second half of the year, most likely late in the fourth quarter. This shift in timing is not expected to have a material impact on 2021 revenue.
In addition, we continue our efforts to expand the Omnipod 5 indication to preschoolers ages two to six, however the timing of our FDA submission is contingent upon the timing of Omnipod 5 clearance. We are now planning for this expanded indication in 2022. In addition, we completed enrollment in our Type 2 feasibility study and plan to conduct additional studies with the goal to further expand Omnipod 5’s indication to Type 2 users.
In order to support our continued growth and the expectedplanned launch of Omnipod 5, in the first half 2021, we continue to focus on adding capacity to our U.S. manufacturing plant. During the first quarter, of 2020, we began producing salable product on our secondthird highly automated manufacturing line in the U.S. andline.
In 2021, we plan to install a third line in the second half of 2020, on which production is expected in 2021.
Additionally, in 2020, we had planned to further roll out ourlaunched Omnipod DASHTM® Insulin Management System (“Omnipod DASH”), our next generation digital mobile Omnipod platform, in Europe and Canada and enter five new countries in Western Europe and the Middle EastCanada. We are also continuing to expand internationally in a targeted and strategic manner. During the commercial salefirst quarter of Omnipod and2021, we increased our global footprint. Wefootprint by expanding into Turkey and we also expect to enter Australia this year. Further, we are still committed to the further roll out of Omnipod DASH and to entering new countries, although the timing has shifted to early 2021 primarily due to the coronavirus pandemic discussed under Recent Developments below. This change in expected timing will not have a material impactworking on our 2020 revenues since we did not expect these actionsstrategy to have a meaningful contributionenter additional markets in 2020, although they are expected to contribute to our long-term growth.new regions.
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.
Recent Developments
A novel strain of coronavirus (“COVID-19”) was identified in China in December 2019, and subsequently declared a pandemic by the World Health Organization in March 2020. The COVID-19 outbreak in China resulted in abnormally low production at our contract manufacturer in China during the first two months of the year, which resulted in incremental depreciation expense for under-utilized plant capacity for those two months. In response to this outbreak, we took measures to ensure our ability to continue to provide product to our customers, including providing manufacturing incentives to our contract manufacturer in China and utilizing expedited, but more costly, shipping measures to transport product from China. In addition, we implemented strict screening and additional sanitation measures.
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China, where we manufacture a significant portion of our products, has begun to experience recovery from COVID-19 and we have been able to produce at normal capacity since March. Additionally, our second highly automated manufacturing line in our U.S. manufacturing plant has provided additional manufacturing redundancy to help mitigate manufacturing risks stemming from COVID-19. Once fully ramped, we expect the two highly-automated lines in our U.S. manufacturing plant to provide us with capacity in the U.S. that is equivalent to all our current lines in China. Refer to Item 1A. Risk Factors for a discussion of COVID-19 risks.
Results of Operations
Three Months Ended June 30,
(dollars in millions)20202019Percent
Change
Currency
Impact
Constant
Currency (1)
Revenue:
U.S. Omnipod$128.8  $98.1  31.3 %— %31.3 %
International Omnipod73.2  62.7  16.7 %(3.0)%19.7 %
Total Omnipod202.0  160.8  25.6 %(1.2)%26.8 %
Drug Delivery24.3  16.3  49.1 %— %49.1 %
Total$226.3  $177.1  27.8 %(1.0)%28.8 %
Revenue
Three Months Ended June 30,
(dollars in millions)20212020Percent
Change
Currency
Impact
Constant
Currency (1)
U.S. Omnipod$150.5 $128.8 16.8 %— %16.8 %
International Omnipod91.6 73.2 25.1 %11.7 %13.4 %
Total Omnipod242.1 202.0 19.9 %4.3 %15.6 %
Drug Delivery21.1 24.3 (13.2)%— %(13.2)%
Total revenue$263.2 $226.3 16.3 %3.8 %12.5 %
Six Months Ended June 30,
(dollars in millions)20212020Percent
Change
Currency
Impact
Constant
Currency (1)
U.S. Omnipod$293.8 $245.4 19.7 %— %19.7 %
International Omnipod181.5 146.3 24.1 %10.7 %13.4 %
Total Omnipod475.3 391.7 21.3 %4.0 %17.3 %
Drug Delivery40.2 32.6 23.3 %— %23.3 %
Total revenue$515.5 $424.3 21.5 %3.7 %17.8 %

(1)
Six Months Ended June 30,
(dollars in millions)20202019Percent
Change
Currency
Impact
Constant
Currency (1)
Revenue:
U.S. Omnipod$245.4  $184.2  33.2 %— %33.2 %
International Omnipod146.3  119.6  22.3 %(3.2)%25.5 %
Total Omnipod391.7  303.8  28.9 %(1.3)%30.2 %
Drug Delivery32.6  32.9  (0.9)%— %(0.9)%
Total$424.3  $336.7  26.0 %(1.1)%27.1 %
(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.”
Revenue
Total revenue for the three months ended June 30, 20202021 increased $49.2$36.9 million, or 27.8%16.3%, to $226.3$263.2 million, compared with $177.1$226.3 million for the three months ended June 30, 2019.2020. Constant currency revenue growth of 28.8%12.5% was primarily driven by higher volume and, to a lesser extent, favorable sales channel mix.
