UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 
 
FORM 10-Q
 
 
 
ýQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 For the quarterly period ended September 30, 20172018
or 
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 For the transition period from ________ to ________
Commission File No. 0-19731
 
 
GILEAD SCIENCES, INC.

(Exact Name of Registrant as Specified in Its Charter)
 
Delaware94-3047598
(State or Other Jurisdiction of
Incorporation or Organization)
(IRS Employer
Identification No.)
  
333 Lakeside Drive, Foster City, California94404
(Address of principal executive offices)(Zip Code)
650-574-3000
Registrant’s Telephone Number, Including Area Code
 
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes ý    No ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ý    No ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ý Accelerated filer ¨ Non-accelerated filer ¨    (Do not check if a smaller reporting company)
Smaller reporting company ¨ Emerging growth company ¨
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes ¨    No ý
Number of shares outstanding of the issuer’s common stock, par value $0.001 per share, as of October 31, 2017: 1,306,268,99630, 2018: 1,293,619,612
 




GILEAD SCIENCES, INC.
INDEX

PART I. 
     
 Item 1. 
     
   
     
   
     
   
     
   
     
   
     
 Item 2. 
     
 Item 3. 
     
 Item 4. 
     
PART II. 
     
 Item 1. 
     
 Item 1A. 
     
 Item 2. 
     
 Item 3. 
     
 Item 4. 
     
 Item 5. 
     
 Item 6. 
     
 


We own or have rights to various trademarks, copyrights and trade names used in our business, including the following: GILEAD®, GILEAD SCIENCES®, AMBISOME®, ATRIPLA®, AXI-CELTM, BIKTARVY®, CAYSTON®, COMPLERA®, DESCOVY®, EMTRIVA®, EPCLUSA®, EVIPLERA®, GENVOYA®, GILEAD COMPASS INITIATIVE™, HARVONI®, HEPSERA®, LETAIRIS®, ODEFSEY®, RANEXA®, SOVALDI®, STRIBILD®, SYNNOTCH™, THROTTLE™, TRUVADA®, TYBOST®, VEMLIDY®, VIREAD®, VITEKTA®, VOLIBRIS®, VOSEVI®, YESCARTATM® and ZYDELIG®. ATRIPLA® is a registered trademark of Bristol-Myers Squibb & Gilead Sciences, LLC. LEXISCAN® is a registered trademark of Astellas U.S. LLC. MACUGEN® is a registered trademark of Eyetech, Inc. SUSTIVASYMTUZA® is a registered trademark of Bristol-Myers Squibb Pharma Company. Janssen Sciences Ireland UC (Janssen).TAMIFLU® is a registered trademark of Hoffmann-La Roche Inc. This report also includes other trademarks, service marks and trade names of other companies.





PART I.FINANCIAL INFORMATION
Item 1.CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Item 1.    CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
GILEAD SCIENCES, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
(in millions, except per share amounts)
September 30, 2017 December 31, 2016September 30, 2018 December 31, 2017
Assets      
Current assets:      
Cash and cash equivalents$11,508
 $8,229
$14,569
 $7,588
Short-term marketable securities16,879
 3,666
13,897
 17,922
Accounts receivable, net of allowances of $595 at September 30, 2017 and $763 at December 31, 20164,122
 4,514
Accounts receivable, net of allowances of $514 and $455, respectively3,465
 3,851
Inventories1,144
 1,587
816
 801
Prepaid and other current assets1,664
 1,592
2,171
 1,661
Total current assets35,317
 19,588
34,918
 31,823
Property, plant and equipment, net3,100
 2,865
3,791
 3,295
Long-term deferred tax assets1,147
 1,259
Long-term marketable securities12,973
 20,485
2,378
 11,184
Intangible assets, net8,342
 8,971
16,314
 17,100
Goodwill1,172
 1,172
4,117
 4,159
Other long-term assets2,611
 2,637
2,787
 2,722
Total assets$64,662
 $56,977
$64,305
 $70,283
Liabilities and Stockholders’ Equity 
  
 
  
Current liabilities: 
  
 
  
Accounts payable$696
 $1,206
$580
 $814
Accrued government and other rebates4,672
 5,021
4,456
 4,704
Other accrued liabilities2,482
 2,991
2,333
 3,370
Current portion of long-term debt and other obligations, net

1,747
 
2,747
 2,747
Total current liabilities9,597
 9,218
10,116
 11,635
Long-term debt, net27,515
 26,346
24,570
 30,795
Long-term income taxes payable2,037
 1,753
6,018
 6,794
Other long-term obligations259
 297
594
 558
Commitments and contingencies (Note 9)

 

Commitments and contingencies (Note 10)

 

Stockholders’ equity: 
  
 
  
Preferred stock, par value $0.001 per share; 5 shares authorized; none outstanding
 

 
Common stock, par value $0.001 per share; shares authorized of 5,600 at September 30, 2017 and December 31, 2016; shares issued and outstanding of 1,307 at September 30, 2017 and 1,310 at December 31, 20161
 1
Common stock, par value $0.001 per share; 5,600 shares authorized; 1,294 and 1,308 shares issued and outstanding, respectively1
 1
Additional paid-in capital906
 454
2,118
 1,264
Accumulated other comprehensive income249
 278
36
 165
Retained earnings23,689
 18,154
20,706
 19,012
Total Gilead stockholders’ equity24,845
 18,887
22,861
 20,442
Noncontrolling interest409
 476
146
 59
Total stockholders’ equity25,254
 19,363
23,007
 20,501
Total liabilities and stockholders’ equity$64,662
 $56,977
$64,305
 $70,283




See accompanying notes.


GILEAD SCIENCES, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(unaudited)
(in millions, except per share amounts)
 Three Months Ended Nine Months Ended Three Months Ended Nine Months Ended
 September 30, September 30, September 30, September 30,
 2017 2016 2017 2016 2018 2017 2018 2017
Revenues:                
Product sales $6,402
 $7,405
 $19,825
 $22,737
 $5,455
 $6,402
 $15,996
 $19,825
Royalty, contract and other revenues 110
 95
 333
 333
 141
 110
 336
 333
Total revenues 6,512
 7,500
 20,158
 23,070
 5,596
 6,512
 16,332
 20,158
Costs and expenses:                
Cost of goods sold 1,032
 1,129
 3,115
 3,186
 1,086
 1,032
 3,283
 3,115
Research and development expenses 789
 1,141
 2,584
 3,890
 939
 789
 3,068
 2,584
Selling, general and administrative expenses 879
 831
 2,626
 2,406
 948
 879
 2,925
 2,626
Total costs and expenses 2,700
 3,101
 8,325
 9,482
 2,973
 2,700
 9,276
 8,325
Income from operations 3,812
 4,399
 11,833
 13,588
 2,623
 3,812
 7,056
 11,833
Interest expense (291) (242) (821) (699) (264) (291) (820) (821)
Other income (expense), net 150
 119
 391
 288
 305
 150
 547
 391
Income before provision for income taxes 3,671
 4,276
 11,403
 13,177
 2,664
 3,671
 6,783
 11,403
Provision for income taxes 959
 951
 2,923
 2,788
 565
 959
 1,326
 2,923
Net income 2,712
 3,325
 8,480
 10,389
 2,099
 2,712
 5,457
 8,480
Net loss attributable to noncontrolling interest (6) (5) (13) (4)
Net income (loss) attributable to noncontrolling interest 2
 (6) 5
 (13)
Net income attributable to Gilead $2,718
 $3,330
 $8,493
 $10,393
 $2,097
 $2,718
 $5,452
 $8,493
Net income per share attributable to Gilead common stockholders - basic $2.08
 $2.52
 $6.50
 $7.72
 $1.62
 $2.08
 $4.19
 $6.50
Shares used in per share calculation - basic 1,306
 1,322
 1,307
 1,347
 1,296
 1,306
 1,302
 1,307
Net income per share attributable to Gilead common stockholders - diluted $2.06
 $2.49
 $6.44
 $7.59
 $1.60
 $2.06
 $4.15
 $6.44
Shares used in per share calculation - diluted 1,319
 1,339
 1,319
 1,369
 1,307
 1,319
 1,313
 1,319
Cash dividends declared per share $0.52
 $0.47
 $1.56
 $1.37
 $0.57
 $0.52
 $1.71
 $1.56






















See accompanying notes.


GILEAD SCIENCES, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(unaudited)
(in millions)
 Three Months Ended Nine Months Ended Three Months Ended Nine Months Ended
 September 30, September 30, September 30, September 30,
 2017 2016 2017 2016 2018 2017 2018 2017
Net income $2,712
 $3,325
 $8,480
 $10,389
 $2,099
 $2,712
 $5,457
 $8,480
Other comprehensive income (loss):                
Net foreign currency translation losses, net of tax (4) (50) (51) (39)
Net foreign currency translation gain (loss), net of tax 1
 (4) (17) (51)
Available-for-sale securities:                
Net unrealized gains, net of tax impact of $1, $1, $4 and $19, respectively 185
 29
 311
 159
Reclassifications to net income, net of tax impact of $0, $0, $(8) and $0, respectively (1) (6) (7) (8)
Net unrealized gain, net of tax impact of $0, $1, $0 and $4, respectively 31
 185
 25
 311
Reclassifications to net income, net of tax impact of $0, $0, $0 and $(8), respectively 
 (1) 4
 (7)
Net change 184
 23
 304
 151
 31
 184
 29
 304
Cash flow hedges:                
Net unrealized losses, net of tax impact of $(2), $2, $(11) and $(9), respectively (76) (45) (278) (249)
Reclassifications to net income, net of tax impact of $1, $(1), $0 and $(8), respectively 25
 10
 (4) (59)
Net unrealized gain (loss), net of tax impact of $0, $(2), $1 and $(11), respectively (6) (76) 51
 (278)
Reclassifications to net income, net of tax impact of $0, $1, $0 and $0, respectively 8
 25
 101
 (4)
Net change (51) (35) (282) (308) 2
 (51) 152
 (282)
Other comprehensive income (loss) 129
 (62) (29) (196) 34
 129
 164
 (29)
Comprehensive income 2,841
 3,263
 8,451
 10,193
 2,133
 2,841
 5,621
 8,451
Comprehensive loss attributable to noncontrolling interest (6) (5) (13) (4)
Comprehensive income (loss) attributable to noncontrolling interest 2
 (6) 5
 (13)
Comprehensive income attributable to Gilead $2,847
 $3,268
 $8,464
 $10,197
 $2,131
 $2,847
 $5,616
 $8,464




























See accompanying notes.


GILEAD SCIENCES, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(in millions)
 Nine Months Ended Nine Months Ended
 September 30, September 30,
 2017 2016 2018 2017
Operating Activities:        
Net income $8,480
 $10,389
 $5,457
 $8,480
Adjustments to reconcile net income to net cash provided by operating activities:        
Depreciation expense 155
 129
 169
 155
Amortization expense 734
 737
 902
 734
Stock-based compensation expense 304
 278
 670
 304
Deferred income taxes 127
 (95) 10
 127
In-process research and development impairment 
 231
Other 227
 142
 14
 227
Changes in operating assets and liabilities:        
Accounts receivable, net 473
 770
 367
 473
Inventories (79) (274) (191) (79)
Prepaid expenses and other 311
 (785) 749
 311
Accounts payable (515) (115) (217) (515)
Income taxes payable (48) 1,029
 (1,551) (48)
Accrued liabilities (1,024) 1,072
 (324) (1,024)
Net cash provided by operating activities 9,145
 13,508
 6,055
 9,145
        
Investing Activities:        
Purchases of marketable securities (18,813) (19,881) (5,786) (18,813)
Proceeds from sales of marketable securities 8,966
 10,376
 1,201
 8,966
Proceeds from maturities of marketable securities 4,164
 1,131
 17,021
 4,164
Other investments 
 (357)
Capital expenditures (370) (579) (676) (370)
Net cash used in investing activities (6,053) (9,310)
Other (140) 
Net cash provided by (used in) investing activities 11,620
 (6,053)
        
Financing Activities:        
Proceeds from issuances of common stock 239
 183
Proceeds from debt financing, net of issuance costs 2,991
 5,293
 
 2,991
Proceeds from convertible note hedges 
 956
Proceeds from issuances of common stock 183
 180
Repurchases of common stock (848) (10,001) (1,938) (848)
Repayments of debt and other obligations (90) (1,251) (6,250) (90)
Payments to settle warrants 
 (469)
Payments of dividends (2,049) (1,836) (2,235) (2,049)
Other (141) (249) (464) (141)
Net cash provided by (used in) financing activities 46
 (7,377) (10,648) 46
Effect of exchange rate changes on cash and cash equivalents 141
 137
 (46) 141
Net change in cash and cash equivalents 3,279
 (3,042) 6,981
 3,279
Cash and cash equivalents at beginning of period 8,229
 12,851
 7,588
 8,229
Cash and cash equivalents at end of period $11,508
 $9,809
 $14,569
 $11,508





See accompanying notes.


GILEAD SCIENCES, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
1.SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Basis of Presentation
The accompanying unaudited Condensed Consolidated Financial Statements have been prepared in accordance with U.S. generally accepted accounting principles for interim financial information. The financial statements include all adjustments, consisting of normal recurring adjustments that the management of Gilead Sciences, Inc. (Gilead, we, our or us) believes are necessary for a fair presentation of the periods presented. These interim financial results are not necessarily indicative of results expected for the full fiscal year or for any subsequent interim period.
The accompanying Condensed Consolidated Financial Statements include the accounts of Gilead, our wholly-owned subsidiaries and certain variable interest entities for which we are the primary beneficiary. All intercompany transactions have been eliminated. For consolidated entities where we own or are exposed to less than 100% of the economics, we record net income or loss(loss) attributable to noncontrolling interest in our Condensed Consolidated Statements of Income equal to the percentage of the economic or ownership interest retained in such entities by the respective noncontrolling parties.
We assess whether we are the primary beneficiary of a variable interest entity (VIE) at the inception of the arrangement and at each reporting date. This assessment is based on our power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and our obligation to absorb losses or ourthe right to receive benefits from the VIE that could potentially be significant to the VIE. As of September 30, 2017, the only2018, we did not have any material VIE was our joint venture with Bristol-Myers Squibb Company (BMS), which is described in Note 7, Collaborative Arrangements.VIEs.
The accompanying Condensed Consolidated Financial Statements and related Notes to Condensed Consolidated Financial Statements should be read in conjunction with the audited Consolidated Financial Statements and the related notes thereto for the year ended December 31, 2016,2017, included in our Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission.Commission (SEC).
Significant Accounting Policies, Estimates and Judgments
The preparation of these Condensed Consolidated Financial Statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses and related disclosures. On an ongoing basis, we evaluate our significant accounting policies and estimates. We base our estimates on historical experience and on various market-specific and other relevant assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Estimates are assessed each period and updated to reflect current information. Actual results may differ significantly from these estimates.
Concentrations of Risk
We are subject to credit risk from our portfolio of cash cash equivalents and marketable securities. Under our investment policy, we limit amounts invested in such securities by credit rating, maturity, industry group, investment type and issuer, except for securities issued by the U.S. government. We are not exposed to any significant concentrations of credit risk from these financial instruments. The goals of our investment policy, in order of priority, are as follows: safety and preservation of principal and diversification of risk,risk; liquidity of investments sufficient to meet cash flow requirementsrequirements; and a competitive after-tax rate of return.
We are also subject to credit risk from our accounts receivable related to our product sales. The majority of our trade accounts receivable arises from product sales in the United States and Europe. To date, we have not experienced significant losses with respect to the collection of our accounts receivable. We believe that our allowance for doubtful accounts was adequate atas of September 30, 2017.2018.
Recently Adopted Accounting Pronouncements
In November 2015,May 2014, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update No. 2015-17 (ASU 2015-17) “Balance Sheet Classification of Deferred Taxes.” We adopted this standard on a retrospective basis in the first quarter of 2017. ASU 2015-17 requires that deferred tax assets and liabilities be classified as noncurrent on the balance sheet. As a result, our Condensed Consolidated Balance Sheet as of December 31, 2016 was retrospectively adjusted, resulting in a reduction in Total current assets of $857 million and an increase in Long-term deferred tax assets of $857 million. The resulting reclassification of our deferred tax liabilities was not material.
In March 2016, the FASB issued Accounting Standards Update No. 2016-09 (ASU 2016-09) “Improvements to Employee Share-Based Payment Accounting.” We adopted this standard in the first quarter of 2017. One aspect of the standard requires that


excess tax benefits and deficiencies that arise upon vesting or exercise of share-based awards be recognized in the income statement on a prospective basis. Under previous guidance, the tax effects were recorded in additional paid-in capital. As a result, we recognized $27 million and $60 million of excess tax benefits in Provision for income taxes on our Condensed Consolidated Statements of Income for the three and nine months ended September 30, 2017, respectively. The resulting impact to the shares used in the calculation of diluted earnings per share for the three and nine months ended September 30, 2017 was not material. Additionally, as allowed by the standard, we elected to continue to estimate potential forfeitures.
Another aspect of ASU 2016-09 amends the presentation of certain share-based payment items on the statement of cash flows, which we adopted on a retrospective basis. As a result, our Condensed Consolidated Statement of Cash Flows for the nine months ended September 30, 2016 was adjusted to (a) reclassify $162 million of excess tax benefits from stock-based compensation from Net cash used in financing activities to Net cash provided by operating activities and (b) reclassify $163 million of employee taxes paid to tax authorities when we withheld shares to meet the minimum statutory withholding requirement from changes in Accrued liabilities within Net cash provided by operating activities to Other within Net cash used in financing activities.
Recently Issued Accounting Pronouncements Not Yet Adopted
In May 2014, the FASB issued Accounting Standards Update No. 2014-09 (ASU 2014-09) “Revenue from Contracts with Customers.” The standard’s core principle is that a reporting entity willCustomers” (Topic 606). Topic 606 supersedes the revenue recognition requirements in Topic 605 “Revenue Recognition” (Topic 605) and requires entities to recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for thosewhen promised goods or services. The standard will become effective for us beginning in the first quarter of 2018. Early adoption is permitted in 2017.services are transferred to a customer. Entities haveadopting Topic 606 had the option of using either a full retrospective or a modified retrospective approach to adopt this new guidance. The FASB issued supplemental adoption guidance and clarification to ASU 2014-09 in March 2016, April 2016, May 2016 and December 2016 within ASU 2016-08 “Revenue from Contracts with Customers: Principal versus Agent Considerations,” ASU 2016-10 “Revenue from Contracts with Customers: Identifying Performance Obligations and Licensing,” ASU 2016-12 “Revenue from Contracts with Customers: Narrow-Scope Improvements and Practical Expedients” and ASU 2016-20 “Technical Corrections and Improvements toapproach.    
On January 1, 2018, we adopted Topic 606 Revenue from Contracts with Customers,” respectively. We expect to adopt these standards using the modified retrospective approach. method applied to those contracts which were not completed as of January 1, 2018. As such, results for reporting periods beginning after January 1, 2018 are presented under Topic 606, while prior period amounts are not adjusted and continue to be reported in accordance with our historical accounting under Topic 605.


As discussed further in Note 2, Revenues, our product sales are recognized when control of the product transfers, generally upon shipment or delivery to the customer. Certain product sales that were deferred under the sell-through or cash basis methods of accounting because fees were not fixed or determinable prior to the adoption of Topic 606 are now recognized upon transfer of control. Royalty revenue is recognized in the period in which the corresponding sales by our corporate partners occur. Prior to the adoption of Topic 606, royalty revenue was generally recognized in the quarter following the quarter in which the corresponding sales by our corporate partners occurred.
The cumulative effect of adopting these standards will be recordedthe changes made to retained earnings onour Condensed Consolidated Balance Sheets as of January 1, 2018. We have completed our initial assessment of2018 for the effect of adoption. Based on this assessment, we expect changes in our revenue recognition policy relating to royalty revenues and certain other revenues that are currently recognized on a cash basis or sell through method. Upon adoption of these standards, these revenues will be recognized inTopic 606 was as follows (in millions):
  December 31, 2017 Adjustments Due to Topic 606 January 1, 2018
Prepaid and other current assets $1,661
 $96
 $1,757
Other long-term assets $2,722
 $10
 $2,732
Other accrued liabilities $3,370
 $(115) $3,255
Other long-term obligations $558
 $31
 $589
Retained earnings $19,012
 $190
 $19,202
For the periods in whichthree and nine months ended September 30, 2018, the sales occur, subjectimpact to the constraint on variable consideration. We currently do not expect that adopting these standards will have a material impact on our Condensed Consolidated Financial Statements.Statements as a result of applying Topic 606 in place of Topic 605 was not material.
In January 2016, the FASB issued Accounting Standards Update No. 2016-01 (ASU 2016-01) “Financial Instruments - Overall: Recognition and Measurement of Financial Assets and Financial Liabilities.”Liabilities” (ASU 2016-01). ASU 2016-01 changes accounting for equity investments, financial liabilities under the fair value option and the presentation and disclosure requirements for financial instruments. In addition, it clarifiedAdditionally, ASU 2016-01 clarifies guidance related to the valuation allowance assessment when recognizing deferred tax assets resulting from unrealized losses on available-for-sale debt securities. The guidance will become effective for us beginning in the first quarter ofOn January 1, 2018, and must bewe adopted this standard using a modified retrospective approach,approach. The standard requires that equity investments with certain exceptions. Early adoption is permitted for certain provisions. We plan to adopt this guidancereadily determinable fair values be measured at fair value with any changes in the first quarter of 2018. We expect an impact primarily related to the recognition and measurement of our available-for-sale equity securities; however, the impactfair value recognized in earnings. As a result of the adoption, we reclassified $293 million of unrealized net gain from accumulated other comprehensive income (AOCI) to retained earnings on January 1, 2018, which primarily consisted of $278 million unrealized gain from our equity investment in Galapagos NV.
In August 2017, the FASB issued Accounting Standards Update No. 2017-12 “Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities” (ASU 2017-12). The amendments in ASU 2017-12 more closely align the results of hedge accounting with risk management activities. ASU 2017-12 also amends the presentation and disclosure requirements and eases documentation and effectiveness assessment requirements. Pursuant to the provisions of ASU 2017-12, we are no longer required to separately measure and recognize hedge ineffectiveness for highly effective hedges. On January 1, 2018, we early adopted this standard on a prospective basis. Upon adoption of ASU 2017-12, we no longer recognize hedge ineffectiveness in our Condensed Consolidated Statements of Income, but we instead recognize the entire change in the fair value of the hedge contract in AOCI. The adoption did not have a material impact on our Condensed Consolidated Financial Statements will dependStatements. The primary impact of adoption was required disclosure changes. See Note 5, Derivative Financial Instruments, for additional information.
In March 2018, the FASB issued Accounting Standards Update No. 2018-05 “Income Taxes (Topic 740): Amendments to SEC Paragraphs Pursuant to SEC Staff Accounting Bulletin No. 118” (ASU 2018-05). ASU 2018-05 amends Topic 740 by incorporating the SEC Staff Accounting Bulletin No. 118 (SAB 118) issued on December 22, 2017. SAB 118 provides guidance on accounting for the fair value of our equity securities aseffects of the date ofTax Cuts and Jobs Act (Tax Reform) and allows a company to record provisional amounts during a measurement period not to extend beyond one year from the adoption.enactment date. See Note 14, Income Taxes, for additional information.
Recently Issued Accounting Pronouncements Not Yet Adopted
In February 2016, the FASB issued Accounting Standards Update No. 2016-02 (ASU 2016-02) “Leases.” ASU 2016-02“Leases” (Topic 842). Topic 842 amends a number of aspects of lease accounting, including requiring lessees to recognize almost all leases with a term greater than one year as a right-of-use asset and corresponding liability, measured at the present value of the lease payments. In July 2018, the FASB issued supplemental adoption guidance and clarification to Topic 842 within ASU 2018-10 “Codification Improvements to Topic 842, Leases” and ASU 2018-11 “Leases (Topic 842): Targeted Improvements.” The guidance will become effective for us beginning in the first quarter of 2019 and is required to be adopted using a modified retrospective approach. Earlyearly adoption is permitted. We are evaluatingplan to adopt these standards on the effective date by recording a cumulative effect adjustment to the opening balance of retained earnings on January 1, 2019.
As we continue to evaluate the impact of the adoption of this standard, andthese standards, we anticipate recognition of additional assets and corresponding liabilities related to leases on our Condensed Consolidated Balance Sheets.Sheets with no material impact to our Condensed Consolidated Statements of Income. We plan to elect the practical expedients upon transition that will retain the lease classification


and initial direct costs for any leases that existed prior to the adoption of these standards. We will not reassess whether any contracts entered into prior to the adoption are leases. We are in the process of implementing a new lease accounting system and updating our controls and procedures for maintaining and accounting for our lease portfolio under the new guidance.
In June 2016, the FASB issued Accounting Standards Update No. 2016-13 (ASU 2016-13) “Financial Instruments - CreditInstruments-Credit Losses: Measurement of Credit Losses on Financial Instruments.”Instruments” (ASU 2016-13). ASU 2016-13 requires measurement and recognition of expected credit losses for financial assets. This guidance will become effective for us beginning in the first quarter of 2020 and must be adopted using a modified retrospective approach, with certain exceptions. Early adoption is permitted beginning in the first quarter of 2019. We are evaluating the impact of the adoption of this standard on our Condensed Consolidated Financial Statements.
In
2.REVENUES
On January 2017,1, 2018, we adopted Topic 606 using the FASB issued Accounting Standards Update No. 2017-01 (ASU 2017-01) “Clarifyingmodified retrospective method. As a result, we have changed our accounting policies for revenue recognition as detailed below. 
Product Sales
We recognize revenue from product sales when control of the Definitionproduct transfers, generally upon shipment or delivery, to the customer. Upon recognition of revenue from product sales, provisions are made for various forms of variable consideration, which include government and other rebates such as Medicaid reimbursements, customer incentives such as cash discounts for prompt payment, distributor fees and expected returns of expired products, as appropriate. Our payment terms to customers generally range from 30 to 90 days.
Royalty, Contract and Other Revenues
Royalty revenue is recognized in the period in which the obligation is satisfied and the corresponding sales by our corporate partners occur.
Policy Elections and Practical Expedients Taken
We account for shipping and handling activities that are performed after a customer has obtained control of a Business.” ASU 2017-01 clarifiesgood as fulfillment costs rather than as separate performance obligations; and
If we expect, at contract inception, that the definitionperiod between the transfer of control and corresponding payment from the customer will be one year or less, we do not adjust the amount of consideration for the effects of a business when evaluating whether transactions should be accountedsignificant financing component.
Variable Consideration
Rebates and Chargebacks
We estimate reductions to our revenues for as acquisitions or disposals of assets or businesses. This guidance will become effective for us beginningamounts paid to payers and healthcare providers in the first quarterUnited States, including Medicaid rebates, AIDS Drug Assistance Program rebates and chargebacks, Veterans Administration and Public Health Service chargebacks and other rebates, as well as foreign government rebates. Rebates and chargebacks are based on contractual arrangements or statutory requirements which may vary by product, payer and individual payer plans. Our estimates are based on products sold, historical payer mix, and as available, pertinent third-party industry information, estimated patient population, known market events or trends, and for our U.S. product sales, channel inventory data obtained from our major U.S. wholesalers in accordance with our inventory management agreements. We also take into consideration, as available, new information regarding changes in programs’ regulations and guidelines that would impact the amount of 2018the actual rebates and/or our expectations regarding future payer mix for these programs. Government and is requiredother chargebacks that are payable to be adoptedour direct customers are classified as reductions of Accounts receivable on our Condensed Consolidated Balance Sheets. Government and other rebates that are invoiced directly to us are recorded in Accrued government and other rebates on our Condensed Consolidated Balance Sheets.
Cash Discounts
We estimate cash discounts based on contractual terms, historical customer payment patterns and our expectations regarding future customer payment patterns.
Distributor Fees
Under our inventory management agreements with our significant U.S. wholesalers, we pay the wholesalers a fee primarily for compliance with certain contractually determined covenants such as the maintenance of agreed upon inventory levels. These distributor fees are based on a prospective basis. Early adoption is permitted. We anticipate that the adoptioncontractually determined fixed percentage of this guidance will result in more transactions being accounted for as asset acquisitions rather than business acquisitions.sales.


In January 2017,Product Returns
We do not provide our customers with a general right of product return, but typically permit returns if the FASB issued Accounting Standards Update No. 2017-04 (ASU 2017-04) “Intangibles - Goodwill and Other: Simplifying the Test for Goodwill Impairment.” ASU 2017-04 simplifies the goodwill impairment test. Under the new guidance, goodwill impairment will be measuredproduct is damaged or defective when received by the amount by whichcustomer, or in the carrying valuecase of aproduct sold in the United States and certain countries outside the United States, if the product has expired. We will accept returns for product that will expire within six months or that have expired up to one year after their expiration dates. Our estimates for expected returns of expired products are based primarily on an ongoing analysis of our historical return patterns, historical industry information reporting unit exceeds its fair value, without exceeding the carryingreturn rates for similar products and contractual agreements intended to limit the amount of goodwill allocatedinventory maintained by our wholesalers.
Revenues Recognized from Performance Obligations Satisfied in Prior Periods
During the three and nine months ended September 30, 2018, revenues recognized from performance obligations satisfied in prior years related to that reporting unit. This guidance will become effectiveroyalties for us beginninglicenses of our intellectual property were $167 million and $395 million, respectively. Changes in estimates for variable consideration related to sales made in prior years were not material during the first quarterthree and nine months ended September 30, 2018.
Contract Assets
Our contract assets, which consist of 2020unbilled amounts primarily from arrangements where the licensing of intellectual property is the only or predominant performance obligation, totaled $117 million and is required$132 million as of September 30, 2018 and January 1, 2018, respectively.
Disaggregation of Revenues
The following table disaggregates our product sales by product and geographic region and disaggregates our royalty, contract and other revenues by geographic region for the three and nine months ended September 30, 2018 and 2017. The information for the three and nine months ended September 30, 2017 has not been adjusted in accordance with our modified retrospective adoption of Topic 606 and continues to be adopted on a prospective basis. Early adoption is permitted. We currently do not expect that adopting this standard will have a material impact onreported in accordance with our Condensed Consolidated Financial Statements.historical accounting under Topic 605.
In February 2017, the FASB issued Accounting Standards Update No. 2017-05 (ASU 2017-05) “Other Income - Gains and Losses from the Derecognition of Nonfinancial Assets: Clarifying the Scope of Asset Derecognition Guidance and Accounting for Partial Sales of Nonfinancial Assets.” ASU 2017-05 clarifies the scope of the derecognition of nonfinancial assets, defines in substance financial assets, adds guidance for partial sales of nonfinancial assets and clarifies the recognition of gains and losses from the transfer of nonfinancial assets in contracts with noncustomers. This guidance will become effective for us beginning in the first quarter of 2018 and may be adopted using either a full retrospective or a modified retrospective approach. Early adoption is permitted. We are required to adopt the amendments in this standard at the same time that we adopt the amendments in ASU 2014-09. We plan to adopt this guidance in the first quarter of 2018 using a modified retrospective approach. We are evaluating the impact of the adoption of this standard on our Condensed Consolidated Financial Statements.
  Three Months Ended September 30, 2018 Three Months Ended September 30, 2017
(In millions) U.S. Europe Other International Total U.S. Europe Other International Total
Product sales:                
Atripla $221
 $29
 $8
 $258
 $324
 $79
 $36
 $439
Biktarvy 375
 11
 
 386
 
 
 
 
Complera/Eviplera 61
 67
 11
 139
 91
 133
 13
 237
Descovy 310
 81
 15
 406
 241
 65
 10
 316
Genvoya 921
 203
 52
 1,176
 810
 146
 32
 988
Odefsey 323
 95
 5
 423
 255
 37
 4
 296
Stribild 111
 20
 15
 146
 181
 40
 8
 229
Truvada 665
 62
 30
 757
 604
 154
 53
 811
Other HIV(1)
 10
 2
 2
 14
 13
 2
 
 15
Revenue share - Symtuza(2)
 8
 14
 
 22
 
 
 
 
AmBisome 9
 59
 34
 102
 9
 51
 32
 92
Epclusa 225
 136
 116
 477
 543
 263
 76
 882
Harvoni 185
 38
 88
 311
 718
 110
 145
 973
Letairis 241
 
 
 241
 213
 
 
 213
Ranexa 178
 
 
 178
 164
 
 
 164
Vemlidy 66
 2
 19
 87
 34
 2
 1
 37
Viread 17
 10
 43
 70
 137
 55
 82
 274
Vosevi 78
 21
 4
 103
 117
 5
 1
 123
Yescarta 75
 
 
 75
 
 
 
 
Zydelig 15
 4
 1
 20
 18
 22
 
 40
Other(3)
 37
 19
 8
 64
 70
 33
 170
 273
Total product sales 4,131
 873
 451
 5,455
 4,542
 1,197
 663
 6,402
Royalty, contract and other revenues 20
 102
 19
 141
 21
 74
 15
 110
Total revenues $4,151
 $975
 $470
 $5,596
 $4,563
 $1,271
 $678
 $6,512


  Nine Months Ended September 30, 2018 Nine Months Ended September 30, 2017
(In millions) U.S. Europe Other International Total U.S. Europe Other International Total
Product Sales:                
Atripla $723
 $119
 $79
 $921
 $974
 $259
 $133
 $1,366
Biktarvy 593
 13
 
 606
 
 
 
 
Complera/Eviplera 210
 279
 39
 528
 315
 385
 44
 744
Descovy 895
 234
 41
 1,170
 682
 149
 22
 853
Genvoya 2,678
 596
 144
 3,418
 2,189
 358
 67
 2,614
Odefsey 905
 230
 15
 1,150
 688
 87
 6
 781
Stribild 388
 83
 36
 507
 632
 161
 38
 831
Truvada 1,821
 245
 108
 2,174
 1,635
 527
 175
 2,337
Other HIV(1)
 30
 6
 10
 46
 34
 5
 2
 41
Revenue share - Symtuza(2)
 8
 34
 
 42
 
 
 
 
AmBisome 40
 170
 102
 312
 26
 153
 97
 276
Epclusa 733
 502
 278
 1,513
 2,142
 649
 154
 2,945
Harvoni 649
 116
 225
 990
 2,628
 583
 515
 3,726
Letairis 689
 
 
 689
 654
 
 
 654
Ranexa 581
 
 
 581
 517
 
 
 517
Vemlidy 172
 8
 41
 221
 66
 3
 1
 70
Viread 40
 72
 137
 249
 395
 202
 237
 834
Vosevi 250
 57
 12
 319
 117
 5
 1
 123
Yescarta 183
 
 
 183
 
 
 
 
Zydelig 46
 44
 2
 92
 52
 57
 1
 110
Other(3)
 93
 75
 117
 285
 228
 279
 496
 1,003
Total product sales 11,727
 2,883
 1,386
 15,996
 13,974
 3,862
 1,989
 19,825
Royalty, contract and other revenues 54
 233
 49
 336
 62
 226
 45
 333
Total revenues $11,781
 $3,116
 $1,435
 $16,332
 $14,036
 $4,088
 $2,034
 $20,158
                 
____________________                
(1) Includes Emtriva and Tybost
(2) Represents Gilead’s revenue from cobicistat (C), emtricitabine (FTC) and tenofovir alafenamide (TAF) in Symtuza (darunavir/C/FTC/TAF), a fixed dose combination product commercialized by Janssen
(3) Includes Cayston, Hepsera and Sovaldi
2.3.FAIR VALUE MEASUREMENTS
We determine the fair value of financial and non-financial assets and liabilities using the fair value hierarchy, which establishes three levels of inputs that may be used to measure fair value, as follows:
Level 1 inputs include quoted prices in active markets for identical assets or liabilities;
Level 2 inputs include observable inputs other than Level 1 inputs, such as quoted prices for similar assets or liabilities; quoted prices for identical or similar assets or liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the asset or liability. For our marketable securities, we review trading activity and pricing as of the measurement date. When sufficient quoted pricing for identical securities is not available, we use market pricing and other observable market inputs for similar securities obtained from various third-party data providers. These inputs either represent quoted prices for similar assets in active markets or have been derived from observable market data; and
Level 3 inputs include unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the underlying asset or liability. Our Level 3 assets and liabilities include those whose fair value measurements are determined using pricing models, discounted cash flow methodologies or similar valuation techniques and significant management judgment or estimation.


Our financial instruments consist primarily of cash and cash equivalents, marketable securities, accounts receivable, foreign currency exchange contracts, equity securities, accounts payable and short-term and long-term debt. Cash and cash equivalents, marketable debt and equity securities, and foreign currency exchange contracts and equity securities are reported at their respective fair values on our Condensed Consolidated Balance Sheets. Long-termShort-term and long-term debt isare reported at itstheir amortized costs on our Condensed Consolidated Balance Sheets. The remaining financial instruments are reported onin our Condensed Consolidated Balance Sheets at amounts that approximate current fair values. There were no transfers between Level 1, Level 2 and Level 3 in the periods presented.


