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Revenue Recognition and Contractual Adjustments (Tables)
3 Months Ended
Mar. 31, 2020
Revenue from Contract with Customer [Abstract]  
Summary of Contract Assets and Liabilities The following table summarizes the values of contract assets, capitalized commissions and contract liabilities as of March 31, 2020 and December 31, 2019 (in thousands):
March 31, 2020December 31, 2019
Current pharma contract assets (1)
$1,127  $1,000  
Long-term pharma contract assets (2)
199  153  
Total pharma contract assets$1,326  $1,153  
Current pharma capitalized commissions (1)
$141  $133  
Long-term pharma capitalized commissions (2)
761  798  
Total pharma capitalized commissions$902  $931  
Current pharma contract liabilities$2,974  $1,610  
Long-term pharma contract liabilities (3)
526  1,171  
Total pharma contract liabilities$3,500  $2,781  
(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.
Summary 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 March 31,
20202019
Clinical Services:
    Client direct billing$54,292  $49,756  
    Commercial Insurance21,993  20,433  
    Medicare and Medicaid16,483  15,793  
    Self-Pay214  228  
Total Clinical Services $92,982  $86,210  
Pharma Services:13,048  9,367  
Total Revenue$106,030  $95,577