Total revenue for the six months ended June 30, 20202021 increased $87.6$91.2 million, or 26.0%21.5%, to $424.3$515.5 million, compared with $336.7$424.3 million for the six months ended June 30, 2019.2020. Constant currency revenue growth of 27.1%17.8% was primarily driven by higher volume and, to a lesser extent, favorable sales channel mix.
U.S. Omnipod
U.S. Omnipod revenue for the three months ended June 30, 20202021 increased $30.7$21.7 million, or 31.3%16.8%, to $128.8$150.5 million, compared with $98.1$128.8 million for the three months ended June 30, 2019.2020. This increase was primarily due to higher volumes driven by growing our customer base, and to a lesser extent, an increase in days-on-hand inventory at distributors due to both continued growth of DASH adoption and COVID-19. The increase was also 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. This increase was partially offset by a decrease in days-on-hand inventory at distributors since COVID-19 supply chain urgency has normalized.
U.S. Omnipod revenue for the six months ended June 30, 20202021 increased $61.2$48.4 million, or 33.2%19.7%, to $245.4$293.8 million, compared with $184.2$245.4 million for the six months ended June 30, 2019. 2020.This increase was primarily due to higher volumes driven by growing our customer base, and to a lesser extent, an increase in days-on-hand inventory at distributors due to both continued growth of DASH adoption and COVID-19. The increase was also 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. For full year 2020,2021, we expect strong U.S. Omnipod revenue growth driven by continued market penetration and volume growth of Omnipod DASH, primarily in the pharmacy channel. We expect this revenuechannel, benefits of our efforts to drive expanded access and awareness, and further growth to be partially offset by the impact of lower newin our Omnipod starts stemming from COVID-19.customer base.
International Omnipod
International Omnipod revenue for the three months ended June 30, 20202021 increased $10.5$18.4 million, or 16.7%25.1%, to $73.2$91.6 million, compared with $62.7$73.2 million for the three months ended June 30, 2019.2020. Excluding the 3.0% unfavorable11.7% favorable impact of currency exchange,
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the remaining 19.7%13.4% increase in revenue was primarily driven by higher volumes as we continue to expand awareness and access to the Omnipod.
International Omnipod revenue for the six months ended June 30, 2021 increased $35.2 million, or 24.1%, to $181.5 million, compared with $146.3 million for the six months ended June 30, 2020. Excluding the 10.7% favorable impact of currency exchange, the remaining 13.4% increase in revenue was primarily driven by higher volumes as we continue to expand awareness and access to the Omnipod, and, topartially offset by a lesser extent, an increasedecrease in days-on-hand inventory at distributors due to COVID-19.
International Omnipod revenue for the six months ended June 30, 2020 increased $26.7 million, or 22.3%, to $146.3 million, compared with $119.6 million for the six months ended June 30, 2019. Excluding the 3.2% unfavorable impact of currency exchange, the remaining 25.5% increase in revenue was primarily driven by higher volumes as we continue to expand awareness and access to the Omnipod and, to a lesser extent, an increase in days-on-hand inventory at distributors due to COVID-19. Similar to in the U.S, for thesince COVID-19 supply chain urgency has normalized. For full year 2020,2021, we expect higher International Omnipod revenue due to continued volume growth and market penetration.penetration aided by the full launch of Omnipod DASH throughout our international markets. We expect this revenue growth to be
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partially offset by the lagging impact of lower new Omnipodcustomer starts in 2020 and the first half of 2021 stemming from COVID-19.COVID-19 and related challenges.
Drug Delivery
Drug Delivery revenue for the three months ended June 30, 2020 increased $8.02021 decreased $3.2 million, or 49.1%13.2%, to $24.3$21.1 million, compared with $16.3$24.3 million for the three months ended June 30, 2019,2020, due to increased demand driven by COVID-19 and shiftelevated volume in the timing of production betweenprior year due to the first and second quarter.COVID-19 pandemic.
Drug Delivery revenue for the six months ended June 30, 2020 was relatively level2021 increased $7.6 million, or 23.3%, to $40.2 million, compared with $32.6 million for the six months ended June 30, 20192020, du.e to increased demand for Amgen’s Neulasta® Onpro® kit which includes our pods. For full year 2020,2021, we expect Drug Deliverydrug delivery revenue to increase due to a higher demand forecast resulting from COVID-19.decline or grow slightly dependent upon forecasted demand.
Operating Expenses
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,
202020192020201920212020
(dollars in millions)(dollars in millions)AmountPercent of RevenueAmountPercent of RevenueAmountPercent of RevenueAmountPercent of Revenue(dollars in millions)AmountPercent of RevenueAmountPercent of Revenue
Cost of revenueCost of revenue$83.8  37.0 %$60.7  34.3 %$154.9  36.5 %$113.6  33.7 %Cost of revenue$80.5 30.6 %$83.8 37.0 %
Research and development expensesResearch and development expenses$34.2  15.1 %$33.0  18.6 %$69.7  16.4 %$65.5  19.5 %Research and development expenses$40.1 15.2 %$34.2 15.1 %
Selling, general and administrative expensesSelling, general and administrative expenses$80.8  35.7 %$75.8  42.8 %$164.7  38.8 %$142.7  42.4 %Selling, general and administrative expenses$116.3 44.2 %$80.8 35.7 %
Six Months Ended June 30,
20212020
(dollars in millions)AmountPercent of RevenueAmountPercent of Revenue
Cost of revenue$165.3 32.1 %$154.9 36.5 %
Research and development expenses$80.8 15.7 %$69.7 16.4 %
Selling, general and administrative expenses$226.8 44.0 %$164.7 38.8 %
Cost of Revenue
Cost of revenue for the three months ended June 30, 2020 increased $23.12021 decreased $3.3 million, or 38.1%3.9%, to $83.8$80.5 million, compared with $60.7$83.8 million for the three months ended June 30, 2019.2020. Gross margin was 69.4% for the three months ended June 30, 2021, compared with 63.0% for the three months ended June 30, 2020, compared with 65.7% for the three months ended June 30, 2019.2020. The 270640 basis point decreaseincrease in gross margin was primarily due to start-updriven by improved manufacturing and supply chain efficiencies, 130 basis points of favorable foreign currency exchange, a 120 basis point decrease in COVID-19 related costs, and inefficiencies related to our new U.S. manufacturing operations, and $3.4 million for recruiting and screening expenses, expedited shipping costs and manufacturing incentives associated with our contract manufacturer in China as a result of the coronavirus pandemic. This decrease was partially offset by a higher average selling price due to growth in the pharmacy channel. These increases were partially offset by expected higher production costs as we continue to scale U.S. manufacturing.