The following table summarizes the types of assets and liabilities measured at fair value on a recurring basis by level within the fair value hierarchy (in millions):
September 30, 2017 December 31, 2016September 30, 2018 December 31, 2017
Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 TotalLevel 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total
Assets:                              
Available-for-sale debt securities:               
U.S. treasury securities$3,075
 $
 $
 $3,075
 $4,061
 $
 $
 $4,061
Certificates of deposit
 4,392
 
 4,392
 
 5,131
 
 5,131
U.S. government agencies securities
 932
 
 932
 
 926
 
 926
Non-U.S. government securities
 260
 
 260
 
 664
 
 664
Corporate debt securities$
 $14,845
 $
 $14,845
 $
 $12,603
 $
 $12,603

 12,757
 
 12,757
 
 14,747
 
 14,747
U.S. treasury securities4,125
 
 
 4,125
 5,529
 
 
 5,529
Residential mortgage and asset-backed securities
 2,037
 
 2,037
 
 4,058
 
 4,058
Marketable equity securities:               
Money market funds9,025
 
 
 9,025
 5,464
 
 
 5,464
5,138
 
 
 5,138
 4,714
 
 
 4,714
Residential mortgage and asset-backed securities
 4,213
 
 4,213
 
 3,602
 
 3,602
U.S. government agencies securities
 958
 
 958
 
 975
 
 975
Certificates of deposit
 5,511
 
 5,511
 
 943
 
 943
Non-U.S. government securities
 684
 
 684
 
 720
 
 720
Municipal debt securities
 10
 
 10
 
 27
 
 27
Equity securities683
 
 
 683
 428
 
 
 428
825
 
 
 825
 635
 
 
 635
Deferred compensation plan139
 
 
 139
 116
 
 
 116
Foreign currency derivative contracts
 30
 
 30
 
 336
 
 336

 42
 
 42
 
 13
 
 13
Deferred compensation plan110
 
 
 110
 84
 
 
 84
Total$13,943
 $26,251
 $
 $40,194
 $11,505
 $19,206
 $
 $30,711
$9,177
 $20,420
 $
 $29,597
 $9,526
 $25,539
 $
 $35,065
               
Liabilities: 
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
Deferred compensation plan$110
 $
 $
 $110
 $84
 $
 $
 $84
$139
 $
 $
 $139
 $116
 $
 $
 $116
Foreign currency derivative contracts
 101
 
 101
 
 37
 
 37

 6
 
 6
 
 93
 
 93
Contingent consideration
 
 16
 16
 
 
 25
 25
Total$110
 $101
 $16
 $227
 $84
 $37
 $25
 $146
$139
 $6
 $
 $145
 $116
 $93
 $
 $209
                              
For the three and nine months ended September 30, 2018, changes in the fair value of marketable equity securities resulted in unrealized gains of $168 million and $149 million, respectively, which were included in Other income (expense), net, on our Condensed Consolidated Statements of Income.
Our available-for-sale debt securities are classified as cash equivalents, short-term marketable securities and long-term marketable securities. See Note 4, Available-for-Sale Debt Securities, for additional information.
The following table summarizes the classification of our marketable equity securities in our Condensed Consolidated Balance Sheets (in millions):
 September 30, 2018 December 31, 2017
Cash and cash equivalents$5,138
 $4,714
Prepaid and other current assets829
 637
Other long-term assets135
 114
Total$6,102
 $5,465
Level 2 Inputs
We estimate the fair values of Level 2 instruments by taking into consideration valuations obtained from third-party pricing services. The pricing services utilize industry standard valuation models, including both income-income-based and market-based approaches, for which all significant inputs are observable, either directly or indirectly, to estimate fair value. These inputs include


reported trades of and broker/dealer quotes on the same or similar securities, issuer credit spreads, benchmark securities, prepayment/default projections based on historical data and other observable inputs.
Substantially all of our foreign currency derivative contracts have maturities within an 18-month time horizon and all are with counterparties that have a minimum credit rating of A- or equivalent by S&P Global Ratings, Moody’s Investors Service, Inc. or Fitch Ratings, Inc. We estimate the fair values of these contracts by taking into consideration valuations obtained from a third-party valuation service that utilizes an income-based industry standard valuation model for which all significant inputs are observable, either directly or indirectly. These inputs include foreign currency exchange rates, London Interbank Offered Rates (LIBOR) and swap rates. These inputs, where applicable, are observable at commonly quoted intervals.
The total estimated fair values of our short-term and long-term debt, determined using Level 2 inputs based on their quoted market values, were approximately $31.1$27.5 billion and $27.0$35.5 billion atas of September 30, 20172018 and December 31, 2016,2017, respectively, and the carrying values were $29.3$27.3 billion and $26.3$33.5 billion atas of September 30, 20172018 and December 31, 2016,2017, respectively.
Level 3 Inputs
As of September 30, 2017 and December 31, 2016, the only assets or liabilities that were measured using Level 3 inputs on a recurring basis were our contingent consideration liabilities, which were immaterial.
Our policy is to recognize transfers into or out of Level 3 classification as of the actual date of the event or change in circumstances that caused the transfer.


3.4.AVAILABLE-FOR-SALE DEBT SECURITIES
Estimated fair values of available-for-sale securities are generally based on prices obtained from commercial pricing services. The following table summarizes our available-for-sale debt securities (in millions):
 September 30, 2017 December 31, 2016 September 30, 2018 December 31, 2017
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value 
U.S. treasury securities $3,090
 $
 $(15) $3,075
 $4,090
 $
 $(29) $4,061
Certificates of deposit 4,392
 
 
 4,392
 5,131
 
 
 5,131
U.S. government agencies securities 938
 
 (6) 932
 934
 
 (8) 926
Non-U.S. government securities 262
 
 (2) 260
 668
 
 (4) 664
Corporate debt securities $14,858
 $10
 $(23) $14,845
 $12,657
 $7
 $(61) $12,603
 12,792
 2
 (37) 12,757
 14,790
 3
 (46) 14,747
U.S. treasury securities 4,147
 
 (22) 4,125
 5,558
 1
 (30) 5,529
Money market funds 9,025
 
 
 9,025
 5,464
 
 
 5,464
Residential mortgage and asset-backed securities 4,221
 1
 (9) 4,213
 3,613
 2
 (13) 3,602
 2,049
 
 (12) 2,037
 4,072
 1
 (15) 4,058
U.S. government agencies securities 963
 
 (5) 958
 981
 
 (6) 975
Certificates of deposit 5,511
 
 
 5,511
 943
 
 
 943
Non-U.S. government securities 687
 
 (3) 684
 725
 
 (5) 720
Municipal debt securities 10
 
 
 10
 27
 
 
 27
Equity securities 357
 326
 
 683
 357
 71
 
 428
Total $39,779
 $337
 $(62) $40,054
 $30,325
 $81
 $(115) $30,291
 $23,523
 $2
 $(72) $23,453
 $29,685
 $4
 $(102) $29,587
The following table summarizes the classification of our available-for-sale debt securities onin our Condensed Consolidated Balance Sheets (in millions):
  September 30, 2017 December 31, 2016
Cash and cash equivalents $9,519
 $5,712
Short-term marketable securities 16,879
 3,666
Prepaid and other current assets 683
 
Long-term marketable securities 12,973
 20,485
Other long-term assets 
 428
Total $40,054
 $30,291
Cash and cash equivalents in the table above excludes cash of $2.0 billion and $2.5 billion as of September 30, 2017 and December 31, 2016, respectively.
  September 30, 2018 December 31, 2017
Cash and cash equivalents $7,178
 $481
Short-term marketable securities 13,897
 17,922
Long-term marketable securities 2,378
 11,184
Total $23,453
 $29,587
The following table summarizes our available-for-sale debt securities by contractual maturity (in millions):
 September 30, 2017 September 30, 2018
 Amortized Cost Fair Value Amortized Cost Fair Value
Within one year $26,408
 $26,398
 $21,130
 $21,075
After one year through five years 12,867
 12,827
 2,313
 2,299
After five years through ten years 106
 105
 58
 57
After ten years 41
 41
 22
 22
Total $39,422
 $39,371
 $23,523
 $23,453


The following table summarizes our available-for-sale debt securities that were in a continuous unrealized loss position, but were not deemed to be other-than-temporarily impaired (in millions):
 Less Than 12 Months 12 Months or Greater Total Less Than 12 Months 12 Months or Greater Total
 Gross
Unrealized
Losses
 Estimated
Fair Value
 Gross
Unrealized
Losses
 Estimated
Fair Value
 Gross
Unrealized
Losses
 Estimated
Fair Value
 Gross
Unrealized
Losses
 Estimated
Fair Value
 Gross
Unrealized
Losses
 Estimated
Fair Value
 Gross
Unrealized
Losses
 Estimated
Fair Value
September 30, 2017            
Corporate debt securities $(13) $5,990
 $(10) $1,654
 $(23) $7,644
September 30, 2018            
U.S. treasury securities (13) 2,771
 (9) 1,293
 (22) 4,064
 $(1) $1,339
 $(14) $1,613
 $(15) $2,952
Residential mortgage and asset-backed securities (7) 2,802
 (2) 151
 (9) 2,953
U.S. government agencies securities (3) 664
 (2) 247
 (5) 911
 
 285
 (6) 612
 (6) 897
Non-U.S. government securities (2) 462
 (1) 222
 (3) 684
 
 
 (2) 234
 (2) 234
Certificates of deposit 
 12
 
 
 
 12
Corporate debt securities (6) 2,636
 (31) 3,602
 (37) 6,238
Residential mortgage and asset-backed securities (1) 409
 (11) 1,300
 (12) 1,709
Total $(38) $12,701
 $(24) $3,567
 $(62) $16,268
 $(8) $4,669
 $(64) $7,361
 $(72) $12,030
  
  
  
  
  
  
  
  
  
  
  
  
December 31, 2016            
Corporate debt securities $(60) $8,685
 $(1) $155
 $(61) $8,840
December 31, 2017            
U.S. treasury securities (30) 5,081
 
 
 (30) 5,081
 $(2) $821
 $(27) $3,240
 $(29) $4,061
Residential mortgage and asset-backed securities (13) 2,180
 
 42
 (13) 2,222
U.S. government agencies securities (6) 897
 
 
 (6) 897
 (1) 206
 (7) 700
 (8) 906
Non-U.S. government securities (5) 714
 
 5
 (5) 719
 (1) 203
 (3) 461
 (4) 664
Certificates of deposit 
 15
 
 
 
 15
Municipal debt securities 
 11
 
 
 
 11
Corporate debt securities (14) 7,674
 (32) 3,561
 (46) 11,235
Residential mortgage and asset-backed securities (4) 2,245
 (11) 1,206
 (15) 3,451
Total $(114) $17,583
 $(1) $202
 $(115) $17,785
 $(22) $11,149
 $(80) $9,168
 $(102) $20,317
We held a total of 2,1811,523 and 2,7092,957 positions, as of September 30, 2017 and December 31, 2016, respectively, related to our debt securities thatwhich were in an unrealized loss position.position, as of September 30, 2018 and December 31, 2017, respectively.
Based on our review of our available-for-salethese securities, we believe we had no other-than-temporary impairments on these securities as of September 30, 20172018 and December 31, 2016,2017, because we do not intend to sell these securities nor do we believe that we will be required to sell these securities before the recovery of their amortized cost basis. Gross realized gains and gross realized losses were immaterialnot material for the three and nine months ended September 30, 20172018 and 2016.2017.
4.5.DERIVATIVE FINANCIAL INSTRUMENTS
Our operations in foreign countries expose us to market risk associated with foreign currency exchange rate fluctuations between the U.S. dollar and various foreign currencies, primarily the Euro and Yen.Euro. In order to manage this risk, we may hedge a portion of our foreign currency exposures related to outstanding monetary assets and liabilities as well as forecasted product sales using foreign currency exchange forward or option contracts. In general, the market risk related to these contracts is offset by corresponding gains and losses on the hedged transactions. The credit risk associated with these contracts is driven by changes in interest and currency exchange rates and, as a result, varies over time. By working only with major banks and closely monitoring current market conditions, we seek to limit the risk that counterparties to these contracts may be unable to perform. We also seek to limit our risk of loss by entering into contracts that permit net settlement at maturity. Therefore, our overall risk of loss in the event of a counterparty default is limited to the amount of any unrecognized gains on outstanding contracts (i.e., those contracts that have a positive fair value) at the date of default. We do not enter into derivative contracts for trading purposes.
We hedge our exposure to foreign currency exchange rate fluctuations for certain monetary assets and liabilities of our entities that are denominated in a non-functional currency. The derivative instruments we use to hedge this exposure are not designated as hedges and, as a result, changes in their fair value are recorded in Other income (expense), net, on our Condensed Consolidated Statements of Income.
We hedge our exposure to foreign currency exchange rate fluctuations for forecasted product sales that are denominated in a non-functional currency. The derivative instruments we use to hedge this exposure are designated as cash flow hedges and have maturities of 18 months or less. Upon executing a hedging contract and quarterly thereafter, we assess prospective hedge effectiveness using regression analysis which calculates the change in cash flow as a result of the hedge instrument. On a quarterly basis,analysis. Prior to January 2018, we assess retrospective hedge effectiveness using a dollar offset approach. We excludeexcluded time value from our effectiveness testing and recognizerecognized changes in the time value of the hedge in Other income (expense), net, on our Condensed Consolidated Statements of Income. The effective componentStarting in January 2018, we include time value in our effectiveness testing and the entire change in the value of our hedge contracts is recorded as an unrealized gaingains or loss on the hedging instrument


losses in Accumulated other comprehensive income (AOCI)AOCI within Stockholders’ equity on our Condensed Consolidated Balance Sheets and theSheets. The unrealized gains or losses in AOCI are reclassified into product sales when the respective hedged transactions affect earnings. The majorityAs of September 30, 2018, the amount of unrealized gains and losses related to the hedged forecasted transactions reported in AOCI at September 30, 2017 arethat is expected to be reclassified tointo product sales within the next 12 months.months was not material.



The cash flow effects of our derivative contracts for the nine months ended September 30, 20172018 and 20162017 are included within Net cash provided by operating activities on our Condensed Consolidated Statements of Cash Flows.
We had notional amounts on foreign currency exchange contracts outstanding of $3.4$2.5 billion and $6.2$2.8 billion atas of September 30, 20172018 and December 31, 2016,2017, respectively.
While all of our derivative contracts allow us the right to offset assets and liabilities, we have presented amounts on a gross basis. Under the International Swap Dealers Association, Inc. master agreements with the respective counterparties of the foreign currency exchange contracts, subject to applicable requirements, we are allowed to net settle transactions of the same currency with a single net amount payable by one party to the other. The following table summarizes the classification and fair values of derivative instruments onin our Condensed Consolidated Balance Sheets (in millions):
 September 30, 2017 September 30, 2018
 Asset Derivatives Liability Derivatives Asset Derivatives Liability Derivatives
 Classification 
Fair Value 
 Classification Fair Value Classification Fair Value Classification Fair Value
Derivatives designated as hedges:                
Foreign currency exchange contracts Other current assets $4
 Other accrued liabilities $(94) Other current assets $40
 Other accrued liabilities $(5)
Foreign currency exchange contracts Other long-term assets 3
 Other long-term obligations (5) Other long-term assets 2
 Other long-term obligations (1)
Total derivatives designated as hedges   7
   (99)   42
   (6)
Derivatives not designated as hedges:    
    
    
    
Foreign currency exchange contracts Other current assets 23
 Other accrued liabilities (2) Other current assets 
 Other accrued liabilities 
Total derivatives not designated as hedges   23
   (2)   
   
Total derivatives   $30
   $(101)   $42
   $(6)
 December 31, 2016 December 31, 2017
 Asset Derivatives Liability Derivatives Asset Derivatives Liability Derivatives
 Classification Fair Value Classification Fair Value Classification Fair Value Classification Fair Value
Derivatives designated as hedges:                
Foreign currency exchange contracts Other current assets $225
 Other accrued liabilities $(1) Other current assets $2
 Other accrued liabilities $(89)
Foreign currency exchange contracts Other long-term assets 20
 Other long-term obligations 
 Other long-term assets 1
 Other long-term obligations (3)
Total derivatives designated as hedges   245
   (1)   3
   (92)
Derivatives not designated as hedges:    
    
    
    
Foreign currency exchange contracts Other current assets 81
 Other accrued liabilities (34) Other current assets 10
 Other accrued liabilities (1)
Foreign currency exchange contracts Other long-term assets 10
 Other long-term obligations (2)
Total derivatives not designated as hedges   91
   (36)   10
   (1)
Total derivatives   $336
   $(37)   $13
   $(93)
The following table summarizes the effect of our foreign currency exchange contracts on our Condensed Consolidated Financial Statements (in millions):
  Three Months Ended Nine Months Ended
  September 30, September 30,
  2017 2016 2017 2016
Derivatives designated as hedges:        
Losses recognized in AOCI (effective portion) $(78) $(43) $(289) $(258)
Gains (losses) reclassified from AOCI into product sales (effective portion) $(26) $(9) $4
 $67
Gains recognized in Other income (expense), net (ineffective portion and amounts excluded from effectiveness testing) $10
 $11
 $32
 $38
Derivatives not designated as hedges:        
Losses recognized in Other income (expense), net $(2) $(62) $(112) $(328)
  Three Months Ended Nine Months Ended
  September 30, September 30,
  2018 2017 2018 2017
Derivatives designated as hedges:        
Gains (losses) recognized in AOCI $(6) $(78) $52
 $(289)
Gains (losses) reclassified from AOCI into product sales $(8) $(26) $(101) $4
Gains recognized in Other income (expense), net $
 $10
 $
 $32
Derivatives not designated as hedges:        
Gains (losses) recognized in Other income (expense), net $15
 $(2) $11
 $(112)
From time to time, we may discontinue cash flow hedges and, as a result, record related amounts in Other income (expense), net, on our Condensed Consolidated Statements of Income. There were no material amounts recorded in Other income (expense), net, on our Condensed Consolidated Statements of Income for the three and nine months ended September 30, 20172018 and 20162017 as a result of the discontinuance of cash flow hedges.


As of September 30, 20172018 and December 31, 2016,2017, we held one type of financial instrument, which was derivative contracts related to foreign currency exchange contracts. The following table summarizes the potential effect of offsetting derivatives by type of financial instrument on our Condensed Consolidated Balance Sheets (in millions):
       
Gross Amounts Not Offset
on our Condensed
Consolidated Balance Sheets
         
Gross Amounts Not Offset
on our Condensed
Consolidated Balance Sheets
  
Description 
Gross Amounts
 of Recognized
Assets/Liabilities
 
Gross Amounts
 Offset on our
Condensed
Consolidated
Balance Sheets
 
Amounts of Assets/Liabilities Presented
 on our Condensed Consolidated
Balance Sheets
 
Derivative
Financial
Instruments
 
Cash Collateral
Received/
Pledged
 
Net Amount
 (Legal Offset)
 
Gross Amounts
 of Recognized
Assets/Liabilities
 
Gross Amounts
 Offset on our
Condensed
Consolidated
Balance Sheets
 
Amounts of Assets/Liabilities Presented
 on our Condensed Consolidated
Balance Sheets
 
Derivative
Financial
Instruments
 
Cash Collateral
Received/
Pledged
 
Net Amount
 (Legal Offset)
As of September 30, 2017            
As of September 30, 2018            
Derivative assets $30
 $
 $30
 $(24) $
 $6
 $42
 $
 $42
 $(6) $
 $36
Derivative liabilities (101) 
 (101) 24
 
 (77) $(6) $
 $(6) $6
 $
 $
As of December 31, 2016            
As of December 31, 2017            
Derivative assets $336
 $
 $336
 $(37) $
 $299
 $13
 $
 $13
 $(8) $
 $5
Derivative liabilities (37) 
 (37) 37
 
 
 $(93) $
 $(93) $8
 $
 $(85)
5.6.ACQUISITION, COLLABORATIONS AND OTHER ARRANGEMENTS
Acquisition
On October 3, 2017 (the Kite acquisition date), we completed a tender offer for all of the outstanding common stock of Kite Pharma, Inc. (Kite) for $180 per share in cash. As a result, Kite became our wholly-owned subsidiary. The acquisition of Kite helps establish our foundation for improving the treatment of hematological malignancies and solid tumors.
The consideration transferred for the acquisition of Kite was $11,155 million, consisting of $10,420 million in cash to the outstanding Kite common stockholders, $645 million cash payment to vested equity award holders, $15 million to warrant holders and $75 million representing the portion of the replaced stock-based awards attributable to the pre-combination period. In addition, $733 million was excluded from the consideration transferred, representing the portion of the replaced stock-based awards attributable to the post combination period, which is expected to be recognized through 2021.
The acquisition of Kite was accounted for as a business combination using the acquisition method of accounting. This method requires, among other things, that assets acquired and liabilities assumed be recognized at fair value as of the Kite acquisition date. The determination of estimated fair value requires us to make significant estimates and assumptions. During the nine months ended September 30, 2018, we recorded a $42 million reduction to goodwill primarily due to revision of deferred income taxes as a result of finalization of Kite’s pre-acquisition federal income tax return. The fair value estimates for the assets acquired and liabilities assumed in the acquisition have been completed.
The following table summarizes the Kite acquisition date fair values of assets acquired and liabilities assumed, and the consideration transferred (in millions):
Cash and cash equivalents $652
Identifiable intangible assets:  
  Indefinite-lived intangible assets - in-process research and development (IPR&D) 8,950
  Outlicense acquired 91
Deferred income taxes (1,564)
Other assets acquired (liabilities assumed), net 81
Total identifiable net assets 8,210
Goodwill 2,945
Total consideration transferred $11,155
Collaborations and Other Arrangements
We enter into collaborations and other arrangements with third parties for the research and development of certain products and product candidates. These arrangements may include non-refundable up-front payments, payments by us for options to acquire certain rights, contingent obligations by us for potential development and regulatory milestone payments and/or sales-based milestone payments, royalty payments, revenue or profit sharing arrangements, cost sharing arrangements and equity investments. While we do not consider any collaborations and other arrangements entered into during 2018 to be individually material, notable


terms of these arrangements are described below. Amounts related to collaborations entered into during 2018 that are not specifically presented are included in the aggregate as Other Collaboration Arrangements.
Gadeta B.V. (Gadeta):
In July 2018, we entered into a collaboration arrangement with Gadeta, a privately-held company based in Utrecht, the Netherlands, to develop gamma delta T cell receptor therapies for various cancers. Under the financial terms, we will provide research and development (R&D) funding for the collaboration and Gadeta will be eligible to receive future payments upon achievement of certain regulatory milestones. In addition, we made an upfront purchase of equity in Gadeta from Gadeta’s shareholders upon entering into the collaboration arrangement and may acquire additional equity in Gadeta upon achievement of certain R&D milestones. We also have the exclusive option to acquire the remaining equity in Gadeta for €300 million, adjusted for closing cash, transaction expenses and closing indebtedness. The option is exercisable at our discretion.
Gadeta is a VIE, and we are its primary beneficiary because we have the power to direct the activities of Gadeta that most significantly impact its economic performance and as a result of the financial terms described above. Upon the initial consolidation of Gadeta we recorded $82 million to noncontrolling interest, primarily reflecting acquired intangible assets related to IPR&D with a fair value of $117 million. Gadeta does not meet the definition of a business as defined in ASC 805 - Business Combinations, and as a result, no goodwill was recognized.
Other Collaboration Arrangements:
For the nine months ended September 30, 2018, we entered into several other collaboration arrangements that resulted in cash payments of $333 million, of which $160 million was recorded as up-front collaboration expense within Research and development expenses on our Condensed Consolidated Statements of Income and the remaining amounts were recorded in current and other long-term assets on our Condensed Consolidated Balance Sheets.
Under the financial terms of these arrangements, we may be required to make payments upon achievement of various developmental, regulatory and commercial milestones, which could be significant. In addition, we may be required to pay significant royalties on future sales if products related to these arrangements are commercialized. The payment of these amounts, however, is contingent upon the occurrence of various future events, which have a high degree of uncertainty of occurrence.
7.OTHER FINANCIAL INFORMATION
Inventories
Inventories are summarized as follows (in millions):
 September 30, 2017 December 31, 2016 September 30, 2018 December 31, 2017
Raw materials $1,701
 $1,610
 $2,144
 $1,880
Work in process 673
 626
 241
 352
Finished goods 797
 928
 574
 670
Total $3,171
 $3,164
 $2,959
 $2,902
        
Reported as:        
Inventories $1,144
 $1,587
 $816
 $801
Other long-term assets 2,027
 1,577
 2,143
 2,101
Total $3,171
 $3,164
 $2,959
 $2,902
Amounts reported as other long-term assets primarily consisted of raw materials as of September 30, 20172018 and December 31, 2016.
The joint ventures formed by Gilead Sciences, LLC and BMS, which are included on our Condensed Consolidated Financial Statements and described in Note 7, Collaborative Arrangements, held efavirenz active pharmaceutical ingredient in inventory.


This efavirenz inventory was purchased from BMS at BMS’s estimated net selling price of efavirenz and totaled $734 million and $1.1 billion as of September 30, 2017 and December 31, 2016, respectively.2017.
Other Accrued Liabilities
The components of other accrued liabilities are summarized as follows (in millions):
 September 30, 2017 December 31, 2016 September 30, 2018 December 31, 2017
Compensation and employee benefits $339
 $398
 $436
 $455
Accrued interest 210
 290
Branded prescription drug fee 189
 481
 62
 284
Income taxes payable 17
 713
Other accrued expenses 1,744
 1,822
 1,818
 1,918
Total $2,482
 $2,991
 $2,333
 $3,370
        


Supplemental Disclosure of Cash Flow Information - Non-Cash Investing Activity
As of September 30, 2018, Prepaid and other current assets on our Condensed Consolidated Balance Sheets included $470 million of available-for-sale debt securities that were matured but unsettled. These available-for-sale debt securities were settled in October 2018 and will be reflected as cash from investing activities in the fourth quarter of 2018. As of December 31, 2017, available-for-sale debt securities that were matured but unsettled were not material.
6.8.INTANGIBLE ASSETS
The following table summarizes our finite-lived intangible assets, net (in millions):
 September 30, 2017 December 31, 2016 September 30, 2018 December 31, 2017
 
Gross Carrying
Amount
 
Accumulated
Amortization
 Net Carrying Amount 
Gross Carrying
Amount
 
Accumulated
Amortization
 Net Carrying Amount 
Gross 
Carrying
Amount
 
Accumulated
Amortization
 Foreign Currency Translation Adjustment Net Carrying Amount 
Gross 
Carrying
Amount
 
Accumulated
Amortization
 Net Carrying Amount
Finite-lived intangible assets:              
Intangible asset - sofosbuvir $10,720
 $2,680
 $8,040
 $10,720
 $2,156
 $8,564
 $10,720
 $(3,379) $
 $7,341
 $10,720
 $(2,855) $7,865
Intangible asset - axicabtagene ciloleucel (DLBCL) 6,200
 (330) 
 5,870
 6,200
 (72) 6,128
Intangible asset - Ranexa 688
 541
 147
 688
 467
 221
 688
 (650) 
 38
 688
 (566) 122
Other 455
 300
 155
 455
 269
 186
 546
 (347) (1) 198
 546
 (311) 235
Total $11,863
 $3,521
 $8,342
 $11,863
 $2,892
 $8,971
Total finite-lived intangible assets 18,154
 (4,706) (1) 13,447
 18,154
 (3,804) 14,350
Indefinite-lived intangible assets - IPR&D 2,867
 
 
 2,867
 2,750
 
 2,750
Total intangible assets $21,021
 $(4,706) $(1) $16,314
 $20,904
 $(3,804) $17,100
Amortization expense related to finite-lived intangible assets is included primarily in Cost of goods sold on our Condensed Consolidated Statements of Income and totaled $301 million and $902 million for the three and nine months ended September 30, 2018, respectively, and $209 million and $629 million for the three and nine months ended September 30, 2017, and $210 million and $630 million for the three and nine months ended September 30, 2016. respectively.
As of September 30, 2017,2018, the estimated future amortization expense associated with our finite-lived intangible assets is as follows (in millions):
Fiscal Year Amount Amount
2017 (remaining three months) $210
2018 850
2018 (remaining three months) $301
2019 739
 1,088
2020 713
 1,064
2021 713
 1,064
2022 1,064
Thereafter 5,117
 8,866
Total $8,342
 $13,447


7.
COLLABORATIVE ARRANGEMENTS
We enter into collaborative arrangements with third parties for the development and commercialization of certain products. Both parties are active participants in the operating activities of the collaboration and are exposed to significant risks and rewards depending on the commercial success of the activities. The following is selected information related to our collaborative arrangements.
Bristol-Myers Squibb Company
North America
In 2004, we entered into a collaboration arrangement with BMS to develop and commercialize a single-tablet regimen containing our Truvada and BMS’s Sustiva (efavirenz) in the United States. This combination was approved for use in the United States in 2006 and is sold under the brand name Atripla. We and BMS structured this collaboration as a joint venture that operates as a limited liability company named Bristol-Myers Squibb & Gilead Sciences, LLC, which we consolidate. We and BMS granted royalty-free sublicenses to the joint venture for the use of our respective company owned technologies and, in return, were granted a license by the joint venture to use any intellectual property that results from the collaboration. In 2006, we and BMS amended the joint venture’s collaboration agreement to allow the joint venture to sell Atripla in Canada. The economic interests of the joint


venture held by us and BMS (including a share of revenues and out-of-pocket expenses) are based on the portion of the net selling price of Atripla attributable to Truvada and efavirenz. Since the net selling price for Truvada may change over time relative to the net selling price of efavirenz, both our and BMS’s respective economic interests in the joint venture may vary annually.
We and BMS shared marketing and sales efforts. Starting in the second quarter of 2011, except for a limited number of activities that are jointly managed, the parties no longer coordinate detailing and promotional activities in the United States, and the parties reduced their joint promotional efforts since we launched Complera in August 2011 and Stribild in August 2012. The parties continue to collaborate on activities such as manufacturing, regulatory, compliance and pharmacovigilance. The daily operations of the joint venture are governed by several joint committees formed by both BMS and Gilead. We are responsible for accounting, financial reporting, tax reporting, manufacturing and product distribution for the joint venture. Both parties provide their respective bulk active pharmaceutical ingredients to the joint venture at their approximate market values. The agreement will continue until terminated by the mutual agreement of the parties. In addition, either party may terminate the other party’s participation in the collaboration within 30 days after the launch of at least one generic version of such other party’s single agent products (or the double agent products). The terminating party then has the right to continue to sell Atripla and become the continuing party but will be obligated to pay the terminated party certain royalties for a three-year period following the effective date of the termination. The loss of exclusivity in the United States for Sustiva is expected in December 2017.
As of September 30, 2017 and December 31, 2016, the joint venture held efavirenz active pharmaceutical ingredient which it purchased from BMS at BMS’s estimated net selling price of efavirenz in the U.S. market. These amounts were primarily included in Other long term assets and Inventories on our Condensed Consolidated Balance Sheets at September 30, 2017 and December 31, 2016, respectively.
Selected financial information for the joint venture was as follows (in millions):
  September 30, 2017 December 31, 2016
Total assets $1,499
 $1,918
Cash and cash equivalents 100
 92
Accounts receivable, net 197
 229
Inventories 1,191
 1,579
Total liabilities 512
 772
Accounts payable 222
 434
Other accrued liabilities 290
 338
These asset and liability amounts do not reflect the impact of intercompany eliminations that are included on our Condensed Consolidated Balance Sheets. Although we consolidate the joint venture, the legal structure of the joint venture limits the recourse that its creditors will have over our general credit or assets. Similarly, the assets held in the joint venture can be used only to settle obligations of the joint venture.
Europe
In 2007, Gilead Sciences Ireland UC, our wholly-owned subsidiary, and BMS entered into a collaboration agreement which sets forth the terms and conditions under which we and BMS commercialize and distribute Atripla in the European Union, Iceland, Liechtenstein, Norway and Switzerland (collectively, the European Territory). The parties formed a limited liability company, which we consolidate, to manufacture Atripla for distribution in the European Territory using efavirenz that it purchases from BMS at BMS’s estimated net selling price of efavirenz in the European Territory. We are responsible for manufacturing, product distribution, inventory management and warehousing. Through our local subsidiaries, we have primary responsibility for order fulfillment, collection of receivables, customer relations and handling of sales returns in all the territories where we and BMS promote Atripla. In general, the parties share revenues and out-of-pocket expenses in proportion to the net selling prices of the components of Atripla, Truvada and efavirenz.
Starting in 2012, except for a limited number of activities that are jointly managed, the parties no longer coordinate detailing and promotional activities in the European Territory. We are responsible for accounting, financial reporting and tax reporting for the collaboration. As of September 30, 2017 and December 31, 2016, efavirenz purchased from BMS at BMS’s estimated net selling price of efavirenz in the European Territory is included in Inventories on our Condensed Consolidated Balance Sheets.
The parties also formed a limited liability company to hold the marketing authorization for Atripla in the European Territory. We have primary responsibility for regulatory activities. In the major market countries, both parties have agreed to independently continue to use commercially reasonable efforts to promote Atripla.
The agreement will terminate upon the expiration of the last-to-expire patent which affords market exclusivity to Atripla or one of its components in the European Territory. In addition, since December 31, 2013, either party may terminate the agreement for any reason and such termination will be effective two calendar quarters after notice of termination. The non-terminating party


has the right to continue to sell Atripla and become the continuing party but will be obligated to pay the terminating party certain royalties for a three-year period following the effective date of the termination. In the event the continuing party decides not to sell Atripla, the effective date of the termination will be the date Atripla is withdrawn in each country or the date on which a third party assumes distribution of Atripla, whichever is earlier.
89.
DEBT AND CREDIT FACILITIES
The following table summarizes our borrowings under various financing arrangements (in millions):
        Carrying Amount
Type of Borrowing Issue Date Due Date Interest Rate September 30, 2017 December 31, 2016
Senior Unsecured September 2015 September 2018 1.85% $999
 $998
Senior Unsecured September 2017 September 2018 3-month LIBOR + 0.17% 748
 
Senior Unsecured September 2017 March 2019 3-month LIBOR + 0.22% 748
 
Senior Unsecured March 2014 April 2019 2.05% 499
 499
Senior Unsecured September 2017 September 2019 1.85% 996
 
Senior Unsecured September 2017 September 2019 3-month LIBOR + 0.25% 498
 
Senior Unsecured November 2014 February 2020 2.35% 498
 498
Senior Unsecured September 2015 September 2020 2.55% 1,993
 1,991
Senior Unsecured March 2011 April 2021 4.50% 995
 994
Senior Unsecured December 2011 December 2021 4.40% 1,246
 1,245
Senior Unsecured September 2016 March 2022 1.95% 497
 497
Senior Unsecured September 2015 September 2022 3.25% 996
 995
Senior Unsecured September 2016 September 2023 2.50% 745
 744
Senior Unsecured March 2014 April 2024 3.70% 1,742
 1,741
Senior Unsecured November 2014 February 2025 3.50% 1,744
 1,743
Senior Unsecured September 2015 March 2026 3.65% 2,728
 2,726
Senior Unsecured September 2016 March 2027 2.95% 1,244
 1,243
Senior Unsecured September 2015 September 2035 4.60% 989
 989
Senior Unsecured September 2016 September 2036 4.00% 740
 739
Senior Unsecured December 2011 December 2041 5.65% 995
 995
Senior Unsecured March 2014 April 2044 4.80% 1,733
 1,732
Senior Unsecured November 2014 February 2045 4.50% 1,730
 1,729
Senior Unsecured September 2015 March 2046 4.75% 2,215
 2,214
Senior Unsecured September 2016 March 2047 4.15% 1,723
 1,723
Floating-rate Borrowings May 2016 May 2019 Variable 221
 311
Total debt, net 29,262
 26,346
Less current portion 1,747
 
Total long-term debt, net $27,515
 $26,346
In connection with our acquisition of Kite Pharma, Inc. (Kite), we entered into the following financing arrangements. See Note 14, Subsequent Event for additional information relating to the acquisition.
September 2017 Issuance of Senior Unsecured Notes
        Carrying Amount
Type of Borrowing Issue Date Due Date Interest Rate September 30, 2018 December 31, 2017
Senior Unsecured September 2015 September 2018 1.85% $
 $999
Senior Unsecured September 2017 September 2018 3-month LIBOR + 0.17% 
 749
Term Loan October 2017 October 2018 Variable 
 999
Senior Unsecured September 2017 March 2019 3-month LIBOR + 0.22% 749
 748
Senior Unsecured March 2014 April 2019 2.05% 500
 499
Senior Unsecured September 2017 September 2019 1.85% 998
 997
Senior Unsecured September 2017 September 2019 3-month LIBOR + 0.25% 499
 499
Senior Unsecured November 2014 February 2020 2.35% 499
 499
Senior Unsecured September 2015 September 2020 2.55% 1,995
 1,994
Term Loan October 2017 October 2020 Variable 
 998
Senior Unsecured March 2011 April 2021 4.50% 996
 995
Senior Unsecured December 2011 December 2021 4.40% 1,247
 1,246
Senior Unsecured September 2016 March 2022 1.95% 498
 497
Senior Unsecured September 2015 September 2022 3.25% 997
 996
Term Loan October 2017 October 2022 Variable 
 2,497
Senior Unsecured September 2016 September 2023 2.50% 745
 745
Senior Unsecured March 2014 April 2024 3.70% 1,743
 1,742
Senior Unsecured November 2014 February 2025 3.50% 1,745
 1,744
Senior Unsecured September 2015 March 2026 3.65% 2,731
 2,729
Senior Unsecured September 2016 March 2027 2.95% 1,245
 1,244
Senior Unsecured September 2015 September 2035 4.60% 990
 990
Senior Unsecured September 2016 September 2036 4.00% 740
 740
Senior Unsecured December 2011 December 2041 5.65% 995
 995
Senior Unsecured March 2014 April 2044 4.80% 1,734
 1,733
Senior Unsecured November 2014 February 2045 4.50% 1,730
 1,730
Senior Unsecured September 2015 March 2046 4.75% 2,216
 2,215
Senior Unsecured September 2016 March 2047 4.15% 1,724
 1,723
Total debt, net 27,316
 33,542
Less current portion 2,746
 2,747
Total long-term debt, net $24,570
 $30,795
           
In September 2017,2018, we repaid $1.0 billion of our senior unsecured notes upon maturity that were issued $3.0 billion aggregate principal amountin September 2015 and $750 million of senior unsecured notes consisting of $750 million principal amount of floating rate notes dueupon maturity that were issued in September 2018, $750 million principal amount of floating rate notes due March 2019, and $500 million principal amount of floating rate notes due September 2019 (collectively, the Floating Rate Notes) and $1.0 billion principal amount of 1.85% senior notes due September 2019 (the Fixed Rate Notes and, collectively with the Floating Rate Notes, the 2017 Senior Notes), the terms of which are summarized in the table above.


