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Segment Reporting
12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting
The Company’s operations are principally managed on a products basis and include four operating segments, which are the Pharmaceutical, Animal Health, Healthcare Services and Alliances segments. The Pharmaceutical and Animal Health segments are the only reportable segments.
The Pharmaceutical segment includes human health pharmaceutical and vaccine products. Human health pharmaceutical products consist of therapeutic and preventive agents, generally sold by prescription, for the treatment of human disorders. The Company sells these human health pharmaceutical products primarily to drug wholesalers and retailers, hospitals, government agencies and managed health care providers such as health maintenance organizations, pharmacy benefit managers and other institutions. Human health vaccine products consist of preventive pediatric, adolescent and adult vaccines, primarily administered at physician offices. The Company sells these human health vaccines primarily to physicians, wholesalers, physician distributors and government entities. A large component of pediatric and adolescent vaccine sales are made to the U.S. Centers for Disease Control and Prevention Vaccines for Children program, which is funded by the U.S. government. Additionally, the Company sells vaccines to the Federal government for placement into vaccine stockpiles. During 2019, as a result of changes to the Company’s internal reporting structure, certain costs that were previously included in the Pharmaceutical segment are now being included as part of non-segment expenses within Merck Research Laboratories. Prior period Pharmaceutical segment profits have been recast to reflect these changes on a comparable basis.
The Animal Health segment discovers, develops, manufactures and markets a wide range of veterinary pharmaceutical and vaccine products, as well as health management solutions and services, for the prevention, treatment and control of disease in all major livestock and companion animal species. The Company also offers an extensive suite of digitally connected identification, traceability and monitoring products. The Company sells its products to veterinarians, distributors and animal producers.
The Healthcare Services segment provides services and solutions that focus on engagement, health analytics and clinical services to improve the value of care delivered to patients. The Company has recently sold certain businesses in the Healthcare Services segment and is in the process of divesting the remaining businesses.
The Alliances segment primarily includes activity from the Company’s relationship with AstraZeneca LP related to sales of Nexium and Prilosec, which concluded in 2018.

Sales of the Company’s products were as follows:
Years Ended December 31
2019
 
2018
 
2017
 
U.S.
 
Int’l
 
Total
 
U.S.
 
Int’l
 
Total
 
U.S.
 
Int’l
 
Total
Pharmaceutical:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Oncology
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Keytruda
$
6,305

 
$
4,779

 
$
11,084

 
$
4,150

 
$
3,021

 
$
7,171

 
$
2,309

 
$
1,500

 
$
3,809

Alliance revenue - Lynparza (1)
269

 
176

 
444

 
127

 
61

 
187

 

 
20

 
20

Alliance revenue - Lenvima (1)
239

 
165

 
404

 
95

 
54

 
149

 

 

 

Emend
183

 
205

 
388

 
312

 
210

 
522

 
342

 
213

 
556

Vaccines
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gardasil/Gardasil 9
1,831

 
1,905

 
3,737

 
1,873

 
1,279

 
3,151

 
1,565

 
743

 
2,308

ProQuad/M-M-R II/Varivax
1,683

 
592

 
2,275

 
1,430

 
368

 
1,798

 
1,374

 
303

 
1,676

Pneumovax 23
679

 
247

 
926

 
627

 
281

 
907

 
581

 
240

 
821

RotaTeq
506

 
284

 
791

 
496

 
232

 
728

 
481

 
204

 
686

Vaqta
130

 
108

 
238

 
127

 
112

 
239

 
94

 
124

 
218

Hospital Acute Care
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Bridion
533

 
598

 
1,131

 
386

 
531

 
917

 
239

 
465

 
704

Noxafil
282

 
380

 
662

 
353

 
389

 
742

 
309

 
327

 
636

Primaxin
2

 
271

 
273

 
7

 
258

 
265

 
10

 
270

 
280

Invanz
30

 
233

 
263

 
253

 
243

 
496

 
361

 
241

 
602

Cubicin
92

 
165

 
257

 
191

 
176

 
367

 
189

 
193

 
382

Cancidas
6

 
242

 
249

 
12

 
314

 
326

 
20

 
402

 
422

Immunology
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Simponi

 
830

 
830

 

