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REVENUE, CREDIT CONCENTRATIONS AND GEOGRAPHIC INFORMATION
9 Months Ended
Sep. 30, 2023
Concentration Risk And Geographic Information [Abstract]  
REVENUE, CREDIT CONCENTRATIONS AND GEOGRAPHIC INFORMATION REVENUE, CREDIT CONCENTRATIONS AND GEOGRAPHIC INFORMATION
The Company operates in one business segment, which primarily focuses on the development and commercialization of innovative therapies for people with serious and life-threatening rare diseases and medical conditions.
The following table disaggregates total Net Product Revenues by product.
Three Months Ended
September 30,
Nine Months Ended
September 30,
2023202220232022
Enzyme product revenues:
VIMIZIM$158,869 $155,470 $525,453 $511,735 
NAGLAZYME108,916 99,506 322,040 343,320 
PALYNZIQ78,885 66,206 216,105 182,734 
BRINEURA41,042 37,793 118,244 111,691 
ALDURAZYME13,812 29,046 88,533 90,755 
Total enzyme product revenues401,524 388,021 1,270,375 1,240,235 
VOXZOGO122,973 48,289 324,146 102,321 
KUVAN42,947 57,038 144,047 173,977 
ROCTAVIAN822 — 822 — 
Total net product revenues568,266 493,348 1,739,390 1,516,533 
Royalty and other revenues13,063 11,996 33,629 41,968 
Total revenues$581,329 $505,344 $1,773,019 $1,558,501 
The Company considers there to be revenue concentration risks for regions where Net Product Revenues exceed 10% of consolidated Net Product Revenues. The concentration of the Company’s Net Product Revenues within the regions below may have a material adverse effect on the Company’s revenues and results of operations if sales in the respective regions experience difficulties. The table below disaggregates total Net Product Revenues by geographic region, which is based on patient location for Company's commercial products sold directly by the Company, except for ALDURAZYME, which is marketed and sold exclusively by Sanofi worldwide.
Three Months Ended
September 30,
Nine Months Ended
September 30,
2023202220232022
United States$194,745 $176,552 $553,184 $497,205 
Europe168,784 162,583 512,910 480,645 
Latin America81,524 60,791 224,716 213,246 
Rest of world109,401 64,376 360,047 234,682 
Total net product revenues marketed by the Company$554,454 $464,302 $1,650,857 $1,425,778 
ALDURAZYME net product revenues marketed by Sanofi13,812 29,046 88,533 90,755 
Total net product revenues$568,266 $493,348 $1,739,390 $1,516,533 
The following table illustrates the percentage of the Company’s total Net Product Revenues attributed to the Company’s largest customers for the periods presented. 
Three Months Ended
September 30,
Nine Months Ended
September 30,
2023202220232022
Customer A15 %15 %15 %16 %
Customer B13 %14 %12 %12 %
Customer C10 %10 %10 %%
Total38 %39 %37 %37 %
On a consolidated basis, two customers accounted for 16% and 11% of the Company’s September 30, 2023 accounts receivable balance, respectively, compared to December 31, 2022, when two customers accounted for 22% and 15% of the accounts receivable balance, respectively. As of September 30, 2023, and December 31, 2022, the accounts receivable balance for Sanofi included $54.8 million and $68.8 million, respectively, of unbilled accounts receivable, which becomes payable to the Company when the product is sold through by Sanofi. The Company does not require collateral from its customers, but does perform periodic credit evaluations of its customers’ financial condition and requires prepayments in certain circumstances.
The Company is mindful that conditions in the current macroeconomic environment, such as inflation, changes in interest and foreign currency exchange rates, banking crises, natural disasters, the continuing effects of the COVID-19 pandemic, and supply chain disruptions, could affect the Company’s ability to achieve its goals. In addition, the Company sells its products in countries that face economic volatility and weakness. Although the Company has historically collected receivables from customers in certain countries, sustained weakness or further deterioration of the local economies and currencies may cause customers in those countries to delay payment or be unable to pay for the Company’s products. The Company believes that the allowances for doubtful accounts related to these countries, if any, are adequate based on its analysis of the specific business circumstances and expectations of collection for each of the underlying accounts in these countries. The Company will continue to monitor these conditions and will attempt to adjust its business processes, as appropriate, to mitigate macroeconomic risks to its business.