Cost of revenue for the six months ended June 30, 20202021 increased $41.3$10.4 million, or 36.4%6.7%, to $154.9 million,165.3, compared with $113.6$154.9 million for the six months ended June 30, 2019.2020. Gross margin was 67.9% for the six months ended June 30, 2021, compared with 63.5% for the six months ended June 30, 2020, compared with 66.3% for the six months ended June 30, 2019.2020. The 280440 basis point decreaseincrease in gross margin was primarily due to start-up costsdriven by improved manufacturing and inefficiencies related to our new U.S. manufacturing operations 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 $6.5 million associated with our contract manufacturer in China as a result of the coronavirus pandemic. This decrease was partially offset bysupply chain efficiencies, higher average selling price due to growth in the pharmacy channel. We expectchannel, 120 basis points of favorable foreign currency exchange, and a 110 basis point decrease in COVID-19 related costs. These increases were partially offset by expected higher production costs as we continue to scale U.S. manufacturing. For full year 20202021, we expect gross margin to be approximately 63%in the range of 68% to 69%, which reflects an estimated $7 to $10 millionexpected revenue growth both in the U.S. and internationally, including in the pharmacy channel, and the benefits of costs resulting from the coronavirus pandemic, in addition to start-up costs and inefficiencies as we continue to ramp up our U.S. manufacturing operations, partially offset by continued improvements in our global manufacturing and supply chain operations and the move into the pharmacy channel in the United States.operations. In addition, we expect to benefit from lower COVID-19 related costs.
Research and Development Expenses
Research and development expenses for the three months ended June 30, 20202021 increased $1.2$5.9 million, or 3.6%17.3%, to $34.2$40.1 million, compared with $33.0$34.2 million for the three months ended June 30, 2019.2020. This increase was primarily due to spend relatedyear-over-year headcount additions to support our continued investment in development of Omnipod 5, partially offset by reduced spend on Omnipod DASH, which was launched in the prior year period.products.
Research and development expenses for the six months ended June 30, 20202021 increased $4.2$11.1 million, or 6.4%15.9%, to $69.7$80.8 million, compared with $65.5$69.7 million for the six months ended June 30, 2019. 2020.This increase was primarily due to spend relatedyear-over-year headcount additions to support our continued investment in development of Omnipod 5, partially offset by reduced spend on Omnipod DASH, which was launched in the prior year period.products. We expect research and development spendingspend for the full year 20202021 to increase compared with 2019.2020 as we continue to invest in advancing our innovation and clinical pipeline.
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Selling, General and Administrative Expenses
Selling general and administrative expenses for the three months ended June 30, 20202021 increased $5.0$35.5 million, or 6.6%43.9%, to $80.8$116.3 million, compared with $75.8$80.8 million for the three months ended June 30, 2019.2020. This increase was primarily attributable to investments in initiativesyear-over-year headcount additions, mainly to support our growth,international expansion, information technology, sales, and customer service personnel, an
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increase in direct to consumer advertising spend, as well as headcount year over year, primarily associated with the expansion ofa shift in resources and certain costs from our U.S. sales force. These increases were partially offset byOmnipod 5 clinical efforts to our commercial strategy as we mature as a decrease in travel and entertainment expenses due to reduced activity resulting from COVID-19.company.
Selling general and administrative expenses for the six months ended June 30, 20202021 increased $22$62.1 million, or 15.4%37.7%, to $164.7$226.8 million, compared with $142.7$164.7 million for the six months ended June 30, 20192020. . This increase was primarily attributable to investments in customer support and other initiativesyear-over-year headcount additions, mainly to support international expansion, information technology, sales, and customer service personnel, an increase in direct to consumer advertising spend, a shift in resources and certain costs from our growth,Omnipod 5 clinical efforts to our commercial strategy as we mature as a company, as well as headcount year over year, primarily associated with the expansion of our U.S. sales force. These increases were partially offset by a decrease in travel and entertainment expenses duecommercial costs related to reduced activity resulting from COVID-19.international expansion. We expect selling, general and administrative expenses for the full year 2020 to increase in 2021 compared with 20192020 due to expansion of our U.S. sales force, direct-to-consumer advertising, investments to expand market acceptance and customer support personnelaccess for our products, and investments in our operating structure to facilitate ouroperational efficiencies and continued growth.
