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Income Taxes - Deferred Tax Assets and Liabilities (Detail) (USD $)
In Millions, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Summary Of Net Deferred Tax Assets [Line Items]    
Net operating loss carryforwards $ 132.2us-gaap_DeferredTaxAssetsOperatingLossCarryforwards $ 132.8us-gaap_DeferredTaxAssetsOperatingLossCarryforwards
Capitalized research and development expenses 5.0us-gaap_DeferredTaxAssetsTaxDeferredExpenseOther 7.2us-gaap_DeferredTaxAssetsTaxDeferredExpenseOther
Tax credits 9.0us-gaap_DeferredTaxAssetsTaxCreditCarryforwards 7.3us-gaap_DeferredTaxAssetsTaxCreditCarryforwards
Share-based compensation 15.5us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost 12.2us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
Fixed and intangible assets 1.2dxcm_DeferredTaxAssetsGoodwillAndIntangibleAssetsIntangibleAssets 1.1dxcm_DeferredTaxAssetsGoodwillAndIntangibleAssetsIntangibleAssets
Other, net 7.0us-gaap_DeferredTaxAssetsOther 5.4us-gaap_DeferredTaxAssetsOther
Total gross deferred tax assets 169.9us-gaap_DeferredTaxAssetsGross 166.0us-gaap_DeferredTaxAssetsGross
Less: valuation allowance (169.0)us-gaap_DeferredTaxAssetsValuationAllowance (164.7)us-gaap_DeferredTaxAssetsValuationAllowance
Deferred tax liability related to acquired intangibles assets (1.0)us-gaap_DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets (1.4)us-gaap_DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
Net deferred tax asset (liability) $ (0.1)us-gaap_DeferredTaxAssetsNet $ (0.1)us-gaap_DeferredTaxAssetsNet