The Fixed Rate Notes may be redeemed at our option at a redemption price equal to the greater of (i) 100% of the principal amount of the Fixed Rate Notes to be redeemed and (ii) the sum, as determined by an independent investment banker, of the present values of the remaining scheduled payments of principal and interest on the Fixed Rate Notes to be redeemed (exclusive of interest accrued to the date of redemption) discounted to the redemption date on a semiannual basis at the Treasury Rate, plus 10 basis points, plus accrued and unpaid interest on the Fixed Rate Notes to be redeemed to the date of redemption. We do not have the option to redeem any series of the Floating Rate Notes, in whole or in part, prior to the maturity date.2017.
In March 2018, we fully repaid the event of the occurrence of a change in control and a downgrade in the rating of the 2017 Senior Notes below investment grade by Moody’s Investors Service, Inc. and S&P Global Ratings, the holders may require us to purchase all or a portion of their notes at a price equal to 101% of the aggregate principal amount of the notes repurchased, plus accrued and unpaid interest to the date of repurchase.
Term Loan Facilities
In September 2017, we entered into a $6.0$4.5 billion principal amountoutstanding debt under our term loan facility credit agreement, consisting of a $1.0 billion principal amount 364-day senior unsecuredat which time the term loan facility a $2.5 billion principal amount three-year senior unsecured term loan facility and a $2.5 billion principal amount five-year senior unsecured term loan facility (collectively, the Term Loan Facilities). In October 2017, we drew $6.0 billion principal amount on the Term Loan Facilities and used the proceeds to finance our acquisition of Kite.
The Term Loan Facilities bear interest at floating rates based on LIBOR plus an applicable margin which will vary based on our debt rating from Fitch Ratings, Inc, Moody’s Investors Service, Inc. and S&P Global Ratings. We may prepay loans under the Term Loan Facilities in whole or in part at any time without premium or penalty. The Term Loan Facilities contain customary representations, warranties, affirmative, negative and financial maintenance covenants and events of default.
Cash Bridge Facility
In August 2017, we entered into a $9 billion principal amount 90-day senior unsecured term loan facility (the Cash Bridge Facility). No amounts were drawn under the Cash Bridge Facility, which was terminated as a result of our issuance of the 2017 Senior Notes and entering into the Term Loan Facilities in September 2017.credit agreement terminated.
We are required to comply with certain covenants under our credit agreementsagreement and note indentures governing our senior notes. As of September 30, 2017,2018, we were not in violation of any covenants. Additionally, as of September 30, 2017,2018, there were no amounts outstanding under our revolving credit facility.
9.10.COMMITMENTS AND CONTINGENCIES
We are a party to various legal actions. The most significant of these are described below. We recognize accruals for such actions to the extent that we conclude that a loss is both probable and reasonably estimable. We accrue for the best estimate of a


loss within a range; however, if no estimate in the range is better than any other, then we accrue the minimum amount in the range. If we determine that a loss is reasonably possible and the loss or range of loss can be estimated, we disclose the possible loss. Unless otherwise noted, it is not possible to determine the outcome of these matters, and we cannot reasonably estimate the maximum potential exposure or the range of possible loss.
We did not recognize any accruals for litigation onthe actions described below in our Condensed Consolidated Balance Sheets as of September 30, 20172018 and December 31, 2016,2017, as we did not believe losses were probable.
Litigation Related to Sofosbuvir
In January 2012, we acquired Pharmasset, Inc. (Pharmasset). Through the acquisition, we acquired sofosbuvir, a nucleotide analog that acts to inhibit the replication of the hepatitis C virus (HCV). In December 2013, we received approval from the U.S. Food and Drug Administration (FDA) for sofosbuvir, now known commercially as Sovaldi. In October 2014, weSofosbuvir is also received approvalincluded in all of the fixed-dose combination of ledipasvir and sofosbuvir, now known commercially as Harvoni. In June 2016, we received approval of the fixed-dose combination of sofosbuvir and velpatasvir, now known commercially as Epclusa. In July 2017, we received approval of the fixed-dose combination of sofosbuvir, velpatasvir and voxilaprevir, now known commercially as Vosevi.our marketed HCV products. We have received a number of contractual and intellectual property claims regarding sofosbuvir. While we have carefully considered these claims both prior to and following the acquisition and believe they are without merit, we cannot predict the ultimate outcome of such claims or range of loss, except where stated otherwise herein.loss.
We own patents and patent applications that claim sofosbuvir (Sovaldi) as a chemical entity and its metabolites and the fixed-dose combinations of ledipasvir and sofosbuvir (Harvoni), sofosbuvir and velpatasvir (Epclusa) and sofosbuvir, velpatasvir and voxilaprevir (Vosevi). Third parties may have, or may obtain rights to, patents that allegedly could be used to prevent or attempt to prevent us from commercializing our HCV products. For example, we are aware of patents and patent applications owned by otherthird parties that have been or may in the future be alleged by such parties to cover the use of our HCV products. If third parties obtain valid and enforceable patents, and successfully prove infringement of those patents by our HCV products, we could be required to pay significant monetary damages. We cannot predict


the ultimate outcome of intellectual property claims related to our HCV products. We have spent, and will continue to spend, significant resources defending against these claims.
If third parties successfully obtain valid and enforceable patents, and successfully prove infringement of those patents by our HCV products, we could be prevented from selling these products unless we were able to obtain a license under such patents. Such a license may not be available on commercially reasonable terms or at all.
Interference Proceedings and Litigation with Idenix Pharmaceuticals, Inc. (Idenix), Universita Degli Studi di Cagliari (UDSG), Centre National de la Recherche Scientifique and L‘UniversiteL’Universite Montpellier II
In February 2012, we received notice that the U.S. Patent and Trademark Office (USPTO) had declared Interference No. 105,871 (First Idenix Interference) between our U.S. Patent No. 7,429,572 (the ‘572 patent) and Idenix’s pending U.S. Patent Application No. 12/131,868 to determine who was the first to invent certain nucleoside compounds. In January 2014, the USPTO Patent Trial and Appeal Board (PTAB) determined that Pharmasset and not Idenix was the first to invent the compounds. Idenix was acquired by Merck & Co. Inc. (Merck) in August 2014. Idenix has appealed the PTAB’s decisions to the U.S. District Court for the District of Delaware, which has stayed that appeal pending the outcome of the appeal of the interference involving Idenix’s U.S. Patent No. 7,608,600 (the ‘600 patent) as described below. In light of the decisionand in the Second Idenix Interference in our favor (as described below), we believe thatSeptember 2018, the District Court will dismissdismissed the First Idenix Interference with prejudice or enter judgment against Idenix and in our favor.prejudice.
In December 2013, after receiving our request to do so, the USPTO declared Interference No. 105,981 (Second Idenix Interference) between our pending U.S. Patent Application No. 11/854,218 and Idenix’s U.S. Patent No. 7,608,600 (the ‘600 patent.patent). The ‘600 patent includes claims directed to methods of treating HCV with nucleoside compounds. In March 2015, the PTAB determined that Pharmasset and not Idenix was the first to invent the claimed methods of treating HCV. Idenix appealed this decision in both the U.S. District Court for the District of Delaware and the U.S. Court of Appeals for the Federal Circuit (CAFC). The CAFC heard oral arguments in September 2016 and affirmed the PTAB decision in June 2017. In November 2017,Idenix filed a Petition for Writ of Certiorari to the CAFC denied Idenix’s petition for a rehearing. Idenix may file further petitions inSupreme Court of the United States (U.S. Supreme Court. We filed a motion to dismissCourt) in March 2018. In April 2018, the appeal in Delaware, which was granted. Idenix appealedU.S. Supreme Court denied certiorari; accordingly, the dismissal to the CAFC, and that court had stayed this other appeal pending a decision in the Second Idenix Interference. We believe that the appeal from the Delaware dismissal should be dismissed in light of the recent decision of the CAFC affirming the PTAB’s prior decision in the Second Idenix Interferencefinding that Idenix is not entitled to its patent.the ‘600 patent is now final. All pending actions concerning the ‘600 patent have been dismissed.
We believe that the Idenix claims involved in the First and Second Idenix Interferences, and similar U.S. and foreign patents claiming the same compounds, metabolites and uses thereof, are invalid. As a result, we filed an Impeachment Action in the Federal Court of Canada to invalidate Idenix Canadian Patent No. 2,490,191 (the ‘191 patent), which is the Canadian patent that corresponds to the ‘600 patent. Idenix asserted that the commercialization of Sovaldi in Canada will infringe its ‘191 patent and that our Canadian Patent No. 2,527,657, corresponding to our ‘572 patent, is invalid. In November 2015, the Canadian court held that Idenix’s patent is invalid and that our patent is valid. Idenix appealed the decision to the Canadian Federal Court of Appeal in November 2015. In July 2017, the Canadian Federal Appeal Court affirmed the lower court’s decision in our favor. In September 2017, Idenix appealed the decision to the Supreme Court of Canada.
We filed a similar legal action in Norway in In April 2018, the Oslo District Court seeking to invalidate Idenix’s Norwegian patent corresponding to the ‘600 patent. In September 2013, Idenix filed an invalidation action in the Norwegian proceedings against our Norwegian Patent No. 333700, which corresponds to the ‘572 patent. In March 2014, the Norwegian court found all claims in the Idenix Norwegian patent to be invalid and upheld the validity of all claims in our patent. Idenix appealed the decision to the NorwegianSupreme Court of Appeal. In April 2016, the Court of Appeal issued itsCanada refused to hear Idenix’s appeal. The decision invalidating the Idenix patent and upholding our patent. The decision revoking Idenix’s Canadian patent is now final.
In January 2013, we filed a legal action in the Federal Court of Australia seeking to invalidate Idenix’s Australian patent corresponding to the ‘600 patent. In April 2013, Idenix asserted that the commercialization of Sovaldi in Australia infringes its Australian patent corresponding to the ‘600 patent. In March 2016, the Australian court revoked Idenix’s Australian patent. Idenix has appealed this decision.decision, and in December 2017, the Federal Court of Australia dismissed Idenix’s appeal. In January 2018, Idenix applied for Special Leave to Appeal to the High Court of Australia and, in April 2018, the High Court of Australia refused to hear Idenix’s appeal. The appeal hearing was held in November 2016 and we are awaiting the decision.decision revoking Idenix’s Australian patent is now final.
In March 2014, the European Patent Office (EPO) granted Idenix European Patent No. 1 523 489 (the ‘489 patent), which corresponds to the ‘600 patent. The same day that the ‘489 patent was granted, we filed an opposition with the EPO seeking to revoke the ‘489 patent. An opposition hearing was held in February 2016, and the EPO ruled in our favor and revoked the ‘489 patent. Idenix has appealed. In March 2014, Idenix also initiated infringement proceedings against us in the United Kingdom


(UK), Germany and France alleging that the commercialization of Sovaldi would infringe the UK, German and French counterparts of the ‘489 patent. A trial was held in the UK in October 2014. In December 2014, the High Court of Justice of England and Wales (UK Court) invalidated all challenged claims of the ‘489 patent on multiple grounds. Idenix appealed. In November 2016, the appeals court affirmed the UK Court’s decision invalidating Idenix’s patent, and in April 2017, the UK Supreme Court refused Idenix’s application for permission to appeal. In March 2015, the German court in Düsseldorf determined that the Idenix patent was highly likely to be invalid and stayed the infringement proceedings pending the outcome of the opposition hearing held by


the EPO in February 2016. Idenix has not appealed this decision of the German court staying the proceedings. Upon Idenix’s request, the French proceedings have been stayed.
In December 2013, Idenix, UDSG, Centre National de la Recherche Scientifique and L’Université Montpellier II sued us in U.S. District Court for the District of Delaware alleging that the commercialization of sofosbuvir will infringe the ‘600 patent and that an interference exists between the ‘600 patent and our U.S. Patent No. 8,415,322. Also in December 2013, Idenix and UDSG sued us in the U.S. District Court for the District of Massachusetts alleging that the commercialization of sofosbuvir will infringe U.S. Patent Nos. 6,914,054 (the ‘054 patent) and 7,608,597 (the ‘597 patent). In June 2014, the court transferred the Massachusetts litigation to the U.S. District Court for the District of Delaware.
Prior to trial in December 2016, Idenix committed to give us a covenant not to sue with respect to any claims arising out of the ‘054 patent related to sofosbuvir and withdrew that patent from the trial. In addition, Idenix declined to litigate the ‘600 patent infringement action at trial in light of the appeal then pending at the CAFC regarding who wasCAFC. Since the first to invent the subject matter claimed in the ‘600 patent. In January 2017, the District Court stayed Idenix’s infringement claim on the ‘600 patent pending the outcome of the appeal of the Second Idenix Interference. Unless Idenix is successful in persuading the United StatesU.S. Supreme Court to consider a further appeal to challenge the Federal Circuit’s June 2017 decision in our favordenied Idenix’s petition for certiorari in the Second Idenix Interference, we will ask for dismissal of, or for judgment to be entered against Idenix on,all pending actions concerning the ‘600 infringement and interference claims.patent have been dismissed. A jury trial was held in December 2016 on the remaining ‘597 patent. In December 2016, the jury found that we willfully infringed the asserted claims of the ‘597 patent and awarded Idenix $2.54 billion in past damages. The parties have filed post-trial motions and briefings, and the district judge heard oral arguments in September 2017. In September 2017,February 2018, the judge deniedinvalidated Idenix’s motion for enhanced damages‘597 patent and attorney’s fees. We expectvacated the judge to rule on outstanding motionsjury’s award of $2.54 billion in late 2017 or early 2018. Once the judgepast damages. Idenix has issued these rulings, the case will moveappealed this decision to the CAFC.
Although we cannot predict with certainty the ultimate outcome of this litigation, we We believe the jury verdict to be in error,Delaware court’s decision correctly found that, as a matter of law, the ‘597 patent is invalid, and also believe that errors were also made by the court with respect to certain rulings before and during trial. We arewe remain confident in the merits of our case and will vigorously pursue this position in post-trial motions and on appeal. We expect that our arguments in the pending post-trial motions and on appeal will focus on one or more of the arguments that we made to the judge and jury, those being (i) when properly construed, we do not infringe the claims of the ‘597 patent, (ii) the patent is invalid for failure to properly describe the claimed invention and (iii) the patent is invalid because it does not enable one of skill in the art to practice the claimed invention.
In assessing whether we should accrue a liability for this litigation on our Condensed Consolidated Financial Statements, we considered various factors, including the legal and factual circumstances of the case, the USPTO’s invalidation of an Idenix patent similar to the ‘597 patent in dispute in this case, the jury’s verdict, the court’s post-trial orders, the current status of the proceedings, applicable law, the views of legal counsel and the likelihoodbelieve that the jury’s verdict will be upheld on appeal. As a resultpossibility of this review, we have determined, in accordance with applicable accounting standards, that it is not probable that we will incur a loss as a result of this litigation, and therefore have not recorded a liability for this matter. While we believe a loss is not probable, it is reasonably possible that a loss could occur. If the jury’s verdict is not upheld on appeal, the loss will be zero. If the jury’s verdict is upheld on appeal, our estimated potential loss as of September 30, 2017 would include (i) the $2.54 billion determined by the jury, which represents 10% of our adjusted revenues from sofosbuvir-containing products from launch through August 2016, (ii) approximately $269 million, which represents 10% of our adjusted revenues from sofosbuvir-containing products from September 2016 through January 25, 2017, (iii) pre- and post-judgment interest and (iv) approximately $539 million, which represents going forward royalties yet to be assessed by the court, which we have estimated assuming 14% of our adjusted revenues from sofosbuvir-containing products from January 26, 2017 through September 30, 2017 based on post-trial briefings filed by Idenix with the court, and which would be payable based on adjusted revenues from sofosbuvir-containing products for the period from January 26, 2017 through expiry of the Idenix patent in May 2021. Therefore, we estimate the range of possible loss through September 30, 2017 to be between zero and $3.6 billion. The parties agreed to stay consideration of going forward royalties until the appeal from the jury verdict and post-trial motions has been resolved. Idenix may appeal the court’s denial of enhanced damages.
If the jury’s verdict is upheld on appeal, the amount we could be required to pay could be material. The timing and magnitude of the amount of any such payment could have a material adverse impactoutcome on our results of operations and stock price.this matter is remote.
Litigation with Merck
In August 2013, Merck contacted us requesting that we pay royalties on the sales of sofosbuvir and obtain a license to U.S. Patent No. 7,105,499 (the ‘499 patent) and U.S. Patent No. 8,481,712 (the ‘712 patent), which it co-owns with Ionis Pharmaceuticals, Inc. The ‘499 and ‘712 patents cover compounds which do not include, but may relate to, sofosbuvir. We filed a lawsuit in August 2013 in the U.S. District Court for the Northern District of California seeking a declaratory judgment that the Merck patents are invalid and not infringed. During patent prosecution, Merck amended its patent application in an attempt to cover compounds related to sofosbuvir. Initially, in March 2016, a jury determined that we had not established that Merck’s patents are invalid for lack of written description or lack of enablement and awarded Merck $200 million in damages. However, in June 2016, the court ruled in our favor on our defense of unclean hands and determined that Merck may not recover any damages from us for the ‘499


and ‘712 patents. The judge has determined that Merck is required to pay our attorney’s fees due to the exceptional nature of this case. In July 2017, the court issued a decision setting the amount of attorney fees awarded to us.
Merck has filed notices of appeal to the CAFC regarding the court’s decision on our defense of unclean hands and its award of attorney’s fees. We appealedIn April 2018, the issue relating toCAFC affirmed the invalidity of Merck’s patent.court’s decision on unclean hands. Merck has filed a petition for review by the U.S. Supreme Court. If the decision on our defense of unclean hands is reversed on appealsubsequently and Merck’s patent is upheld, we may be required to pay damages and a royalty on sales of sofosbuvir-containing products following the appeal. In that event, the judge has indicated that she will determine the amount of the royalty, if necessary, at the conclusion of any appeal in this case.
Litigation with the University of Minnesota
The University of Minnesota (the University) has obtained Patent No. 8,815,830 (the ‘830 patent), which purports to broadly cover nucleosides with antiviral and anticancer activity. In August 2016, the University filed a lawsuit against us in the U.S. District Court for the District of Minnesota, alleging that the commercialization of sofosbuvir-containing products infringes the ‘830 patent. We believe that the ‘830 patent is invalid and will not be infringed by the continued commercialization of sofosbuvir. In October 2017, the court granted our motion to transfer the case to California. We have also filed four petitions for inter partes review inwith the USPTOPTAB alleging that all asserted claims are invalid for anticipation and obviousness. In March 2018, the District Court stayed the litigation until after the PTAB rules on our petitions for inter partes review.
Petitions for Inter Partes Review filed by Initiative for Medicines, Access & Knowledge
In October 2017, we received notice that Initiative for Medicines, Access & Knowledge (I-MAK) submitted multiple petitions requesting inter partes review to the PTAB alleging that certain patents associated with sofosbuvir are invalid as either not novel or obvious. We strongly believe I-MAK’s petitions are without merit and that sofosbuvir, the only approved HCV drug of its kind, is both novel and not obvious. Accordingly, we will defenddefended against these allegations. Ifallegations, and the PTAB decidesdeclined to initiate one or more institute all ten of I-MAK’s petitions for inter partes reviews, a decision would be expected about a year later. Either party can appeal the PTAB’s decision to the CAFC. review and denied I-MAK’s petitions for rehearing.


European Patent Claims
In February 2015, several parties filed oppositions in the EPO requesting revocation of one of our granted European patentpatents covering sofosbuvir that expires in 2028. In October 2016, the EPO upheld the validity of certain claims of our sofosbuvir patent. We have appealed this decision, seeking to restore all of the original claims, and several of the original opposing parties have also appealed, requesting full revocation. The appeal process may take several years.
In April 2017, several parties filed oppositions in the EPO requesting revocation of our granted European patent relating to sofosbuvir that expires in 2024. The EPO conducted an oral hearing for this opposition in September 2018 and upheld the claims. The decision may be appealed.
In January 2016, several parties filed oppositions in the EPO requesting revocation of our granted European patent covering tenofovir alafenamide (TAF)TAF that expires in 2021. In July 2017, the EPO upheld the validity of the claims of our TAF patent. We are awaiting a written decision from the EPO. TheThree parties that filed the oppositions may appealhave appealed this decision. The appeal process may take several years.
In July 2017, several parties filed oppositions in the EPO requesting revocation of our granted European patent relating to TAF hemifumarate that expires in 2032. We have responded to these oppositions. The EPO has not yet set a date for the oral hearing regarding this opposition.
In March 2016, three parties filed oppositions in the EPO requesting revocation of our granted European patent covering cobicistat that expires in 2027. In December 2017, the EPO upheld the validity of the claims of our cobicistat patent. The parties that filed the oppositions may appeal this decision. The appeal process may take several years.
While we are confident in the strength of our patents, we cannot predict the ultimate outcome of these oppositions. If we are unsuccessful in defending these oppositions, some or all of our patent claims may be narrowed or revoked and the patent protection for sofosbuvir, TAF and cobicistat in Europethe European Union could be substantially shortened or eliminated entirely. If our patents are revoked, and no other European patents are granted covering these compounds, our exclusivity may be based entirely on regulatory exclusivity granted by the European Medicines Agency. Sovaldi has been granted regulatory exclusivity that will prevent generic sofosbuvir from entering the European Union for 10 years following approval of Sovaldi, or January 2024. If we lose patent protection for sofosbuvir prior to 2028, our revenues and results of operations could be negatively impacted for the years including and succeeding the year in which such exclusivity is lost, which may cause our stock price to decline.
Litigation Related to Axi-CelAxicabtagene Ciloleucel
In October 2017, we acquired Kite, which is now our wholly-owned subsidiary. Through the acquisition, we acquired axicabtagene ciloleucel, (axi-cel), a chimeric antigen receptor (CAR) T cell (CAR T) therapy. In October 2017, we received approval from FDA for axi-cel,axicabtagene ciloleucel, now known commercially as Yescarta.
We own patents and patent applications that claim axi-celaxicabtagene ciloleucel chimeric DNA segments. Third parties may have, or may obtain rights to, patents that allegedly could be used to prevent or attempt to prevent us from commercializing axi-celaxicabtagene ciloleucel or to require us to


obtain a license in order to commercialize axi-cel.axicabtagene ciloleucel. For example, we are aware that Juno Therapeutics, Inc. (Juno) has exclusively licensed Patent No. 7,446,190 (the ‘190 patent), which was issued to Sloan Kettering Cancer Center. In September 2017, Juno and Sloan Kettering Cancer Center filed a lawsuit against Kite in the U.S. District Court for the Central District of California, alleging that the commercialization of axi-celaxicabtagene ciloleucel infringes the ‘190 patent. In October 2017, following FDA approval for Yescarta, Juno filed a second complaint alleging that axicabtagene ciloleucel infringes the ‘190 patent. Juno subsequently moved to dismiss the September 2017 complaint and has maintained the October 2017 complaint. The court has set a trial date of October 2019 for this lawsuit.
In August 2015, Kite filed a petition for inter partes review in the USPTO alleging that the asserted claims of the ‘190 patent are invalid as obvious. In December 2016, the PTAB determined that the claims of the ‘190 patent are not invalid due to obviousness. In February 2017, Kite filed a Notice of Appeal to the CAFC. That appeal is currently pending.In June 2018, the CAFC affirmed the PTAB’s determination that the ‘190 patent claims are not invalid due to obviousness.
We cannot predict the ultimate outcome of intellectual property claims related to axi-cel.axicabtagene ciloleucel. If Juno’s patent is upheld as valid and Juno successfully proves infringement of that patent by axi-cel,axicabtagene ciloleucel, we could be required to pay significant monetary damages or we could be prevented from selling Yescarta unless we were able to obtain a license to this patent. Such a license may not be available on commercially reasonable terms or at all.
Litigation Related to Bictegravir
In February 2018, ViiV Healthcare Company (ViiV) filed a lawsuit against us in the U.S. District Court of Delaware, alleging that the commercialization of bictegravir, now known commercially as Biktarvy, infringes ViiV’s U.S. Patent No. 8,129,385 (the ‘385 patent), which was issued to Shionogi & Co. Ltd. & GlaxoSmithKline LLC. The ‘385 patent is the compound patent covering ViiV’s dolutegravir. Bictegravir is structurally different from dolutegravir, and we believe that bictegravir does not infringe the


claims of the ‘385 patent. To the extent that ViiV’s patent claims are interpreted to cover bictegravir, we believe those claims are invalid. The USPTO has granted us patents covering bictegravir. The court has set a trial date of September 2020 for this lawsuit.
In February 2018, ViiV also filed a lawsuit against us in the Federal Court of Canada, alleging that our activities relating to our bictegravir product have infringed ViiV’s Canadian Patent No. 2,606,282 (the ‘282 patent), which was issued to Shionogi & Co. Ltd. and ViiV. The ‘282 patent is the compound patent covering ViiV’s dolutegravir. We believe that bictegravir does not infringe the claims of the ‘282 patent. To the extent that ViiV’s patent claims are interpreted to cover bictegravir, we believe those claims are invalid.
We cannot predict the ultimate outcome of intellectual property claims related to bictegravir. If ViiV’s patents are upheld as valid and ViiV successfully proves infringement of those patents by bictegravir, we could be required to pay significant monetary damages.
Litigation with Generic Manufacturers
As part of the approval process for some of our products, FDA granted us a New Chemical Entity (NCE) exclusivity period during which other manufacturers’ applications for approval of generic versions of our product will not be approved. Generic manufacturers may challenge the patents protecting products that have been granted NCE exclusivity one year prior to the end of the NCE exclusivity period. Generic manufacturers have sought and may continue to seek FDA approval for a similar or identical drug through an abbreviated new drug application (ANDA), the application form typically used by manufacturers seeking approval of a generic drug. The sale of generic versions of our products earlier than their patent expiration would have a significant negative effect on our revenues and results of operations. To seek approval for a generic version of a product having NCE status, a generic company may submit its ANDA to FDA four years after the branded product’s approval. For sofosbuvir, this date falls in December 2017. Consequently, it is possible that one or more generics may file an ANDA for Sovaldi in December 2017.
Current legal proceedings of significance with generic manufacturers include:
HIV Products
In June 2014, we received notice that Apotex Inc. (Apotex) submitted an abbreviated new drug submission (ANDS) to Health Canada requesting permission to manufacture and market a generic version of Truvada and a separate ANDS requesting permission to manufacture and market a generic version of Viread. In the notice, Apotex alleges that three of the patents associated with Truvada and two of the patents associated with Viread are invalid, unenforceable and/or will not be infringed by Apotex’s manufacture, use or sale of a generic version of Truvada or Viread. In August 2014, we filed lawsuits against Apotex in the Federal Court of Canada seeking orders of prohibition against approval of these ANDS. A hearing in those cases was held in April 2016. In July 2016, the court issued an order prohibiting Health Canada from approving Apotex’s generic version of our Viread product until the expiry of our patents in July 2017. The court declined to prohibit approval of Apotex’s generic version of our Truvada product. The court’s decision did not rule on the validity of the patents. The launch of Apotex’s generic version of our Truvada product would be at risk of infringement of our patents, including patents that we were unable to assert in the present lawsuit, and liability for our damages. Apotex has appealed the court’s decision.
In February 2016, we received notice that Mylan Pharmaceuticals, Inc. (Mylan) submitted an ANDA to FDA requesting permission to manufacture and market a generic version of Tybost (cobicistat). In the notice, Mylan alleges that the patent covering cobicistat is invalid as obvious and that Mylan’s generic product cannot infringe an invalid claim. In March 2016, we filed lawsuits against Mylan in the U.S. District Court for the District of Delaware and U.S. District Court for the Northern District of West Virginia. The trial in Delaware is scheduled for January 2018, and the parties have agreed to dismiss the action in West Virginia.Virginia, and the trial in Delaware was stayed. The patent in suit that covers Tybost is also listed in the Orange Book for Stribild and Genvoya.
In MayNovember 2017, we received notice that Amneal Pharmaceuticals LLC (Amneal)Mylan submitted an ANDA to FDA requesting permission to manufacture and market a generic version of Evotaz (atazanavir/cobicistat) and challenging the validity of our cobicistat compound patent, citing the arguments it has made in the ongoing litigation involving Tybost. In December 2017, we filed a lawsuit against Mylan in the U.S. District Court for the Northern District of West Virginia. In July 2018, we reached an agreement with Mylan to resolve all pending lawsuits. The settlement agreement has been filed with the Federal Trade Commission and Department of Justice as required by law.
In April and May 2018, we received notices that Aurobindo Pharma USA Inc. (Aurobindo) submitted an ANDA to FDA requesting permission to manufacture and market generic versions of Truvada at low dosage strengths. In the May notice, AmnealAurobindo alleges that two patents associated with emtricitabine are invalid, unenforceable and/or will not be infringed by Amneal’sAurobindo’s manufacture, use or sale of generic versions of Truvada at low dosage strengths. In July 2017,May 2018, we filed a lawsuit against AmnealAurobindo in the U.S. District Court for the District of Delaware for infringement of our patents. In October 2018, we reached an agreement with Aurobindo to resolve the lawsuit. The settlement agreement has been filed with the Federal Trade Commission and Department of Justice as required by law.
In June 2017,May 2018, we received notice that Macleods Pharmaceuticals Ltd. (Macleods)Strides Pharma Inc. (Strides) submitted ANDAsan ANDA to FDA requesting permission to manufacture and market a generic versionsversion of Truvada and Atripla.Truvada. In the notices, Macleodsnotice, Strides alleges that two patents associated with emtricitabine threeand four patents associated with the emtricitabine and tenofovir disoproxil fumarate (TDF) fixed dose combination and three patents associated with the emtricitabine, TDF and efavirenz fixed dosefixed-dose combination are invalid, unenforceable and/or will not be infringed by Macleod’sStrides’ manufacture, use or sale of a generic version of Truvada. In June 2018, we filed a lawsuit against Strides in the U.S. District Court for the District of New Jersey for infringement of our patents.
HCV Products
In February 2018, we received notices from Natco Pharma Limited (Natco) and Teva Pharmaceuticals (Teva) that they have each submitted an ANDA to FDA requesting permission to manufacture and market a generic version of Sovaldi. In Teva’s notice, it alleges that nine patents associated with sofosbuvir are invalid, unenforceable and/or will not be infringed by Teva’s manufacture, use or sale of generic versions of Truvada or Atripla.Sovaldi. In July 2017,March 2018, we filed a lawsuitlawsuits against MacleodsTeva in the U.S. District Court for the District of New Jersey and the U.S. District Court for the District of Delaware for infringement of these patents. In Natco’s notice, it alleges that two patents associated with sofosbuvir are invalid, unenforceable and/or will not be infringed by Natco’s manufacture, use or sale of generic versions of Sovaldi. Natco did not challenge all patents listed on the Orange Book for Sovaldi. In March 2018,


we filed lawsuits against Natco in the U.S. District Court for the District of New Jersey and the U.S. District Court for the District of Delaware for infringement of these patents.
TAF Litigation
In January 2016, AIDS Healthcare Foundation, Inc. (AHF) filed a complaint with the U.S. District Court for the Northern District of California against Gilead, Japan Tobacco, Inc. and Japan Tobacco International, U.S.A. (together, JT), and Emory University (Emory).University. In April 2016, AHF amended its complaint to add Janssen and Johnson & Johnson Inc. (J&J) as defendants. AHF claims that U.S. Patent Nos. 7,390,791; 7,800,788; 8,754,065; 8,148,374; and 8,633,219 are invalid. In addition, AHF claims that Gilead, independently and together with JT, Akros, Janssen and J&J, is violating federal and state antitrust and unfair competition laws in the market for sales of TAF by offering TAF as part of a fixed-dose combination product with elvitegravir, cobicistat and emtricitabine (Genvoya), a fixed-dose combination product with elvitegraviremtricitabine and rilpivirine (Odefsey) and in a fixed-dosed combination product with elvitegraviremtricitabine (Descovy). AHF sought a declaratory judgment of invalidity against each of the patents as well as monetary damages. In May 2016, we, JT, Janssen and J&J‎&J filed motions to dismiss all of AHF’s claims, which AHF opposed. In June 2016, a hearing was held on the motions to dismiss. In July 2016, the judge granted our and the other defendants’ motions and dismissed all of AHF’s claims. AHF subsequently appealed the court’s decision dismissing the challenge to the validity of our TAF patents. The appeal hearing was heldIn May 2018, the Federal Circuit affirmed the lower court’s decision dismissing AHF’s claims. In August 2018, AHF filed a petition for review by the U.S. Supreme Court and, in June 2017,October 2018, the U.S. Supreme Court denied AHF’s petition.
Government Investigations and we are awaiting a decision.
Department of Justice InvestigationsRelated Litigation
In June 2011, we received a subpoena from the U.S. Attorney’s Office for the Northern District of California requesting documents related to the manufacture, and related quality and distribution practices, of Complera, Atripla, Truvada, Viread, Emtriva, Hepsera and Letairis. We cooperated with the government’s inquiry. In April 2014, the U.S. Department of Justice informed us that, following an investigation, it declined to intervene in a False Claims Act lawsuit filed by two former employees. In April 2014, the former employees served a First Amended Complaint. In January 2015, the federal district courtU.S. District Court for the Northern District of California issued an order granting in its entirety, without prejudice, our motion to dismiss the First Amended Complaint. In February 2015, the plaintiffs filed a Second Amended Complaint and in June 2015, the federal district courtDistrict Court issued an order granting our motion to dismiss the Second Amended Complaint. In July 2015, the plaintiffs filed a notice of appeal in the U.S. Court of Appeals for the Ninth Circuit. In July 2017, a three-judge panel of the Ninth Circuit reversed and remanded the case back to the U.S. District Court for the Northern District of California. We are appealing this decision to the Supreme Court of the United States.Court. In October 2017, the Ninth Circuit granted our motion to stay the case pending an appeal to the appeal.U.S. Supreme Court. In December 2017, we filed a Petition for a Writ of Certiorari to the U.S. Supreme Court. We expect the U.S. Supreme Court to decide whether it will hear the case later this year.
In February 2016, we received a subpoena from the U.S. Attorney’s Office for the District of Massachusetts requesting documents related to our support of 501(c)(3) organizations that provide financial assistance to patients and documents concerning our provision of financial assistance to patients for our HCV products. Other companies have disclosed similar inquiries. We are cooperating with this inquiry. In October 2017, we received a civil investigative demandsubpoena from the U.S. Attorney’s Office for the District of Massachusetts requesting documents related to our copay coupon program and Medicaid price reporting methodology. We intend to cooperateare cooperating with this inquiry.
In September 2017, we received a voluntary request for information from the U.S. Attorney’s Office for the Eastern District of Pennsylvania requesting information related to our reimbursement support offerings, clinical education programs and interactions with specialty pharmacies for Sovaldi and Harvoni. In June 2018, we received another voluntary request for information related to our speaker programs and advisory boards for our HCV and hepatitis B virus (HBV) products. We are cooperating with these voluntary requests.
In October 2017, we received a subpoena from the California Department of Insurance and the Alameda County District Attorney’s Office requesting documents related to our marketing activities, reimbursement support offerings, clinical education programs and interactions with specialty pharmacies. We are cooperating with this inquiry.
In November 2017, Health Choice Advocates LLC served us with a complaint in the United States District Court for the Eastern District of Texas alleging violations of the False Claims Act and similar state statutes through our marketing activities, reimbursement support offerings and clinical education programs for Sovaldi and Harvoni. The lawsuit was unsealed after the United States and 31 plaintiff-states declined to intervene in the action. In February 2018, we filed two motions to dismiss the complaint. In July 2018, the District Court entered an order dismissing the matter without prejudice as to all claims.
In November 2017, we received a subpoena from the U.S. Department of Health and Human Services requesting documents related to our Frontlines of Communities in the United States (FOCUS) program. We are cooperating with this inquiry.
In November 2017, we also received a subpoena from the U.S. Attorney’s Office for the Southern District of New York requesting documents related to our promotional speaker programs for HIV. We are cooperating with this inquiry.


