Revenue (Tables)

9 Months Ended

Sep. 30, 2019

Revenue

Schedule of disaggregation of revenue

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
		2019		2018		2019		2018
Major service lines:
MRM prescription fulfillment services	$	34,966	$	28,045	$	99,320	$	82,603
MRM services		25,810		15,467		75,010		45,821
Health plan management services		8,905		5,383		27,205		10,220
Pharmacy cost management services		4,557		5,412		9,803		8,073
Other services		32		111		146		243
	$	74,270	$	54,418	$	211,484	$	146,960

Schedule of contract assets and contract liabilities from contracts with customers

	September 30,		December 31,
	2019		2018
Contract assets	$	6,168	$	3,075
Contract liabilities		4,667		1,733

Schedule of significant changes in the contract assets and the contract liabilities balances

	September 30,
	2019
Contract assets:
Contract assets, beginning of period	$	3,075
Decreases due to cash received		(5,499)
Changes to the contract assets at the beginning of the year as a result of changes in estimates		1,547
Increases, net of reclassifications to receivables		7,045
Contract assets, end of period	$	6,168
Contract liabilities:
Contract liabilities, beginning of period	$	1,733
Revenue recognized that was included in the contract liabilities balance at the beginning of the period		(1,497)
Increases due to cash received, excluding amounts recognized as revenue during the period		2,910
Increases due to business combinations, excluding amounts recognized as revenue during the period		1,521
Contract liabilities, end of period	$	4,667