Non-Operating Items
Interest Expense, Net
Net interest expense increased $5.3 million to $16.4 million for the three months ended June 30, 2021, compared with $11.1 million for the three months ended June 30, 2020, compared with $5.8 million for the three months ended June 30, 2019.2020. This increase was driven by a $3.4$4.6 million increase in non-cashof cash interest expense associated with our 0.375% Notes issuedthe $500 million senior secured term loan B (the “Term Loan”) entered into in September 2019,May 2021, and the mortgage and equipment financings that occurred in the fourth quarter of 2020 and a $1.2 million decrease in interest income due to lower market rates and a shift in a portion of our investment portfolio to more liquid investments and a $1.0 million decrease in capitalized interest primarily due to the placement of our first U.S. manufacturing line into service during the second quarter of 2019.
Net interest expense increased $10.6 million to $21.2 million for the six months ended June 30, 2020, compared with $10.6 million for the six months ended June 30, 2019. This increase was driven by a $6.9 million increase in non-cash interest expense associated with our 0.375% Notes issued in September 2019 and a $2.8 million decrease in capitalized interest primarily due to the placement of our first U.S. manufacturing line into service during the second quarter of 2019, as well as a $1.5$0.5 million decrease in interest income due to lower market rates and a shift in a portion of our investment portfolio to more liquid investments.
Net interest expense increased $8.6 million to $29.8 million for the six months ended June 30, 2021, compared with $21.2 million for the six months ended June 30, 2020. This increase was driven by $6.2 million of cash interest expense associated with the Term Loan entered into in May 2021, and the mortgage and equipment financings that occurred in the fourth quarter of 2020 and a $1.8 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 the three and six months ended June 30, 2021, we incurred a $40.1 million loss on extinguishment of debt related to the repurchase of a portion of our 1.375% Convertible Senior Notes due November 2024 (“1.375% Notes”). Refer to Note 8 to the consolidated financial statements for additional information.
Other Income (Expense), Net
During the three months ended June 30, 2020,2021, we had other income, net of $1.0$1.8 million, compared with $0.1$1.0 million for the three months ended June 30, 2019.2020. The $0.8 million increase in other income was primarily driven by unrealized foreign currency gains due to the change in exchange rates.
During the six months ended June 30, 2020,2021, we had other income, netexpense of $1.0$0.8 million, compared with $2.3income of $1.0 million for the six months ended June 30, 2019,2020. The $1.8 million decrease in other income was primarily driven by a $1.8 million insurance recovery for damaged inventoryunrealized foreign currency losses due to the change in excess of our cost received during the six months ended June 30, 2019.exchange rates.
Income Tax Expense, Net
Income tax benefit was $3.4 million for the three months ended June 30, 2021, compared with an income tax expense wasof $3.0 million and $0.5 million for the three months ended June 30, 2020, and 2019, respectively. This resultedresulting in effective tax rates of 17.2%12.1% and 25.6%17.2% for the three months ended June 30, 2021 and 2020, and 2019, respectively. TThehe decrease in the effective tax rate was primarily driven by the jurisdictional distribution of profits and losses. In the United States, we have net operating loss carryforwards that reduce taxable profits and a shift in expected geographic mix of income.full valuation allowance against net deferred tax assets.
Income tax benefit was $3.1 million for the six months ended June 30, 2021, compared with an income tax expense wasof $2.5 million and $0.8 million for the six months ended June 30, 2020, and 2019, respectively. This resultedresulting in effective tax rates of 17.0%11.2% and 12.3%17.0% for the six months ended June 30, 2021 and 2020, and 2019, respectively. The increaseThe decrease in the effectiveeffective tax rate was primarily driven by the jurisdictional distribution of profits and losses. In the United States, we have net operating loss carryforwards that reduce taxable profits and a shiftfull valuation allowance against net deferred tax assets. Additionally, we have not recorded tax benefits for current year losses in expected geographic mixthe United Kingdom due to valuation allowance requirements following a transfer of income.intellectual property that occurred during the three months ended March 31, 2021.
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Adjusted EBITDA
The table below presents reconciliations of Adjusted EBITDA, a non-GAAP financial measure, to net (loss) income, the most directly comparable financial measure prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”):
Three Months Ended June 30,Six Months Ended June 30,Three Months Ended June 30,Six Months Ended June 30,
(in millions)(in millions)2020201920202019(in millions)2021202020212020
Net income$14.4  $1.4  $12.3  $5.8  
Net (loss) incomeNet (loss) income$(25.0)$14.4 $(25.0)$12.3 
Interest expense, netInterest expense, net11.1  5.8  21.2  10.6  Interest expense, net16.4 11.1 29.8 21.2 
Income tax expense3.0  0.5  2.5  0.8  
Income tax (benefit) expenseIncome tax (benefit) expense(3.4)3.0 (3.1)2.5 
Depreciation and amortizationDepreciation and amortization9.9  5.9  18.8  11.0  Depreciation and amortization15.2 9.9 28.0 18.8 
Stock-based compensation5.8  8.3  13.7  14.1  
Stock-based compensation expenseStock-based compensation expense9.0 5.8 17.6 13.7 
Loss on extinguishment of debtLoss on extinguishment of debt40.1 — 40.1 — 
Adjusted EBITDAAdjusted EBITDA$44.2  $21.9  $68.5  $42.3  Adjusted EBITDA$52.3 $44.2 $87.4 $68.5 
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Non-GAAP Financial Measures
Management uses the following non-GAAP financial measures:
Constant currency revenue growth measuresrepresents 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 accounting principles generally accepted in the United States (“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, securities analysts and other interested parties as a measure of our comparative operating performance from period to period. We recognize Adjusted EBITDA asis a commonly used measure in determining business value and as such,we use it internally to report results. It is also one of the performance metrics that determines management incentive compensation.
