Revenue Recognition (Tables)

6 Months Ended

Jun. 30, 2020

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The composition of Revenue from services by payor for the six months ended June 30, 2020 and 2019 was as follows:

	Three months ended June 30,				Six months ended June 30,
(In thousands)	2020		2019		2020		2019
Healthcare insurers	$	84,082	$	106,278	$	183,232	$	211,207
Government payers	15,886		28,634		42,784		59,037
Client payers	141,090		38,101		180,191		76,559
Patients	9,913		5,445		15,604		10,546
Total	$	250,971	$	178,458	$	421,811	$	357,349

Client payers include cities and states for which BioReference provides COVID-19 testing services.

Schedule of Product Sales Allowances and Accruals

The following table presents an analysis of product sales allowances and accruals for the three and six months ended June 30, 2020:

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at March 31, 2020	$	2,863	$	6,199	$	3,332	$	12,394
Provision related to current period sales	4,468		9,073		686		14,227
Credits or payments made	(4,441)		(8,273)		(188)		(12,902)
Balance at June 30, 2020	$	2,890	$	6,999	$	3,830	$	13,719
Total gross Rayaldee sales							$	22,876
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							62		%

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at December 31, 2019	$	3,194	$	5,841	$	2,751	$	11,786
Provision related to current period sales	9,293		16,281		1,389		26,963
Credits or payments made	(9,597)		(15,123)		(310)		(25,030)
Balance at June 30, 2020	$	2,890	$	6,999	$	3,830	$	13,719
Total gross Rayaldee sales							$	45,559
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							59		%