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Revenue Recognition (Tables)
3 Months Ended
Mar. 31, 2018
Revenue from Contract with Customer [Abstract]  
Disaggregated revenue
The following table provides information about disaggregated revenue by products and services (in thousands):
 
Three Months Ended March 31,
 
2018
 
2017
Product sales, net
 
 
 
Makena
$
89,983

 
$
86,455

Feraheme
25,135

 
25,922

Intrarosa
2,165

 

MuGard
65

 
140

Total
$
117,348

 
$
112,517

Service revenues, net
$
28,969

 
$
26,931


Total gross product sales were offset by product sales allowances and accruals for the three months ended March 31, 2018 and 2017 as follows (in thousands, except for percentages):
 
Three Months Ended March 31,
 
2018
 
Percent of
gross
product sales
 
2017
 
Percent of
gross
product sales
Gross product sales
$
239,870

 
 
 
$
206,724

 
 
Provision for product sales allowances and accruals:
 

 
 
 
 

 
 
Contractual adjustments
86,144

 
36
%
 
69,829

 
34
%
Governmental rebates
36,378

 
15
%
 
24,378

 
12
%
Total
122,522

 
51
%
 
94,207

 
46
%
Product sales, net
$
117,348

 
 
 
$
112,517

 
 
Product revenue allowance and accrual activity
The following table summarizes the product revenue allowance and accrual activity for the three months ended March 31, 2018 (in thousands):
 
Contractual
 
Governmental
 
 
 
Adjustments
 
Rebates
 
Total
Balance at December 31, 2017
$
62,164

 
$
50,598

 
$
112,762

Provisions related to current period sales
85,308

 
31,028

 
116,336

Adjustments related to prior period sales
836

 
5,350

 
6,186

Payments/returns relating to current period sales
(44,633
)
 

 
(44,633
)
Payments/returns relating to prior period sales
(39,441
)
 
(25,149
)
 
(64,590
)
Balance at March 31, 2018
$
64,234

 
$
61,827

 
$
126,061

Receivables, assets and liabilities from contracts with customers
The following table provides information about assets and liabilities from contracts with customers (in thousands):
 
March 31, 2018
 
At Adoption
Short-term contract assets (sales commissions)
$
97

 
$
79

Long-term contract assets (sales commissions)
$
1,700

 
$
1,400

Short-term contract liabilities (deferred revenue)
$
42,510

 
$
42,494

Long-term contract liabilities (deferred revenue)
$
27,398

 
$
24,387

The following table presents changes in the Company’s contract assets and liabilities during the three months ended March 31, 2018 (in thousands):
 
Balance at January 1, 2018
 
Additions
 
Deductions
 
Balance at March 31, 2018
Contract assets (sales commissions)
$
1,479

 
$
340

 
$
(22
)
 
$
1,797

Contract liabilities (deferred revenue)
$
66,881

 
$
21,727

 
$
(18,700
)
 
$
69,908