Other Matters
We are a party to various legal actions that arose in the ordinary course of our business. We do not believe that these other legal actions will have a material adverse impact on our consolidated business, financial position or results of operations.
10.11.STOCKHOLDERS’ EQUITY
The following table summarizes the changes in stockholders’ equity (in millions):
 
Gilead StockholdersEquity 
 
Noncontrolling
Interest
 
Total Stockholders Equity 
 
Gilead StockholdersEquity 
 
Noncontrolling
Interest
 
Total Stockholders Equity 
Common Stock  
Additional
Paid-In
Capital
 
Accumulated
Other
Comprehensive
Income (Loss)
 
Retained
Earnings
Common Stock  
Additional
Paid-In
Capital
 
Accumulated
Other
Comprehensive
Income (Loss)
 
Retained
Earnings
Shares Amount Shares Amount
Balance at December 31, 2016 1,310
 $1
 $454
 $278
 $18,154
 $476
 $19,363
Net income (loss) 
 
 
 
 8,493
 (13) 8,480
Other comprehensive loss, net of tax 
 
 
 (29) 
 
 (29)
Balance at December 31, 2017 1,308
 $1
 $1,264
 $165
 $19,012
 $59
 $20,501
Change in noncontrolling interest 
 
 
 
 
 (54) (54) 
 
 
 
 
 82
 82
Net income 
 
 
 
 5,452
 5
 5,457
Other comprehensive income, net of tax 
 
 
 164
 
 
 164
Issuances under employee stock purchase plan 1
 
 83
 
 
 
 83
 1
 
 91
 
 
 
 91
Issuances under equity incentive plans 9
 
 95
 
 
 
 95
 12
 
 167
 
 
 
 167
Stock-based compensation 
 
 305
 
 
 
 305
 
 
 667
 
 
 
 667
Repurchases of common stock (13) 
 (31) 
 (903) 
 (934) (27) 
 (71) 
 (1,996) 
 (2,067)
Dividends declared 
 
 
 
 (2,055) 
 (2,055) 
 
 
 
 (2,245) 
 (2,245)
Balance at September 30, 2017 1,307
 $1
 $906
 $249
 $23,689
 $409
 $25,254
Cumulative effect from the adoption of new accounting standards 
 
 
 (293) 483
 
 190
Balance at September 30, 2018 1,294
 $1
 $2,118
 $36
 $20,706
 $146
 $23,007
Accumulated Other Comprehensive Income (Loss)
The following table summarizes the changes in AOCI by component, net of tax (in millions):
  Foreign Currency Translation Unrealized Gains and Losses on Available-for-Sale Securities Unrealized Gains and Losses on Cash Flow Hedges Total
Balance at December 31, 2016 $132
 $(16) $162
 $278
Other comprehensive income (loss) before reclassifications (51) 311
 (278) (18)
Amounts reclassified from AOCI 
 (7) (4) (11)
Net current period other comprehensive income (loss) (51) 304
 (282) (29)
Balance at September 30, 2017 $81
 $288
 $(120) $249
  Foreign Currency Translation Unrealized Gains and Losses on Available-for-Sale Securities Unrealized Gains and Losses on Cash Flow Hedges Total
Balance at December 31, 2017 $85
 $194
 $(114) $165
Reclassifications to retained earnings as a result of the adoption of new accounting standards 
 (293) 
 (293)
Balance at January 1, 2018 85
 (99) (114) (128)
Net unrealized gain (loss) (17) 25
 51
 59
Reclassifications to net income 
 4
 101
 105
Net current period other comprehensive income (loss) (17) 29
 152
 164
Balance at September 30, 2018 $68
 $(70) $38
 $36
The amounts reclassified to net income for gains and losses on cash flow hedges are recorded as part of Product sales on our Condensed Consolidated Statements of Income. See Note 4,5, Derivative Financial Instruments, for additional information. AmountsThe amounts reclassified to net income for gains and losses on available-for-sale debt securities are recorded as part of Other income (expense), net, on our Condensed Consolidated Statements of Income.
Stock Repurchase Program
In the first quarter of 2016, our Board of Directors authorized a $12.0 billion stock repurchase program (2016 Program) under which repurchases may be made in the open market or in privately negotiated transactions. We started repurchases under the 2016 Program in April 2016.
During the three and nine months ended September 30, 2017,2018, we repurchased and retired 126 million and 26 million shares of our common stock for $848$449 million and $1.9 billion, respectively, through open market transactions under the 2016 Program. As of September 30, 2017,2018, the remaining authorized repurchase amount under the 2016 Program was $8.2$6.1 billion.


11.12.NET INCOME PER SHARE ATTRIBUTABLE TO GILEAD COMMON STOCKHOLDERS
Basic net income per share attributable to Gilead common stockholders is calculated based on the weighted-average number of shares of our common stock outstanding during the period. Diluted net income per share attributable to Gilead common stockholders is calculated based on the weighted-average number of shares of our common stock outstanding and other dilutive securities outstanding during the period. The potentially dilutive shares of our common stock resulting from the assumed exercise of outstanding stock options and equivalents the assumed conversion of our outstanding convertible senior notes and the assumed exercise of the warrants related to our outstanding convertible senior notes were determined under the treasury stock method. Both the convertible senior notes and the associated warrants were settled in 2016.
We have excluded stock options and equivalents of 912 million and 13 million for the three and nine months ended September 30, 20172018, respectively, and 49 million for both the three and nine months ended September 30, 20162017 from the computation of diluted net income per share attributable to Gilead common stockholders because their effect was antidilutive.
The following table summarizes the calculation of basic and diluted net income per share attributable to Gilead common stockholders (in millions, except per share amounts):
 Three Months Ended Nine Months Ended Three Months Ended Nine Months Ended
 September 30, September 30, September 30, September 30,
 2017 2016 2017 2016 2018 2017 2018 2017
Net income attributable to Gilead $2,718
 $3,330
 $8,493
 $10,393
 $2,097
 $2,718
 $5,452
 $8,493
Shares used in per share calculation - basic 1,306
 1,322
 1,307
 1,347
 1,296
 1,306
 1,302
 1,307
Effect of dilutive securities:        
Stock options and equivalents 13
 13
 12
 15
Conversion spread related to the convertible senior notes 
 
 
 2
Warrants related to the convertible senior notes 
 4
 
 5
Dilutive effect of stock options and equivalents 11
 13
 11
 12
Shares used in per share calculation - diluted 1,319
 1,339
 1,319
 1,369
 1,307
 1,319
 1,313
 1,319
Net income per share attributable to Gilead common stockholders - basic $2.08
 $2.52
 $6.50
 $7.72
 $1.62
 $2.08
 $4.19
 $6.50
Net income per share attributable to Gilead common stockholders - diluted $2.06
 $2.49
 $6.44
 $7.59
 $1.60
 $2.06
 $4.15
 $6.44


12.13.SEGMENT INFORMATION
We have one operating segment, which primarily focuses on the discovery, development and commercialization of innovative medicines in areas of unmet medical need. Therefore, our results of operations are reported on a consolidated basis consistent with internal management reporting reviewed by our chief operating decision maker, who is our Chief Executive Officer. Totalchief executive officer.
See Note 2, Revenues, for a summary of disaggregated revenues by product sales on an individual product basis are summarized in the following table (in millions):
  Three Months Ended Nine Months Ended
  September 30, September 30,
  2017 2016 2017 2016
Antiviral products:        
Genvoya $988
 $461
 $2,614
 $921
Harvoni 973
 1,860
 3,726
 7,441
Epclusa 882
 640
 2,945
 704
Truvada 811
 858
 2,337
 2,698
Atripla 439
 650
 1,366
 1,998
Descovy 316
 88
 853
 149
Odefsey 296
 105
 781
 174
Viread 274
 303
 834
 862
Complera/Eviplera 237
 411
 744
 1,160
Stribild 229
 621
 831
 1,527
Sovaldi 219
 825
 847
 3,460
Vosevi 123
 
 123
 
Other 56
 19
 122
 56
Total antiviral products 5,843
 6,841
 18,123
 21,150
Other products:        
Letairis 213
 215
 654
 593
Ranexa 164
 170
 517
 467
AmBisome 92
 91
 276
 262
Zydelig 40
 39
 110
 129
Other 50
 49
 145
 136
Total product sales $6,402
 $7,405
 $19,825
 $22,737
and geographic region.
The following table summarizes revenues from each of our customers who individually accounted for 10% or more of our total revenues (as a percentage of total revenues):
 Three Months Ended Nine Months Ended Three Months Ended Nine Months Ended
 September 30, September 30, September 30, September 30,
 2017 2016 2017 2016 2018 2017 2018 2017
McKesson Corp. 25% 23% 23% 22%
AmerisourceBergen Corp. 21% 18% 20% 18% 20% 21% 20% 20%
Cardinal Health, Inc. 19% 16% 18% 16% 20% 19% 20% 18%
McKesson Corp. 22% 25% 21% 23%
13.14.INCOME TAXES
OurOn December 22, 2017, Tax Reform was signed into law making significant changes to the Internal Revenue Code of 1986, as amended. Changes include, but are not limited to, a corporate tax rate decrease from 35% to 21% effective for tax years beginning after December 31, 2017, implementation of a modified territorial tax system and a repatriation tax on deemed repatriated earnings of foreign subsidiaries. We included a provisional estimate of the impact from Tax Reform in our 2017 income tax ratesprovision in accordance with our interpretation of 26.1%Tax Reform and 25.6%SAB 118.
We may refine our provisional estimates as further guidance is issued from the U.S. Treasury, the SEC and the FASB. Additionally, we are continuing to evaluate the accounting policy election required with regard to the tax on Global Intangible Low-Taxed Income (the Global Minimum Tax). The FASB allows companies to adopt a policy election to account for the Global Minimum Tax under one of two methods: (i) account for the Global Minimum Tax as a component of tax expense in the period in which a company is subject to the rules (the period cost method), or (ii) account for the Global Minimum Tax in a company’s measurement of deferred taxes (the deferred method). We have not elected a method and will only do so after our completion of the analysis of the Global Minimum Tax provisions. Our election method will depend, in part, on analyzing expected future U.S. taxable income inclusions related to Global Minimum Tax under both methodologies in order to determine the most appropriate method. Should we decide to elect the deferred method of accounting for the Global Minimum Tax, it is possible that our provisional


estimate for re-measuring our deferred taxes may materially change. We will finalize the analysis for the accounting policy election during the fourth quarter of 2018.
During the three and nine months ended September 30, 2018, we repatriated $500 million and $29.7 billion, respectively, of cash, cash equivalents and marketable securities to our parent company headquartered in the United States. Prior to the enactment of Tax Reform, these earnings were considered indefinitely reinvested and no U.S. taxes had been provided. In 2017, respectively,U.S. taxes were provided on these earnings through the accrual of the Tax Reform transition tax.
Our effective income tax rate of 21.2% for the three months ended September 30, 2018 differed from the U.S. federal statutory rate of 35%21% primarily due to the Global Minimum Tax and state taxes, partially offset by earnings from non-U.S. subsidiaries that operate in jurisdictions with lower tax rates than the United States.
Our effective income tax rate of 19.5% for the nine months ended September 30, 2018 differed from the U.S. federal statutory rate of 21% primarily due to a $202 million tax benefit related to settlement of a tax examination for an acquired entity and earnings from non-U.S. subsidiaries that operate in jurisdictions with lower tax rates than the United States, and where the earnings are considered indefinitely reinvested, partially offset by the Global Minimum Tax and state taxes, and our portion of the non-tax deductible branded prescription drug fee.taxes.
We file federal, state and foreign income tax returns in the United States and in many foreign jurisdictions. For federal and California income tax purposes, the statute of limitations is open for 2010 and onwards. For certain acquired entities, the statute of limitations is open for all years from inception due to our utilization of their net operating losses and credits carried over from prior years.


Our income tax returns are subject to audit by federal, state and foreign tax authorities. We are currently under examination by the Internal Revenue ServiceIRS for the tax years from 20102013 to 20142015 and by various state and foreign jurisdictions. There are differinginterpretations of tax laws and regulations, and as a result, significant disputes may arise with these tax authorities involving issues of the timing and amount of deductions and allocations of income among various tax jurisdictions. We periodically evaluate our exposures associated with our tax filing positions.
We record liabilities related to uncertain tax positions in accordance with the income tax guidance which clarifies the accounting for uncertainty in income taxes recognized in an enterprise’s financial statements by prescribing a minimum recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Resolution of one or more of these uncertain tax positions in any period may have a material impact on the results of operations for that period.
WeOur unrecognized tax benefits decreased by $736 million during the nine months ended September 30, 2018 primarily due to a $706 million decrease for settlement of a tax examination. As of September 30, 2018, we believe that in the coming 12 months, it is reasonably possible that audits in multiple jurisdictions will conclude or that the statute of limitations on certain state and foreign income taxes will expire, or both. Given the uncertainty as to ultimate settlement terms, the timing of payment, and the impact of such settlements on other uncertain tax positions, an estimate of the range of change to theour unrecognized tax benefits cannot be made.will decrease by approximately $100 million in the next 12 months due to potential settlements with taxing authorities.
14.SUBSEQUENT EVENT
Kite Pharma, Inc.
On October 3, 2017, the closing date, we acquired all of the outstanding common stock of Kite. As a result, Kite became our wholly-owned subsidiary. Kite uses a patient’s own immune cells to fight cancer. Kite has developed engineered cell therapies that express either a chimeric antigen receptor (CAR) or an engineered T cell receptor, depending on the type of cancer. Kite’s most advanced therapy candidate, axi-cel, is a CAR T therapy. In October 2017, axi-cel, now known commercially as Yescarta, was approved by FDA, making it the first to market as a treatment for refractory aggressive non-Hodgkin lymphoma, which includes diffuse large B-cell lymphoma (DLBCL), transformed follicular lymphoma (TFL) and primary mediastinal B-cell lymphoma (PMBCL). A marketing authorization application has also been filed for axi-cel for the treatment of relapsed/refractory DLBCL, TFL and PMBCL with the European Medicines Agency, representing the first known submission in Europe for a CAR T therapy. Kite has additional candidates in clinical trials in both hematologic cancers and solid tumors, including KITE-585, a CAR T therapy candidate that targets B-cell maturation antigen expressed in multiple myeloma. This transaction will be accounted for as a business combination.
The acquisition price was approximately $11.2 billion, consisting of approximately $11.1 billion in cash and approximately $0.1 billion representing the portion of the replaced stock-based compensation attributable to the pre-combination period. In addition, approximately $0.7 billion was excluded from the acquisition price representing the portion of the replaced stock-based compensation attributable to the post combination period, which is expected to be recognized through 2021. Given the timing of the closing of this transaction, we are currently in the process of valuing the assets acquired and liabilities assumed in the business combination. As a result, we are not yet able to provide the amounts to be recognized as of the closing date for the major classes of assets acquired and liabilities assumed and other related disclosures. We will include this and other related information in our Annual Report on Form 10-K for the year ending December 31, 2017.
We financed the transaction with $3.0 billion in senior unsecured notes issued in September 2017, a $6.0 billion term loan facility credit agreement entered into in September 2017 and drawn in October 2017, as well as cash on hand. See Note 8, Debt and Credit Facilities for additional information.


Item 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This Quarterly Report on Form 10-Q contains forward-looking statements regarding future events and our future results that are subject to the safe harbors created under the Securities Act of 1933, as amended, and the Securities Exchange Act of 1934, as amended. The forward-looking statements are contained principally in this section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Risk Factors.” Words such as “expect,” “anticipate,” “target,” “goal,” “project,” “hope,” “intend, “plan,” “believe,” “seek,” “estimate,” “continue,” “may,” “could,” “should,” “might,” variations of such words and similar expressions are intended to identify such forward-looking statements. In addition, any statements other than statements of historical fact are forward-looking statements, including statements regarding overall trends, operating cost and revenue trends, liquidity and capital needs and other statements of expectations, beliefs, future plans and strategies, anticipated events or trends and similar expressions. We have based these forward-looking statements on our current expectations about future events. These statements are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict. Our actual results may differ materially from those suggested by these forward-looking statements for various reasons, including those identified below under “Risk Factors.” Given these risks and uncertainties, you are cautioned not to place undue reliance on forward-looking statements. The forward-looking statements included in this report are made only as of the date hereof. Except as required under federal securities laws and the rules and regulations of the Securities and Exchange Commission (SEC), we do not undertake and specifically decline any obligation to update any of these statements or to publicly announce the results of any revisions to any forward-looking statements after the distribution of this report, whether as a result of new information, future events, changes in assumptions or otherwise. In evaluating our business, you should carefully consider the risks described in the section entitled “Risk Factors” under Part II, Item 1A in addition to the other information in this Quarterly Report on Form 10-Q. Any of the risks contained herein could materially and adversely affect our business, results of operations and financial condition.


You should read the following management’s discussion and analysis of our financial condition and results of operations in conjunction with our audited Consolidated Financial Statements and related notes thereto included as part of our Annual Report on Form 10-K for the year ended December 31, 20162017 and our unaudited Condensed Consolidated Financial Statements for the three and nine months ended September 30, 20172018 and other disclosures (including the disclosures under Part II, Item 1A, Risk Factors) included in this Quarterly Report on Form 10-Q. Our Condensed Consolidated Financial Statements have been prepared in accordance with U.S. generally accepted accounting principles and are presented in U.S. dollars.
Management Overview
Gilead Sciences, Inc. (Gilead, we, our or us), incorporated in Delaware on June 22, 1987, is a research-based biopharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. With each new discovery and investigational drug candidate, weWe strive to transform and simplify care for people with life-threatening illnesses around the world. We have operations in more than 3035 countries worldwide, with headquarters in Foster City, California. Gilead’s primary areas of focus include human immunodeficiency virus (HIV),HIV/AIDS, liver diseases, such as chronic hepatitis C virus (HCV) infection and chronic hepatitis B virus (HBV) infection, hematology/oncology cardiovascular and inflammation/respiratory diseases. We seek to add to our existing portfolio of products through our internal discovery and clinical development programs and through product acquisition and in-licensing strategies.
Our portfolio of marketed products includes AmBisome®, Atripla®, Biktarvy®, Cayston®, Complera®/Eviplera®, Descovy®, Emtriva®, Epclusa®, Genvoya®, Harvoni®, Hepsera®, Letairis®, Odefsey®, Ranexa®, Sovaldi®, Stribild®, Truvada®, Tybost®, Vemlidy®, Viread®, Vitekta®, Vosevi®, YescartaTM® and Zydelig®. We have U.S. and international commercial sales operations, with marketing subsidiaries in over 3035 countries. We also sell and distribute certain products through our corporate partners under royalty-paying collaborative agreements.
Business Highlights
During the third quarter of 2017,2018, we continued to advance our product pipeline across our therapeutic areas with the goal of delivering best-in-class drugs that advance the current standard of care and/or address unmet medical need. Recent key developmentsannouncements include:
Kite AcquisitionHIV and Liver Diseases Programs
In October 2017, we acquired allThe Hong Kong Department of the outstanding common stock of Kite Pharma, Inc. (Kite) for $180 per share in cash, or approximately $11.2 billion, excluding approximately $0.7 billion relating to the portion of the replaced stock-based compensation attributable to the post combination period. We financed the transaction with $3.0 billion in senior unsecured notes, a $6.0 billion term loan facility credit agreement and cash on hand. Kite is an industry leader in the emerging field of cell therapy, which uses a patient’s own immune cells to fight cancer. Kite has developed engineered cell therapies that express either a chimeric antigen receptor or an engineered T cell receptor, depending on the type of cancer. The acquisition resulted in Kite becoming our wholly-owned subsidiary and established us as a leader in cellular therapy.


Through the acquisition, we acquired axicabtagene ciloleucel (axi-cel), a chimeric antigen receptor T cell (CAR T) therapy. In October 2017, we received approval from the U.S. Food and Drug Administration (FDA) for axi-cel, now known commercially as Yescarta, making it the first to market as a treatment for refractory aggressive non-Hodgkin lymphoma, which includes diffuse large B-cell lymphoma (DLBCL), transformed follicular lymphoma (TFL) and primary mediastinal B-cell lymphoma (PMBCL). We have also filed a marketing authorization application for axi-celHealth approved Biktarvy for the treatment of relapsed/refractory DLBCL, TFL and PMBCL with the European Medicines Agency, representingHIV-1 infection in adults. Hong Kong is the first known submissionmarket in Europe for a CAR T therapy. Approval in Europe is expected in 2018, although there can be no assurance that we will receive such approval on a timely basis or at all. In additionAsia to axi-cel, we also acquired therapy candidates in clinical trials in both hematologic cancers and solid tumors, including KITE-585, a CAR T therapy candidate that targets B-cell maturation antigen expressed in multiple myeloma.
Other Key Announcementsapprove Biktarvy.
We announced 96-week results from a Phase 2, randomized, placebo-controlled trial evaluating two doses of GS-0976, an oral, investigational inhibitor of acetyl-CoA carboxylase, in patients with nonalcoholic steatohepatitis. The data demonstrate that the higher dose of GS-0976 (20 mg taken orally once daily) when administered for 12 weeks was associated with statistically significant reductions in hepatic steatosis (buildup of fat in the liver) and a noninvasive marker of fibrosis compared to placebo. 
We announced detailed 48-week results from a Phase 3, studyrandomized, double-blinded studies evaluating the safety and efficacy and safety of switching virologically suppressedBiktarvy for the treatment of HIV-1 infected adult patients from a multi-tablet regimen containing a boosted protease inhibitor (bPI) to a fixed-dose combination of bictegravir (50 mg) (BIC), an investigational integrase strand transfer inhibitor, and emtricitabine/tenofovir alafenamide (200/25 mg) (FTC/TAF), a dual-NRTI backbone.infection in treatment-naive adults. In the ongoing study, BIC/FTC/TAFstudies, Biktarvy was found to be statistically non-inferior to regimens containing bPIsa regimen of dolutegravir and demonstrated no treatment-emergent resistance at 48 weeks.emtricitabine/tenofovir alafenamide (50 mg) (DTG+FTC/TAF) and a regimen of abacavir/DTG/lamivudine (600/50/300mg) through 96 weeks of therapy.
We announced plans to launch authorized generic versions of Epclusa and Harvoni in the United States through a newly created subsidiary, Asegua Therapeutics LLC.
We entered into a strategic collaboration with Precision BioSciences (Precision) to develop therapies targeting the in vivo elimination of hepatitis B virus (HBV) with Precisions proprietary genome editing platform, ARCUS.
The China Food andNational Drug Administration approved Sovaldi (sofosbuvir 400 mg) for the treatment of HCV infection. Sovaldi was approved for the treatment of adults and adolescents (aged 12 to 18 years) infected with HCV genotypes 1, 2, 3, 4, 5 or 6 as a component of a combination antiviral treatment regimen. Sovaldi is our first HCV medicine approved in China.
FDA granted priority review for our new drug application (NDA) for an investigational, fixed-dose combination of BIC/FTC/TAFGenvoya for the treatment of HIV-1 infection.
Oncology and Cell Therapy Programs
We filedannounced a global strategic collaboration with Tango Therapeutics, Inc. (Tango) to discover, develop and commercialize a pipeline of targeted immuno-oncology treatments for patients with cancer. Under the NDAmulti-year collaboration, Tango will perform target discovery and validation and we will have options to worldwide rights on up to five targets emerging from Tango’s proprietary functional genomics-based discovery platform.
We entered into a research collaboration and license agreement with HiFiBiO Therapeutics to develop technology supporting the discovery of neoantigen-reactive T cell receptors for BIC/FTC/TAFthe potential treatment of various cancers, including solid tumors.
We entered into a license agreement with Trianni, Inc. (Trianni) that grants us the use of the Trianni transgenic human monoclonal antibody discovery platform to support our drug discovery efforts.
European Commission granted Marketing Authorization for Yescarta as a treatment for adult patients with relapsed or refractory diffuse large B-cell lymphoma and primary mediastinal large B-cell lymphoma, after two or more lines of systemic therapy.
Inflammation Programs
We announced that detailed results from two clinical trials (EQUATOR and TORTUGA) evaluating filgotinib, an investigational, selective JAK 1 inhibitor, for the treatment of psoriatic arthritis and ankylosing spondylitis (AS) were both published in The Lancet. The results of the EQUATOR and TORTUGA studies demonstrate that filgotinib improved


the signs and symptoms of patients with psoriatic arthritis whose disease had not responded to prior therapies and independently, for those with AS.
We announced detailed results from the Phase 3 FINCH 2 clinical trial of filgotinib, an investigational, selective JAK1 inhibitor, in adults with moderately-to-severely active rheumatoid arthritis and prior inadequate response or intolerance to biologic agents. The data, which are being presented as a late-breaking poster at the 2018 American College of Rheumatology/Association of Rheumatology Health Professionals Annual Meeting in Chicago, suggest filgotinib has a potential role in addressing important unmet needs in the treatment of rheumatoid arthritis. FINCH 2 achieved its primary endpoint in the proportion of patients achieving an American College of Rheumatology 20 percent response at week 12.
We announced that the randomized, placebo-controlled Phase 2 TORTUGA study of filgotinib achieved its primary efficacy endpoint in adults with moderately to severely active AS. In the study, patients treated with filgotinib achieved significantly greater improvements in AS Disease Activity Score, the primary endpoint, at week 12, with a priority review voucher on June 12, 2017, and FDA has set a target action date under PDUFAmean change from baseline of February 12, 2018.-1.5 versus -0.6 for those treated with placebo (p<0.0001).
Financial Highlights
Total revenues weredecreased to $5.6 billion for the third quarter of 2018, compared to $6.5 billion for the third quarter of 2017, compared to $7.5 billion for the third quarter of 2016, primarily due to lower product sales, which were $6.4$5.5 billion compared to $7.4$6.4 billion for the same quarter of 2016.period in 2017.
Research and development (R&D) expenses wereincreased to $939 million for the third quarter of 2018, compared to $789 million for the third quarter of 2017, compared2017. Selling, general and administrative (SG&A) expenses increased to $1.1 billion$948 million for the third quarter of 2016, primarily due2018, compared to the 2016 impacts of a $200$879 million milestone expense associated with Nimbus Apollo, Inc. (Nimbus) and a $117 million impairment charge related to in-process R&D (IPR&D).
Net income attributable to Gilead was $2.7 billion or $2.06 per diluted share for the third quarter of 2017, compared to $3.3 billion or $2.49 per diluted share for the third quarter of 2016,2017. The increases in both R&D and SG&A expenses were primarily due to lower product saleshigher costs to support the growth of our business following the acquisition of Kite Pharma, Inc. (Kite) and a higher effective tax rate, partially offset by lower expenses.stock-based compensation expenses associated with our acquisition of Kite.
As of September 30, 2017,2018, we had $41.4$30.8 billion of cash, cash equivalents and marketable securities, compared to $36.6$31.7 billion as of June 30, 2017. This increase was primarily due to the issuance of $3.0 billion aggregate principal amount of senior unsecured notes in September 2017 to partially fund our acquisition of Kite, which was completed in October 2017.2018. During the third quarter of 2017,2018, we generated $2.2 billion in operating cash flow, from operating activities was $2.7repaid $1.8 billion. of our senior unsecured notes due in September 2018, paid cash dividends of $742 million and repurchased 6 million shares of our common stock for $449 million through open market transactions.
Results of Operations
Total Revenues
The following table summarizes the period-over-period changes in our product sales and royalty, contract and other revenues:
 Three Months Ended   Nine Months Ended   Three Months Ended   Nine Months Ended  
 September 30,   September 30,   September 30,   September 30,  
(In millions, except percentages) 2017 2016 Change 2017 2016 Change 2018 2017 Change 2018 2017 Change
Revenues:                        
Product sales $6,402
 $7,405
 (14)% $19,825
 $22,737
 (13)% $5,455
 $6,402
 (15)% $15,996
 $19,825
 (19)%
Royalty, contract and other revenues 110
 95
 16 % 333
 333
  % 141
 110
 28 % 336
 333
 1 %
Total revenues $6,512
 $7,500
 (13)% $20,158
 $23,070
 (13)% $5,596
 $6,512
 (14)% $16,332
 $20,158
 (19)%


Product salesOn January 1, 2018, we adopted Accounting Standards Update No. 2014-09 (Topic 606) using the modified retrospective method applied to those contracts which were not completed as of January 1, 2018. As such, results for the three and nine months ended September 30, 2017
Total product sales were $6.4 billion for2018 are presented under Topic 606, while the three months ended September 30, 2017, compared to $7.4 billion for the same period in 2016, primarily due to a decrease in antiviral product sales.
Antiviral product sales, which include sales of our HIV, HBV and HCV products, were $5.8 billion for the three months ended September 30, 2017, compared to $6.8 billion for the same period in 2016. HIV and HBV product sales were $3.6 billion for the three months ended September 30, 2017, compared to $3.5 billion for the same period in 2016. The increase was primarily driven by the continued uptake of our TAF-based products: Genvoya, Descovy and Odefsey. HCV product sales, which consist of Harvoni, Epclusa, Sovaldi and Vosevi, were $2.2 billion for the three months ended September 30, 2017, compared to $3.3 billion for the same period in 2016. The decrease was due to lower sales of Harvoni and Sovaldi across all major markets, partially offset by sales of Epclusa, which was approved by FDA and the European Commission in June and July 2016, respectively, and sales of Vosevi, which was approved by FDA and the European Commission in July 2017.
In the HCV market, following the approval of the newer HCV products, there was a rapid increase in the number of patients who were treated and cured followed by a decline in the number of patients seeking care and being able to access HCV treatment. As a result of this dynamic, we expect patient starts to continue to decline relative to 2016 in all major markets and this was a primary driver for the decreases of our HCV products salesinformation for the three and nine months ended September 30, 2017 ashas not been adjusted and continues to be reported in accordance with our historical accounting under Topic 605 “Revenue Recognition” (Topic 605). See Note 1, Summary of Significant Accounting Policies, and Note 2, Revenues, of the Notes to Condensed Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q for further information.
Product sales for the three months ended September 30, 2018
Total product sales decreased by 15% to $5.5 billion for the three months ended September 30, 2018, compared to $6.4 billion for the same periodsperiod in 2016. We also expect2017, primarily due to lower sales of our HCV products, partially offset by increased sales of our HIV products.
HIV product sales increased by 12% to be further impacted$3.7 billion for the three months ended September 30, 2018, compared to $3.3 billion for the same period in 2017, primarily due to the continued uptake of Descovy, Genvoya and Odefsey and our launch of Biktarvy in 2018. Biktarvy was approved by FDA in February 2018 and the effects of competition from new HCV products on net price and market share. We anticipate that the effect of competition on net pricing and market share will be more fully reflected beginningEuropean Commission in the fourth quarter of 2017.June 2018.
OtherHCV product sales, which include salesconsist of Letairis, RanexaEpclusa, Harvoni, Vosevi and AmBisome, were $559Sovaldi, decreased by 59% to $902 million for the three months ended September 30, 2017,2018, compared to $564$2.2 billion for the same period in 2017. The decline was primarily due to lower sales of Harvoni, Epclusa and Sovaldi across all major markets as a result of increased competition.


In HCV, we expect a continued decline in product sales in the fourth quarter of 2018, compared to the same period in 2017, in major markets as a result of increased competition. HCV revenues are driven by four variables: patient starts, net pricing, market share and treatment duration. Treatment duration has stabilized as a variable and pricing has largely stabilized. We will continue to compete for market share across market segments and geographies. We anticipate patient starts to be more predictable with a continued slight decline moving forward.
Yescarta, which was launched in the United States in October 2017, generated $75 million in sales during the three months ended September 30, 2018.
Other product sales, which include products from our HBV, cardiovascular, oncology and other categories inclusive of Vemlidy, Viread, Letairis, Ranexa, Zydelig and AmBisome, decreased by 14% to $751 million for the three months ended September 30, 2018, compared to $874 million for the same period in 2016.2017. Sales of Viread, which is primarily used for treatment of chronic HBV, decreased due to the availability of generic versions of the product. Letairis is expected to face generic competition in the United States because the U.S. patent for ambrisentan, the active pharmaceutical ingredient in Letairis, expired in July 2018. Ranexa is expected to face generic competition in the United States starting in the first quarter of 2019. We expect a decline in our Letairis and Ranexa sales in the United States after the generic entries.
Of our total product sales, 29%24% were generated outside the United States during the three months ended September 30, 2017.2018. We faced exposure to movements in foreign currency exchange rates, primarily in the Euro. We used foreign currency exchange contracts to hedge a percentage of our foreign currency exposure. Foreign currency exchange, net of hedges, did not have a materialhad an immaterial impact on our product sales for the three months ended September 30, 2017,2018, compared to the same period in 2016.2017.
Product sales in the United States were $4.5decreased by 9% to $4.1 billion for the three months ended September 30, 2017,2018, compared to $5.1$4.5 billion for the same period in 2016. Declines2017. The decrease was primarily due to lower sales of our HCV products, partially offset by higher sales of our HIV products. The decrease in sales of our HCV products were partially offset by increases in sales of our HIV and HBV products. The declines in sales of our HCV products werewas primarily due to lower Harvoniaverage net selling price and Sovaldilower sales volume as a result of lower total market patient starts and increased competition, partially offset by sales of Vosevi.competition. The increasesincrease in the sales of our HIV and HBV products werewas primarily driven by sales ofincreased demand for our TAF-basedDescovy (FTC/TAF))-based products and to a lesser extent, higher average net selling price, partially offset by decreasesthe decrease in sales volume of our Truvada (FTC and tenofovir disoproxil fumarate (TDF))-based products, which include Atripla, Complera/Eviplera and the prior year impact of a favorable revision to our rebate reserves of $332 million.Stribild.
Product sales in Europe were $1.2 billiondecreased by 27% to $873 million for the three months ended September 30, 2017,2018, compared to $1.4$1.2 billion for the same period in 2016.2017. The decrease was primarily due to lower Harvonisales of our HCV products and Sovaldithe availability of generic versions of Truvada, Atripla and Viread. The decrease in sales of our HCV products was primarily due to lower average net selling price and lower sales volume as a result of increased competition. The decrease was partially offset by sales of Epclusa. Salesthe continued uptake of our HIV and HBV products for the three months ended September 30, 2017 were flat compared to the same period in 2016.Descovy (FTC/TAF)-based products. Foreign currency exchange, net of hedges, did not have a materialhad an immaterial impact on our product sales for the three months ended September 30, 2017,2018, compared to the same period in 2016.2017.
Product sales in other locations were $663decreased by 32% to $451 million for the three months ended September 30, 2017,2018, compared to $931$663 million for the same period in 2016,2017, primarily due to lower sales in Japan. Sales of our HCV products in Japan were $170decreased to $45 million for the three months ended September 30, 2017,2018, compared to $452$170 million for the same period in 2016,2017, primarily due to lower Harvoni and Sovaldi sales volumemarket share as a result of lower total market patient starts and increased competition.
Product sales for the nine months endedSeptember 30, 20172018
Total product sales were $19.8decreased by 19% to $16.0 billion for the nine months ended September 30, 2017,2018, compared to $22.7$19.8 billion for the same period in 2016,2017, primarily due to a decrease in antiviral product sales.lower sales of our HCV products, partially offset by increased sales of our HIV products.
AntiviralHIV product sales were $18.1increased by 10% to $10.6 billion for the nine months ended September 30, 2017,2018, compared to $21.2$9.6 billion for the same period in 2016. HIV2017, primarily due to the continued uptake of Descovy, Genvoya and HBVOdefsey and our launch of Biktarvy in 2018.
HCV product sales were $10.5decreased by 61% to $2.9 billion for the nine months ended September 30, 2017,2018, compared to $9.5$7.6 billion for the same period in 2016. The increase was2017, primarily driven bydue to lower sales of Harvoni, Epclusa and Sovaldi across all major markets as a result of increased competition.
Yescarta generated $183 million in sales during the continued uptake of our TAF-based products. HCVnine months ended September 30, 2018.
Other product sales, were $7.6which include products from our HBV, cardiovascular, oncology and other categories inclusive of Vemlidy, Viread, Letairis, Ranexa, Zydelig and AmBisome, decreased by 12% to $2.3 billion for the nine months ended September 30, 2017,2018, compared to $11.6$2.6 billion for the same period in 2016. The decrease was2017. Sales of Viread decreased due to lower salesthe availability of Harvoni and Sovaldi across all major markets, partially offset by salesgeneric versions of Epclusa and Vosevi.
Other product sales, which include sales of Letairis, Ranexa and AmBisome, were $1.7 billion for the nine months ended September 30, 2017, compared to $1.6 billion for the same period in 2016.product.
Of our total product sales, 30%27% were generated outside the United States during the nine months ended September 30, 2017.2018. We faced exposure to movements in foreign currency exchange rates, primarily in the Euro. We used foreign currency exchange


contracts to hedge a percentage of our foreign currency exposure. Foreign currency exchange, net of hedges, had an unfavorablea favorable impact on our product sales of $147$89 million for the nine months ended September 30, 2017,2018, compared to the same period in 2016.2017.
Product sales in the United States were $14.0decreased by 16% to $11.7 billion for the nine months ended September 30, 2017,2018, compared to $14.3$14.0 billion for the same period in 2016. Declines2017. The decrease was primarily due to lower sales of our HCV products, partially offset by higher sales of our HIV products. The decrease in sales of our HCV products were partially offset by increases in sales of our HIV and HBV products. The declines in sales of our HCV products werewas primarily due to lower Harvoniaverage net selling price and Sovaldilower sales volume as a result of lower total market patient starts and increased competition, partially offset by sales of Epclusa and Vosevi.competition. The increasesincrease in the sales of our HIV and HBV products werewas primarily driven by sales ofhigher demand for our TAF-basedDescovy (FTC/TAF)-based products and to a lesser extent, higher average net selling price, partially offset by decreasesthe decrease in sales volume of our TDF-based products and the prior year impact of a favorable revision to our rebate reserves of $332 million.Truvada (FTC/TDF)-based products.
Product sales in Europe were $3.9decreased by 25% to $2.9 billion for the nine months ended September 30, 2017,2018, compared to $4.7$3.9 billion for the same period in 2016.2017. The decrease was primarily due to lower Harvonisales of our HCV products and Sovaldithe availability of generic versions of Truvada, Atripla and Viread. The decrease in sales of our HCV products was primarily due to lower sales volume and average net selling price as a result of increased competition. The decrease was partially offset by the continued uptake of our Descovy (FTC/TAF)-based products. Foreign currency exchange, net of hedges, had a favorable impact on our product sales of Epclusa. Sales of our HIV and HBV products$62 million for the nine months ended September 30, 2017 were flat2018, compared to the same period in 2016. In addition, foreign currency exchange, net of hedges, had an unfavorable impact of $118 million on our product sales for the nine months ended September 30, 2017, compared to the same period in 2016.2017.
Product sales in other locations were $2.0decreased by 30% to $1.4 billion for the nine months ended September 30, 2017,2018, compared to $3.7$2.0 billion for the same period in 2016,2017, primarily due to lower sales in Japan. Sales of our HCV products in Japan were $556decreased to $124 million for the nine months ended September 30, 2017,2018, compared to $2.2 billion$556 million for the same period in 2016,2017, primarily due to lower Harvoni and Sovaldi sales volumemarket share as a result of lower total market patient starts and increased competition.
The following table summarizes the period-over-period changes in our product sales by product:
 Three Months Ended   Nine Months Ended   Three Months Ended   Nine Months Ended  
 September 30,   September 30,   September 30,   September 30,  
(In millions, except percentages) 2017 2016 Change 2017 2016 Change 2018 2017 Change 2018 2017 Change
Antiviral products:            
HCV products            
Atripla $258
 $439
 (41)% $921
 $1,366
 (33)%
Biktarvy 386
 
