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Segment Reporting
3 Months Ended
Mar. 31, 2020
Segment Reporting [Abstract]  
Segment Reporting
Segment Reporting
The Company’s operations are principally managed on a products basis and include three operating segments, which are the Pharmaceutical, Animal Health and Healthcare Services 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.
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 provided services and solutions that focus on engagement, health analytics and clinical services to improve the value of care delivered to patients. The Company has been in the process of divesting the businesses in the Healthcare Services segment. The remaining businesses were divested during the first quarter of 2020.

Sales of the Company’s products were as follows:
 
Three Months Ended March 31,
 
2020
 
2019
 ($ in millions)
U.S.
 
Int’l
 
Total
 
U.S.
 
Int’l
 
Total
Pharmaceutical:
 
 
 
 
 
 
 
 
 
 
 
Oncology
 
 
 
 
 
 
 
 
 
 
 
Keytruda
$
1,906

 
$
1,378

 
$
3,284

 
$
1,284

 
$
985

 
$
2,269

Alliance revenue - Lynparza (1)
85

 
60

 
145

 
50

 
29

 
79

Alliance revenue - Lenvima (1)
90

 
38

 
128

 
50

 
24

 
74

Emend
5

 
38

 
43

 
63

 
53

 
117

Vaccines
 
 
 
 
 
 
 
 
 
 
 
Gardasil/Gardasil 9
461

 
636

 
1,097

 
362

 
476

 
838

ProQuad/M-M-R II/Varivax
333

 
102

 
435

 
343

 
153

 
496

Pneumovax 23
182

 
75

 
256

 
125

 
59

 
185

RotaTeq
140

 
82

 
222

 
154

 
57

 
211

Vaqta
30

 
30

 
60

 
29

 
18

 
47

Hospital Acute Care
 
 
 
 
 
 
 
 
 
 
 
Bridion
143

 
157

 
299

 
119

 
136

 
255

Noxafil
8

 
87

 
94

 
91

 
99

 
190

Invanz
6

 
59

 
64

 
14

 
58

 
72

Prevymis
26

 
33

 
60

 
18

 
14

 
32

Cancidas
3

 
52

 
55

 
1

 
60

 
61

Primaxin

 
51

 
51

 

 
59

 
59

Cubicin
15

 
31

 
46

 
42

 
46

 
88

Zerbaxa
20

 
16

 
37

 
12

 
14

 
26

Immunology
 
 
 
 
 
 
 
 
 
 
 
Simponi

 
215

 
215

 

 
208

 
208

Remicade

 
88

 
88

 

 
123

 
123

Neuroscience
 
 
 
 
 
 
 
 
 
 
 
Belsomra
27

 
53

 
79

 
24

 
44

 
67

Virology
 
 
 
 
 
 
 
 
 
 
 
Isentress/Isentress HD
75

 
170

 
245

 
108

 
147

 
255

Zepatier
18

 
37

 
55

 
33

 
81

 
114

Cardiovascular
 
 
 
 
 
 
 
 
 
 
 
Zetia
(2
)
 
147

 
145

 

 
140

 
140

Vytorin
3

 
50

 
53

 
3

 
94

 
97

Atozet

 
122

 
122

 

 
94

 
94

Adempas

 
56

 
56

 

 
48

 
48

Alliance revenue - Adempas (2)
49

 
5

 
53

 
40

 
2

 
42

Diabetes
 
 
 
 
 
 
 
 
 
 
 
Januvia
355

 
419

 
774

 
384

 
440

 
824

Janumet
113

 
390

 
503

 
167

 
364

 
530

Women’s Health
 
 
 
 
 
 
 
 
 
 
 
Implanon/Nexplanon
149

 
45

 
195

 
149

 
50

 
199

NuvaRing
26

 
37

 
63

 
185

 
34

 
219

Diversified Brands
 
 
 
 
 
 
 
 
 
 
 
Singulair
5

 
151

 
155

 
5

 
186

 
191

Cozaar/Hyzaar
7

 
95

 
102

 
4

 
99

 
103

Nasonex
6

 
65

 
71

 
(1
)
 
97

 
96

Arcoxia

 
70

 
70

 

 
75

 
75

Follistim AQ
21

 
21

 
41

 
29

 
28

 
57

Other pharmaceutical (3)
409

 
780

 
1,194

 
328

 
754

 
1,082

Total Pharmaceutical segment sales
4,714


5,941


10,655


4,215


5,448


9,663

Animal Health:
 
 
 
 
 
 
 
 
 
 
 
Livestock
162

 
577

 
739

 
117

 
494

 
611

Companion Animals
222

 
253

 
475

 
177

 
237

 
414

Total Animal Health segment sales
384


830


1,214


294


731


1,025

Other segment sales (4)
23

 

 
23

 
39

 

 
39

Total segment sales
5,121


6,771


11,892


4,548


6,179


10,727

Other (5)
16

 
149

 
165

 
7

 
82

 
89

 
$
5,137

 
$
6,920

 
$
12,057

 
$
4,555

 
$
6,261

 
$
10,816

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 3).
(2) 
Alliance revenue represents Merck’s share of profits from sales in Bayer’s marketing territories, which are product sales net of cost of sales and commercialization costs (see Note 3).
(3) 
Other pharmaceutical primarily reflects sales of other human health pharmaceutical products, including products within the franchises not listed separately.
(4) 
Represents sales for the Healthcare Services segment. All the businesses in the Healthcare Services segment were divested as of March 31, 2020.
(5) 
Other is primarily comprised of miscellaneous corporate revenues, including revenue hedging activities, as well as third-party manufacturing sales. Other in the first quarter of 2020 and 2019 also includes approximately $75 million and $15 million, respectively, related to the sale of the marketing rights for certain products.
Product sales are recorded net of the provision for discounts, including chargebacks, which are customer discounts that occur when a contracted customer purchases through an intermediary wholesale purchaser, and rebates that are owed based upon definitive contractual agreements or legal requirements with private sector and public sector (Medicaid and Medicare Part D) benefit providers, after the final dispensing of the product by a pharmacy to a benefit plan participant. These discounts, in the aggregate, reduced U.S. sales by $3.2 billion and $2.6 billion for the three months ended March 31, 2020 and 2019, respectively.
Consolidated sales by geographic area where derived are as follows:
 
Three Months Ended 
 March 31,
($ in millions)
2020
 
2019
United States
$
5,137

 
$
4,555

Europe, Middle East and Africa
3,534

 
3,103

China
864

 
746

Japan
811

 
799

Asia Pacific (other than China and Japan)
728

 
745

Latin America
556

 
561

Other
427

 
307

 
$
12,057


$
10,816


A reconciliation of segment profits to Income before taxes is as follows:
 
Three Months Ended 
 March 31,
($ in millions)
2020
 
2019
Segment profits:
 
 
 
Pharmaceutical segment
$
7,477

 
$
6,574

Animal Health segment
478

 
415

Other segment
1

 
2

Total segment profits
7,956

 
6,991

Other profits
139

 
30

Unallocated:
 
 
 
Interest income
25

 
89

Interest expense
(212
)
 
(209
)
Depreciation and amortization
(381
)
 
(359
)
Research and development
(2,097
)
 
(1,843
)
Amortization of purchase accounting adjustments
(295
)
 
(397
)
Restructuring costs
(72
)
 
(153
)
Other unallocated, net
(1,225
)
 
(1,082
)
 
$
3,838

 
$
3,067


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 measurement of liabilities for contingent consideration, and other miscellaneous income or expense items.