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Revenue
6 Months Ended
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]  
Revenue Revenue
        Revenue disaggregated by customer profile is as follows:
Three Months EndedSix Months Ended
June 30, 2020June 30, 2019June 30, 2020June 30, 2019
(in thousands)(in thousands)
Top client$74,932  $89,565  $156,199  $189,559  
Clients 2-5179,018  166,772  381,996  336,285  
Clients 6-1086,449  87,725  160,800  166,499  
Clients 11-25101,417  139,086  231,501  274,748  
Other178,412  211,989  404,834  402,898  
Total$620,228  $695,137  $1,335,330  $1,369,989  
Accounts receivable, unbilled revenue (contract assets) and unearned revenue or payments on account (contract liabilities)
        Accounts receivables and unbilled revenue are as follows:
June 30, 2020December 31, 2019
(in thousands)
Contract assets:
Billed services (accounts receivable)$482,349  $535,088  
Unbilled services (unbilled revenue)410,397  422,769  
Accounts receivable and unbilled revenue892,746  957,857  
Allowance for credit losses(9,329) —  
Allowance for doubtful debts—  (7,380) 
Accounts receivable and unbilled revenue, net$883,417  $950,477  
        
Unbilled services and unearned revenue or payments on account (contract assets and liabilities) were as follows:
(in thousands, except percentages)June 30, 2020December 31, 2019$ Change% Change
Unbilled services (unbilled revenue)$410,397  $422,769  $(12,372) (2.9)%
Unearned revenue (payments on account)(393,217) (366,988) (26,229) 7.1 %
Net balance$17,180  $55,781  $(38,601) (69.2)%

        Timing may differ between the satisfaction of performance obligations and the invoicing and collection of amounts related to our contracts with customers. We record assets for amounts related to performance obligations that are satisfied but not yet billed and/or collected. These assets are recorded as unbilled services and therefore contract assets rather than accounts receivables when receipt of the consideration is conditional on something other than the passage of time. Liabilities are recorded for amounts that are collected in advance of the satisfaction of performance obligations or billed in advance of the revenue being earned.

        Unbilled services/revenue balances arise where invoicing or billing is based on the timing of agreed milestones related to service contracts for clinical research. Contractual billing arrangements in respect of certain reimbursable expenses (principally investigators) require billing by the investigator to the Company prior to billing by the Company to the customer. As there is no contractual right to set-off between unbilled services (contract assets) and unearned revenue (contract liabilities), each are separately presented gross on the Consolidated Balance Sheet.

        Unbilled services as at June 30, 2020 decreased by $12.4 million as compared to December 31, 2019. Unearned revenue increased by $26.2 million over the same period resulting in a decrease of $38.6 million in the net balance of unbilled services and unearned revenue or payments on account between December 31, 2019 and June 30, 2020. These fluctuations are primarily due to timing of payments and invoicing related to the Group's clinical trial management contracts. Billings and payments are established by contractual provisions including predetermined payment schedules which may or may not correspond to the timing of the transfer of control of the Company's services under the contract. Unbilled services arise from long-term contracts when a cost-based input method of revenue recognition is applied and revenue recognized exceeds the amount billed to the customer.

        The credit loss expense and allowance for credit losses recognized on the Group's receivables and unbilled services was de minimis for the six months ended June 30, 2020 and June 30, 2019.
        As of June 30, 2020 approximately $5.7 billion of revenue is expected to be recognized in the future in respect of unsatisfied performance obligations. The Company expects to recognize revenue on approximately 43% of the unsatisfied performance obligation over the next 12 months, with the remainder recognized thereafter over the duration of the customer contracts.