 *
 606
 
 *
Complera/Eviplera 139
 237
 (41)% 528
 744
 (29)%
Descovy 406
 316
 28 % 1,170
 853
 37 %
Genvoya 1,176
 988
 19 % 3,418
 2,614
 31 %
Odefsey 423
 296
 43 % 1,150
 781
 47 %
Stribild 146
 229
 (36)% 507
 831
 (39)%
Truvada 757
 811
 (7)% 2,174
 2,337
 (7)%
Other HIV(1)
 14
 15
 (7)% 46
 41
 12 %
Revenue share - Symtuza(2)
 22
 
 *
 42
 
 *
AmBisome 102
 92
 11 % 312
 276
 13 %
Epclusa 477
 882
 (46)% 1,513
 2,945
 (49)%
Harvoni $973
 $1,860
 (48)% $3,726
 $7,441
 (50)% 311
 973
 (68)% 990
 3,726
 (73)%
Epclusa 882
 640
 38 % 2,945
 704
 *
Sovaldi 219
 825
 (73)% 847
 3,460
 (76)%
Vosevi 123
 
 *
 123
 
 *
HIV and HBV            
Genvoya 988
 461
 114 % 2,614
 921
 *
Truvada 811
 858
 (5)% 2,337
 2,698
 (13)%
Atripla 439
 650
 (32)% 1,366
 1,998
 (32)%
Descovy 316
 88
 *
 853
 149
 *
Odefsey 296
 105
 *
 781
 174
 *
Viread 274
 303
 (10)% 834
 862
 (3)%
Complera/Eviplera 237
 411
 (42)% 744
 1,160
 (36)%
Stribild 229
 621
 (63)% 831
 1,527
 (46)%
Other 56
 19
 *
 122
 56
 118 %
Total antiviral products 5,843
 6,841
 (15)% 18,123
 21,150
 (14)%
Other products:            
Letairis 213
 215
 (1)% 654
 593
 10 % 241
 213
 13 % 689
 654
 5 %
Ranexa 164
 170
 (4)% 517
 467
 11 % 178
 164
 9 % 581
 517
 12 %
AmBisome 92
 91
 1 % 276
 262
 5 %
Vemlidy 87
 37
 *
 221
 70
 *
Viread 70
 274
 (74)% 249
 834
 (70)%
Vosevi 103
 123
 (16)% 319
 123
 *
Yescarta 75
 
 *
 183
 
 *
Zydelig 40
 39
 3 % 110
 129
 (15)% 20
 40
 (50)% 92
 110
 (16)%
Other 50
 49
 2 % 145
 136
 7 %
Other(3)
 64
 273
 (77)% 285
 1,003
 (72)%
Total product sales $6,402
 $7,405
 (14)% $19,825
 $22,737
 (13)% $5,455
 $6,402
 (15)% $15,996
 $19,825
 (19)%
_______________________                        
* Percentage not meaningful
(1)Includes Emtriva and Tybost
(2) Represents Gilead’s revenue from cobicistat (C), FTC and TAF in Symtuza® (darunavir/C/FTC/TAF), a fixed dose combination product commercialized by Janssen
(3)Includes Cayston, Hepsera and Sovaldi


FollowingThe following is additional discussion of our results by product:
HarvoniDescovy (FTC/TAF)-based products - Biktarvy, Descovy, Genvoya and Odefsey
HarvoniProduct sales of our Descovy (FTC/TAF)-based products were $2.4 billion and $6.3 billion, and accounted for 17%44% and 40% of our total product sales for the three and nine months ended September 30, 2018, respectively. Product sales of our Descovy (FTC/TAF)-based products were $1.6 billion and $4.2 billion, and accounted for 25% and 21% of our total antiviral product sales for the three and nine months ended September 30, 2017, respectively, and 27% and 35%respectively.
For the three months ended September 30, 2018, sales of our Descovy (FTC/TAF)-based products were $1.9 billion in the United States and $390 million in Europe, compared to $1.3 billion in the United States and $248 million in Europe for the same period in 2017. The increases in all major markets were primarily driven by higher sales volume reflecting the increased demand for Descovy, Genvoya and Odefsey and our launch of Biktarvy in 2018.
For the nine months ended September 30, 2018, sales of our Descovy (FTC/TAF)-based products were $5.1 billion in the United States and $1.1 billion in Europe, compared to $3.6 billion in the United States and $594 million in Europe for the same period in 2017. The increases in all major markets were primarily driven by higher sales volume reflecting the increased demand for Descovy, Genvoya and Odefsey and our launch of Biktarvy in 2018.
Truvada (FTC/TDF)-based products - Atripla, Complera/Eviplera, Stribild and Truvada
Product sales of our Truvada (FTC/TDF)-based products were $1.3 billion and $4.1 billion, and accounted for 24% and 26% of our total antiviral product sales for the three and nine months ended September 30, 2016,2018, respectively. Product sales of our Truvada (FTC/TDF)-based products were $1.7 billion and $5.3 billion, and accounted for 27% of our total product sales for both the three and nine months ended September 30, 2017, respectively.
For the three months ended September 30, 2017,2018, sales of our Truvada (FTC/TDF)-based products were $1.1 billion in the United States, $178 million in Europe and $64 million in other locations, compared to $1.2 billion in the United States, $406 million in Europe and $110 million in other locations for the same period in 2017. In the United States, the decrease was primarily due to lower sales volume as a result of the continued uptake of our Descovy (FTC/TAF)-based products, partially offset by the increased usage of Truvada for PrEP and higher average net selling price. In Europe, the decrease was primarily due to lower sales volume as a result of the availability of generic versions of Truvada and Atripla and the continued uptake of our Descovy (FTC/TAF)-based products.
For the nine months ended September 30, 2018, sales of our Truvada (FTC/TDF)-based products were $3.1 billion in the United States, $726 million in Europe and $262 million in other locations, compared to $3.6 billion in the United States, $1.3 billion in Europe and $390 million in other locations for the same period in 2017. In the United States, the decrease was primarily due to lower sales volume as a result of the continued uptake of our Descovy (FTC/TAF)-based products, partially offset by the increased usage of Truvada for PrEP and higher average net selling price. In Europe, the decrease was primarily due to lower sales volume as a result of the availability of generic versions of Truvada and Atripla and the continued uptake of our Descovy (FTC/TAF)-based products.
Epclusa
Epclusa sales accounted for 9% of our total product sales for both the three and nine months ended September 30, 2018, respectively, and 14% and 15% of our total product sales for the three and nine months ended September 30, 2017, respectively.
For the three months ended September 30, 2018, Epclusa product sales were $225 million in the United States and $136 million in Europe, compared to $543 million in the United States and $263 million in Europe for the same period in 2017. Sales of Epclusa decreased across all major markets primarily due to lower average net selling price as a result of increased competition.
For the nine months ended September 30, 2018, Epclusa product sales were $733 million in the United States and $502 million in Europe, compared to $2.1 billion in the United States and $649 million in Europe for the same period in 2017. Sales of Epclusa decreased across all major markets primarily due to lower average net selling price as a result of increased competition.
Harvoni
Harvoni sales accounted for 6% of our total product sales for both the three and nine months ended September 30, 2018, and 15% and 19% of our total product sales for the three and nine months ended September 30, 2017, respectively.
For the three months ended September 30, 2018, Harvoni product sales were $185 million in the United States, $38 million in Europe and $88 million in other locations, compared to $718 million in the United States, $110 million in


Europe and $145 million in other locations, compared to $1.1 billion in the United States, $380 million in Europe and $396 million in other locations for the same period in 2016.2017. The decreases in all major markets were primarily due to lower sales volume.volume as a result of increased competition.
For the nine months ended September 30, 2017,2018, Harvoni product sales were $649 million in the United States, $116 million in Europe and $225 million in other locations, compared to $2.6 billionin the United States, $583 million in Europe and $515 million in other locations compared to $4.0 billion in the United States, $1.4 billion in Europe and $2.0 billion in other locations for the same period in 2016.2017. The decreases in all major markets were primarily due to lower sales volume. In the United States, the decrease was also due tovolume as a favorable revision to our sales return reserveresult of $181 million in the second quarter of 2016.increased competition.
EpclusaOther Products - Cayston, Hepsera and Sovaldi
EpclusaOther product sales accounted for 15%1% and 16%2% of our total antiviralproduct sales for the three and nine months ended September 30, 2018 and 4% and 5% of our total product sales for the three and nine months ended September 30, 2017, respectively, and 9% and 3% of our total antiviral product sales for the three and nine months ended September 30, 2016, respectively.
For the three months ended September 30, 2017,2018, other product sales were $543decreased to $64 million, in the United States and $263 million in Europe, compared to $593$273 million in the United States and $40 million in Europe for the same period in 2016. In the United States, the decrease was2017, primarily due to lower average net selling price, partially offset by higher sales volume driven by a shift in the market from Sovaldi sales. Sales of Sovaldi decreased to Epclusa. In Europe, the increase was driven by higher sales volume as Epclusa was approved by the European Commission in July 2016.
For the nine months ended September 30, 2017, product sales were $2.1 billion in the United States and $649$11 million in Europe, compared to $657 million in the United States and $40 million in Europe for the same period in 2016. The increases were primarily due to higher sales volume as Epclusa was approved by FDA and the European Commission in June and July 2016, respectively.
Sovaldi
Sovaldi sales accounted for 4% and 5% of our total antiviral product sales for the three and nine months ended September 30, 2017, respectively, and 12% and 16% of our total antiviral product sales for the three and nine months ended September 30, 2016, respectively.
For the three months ended September 30, 2017, product sales were $32 million in the United States, $19 million in Europe and $168 million in other locations,2018, compared to $363$219 million in the United States, $184 million in Europe and $278 million in other locations for the same period in 2016. The decreases were2017, primarily due to lower sales volume driven by a shift in the market from Sovaldi to Epclusa.
For the nine months ended September 30, 2017,2018, other product sales were $120decreased to $285 million, in the United States, $238 million in Europe and $489 million in other locations, compared to $1.8$1.0 billion in the United States, $727 million in Europe and $950 million in other locations for the same period in 2016. The decreases were2017, primarily due to lower Sovaldi sales. Sales of Sovaldi decreased to $126 million for the nine months ended September 30, 2018, compared to $847 million for the same period in 2017, primarily due to lower sales volume driven by a shift in the market from Sovaldi to Epclusa. In the United States, the decrease was also due to a favorable revision to our sales return reserve of $98 million in the second quarter of 2016.
TAF-based regimens - Genvoya, Descovy and Odefsey
Genvoya was approved by FDA and the European Commission in November 2015. Descovy was approved by FDA and the European Commission in April 2016. Odefsey was approved by FDA and the European Commission in March and June 2016, respectively.
Product sales of our newly launched TAF-based regimens accounted for 27% and 23% of our total antiviral product sales for three and nine months ended September 30, 2017, respectively, and 10% and 6% of our total antiviral product sales for the three and nine months ended September 30, 2016, respectively.
For the three months ended September 30, 2017, sales of our TAF-based regimens were $1.3 billion in the United States and $248 million in Europe, compared to $567 million in the United States and $79 million in Europe for the same period in 2016. The increases were primarily driven by higher sales volume as patients shifted away from TDF-based regimens.


For the nine months ended September 30, 2017, sales of our TAF-based regimens were $3.6 billion in the United States and $594 million in Europe, compared to $1.1 billion in the United States and $137 million in Europe for the same period in 2016. The increases were primarily driven by higher sales volume as patients shifted away from TDF-based regimens.
TDF-based regimens - Stribild, Complera/Eviplera, Atripla, Truvada and Viread
Product sales of these TDF-based regimens accounted for 34% of our total antiviral product sales for three and nine months ended September 30, 2017, and 42% and 39% of our total antiviral product sales for the three and nine months ended September 30, 2016, respectively.
For the three months ended September 30, 2017, sales of our TDF-based regimens were $1.3 billion in the United States, $461 million in Europe and $192 million in other locations, compared to $2.0 billion in the United States, $644 million in Europe and $206 million in other locations for the same period in 2016. In the United States, the decreases were primarily due to lower sales volume as a result of the continued uptake of our TAF-based regimens and a favorable revision to our rebate reserves of $312 million relating to Stribild and Complera in the third quarter of 2016, partially offset by the increased usage of Truvada for pre-exposure prophylaxis (PrEP). In Europe, the decreases were primarily due to lower sales volume as a result of loss of exclusivity of Truvada and Viread and the continued uptake of our TAF-based regimens.
For the nine months ended September 30, 2017, sales of our TDF-based regimens were $4.0 billion in the United States, $1.5 billion in Europe and $627 million in other locations, compared to $5.6 billion in the United States, $2.0 billion in Europe and $642 million in other locations for the same period in 2016. In the United States, the decreases were primarily due to lower sales volume as a result of the continued uptake of our TAF-based regimens and a favorable revision to our rebate reserves of $312 million relating to Stribild and Complera in the third quarter of 2016, partially offset by the increased usage of Truvada for PrEP. In Europe, the decreases were primarily due to lower sales volume as a result of loss of exclusivity of Truvada and Viread and the continued uptake of our TAF-based regimens.
Cost of Goods Sold and Product Gross Margin
The following table summarizes the period-over-period changes in our cost of goods sold and product gross margin:
 Three Months Ended Nine Months Ended Three Months Ended   Nine Months Ended  
 September 30, September 30, September 30,   September 30,  
(In millions, except percentages) 2017 2016 2017 2016 2018 2017 Change 2018 2017 Change
Total product sales $5,455
 $6,402
 (15)% $15,996
 $19,825
 (19)%
Cost of goods sold $1,032
 $1,129
 $3,115
 $3,186
 $1,086
 $1,032
 5 % $3,283
 $3,115
 5 %
Product gross margin 84% 85% 84% 86% 80% 84% (4)% 79% 84% (5)%
Our cost of goods sold for the three and nine months ended September 30, 2018 increased by $54 million and $168 million, respectively, compared to the same periods in 2017, primarily due to $87 million and $263 million, respectively, in amortization expense related to the intangible assets acquired in connection with our acquisition of Kite. The increases were partially offset by lower costs of efavirenz, a component of Atripla, as a result of the termination of a collaboration arrangement with Bristol-Myers Squibb Company on December 31, 2017.
Our product gross margin for the three and nine months ended September 30, 20172018 decreased by 4% and 5%, respectively, compared to the same periodperiods in 20162017, primarily due to changes in our product mix as our HCV product sales decreased as a percentage of total product sales.and factors noted above.
Operating Expenses
The following table summarizes the period-over-period changes in our R&D expenses and selling, general and administrative (SG&A)SG&A expenses:
 Three Months Ended   Nine Months Ended   Three Months Ended   Nine Months Ended  
 September 30,   September 30,   September 30,   September 30,  
(In millions, except percentages) 2017 2016 Change 2017 2016 Change 2018 2017 Change 2018 2017 Change
Research and development expenses $789
 $1,141
 (31)% $2,584
 $3,890
 (34)% $939
 $789
 19% $3,068
 $2,584
 19%
Selling, general and administrative expenses $879
 $831
 6 % $2,626
 $2,406
 9 % $948
 $879
 8% $2,925
 $2,626
 11%
Research and Development Expenses
R&D expenses consist primarily of clinical studies performed by contract research organizations, materials and supplies, licenses and fees, up-front payments under collaboration arrangements,agreements, milestone payments, in-process research and development (IPR&D) impairment charges, personnel costs, including salaries, benefits and stock-based compensation and overhead allocations consisting of various support and facilities-related costs. IPR&D assets capitalized in connection with acquisitions are tested for impairment in the fourth quarter of each year, or earlier if impairment indicators exist. No impairment charges were recorded for the three and nine months ended September 30, 2018 and 2017. For more information, refer to our critical accounting policies and estimates on valuation of intangible assets presented in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2017.


We do not track total R&D expenses by product candidate, therapeutic area or development phase. However, we manage our R&D expenses by identifying the R&D activities we anticipate will be performed during a given period and then prioritizing efforts based on scientific data, probability of successful development, market potential, available human and capital resources


and other considerations. We continually review our R&D pipeline and the status of development and, as necessary, reallocate resources among the R&D portfolio that we believe will best support the future growth of our business.
R&D expenses for the three months ended September 30, 2017 decreased2018 increased by $352$150 million or 31%19%, compared to the same period in 2016,2017, primarily due to higher costs to support the 2016 impactsgrowth of a $200 million milestone expenseour business following the acquisition of Kite and stock-based compensation expenses associated with Nimbus and a $117 million impairment charge related to IPR&D.our acquisition of Kite.
R&D expenses for the nine months ended September 30, 2017 decreased2018 increased by $1.3 billion$484 million or 34%19%, compared to the same period in 2016,2017, primarily due to higher costs to support the 2016 impactsgrowth of our purchasebusiness following the acquisition of Nimbus,Kite, stock-based compensation expenses associated with our acquisition of Kite and up-front collaboration expensespayments related to our license and collaboration agreement with Galapagos NV, milestone expense associated with Nimbus and impairment charges related to IPR&D.Sangamo Therapeutics, Inc.
Selling, General and Administrative Expenses
SG&A expenses relate to sales and marketing, finance, human resources, legal and other administrative activities. Expenses areconsist primarily comprised of personnel costs, facilities and overhead costs, outside marketing, advertising and legal expenses, and other general and administrative costs. SG&A expenses also include the branded prescription drug (BPD) fee. In the United States, we, along with other pharmaceutical manufacturers of branded drug products, are required to pay a portion of the BPD fee, which is estimated based on select government sales during the prior year as a percentage of total industry government sales and is trued-up upon receipt of invoices from the Internal Revenue Service.
SG&A expenses for the three months ended September 30, 2017 were flat compared to the same period in 2016.
SG&A expenses for theand nine months ended September 30, 20172018, increased by $220$69 million or 9%8%, and $299 million or 11%, respectively, compared to the same periodperiods in 2016,2017, primarily due to higherincreased expenses to support the growth of our business following the acquisition of Kite and stock-based compensation expenses associated with our acquisition of Kite, partially offset by lower BPD fee expense resulting from a favorable adjustment of $191fees.
Other Income (Expense), Net
Other income (expense), net, increased to $305 million in the first quarter of 2016.
Interest Expense
Interest expenseand $547 million for the three months ended September 30, 2017 increased to $291 million, compared to $242 million for the same period in 2016. Interest expense for theand nine months ended September 30, 2017 increased to $821 million,2018, respectively, compared to $699$150 million and $391 million, respectively, for the same periodperiods in 2016.2017. The increases for both periods were primarily due to unrealized gains from changes in the issuancefair value of $5.0 billion aggregate principal amountour marketable equity securities. Starting in January 2018, we recorded unrealized gains (losses) from changes in the fair value of senior unsecured notesour marketable equity securities in September 2016.Other income (expense), net on our Condensed Consolidated Statements of Income as a result of the adoption of Accounting Standards Update No. 2016-01 “Financial Instruments-Overall: Recognition and Measurement of Financial Assets and Financial Liabilities”. See Note 1, Summary of Significant Accounting Policies, of the Notes to Condensed Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q for further information.
Provision for Income Taxes
Our provision for income taxes was $959$565 million and $951$959 million for the three months ended September 30, 20172018 and 2016,2017, respectively. Our effective tax rate was 26.1% and 22.2%decreased to 21.2% for the three months ended September 30, 2018 compared to 26.1% for same period in 2017, primarily due to a reduction of the U.S. corporate tax rate as a result of the enactment of the Tax Cuts and 2016, respectively.Jobs Act (Tax Reform) in December 2017, partially offset by changes to the geographic mix of earnings and the Global Intangible Low-Taxed Income (the Global Minimum Tax).
Our provision for income taxes was $2.9$1.3 billion and $2.8$2.9 billion for the nine months ended September 30, 20172018 and 2016,2017, respectively. Our effective tax rate was 25.6% and 21.2%decreased to 19.5% for the nine months ended September 30, 2017 and 2016, respectively.
The increases in the effective tax rates2018 compared to 25.6% for the three and nine months ended September 30,same period in 2017, compared to the same periods in 2016 were primarily due to a reduction of the U.S. corporate tax rate as a result of the enactment of Tax Reform in December 2017 and a tax benefit related to settlement of a tax examination for an acquired entity in the three months ended June 30, 2018, partially offset by changes into the geographic mix of earnings.earnings and the Global Minimum Tax.
We calculated a provisional estimate of the impact from Tax Reform in our 2017 income tax provision in accordance with our interpretation of Tax Reform and the SEC Staff Accounting Bulletin 118. We expect to finalize the provisional estimate during the fourth quarter of 2018.
We are evaluating certain changes to our legal entity structure in response to guidelines and requirements in various international tax jurisdictions where we conduct business. These changes may take multiple reporting periods to implement and may result in certain material, but non-recurring, adjustments to our deferred tax assets and/or liabilities, which will cause an offsetting increase or decrease to our tax provision. Estimates of these adjustments cannot be reasonably determined at this time.


Liquidity and Capital Resources
We believe that our existing capital resources, supplemented by our cash flows generated from operating activities, will be adequate to satisfy our capital needs for the foreseeable future. The following table summarizes our cash, cash equivalents and marketable securities and working capital:
(In millions) September 30, 2017 December 31, 2016 September 30, 2018 December 31, 2017
Cash, cash equivalents and marketable securities $41,360
 $32,380
 $30,844
 $36,694
Working capital $25,720
 $10,370
 $24,802
 $20,188
Cash, Cash Equivalents and Marketable Securities
Cash, cash equivalents and marketable securities totaled $41.4$30.8 billion atas of September 30, 2017, an increase2018, a decrease of $9.0$5.9 billion when compared to $32.4$36.7 billion atas of December 31, 2016.2017. During the nine months ended September 30, 2017,2018, we generated $9.1$6.1 billion in operating cash flow, issued $3.0flow. We repaid $1.8 billion aggregate principal amount of our senior unsecured notes due in September 2017 to partially fund2018, repaid $4.5 billion of term loans borrowed in connection with our acquisition of Kite, which was completed in October 2017, paid cash dividends of $2.0$2.2 billion and utilized $848 million to repurchase stock.
Of the total cash, cash equivalents and marketable securities at September 30, 2017, approximately $32.4$1.9 billion was generated from operations in foreign jurisdictions and is intended for use in our foreign operations. We do not rely on unrepatriated earnings as a source of funds for our domestic business as we expect to have sufficient cash flow and borrowing capacity in the United States to fund our domestic operational and strategic needs.


stock repurchases.
Working Capital
Working capital was $25.7$24.8 billion atas of September 30, 2017,2018, compared to $10.4$20.2 billion atas of December 31, 2016.2017. The increase of $15.4$4.6 billion was primarily driven by an increase in cash, cash equivalents and short-term marketable securities resulting from a shift in the duration of our marketable securities portfolio to reduce interest rate riskand the $3.0 billion issuance of senior unsecured notes in connection with our acquisition of Kite, partially offset by $1.7 billion increase in current portion of long-term debt.risk.
Cash Flows
The following table summarizes our cash flow activities:
 Nine Months Ended Nine Months Ended
 September 30, September 30,
(In millions) 2017 2016 2018 2017
Cash provided by (used in):        
Operating activities $9,145
 $13,508
 $6,055
 $9,145
Investing activities $(6,053) $(9,310) $11,620
 $(6,053)
Financing activities $46
 $(7,377) $(10,648) $46
Cash Provided by Operating Activities
Cash provided by operating activities was $9.1 billion for the nine months ended September 30, 2017. Cash flows from operating activities representrepresents the cash receipts and disbursements related to all of our activities other than investing and financing activities. Operating cash flow is derived by adjusting our net income for non-cash items and changes in operating assets and liabilities.
Cash provided by operating activities decreased by $4.4$3.1 billion for the nine months ended September 30, 2017 when compared to the same period in 2016, primarily due to lower product sales.
Cash Used in Investing Activities
Cash used in investing activities was $6.1 billion for the nine months ended September 30, 2017. 2018, when compared to the same period in 2017, primarily due to lower product sales and higher tax payments. The tax payments included a $500 million payment related to the first annual installment of the Tax Reform transition tax during the first quarter of 2018, a $700 million deemed early payment of the Tax Reform transition tax and a $514 million settlement of a tax examination in the second quarter of 2018.
Cash flows fromProvided by (Used in) Investing Activities
Cash provided by (used in) investing activities primarily consistconsists of net purchases, sales and maturities of our marketable securities, our capital expenditures and other investments and our capital expenditures.investments. Cash used inprovided by investing activities decreased by $3.3was $11.6 billion for the nine months ended September 30, 2017, when2018, compared to cash used in investing activities of $6.1 billion for the same period in 2016,2017. The change in cash provided by (used in) investing activities was primarily due to higher netlower purchases of marketable securities in 2016.and higher proceeds from maturities of our marketable securities, partially offset by lower proceeds from sales of our marketable securities.
Cash Provided by (Used in) Financing Activities
Cash provided byused in financing activities was $46 million$10.6 billion for the nine months ended September 30, 2017,2018, compared to cash used inprovided by financing activities of $7.4 billion$46 million for the same period in 2016.2017. The change in cash provided by (used in) financing activities was primarily due to lower repurchasesthe $1.8 billion repayment of our common stocksenior unsecured notes upon maturity, $4.5 billion repayment of term loans borrowed in 2017, partially offset by lower net proceeds from our debt issuances.
Debt and Credit Facilities
In connection with our acquisition of Kite and higher repurchases of our common stock. In addition, we entered into the following financing arrangements:
In September 2017, we issuedhad $3.0 billion aggregate principal amount of senior unsecured notes consisting of $750 million principal amount of floating rate notes duenet proceeds from debt issuances during the nine months ended September 2018, $750 million principal amount of floating rate notes due March 2019, and $500 million principal amount of floating rate notes due30, 2017. No debt was issued during the nine months ended September 2019 (collectively, the Floating Rate Notes) and $1.0 billion principal amount of 1.85% senior notes due September 2019. The Floating Rate Notes bear interest rates equal to three month LIBOR, plus 0.17% with respect to the Floating Rate Notes due September 2018, 0.22% with respect to the Floating Rate Notes due March 2019 and 0.25% with respect to the Floating Rate Notes due September 2019. The Fixed Rate Notes will pay interest semiannually and the Floating Rate Notes will pay interest quarterly.  
In September 2017, we entered into a $6.0 billion principal amount term loan facility credit agreement consisting of a $1.0 billion principal amount 364-day senior unsecured term loan facility, a $2.5 billion principal amount three-year senior unsecured term loan facility and a $2.5 billion principal amount five-year senior unsecured term loan facility (collectively, the Term Loan Facilities). In October 2017, we drew $6.0 billion principal amount on the Term Loan Facilities and used the proceeds to finance our acquisition of Kite. The Term Loan Facilities bear interest at floating rates based on LIBOR plus an applicable margin which will vary based on our debt rating from Fitch Ratings, Inc, Moody’s Investors Service, Inc. and S&P Global Ratings. The 364-day senior unsecured term loan facility and three-year senior unsecured term loan facility will be due and payable at maturity. The five-year senior unsecured term loan facility will be payable in quarterly amounts equal to 2.5% of the initial principal amount of the five-year senior unsecured term loan facility on each fiscal quarter end date after the second anniversary of the closing date,30, 2018.


with any remaining balance dueDebt and payable at maturity. We may reduce the commitments under any of the Term LoanCredit Facilities and may terminate or permanently prepay loans under any of the Term Loan Facilities in whole or in part at any time, without premium or penalty. Amounts repaid under the Term Loan Facilities cannot be reborrowed.
We are required to comply with certain covenants under the credit agreements and note indentures governing our senior notes. As of September 30, 2017, we were not in violation of any covenants. Additionally, as of September 30, 2017, no amounts were outstanding under our revolving credit facility.
The summary of our borrowings under various financing arrangements is included in Note 8,9, Debt and Credit Facilities, of the Notes to Condensed Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q.
In September 2018, we repaid $1.8 billion of our senior unsecured notes upon maturity.
In March 2018, we fully repaid the $4.5 billion outstanding debt under our term loan facility credit agreement, at which time the term loan facility credit agreement terminated.
Other than the aforementioned repayments, there were no material changes to our debt and our credit facilities during the three and nine months ended September 30, 2018. As of September 30, 2018, no amounts were outstanding under our revolving credit facility.
Critical Accounting Policies, Estimates and Judgments
The preparation of our Condensed Consolidated Financial Statements requires us to make estimates and judgments that affect the reported amounts in the financial statements and related disclosures. On an ongoing basis, management evaluates itswe evaluate our significant accounting policies and estimates. We base our estimates on historical experience and on various market-specific and other relevant assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ significantly from these estimates. Estimates are assessed each period and updated to reflect current information. A summary of our critical accounting policies and estimates is presented in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2016. There2017. Other than the adoption of Topic 606, as described below, there were no material changes to our critical accounting policies and estimates during the nine months ended September 30, 2017.2018.
Revenue Recognition
Adoption of ASC Topic 606, “Revenue from Contracts with Customers”
On January 1, 2018, we adopted Topic 606 using the modified retrospective method whereby results for reporting periods beginning after January 1, 2018 are presented under Topic 606, while prior period amounts are not adjusted and continue to be reported in accordance with our historical accounting under Topic 605. Under Topic 606, an entity recognizes revenue when it transfers control of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. We recorded the cumulative effect of applying the new revenue standard as a net increase of $190 million to the opening balance of retained earnings. The impact as a result of applying Topic 606 in place of Topic 605 was not material for the three and nine months ended September 30, 2018.
Product Sales
We recognize revenues from product sales when control of the product transfers, generally upon shipment or delivery to the customer, in an amount that reflects the consideration we expect to receive for those products. We record product sales net of estimated mandatory and supplemental discounts to government and private payers, in addition to discounts to private payers, and other related charges. These are generally referred to as variable consideration and are recorded in the same period the related sales occur. Government and other rebates and chargebacks represent the majority of our variable consideration and require complex and significant judgment by management. Estimates are assessed each period and updated to reflect current information.
Government and Other Rebates and Chargebacks
Government and other rebates and chargebacks include amounts paid to payers and healthcare providers in the United States, including Medicaid rebates, AIDS Drug Assistance Program rebates and chargebacks, Veterans Administration and Public Health Service chargebacks and other rebates, as well as foreign government rebates. Rebates and chargebacks are based on contractual arrangements or statutory requirements which may vary by product, by payer and individual payer plans.
For qualified programs that can purchase our products through wholesalers or other distributors at a lower contractual price, the wholesalers or distributors charge back to us the difference between their acquisition cost and the lower contractual price. Our consolidated allowances for government and other chargebacks that are payable to our direct customers are classified as reductions of Accounts receivable on our Condensed Consolidated Balance Sheets.
Our consolidated allowance for government and other rebates that will be paid to parties other than our direct customers are recorded in Accrued government and other rebates on our Condensed Consolidated Balance Sheets.
Our allowances for government and other rebates and chargebacks are estimated based on products sold, historical payer mix, pertinent third-party industry information, estimated patient population, known market events or trends, channel inventory data and/or other market data. We also consider new information regarding changes in programs’ regulations and guidelines that would impact the amount of the actual rebates and/or our expectations regarding future payer mix for these programs. We believe the methodology that we use to estimate our government and other rebates and chargebacks is reasonable and appropriate given


the current facts and circumstances. However, actual results may differ significantly from our estimates. Historically, our actual government rebates and chargebacks claimed for prior periods have varied by less than 5% from our estimates.
Off-Balance Sheet Arrangements
We do not have any off-balance sheet arrangements as defined in Item 303(a)(4)(ii) of Regulation S-K.
Recent Accounting Pronouncements
See Note 1, Summary of Significant Accounting Policies, of the Notes to Condensed Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q for additional information.
Item 3.QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
There have been no material changes in our market risk during the three and nine months ended September 30, 20172018 compared to the disclosures in Part II, Item 7A of our Annual Report on Form 10-K for the year ended December 31, 2016.2017.
Item 4.CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
An evaluation as of September 30, 20172018 was carried out under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of our “disclosure controls and procedures,” which are defined in Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended (the Exchange Act), as controls and other procedures of a company that are designed to ensure that the information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to the company’sour management, including itsour Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective atas of September 30, 2017.2018.
Changes in Internal Control over Financial Reporting
Our management, including our Chief Executive Officer and Chief Financial Officer, has evaluated any changes in our internal control over financial reporting that occurred during the quarter ended September 30, 2017,2018, and has concluded that there was no change during such quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
Limitations on the Effectiveness of Controls
A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues, if any, within a company have been detected. Accordingly, our disclosure controls


and procedures are designed to provide reasonable, not absolute, assurance that the objectives of our disclosure control system are met and, as set forth above, our Chief Executive Officer and Chief Financial Officer have concluded, based on their evaluation as of the end of the period covered by this report, that our disclosure controls and procedures were effective to provide reasonable assurance that the objectives of our disclosure control system were met.


