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Segment Information
12 Months Ended
Dec. 31, 2013
Segment Information  
Segment Information

19. Segment Information

        Prior to June 2011, we operated in two business segments: pharmaceutical and telemedicine. Following the sale of our telemedicine subsidiary, Medicomp, and the discontinuation of further telemedicine-related activities in 2011, we began managing our business as one operating segment. However, our chief operating decision makers regularly review revenues, cost of revenues and gross profit data as a primary measure of performance for each of our three commercial products. Note that we expect to commence sales of our most recently approved commercial product, Orenitram, in mid-2014.

        Revenues, cost of revenues and gross profit for each of our commercial products are as follows (in thousands):

 
  Remodulin   Tyvaso   Adcirca   Total  

Year Ended December 31, 2013

                         

Revenues

  $ 491,179   $ 438,793   $ 176,972   $ 1,106,944  

Cost of revenues

    59,314     60,831     10,982     131,127  
                   

Gross profit

  $ 431,865   $ 377,962   $ 165,990   $ 975,817  
                   
                   

Year Ended December 31, 2012

                         

Revenues

  $ 457,969   $ 325,614   $ 122,540   $ 906,123  

Cost of revenues

    57,618     53,825     7,854     119,297  
                   

Gross profit

  $ 400,351   $ 271,789   $ 114,686   $ 786,826  
                   
                   

Year Ended December 31, 2011

                         

Revenues

  $ 430,132   $ 240,382   $ 70,580   $ 741,094  

Cost of revenues

    52,329     31,934     4,641   $ 88,904  
                   

Gross profit

  $ 377,803   $ 208,448   $ 65,939   $ 652,190  
                   
                   

        Geographic revenues are determined based on the country in which our customers (distributors) are located. Net revenues from external customers by geographic area are as follows (in thousands):

Year Ended December 31,
  2013   2012   2011  

United States

  $ 1,032,435   $ 846,611   $ 676,967  

Rest-of-World(1)

    84,549     69,465     66,216  
               

Total

  $ 1,116,984   $ 916,076   $ 743,183  
               
               

(1)
Primarily Europe.

        For the years ended December 31, 2013, 2012 and 2011, sales to Accredo Health Group, Inc. comprised 57 percent, 56 percent and 61 percent, respectively, of total consolidated net revenues.

        Long-lived assets (property, plant and equipment) located by geographic area are as follows (in thousands):

Year Ended December 31,
  2013   2012   2011  

United States

  $ 442,673   $ 425,585   $ 345,153  

Rest-of-World(1)

    22,277     28,100     20,893  
               

Total

  $ 464,950   $ 453,685   $ 366,046  
               
               

(1)
Facilities principally located in the United Kingdom.