Revenue Recognition (Tables)

3 Months Ended

Mar. 31, 2019

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The composition of Revenue from services by payor for the three months ended March 31, 2019 and 2018 is as follows:

	Three months ended March 31,
(In thousands)	2019		2018
Healthcare insurers	$	105,878	$	132,253
Government payers	29,510		35,190
Client payers	38,422		38,032
Patients	5,081		5,840
Total	$	178,891	$	211,315

Schedule of Product Sales Allowances and Accruals

The following table presents an analysis of product sales allowances and accruals as contract liabilities for the three months ended March 31, 2019:

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at December 31, 2018	$	1,316		$	2,090		$	637		$	4,043
Provision related to current period sales	2,253			3,911			637			6,801
Adjustment related to prior period sales	—			100			—			100
Credits or payments made	(2,062		)	(3,255		)	(786		)	(6,103		)
Balance at March 31, 2019	$	1,507		$	2,846		$	488		$	4,841
Total gross Rayaldee sales										$	12,734
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales										54		%