PART II.OTHER INFORMATION
Item 1.LEGAL PROCEEDINGS
For a description of our significant pending legal proceedings, please see Note 9,10, Commitments and Contingencies, of the Notes to Condensed Consolidated Financial Statements included in Part I, Item I of this Quarterly Report on Form 10-Q.
Item 1A.RISK FACTORS
In evaluating our business, you should carefully consider the following risks in addition to the other information in this Quarterly Report on Form 10-Q. A manifestation of any of the following risks could materially and adversely affect our business, results of operations and financial condition. We note these factors for investors as permitted by the Private Securities Litigation Reform Act of 1995. It is not possible to predict or identify all such factors and, therefore, you should not consider the following risks to be a complete statement of all the potential risks or uncertainties that we face.
A substantial portion of our revenues is derived from sales of products to treat HCVHIV and HIV.HCV. If we are unable to increase HIV sales or if HCV sales decrease more than anticipated, then our results of operations may be adversely affected.
During the nine months ended September 30, 2017, sales of Harvoni, Epclusa, Sovaldi and Vosevi for the treatment of HCV accounted for approximately 39% of our total product sales. The primary drivers of our HCV product revenues are patient starts, net pricing and market share. Since the second quarter of 2015, the number of new patient starts has diminished, and we expect patient starts to continue to decline relative to 2016 in all major markets, resulting in a decrease in our HCV product sales. Our HCV revenues have declined and are expected to further decline as a result of increased competition from new HCV products, which has further eroded net pricing and market share. We anticipate that this impact on pricing and market share will be more fully reflected beginning in the fourth quarter of 2017. Our HCV product sales could also be further impacted by a larger than anticipated shift in our payer mix to more highly discounted payer segments and geographic regions.
In addition, future sales of our HCV products are difficult to estimate because demand depends, in part, on the extent of reimbursement of our HCV products by private and government payers. In light of continued financial crises experienced by several countries in the European Union, some governments have announced or implemented measures to further reduce healthcare expenditures. We may continue to experience global pricing pressure which could result in larger discounts or rebates on our products or delayed reimbursement, which negatively impacts our product sales and results of operations. Also, private and public payers can choose to exclude our HCV products from their formulary coverage lists or limit the types of patients for whom coverage will be provided, which would negatively impact the demand for, and revenues of, our HCV products. Any change in the formulary coverage, reimbursement levels or discounts or rebates offered on our HCV products to payers may impact our anticipated revenues. We expect pricing pressure in the HCV market to continue. If we are unable to achieve our forecasted HCV sales, our stock price could experience significant volatility.
We receive a substantial portion of our revenue from sales of our products for the treatment of HIV infection, which include Genvoya, Truvada, Odefsey, Descovy, Biktarvy, Atripla, Descovy, Stribild Odefsey and Complera/Eviplera. During the nine months ended September 30, 2017,2018, sales of our HIV products accounted for approximately 52%66% of our total product sales.sales, and we expect our HIV products to account for a higher percentage of our total product sales in 2018 than in 2017. Most of our HIV products contain tenofovir alafenamide (TAF), tenofovir disoproxil fumarate (TDF) and/or emtricitabine, which belong to the nucleoside class of antiviral therapeutics. In addition, ifIf the treatment paradigm for HIV changes, causing nucleoside-based therapeutics to fall out of favor, or if we are unable to maintain or increase our HIV product sales, our results of operations would likely suffer and we would likely need to scale back our operations, including our spending on research and development (R&D) efforts.
During the nine months ended September 30, 2018, sales of Epclusa, Harvoni, Vosevi and Sovaldi for the treatment of HCV accounted for approximately 18% of our total product sales. Our HCV revenues have declined and we expect a further decline in product sales in 2018, compared to 2017, in major markets as a result of increased competition. However, we believe that the overall HCV market and our HCV revenues have begun to stabilize in 2018. The drivers of our HCV product revenues are patient starts, net pricing, market share and treatment duration. With treatment duration stabilizing and pricing largely stabilizing in 2018, we expect to continue to compete for market share across market segments and geographies. While the number of new patient starts has diminished, we anticipate patient starts to be more predictable with a continued slight decline moving forward. Any unexpected and adverse changes to these drivers, including any larger than anticipated shifts, may adversely impact our HCV product revenues.
In addition, future sales of our HIV and HCV products depends, in part, on the extent of reimbursement of our products by private and public payers. We may continue to experience global pricing pressure which could result in larger discounts or rebates on our products or delayed reimbursement, which negatively impacts our product sales and results of operations. Also, private and public payers can choose to exclude our products from their formulary coverage lists or limit the types of patients for whom coverage will be provided, which would negatively impact the demand for, and revenues of, our products. Any change in the formulary coverage, reimbursement levels or discounts or rebates offered on our products to payers may impact our anticipated revenues. If we are unable to achieve our forecasted HIV and HCV sales, our stock price could be adversely impacted.
We may be unable to sustain or increase sales of our HCVHIV or HIVHCV products for any number of reasons including, but not limited to, the reasons discussed above and the following:
As our HCV and HIV products are used over a longer period of time in many patients and in combination with other products, and additional studies are conducted, new issues with respect to safety, resistance and interactions with other drugs may arise, which could cause us to provide additional warnings or contraindications on our labels, narrow our approved indications or halt sales of a product, each of which could reduce our revenues.
As our products mature, private insurers and government payers often reduce the amount they will reimburse patients for these products, which increases pressure on us to reduce prices.
If physicians do not see the benefit of our HCVHIV or HIVHCV products, the sales of our HCVHIV or HIVHCV products will be limited.
As new branded or generic products are introduced into major markets, our ability to maintain pricing and market share may be affected. For example, TDF, one of the active pharmaceutical ingredients in Stribild,Truvada, Atripla, Complera/Eviplera Atripla and Truvada, and the main active pharmaceutical ingredient in Viread, now hasStribild, faces generic competition in the European Union, and is expected to face generic competition in the United States and certain other countries in late 2017.countries. In addition, because emtricitabine, the other active pharmaceutical ingredient of Truvada, facedfaces generic competition in


the European Union, in 2016, Truvada has started to facefaces generic competition in the European Union and certain other countries outside


of the United States in 2017.States. This has had, and is expected to continue to have, a negative impact on our business and results of operations.
If we fail to commercialize new products or expand the indications for existing products, our prospects for future revenues may be adversely affected.
If we do not introduce new products or increase sales of our existing products, we will not be able to increase or maintain our total revenues nor continue to expand our R&D efforts. Drug development is inherently risky and many product candidates fail during the drug development process. For example, during 2016 we announced that2018, we terminated our Phase 2 and 2b studies3 study of simtuzumabandecaliximab for the treatment of idiopathic pulmonary fibrosis, nonalcoholic steatohepatitis (NASH) and primary sclerosing cholangitis, our Phase 2 and 2/3 studies of GS-5745 for the treatment of Crohn’s Disease and ulcerative colitis, our Phase 2 studies of selonsertib for the treatment of pulmonary arterial hypertension and diabetic kidney disease and our studies of eleclazine for the treatment of cardiovascular diseases. In addition, wegastric cancer. We may decide to terminate product development after expending significant resources and effort. For example, after completion of two Phase 3 studies of momelotinib for the treatment of myelofibrosis in 2016, we decided to terminate the development of momelotinib. In addition, if we are unable to obtain regulatory approval for product candidates from our recent acquisition of Kite Pharma, Inc. (Kite) and effectively commercialize Kite’s product candidates, we may not be able to realize the anticipated benefits from our acquisition of Kite, including any expected future revenues from Kite’s product candidates.
We have filed our new drug application (NDA) and marketing authorization application (MAA) in the United States and European Union, respectively, for the approval of a once-daily, single-tablet regimen containing bictegravir (50 mg) and emtricitabine/tenofovir alafenamide (200/25 mg) for the treatment of HIV-1 infection in adults. We have also filed a MAA in the European Union for the approval of axicabtagene ciloleucel (axi-cel) for the treatment of relapsed/refractory diffuse large B-cell lymphoma, transformed follicular lymphoma and primary mediastinal B-cell lymphoma. These andFurther, any future marketing applications we file may not be approved by the regulatory authorities on a timely basis, or at all. Even if marketing approval is granted, for these products, there may be significant limitations on their use. Further, we may be unable to file our marketing applications for new products.
Our inability to accurately predict demand for our products, uptake of new products or fluctuations in customer inventories makes it difficult for us to accurately forecast sales and may cause our forecasted revenues and earnings to fluctuate, which could adversely affect our financial results and our stock price.
We may be unable to accurately predict demand for our products, including the uptake of new products, as demand is dependent on a number of factors. For example, because our HCV products represent a cure and competitors’ HCV products have entered the market, revenues from our HCV products are difficult for us and investors to estimate. The primary drivers of our HCV product revenues are patient starts, net pricing and market share. In our experience, the number of patient starts is very difficult to accurately predict. In addition, demand for our HCV products will depend on the extent of reimbursement of our HCV products by private and public payersnon-retail sector in the United States, which includes government institutions, including state AIDS Drug Assistance Programs (ADAPs), the U.S. Department of Veterans Affairs, correctional facilities and other countries. Privatelarge health maintenance organizations, tends to be even less consistent in terms of buying patterns and public payers can choose to exclude our HCV products from their formulary coverage lists or limit the types of patients for whom coverage will be provided, which would negatively impact theoften causes quarter-over-quarter fluctuations that do not necessarily mirror patient demand for our products. Federal and revenuesstate budget pressures, as well as the annual grant cycles for federal and state funds, may cause purchasing patterns to not reflect patient demand of our HCV products. We continue to experience pricing pressure in the United States, the European Union and other countries. Any change in the formulary coverage, reimbursement levels or discounts or rebates offered on our HCV products to payers may negatively impact our anticipated revenues. In addition, because rebate claims for product discounts are made by payers one or two quarters in arrears, we estimate the rebates we will be required to pay in connection with sales during a particular quarter based on claims data from prior quarters. For example, in the first quarterquarters of 2016,2018 and certain prior years, we received higher than expected prior quarter rebate claims. This hadobserved large non-retail purchases of our HIV products by a number of state ADAPs that exceeded patient demand. We believe such purchases were driven by the effectgrant cycle for federal ADAP funds. We expect to continue to experience fluctuations in the purchasing patterns of lowering our revenue fornon-retail customers which may result in fluctuations in our product sales, revenues and earnings in the quarter. Because HCV-relatedfuture. In light of the budget crises faced by many European countries, we have observed variations in purchasing patterns induced by cost containment measures in Europe. We believe these measures have caused some government agencies and other purchasers to reduce inventory of our products in the distribution channels, which has decreased our revenues are difficultand caused fluctuations in our product sales and earnings. We may continue to predict, investors may have widely varying expectations that may be materially higher or lower than our actual or anticipated revenues. Tosee this trend in the extent our actual or anticipated HCV product revenues exceed or fall short of these expectations, our stock price may experience significant volatility.future.
During the nine months ended September 30, 2017,2018, approximately 88%86% of our product sales in the United States were to three wholesalers, McKessonAmerisourceBergen Corp., AmerisourceBergen Corp. and Cardinal Health, Inc. and McKesson Corp. The U.S. wholesalers with whom we have entered into inventory management agreements make estimates to determine end user demand and may not be completely effective in matching their inventory levels to actual end user demand. As a result, changes in inventory levels held by those wholesalers can cause our operating results to fluctuate unexpectedly if our sales to these wholesalers do not match end user demand. In addition, inventory is held at retail pharmacies and other non-wholesaler locations with whom we have no inventory management agreements and no control over buying patterns. Adverse changes in economic conditions, increased competition or other factors may cause retail pharmacies to reduce their inventories of our products, which would reduce their orders from wholesalers and, consequently, the wholesalers’ orders from us, even if end user demand has not changed. For example, during the fourth quarter of 2016,2017, strong wholesaler and sub-wholesaler purchases of our products resulted in inventory draw-down by wholesalers and sub-wholesalers in the first quarter of 2017.2018. As inventory in the distribution channel fluctuates from quarter to quarter, we may continue to see fluctuations in our earnings and a mismatch between prescription demand for our products and our revenues.


Further, because our HCV products represent a cure and competitors’ HCV products have entered the market, revenues from our HCV products are difficult for us and investors to estimate. See a discussion of the primary drivers of our HCV product revenues and the factors that can negatively impact such revenues in the risk factor entitled “A substantial portion of our revenues is derived from sales of products to treat HIV and HCV. If we are unable to increase HIV sales or if HCV sales decrease more than anticipated, then our results of operations may be adversely affected” starting on page 37. In addition, we estimate the non-retail sectorrebates we will be required to pay in connection with sales during a particular quarter based on claims data from prior quarters. In the United States, actual rebate claims are typically made by payers one to three quarters in arrears. Actual claims may vary significantly from our estimates which includes government institutions, including state AIDS Drug Assistance Programs (ADAPs), the U.S. Department of Veterans Affairs (VA), correctional facilities and large health maintenance organizations, tendscan cause an adjustment to be even less consistent in terms of buying patterns and often causes quarter-over-quarter fluctuations that do not necessarily mirror patient demand for our products. Federal and state budget pressures, including sequestration, as well as the annual grant cycles for federal and state funds, may cause purchasing patterns to not reflect patient demand of our products. For example, in the first quarters of certain prior years, we observed large non-retail purchases of our HIV products by a number of state ADAPs that exceeded patient demand. We believe such purchases were driven by the grant cycle for federal ADAP funds. Additionally, during the second half of 2016, we experienced fluctuations in VA new HCV patient starts and purchasing patterns due to VA funding. We expect to continue to experience fluctuations in the purchasing patterns of our non-retail customers which may result in fluctuations in our product sales,revenues. Because HCV product revenues and earnings inare difficult to predict, investors may have widely varying expectations that may be materially higher or lower than our actual or anticipated revenues. To the future. In lightextent our actual or anticipated HCV product revenues exceed or fall short of the global economic downturn and budget crises faced by many European countries, we have observed variations in purchasing patterns induced by cost containment measures in Europe. We believe these measures have caused some government agencies and other purchasers to reduce inventory ofexpectations, our products in the distribution channels, which has decreased our revenues and caused fluctuations in our product sales and earnings. We may continue to see this trend in the future.stock price could be adversely impacted.


Yescarta, a chimeric antigen receptor (CAR) T cell (CAR T) therapy, represents a novel approach to cancer treatment that creates significant challenges for us.
Yescarta, a CAR T cell therapy, involves (i) harvesting T cells from the patient’s blood, (ii) engineering T cells to express cancer-specific receptors, (iii) increasing the number of engineered T cells and (iv) infusing the functional cancer-specific T cells back into the patient. Advancing this novel and personalized therapy creates significant challenges, including:
educating and certifying medical personnel regarding the therapy procedures and the potential side effect profile of our therapy, such as the potential adverse side effects related to cytokine release syndrome and neurologic toxicities, in compliance with the Risk Evaluation and Mitigation Strategy (REMS) program required by FDA for Yescarta;
using medicines to manage adverse side effects of our therapy, such as tocilizumab and corticosteroids, which may not be available in sufficient quantities, may not adequately control the side effects and/or may have a detrimental impact on the efficacy of the treatment;
sourcing clinical and commercial supplies for the materials used to manufacture and process Yescarta;
developing a robust and reliable process, while limiting contamination risks, for engineering a patient’s T cells ex vivo and infusing the engineered T cells back into the patient; and
conditioning patients with chemotherapy in advance of administering our therapy, which may increase the risk of adverse side effects.
The use of engineered T cells as a potential cancer treatment is a recent development and may not be broadly accepted by physicians, patients, hospitals, cancer treatment centers, payers and others in the medical community. We may not be able to establish or demonstrate in the medical community or commercial or governmental payers the safety and efficacy of Yescarta and the potential advantages and side effects compared to existing and future therapeutics. If we fail to overcome these significant challenges, our sales of Yescarta, results of operations and our stock price could be adversely affected.
We face significant competition.
We face significant competition from global pharmaceutical and biotechnology companies, specialized pharmaceutical firms and generic drug manufacturers. Our products compete with other available products based primarily on efficacy, safety, tolerability, acceptance by doctors, ease of patient compliance, ease of use, price, insurance and other reimbursement coverage, distribution and marketing.
Our HIV products compete primarily with products from ViiV Healthcare Company (ViiV), which markets fixed-dose combination products that compete with Genvoya, Truvada, Descovy, Odefsey, Atripla, Complera/Eviplera, Stribild and Biktarvy. For example, products marketed by ViiV, including Tivicay (dolutegravir), Triumeq (abacavir/dolutegravir/lamivudine) and Juluca (dolutegravir/rilpivirine), compete with our HIV products. For Tybost, we compete with ritonavir marketed by AbbVie Inc. (AbbVie).
We also face competition from generic HIV products. Generic versions of lamivudine and Combivir (lamivudine and zidovudine) are available in the United States and certain other countries. Generic versions of efavirenz, a component of Atripla, are available in the United States, Canada and Europe. We have observed some pricing pressure related to the efavirenz component of our Atripla sales. TDF, one of the active pharmaceutical ingredients in Truvada, Atripla, Complera/Eviplera and Stribild, faces generic competition in the European Union, the United States and certain other countries. In addition, because emtricitabine, the other active pharmaceutical ingredient of Truvada, faces generic competition in the European Union, Truvada also faces generic competition in the European Union and certain other countries outside of the United States.
Our HCV products, Epclusa, Harvoni, Sovaldi and Vosevi, compete primarily with Mavyret (glecaprevir/pibrentasvir) marketed by AbbVie and Zepatier (elbasvir and grazoprevir) marketed by Merck.
Our HBV products, Viread, Vemlidy and Hepsera, face competition from existing therapies for treating patients with HBV. Our HBV products face competition from generic versions of TDF. Our HBV products also compete with Baraclude (entecavir), an oral nucleoside analog marketed by Bristol-Myers Squibb Company, as well as generic entecavir, and Tyzeka/Sebivo (telbivudine), an oral nucleoside analog marketed by Novartis Pharmaceuticals Corporation (Novartis).
Yescarta competes with Kymriah, a CAR T cell therapy for the treatment of relapsed or refractory diffuse large B-cell lymphoma, marketed by Novartis, and is expected to compete with products from other companies developing advanced T cell therapies.
Letairis competes with Tracleer (bosentan) and Opsumit (macitentan) marketed by Actelion Pharmaceuticals US, Inc. and also with Adcirca (tadalafil) marketed by United Therapeutics Corporation and Pfizer Inc. Because the U.S. patent for ambrisentan, the active pharmaceutical ingredient in Letairis, expired in July 2018, Letairis is expected to face generic competition in the United States.


Ranexa competes predominantly with generic compounds from three distinct classes of drugs for the treatment of chronic angina in the United States, including generic and/or branded beta-blockers, calcium channel blockers and long-acting nitrates. Ranexa is expected to face generic competition in the United States starting in the first quarter of 2019.
In addition, a number of companies are pursuing the development of technologies which are competitive with our existing products or research programs. These competing companies include specialized pharmaceutical firms and large pharmaceutical companies acting either independently or together with other pharmaceutical companies. Furthermore, academic institutions, government agencies and other public and private organizations conducting research may be required to pay significant damages to Merckseek patent protection and may establish collaborative arrangements for competitive products or programs. If any of these competitors gain market share as a result of a jury’s finding that we willfully infringed a patent owned by Merck’s Idenix subsidiary.
In December 2013, Idenix, Universita Degli Studi di Cagliari (UDSG), Centre National de la Recherche Scientifique and L’Université Montpellier II sued us in U.S. District Court for the District of Delaware alleging that thenew technologies, commercialization of sofosbuvir will infringe Idenix’s U.S. Patent No. 7,608,600 (the ‘600 patent) and that an interference exists between the ‘600 patent and our U.S. Patent No. 8,415,322. Also in December 2013, Idenix and UDSG sued us in the U.S. District Court for the District of Massachusetts alleging that the commercialization of sofosbuvir will infringe U.S. Patent Nos. 6,914,054 (the ‘054 patent) and 7,608,597 (the ‘597 patent). In June 2014, the court transferred the Massachusetts litigation to the U.S. District Court for the District of Delaware. Idenix was acquired by Merck in August 2014.
Prior to trial in December 2016, Idenix committed to give us a covenant not to sue with respect to any claims arising out of the ‘054 patent related to sofosbuvir and withdrew that patent from the trial. In addition, Idenix declined to litigate the ‘600 patent infringement action at trial in light of the appeal then pending at the U.S. Court of Appeals for the Federal Circuit (CAFC) regarding who was the first to invent the subject matter claimed in the ‘600 patent. In January 2017, the District Court stayed Idenix’s infringement claim on the ‘600 patent pending the outcome of the appeal of the interference decision on that patent (the Second Idenix Interference), described above. Unless Idenix is successful in persuading the United States Supreme Court to consider a further appeal to challenge the Federal Circuit’s June 2017 decision in our favor in the Second Idenix Interference, we will ask for dismissal of,strategies or for judgment to be entered against Idenix on, the ‘600 infringement and interference claims. A jury trial was held in December 2016 on the ‘597 patent. In December 2016, the jury found that we willfully infringed the asserted claims of


the ‘597 patent and awarded Idenix $2.54 billion in past damages. The parties have filed post-trial motions and briefings, and the district judge heard oral argument in September 2017. In September 2017, the judge denied Idenix’s motions for enhanced damages and attorney’s fees. We expect the judge to rule on outstanding motions in late 2017 or early 2018. Once the judge has issued these rulings, the case will move to the CAFC.
Although we cannot predict with certainty the ultimate outcome of this litigation, we believe the jury verdict to be in error, and that errors were also made by the court with respect to certain rulings before and during trial. We expect that our arguments in the pending post-trial motions and on appeal will focus on one or more of the arguments we made to the judge and jury, those being (i) when properly construed, we do not infringe the claims of the ‘597 patent, (ii) the patent is invalid for failure to properly describe the claimed invention and (iii) the patent is invalid becauseotherwise, it does not enable one of skill in the art to practice the claimed invention.
If the jury’s verdict is upheld on appeal, our estimated potential loss as of September 30, 2017 would include (i) the $2.54 billion determined by the jury, which represents 10% of our adjusted revenues from sofosbuvir-containing products from launch through August 2016, (ii) approximately $269 million, which represents 10% of our adjusted revenues from sofosbuvir-containing products from September 2016 through January 25, 2017, (iii) pre- and post-judgment interest, and (iv) approximately $539 million, which represents going forward royalties yet to be assessed by the court, which we have estimated assuming 14% of our adjusted revenues from sofosbuvir-containing products from January 26, 2017 through September 30, 2017 based on post-trial briefings filed by Idenix with the court, and which would be payable based on adjusted revenues from sofosbuvir-containing products for the period from January 26, 2017 through expiry of the Idenix patent in May 2021. Therefore, we estimate the range of possible loss through September 30, 2017 to be between zero and $3.6 billion. The parties agreed to stay consideration of going forward royalties until the appeal from the jury verdict and post-trial motions has been resolved. Idenix may appeal the court’s denial of enhanced damages.
If the jury’s verdict is upheld on appeal, the amount we could be required to pay could be material. The timing and magnitude of the amount of any such payment could have a material adverse impact onadversely affect our results of operations and stock price.
Our results of operations may be adversely affected by current and potential future healthcare reforms.
Legislative and regulatory changes to government prescription drug procurement and reimbursement programs occur relatively frequently in the United States and foreign jurisdictions. In the United States, we, along with other pharmaceutical manufacturers of branded drug products, are required to pay a portion of an industry fee (also known as the branded prescription drug (BPD) fee), calculated based on select government sales during the prior year as a percentage of total industry government sales. The amount of the annual BPD fee imposed on the pharmaceutical industry as a whole is $4.0 billion in 2017, which will increase to a peak of $4.1 billion in 2018 and then decrease to $2.8 billion in 2019 and thereafter. Our BPD fee expenses were $385 million in 2017, $270 million in 2016 and $414 million in 2015 and $590 million in 2014.2015. The BPD fee is not tax deductible.
There has been extensive discussion about a possibleSince the November 2016 U.S. election, President Trump and the U.S. Congress have made numerous efforts to repeal or amendment of The Patient Protection and Affordable Care Act (the Affordable Care Act) as well as other government actions intended to eliminateamend the Affordable Care Act anyin whole or in part. In May 2017, the U.S. House of Representatives voted to pass the American Health Care Act (the AHCA), which could negatively impact the use and/or reimbursementwould repeal many provisions of our products. In October 2017, President Trump signed an Executive Order directing federal agencies to review regulations applicable to association health plans and short-term health insurance, and announced that the administration would halt federal subsidies to insurance plans under the Affordable Care Act. Previously in January 2017,Although the new administration issued an Executive Order directing federal agencies with authoritiesU.S. Senate considered but failed to pass the AHCA and responsibilities underother comparable measures, the U.S. Congress may consider further legislation to repeal or replace elements of the Affordable Care Act. In addition, the Tax Cuts and Jobs Act, to waive, defer, grant exemptions from, or delaywhich President Trump signed into law in December 2017, repeals the implementationAffordable Care Act’s individual health insurance mandate, which is considered a key component of any provisionthe Affordable Care Act. The future stability of the Affordable Care Act that would impose a fiscal burdenand the resulting impact on states or a cost, fee, tax, penalty or regulatory burden on individuals, healthcare providers, health insurers, or manufacturers of pharmaceuticals or medical devices. Itour business is expected that Congress will continue to consider legislation to repealthus uncertain and replace some or all elements of the Affordable Care Act.could be material.
In addition, many states have proposed legislation that seeks to indirectly or directly regulate pharmaceutical drug pricing by requiring biopharmaceutical manufacturers to publicly report proprietary pricing information or to place a maximum price ceiling on pharmaceutical products purchased by state agencies. If such proposed legislation is passed, we may experience additional pricing pressures on our products. For example, in October 2017, California’s governor signed a prescription drug price transparency state bill into law, requiring prescription drug manufacturers to provide advance notice and explanation for price increases of certain drugs that exceed a specified threshold. Similar bills have been previously introduced at the federal level, and we expectthe Trump administration has focused attention on proposed efforts to curb prescription drug prices. In May 2018, President Trump and the Health and Human Services (HHS) Secretary released the American Patients First blueprint, which included measures to increase generic drug and biosimilar competition, the ability of the Medicare program to negotiate drug prices, public transparency regarding drug prices and information available to beneficiaries regarding ways to lower out-of-pocket costs. The Trump Administration has begun implementing many of these measures, and in October 2018, President Trump proposed a demonstration project to establish an “international pricing index” that additional legislation maywould be introduced this year.used as a benchmark in deciding how much to pay for Medicare Part B drugs. The potential effect of health insurance market destabilization during ongoing repeal and replace discussions, as well as the impact of potential changes to the way the Medicaid program is financed, will likely affect patients’ sources of insurance and resultant drug coverage. DiscussionsIn addition to the Trump Administration’s proposals, discussions continue at the federal level regarding policies that would either allow or require the U.S. government to directly negotiate drug prices with pharmaceutical manufacturers for Medicare patients, require manufacturers to pay higher rebates in Medicare Part D, give states more flexibility on drugs that are covered under the Medicaid program, permit the re-importation of prescription medications from Canada or other countries and other policy proposals that could impact reimbursement for our products. Other discussions have centered on legislation that would permit the re-importation of prescription medications from Canada or other countries. It is difficult to predict the impact, if any, of any such legislation, executive actions or Medicaid flexibility on the use and reimbursement


of our products in the United States, including the potential for the importation of generic versions of our products.
Further, Yescarta is expected to be administered on an in-patient basis. It is possible that federal government reimbursement through programs like Medicare and Medicaid will be insufficient to cover the complete cost associated with the therapy. This could impact the willingness of some hospitals to offer the therapy and doctors to recommend the therapy and could lessen the attractiveness of our therapy to patients.
In addition, state Medicaid programs could request additional supplemental rebates on our products as a result of the increase in the federal base Medicaid rebate. Private insurers could also use the enactment of these increased rebates to exert pricing pressure on our products, and to the extent that private insurers or managed care programs follow Medicaid coverage and payment developments, the adverse effects may be magnified by private insurers adopting lower payment schedules.
Our existing products are subject to reimbursement from government agencies and other third parties. Pharmaceutical pricing and reimbursement pressures may reduce profitability.
Successful commercialization of our products depends, in part, on the availability of governmental and third-party payer reimbursement for the cost of such products and related treatments in the markets where we sell our products. Government health authorities, private health insurers and other organizations generally provide reimbursement. In the United States, the European


Union and other significant or potentially significant markets for our products and product candidates, government authorities and third-party payers are increasingly attempting to limit or regulate the price of medical products and services. A significant portion of our sales of the majority of our products are subject to significant discounts from list price. See also our risk factor “A substantial portionIn addition, standard reimbursement structures may not adequately reimburse for innovative therapies. For example, Yescarta is typically administered on an in-patient basis. Reimbursement through federal programs like Medicare and Medicaid is challenging and may be insufficient to cover the complete cost associated with the therapy.
For example, effective October 1, 2018, the Centers for Medicare and Medicaid Services (CMS) established inpatient reimbursement for patients receiving Yescarta. The reimbursement includes payment for a severity adjusted diagnosis related group (DRG) 016, a new technology add-on payment (NTAP) for Yescarta that at most will cover one half the cost of Yescarta and may cover less than that, and, in some cases, an outlier payment. Taken together, the total payment may not be sufficient to reimburse hospitals for their cost of care for patients receiving Yescarta. Furthermore, this payment methodology is likely to be in effect until at least September 2020. Limited payments such as this could impact the willingness of some hospitals to offer the therapy and doctors to recommend the therapy and could lessen the attractiveness of our revenues is derived fromtherapy to patients, which could have an adverse effect on sales of products to treat HCVYescarta and HIV. If we are unable to increase HIV sales or if HCV sales decrease more than anticipated, then our results of operationsoperations. CMS has also opened a National Coverage Analysis on CAR T cells and may be adversely affected.”
We face significant competition.
We face significant competition from global pharmaceutical and biotechnology companies, specialized pharmaceutical firms and generic drug manufacturers. Our products compete with other available products based primarilyimpose coverage limitations on efficacy, safety, tolerability, acceptance by doctors, ease of patient compliance, ease of use, price, insurance and other reimbursementthat therapy. These coverage distribution and marketing.
Our HCV products, Sovaldi, Harvoni, Epclusa and Vosevi, compete primarily with Mavyret (glecaprevir/pibrentasvir) marketed by AbbVie Inc. (AbbVie) and Zepatier (elbasvir and grazoprevir) marketed by Merck & Co. Inc. (Merck).
Our HIV products compete primarily with products from ViiV Healthcare (ViiV), which markets fixed-dose combination products that compete with Descovy, Odefsey, Genvoya, Stribild, Complera/Eviplera, Atripla and Truvada. For example, two products marketed by ViiV, Tivicay (dolutegravir), an integrase inhibitor, and Triumeq, a single-tablet triple-combination antiretroviral regimen, have adversely impacted sales of our HIV products. In addition, lamivudine, marketed by ViiV, competes with emtricitabine, the active pharmaceutical ingredient of Emtriva and a component of Genvoya, Stribild, Complera/Eviplera, Atripla and Truvada. For Tybost, we compete with ritonavir marketed by AbbVie.
We also face competition from generic HIV products. Generic versions of lamivudine and Combivir (lamivudine and zidovudine) are available in the United States and certain other countries. Generic versions of Sustiva (efavirenz), a component of Atripla, are now available in Canada and Europe and we anticipate competition from generic efavirenz in the United States in December 2017. We have observed some pricing pressure relatedlimitations would apply to the Sustiva component of our Atripla sales. TDF, one ofentire Medicare program and could include, among other things, a requirement for patients to be enrolled in a clinical trial or registry in order for the active pharmaceutical ingredients in Stribild, Complera/Eviplera, Atriplahospital and Truvada,physician to be paid for CAR T cell therapy. Further, commercial payers may follow Medicare coverage policies and the main active pharmaceutical ingredient in Viread, now has generic competitioncould impose similar limitations. Lastly, in the European Union, there could be barriers to reimbursement in individual countries that could limit the uptake of Yescarta.
Laws and regulations applicable to the health care industry could impose new obligations on us, require us to change our business practices and restrict our operations in the future.
The health care industry is expectedsubject to face generic competition invarious federal, state and international laws and regulations pertaining to drug reimbursement, rebates, price reporting, health care fraud and abuse, and data privacy and security. In the United States, these laws include anti-kickback and false claims laws, laws and regulations relating to the Medicare and Medicaid programs and other countries in late 2017.federal and state programs, the Medicaid Rebate Statute, individual state laws relating to pricing and sales and marketing practices, the Health Insurance Portability and Accountability Act (HIPAA) and other federal and state laws relating to the privacy and security of health information. In addition, because emtricitabine,while not specific to the other active pharmaceutical ingredienthealth care industry, we may be subject to additional data privacy and security laws, such as the California Consumer Privacy Act of Truvada, faced generic competition2018.
Violations of these laws or any related regulations may be punishable by criminal and/or civil sanctions, including, in the European Unionsome instances, substantial fines, civil monetary penalties, exclusion from participation in 2016, Truvada has started to face generic competition in the European Unionfederal and other countries outside of the United States in 2017.
Our HBV products, Vemlidy, Vireadstate health care programs, including Medicare, Medicaid, Veterans Administration health programs, and Hepsera, face competition from Baraclude (entecavir) marketed by BMS as well as generic entecavir. Our HBV products also compete with Tyzeka/Sebivo (telbivudine) marketed by Novartis Pharmaceuticals Corporation (Novartis).
Yescarta will compete with other companies developing advanced T cell therapies for the treatment of relapsed/refractory diffuse large B-cell lymphoma, including Novartisfederal employee health benefit programs, actions against executives overseeing our business and Juno Therapeutics, Inc. (Juno).
Letairis competes with Tracleer (bosentan) and Opsumit (macitentan) marketed by Actelion Pharmaceuticals US, Inc. and also with Adcirca (tadalafil) marketed by United Therapeutics Corporation and Pfizer Inc. (Pfizer).
Ranexa competes predominantly with generic compounds from three distinct classes of drugs for the treatment of chronic angina in the United States, including generic and/or branded beta-blockers, calcium channel blockers and long-acting nitrates.
AmBisome competes with Vfend (voriconazole) marketed by Pfizer and caspofungin, a product developed by Merck that is marketed as Cancidas in the United States and as Caspofungin elsewhere.burdensome remediation measures. In addition, wethese laws and regulations are awarebroad in scope and they are subject to change and evolving interpretations, which could require us to incur substantial costs associated with compliance or to alter one or more of at least three lipid formulations


that claim similarity to AmBisome becoming available outside of the United States. These formulations may reduce market demand for AmBisome. Furthermore, the manufacture of lipid formulations of amphotericin B is very complex and if anyour sales or marketing practices. Violations of these formulations are found to be unsafe, saleslaws, or allegations of AmBisome may be negatively impacted by association.
In addition, a number of companies are pursuing the development of technologies which are competitive withsuch violations, could also result in negative publicity or other consequences that could harm our existing productsreputation, disrupt our business or research programs. These competing companies include specialized pharmaceutical firms and large pharmaceutical companies acting either independently or together with other pharmaceutical companies. Furthermore, academic institutions, government agencies and other public and private organizations conducting research may seek patent protection and may establish collaborative arrangements for competitive products or programs. If any of these competitors gain market share on our products, it could adversely affect our results of operationsoperations. If any or all of these events occur, our business and stock price.
Patient assistance programs for pharmaceutical products have come under increasing scrutiny by governments, legislative bodiesprice could be materially and enforcement agencies. These activities may result in actions that have the effect of reducing prices or harming our business or reputation.adversely affected.
Recently, there has been enhanced scrutiny of company-sponsored patient assistance programs, including insurance premium and co-pay assistance programs and donations to third-party charities that provide such assistance. There has also been enhanced scrutiny by governments on reimbursement support offerings, clinical education programs and promotional speaker programs. If we, or our agents, vendors or donation recipients, are deemed to have failed to comply with relevant laws, regulations or government guidance in any of these areas, we could be subject to criminal or civil sanctions. Any similar violations by our competitors could also negatively impact our industry reputation and civil sanctions, including significant fines, civil monetary penalties and exclusion from participation in government healthcare programs, including Medicare and Medicaid, actions against executives overseeingincrease scrutiny over our business and burdensome remediation measures.our products.
In February 2016,See a description of our government investigations and related litigation in Note 10, Commitments and Contingencies of the Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.


We have engaged in, and may in the future engage in, business acquisitions, licensing arrangements, strategic collaborations or disposal of our assets, which could cause us to incur significant expenses and could adversely affect our financial condition and results of operations.
We have engaged in, and may in the future engage in, business acquisitions, licensing arrangements, strategic collaborations or disposal of our assets, as part of our business strategy. We may not identify suitable transactions in the future and, if we receiveddo, we may not complete such transactions in a subpoenatimely manner, on a cost-effective basis, or at all, and may not realize the expected benefits. If we are successful in making an acquisition, the products and technologies that are acquired may not be successful or may require significantly greater resources and investments than originally anticipated. We may not be able to integrate acquisitions successfully into our existing business and could incur or assume significant debt and unknown or contingent liabilities. We also conduct annual impairment testing of our goodwill and other indefinite lived intangible assets in the fourth quarter, or earlier if impairment indicators exist, as required under U.S. generally accepted accounting principles. If we fail to overcome these risks, it could cause us to incur significant expenses and negatively affect profitability, which could have an adverse effect on our results of operations. We could also experience negative effects on our reported results of operations from the U.S. Attorney’s Office for the Districtacquisition or disposition-related charges, amortization of Massachusetts requesting documentsexpenses related to our supportintangibles and charges for impairment of 501(c)(3) organizations that provide financial assistance to patients and documents concerning our provision of financial assistance to patients for our HCV products. Other companies have disclosed similar inquiries. We are cooperating with this inquiry. In October 2017, we received a civil investigative demand from the U.S. Attorney’s Office for the District of Massachusetts requesting documents related to our copay coupon program and Medicaid price reporting methodology. We intend to cooperate with this inquiry.
It is possible that any actions taken by the U.S. Department of Justice as a result of this inquiry or any future action taken by federal or local governments, legislative bodies and enforcement agencies could result in civil penalties or injunctive relief, negative publicity or other negative actions that could harm our reputation, reduce demand for our products and/or reduce coverage of our products, including by federal health care programs such as Medicare and Medicaid and state health care programs. If any or all of these events occur, our business and stock price could be materially and adversely affected.long-term assets.
Approximately 30%27% of our product sales occur outside the United States, and currency fluctuations and hedging expenses may cause our earnings to fluctuate, which could adversely affect our stock price.
Because a significant percentage of our product sales are denominated in foreign currencies, primarily the Euro, we face exposure to adverse movements in foreign currency exchange rates. When the U.S. dollar strengthens against these foreign currencies, the relative value of sales made in the respective foreign currency decreases. Conversely, when the U.S. dollar weakens against these currencies, the relative value of such sales increases. Overall, we are a net receiver of foreign currencies and, therefore, benefit from a weaker U.S. dollar and are adversely affected by a stronger U.S. dollar.
We use foreign currency exchange forward and option contracts to hedge a percentage of our forecasted international sales, primarily those denominated in the Euro. We also hedge certain monetary assets and liabilities denominated in foreign currencies, which reduces but does not eliminate our exposure to currency fluctuations between the date a transaction is recorded and the date cash is collected or paid. Foreign currency exchange, net of hedges, had an unfavorablea favorable impact on our product sales of $147$89 million for the nine months ended September 30, 2017,2018, compared to the same period in 2016.2017.
We cannot predict future fluctuations in the foreign currency exchange rates of the U.S. dollar. If the U.S. dollar appreciates significantly against certain currencies and our hedging program does not sufficiently offset the effects of such appreciation, our results of operations will be adversely affected and our stock price may decline.
Additionally, the expenses that we recognize in relation to our hedging activities can also cause our earnings to fluctuate. The level of hedging expenses that we recognize in a particular period is impacted by the changes in interest rate spreads between the foreign currencies that we hedge and the U.S. dollar.
If significant safety issues arise for our marketed products or our product candidates, our future sales may be reduced, which would adversely affect our results of operations.
The data supporting the marketing approvals for our products and forming the basis for the safety warnings in our product labels were obtained in controlled clinical trials of limited duration and, in some cases, from post-approval use. As our products are used over longer periods of time by many patients with underlying health problems, taking numerous other medicines, we


expect to continue to find new issues such as safety, resistance or drug interaction issues, which may require us to provide additional warnings or contraindications on our labels or narrow our approved indications, each of which could reduce the market acceptance of these products.
Regulatory authorities have been moving towards more active and transparent pharmacovigilance and are making greater amounts of stand-alone safety information and clinical trial data directly available to the public through websites and other means, such as periodic safety update report summaries, risk management plan summaries and various adverse event data. Safety information, without the appropriate context and expertise, may be misinterpreted and lead to misperception or legal action which may potentially cause our product sales or stock price to decline.
For Yescarta, a novel CAR T cell therapy, treatment-related adverse effects may not be appropriately recognized and managed by the treating medical staff, as toxicities resulting from personalized T cell therapy are not typically encountered in the general patient population and by medical personnel. Common medicines that may be used at academic medical centers and hospitals to help manage adverse side effects of Yescarta, such as tocilizumab and corticosteroids, may not be available in sufficient quantities, may not adequately control such adverse side effects and/or may have a detrimental impact on the efficacy of the treatment. We have trained and expect to continue to train medical personnel to understand the side effect profile of Yescarta in compliance with the REMS program required by FDA for Yescarta, although we can give no assurances on the efficacy of our training efforts.


