DEXCOM INC quarterly report, Q1 FY2012

DexCom, Inc. — Q1 2012 Form 10-Q

Reporting period: Three months ended March 31, 2012; comparisons are with the three months ended March 31, 2011 unless otherwise noted. Dollar figures below are in millions except per-share data. DexCom develops and commercializes continuous glucose monitoring systems, principally its SEVEN PLUS ambulatory product.

Financial results

MetricQ1 2012Q1 2011
Total revenue$20.1$14.2
Product revenue$18.6$13.1
Gross profit$9.4$5.1
Gross margin46.7%36.1%
Operating loss$(15.4)$(11.9)
Net loss$(14.1)$(11.9)
Basic and diluted loss per share$(0.21)$(0.19)
Cash used in operating activities$(10.2)$(9.3)
  • Revenue grew about 42%, primarily from higher sales volume of durable systems and disposable sensors. Product gross profit rose to $9.0 million from $4.8 million, aided by higher revenue and manufacturing absorption.
  • Operating expenses increased to $24.8 million from $17.0 million. R&D rose to $9.7 million, mainly for next-generation ambulatory products; SG&A rose to $15.1 million, including increased commercialization costs and legal costs related to SweetSpot.
  • Net loss increased despite a $1.3 million income tax benefit, recorded after the SweetSpot acquisition allowed release of part of the deferred-tax-asset valuation allowance.

Balance sheet, liquidity and cash flow

  • At March 31, 2012, cash and cash equivalents were $5.1 million and short-term marketable securities were $65.1 million, totaling $70.2 million; restricted cash was an additional $1.0 million. Cash plus short-term securities was $81.9 million at December 31, 2011.
  • Working capital was $76.7 million. Current assets were $92.8 million and current liabilities were $16.1 million.
  • Total liabilities were $18.4 million; the filing reports no interest-bearing debt outstanding at quarter-end. Deferred revenue totaled $2.7 million.
  • Investing activities provided $11.6 million, largely reflecting net maturities of marketable securities; capital expenditures were $2.3 million. Financing activities provided $1.1 million, principally from stock issuance.
  • Management said available resources were expected to fund operations through at least March 31, 2013. The company had an accumulated deficit of $405.2 million and expected losses to continue.

Material changes, outlook and notable items

  • DexCom acquired SweetSpot Diabetes Care on March 6, 2012, adding a diabetes-device data platform. The preliminary purchase price was $6.1 million, comprising $3.9 million in DexCom shares and $2.2 million in contingent consideration; the allocation, including $3.2 million goodwill and $4.6 million of intangible assets, remained subject to adjustment.
  • DexCom entered a non-exclusive development and commercialization agreement with Tandem in February 2012. Existing collaborations included Animas, Insulet, Roche and Edwards. No specific revenue or earnings guidance was provided.
  • Management expects continued losses as it invests in commercialization, product development, clinical work, manufacturing and infrastructure. It said additional capital may be needed if cash needs exceed forecasts; financing may be unavailable on acceptable terms or dilute shareholders.
  • Medicare had not adopted a national coverage decision for CGM devices. Private-payor coverage remained conditional and often required extensive documentation, creating a risk to adoption and sales.
  • Abbott patent litigation and related patent-office proceedings remained unresolved. The litigation was stayed pending patent reexaminations; a Federal Circuit oral hearing on two patents was scheduled for June 7, 2012. DexCom had accrued no amounts, and said potential outcomes and fees could not be assessed.
  • Other key risks included regulatory approval and clinical-trial delays, manufacturing capacity and quality, reliance on single-source suppliers, product performance and reimbursement. The SEVEN PLUS FCC waiver allowing continued marketing and operation was scheduled to expire in March 2013.
  • The filing cited a 2.3% U.S. medical-device excise tax scheduled to begin January 1, 2013; its application to DexCom products was uncertain. Disclosure controls were assessed as effective.

Important facts for investors to verify

  • Whether product-revenue growth and improved gross margin persist as manufacturing scales, while operating expenses continue to rise.
  • Cash burn, marketable-security balances and the assumptions supporting management’s stated liquidity runway through March 31, 2013.
  • Progress on SweetSpot integration and final purchase accounting, including contingent consideration and acquired intangible-asset values.
  • Changes in payor coverage, reimbursement rates and customer access, alongside regulatory progress for next-generation and partner-integrated products.
  • Developments in Abbott patent proceedings and the SEVEN PLUS FCC waiver, including any resulting costs, restrictions or required product changes.