Revenue Recognition (Tables)

12 Months Ended

Dec. 31, 2017

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The composition of Revenue from services by payor for the years ended December 31, 2017, 2016 and 2015 is as follows:

	For the years ended December 31,
(In thousands)	2017		2016		2015
Healthcare insurers	$	368,628	$	649,036	$	204,181
Government payers	264,493		118,526		40,880
Client payers	128,867		127,363		47,836
Patients	20,722		33,647		12,404
Total	$	782,710	$	928,572	$	305,301

Schedule Of Product Sales Allowances And Accruals

The following table presents an analysis of product sales allowances and accruals as contract liabilities for the year ended December 31, 2017:

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at December 31, 2016	$	—		$	—		$	—		$	—
Provision related to current period sales	1,591			1,332			490			3,413
Credits or payments made	(1,358		)	(984		)	(53		)	(2,395		)
Balance at December 31, 2017	$	233		$	348		$	437		$	1,018
Total gross Rayaldee sales										$	12,482
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales										27		%