Revenue Recognition (Tables)

3 Months Ended

Mar. 31, 2018

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, 2018 and 2017 is as follow:

	Three months ended March 31,
(In thousands)	2018		2017
Healthcare insurers	$	100,953	$	112,696
Government payers	67,136		77,053
Client payers	37,529		33,939
Patients	5,697		4,857
Total	$	211,315	$	228,545

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, 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	961			1,339			(70		)	2,230
Credits or payments made	(805		)	(955		)	(185		)	(1,945		)
Balance at March 31, 2018	$	389		$	732		$	182		$	1,303
Total gross Rayaldee sales										$	5,922
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales										38		%