Revenue Recognition (Tables)

3 Months Ended

Mar. 31, 2022

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, 2022 and 2021 was as follows:

	Three months ended March 31,
(In thousands)	2022		2021
Healthcare insurers	$	95,779	$	164,829
Government payers	27,588		73,658
Client payers	159,040		262,907
Patients	4,192		5,557
Total	$	286,599	$	506,951

Schedule of Product Sales Allowances and Accruals

The following table presents an analysis of product sales allowances and accruals for the three months ended March 31, 2022 and 2021:

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at December 31, 2021	$	2,014	$	5,499	$	2,639	$	10,152
Provision related to current period sales	3,215		4,869		269		8,353
Credits or payments made	(3,641)		(5,086)		(575)		(9,302)
Balance at March 31, 2022	$	1,588	$	5,282	$	2,333	$	9,203
Total gross Rayaldee sales							$	13,479
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							62%

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at December 31, 2020	$	2,332	$	5,812	$	3,593	$	11,737
Provision related to current period sales	3,815		5,694		313		9,822
Credits or payments made	(4,454)		(5,297)		(419)		(10,170)
Balance at March 31, 2021	$	1,693	$	6,209	$	3,487	$	11,389
Total gross Rayaldee sales							$	15,645
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							63%

Changes in Contractual Liabilities Balance

Changes in the contractual liabilities balance during the three months ended March 31, 2022 are as follows:

(In thousands)
Balance at December 31, 2021	$	466
Balance at March 31, 2022	462
Revenue recognized in the period from:
Amounts included in contracts liability at the beginning of the period	4