Revenue Recognition (Tables)

12 Months Ended

Dec. 31, 2019

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, 2019, 2018 and 2017 is as follows:

	For the years ended December 31,
(In thousands)	2019		2018		2017
Healthcare insurers	$	419,101	$	492,995	$	495,209
Government payors	116,662		150,851		140,195
Client payors	159,972		148,070		126,264
Patients	20,699		21,332		21,042
Total	$	716,434	$	813,248	$	782,710

Schedule of Product Sales Allowances and Accruals

The following table presents an analysis of product sales allowances and accruals as contract liabilities for the years ended December 31, 2019 and 2018:

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at December 31, 2018	$	1,316		$	2,090		$	637		$	4,043
Provision related to current period sales	13,723			25,106			3,699			42,528
Credits or payments made	(11,845		)	(21,355		)	(1,585		)	(34,785		)
Balance at December 31, 2019	$	3,194		$	5,841		$	2,751		$	11,786
Total gross Rayaldee sales										$	73,965
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales										57		%

(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	5,704			10,061			680			16,445
Credits or payments made	(4,621		)	(8,319		)	(480		)	(13,420		)
Balance at December 31, 2018	$	1,316		$	2,090		$	637		$	4,043
Total gross Rayaldee sales										$	36,715
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales										45		%