Inadequate training in recognizing or managing the potential adverse effects of Yescarta, or the disregard or modification of our training by medical staff, could result in more severe or prolonged toxicities or even patient deaths.
Further, if serious safety, resistance or drug interaction issues arise with our marketed products, sales of these products could be limited or halted by us or by regulatory authorities and our results of operations would be adversely affected.
Our operations depend on compliance with complex FDA and comparable international regulations. Failure to obtain broad approvals on a timely basis or to maintain compliance could delay or halt commercialization of our products.
The products we develop must be approved for marketing and sale by regulatory authorities and, once approved, are subject to extensive regulation by FDA, the European Medicines Agency (EMA) and comparable regulatory agencies in other countries. We are continuing clinical trials for many of our products for currently approved and additional uses. We anticipate that we will file for marketing approval in additional countries and for additional indications and products over the next several years. These products may fail to receive such marketing approvals on a timely basis, or at all.
Further, how we manufacture and sell our products is subject to extensive regulation and review. Discovery of previously unknown problems with our marketed products or problems with our manufacturing, safety reporting or promotional activities may result in restrictions on our products, including withdrawal of the products from the market. If we fail to comply with applicable regulatory requirements, including those related to promotion and manufacturing, we could be subject to penalties including fines, suspensions of regulatory approvals, product recalls, seizure of products and criminal prosecution.
For example, under FDA rules, we are often required to conduct post-approval clinical studies to assess a known serious risk, signals of serious risk or to identify an unexpected serious risk and implement a REMS for our products, which could include a medication guide, patient package insert, a communication plan to healthcare providers or other elements as FDA deems are necessary to assure safe use of the drug, which could include imposing certain restrictions on the distribution or use of a product. Failure to comply with these or other requirements imposed by FDA could result in significant civil monetary penalties and our operating results may be adversely affected.
The results and anticipated timelines of our clinical trials are uncertain and may not support continued development of a product candidate, which would adversely affect our prospects for future revenue growth.
We are required to demonstrate the safety and efficacy of products that we develop for each intended use through extensive preclinical studies and clinical trials. The results from preclinical and early clinical studies do not always accurately predict results in later, large-scale clinical trials. Even successfully completed large-scale clinical trials may not result in marketable products. For example, during 2016 we announced that2018, we terminated our Phase 2 and 2b studies3 study of simtuzumabandecaliximab for the treatment of idiopathic pulmonary fibrosis, NASH and primary sclerosing cholangitis, our Phase 2 and 2/3 studies of GS-5745 for the treatment of Crohn’s Disease and ulcerative colitis, our Phase 2 studies of selonsertib for the treatment of pulmonary arterial hypertension and diabetic kidney disease, and our studies of eleclazine for the treatment of cardiovascular diseases,gastric cancer, after determining that study data showed insufficient evidence of treatment benefit. In addition, after completion of two Phase 3 studies of momelotinib for the treatment of myelofibrosis in 2016, we decided to terminate development of momelotinib. If any of our product candidates fails to achieve its primary endpoint in clinical trials, if safety issues arise or if the results from our clinical trials are otherwise inadequate to support regulatory approval of our product candidates, commercialization of that product candidate could be delayed or halted. In addition, we may also face challenges in clinical trial protocol design.
If the clinical trials for any of the product candidates in our pipeline are delayed or terminated, our prospects for future revenue growth would be adversely impacted. For example, we face numerous risks and uncertainties with our product candidates,


including Descovy for pre-exposure prophylaxis (PrEP); selonsertib for the treatment of NASH; andecaliximabnonalcoholic steatohepatitis (NASH); axicabtagene ciloleucel for the treatment of gastric cancer;second line diffuse large B-cell lymphoma; and filgotinib for the treatment of rheumatoid arthritis, Crohn’s disease and ulcerative colitis, each currently in Phase 3 clinical trials, that could prevent completion of development of these product candidates. These risks include our ability to enroll patients in clinical trials, the possibility of unfavorable results of our clinical trials, the need to modify or delay our clinical trials or to perform additional trials and the risk of failing to obtain FDA and other regulatory body approvals. As a result, our product candidates may never be successfully commercialized. Further, we may make a strategic decision to discontinue development of our product candidates if, for example, we believe commercialization will be difficult relative to other opportunities in our pipeline. If these programs and others in our pipeline cannot be completed on a timely basis or at all, then our prospects for future revenue growth may be adversely impacted. In addition, clinical trials involving our commercial products could raise new safety issues for our existing products, which could in turn decrease our revenues and harm our business.
Due to our reliance on third-party contract research organizations to conduct our clinical trials, we are unable to directly control the timing, conduct, expense and quality of our clinical trials.
We extensively outsource our clinical trial activities and usually perform only a small portion of the start-up activities in-house. We rely on independent third-party contract research organizations (CROs) to perform most of our clinical studies, including document preparation, site identification, screening and preparation, pre-study visits, training, program management, patient enrollment, ongoing monitoring, site management and bioanalytical analysis. Many important aspects of the services performed for us by the CROs are out of our direct control. If there is any dispute or disruption in our relationship with our CROs, our clinical trials may be delayed. Moreover, in our regulatory submissions, we rely on the quality and validity of the clinical work performed


by third-party CROs. If any of our CROs’ processes, methodologies or results were determined to be invalid or inadequate, our own clinical data and results and related regulatory approvals could be adversely affected.
We depend on relationships with other companies for sales and marketing performance, technology, development, logistics and commercialization of product candidates and revenues. Failure to maintain these relationships, poor performance by these companies or disputes with these companies could negatively impact our business.
We rely on a number of significant collaborative relationships with major pharmaceutical companies for our sales and marketing performance in certain territories. These include collaborationsFor example, we have collaboration arrangements with Janssen Sciences Ireland UC for Odefsey, Complera/Eviplera and Symtuza in Europe; BMS for Atripla in the United States, Europe and Canada; F. Hoffmann-La Roche Ltd. (together with Hoffmann-La Roche Inc., Roche) for Tamiflu worldwide; and GSK for ambrisentan in territories outside of the United States.Symtuza. In some countries, we rely on international distributors for sales of Truvada, Viread, Hepsera, Emtriva and AmBisome.certain of our products. Some of these relationships also involve the clinical development of these products by our partners. Reliance on collaborative relationships poses a number of risks, including the risk that:
we are unable to control the resources our corporate partners devote to our programs or products;
disputes may arise with respect to the ownership of rights to technology developed with our corporate partners;
disagreements with our corporate partners could cause delays in, or termination of, the research, development or commercialization of product candidates or result in litigation or arbitration;
contracts with our corporate partners may fail to provide significant protection or may fail to be effectively enforced if one of these partners fails to perform;
our corporate partners have considerable discretion in electing whether to pursue the development of any additional products and may pursue alternative technologies or products either on their own or in collaboration with our competitors;
our corporate partners with marketing rights may choose to pursue competing technologies or to devote fewer resources to the marketing of our products than they do to products of their own development; and
our distributors and our corporate partners may be unable to pay us, particularly in light of current economic conditions.us.
Given these risks, there is a great deal of uncertainty regarding the success of our current and future collaborative efforts. If these efforts fail, our product development or commercialization of new products could be delayed or revenues from products could decline.
Yescarta is available only through a REMS program, which is required by FDA to mitigate the potential risks of the product. Only hospitals and their associated clinics certified in the REMS program are permitted to dispense Yescarta. All relevant staff involved in the prescribing, dispensing or administering of Yescarta must be trained on the REMS program requirements and must successfully complete a REMS program knowledge assessment. Failure of hospitals and clinics to enroll in the Yescarta REMS program or to successfully complete and comply with the program requirements may result in regulatory action from FDA or decreased sales of Yescarta, which could harm our business and our reputation.


For Yescarta, we rely on technology partners to assist in the development and maintenance of the Kite Konnect platform. This platform is critical to ensure positive prescriber and patient experience, as well as chain of identity and chain of custody of Yescarta. If the technology platform is incomplete, insufficiently maintained or develops technological issues, we may experience a disruption to the sales and logistics of our Yescarta business, which could extend for a significant period of time, and we may need to expend considerable resources and time to repair or improve the platform in cooperation with our partners. In addition, we rely on sites to collect patient white blood cells, known as apheresis centers, shippers, couriers, and hospitals for the logistical collection of patient’s white blood cells and ultimate delivery of Yescarta to patients. Any disruption or difficulties incurred by any of these vendors could result in product loss and regulatory action and harm our Yescarta business and our reputation.
In addition, to ensure that any apheresis center is prepared to ship cells to our manufacturing facilities, we plan to conduct quality certifications of each apheresis center. Accordingly, we plan to target 70-90 key transplant and lymphoma centers; however,However, apheresis centers may choose not to participate in the certification process or we may be unable to complete certification in a timely manner or at all, which could delay or restrain our manufacturing and commercialization efforts. As a result, our sales of Yescarta may be limited which could harm our results of operations.
Our success will dependdepends to a significant degree on our ability to defend our patents and other intellectual property rights both domestically and internationally. We may not be able to obtain effective patents to protect our technologies from use by competitors and patents of other companies could require us to stop using or pay for the use of required technology.
Patents and other proprietary rights are very important to our business. Our success will dependdepends to a significant degree on our ability to:
obtain patents and licenses to patent rights;
preserve trade secrets;secrets and internal know-how;


defend against infringement and efforts to invalidate our patents; and
operate without infringing on the intellectual property of others.
If we have a properly drafted and enforceable patent, it can be more difficult for our competitors to use our technology to create competitive products and more difficult for our competitors to obtain a patent that prevents us from using technology we create. As part of our business strategy, we actively seek patent protection both in the United States and internationally and file additional patent applications, when appropriate, to cover improvements in our compounds, products and technology.
We have a number of U.S. and foreign patents, patent applications and rights to patents related to our compounds, products and technology, but we cannot be certain that issued patents will be enforceable or provide adequate protection or that pending patent applications will result in issued patents. Patent applications are confidential for a period of time before a patent is issued. As a result, we may not know if our competitors filed patent applications for technology covered by our pending applications or if we were the first to invent or first to file an application directed toward the technology that is the subject of our patent applications. Competitors may have filed patent applications or received patents and may obtain additional patents and proprietary rights that block or compete with our products. In addition, if competitors file patent applications covering our technology, we may have to participate in litigation, interference or other proceedings to determine the right to a patent.patent or validity of any patent granted. Litigation, interference or other proceedings are unpredictable and expensive, and could divert management attention from other operations, such that, even if we are ultimately successful, our results of operations may be adversely affected by such events.
For example, TDF, one of the active pharmaceutical ingredients in Stribild,Truvada, Atripla, Complera/Eviplera Atripla and Truvada,Stribild, and the main active pharmaceutical ingredient in Viread, now hasfaces generic competition in the European Union, and is expected to face generic competition in the United States and certain other countries in late 2017.countries. In addition, because emtricitabine, the other active pharmaceutical ingredient of Truvada, facedfaces generic competition in the European Union, in 2016, Truvada has started to facealso faces generic competition in the European Union and certain other countries outside of the United States. Because the U.S. patent for ambrisentan, the active pharmaceutical ingredient in Letairis, expired in July 2018, Letairis is expected to face generic competition in the United States. Further, Ranexa is also expected to face generic competition in the United States starting in 2017.the first quarter of 2019. The entry of these generic products may lead to market share and price erosion and have a negative impact on our business and results of operations. In addition, patentswe do not cover theown any patents covering ranolazine, compound, the active ingredient of Ranexa. Instead, when it was discovered that only a sustained-release formulation of ranolazine would achieve therapeutic plasma levels, we obtained patents were obtained on those formulations and the characteristic plasma levels they achieve. Patents do not coverFor Yescarta, the active ingredientscomposition of matter patent has expired in AmBisome.the European Union. In the European Union and the United States, patent applications are pending related to Kite’s proprietary manufacturing processes. We own a granted patent in the United States and pending applications in the United States and European Union relating to Kite’s proprietary pre-conditioning methods.
We may obtain patents for certain products many years before marketing approval is obtained for those products. Because patents have a limited life, which may begin to run prior to the commercial sale of the related product, the commercial value of the patent may be limited. However, we may be able to apply for patent term extensions or supplementary protection certificates in some countries.
Generic manufacturers have sought, and may continue to seek, FDA approval to market generic versions of our products through an abbreviated new drug application (ANDA), the application form typically used by manufacturers seeking approval of a generic drug. See a description of our ANDA litigation in Note 9,10, Commitments and Contingencies of the Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q and risk factor entitled


“Litigation “Litigation with generic manufacturers has increased our expenses which may continue to reduce our earnings. If we are unsuccessful in all or some of these lawsuits, some or all of our claims in the patents may be narrowed or invalidated and generic versions of our products could be launched prior to our patent expiry.”expiry” beginning on page 49.
Our success depends in large part on our ability to operate without infringing upon the patents or other proprietary rights of third parties.
If we infringe the valid patents of third parties, we may be required to pay significant monetary damages or we may be prevented from commercializing products or may be required to obtain licenses from these third parties. We may not be able to obtain alternative technologies or any required license on commercially reasonable terms or at all. If we fail to obtain these licenses or alternative technologies, we may be unable to develop or commercialize some or all of our products. For example, we are aware of patents and patent applications owned by otherthird parties that such parties may claim to cover the use of sofosbuvir, axicabtagene ciloleucel and axi-cel.bictegravir. See also a description of our litigation regarding sofosbuvir, axicabtagene ciloleucel and bictegravir in Note 10, Commitments and Contingencies of the Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q and the risk factors entitled “If any of our HCV products is proven to infringe the patents of any third party, we may be required to pay significant monetary damages, which could adversely affect our financial results beginning on page 46 and “If any party is successful in establishing exclusive rights to axicabtagene ciloleucel, our anticipated revenues and earnings from the sale of that product could be adversely affected” beginning on page 47. We are also aware of U.S. Patent Nos. 9,044,509, 9,579,333 and 9,579,3339,937,191 assigned to the U.S. Department of Health and Human Services that purportspurport to claim a process of protecting a primate host from infection by an immunodeficiency retrovirus by administering a


combination of emtricitabine and tenofovir or TDF prior to exposure of the host to the immunodeficiency retrovirus. We have been in contact with the U.S. Department of Health and Human Services about the scope and relevance of the patents and have explained that we do not believe that these patents are valid because the patent office was not given the most relevant prior art and because physicians and patients were using the claimed methods years before the Centers for Disease Control and Prevention filed the applications for the patents. See also a description of our litigation regarding sofosbuvir and axi-cel in Note 9, Commitments and Contingencies of the Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q and the risk factors entitled “If any party is successful in establishing exclusive rights to our HCV products, our revenues and earnings from the sale of those products could be adversely affected” beginning on page 45 and “If any party is successful in establishing exclusive rights to axi-cel, our anticipated revenues and earnings from the sale of that product could be adversely affected” beginning on page 47.
Furthermore, we also rely on unpatented trade secrets and improvements, unpatented internal know-how and technological innovation. For example, a great deal of our liposomal manufacturing expertise, which is a key component of our liposomal technology, is not covered by patents but is instead protected as a trade secret. We protect these rights mainly through confidentiality agreements with our corporate partners, employees, consultants and vendors. These agreements provide that all confidential information developed or made known to an individual during the course of their relationship with us will be kept confidential and will not be used or disclosed to third parties except in specified circumstances. In the case of employees, the agreements provide that all inventions made by an individual while employed by us will be our exclusive property. We cannot be certain that these parties will comply with these confidentiality agreements, that we have adequate remedies for any breach or that our trade secrets, internal know-how or technological innovation will not otherwise become known or be independently discovered by our competitors. Under some of our R&D agreements, inventions become jointly owned by us and our corporate partner and in other cases become the exclusive property of one party. In certain circumstances, it can be difficult to determine who owns a particular invention and disputes could arise regarding those inventions. If our trade secrets, internal know-how, technological innovation or confidential information become known or independently discovered by competitors or if we enter into disputes over ownership of inventions, our business and results of operations could be adversely affected.
If any party is successful in establishing exclusive rights toof our HCV products is proven to infringe the patents of any third party, we may be required to pay significant monetary damages, which could adversely affect our revenues and earnings from the sale of those products could be adversely affected.financial results.
We own patents and patent applications that claim sofosbuvir (Sovaldi) as a chemical entity and its metabolites and the fixed-dose combinations of sofosbuvir and velpatasvir (Epclusa), ledipasvir and sofosbuvir (Harvoni), sofosbuvir and velpatasvir (Epclusa) and sofosbuvir, velpatasvir and voxilaprevir (Vosevi). Third parties may have, or may obtain rights to, patents that allegedly could be used to prevent or attempt to prevent us from commercializing our HCV products. For example, weWe are aware of patents and patent applications owned by otherthird parties that have been or may in the future be alleged by such parties to cover the use of our HCV products. We cannot predict the ultimate outcome of intellectual property claims related to our HCV products, and we have spent, and will continue to spend, significant resources defending against these claims.
If third parties successfully obtain valid and enforceable patents, and successfully prove infringement of those patents by our HCV products, we could be prevented from sellingrequired to pay significant monetary damages.
Current legal proceedings of significance related to sofosbuvir unless we were able to obtain a license under such patents. Such a license may not be available on commercially reasonable terms or at all.include:
Interference Proceedings and Litigation with Idenix Pharmaceuticals, Inc. (Idenix), Universita Degli Studi di Cagliari (UDSG), Centre National de la Recherche Scientifique and L’Universite Montpellier II
In February 2012, we received notice thatSee the U.S. Patent and Trademark Office (USPTO) had declared Interference No. 105,871 (First Idenix Interference) between our U.S. Patent No. 7,429,572 (the ‘572 patent) and Idenix’s pending U.S. Patent Application No. 12/131,868 to determine who was the first to invent certain nucleoside compounds. In January 2014, the USPTO Patent Trial and Appeal Board (PTAB) determined that Pharmasset and not Idenix was the first to invent the compounds. Idenix has appealed the PTAB’s decisions to the U.S. District Court for the District of Delaware, which has stayed that appeal pending


the outcome of the appeal of the interference involving Idenix’s U.S. Patent No. 7,608,600 (the ‘600 patent) as described below. In light of the decision in the Second Idenix Interference in our favor (as described below), we believe that the District Court will dismiss the First Idenix Interference with prejudice or enter judgment against Idenix and in our favor.
In December 2013, after receiving our request to do so, the USPTO declared Interference No. 105,981 (Second Idenix Interference) between our pending U.S. Patent Application No. 11/854,218 and Idenix’s ‘600 patent. The ‘600 patent includes claims directed to methods of treating HCV with nucleoside compounds. In March 2015, the PTAB determined that Pharmasset and not Idenix was the first to invent the claimed methods of treating HCV. Idenix appealed this decision in both the U.S. District Court for the District of Delaware and the CAFC. The CAFC heard oral arguments in September 2016 and affirmed the PTAB decision in June 2017. In November 2017, the CAFC denied Idenix’s petition for a rehearing. Idenix may file further petitions in the United States Supreme Court. We filed a motion to dismiss the appeal in Delaware, which was granted. Idenix appealed the dismissal to the CAFC and that court had stayed this other appeal pending a decision in the Second Idenix Interference. We believe that the appeal from the Delaware dismissal should be dismissed in light of the recent decision of the CAFC affirming the PTAB’s prior decision in the Second Idenix Interference that Idenix is not entitled to its patent.
We believe that the Idenix claims involved in the First and Second Idenix Interferences, and similar U.S. and foreign patents claiming the same compounds, metabolites and uses thereof, are invalid. As a result, we filed an Impeachment Action in the Federal Court of Canada to invalidate Idenix Canadian Patent No. 2,490,191 (the ‘191 patent), which is the Canadian patent that corresponds to the ‘600 patent. Idenix asserted that the commercialization of Sovaldi in Canada will infringe its ‘191 patent and that our Canadian Patent No. 2,527,657, corresponding to our ‘572 patent, is invalid. In November 2015, the Canadian court held that Idenix’s patent is invalid and that our patent is valid. Idenix appealed the decision to the Canadian Federal Court of Appeal in November 2015. In July 2017, the Canadian Federal Appeal Court affirmed the lower court’s decision in our favor. In September 2017, Idenix appealed the decision to the Supreme Court of Canada.
We filed a similar legal action in Norway in the Oslo District Court seeking to invalidate Idenix’s Norwegian patent corresponding to the ‘600 patent. In September 2013, Idenix filed an invalidation action in the Norwegian proceedings against our Norwegian Patent No. 333700, which corresponds to the ‘572 patent. In March 2014, the Norwegian court found all claims in the Idenix Norwegian patent to be invalid and upheld the validity of all claims in our patent. Idenix appealed the decision to the Norwegian Court of Appeal. In April 2016, the Court of Appeal issued its decision invalidating the Idenix patent and upholding our patent. The decision revoking Idenix’s patent is now final.
In January 2013, we filed a legal action in the Federal Court of Australia seeking to invalidate Idenix’s Australian patent corresponding to the ‘600 patent. In April 2013, Idenix asserted that the commercialization of Sovaldi in Australia infringes its Australian patent corresponding to the ‘600 patent. In March 2016, the Australian court revoked Idenix’s Australian patent. Idenix has appealed this decision. The appeal hearing was held in November 2016 and we are awaiting the decision.
In March 2014, the European Patent Office (EPO) granted Idenix European Patent No. 1 523 489 (the ‘489 patent), which corresponds to the ‘600 patent. The same day that the ‘489 patent was granted, we filed an opposition with the EPO seeking to revoke the ‘489 patent. An opposition hearing was held in February 2016, and the EPO ruled in our favor and revoked the ‘489 patent. Idenix has appealed. In March 2014, Idenix also initiated infringement proceedings against us in the United Kingdom (UK), Germany and France alleging that the commercialization of Sovaldi would infringe the UK, German and French counterparts of the ‘489 patent. A trial was held in the UK in October 2014. In December 2014, the High Court of Justice of England and Wales (UK Court) invalidated all challenged claims of the ‘489 patent on multiple grounds. Idenix appealed. In November 2016, the appeals court affirmed the UK Court’s decision invalidating Idenix’s patent, and in April 2017, the UK Supreme Court refused Idenix’s application for permission to appeal. In March 2015, the German court in Düsseldorf determined that the Idenix patent was highly likely to be invalid and stayed the infringement proceedings pending the outcome of the opposition hearing held by the EPO in February 2016. Idenix has not appealed this decision of the German court staying the proceedings. Upon Idenix’s request, the French proceedings have been stayed.
See also our risk factor entitled “We may be required to pay significantmaterial damages to Merck as a result of a jury’s finding that we willfully infringedif the court’s decision invalidating a patent owned by Merck’s Idenix subsidiary.”
subsidiary is overturned on appeal” beginning on page 47. See also a description of our Idenix was acquired by Mercklitigation in August 2014,Note 10, Commitments and Merck continuesContingencies of the Notes to pursue the Idenix claims described herein.Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
Litigation with Merck & Co., Inc. (Merck)
In August 2013, Merck contacted us requesting that we pay royalties on the sales of sofosbuvir and obtain a license to U.S. Patent No. 7,105,499 (the ‘499 patent) and U.S. Patent No. 8,481,712 (the ‘712 patent), which it co-owns with Ionis Pharmaceuticals, Inc. The ‘499 and ‘712 patents cover compounds which do not include, but may relate to, sofosbuvir. We filed a lawsuit in August 2013 in the U.S. District Court for the Northern District of California seeking a declaratory judgment that the Merck patents are invalid and not infringed. During patent prosecution, Merck amended its patent application in an attempt to cover compounds related to sofosbuvir. Initially, in March 2016, a jury determined that we had not established that Merck’s patents are invalid for lack of written description or lack of enablement and awarded Merck $200 million in damages. However, in June 2016, the court


ruled in our favor on our defense of unclean hands and determined that Merck may not recover any damages from us for the ‘499 and ‘712 patents. The judge has determined that Merck is required to pay our attorney’s fees due to the exceptional nature of this case. In July 2017, the court issued a decision setting the amount of attorney fees awarded to Gilead.us.
Merck has filed notices of appeal to the CAFC regarding the court’s decision on our defense of unclean hands and its award of attorney’s fees. We appealedIn April 2018, the issue relating toCAFC affirmed the invalidity of Merck’s patent.court’s decision on unclean hands. Merck has filed a petition for review by the U.S. Supreme Court. If the decision on our defense of unclean hands is reversed on appealsubsequently and Merck’s patent is upheld, we may be required to pay damages and a royalty on sales of sofosbuvir-containing products following the appeal. In that event, the judge has indicated that she will determine the amount of the royalty, if necessary, at the conclusion of any appeal in this case.
Litigation with the University of Minnesota
The University of Minnesota (the University) has obtained Patent No. 8,815,830 (‘830(the ‘830 patent), which purports to broadly cover nucleosides with antiviral and anticancer activity. In August 2016, the University filed a lawsuit against us in the U.S. District Court for the District of Minnesota, alleging that the commercialization of sofosbuvir-containing products infringes the ‘830 patent.


We believe that the ‘830 patent is invalid and will not be infringed by the continued commercialization of sofosbuvir. In October 2017, the court granted our motion to transfer the case to California. We have also filed four petitions for inter partes review inwith the USPTOU.S. Patent and Trademark Office (USPTO) Patent Trial and Appeal Board (PTAB) alleging that all asserted claims are invalid for anticipation and obviousness. In March 2018, the District Court stayed the litigation until after the PTAB rules on our petitions for inter partes review.
Petitions for Inter Partes Review filed by Initiative for Medicines, Access & Knowledge
In October 2017, we received notice that Initiative for Medicines, Access & Knowledge (I-MAK) submitted multiple petitions requesting inter partes review to the USPTO PTAB alleging that certain patents associated with sofosbuvir are invalid as either not novel or obvious. We strongly believe I-MAK’s petitions are without merit and that sofosbuvir, the only approved HCV drug of its kind, is both novel and not obvious. Accordingly, we will defenddefended against these allegations. Ifallegations, and the PTAB decidesdeclined to initiate one or more institute all ten of I-MAK’s petitions for inter partes reviews, a decision would be expected about a year later. Either party can appeal the PTAB’s decision to the CAFC. review as well as all of I-MAK’s petitions for rehearing.
European Patent Claims
In February 2015, several parties filed oppositions in the EPO requesting revocation of one of our granted European patentpatents covering sofosbuvir that expires in 2028. In October 2016, the EPO upheld the validity of certain claims of our sofosbuvir patent. We anticipate that the challengers will appeal this decision in favor of our patent. We have appealed this decision, seeking to restore all of the original claims, and several of the original opposing parties have also appealed, requesting full revocation. The appeal process may take several years.
In April 2017, several parties filed oppositions in the EPO requesting revocation of our granted European patent relating to sofosbuvir that expires in 2024. The EPO conducted an oral hearing for this opposition in September 2018 and upheld the claims. The decision may be appealed.
While we are confident in the strength of our patents, weWe cannot predict the ultimate outcome of intellectual property claims related to our HCV products, and we have spent, and will continue to spend, significant resources defending against these actions.claims. If we are unsuccessful in defendingall or some of these oppositions, some orlawsuits, we could be required to pay significant monetary damages, which could have a significant negative effect on our financial results.
We may be required to pay material damages to Merck if the courts decision invalidating a patent owned by Mercks Idenix subsidiary is overturned on appeal.
In December 2013, Idenix, UDSG, Centre National de la Recherche Scientifique and L’Université Montpellier II sued us in U.S. District Court for the District of Delaware alleging that the commercialization of sofosbuvir will infringe the ‘600 patent and that an interference exists between the ‘600 patent and our U.S. Patent No. 8,415,322. Also in December 2013, Idenix and Universita Degli Studi di Cagliari sued us in the U.S. District Court for the District of Massachusetts alleging that the commercialization of sofosbuvir will infringe U.S. Patent Nos. 6,914,054 (the ‘054 patent) and 7,608,597 (the ‘597 patent). In June 2014, the court transferred the Massachusetts litigation to the U.S. District Court for the District of Delaware. Idenix was acquired by Merck in August 2014.
Prior to trial in December 2016, Idenix committed to give us a covenant not to sue with respect to any claims arising out of the ‘054 patent related to sofosbuvir and withdrew that patent from the trial. In addition, Idenix declined to litigate the ‘600 patent infringement action at trial in light of the appeal then pending at the U.S. Court of Appeals for the Federal Circuit (CAFC). Since the U.S. Supreme Court denied Idenix’s petition for certiorari in the appeal of the interference decision on the ‘600 patent, all pending actions concerning the ‘600 patent have been dismissed. A jury trial was held in December 2016 on the ‘597 patent. In December 2016, the jury found that we willfully infringed the asserted claims of the ‘597 patent and awarded Idenix $2.54 billion in past damages. In February 2018, the judge invalidated Idenix’s ‘597 patent and vacated the jury’s award of $2.54 billion in past damages. Idenix has appealed this decision to the CAFC. We believe the Delaware court’s decision correctly found that, as a matter of law, the ‘597 patent is invalid, and we remain confident in the merits of our case on appeal.
If the court’s decision invalidating Idenix’s patent claims may be narrowed or revoked andis overturned on appeal, the patent protection for sofosbuvir in Europeamount we could be substantially shortened or eliminated entirely. Ifrequired to pay could be material. The timing and magnitude of the amount of any such payment could have a material adverse impact on our patents are revoked, and no other European patents are granted covering these compounds, our exclusivity may be based entirely on regulatory exclusivity granted by EMA. Sovaldi has been granted regulatory exclusivity that will prevent generic sofosbuvir from entering the European Union for 10 years following approval of Sovaldi, or January 2024. If we lose patent protection for sofosbuvir prior to 2028, our revenues and results of operations could be negatively impacted for the years including and succeeding the year in which such exclusivity is lost, which may cause our stock price to decline.price.
If any party is successful in establishing exclusive rights to axi-cel,axicabtagene ciloleucel, our anticipated revenues and earnings from the sale of that product could be adversely affected.
In October 2017, we acquired Kite, which is now our wholly-owned subsidiary. Through the acquisition, we acquired axicabtagene ciloleucel, (axi-cel), a CAR T cell therapy. In October 2017, we received approval from FDA for axi-cel,axicabtagene ciloleucel, now known commercially as Yescarta.
We own patents and patent applications that claim axi-celaxicabtagene ciloleucel chimeric DNA segments. Third parties may have, or may obtain rights to, patents that allegedly could be used to prevent or attempt to prevent us from commercializing axi-celaxicabtagene ciloleucel or to require us to obtain a license in order to commercialize axi-cel.axicabtagene ciloleucel. For example, we are aware that


Juno Therapeutics, Inc. (Juno) has exclusively licensed Patent No. 7,446,190 (the ‘190 patent) which was issued to Sloan Kettering Cancer Center. In September 2017, Juno and Sloan Kettering Cancer Center filed a lawsuit against Kite in the U.S. District Court for the Central District of California, alleging that the commercialization of axi-celaxicabtagene ciloleucel infringes the ‘190 patent. In October 2017, following FDA approval for Yescarta, Juno filed a second complaint alleging that axicabtagene ciloleucel infringes the ‘190 patent. Juno subsequently moved to dismiss the September 2017 complaint and has maintained the October 2017 complaint. The court has set a trial date of October 2019 for this lawsuit.
In August 2015, Kite filed a petition for inter partes review in the USPTO alleging that the asserted claims of the ‘190 patent are invalid as obvious. In December 2016, the PTAB determined that the claims of the ‘190 patent are not invalid due to obviousness. In February 2017, Kite filed a Notice of Appeal to the CAFC. That appeal is currently pending.


In June 2018, the CAFC affirmed the PTAB’s determination that the ‘190 patent claims are not invalid due to obviousness.
We cannot predict the ultimate outcome of intellectual property claims related to axi-cel.axicabtagene ciloleucel. If Juno’s patent is upheld as valid and Juno successfully proves infringement of that patent by axi-cel,axicabtagene ciloleucel, we could be required to pay significant monetary damages or we could be prevented from selling Yescarta unless we were able to obtain a license to this patent. Such a license may not be available on commercially reasonable terms or at all.all, which could adversely impact our business and results of operations.
Manufacturing problems, including at our third-party manufacturers and corporate partners, could cause inventory shortages and delay product shipments and regulatory approvals, which may adversely affect our results of operations.
In order to generate revenue from our products, we must be able to produce sufficient quantities of our products to satisfy demand. Many of our products are the result of complex manufacturing processes. The manufacturing process for pharmaceutical products is also highly regulated and regulators may shut down manufacturing facilities that they believe do not comply with regulations.
Our products are either manufactured at our own facilities or by third-party manufacturers or corporate partners. We depend on third parties to perform manufacturing activities effectively and on a timely basis for the majority of our solid dose products. In addition, Roche, either by itself or through third parties, is responsible for manufacturing Tamiflu. We, our third-party manufacturers and our corporate partners are subject to Good Manufacturing Practices (GMP), which are extensive regulations governing manufacturing processes, stability testing, record keeping and quality standards as defined by FDA and EMA. Similar regulations are in effect in other countries.jurisdictions.
Our third-party manufacturers and corporate partners are independent entities who are subject to their own unique operational and financial risks which are out of our control. If we or any of these third-party manufacturers or corporate partners fail to perform as required, this could impair our ability to deliver our products on a timely basis or receive royalties or cause delays in our clinical trials and applications for regulatory approval. Further, we may have to write-off the costs of manufacturing any batch that fails to pass quality inspection or meet regulatory approval. In addition, we, our third-party manufacturers and our corporate partners may only be able to produce some of our products at one or a limited number of facilities and, therefore, have limited manufacturing capacity for certain products.products, and we may not be able to locate additional or replacement facilities on a reasonable basis or at all. Our sales of such products could also be adversely impacted by our reliance on such limited number of facilities. To the extent these risks materialize and affect their performance obligations to us, our financial results may be adversely affected.
Our manufacturing operations are subject to routine inspections by regulatory agencies. If we are unable to remedy any deficiencies cited by FDA in these inspections, our currently marketed products and the timing of regulatory approval of products in development could be adversely affected. Further, there is risk that regulatory agencies in other countries where marketing applications are pending will undertake similar additional reviews or apply a heightened standard of review, which could delay the regulatory approvals for products in those countries. If approval of any of our product candidates were delayed or if production of our marketed products was interrupted, our anticipated revenues and our stock price would be adversely affected.
We have limited experience managing the T cell engineering process, and our processes may be more difficult or more expensive than the approaches taken by our current and future competitors. We cannot be sure that the manufacturing processes employed by us will result in engineered T cells that will be safe and effective. In addition, we may encounter difficulties in production, particularly in scaling up and validating initial production to meet patient demand and ensuring the absence of contamination. These problems could include difficulties with production costs and yields, quality control, including stability of the product, quality assurance testing, operator error, shortages of qualified personnel, as well as compliance with strictly enforced federal, state and foreign regulations. Further, if contaminants are discovered in our supply of Yescarta or in the manufacturing facilities, such manufacturing facilities may need to be closed for an extended period of time to investigate and remedy the contamination, which could require substantial resources and management attention. We cannot assure you that any stability or other issues relating to the manufacture of Yescarta will not occur in the future or that any such issues may be remedied on a timely basis or at all. In addition, we may fail to manage the logistics of collecting and shipping patient material to the manufacturing site and shipping Yescarta back to the patient. Logistical and shipment delays and problems caused by us, our vendors or other factors not in our control, such as weather and natural disasters, could prevent or delay the delivery of our products and product candidates to patients. Additionally, we are required to maintain a complex chain of identity and custody with respect to patient


material as such material moves to the manufacturing facilities, through the manufacturing process, and back to the patient. Failure to maintain chain of identity and custody could result in patient death, loss of product or regulatory action, which could have an adverse effect on us, our reputation and our stock price.
We may not be able to obtain materials or supplies necessary to conduct clinical trials or to manufacture and sell our products, which would limit our ability to generate revenues.
We need access to certain supplies and products to conduct our clinical trials and to manufacture our products. If we are unable to purchase sufficient quantities of these materials or find suitable alternate materials in a timely manner, our development efforts for our product candidates may be delayed or our ability to manufacture our products would be limited, which would limit our ability to generate revenues.
Suppliers of key components and materials must be named in the NDAnew drug application or MAA filed with FDA, EMA or other regulatory authority for any product candidate for which we are seeking marketing approval, and significant delays can occur if the qualification


of a new supplier is required. Even after a manufacturer is qualified by the regulatory authority, the manufacturer must continue to expend time, money and effort in the area of production and quality control to ensure full compliance with GMP. Manufacturers are subject to regular, periodic inspections by the regulatory authorities following initial approval. If, as a result of these inspections, a regulatory authority determines that the equipment, facilities, laboratories or processes do not comply with applicable regulations and conditions of product approval, the regulatory authority may suspend the manufacturing operations. If the manufacturing operations of any of the single suppliers for our products are suspended, we may be unable to generate sufficient quantities of commercial or clinical supplies of product to meet market demand, which would in turn decrease our revenues and harm our business. In addition, if delivery of material from our suppliers were interrupted for any reason, we may be unable to ship certain of our products for commercial supply or to supply our products in development for clinical trials. In addition, some of our products and the materials that we utilize in our operations are made at only one facility. For example, we manufacture certain drug product intermediates utilized in AmBisome exclusively at our facilities in San Dimas, California. In the event of a disaster, including an earthquake, equipment failure or other difficulty,facility, which we may be unablenot able to replace this manufacturing capacity in a timely manner and may be unable to manufacture AmBisome to meet market needs.
In addition, we depend on a single supplier for amphotericin B, the active pharmaceutical ingredient of AmBisome, and high-quality cholesterol in the manufacture of AmBisome. We also rely on a single source for the active pharmaceutical ingredients found in Letairis and Cayston. Astellas US LLC, which markets Lexiscan in the United States, is responsible for the commercial manufacture and supply of product in the United States and is dependent on a single supplier for the active pharmaceutical ingredient of Lexiscan.commercially reasonable terms, or at all. Problems with any of the single suppliers we depend on, including in the event of a disaster, such as an earthquake, equipment failure or other difficulty, may negatively impact our development and commercialization efforts.
A significant portion of the raw materials and intermediates used to manufacture our antiviral products are supplied by third-party manufacturers and corporate partners outside of the United States. As a result, any political or economic factors in a specific country or region, including any changes in or interpretations of trade regulations, compliance requirements or tax legislation, that would limit or prevent third parties outside of the United States from supplying these materials would adversely affect our ability to manufacture and supply our antiviral products to meet market needs and have a material and adverse effect on our operating results.
If we were to encounter any of these difficulties, our ability to provide our products and product candidates to patients would be jeopardized.
Litigation with generic manufacturers has increased our expenses which may continue to reduce our earnings. If we are unsuccessful in all or some of these lawsuits, some or all of our claims in the patents may be narrowed or invalidated and generic versions of our products could be launched prior to our patent expiry.
As part of the approval process for some of our products, FDA granted us a New Chemical Entity (NCE) exclusivity period during which other manufacturers’ applications for approval of generic versions of our product will not be approved. Generic manufacturers may challenge the patents protecting products that have been granted NCE exclusivity one year prior to the end of the NCE exclusivity period. Generic manufacturers have sought and may continue to seek FDA approval for a similar or identical drug through an ANDA, the application form typically used by manufacturers seeking approval of a generic drug. To seek approval for a generic version of a product having NCE status, a generic manufacturer may submit its ANDA to FDA four years after the branded product’s approval. For sofosbuvir, this date falls in December 2017. Consequently, it is possible that one or more generic manufacturers may file an ANDA for sofosbuvir in December 2017.
Current legal proceedings of significance with some of our generic manufacturers include:
Apotex
In June 2014, we received notice that Apotex Inc. (Apotex) submitted an abbreviated new drug submission (ANDS) to Health Canada requesting permission to manufacture and market a generic version of Truvada and a separate ANDS requesting permission to manufacture and market a generic version of Viread. In the notice, Apotex alleges that three of the patents associated with Truvada and two of the patents associated with Viread are invalid, unenforceable and/or will not be infringed by Apotex’s manufacture, use or sale of a generic version of Truvada or Viread. In August 2014, we filed lawsuits against Apotex in the Federal Court of Canada seeking orders of prohibition against approval of these ANDS. A hearing in those cases was held in April 2016. In July 2016, the court issued an order prohibiting Health Canada from approving Apotex’s generic version of our Viread product until the expiry of our patents in July 2017. The court declined to prohibit approval of Apotex’s generic version of our Truvada product. The court’s decision did not rule on the validity of the patents. The launch of Apotex’s generic version of our Truvada product would be at risk of infringement of our patents, including patents that we were unable to assert in the present lawsuit, and liability for our damages. Apotex has appealed the court’s decision.


