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Note 3 - Revenue
9 Months Ended
Sep. 30, 2019
Notes to Financial Statements  
Revenue from Contract with Customer [Text Block]
3.
 
Revenue
 
Distribution Model
 
The Company receives payments from its customers based on billing schedules established in each contract. Up-front payments and fees are recorded as deferred revenue upon receipt or when due and
may
require deferral of revenue recognition to a future period until the Company performs its obligations under these arrangements. Amounts are recorded as accounts receivable when the Company’s right to consideration is unconditional. As of
September 30, 2019,
deferred revenue was
$28
thousand.
  
The Company has agreements with DePuy Synthes Mitek Sports Medicine, a division of DePuy Orthopaedics, Inc. (“Mitek”) that include the grant of certain licenses, performance of development services, and supply of product. Revenues from the agreements with Mitek represent
71%
and
70%
of total Company revenues for the
three
- and
nine
-month periods ended
September 30, 2019,
respectively. The Company has agreements with other customers that
may
include the delivery of a license and supply of product.
 
Hybrid Commercial Model
 
The Company recently completed the implementation of a U.S.-based hybrid commercial model through which the Company launched TACTOSET, its surgically-delivered bone repair therapy, in the
third
quarter of
2019.
The Company sells TACTOSET utilizing a network of regional and local distributors in conjunction with its own small internal sales team.
 
The Company recognizes revenue from TACTOSET product sales when the customer obtains control or upon utilization of the Company’s product in return for agreed-upon, fixed-price consideration. Revenues were
not
significant for the period. Performance obligations are settled upon transfer or utilization of the Company’s product to the customer. The Company’s payment terms are consistent with prevailing practice in the respective markets in which the Company does business. The Company’s customers make payments based on fixed-price terms, which are
not
affected by contingent events that could impact the transaction price. Payment terms fall within the
one
-year guidance for the practical expedient, which allows the Company to forgo adjustment of the contractual payment amount of consideration for the effects of a significant financing component. Product returns are only accepted at the discretion of the Company and are
not
expected to be significant. The Company accrues for sales returns and allowances on TACTOSET based upon research performed and current market conditions. The Company assesses the risk of loss on accounts receivable and adjusts the allowance for doubtful accounts based on this risk assessment, and this adjustment is
not
expected to be significant. Management believes that the allowance for doubtful accounts is adequate to provide for probable losses resulting from accounts receivable. The Company sells to a diversified base of customers and, therefore, believes there is
no
material concentration of credit risk.
 
Product and Total Revenue
 
Product revenue by product group was as follows: 
 
    Three Months Ended September 30,   Nine Months Ended September 30,
    2019   2018   2019   2018
Orthobiologics   $
26,765
    $
24,097
    $
74,975
    $
69,778
 
Surgical    
578
     
1,191
     
4,071
     
3,700
 
Dermal    
417
     
80
     
990
     
163
 
Other    
1,855
     
1,413
     
4,709
     
4,940
 
Product Revenue   $
29,615
    $
26,781
    $
84,745
    $
78,581
 
 
Total revenue by geographic location was as follows:
 
    Three Months Ended September 30,
    2019   2018
    Total   Percentage of   Total   Percentage of
    Revenue   Revenue   Revenue   Revenue
Geographic Location:                                
United States   $
23,512
     
79
%   $
21,695
     
81
%
Europe    
3,943
     
13
%    
3,132
     
12
%
Other    
2,242
     
8
%    
1,960
     
7
%
Total Revenue   $
29,697
     
100
%   $
26,787
     
100
%
 
    Nine Months Ended September 30,
    2019   2018
    Total   Percentage of   Total   Percentage of
    Revenue   Revenue   Revenue   Revenue
Geographic Location:                                
United States   $
66,538
     
78
%   $
63,377
     
81
%
Europe    
11,396
     
14
%    
9,021
     
11
%
Other    
6,904
     
8
%    
6,201
     
8
%
Total Revenue   $
84,838
     
100
%   $
78,599
     
100
%
 
On
May 2, 2018,
the Company publicly disclosed a voluntary recall of certain lots of its HYAFF-based products, HYALOFAST, HYALOGRAFT C, and HYALOMATRIX. The Company initiated the recall after internal quality testing, which indicated that the products were at risk of
not
maintaining certain measures throughout their entire shelf life. While there was
no
indication of any safety or efficacy issue related to the products at the time, the Company removed the products from the field as a precautionary measure. During the
three
-month period ended
March 31, 2018,
the Company recorded a revenue reserve for this voluntary recall of
$1.1
million of which
$0.9
million was related to revenue recorded in prior periods. The adjustments related to the initial revenue reserve subsequent to
June 30, 2018
were immaterial. The revenue reserves impacted Dermal and Orthobiologics product groups and all geographic locations. Recall recovery activities were completed during the
fourth
quarter of
2018,
and product shipments resumed in
December 2018.