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Revenue
9 Months Ended
Sep. 30, 2019
Revenue from Contract with Customer [Abstract]  
Revenue from Contract with Customer [Text Block]
NOTE L – REVENUE

We generate revenue primarily from the sale of single-use medical devices and present revenue net of sales taxes in our unaudited condensed consolidated statements of operations. The following tables disaggregate our revenue from contracts with customers by business and geographic region (in millions):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Businesses
2019
 
2018
 
2019
 
2018
Endoscopy
 
 
 
 
 
 
 
U.S.
$
277

 
$
247

 
$
800

 
$
724

International
209

 
196

 
596

 
580

Worldwide
486

 
443

 
1,396

 
1,304

 
 
 
 
 
 
 
 
Urology and Pelvic Health
 
 
 
 
 
 
 
U.S.
257

 
214

 
737

 
623

International
102

 
89

 
297

 
280

Worldwide
359

 
303

 
1,033

 
904

 
 
 
 
 
 
 
 
Cardiac Rhythm Management
 
 
 
 
 
 
 
U.S.
284

 
289

 
860

 
869

International
194

 
186

 
607

 
594

Worldwide
478

 
475

 
1,467

 
1,462

 
 
 
 
 
 
 
 
Electrophysiology
 
 
 
 
 
 
 
U.S.
38

 
37

 
113

 
111

International
43

 
39

 
132

 
119

Worldwide
81

 
76

 
245

 
230

 
 
 
 
 
 
 
 
Neuromodulation
 
 
 
 
 
 
 
U.S.
183

 
155

 
487

 
446

International
39

 
34

 
125

 
113

Worldwide
222

 
189

 
612

 
559

 
 
 
 
 
 
 
 
Interventional Cardiology
 
 
 
 
 
 
 
U.S.
327

 
283

 
942

 
859

International
373

 
332

 
1,126

 
1,062

Worldwide
700

 
615

 
2,067

 
1,922

 
 
 
 
 
 
 
 
Peripheral Interventions
 
 
 
 
 
 
 
U.S.
155

 
152

 
466

 
449

International
156

 
142

 
475

 
436

Worldwide
311

 
293

 
942

 
885

 
 
 
 
 
 
 
 
BTG Acquisition(1)
 
 
 
 
 
 
 
Interventional Medicine
48

 
 n/a

 
48

 
 n/a

Specialty Pharmaceuticals
23

 
 n/a

 
23

 
 n/a

Worldwide
71

 
n/a

 
71

 
n/a

 
 
 
 
 
 
 
 
Net Sales
$
2,707

 
$
2,393

 
$
7,831

 
$
7,262

(1)
For the first nine months of 2019, there have been no changes to our internal reporting structure, and accordingly, we have not revised our segment reporting or geographic presentation. We will continue to integrate the BTG Acquisition into our operations in the fourth quarter and will reassess our operating and reportable segments as well as geographic presentation for any changes related to our internal reporting structure as well as to the information regularly reviewed by the CODM. To the extent any changes in our operating and reportable segments are identified, these will be reflected in our segment reporting information in the period in which the change occurs. Our results of operations include the results of BTG following the acquisition date of August 19, 2019. BTG net sales are substantially U.S. based.

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Geographic Regions (Excluding BTG Acquisition)
2019
 
2018
 
2019
 
2018
U.S.
$
1,521

 
$
1,375

 
$
4,402

 
$
4,078

EMEA (Europe, Middle East and Africa)
530

 
498

 
1,662

 
1,619

APAC (Asia-Pacific)
484

 
425

 
1,402

 
1,282

Latin America and Canada
101

 
94

 
293

 
282

BTG Acquisition(1) (Worldwide)
71

 
n/a

 
71

 
n/a

Net Sales
$
2,707

 
$
2,393

 
$
7,831

 
$
7,262

 
 
 
 
 
 
 
 
Emerging Markets(2) (Excluding BTG Acquisition)
$
310

 
$
267

 
$
925

 
$
812


(1)
Our results of operations include the results of BTG following the acquisition date of August 19, 2019. BTG net sales are substantially U.S. based.
(2)
We define Emerging Markets as the 20 countries that we believe have strong growth potential based on their economic conditions, healthcare sectors and our global capabilities. Periodically, we assess our list of Emerging Markets; effective January 1, 2019, we updated our list of Emerging Market countries. Our current list is comprised of the following countries: Argentina, Brazil, Chile, China, Colombia, Czech Republic, India, Indonesia, Malaysia, Mexico, Philippines, Poland, Russia, Saudi Arabia, Slovakia, South Africa, South Korea, Thailand, Turkey and Vietnam. We have revised prior year amounts to the current year’s presentation. The revision had an immaterial impact on prior year Emerging Markets sales.

Deferred Revenue

Contract liabilities are classified within Other current liabilities and Other long-term liabilities on our accompanying unaudited condensed consolidated balance sheets. Our deferred revenue balance was $398 million as of September 30, 2019 and $373 million as of December 31, 2018. Our contractual liabilities are primarily composed of deferred revenue related to the LATITUDE™ Patient Management System. Revenue is recognized over the average service period which is based on device and patient longevity. We recognized revenue of $35 million in the third quarter of 2019 and $107 million in the first nine months of 2019 that was included in the above December 31, 2018 contract liability balance. We have elected not to disclose the transaction price allocated to unsatisfied performance obligations when the original expected contract duration is one year or less. In addition, we have not identified material unfulfilled performance obligations for which revenue is not currently deferred.

Variable Consideration

We generally allow our customers to return defective, damaged and, in certain cases, expired products for credit and record the amount for estimated sales returns as a reduction to revenue when we sell the initial product. In addition, we may allow customers to return previously purchased products for next-generation product offerings. For these transactions, we defer recognition of revenue on the sale of the earlier generation product based upon an estimate of the amount of product to be returned when the next-generation products are shipped to the customer.

We also offer sales rebates and discounts to certain customers. We treat sales rebates and discounts as a reduction of revenue and classify the corresponding liability as current. If we are unable to reasonably estimate the expected rebates, we record a liability for the maximum rebate percentage offered. We have entered certain agreements with group purchasing organizations to sell our products to participating hospitals at negotiated prices. We recognize revenue from these agreements following the same revenue recognition criteria discussed above.