Mylan
In February 2016, we received notice that Mylan Pharmaceuticals, Inc. (Mylan) submitted an ANDA to FDA requesting permission to manufacture and market a generic version of Tybost (cobicistat). In the notice, Mylan alleges that the patent covering cobicistat is invalid as obvious and that Mylan’s generic product cannot infringe an invalid claim. In March 2016, we filed lawsuits against Mylan in the U.S. District Court for the District of Delaware and U.S. District Court for the Northern District of West Virginia. The trial in Delaware is scheduled for January 2018, and the parties have agreed to dismiss the action in West Virginia.Virginia, and the trial in Delaware was stayed. The patent in suit that covers Tybost is also listed in the Orange Book for Stribild and Genvoya.
Amneal
In MayNovember 2017, we received notice that Amneal Pharmaceuticals LLC (Amneal)Mylan submitted an ANDA to FDA requesting permission to manufacture and market a generic version of Evotaz (atazanavir/cobicistat) and challenging the validity of our cobicistat compound patent, citing the arguments it has made in the ongoing litigation involving Tybost. In December 2017, we filed a lawsuit against Mylan in the U.S. District Court for the Northern District of West Virginia.


In July 2018, we reached an agreement with Mylan to resolve all pending lawsuits. The settlement agreement has been filed with the Federal Trade Commission and Department of Justice as required by law.
Aurobindo
In April and May 2018, we received notices that Aurobindo Pharma USA Inc. (Aurobindo) submitted an ANDA to FDA requesting permission to manufacture and market generic versions of Truvada at low dosage strengths. In the May notice, AmnealAurobindo alleges that two patents associated with emtricitabine are invalid, unenforceable and/or will not be infringed by Amneal’sAurobindo’s manufacture, use or sale of generic versions of Truvada at low dosage strengths. In July 2017,May 2018, we filed a lawsuit against AmnealAurobindo in the U.S. District Court for the District of Delaware for infringement of our patents. In October 2018, we reached an agreement with Aurobindo to resolve the lawsuit. The settlement agreement has been filed with the Federal Trade Commission and Department of Justice as required by law.
MacleodsStrides
In June 2017,May 2018, we received notice that Macleods Pharmaceuticals Ltd. (Macleods)Strides Pharma Inc. (Strides) submitted ANDAsan ANDA to FDA requesting permission to manufacture and market a generic versionsversion of Truvada and Atripla.Truvada. In the notices, Macleodsnotice, Strides alleges that two patents associated with emtricitabine threeand four patents associated with the emtricitabine and TDF fixed dose combination and three patents associated with the emtricitabine, TDF and efavirenz fixed dosetenofovir disoproxil fumarate (TDF) fixed-dose combination are invalid, unenforceable and/or will not be infringed by Macleod’sStrides’ manufacture, use or sale of a generic version of Truvada. In June 2018, we filed a lawsuit against Strides in the U.S. District Court for the District of New Jersey for infringement of our patents.
Natco and Teva
In February 2018, we received notices from Natco Pharma Limited (Natco) and Teva Pharmaceuticals (Teva) that they have each submitted an ANDA to FDA requesting permission to manufacture and market a generic version of Sovaldi. In Teva’s notice, it alleges that nine patents associated with sofosbuvir are invalid, unenforceable and/or will not be infringed by Teva’s manufacture, use or sale of generic versions of Truvada or Atripla.Sovaldi. In July 2017,March 2018, we filed a lawsuitlawsuits against MacleodsTeva in the U.S. District Court for the District of New Jersey and the U.S. District Court for the District of Delaware for infringement of these patents. In Natco’s notice, it alleges that two patents associated with sofosbuvir are invalid, unenforceable and/or will not be infringed by Natco’s manufacture, use or sale of generic versions of Sovaldi. Natco did not challenge all patents listed on the Orange Book for Sovaldi. In March 2018, we filed lawsuits against Natco in the U.S. District Court for the District of New Jersey and the U.S. District Court for the District of Delaware for infringement of these patents.
We cannot predict the ultimate outcome of the foregoing actions and other litigation with generic manufacturers, and we may spend significant resources enforcing and defending these patents. If we are unsuccessful in these lawsuits, some or all of our original claims in the patents may be narrowed or invalidated and the patent protection for Truvada, Viread and Letairis in the United States and Atripla, Truvada and Viread in Canadathese products could be substantially shortened. Further, if all of the patents covering one or more products are invalidated, FDA or Health Canada could approve the requests to manufacture a generic version of such products in the United States or Canada, respectively, prior to the expiration date of those patents. The sale of generic versions of these products earlier than their patent expiration would have a significant negative effect on our revenues and results of operations.
We face credit risks from our emerging market and Southern European customers that may adversely affect our results of operations.
We have exposure to customer credit risks in emerging markets and Southern Europe. Southern European product sales to government-owned or supported customers in Southern Europe, specifically Spain, Portugal, Italy and Greece have historically been subject to significant payment delays due to government funding and reimbursement practices. This has resulted and may continue to result in days sales outstanding being significantly higher in these countries due to the average length of time that accounts receivable remain outstanding. As of September 30, 2017, our accounts receivable, net in Southern Europe, specifically Spain, Portugal, Italy and Greece, totaled approximately $375 million, of which $121 million were greater than 120 days past due, including $59 million greater than 365 days past due.
Historically, receivable balances with certain publicly-owned hospitals accumulate over a period of time and are then subsequently settled as lump sum payments. This pattern is also experienced by other pharmaceutical companies that sell directly to hospitals. If significant changes were to occur in the reimbursement practices of these European governments or if government funding becomes unavailable, we may not be able to collect on amounts due to us from these customers and our results of operations would be adversely affected.
Imports from countries where our products are available at lower prices and unapproved generic or counterfeit versions of our products could have a negative impact on our reputation and business.
Prices for our products are based on local market economics and competition and sometimes differ from country to country. Our sales in countries with relatively higher prices may be reduced if products can be imported into those or other countries from lower price markets. There have been cases in which other pharmaceuticalIf our HIV, HBV and HCV products, were sold at steeply discounted prices in the developing world and then re-exported to European countries where they could be re-sold at much higher prices. If this happens with our products, particularly Truvada and Viread, which we have agreed to make available at substantially reduced prices to more than 130certain low- and middle-income countries participating in our Gilead Access Program, are re-exported from these low- and middle-income countries into the United States, Europe or Atripla and Complera, which Merck and Janssen, respectively, distributes at substantially reduced prices to HIV-infected patients in developing countries,other higher price markets, our revenues would be adversely affected. In addition, we have entered into voluntary licensing agreements with generic drug companies in India, South


Africa and China, as well as a licensing agreement with the Medicines Patent Pool, a United Nations-backed public health organization, which allows generic drug companies to manufacture generic versions of HIV and HBV products incorporating our licensed compounds, TDF, TAF, emtricitabine, cobicistat, elvitegravir and bictegravir, (upon regulatory approval in the United States), for distribution in certain low- and middle-income countries. We have also entered into licensing agreements with India-based generic manufacturers in India, Egypt and Pakistan to produce and distribute generic versions of our HCV products to developingin certain low- and middle-income countries. If generic versions of our HIV, HBV and HCV products under these licenses are then re-exported to the United States, Europe or other markets outside of these developing worldlow- and middle-income countries, our revenues would be adversely affected. We also make our HCV products available in low- and middle-income countries at significantly discounted prices. If the discounted HCV products are re-exported from these low- and middle-income countries into the United States or other higher price markets, our revenues could be adversely affected.
In addition, purchases of our products in countries where our selling prices are relatively low for resale in countries in which our selling prices are relatively high may adversely impact our revenues and gross margin and may cause our sales to fluctuate from quarter to quarter. For example, in the European Union, we are required to permit products purchased in one country to be sold in another country. Purchases of our products in countries where our selling prices are relatively low for resale in countries


in which our selling prices are relatively high can affect the inventory level held by our wholesalers and can cause the relative sales levels in the various countries to fluctuate from quarter to quarter and not reflect the actual consumer demand in any given quarter. These quarterly fluctuations may impact our earnings, which could adversely affect our stock price and harm our business.
We are also aware of the existence of various “Buyers Clubs” around the world that promote the personal importation of generic versions of our HCV products that have not been approved for use in the countries into which they are imported. As a result, patients may be at risk of taking unapproved medications which may not be what they purport to be, may not have the potency they claim to have or may contain harmful substances. To the extent patients take unapproved generic versions of one or more of our medications and are injured or not cured by these products, our brand or the commercial or scientific reputation of our HCV products could be harmed.
Further, third parties may illegally distribute and sell counterfeit versions of our products, which do not meet the rigorous quality standards of our manufacturing and supply chain. For example, in 2017 and 2018, there were reports that a product labeled as Epclusa was available in multiple countries, which we determined was not authentic product based on sample analysis and the first quarter of 2017, bottles of counterfeit drugs labeled under the Harvoni brand name were discovered at a retail pharmacy chain and pharmaceutical wholesalers in Japan.lot number. We investigated this matter and accelerated planned changes to our product packaging to make counterfeiting more difficult. Wehave cooperated and continue to cooperate with the Japanese health ministry. Also, in the third quarter of 2017, bottles of counterfeit drugs labeled under the Sovaldi brand name were discovered at a retail pharmacy chain and pharmaceutical wholesalers in Germany. We investigatedregulatory authorities to investigate this matter and determined that a number of wholesalers had obtained Sovaldi from an unapproved source. We cooperated and continue to cooperate with the German regulatory authorities.matter. We actively take actions to discourage counterfeits of our products around the world, including working with local regulatory and legal authorities to enforce laws against counterfeit drugs. Counterfeit drugs pose a serious risk to patient health and safety. Our reputation and business could suffer as a result of counterfeit drugs sold under our brand name.
Expensive litigation and government investigations have increased our expenses which may continue to reduce our earnings.
We are involved in a number of litigation, investigation and other dispute-related matters that require us to expend substantial internal and financial resources. We expect these matters will continue to require a high level of internal and financial resources for the foreseeable future. These matters have reduced and will continue to reduce our earnings.earnings and require significant management attention. Please see a description of our litigation, investigation and other dispute-related matters in Note 9,10, Commitments and Contingencies of the Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q. The outcome of such lawsuitslegal proceedings or any other lawsuitslegal proceedings that may be brought against us, the investigations or any other investigations that may be initiated and any other dispute-related matters, are inherently uncertain, and adverse developments or outcomes can result in significant expenses, monetary damages, penalties or injunctive relief against us that could significantly reduce our earnings and cash flows and harm our business.
In some countries, wegovernments may be required to grant compulsory licenses for our products or our patents may not be enforced.
In a number of developing countries, government officials and other interested groups have suggested that pharmaceutical companies should make drugs for HCVHIV or HIVHCV infection available at low cost. Alternatively, governments in those developing countries could require that we grantissue compulsory licenses or government use licenses to allow competitors to manufacture and sell their own versions of our products, thereby reducing our product sales. For example, there is growing attention on the availability of HCV therapies and some activists are advocating for the increased availability of HCV therapies through other means including compulsory licenses. The government of Malaysia has exercised Government Rights under Section 84 of the Malaysian Patents Act to practice the patented invention of sofosbuvir for a period of three years for use only in government hospitals and clinics. We are challenging the Malaysian government’s actions. In the past, certain offices of the government of Brazil have expressed concern over the affordability of our HIV products and declared that they were considering issuing compulsory licenses to permit the manufacture of otherwise patented products for HIV infection, including Viread. In addition, concerns over the cost and availability of Tamiflu related to a potential avian flu pandemic and H1N1 influenza generated international discussions over compulsory licensing of


our Tamiflu patents. For example, the Canadian government considered allowing Canadian manufacturers to manufacture and export the active ingredient in Tamiflu to eligible developing and least developed countries under Canada’s Access to Medicines Regime. Furthermore, Roche issued voluntary licenses to permit third-party manufacturing of Tamiflu. For example, Roche granted a sublicense to Shanghai Pharmaceutical (Group) Co., Ltd. for China and a sublicense to India’s Hetero Drugs Limited for India and certain developing countries.infection. If compulsory licenses permit generic manufacturing to override our product patents for our HIV, HCV HIV or other products, or if wecompulsory licenses or government use licenses are required to grant compulsory licensesissued for these products, it could reduce our earnings and cash flows and harm our business.
In addition, certain countries do not permit enforcement of our patents, or permit our patents to issue, and third-party manufacturers are able to sell generic versions of our products in those countries. For example, in July 2009, the Brazilian patent authority rejected our patent application for tenofovir disoproxil fumarate, the active pharmaceutical ingredient in Viread. This was the highest level of appeal available to us within the Brazilian patent authority. Because we do not currently have a patent in Brazil, the Brazilian government now purchases its supply of tenofovir disoproxil fumarate from generic manufacturers. In the first quarter of 2017, the Brazilian Health Regulatory Agency rejected our patent applications related to sofosbuvir and our HCV products. We successfully appealed those decisions, and those applications are now under examination at the Brazilian Patent and Trademark Office. Sales of generic versions of our products could significantly reduce our sales and adversely affect our results of operations, particularly if generic versions of our products are imported into territories where we have existing commercial sales.
We may face significant liability resulting from our products that may not be covered by insurance and such liability could materially reduce our earnings.
The testing, manufacturing, marketing and use of our commercial products, as well as product candidates in development, involve substantial risk of product liability claims. These claims may be made directly by consumers, healthcare providers, pharmaceutical companies or others. We may not have sufficientlimited insurance coverage for product liabilities that may arise. In addition, the cost to defend lawsuits or pay damages for product liability claims may exceed our insurance coverage. If we do not maintain adequate coverage or if claims exceed our coverage, our financial condition will be adversely affected. In addition, negative publicity associated with any claims, regardless of their merit, may decrease the future demand for our products and impair our financial condition.


If we fail to attract and retain highly qualified personnel, we may be unable to successfully develop new product candidates, conduct our clinical trials and commercialize our product candidates.
Our future success will depend in large part on our continued ability to attract and retain highly qualified scientific, technical and management personnel, as well as personnel with expertise in clinical testing, governmental regulation and commercialization. In July 2018, we announced that John F. Milligan will step down as our President and Chief Executive Officer after a 28-year career with the company. While our Board of Directors conducts a search to identify a successor, Dr. Milligan will remain in his current position through the end of the year, or if earlier, when his successor is named and commences in the role. We face competition for personnel from other companies, universities, public and private research institutions, government entities and other organizations. Competition for qualified personnel in the biopharmaceutical field is intense, and there is a limited pool of qualified potential employees to recruit. We may not be able to attract and retain quality personnel on acceptable terms. Additionally, changes to U.S. immigration and work authorization laws and regulations could make it more difficult for employees to work in or transfer to jurisdictions in which we have operations and could impair our ability to attract and retain qualified personnel. If we are unsuccessful in our recruitment and retention efforts, our business may be harmed. Further, if there are delays with the selection of a new Chief Executive Officer or if we do not successfully manage the transition, our business may be negatively impacted.
Business disruptions from natural or man-made disasters may harm our future revenues.
Our worldwide operations could be subject to business interruptions stemming from natural or man-made disasters for which we may be uninsured or inadequately insured. Our corporate headquarters in Foster City and our Santa Monica location, which together house a majority of our R&D activities, and our San Dimas, La Verne, Oceanside and El Segundo manufacturing facilities are located in California, a seismically active region. As we may not carry adequate earthquake insurance and significant recovery time could be required to resume operations, our financial condition and operating results could be materially adversely affected in the event of a major earthquake. In addition, our Yescarta business is also reliant on our ability to manage the logistics of collecting and shipping patient material to our manufacturing facilities and shipping Yescarta back to the patient. Any logistical and shipment delays caused by such natural or man-made disasters could prevent or delay the delivery of our products to patients and could harm our Yescarta business.
We are dependent on information technology systems, infrastructure and data.
We are dependent upon information technology systems, infrastructure and data, including our new Kite Konnect platform. The multitude and complexity of our computer systems make them inherently vulnerable to service interruption or destruction, malicious intrusion and random attack. Likewise, data privacy or security breaches by employees or others may pose a risk that sensitive data, including our intellectual property, trade secrets or personal information of our employees, patients, customers or other business partners may be exposed to unauthorized persons or to the public. Cyberattacks are increasing in their frequency, sophistication and intensity. Cyberattacks could include the deployment of harmful malware, denial-of-service, social engineering and other means to affect service reliability and threaten data confidentiality, integrity and availability. Our business and technology partners face similar risks and any security breach of their systems could adversely affect our security posture. While we have invested, and continue to invest, in the protection of our data and information technology infrastructure, there can be no assurance that our efforts, or the efforts of our partners and vendors, will prevent service interruptions, or identify breaches in our systems, that could adversely affect our business and operations and/or result in the loss of critical or sensitive information, which could result in financial, legal, business or reputational harm to us. In addition, our liability insurance may not be sufficient in type or amount to cover us against claims related to security breaches, cyberattacks and other related breaches.


Regulators globally are also imposing greater monetary fines for privacy violations. For example, in 2016, the European Union adopted a new law governing data practices and privacy called the General Data Protection Regulation (GDPR), which became effective in May 2018. The law established new requirements regarding the handling of personal data, and non-compliance with the GDPR may result in monetary penalties of up to 4% of worldwide revenue. In addition, we may be subject to additional data privacy and security laws, such as the California Consumer Privacy Act of 2018. The GDPR and other changes in laws or regulations associated with the enhanced protection of certain types of sensitive data, such as healthcare data or other personal information, could greatly increase our cost of providing our products and services or even prevent us from offering certain services in jurisdictions that we operate.
Changes in our effective income tax rate could reduce our earnings.
We are subject to income taxes in the United States and various foreign jurisdictions including Ireland. Due to economic and political conditions, various countries are actively considering and have made changes to existing tax laws. We cannot predict the form or timing of potential legislative changes that could have a material adverse impact on our results of operations. For example, the United States recently enacted significant tax reform, and certain provisions of the new law will significantly affect us. The accounting for these changes is currently considered provisional and may change materially during the measurement period due to the issuance of anticipated guidance and finalization of certain accounting method elections. See Note 14, Income Taxes, of the


Notes to Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q for additional details.
In addition, significant judgment is required in determining our worldwide provision for income taxes. Various factors may have favorable or unfavorable effects on our income tax rate including, but not limited to, changes in forecasted demand for our HCV products, our portion of the non-tax deductible annual BPD fee, the accounting for stock options and other share-based awards, mergers and acquisitions, the ability to manufacture product in our Cork, Ireland facility, the amortization of certain acquisition related intangibles for which we receive no tax benefit, future levels of R&D spending, changes in the mix of earnings in the various tax jurisdictions in which we operate, changes in overall levels of pre-tax earnings and resolution of federal, state and foreign income tax audits. The impact on our income tax provision resulting from the above mentioned factors may be significant and could have a negative impact on our consolidated results of operations.
Our income tax returns are subject to audit by federal, state and foreign tax authorities. We are currently under examination by the Internal Revenue Service for the tax years from 2010 - 20142013 to 2015 and by various state and foreign jurisdictions. There are differing interpretations of tax laws and regulations and, as a result, significant disputes may arise with these tax authorities involving issues of the timing and amount of deductions and allocations of income among various tax jurisdictions. Resolution of one or more of these exposures in any reporting period could have a material impact on the results of operations for that period.
If we fail to attract and retain highly qualified personnel, we may be unable to successfully develop new product candidates, conduct our clinical trials and commercialize our product candidates.
Our future success will depend in large part on our continued ability to attract and retain highly qualified scientific, technical and management personnel, as well as personnel with expertise in clinical testing, governmental regulation and commercialization. We face competition for personnel from other companies, universities, public and private research institutions, government entities and other organizations. Competition for qualified personnel in the biopharmaceutical field is intense, and there is a limited pool of qualified potential employees to recruit. We may not be able to attract and retain quality personnel on acceptable terms. If we are unsuccessful in our recruitment and retention efforts, our business may be harmed.
There can be no assurance that we will pay dividends or continue to repurchase stock.
Our Board of Directors authorized a dividend program under which we intend to pay quarterly dividends of $0.52$0.57 per share, subject to quarterly declarations by our Board of Directors. Our Board of Directors also approved the repurchase of up to $12.0 billion of our common stock, of which $8.2$6.1 billion is available for repurchase as of September 30, 2017.2018. Any future declarations, amount and timing of any dividends and/or the amount and timing of such stock repurchases are subject to capital availability and determinations by our Board of Directors that cash dividends and/or stock repurchases are in the best interest of our stockholders and are in compliance with all respective laws and our agreements applicable to the declaration and payment of cash dividends and the repurchase of stock. Our ability to pay dividends and/or repurchase stock will depend upon, among other factors, our cash balances and potential future capital requirements for strategic transactions, including acquisitions, debt service requirements, results of operations, financial condition and other factors beyond our control that our Board of Directors may deem relevant. A reduction in or elimination of our dividend payments, our dividend program and/or stock repurchases could have a negative effect on our stock price.
Item 2.UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
Issuer Purchases of Equity Securities
In the first quarter of 2016, our Board of Directors authorized a $12.0 billion share repurchase program (2016 Program) under which repurchases may be made in the open market or in privately negotiated transactions. We started repurchases under the 2016 Program in April 2016.
During the third quarter of 2017,2018, we repurchased and retired 26 million shares of our common stock for $153$449 million through open market transactions.transactions under the 2016 Program. The table below summarizes our stock repurchase activity under the 2016 Program for the three months ended September 30, 2017:


2018:
 
Total Number 
of Shares 
Purchased
(in thousands)
 
Average 
Price Paid
per Share
(in dollars)
 
 Total Number of Shares Purchased as Part of Publicly Announced Program
(in thousands)
 
Maximum Fair Value of Shares that May Yet Be Purchased Under the Program
(in millions)
July 1 - July 31, 2017716
 $72.10
 673
 $8,256
August 1 - August 31, 2017992
 $73.94
 791
 $8,198
September 1 - September 30, 2017567
 $83.48
 549
 $8,152
Total2,275
(1) 
$75.74
 2,013
(1) 
 
_________________________________________       
 Total Number 
of Shares 
Purchased
(in thousands)
 Average 
Price Paid
per Share
(in dollars)
  Total Number of Shares Purchased as Part of Publicly Announced Program
(in thousands)
 Maximum Fair Value of Shares that May Yet Be Purchased Under the Program
(in millions)
July 1 - July 31, 2018870
 $75.35
 653
 $6,508
August 1 - August 31, 20183,292
 $75.80
 3,026
 $6,279
September 1 - September 30, 20182,328
 $73.96
 2,300
 $6,109
Total6,490
(1) 
$75.08
 5,979
(1) 
 
_________________________________________       
(1)  
The difference between the total number of shares purchased and the total number of shares purchased as part of publicly announced program is due to shares of common stock withheld by us from employee restricted stock awards in order to satisfy applicable tax withholding obligations.
Item 3.DEFAULTS UPON SENIOR SECURITIES
Not applicable.
Item 4.MINE SAFETY DISCLOSURES
Not applicable.


Item 5.OTHER INFORMATION
Not applicable.
Item 6.EXHIBITS
Reference is made to the Exhibit Index included herein.


Exhibit Index
Exhibit
Footnote
Exhibit Number Description of Document
(1)1.1 
    
(2)2.1 
    
(3)3.1 
    
(4)3.2 
    
 4.1 Reference is made to Exhibit 3.1 and Exhibit 3.2
    
(5)4.2 
    
(5)4.3 
    
(6)4.4 
    
(7)4.5 
    
(8)4.6 
    
(9)4.7 
    
(10)4.8 
    
(11)4.9 
    
(12)10.1 
    
*(13)10.2 
    
*(14)10.3 
    
*(15)10.4 
    
*(16)10.5 
    
*(17)10.6 
    
*(18)10.7 
    
*(15)10.8 
    
*(15)10.9 
    
*(15)10.10 
    
*(16)10.11 
    
*(19)10.12 
    
*(19)10.13 
    
*(20)10.14 
    
*(21)10.15 
    
*(16)10.16 
    
*(19)10.17 
    
*(20)10.18 
    
Exhibit
Footnote
Exhibit Number Description of Document
(1)3.1 
    
(2)3.2 
    
 4.1 Reference is made to Exhibit 3.1 and Exhibit 3.2
    
(3)4.2 
    
(3)4.3 
    
(4)4.4 
    
(5)4.5 
    
(6)4.6 
    
(7)4.7 
    
(8)4.8 
    
(9)4.9 
    
*(10)10.1 
    
*(11)10.2 
    
*(12)10.3 
    
*(13)10.4 
    
*(14)10.5 
    
*(12)10.6 
    
*(15)10.7 
    
*(15)10.8 
    
*(16)10.9 
    
*(15)10.10 
    
*(17)10.11 
    
*(17)10.12 
    
*(17)10.13 
    
*(17)10.14 
    
*(18)10.15 
    
*(17)10.16 
    
*(18)10.17 
    
*(17)10.18 
    
*(14)10.19 
    
*(19)10.20 
    
*(20)10.21 
    
*(20)10.22 
    

*(19)10.19
*(16)10.20
*(17)10.21
*(18)10.22
*(22)(20)10.23
*(23)10.24
*(24)10.25
*(24)10.26
*(23)10.27
*(24)10.28
*(24)10.29
*(25)10.30
*(24)10.31
*(25)10.32
*(24)10.33
*(26)10.34
*(16)10.35
*(27)10.36
*(18)10.37
*(28)10.38
*(29)10.39
*(29)10.40
*(29)10.41 
    
*(30)(21)10.4210.24 
    
*(31)(22)10.4310.25 
    
*(32)(23)10.4410.26 
    
*(33)(24)10.4510.27 
    
*(34)10.4610.28 
*(25)10.29
    
*(35)(26)10.4710.30 
    
*(36)(27)10.4810.31 
    
*(37)(28)10.4910.32 Form of Indemnity Agreement entered into between Registrant and its directors and executive officers
    
*(37)(28)10.5010.33 Form of Employee Proprietary Information and Invention Agreement entered into between Registrant and certain of its officers and key employees
    
*(38)(29)10.5110.34 
    
+(39) +(30)10.5210.35 Amendment Agreement, dated October 25, 1993, between Registrant, the Institute of Organic Chemistry and Biochemistry (IOCB) and Rega Stichting v.z.w. (REGA), together with the following exhibits: the License Agreement, dated December 15, 1991, between Registrant, IOCB and REGA (the 1991 License Agreement), the License Agreement, dated October 15, 1992, between Registrant, IOCB and REGA (the October 1992 License Agreement) and the License Agreement, dated December 1, 1992, between Registrant, IOCB and REGA (the December 1992 License Agreement)
    

 +(40)+(31)10.5310.36 
    
 +(41)+(32)10.5410.37 
    
 +(42)+(33)10.5510.38 
    
 +(43)+(34)10.5610.39 
    
 +(44)+(35)10.5710.40 
    
 +(44)+(35)10.5810.41 
    
 +(45)+(36)10.5910.42 
    
 +(46)+(37)10.6010.43 
    
 +(46)+(37)10.6110.44 
    
 +(47)+(38)10.6210.45 
    
 +(46)+(37)10.6310.46 
    
 +(48)+(39)10.6410.47 
    
 +(49)+(40)10.6510.48 
    
 +(50)+(41)10.6610.49 
    
+(51)(42)10.6710.50 

    
 31.1 
    
 31.2 
    
 32.1** 
    
 101*101.INS*** The following materials from Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2017, formatted in Extensible Business Reporting Language (XBRL) includes: (i) Condensed Consolidated Balance Sheets, (ii) Condensed Consolidated Statements of Income, (iii) Condensed Consolidated Statements of Comprehensive Income, (iv) Condensed Consolidated Statements of Cash Flows and (v) Notes to Condensed Consolidated Financial Statements.XBRL Instance Document
101.SCH***XBRL Taxonomy Extension Schema Document
101.CAL***XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF***XBRL Taxonomy Extension Definition Linkbase Document
101.LAB***XBRL Taxonomy Extension Label Linkbase Document

101.PRE***XBRL Taxonomy Extension Presentation Linkbase Document

(1)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on September 20, 2017, and incorporated herein by reference.
(2)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on August 28, 2017, and incorporated herein by reference.
(3)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on May 8, 2014, and incorporated herein by reference.
(4)(2)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on December 23, 2015, and incorporated herein by reference.
(5)(3)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on April 1, 2011, and incorporated herein by reference.
(6)(4)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on December 13, 2011, and incorporated herein by reference.
(7)(5)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on March 7, 2014, and incorporated herein by reference.
(8)(6)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on November 17, 2014, and incorporated herein by reference.
(9)(7)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on September 14, 2015, and incorporated herein by reference.
(10)(8)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on September 20, 2016, and incorporated herein by reference.
(11)(9)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on September 21, 2017, and incorporated herein by reference.
(12)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on September 13, 2017, and incorporated herein by reference.
(13)(10)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on May 12, 2017, and incorporated herein by reference.
(14)Filed as an exhibit to Registrant’s Current Report on Form 8-K/A filed on February 22, 2006, and incorporated herein by reference.
(15)(11)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007, and incorporated herein by reference.
(16)(12)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009, and incorporated herein by reference.
(17)(13)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2009, and incorporated herein by reference.
(18)(14)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2011, and incorporated herein by reference.
(19)(15)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2013, and incorporated herein by reference
(20)(16)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2014, and incorporated herein by reference.
(21)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2012, and incorporated herein by reference.
(22)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2012, and incorporated herein by reference.
(23)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2013, and incorporated herein by reference.
(24)(17)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2016, and incorporated herein by reference.
(25)(18)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2015, and incorporated herein by reference.
(26)(19)Filed as an exhibit to Registrant’s Current Report on Form 8-K first filed on May 8, 2015, and incorporated herein by reference.
(20)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 19, 2007,31, 2001, and incorporated herein by reference.
(21)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008, and incorporated herein by reference.
(22)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on March 11, 2016, and incorporated herein by reference.
(23)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2018, and incorporated herein by reference.
(24)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on May 17, 2016, and incorporated herein by reference.
(25)Filed on Registrant’s Current Report on Form 8-K filed on February 5, 2018, and incorporated herein by reference.
(26)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2008, and incorporated herein by reference.
(27)Filed as an exhibit to Registrant’s QuarterlyCurrent Report on Form 10-Q for the quarter ended March 31, 2010,8-K filed on August 7, 2018, and incorporated herein by reference.
(28)Filed as an exhibit to Registrant’s Current ReportRegistration Statement on Form 8-K filed on May 8, 2015,S-1 (No. 33-55680), as amended, and incorporated herein by reference.
(29)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2001,2006, and incorporated herein by reference.
(30)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008, and incorporated herein by reference.
(31)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on March 11, 2016, and incorporated herein by reference.
(32)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2015, and incorporated herein by reference.
(33)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on May 17, 2016, and incorporated herein by reference.
(34)Filed as an exhibit to Registrant’s Current Report on Form 8-K filed on February 3, 2016, and incorporated herein by reference.

(35)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2008, and incorporated herein by reference.
(36)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2016, and incorporated herein by reference.
(37)Filed as an exhibit to Registrant’s Registration Statement on Form S-1 (No. 33-55680), as amended, and incorporated herein by reference.
(38)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2006, and incorporated herein by reference.
(39)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended March 31, 1994, and incorporated herein by reference.
(40)(31)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2000, and incorporated herein by reference.
(41)(32)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2006, and incorporated herein by reference.
(42)(33)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2013, and incorporated herein by reference.
(43)(34)Filed as an exhibit to Triangle Pharmaceuticals, Inc.’s Quarterly Report on Form 10-Q/A filed on November 3, 1999, and incorporated herein by reference.
(44)(35)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2005, and incorporated herein by reference.
(45)(36)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2005, and incorporated herein by reference.
(46)(37)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2011, and incorporated herein by reference.
(47)(38)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2015, and incorporated herein by reference.
(48)(39)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2013, and incorporated herein by reference.
(49)(40)Filed as an exhibit to Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, and incorporated herein by reference.
(50)(41)Filed as an exhibit to Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2014, and incorporated herein by reference.
(51)(42)Filed as an exhibit to Kite Pharma, Inc.’s Registration Statement on Form S-1/A (No. 333-196081) filed on June 17, 2014, and incorporated herein by reference.

*Management contract or compensatory plan or arrangement.
**This certification accompanies the Form 10-Q to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of Registrant under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Form 10-Q), irrespective of any general incorporation language contained in such filing.
***XBRL information is filed herewith.
+Certain confidential portions of this Exhibit were omitted by means of marking such portions with an asterisk (the Mark). This Exhibit has been filed separately with the Secretary of the Securities and Exchange Commission without the Mark pursuant to Registrant’s Application Requesting Confidential Treatment under Rule 24b-2 under the Securities Exchange Act of 1934, as amended.





SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. 

  GILEAD SCIENCES, INC.
  (Registrant)
   
Date:November 6, 20172018
/s/    JOHN F. MILLIGAN        
  
John F. Milligan, Ph.D.
President and Chief Executive Officer
(Principal Executive Officer)
   
Date:November 6, 20172018
/s/    ROBIN L. WASHINGTON        
  
Robin L. Washington
Executive Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)

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