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Revenue Recognition (Tables)
6 Months Ended
Jun. 30, 2022
Revenue from Contract with Customer [Abstract]  
Schedule of Contract Assets and Liabilities
The following table summarizes the values of contract assets, capitalized commissions and contract liabilities (in thousands):
June 30, 2022December 31, 2021
Current pharma contract assets (1)
$1,951 $1,738 
Long-term pharma contract assets (2)
283 236 
Total pharma contract assets$2,234 $1,974 
Current pharma capitalized commissions (1)
$128 $109 
Long-term pharma capitalized commissions (2)
1,139 882 
Total pharma capitalized commissions$1,267 $991 
Current pharma contract liabilities$6,348 $5,192 
Long-term pharma contract liabilities (3)
1,121 917 
Total pharma contract liabilities$7,469 $6,109 
(1) Current pharma contract assets and Current pharma capitalized commissions are classified as other current assets on the Consolidated Balance Sheets.
(2) Long-term pharma contract assets and Long-term pharma capitalized commissions are classified as other assets on the Consolidated Balance Sheets.
(3) Long-term pharma contract liabilities are classified as other long-term liabilities on the Consolidated Balance Sheets.
Schedule of Disaggregation of Revenue
The following table details the disaggregation of revenue for both the Clinical and Pharma Services Segments (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2022202120222021
Clinical Services:
    Client direct billing$69,874 $63,137 $134,888 $123,846 
    Commercial Insurance18,512 20,528 36,800 39,102 
    Medicare and Medicaid17,167 17,484 32,632 34,634 
    Self-Pay82 256 106 310 
Total Clinical Services $105,635 $101,405 $204,426 $197,892 
Pharma Services:19,437 20,319 37,815 39,365 
Total Revenue$125,072 $121,724 $242,241 $237,257