Revenue Recognition (Tables)

9 Months Ended

Sep. 30, 2018

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The composition of Revenue from services by payor for the three and nine months ended September 30, 2018 and 2017 is as follows:

	Three months ended September 30,				Nine months ended September 30,
(In thousands)	2018		2017		2018		2017
Healthcare insurers	$	92,059	$	92,978	$	288,071	$	313,065
Government payers	67,913		67,347		209,316		226,492
Client payers	37,772		34,724		116,123		106,499
Patients	5,067		5,827		16,670		17,277
Total	$	202,811	$	200,876	$	630,180	$	663,333

Schedule Of Product Sales Allowances And Accruals

The following table presents an analysis of product sales allowances and accruals as contract liabilities for the nine months ended September 30, 2018:

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at December 31, 2017	$	233		$	348		$	437		$	1,018
Provision related to current period sales	3,835			5,929			—			9,764
Credits or payments made	(3,030		)	(4,907		)	(377		)	(8,314		)
Balance at September 30, 2018	$	1,038		$	1,370		$	60		$	2,468
Total gross Rayaldee sales										$	24,074
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales										41		%