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 June 30, 2020,2021, we had $779.1$854.6 million in cash and cash equivalents and $88.8$17.5 million of investments in marketable securities. Additionally, we have a $60 million three year senior secured revolving credit facility (“Revolving Credit Facility”), which expires in 2024. At June 30, 2021, no amount was outstanding under the Revolving Credit Facility. The Revolving Credit Facility contains a covenant to maintain a certain leverage ratio, in addition to other customary covenants, none of which are considered restrictive to our operations. 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. As of June 30, 2020, we had $78.7 million in capital commitments.
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 June 30, 2020,2021, the following notes were outstanding:
Issuance DateIssuance DateCouponPrincipal Outstanding
(in millions)
Due DateInitial Conversion Rate per Share of Common StockConversion Price per Share of Common StockIssuance DateCouponPrincipal Outstanding
(in millions)
Due Date
Conversion Rate (1)
Conversion Price per Share of Common Stock
November 2017November 20171.375%$402.5  November 202410.7315$93.2  November 20171.375%$32.1 November 202410.7315$93.18 
September 2019September 20190.375%800.0  September 20264.4105$226.7  September 20190.375%800.0 September 20264.4105$226.73 
TotalTotal$1,202.5  Total$832.1 
(1) Per $1,000 face value of notes.
In July 2021, $20.0 million in principal of 1.375% Notes were converted into approximately 215,000 shares, which we expect to result in a loss on extinguishment of debt of approximately $2 million.
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During the three months ended June 30, 2021, we obtained a $500 million seven year Term Loan for net proceeds of $489.5 million, which we used to fund the cash portion of repurchase of the 1.375% Notes due November 2024. Additional information regarding our debt issuances is provided in Note 8 to the consolidated financial statements.
Summary of Cash Flows
Six Months Ended June 30,Six Months Ended June 30,
(in millions)(in millions)20202019(in millions)20212020
Cash provided by (used in):
Cash (used in) provided by:Cash (used in) provided by:
Operating activitiesOperating activities$22.8  $20.4  Operating activities$(16.8)$22.8 
Investing activitiesInvesting activities80.6  (31.8) Investing activities(34.1)80.6 
Financing activitiesFinancing activities464.9  17.7  Financing activities— 464.9 
Effect of exchange rate changes on cashEffect of exchange rate changes on cash(2.9) (0.3) Effect of exchange rate changes on cash(1.7)(2.9)
Net increase in cash and cash equivalents$565.4  $6.0  
Net (decrease) increase in cash, cash equivalents and restricted cashNet (decrease) increase in cash, cash equivalents and restricted cash$(52.6)$565.4 
Operating Activities
Net cash provided byused in operating activities of $22.8$16.8 million for the six months ended June 30, 20202021 was primarily attributable to net income,loss, as adjusted for non-cash interest,loss on extinguishment of debt, depreciation and amortization, non-cash interest, and stock-based compensation expense, partially offset by a $46.9$104.2 million working capital cash outflow. The working capital outflow was driven by a $13.9$45.0 million decreaseincrease in accounts payable, accrued expenses and other current liabilities,inventories, a $14.0$30.0 million increase in prepaid expenses and other assets and a $13.8$19.5 million increase in accounts receivable. The decreaseincrease in accounts payable, accrued expenses and other current liabilitiesinventories was driven by a planned inventory build to satisfy demand and the annual payoutaddition of cash bonuses for performance in the prior year.our third highly automated manufacturing line. The increase in prepaid expenses and other assets was driven by an increase unbilled revenue resulting
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fromin cloud computing implementation costs and an increase in demandunbilled revenue resulting from higher percentage of completion for our Drug Delivery product. The $13.8 millionFinally, the increase in accounts receivable was primarily due to an increase in International Omnipod revenue and sales in the U.S. pharmacy channel, both of which generally have longer payment terms.
Investing Activities
Net cash used in investing activities was $34.1 million for the six months ended June 30, 2021, compared with net cash provided by investing activities wasof $80.6 million for the six months ended June 30, 2020, compared with net cash used in investing activities of $31.8 million for six months ended June 30, 2019.2020.
Capital Spending—Capital expenditures were $52.8 million and $51.7 million for the six months ended June 30, 2021 and 2020, respectively, and primarily related to the purchase of equipment to increase our manufacturing capacity. CapitalWe expect capital expenditures for 2021 to increase compared with 2020 as we continue to further invest in our global manufacturing operations to support our growth, as well as investments in our strategic initiatives. We expect to fund our capital expenditures using existing cash and investments.
Purchases and Sales of $91.9Investments—Proceeds from maturities of marketable securities were $22.5 million for the six months ended June 30, 2019 were primarily associated2021, compared with the constructionnet proceeds from maturities of our manufacturing and corporate headquarters facility in Acton, Massachusetts. For the full year 2020, we expect capital expenditures to be relatively consistent with 2019 as we continue to expand manufacturing capacity to support our growth and the launch of Omnipod 5 in the first half of 2021. 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—Net sales of marketable securities were $132.8 million for the six months ended June 30, 2020, compared with $65.12020. The $110.3 million for the six months ended June 30, 2019. The increase in net sales of marketable securitiesdecrease was driven by athe prior year shift in a portion of our investment portfolio to investments that are classified as cash equivalents.
