Revenue Recognition (Tables)

6 Months Ended

Jun. 30, 2022

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The composition of revenue from services by payor for the three and six months ended June 30, 2022 and 2021 was as follows:

	Three months ended June 30,				Six months ended June 30,
(In thousands)	2022		2021		2022		2021
Healthcare insurers	$	76,442	$	109,084	$	172,269	$	273,913
Government payers	25,659		57,611		53,263		131,269
Client payers	80,931		225,936		240,021		488,845
Patients	3,772		4,566		7,849		10,122
Total	$	186,804	$	397,197	$	473,402	$	904,149

Schedule of Product Sales Allowances and Accruals

The following table presents an analysis of product sales allowances and accruals for the three and six months ended June 30, 2022 and 2021:

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at March 31, 2022	$	1,588	$	5,282	$	2,333	$	9,203
Provision related to current period sales	3,411		5,442		308		9,161
Credits or payments made	(3,330)		(4,235)		(1,023)		(8,588)
Balance at June 30, 2022	$	1,669	$	6,489	$	1,618	$	9,776
Total gross Rayaldee sales							$	15,382
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							60%

(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	6,626		10,311		577		17,514
Credits or payments made	(6,971)		(9,321)		(1,598)		(17,890)
Balance at June 30, 2022	$	1,669	$	6,489	$	1,618	$	9,776
Total gross Rayaldee sales							$	28,861
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							61%

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at March 31, 2021	$	1,693	$	6,209	$	3,487	$	11,389
Provision related to current period sales	3,724		7,061		322		11,107
Credits or payments made	(3,716)		(5,684)		(485)		(9,885)
Balance at June 30, 2021	$	1,701	$	7,586	$	3,324	$	12,611
Total gross Rayaldee sales							$	16,122
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							69%

(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	7,539		12,755		635		20,929
Credits or payments made	(8,170)		(10,981)		(904)		(20,055)
Balance at June 30, 2021	$	1,701	$	7,586	$	3,324	$	12,611
Total gross Rayaldee sales							$	31,767
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							66%

Changes in Contractual Liabilities Balance

Changes in the contractual liabilities balance during the six months ended June 30, 2022 are as follows:

(In thousands)
Balance at December 31, 2021	$	466
Balance at June 30, 2022	449
Revenue recognized in the period from:
Amounts included in contracts liability at the beginning of the period	17