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Revenue
6 Months Ended
Oct. 25, 2019
Revenue from Contract with Customer [Abstract]  
Revenue Revenue
The Company's revenues are principally derived from device-based medical therapies and services related to cardiac rhythm disorders, cardiovascular disease, renal disease, neurological disorders and diseases, spinal conditions and musculoskeletal trauma, chronic pain, urological and digestive disorders, ear, nose, and throat conditions, and diabetes conditions as well as advanced and general surgical care products, respiratory and monitoring solutions, and neurological surgery technologies. The Company's primary customers include hospitals, clinics, third-party health care providers, distributors, and other institutions, including governmental health care programs and group purchasing organizations.
The table below illustrates net sales by segment and division for the three and six months ended October 25, 2019 and October 26, 2018:
 
Three months ended(1)
Six months ended(1)
(in millions)October 25, 2019October 26, 2018October 25, 2019October 26, 2018
Cardiac Rhythm & Heart Failure$1,426  $1,472  $2,807  $2,898  
Coronary & Structural Heart955  906  1,896  1,823  
Aortic, Peripheral, & Venous474  480  942  948  
Cardiac and Vascular Group2,855  2,858  5,645  5,669  
Surgical Innovations1,454  1,393  2,871  2,790  
Respiratory, Gastrointestinal, & Renal688  654  1,371  1,309  
Minimally Invasive Therapies Group2,142  2,047  4,242  4,099  
Brain Therapies772  701  1,512  1,375  
Spine692  656  1,349  1,308  
Specialty Therapies333  322  656  631  
Pain Therapies315  314  607  628  
Restorative Therapies Group2,112  1,993  4,124  3,942  
Diabetes Group596  583  1,188  1,155  
Total$7,706  $7,481  $15,199  $14,865  
(1) Revenue amounts have intentionally been rounded to the nearest million and, therefore, may not sum.
During the first quarter of fiscal year 2020, the Company realigned its divisions within the Restorative Therapies Group, which included a movement of revenue from Transformative Solutions product lines previously included in Specialty Therapies to a product line under Brain Therapies. As a result, net sales for fiscal year 2019 have been recast to adjust for this realignment.
The table below illustrates net sales by market geography for each segment for the three and six months ended October 25, 2019 and October 26, 2018:
 
U.S.(1)(4)
Non-U.S. Developed Markets(2)(4)
Emerging Markets(3)(4)
Three months endedThree months endedThree months ended
(in millions)October 25, 2019October 26, 2018October 25, 2019October 26, 2018October 25, 2019October 26, 2018
Cardiac and Vascular Group$1,455  $1,482  $890  $895  $510  $481  
Minimally Invasive Therapies Group922  872  782  772  438  403  
Restorative Therapies Group1,440  1,357  416  412  256  224  
Diabetes Group311  334  226  203  59  46  
Total$4,129  $4,045  $2,315  $2,282  $1,262  $1,154  
 
U.S.(1)(4)
Non-U.S. Developed Markets(2)(4)
Emerging Markets(3)(4)
Six months endedSix months endedSix months ended
(in millions)October 25, 2019October 26, 2018October 25, 2019October 26, 2018October 25, 2019October 26, 2018
Cardiac and Vascular Group $2,816  $2,871  $1,820  $1,842  $1,009  $956  
Minimally Invasive Therapies Group1,835  1,729  1,573  1,600  834  770  
Restorative Therapies Group 2,778  2,651  842  840  504  451  
Diabetes Group618  658  457  406  113  91  
Total$8,046  $7,909  $4,692  $4,688  $2,460  $2,268  
(1)U.S. includes the United States and U.S. territories.
(2)Non-U.S. developed markets include Japan, Australia, New Zealand, Korea, Canada, and the countries within Western Europe.
(3)Emerging markets include the countries of the Middle East, Africa, Latin America, Eastern Europe, and the countries of Asia that are not included in the non-U.S. developed markets, as defined above.
(4)Revenue amounts have intentionally been rounded to the nearest million and, therefore, may not sum.
The amount of revenue recognized is reduced by sales rebates and returns. Adjustments to rebates and returns reserves are recorded as increases or decreases of revenue. At October 25, 2019, $797 million of rebates were classified as other accrued expenses and $439 million of rebates were classified as a reduction of accounts receivable in the consolidated balance sheets. At April 26, 2019, $764 million of rebates were classified as other accrued expenses and $432 million of rebates were classified as a reduction of accounts receivable in the consolidated balance sheets. The Company includes obligations for returns in other accrued expenses in the consolidated balance sheets and the right-of-return asset in other current assets in the consolidated balance sheets. The right-of-return asset and liability at October 25, 2019 and April 26, 2019 were not material. For the three and six months ended October 25, 2019 and October 26, 2018, adjustments to rebate and return reserves recognized in revenue that were included in the rebate and return reserves at the beginning of the period were not material.
Deferred Revenue and Remaining Performance Obligations
The Company records a deferred revenue liability if a customer pays consideration before the Company transfers a good or service to the customer. Deferred revenue at October 25, 2019 and April 26, 2019 was $291 million and $315 million, respectively. At October 25, 2019 and April 26, 2019, $189 million and $211 million, respectively, was included in other accrued expenses and $102 million and $104 million, respectively, was included in other liabilities. During the six months ended October 25, 2019, the Company recognized $150 million of revenue that was included in deferred revenue as of April 26, 2019.
Remaining performance obligations include deferred revenue and amounts the Company expects to receive for goods and services that have not yet been delivered or provided under existing, noncancellable contracts with minimum purchase commitments. At October 25, 2019, the estimated revenue expected to be recognized in future periods related to performance obligations that are unsatisfied for executed contracts with an original duration of one year or more was approximately $1.1 billion. The Company expects to recognize revenue on the majority of these remaining performance obligations over the next four years.