Financing Activities
NetWe had no cash provided by financing activities was $464.9 million for the six months ended June 30, 2020,2021, compared with net cash provided by financing activities of $17.7$464.9 million for six months ended June 30, 2019.2020.
Debt Issuance of Common Stockand Repayments—During the six months ended June 30, 2020,2021, we sold 2.4received net proceeds of $489.5 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 liquidityissuance of the Term Loan and used $460.8 million of cash to mitigate risk and allow us to continue investing inpartially fund the growthrepurchase of a portion of our business and1.375% Notes. Additionally, we spent $6.4 million on principal payments associated with our strategic initiatives.equipment financings.
Option Exercises and Payment of Taxes for Restricted Stock Net Settlements—Total proceeds from option exercises were $14.2and issuance of employee stock purchase plan shares was $10.0 million and $25.6$14.2 million for the six months ended June 30, 20202021 and 2019,2020, respectively. The $11.4$4.2 million decrease in proceeds from option exercises was primarily driven by the retirement offewer option exercises by our former executives in the prior year period.chief executive officer. Payments for taxes related to net restricted and performance stock unit settlements were $26.8$27.3 million and $7.9$26.8 million for the six months ended June 30, 2021 and 2020, and 2019, respectively. The $18.9 million increase in payments for taxes related to restricted stock net settlements was primarily due to a higher achievement percentage on performance stock units vested in the first quarter of 2020 compared to the prior year.
Commitments and Contingencies
Following the expiration of an agreement with a former European distributor on June 30, 2018, we were 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 methodology applicable for determining the total fee under the distribution agreement is subject to an active arbitration proceeding in Switzerland. The final amount of the fee could vary significantly depending on the number of customers who count for purposes of calculating the fee under the terms of the agreement. We estimate that the final aggregate fee for the applicable twelve-month period could be in the range of $5 million to $55 million, of which $5.1 million had been paid as of June 30, 2020.
Legal Proceedings
The significant estimates and judgments related to establishing litigation reserves are discussed under “Legal Proceedings” in Note 9 10to the consolidated financial statements included in this Form 10-Q.
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Off-Balance Sheet Arrangements
As of June 30, 2020,2021, we had various outstanding letters of credit and bank guarantees totaling $2.9$2.8 million, none of which is individually significant. We have restricted cash that serves as collateral for these outstanding letters of credit and bank guarantees that are included in cash and cash equivalents on our consolidated balance sheet.
Critical Accounting Policies and Estimates
The preparation of our consolidated financial statements in conformity with 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.
We believe that ourOur accounting policies for revenue recognition accounts receivable and allowance for credit losses, product warranty and contingencies are based on, among other things, judgments and assumptions made by management that include inherent risks and uncertainties. There have been no significant changes to the above critical accounting policies or in the underlying accounting assumptions and estimates used in such policies from those disclosed in our annual consolidated financial statements and
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accompanying notes included in our Annual Report on Form 10-K for the year ended December 31, 2019, except our accounting policy for our allowance for doubtful accounts (now termed allowance for credit losses). As of January 1, 2020, we adopted Accounting Standards Update (“ASU”) 2016-13, Credit Losses (Topic 326), as described in Note 1 to the consolidated financial statements in this Form 10-Q.2020.
Accounting Standards Issued and Not Yet Adopted
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. We are currently evaluating the impact of this guidance on our consolidated financial statements.
In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible 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. Based on the carrying value of our convertible debt as of June 30, 2021 and subsequent conversion of 1.375% Notes in July 2021, the adoption of this guidance on January 1, 2022 is expected to result in an approximate $215 million decrease in additional paid in capital from the derecognition of the bifurcated equity component, $155 million increase in debt from the derecognition of the discount associated with early adoption permitted. The adoptionthe bifurcated equity component and $60 million decrease to the opening balance of accumulated deficit, representing the cumulative interest expense recognized related to the amortization of the bifurcated conversion option. 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 currently evaluating the impact of the remaining provisions on our consolidated financial statements.
FORWARD-LOOKING STATEMENTS
This quarterly report on Form 10-Q 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.
