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Revenue from Contracts with Customers (Tables)
9 Months Ended
Sep. 30, 2019
Revenue from Contracts with Customers [Abstract]  
Disaggregation of Revenue [Table Text Block]
disaggregates its revenue from contracts with customers by segment and geographic location as the Company believes it best depicts how the nature, amount, timing and uncertainty of its revenue and cash flows are affected by economic factors. In the following table, revenue is disaggregated by segment and primary geographical market for the three and nine months ended September 30, 2019 and 2018:
 
 
Three Months Ended
 
Three Months Ended
 
 
September 30, 2019
 
September 30, 2018
(in thousands)
 
Medical Devices
 
Pharmaceutical
 
Medical Devices
 
Pharmaceutical
 
 
 
 
 
 
 
 
 
Primary geographical markets:
 
 
 
 
 
 
 
 
North America
 
$
2,779

 
$
6,119

 
$
2,315

 
$
10,036

Europe
 
699

 
5,496

 
565

 
5,810

Asia
 
3,178

 
654

 
2,158

 
1,926

Other
 
68

 

 
65

 

Total revenue from contracts with customers(1)
 
$
6,724

 
$
12,269

 
$
5,103

 
$
17,772


 
 
Nine Months Ended
 
Nine Months Ended
 
 
September 30, 2019
 
September 30, 2018
(in thousands)
 
Medical Devices
 
Pharmaceutical
 
Medical Devices
 
Pharmaceutical
 
 
 
 
 
 
 
 
 
Primary geographical markets:
 
 
 
 
 
 
 
 
North America
 
$
7,066

 
$
21,295

 
$
4,634

 
$
31,743

Europe
 
2,421

 
16,532

 
1,859

 
18,172

Asia
 
8,540

 
4,817

 
4,915

 
12,078

Other
 
253

 

 
285

 

Total revenue from contracts with customers(1)
 
$
18,280

 
$
42,644

 
$
11,693

 
$
61,993

_______________
(1)
The tables above do not include lease revenue from the Company’s Medical Devices segment. For the three-month periods ended September 30, 2019 and 2018, revenue accounted for under Topic 842 and 840, Leases, was $1.3 million and $1.5 million, respectively and for the nine-month periods ended September 30, 2019 and 2018 was $3.9 million and $5.8 million, respectively.
Contract with Customer, Asset and Liability [Table Text Block]
The following table provides information about receivables, contract assets and contract liabilities from contracts with customers:
(in thousands)
 
September 30, 2019
 
December 31, 2018
 
 
 
 
 
Receivables, net
 
$
12,581

 
$
20,655

Contract assets
 
$
3,849

 
$
2,595

Contract liabilities
 
$
4,901

 
$
8,938


Receivables, Net—Receivables, net, include amounts billed and due from customers. The amounts due are stated at their net estimated realizable value and are classified as current or noncurrent based on the timing of when the Company expects to receive payment. The Company maintains an allowance for doubtful accounts to provide for the estimated amount of receivables that will not be collected. The allowance is based upon an assessment of customer creditworthiness, historical payment experience, the age of outstanding receivables and collateral to the extent applicable.

Contract assets—The Company’s contract assets represent revenue recognized for performance obligations completed before an unconditional right to payment exists, and therefore invoicing or associated reporting from the customer regarding the computation of the net product sales has not yet occurred. The Company classifies contract assets in Prepaid and other current assets in the Company’s Condensed Consolidated Balance Sheets based on the timing of when it expects to receive payment.
(in thousands)
 
Medical Devices
 
Pharmaceutical
 
Total
 
 
 
 
 
 
 
Contract assets at December 31, 2018
 
$

 
$
2,595

 
$
2,595

Contract assets recognized
 

 
(6,631
)
 
(6,631
)
Payments received
 

 
7,885

 
7,885

Contract assets at September 30, 2019
 
$

 
$
3,849

 
$
3,849


Contract Liabilities—The Company’s contract liabilities consist of deferred revenue for products sold to customers for which the performance obligation has not been completed by the Company. The Company classifies deferred revenue as current or noncurrent based on the timing of when it expects to recognize revenue. The noncurrent portion of deferred revenue is included in Other long-term liabilities in the Company’s Condensed Consolidated Balance Sheets.
(in thousands)
 
Medical Devices
 
Pharmaceutical
 
Total
 
 
 
 
 
 
 
Contract liabilities at December 31, 2018
 
$
1,167

 
$
7,771

 
$
8,938

Contract liabilities recognized
 
788

 
2,903

 
3,691

Amounts recognized into revenue
 
(841
)
 
(6,887
)
 
(7,728
)
Contract liabilities at September 30, 2019
 
$
1,114

 
$
3,787

 
$
4,901

Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table Text Block]
The following table includes estimated revenue expected to be recognized in the future related to performance obligations that are unsatisfied (or partially unsatisfied) at the end of the reporting period.
 
 
Three Months Ended
 
 
 
 
(in thousands)
 
December 31, 2019
 
Thereafter
 
Total
 
 
 
 
 
 
 
Medical device sales
 
$
1,484

 
$
9,444

 
$
10,928

Pharmaceutical product sales
 
$
58

 
$
2,326

 
$
2,384