 
893

 
893

 

 
819

 
819

Remicade

 
411

 
411

 

 
582

 
582

 

 
837

 
837

Neuroscience
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Belsomra
92

 
214

 
306

 
96

 
164

 
260

 
98

 
112

 
210

Virology
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Isentress/Isentress HD
398

 
576

 
975

 
513

 
627

 
1,140

 
565

 
639

 
1,204

Zepatier
118

 
252

 
370

 
8

 
447

 
455

 
771

 
888

 
1,660

Cardiovascular
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Zetia
14

 
575

 
590

 
45

 
813

 
857

 
352

 
992

 
1,344

Vytorin
16

 
269

 
285

 
10

 
487

 
497

 
124

 
627

 
751

Atozet

 
391

 
391

 

 
347

 
347

 

 
225

 
225

Adempas

 
419

 
419

 

 
329

 
329

 

 
300

 
300

Diabetes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Januvia
1,724

 
1,758

 
3,482

 
1,969

 
1,718

 
3,686

 
2,153

 
1,584

 
3,737

Janumet
589

 
1,452

 
2,041

 
811

 
1,417

 
2,228

 
863

 
1,296

 
2,158

Women’s Health
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NuvaRing
742

 
136

 
879

 
722

 
180

 
902

 
564

 
197

 
761

Implanon/Nexplanon
568

 
219

 
787

 
495

 
208

 
703

 
496

 
191

 
686

Diversified Brands
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Singulair
29

 
669

 
698

 
20

 
688

 
708

 
40

 
692

 
732

Cozaar/Hyzaar
24

 
418

 
442

 
23

 
431

 
453

 
18

 
466

 
484

Nasonex
9

 
284

 
293

 
23

 
353

 
376

 
54

 
333

 
387

Arcoxia

 
288

 
288

 

 
335

 
335

 

 
363

 
363

Follistim AQ
103

 
138

 
241

 
115

 
153

 
268

 
123

 
174

 
298

Other pharmaceutical (2)
1,563

 
3,343

 
4,901

 
1,319

 
3,380

 
4,705

 
1,759

 
3,556

 
5,314

Total Pharmaceutical segment sales
18,759


22,992


41,751


16,608


21,081


37,689


15,854


19,536


35,390

Animal Health:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Livestock
582

 
2,201

 
2,784

 
528

 
2,102

 
2,630

 
471

 
2,013

 
2,484

Companion Animals
724

 
885

 
1,609

 
710

 
872

 
1,582

 
619

 
772

 
1,391

Total Animal Health segment sales
1,306


3,086


4,393


1,238


2,974


4,212


1,090


2,785


3,875

Other segment sales (3)
174

 
1

 
175

 
248

 
2

 
250

 
396

 
1

 
397

Total segment sales
20,239


26,079


46,319


18,094


24,057


42,151


17,340


22,322


39,662

Other (4)
86

 
436

 
521

 
118

 
26

 
143

 
84

 
376

 
460

 
$
20,325

 
$
26,515


$
46,840


$
18,212

 
$
24,083


$
42,294


$
17,424

 
$
22,698


$
40,122

U.S. plus international may not equal total due to rounding.
(1) 
Alliance revenue represents Merck’s share of profits, which are product sales net of cost of sales and commercialization costs (see Note 4).
(2) 
Other pharmaceutical primarily reflects sales of other human health pharmaceutical products, including products within the franchises not listed separately.
(3) 
Represents the non-reportable segments of Healthcare Services and Alliances.
(4) 
Other is primarily comprised of miscellaneous corporate revenues, including revenue hedging activities, as well as third-party manufacturing sales. Other in 2019, 2018 and 2017 also includes approximately $80 million, $95 million and $85 million, respectively, related to the sale of the marketing rights to certain products.
Consolidated sales by geographic area where derived are as follows:
Years Ended December 31
2019
 