The outcomes of the events described in these forward-looking statements are subject to risks, uncertainties and assumptions. These risks and uncertainties include, but are not limited to:
risks associated with public health crises and pandemics, such as the COVID-19 global pandemic, including the duration of the outbreak, government actions and restrictive measures implemented in response, supply chain disruptions, delays in clinical trials, and other impacts to the business, or on our ability to execute business continuity plans;
risks associated with our dependence on our principal product platform, the Omnipod System, and our ability to design, develop, manufacture and commercialize future products; 
our ability to reduce production costs and increase customer orders and manufacturing volumes;
adverse changes in general economic conditions;
the impact of healthcare reform laws; 
supply problems or price fluctuations with sole source or third-party suppliers on which we are dependent;
the potential establishment of a competitive bid program for conventional insulin pumps;
failure to retain key suppliessuppliers and/or supplier pricing discounts and achieve satisfactory gross margins;
international business risks, including regulatory, commercial and logistics risks associated with selling our products in Europe in light of the uncertainty relateddue to the separation of the United Kingdom from the European Union (Brexit); 
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our inability to secure and retain adequate coverage or reimbursement from third-party payors for the Omnipod System or future products and potential adverse changes in reimbursement rates or policies relating to the Omnipod System or future products;
failure to retain key payor partners and their members;
adverse effects resulting from competition;
technological change and product innovation adversely affecting our business;
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changes to or termination of our license to incorporate a blood glucose meter into the Omnipod System or our inability to enter into new license or other agreements with respect to the Omnipod System’s current or future features;
challenges to the future development of our non-insulin drug delivery product line; 
our ability to protect our intellectual property and other proprietary rights;
conflicts with the intellectual property of third parties, including claims that our current or future products infringe or misappropriate the proprietary rights of others;
adverse regulatory or legal actions relating to the Omnipod System or future products;
failure of our contract manufacturers or component suppliers to comply with the U.S Food and Drug Administration’sFDA’s quality system regulations;
potential adverse impacts resulting from a recall, or discovery of serious safety issues, of the Omnipod System;
the potential violation of the U.S. Foreign Corrupt Practices Act or any other federal, state or foreign anti-bribery/anti-corruption laws or laws prohibiting “kickbacks” or protecting the confidentiality of health information or other protected personal information, or any challenge to or investigation into our practices under these laws;
product liability and other lawsuits that may be brought against us, including stemming from off-label use of our product;
breaches or failures of our product or information technology systems, including by cyber attack;cyber-attack;
reduced retention rates of our customer base;
unfavorable results of clinical studies relating to the Omnipod System or future products, or the products of our competitors;
future publication of articles or announcement of positions by diabetes associations or other organizations that are unfavorable to the Omnipod System;
the concentration of our manufacturing operations and storage of our inventory in a limited number of locations; 
our ability to attract and retain personnel; 
our ability to scale our business to support revenue growth;
fluctuations in quarterly results of operations;
risks associated with potential future acquisitions or investments in new businesses; 
our ability to generate sufficient cash to service all of our indebtedness or raise additional funds on acceptable terms or at all;
the expansion of our distribution network; 
the volatility of the trading price of our common stock;
risks related to future sales of our common stock or the conversion of any of our convertible debt;
potential limitations on our ability to use our net operating loss carryforwards; and
anti-takeover provisions in our organizational documents.
The risk factors discussed in “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 20192020 and in this Quarterly Report 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. Actual results could differ materially from those projected in the forward-looking statements; accordingly, you should not rely upon forward-looking statements as predictions of future events. We expressly disclaim any obligation to update these forward-looking statements other than as required by law.
Item 3. Quantitative and Qualitative Disclosures about Market Risk
Interest Rate Risk
Our exposure to changes in interest rates is associated with borrowings under our Revolving Credit Facility and our Term Loan, both of which are variable-rate debt. At June 30, 2021, no amounts were outstanding under our Revolving Credit Facility. In May 2021, we entered into two interest rate swap agreements to effectively convert $480 million of our term loan borrowings from a variable rate to
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a fixed rate. These interest rate swaps are intended to mitigate the exposure to fluctuations in interest rates and qualify for hedge accounting treatment as cash flow hedges. A 100 basis point increase or decrease in interest rates relative to interest rates as of June 30, 2021 would decrease or increase our annual earnings, respectively, by approximately $0.2 million.
Refer to “Part II. Item 7A. Quantitative and Qualitative Disclosures About Market Risk” in our Annual Report on Form 10-K for the year ended December 31, 20192020 for a discussion of our interest rate risk, market price sensitive instruments and foreign currency exchange risk.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
We maintain disclosure controls and procedures designed to ensure that information required to be disclosed in reports filed under the Securities Exchange Act of 1934 (“the Exchange Act”), as amended, is recorded, processed, summarized and reported within the specified time periods, and that such information is accumulated and communicated to management, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding required disclosure.
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Our management, with the participation of our chief executive officer and chief financial officer, evaluated the effectiveness of our disclosure controls and procedures (as defined in the Securities and Exchange Act of 1934 Rules 13a-15(e) and 15d-15(e)) under the Exchange Act) as of June 30, 2020.2021. Based on the evaluation, our chief executive officer and chief financial officer concluded that, as of that date, our disclosure controls and procedures were effective.
Changes in Internal Control Over Financial Reporting
There were no changes in our internal control over financial reporting during the three months ended June 30, 20202021 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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PART II - OTHER INFORMATION
Item 1. Legal Proceedings
Information regarding our material pending legal proceedings, which is incorporated herein by reference, is provided in Note 910 to the consolidated financial statements in this Form 10-Q.
Item 1A. Risk Factors
Please refer to the “Risks Factors” section in our Annual Report on Form 10-K for the year ended December 31, 20192020 for a discussion of risks to which our business, financial condition, results of operations and cash flows are subject. Other than as set forth below, thereThere have been no material changes to the risk factors disclosed in the aforementioned Annual Report.
Our financial condition and results of operations have been and may to continue to be adversely affected by the recent coronavirus outbreak.
A novel strain of coronavirus (COVID-19) was identified in China in December 2019, and subsequently declared a pandemic by the World Health Organization in March 2020. To date, this outbreak, which has surfaced in nearly all regions around the world, and preventative measures taken to contain or mitigate the outbreak, have caused, and are continuing to cause, business slowdown or shutdown in affected areas and disruption in the financial markets globally. This has led to a significant increase in unemployment and a loss of employee-sponsored insurance coverage for many people in the United States. As a result, consumers may reduce their spending and our customer attrition rate may increase, which could have a material adverse effect on our business, sales, financial condition and results of operations.
The COVID-19 pandemic also has the potential to significantly impact our supply chain if the manufacturing plants that produce our products or product components, the distribution centers where we manage our inventory, or the operations of our logistics and other service providers, including third parties that sterilize our products, are disrupted, temporarily closed or experience worker shortages for a sustained period of time. Although China, where we manufacture a significant portion of our product, has begun to experience recovery and we are currently producing at pre-COVID-19 levels, should China suffer a COVID-19 relapse, it could hinder our ability to produce product and have a material adverse effect on our business and results of operations.
The further spread of COVID-19, and the requirements to take action to help limit the spread of the illness, may impact our ability to carry out our business as usual. For example, the COVID-19 pandemic may divert healthcare resources away from the conduct of clinical trials and interruption in the operations of the U.S. Food and Drug Administration and comparable foreign regulatory agencies, which could delay product approval timelines. Further, we could experience limitations on employee resources that would otherwise be focused on the conduct of preclinical studies and clinical trials, including because of sickness of employees or their families, the requirement for employees to avoid contact with large groups of people and the reliance on working from home. The continued spread of COVID-19 may also slow potential enrollment of clinical trials, reduce the number of eligible patients for our clinical trials and impact our ability to recruit principal investigators and site staff. As a result of the COVID-19 pandemic, including related governmental guidance or requirements, many of our employees are working from home, which may negatively impact productivity and cause other disruptions to our business. In addition, if the pandemic continues, we may experience a decline in sales activities, which may hinder new patient starts and negatively impact our revenue growth.
The extent of the impact of the COVID-19 pandemic on our business and financial performance, including our ability to execute our near-term and long-term business strategies and initiatives in the expected time frame, will depend on future developments, including the duration and severity of the pandemic, which are uncertain and cannot be predicted. In addition, the pandemic could cause an economic slowdown of potentially extended duration and lead to a global depression. Any sustained disruption in the capital markets from the COVID-19 pandemic could negatively impact our ability to raise capital. If the macro-economic disruption continues for pro-longed periods, we may need to raise additional capital and capital may not be available on acceptable terms, or at all. While we have a strong balance sheet as of June 30, 2020, in part due to the completion of a public offering of common stock in May 2020, and currently do not need to raise additional capital, should the opportunity arise to raise capital on favorable terms, we may choose to do so in order to minimize this risk. We cannot predict when the macro-economic disruption stemming from the coronavirus will ebb or when the economy will return to pre-coronavirus levels, if at all.
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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
None.Subsequent to the three months ended June 30, 2021, we issued securities that were not registered under the Securities Act and were not previously disclosed in a Current Report on Form 8-K or Quarterly Report on Form 10-Q as listed below. All of the securities discussed in this Item 2 were issued in reliance on the exemption from registration under Section 3(a)(9) of the Securities Act of 1933, as amended (the “Securities Act”).
On July 2, 2021, we issued 74,347 shares of our common stock to certain holders of our 1.375% Convertible Senior Notes due 2024 (the “Notes”) upon the conversion of $6.928 million aggregate principal amount of the Notes by such holders.
On July 8, 2021, we issued 98,428 shares of our common stock to certain holders of the Notes upon the conversion of $9.172 million aggregate principal amount of the Notes by such holders.
On July 19, 2021, we issued 42,035 shares of our common stock to certain holders of the Notes upon the conversion of $3.917 million aggregate principal amount of the Notes by such holders.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
None.
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Item 6. Exhibits
NumberDescription
Underwriting Agreement, dated May 12, 2020, by and among Insulet Corporation and Morgan Stanley & Co. LLC and J.P. Morgan Securities LLC, as representatives of the several underwriters named therein (Incorporated by reference to Exhibit 1.1 to the Company’s Current Report on Form 8-K filed May 15, 2020).
Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 by Chief Executive Officer.
Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 by Chief Financial Officer.
Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, by Chief Executive Officer and Chief Financial Officer.
Credit Agreement, dated as of May 4, 2021, by and among Insulet Corporation, the lenders and other parties thereto and Morgan Stanley Senior Funding, Inc., as administrative agent and collateral agent (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed May 5, 2021).
101The following materials from Insulet Corporation’s Quarterly Report on Form 10-Q for the quarter ended June 30, 20202021 formatted in iXBRL (Inline eXtensible Business Reporting Language), as follows:
(i) Condensed Consolidated Balance Sheets (Unaudited) as of June 30, 20202021 and December 31, 20192020
(ii) Condensed Consolidated Statements of Operations (Unaudited) for the Threethree and Six Months Endedsix months ended June 30, 20202021 and 20192020
(iii) Condensed Consolidated Statements of Comprehensive (Loss) Income (Unaudited) for the Threethree and Six Months Endedsix months ended June 30, 20202021 and 20192020
(iv) Condensed Consolidated Statements of Stockholders’ Equity (Unaudited) for the Threethree and Six Months Endedsix months ended June 30, 20202021 and 20192020
(v) Condensed Consolidated Statements of Cash Flows (Unaudited) for the Six Months Endedsix months ended June 30, 20202021 and 20192020
(vi) Condensed Notes (Unaudited) to Consolidated Financial Statements
*This certification shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, or otherwise subject to the liability of that Section, nor shall it be deemed to be incorporated by reference into any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934.Furnished herewith.
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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
INSULET CORPORATION
 
(Registrant)
Date:August 6, 20205, 2021/s/ Shacey Petrovic
Shacey Petrovic
Chief Executive Officer
(Principal Executive Officer)
 
Date:August 6, 20205, 2021/s/ Wayde McMillan
Wayde McMillan
Chief Financial Officer
(Principal Financial Officer)

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