2018
 
2017
United States
$
20,325

 
$
18,212

 
$
17,424

Europe, Middle East and Africa
12,707

 
12,213

 
11,478

Japan
3,583

 
3,212

 
3,122

China
3,207

 
2,184

 
1,586

Asia Pacific (other than Japan and China)
2,943

 
2,909

 
2,751

Latin America
2,469

 
2,415

 
2,339

Other
1,606

 
1,149

 
1,422

 
$
46,840

 
$
42,294

 
$
40,122


A reconciliation of segment profits to Income before taxes is as follows:
Years Ended December 31
2019
 
2018
 
2017
Segment profits:
 
 
 
 
 
Pharmaceutical segment
$
28,324

 
$
24,871

 
$
23,018

Animal Health segment
1,609

 
1,659

 
1,552

Other segments
(7
)
 
103

 
275

Total segment profits
29,926

 
26,633

 
24,845

Other profits
363

 
6

 
26

Unallocated:
 
 
 
 
 
Interest income
274

 
343

 
385

Interest expense
(893
)
 
(772
)
 
(754
)
Depreciation and amortization
(1,573
)
 
(1,334
)
 
(1,378
)
Research and development
(9,499
)
 
(9,432
)
 
(10,004
)
Amortization of purchase accounting adjustments
(1,419
)
 
(2,664
)
 
(3,056
)
Restructuring costs
(638
)
 
(632
)
 
(776
)
Charge related to the termination of a collaboration with Samsung

 
(423
)
 

Loss on extinguishment of debt

 

 
(191
)
Other unallocated, net
(5,077
)
 
(3,024
)
 
(2,576
)
Income Before Taxes
$
11,464

 
$
8,701

 
$
6,521


Pharmaceutical segment profits are comprised of segment sales less standard costs, as well as selling, general and administrative expenses directly incurred by the segment. Animal Health segment profits are comprised of segment sales, less all cost of sales, as well as selling, general and administrative expenses and research and development costs directly incurred by the segment. For internal management reporting presented to the chief operating decision maker, Merck does not allocate the remaining cost of sales not included in segment profits as described above, research and development expenses incurred in Merck Research Laboratories, the Company’s research and development division that focuses on human health-related activities, or general and administrative expenses, nor the cost of financing these activities. Separate divisions maintain responsibility for monitoring and managing these costs, including depreciation related to fixed assets utilized by these divisions and, therefore, they are not included in segment profits. In addition, costs related to restructuring activities, as well as the amortization of purchase accounting adjustments are not allocated to segments.
Other profits are primarily comprised of miscellaneous corporate profits, as well as operating profits related to third-party manufacturing sales.
Other unallocated, net includes expenses from corporate and manufacturing cost centers, goodwill and other intangible asset impairment charges, gains or losses on sales of businesses, expense or income related to changes in the estimated fair value of liabilities for contingent consideration, and other miscellaneous income or expense items.
Equity (income) loss from affiliates and depreciation and amortization included in segment profits is as follows:
 
Pharmaceutical
 
Animal Health
 
All Other
 
Total
Year Ended December 31, 2019
  
 
 
 
  
 
  
Included in segment profits:
 
 
 
 
 
 
 
Equity (income) loss from affiliates
$

 
$

 
$

 
$

Depreciation and amortization
137

 
109

 
10

 
256

Year Ended December 31, 2018
  
 
 
 
  
 
  
Included in segment profits:
 
 
 
 
 
 
 
Equity (income) loss from affiliates
$
4

 
$

 
$

 
$
4

Depreciation and amortization
243

 
82

 
10

 
335

Year Ended December 31, 2017
  
 
 
 
  
 
  
Included in segment profits:
 
 
 
 
 
 
 
Equity (income) loss from affiliates
$
7

 
$

 
$

 
$
7

Depreciation and amortization
125

 
75

 
12

 
212


Property, plant and equipment, net, by geographic area where located is as follows:
December 31
2019
 
2018
 
2017
United States
$
8,974

 
$
8,306

 
$
8,070

Europe, Middle East and Africa
4,767

 
3,706

 
3,151

Asia Pacific (other than Japan and China)
714

 
684

 
632

Latin America
266

 
264

 
271

China
174

 
167

 
150

Japan
152

 
159

 
158

Other
6

 
5

 
7

 
$
15,053

 
$
13,291

 
$
12,439


The Company does not disaggregate assets on a products and services basis for internal management reporting and, therefore, such information is not presented.