Revenue Recognition (Tables)

12 Months Ended

Dec. 31, 2022

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, 2022, 2021 and 2020 is as follows:

	For the years ended December 31,
(In thousands)	2022		2021		2020
Healthcare insurers	$	326,144	$	520,244	$	483,643
Government payors	97,191		222,242		90,288
Client payors	316,309		843,405		637,645
Patients	15,986		21,215		50,666
Total	$	755,630	$	1,607,106	$	1,262,242

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, 2022, 2021 and 2020:

(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	12,995		18,165		1,170		32,330
Credits or payments made	(13,477)		(18,601)		(2,126)		(34,204)
Balance at December 31, 2022	$	1,532	$	5,063	$	1,683	$	8,278
Total gross Rayaldee sales							$	59,557
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							54		%

(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	14,426		21,553		1,286		37,265
Credits or payments made	(14,744)		(21,866)		(2,240)		(38,850)
Balance at December 31, 2021	$	2,014	$	5,499	$	2,639	$	10,152
Total gross Rayaldee sales							$	64,301
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							58		%

(In thousands)	Chargebacks, discounts, rebates and fees		Governmental		Returns		Total
Balance at December 31, 2019	$	3,194	$	5,841	$	2,751	$	11,786
Provision related to current period sales	17,604		32,721		2,066		52,391
Credits or payments made	(18,466)		(32,750)		(1,224)		(52,440)
Balance at December 31, 2020	$	2,332	$	5,812	$	3,593	$	11,737
Total gross Rayaldee sales							$	88,187
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales							59		%

Changes in Contractual Liabilities Balance

Changes in the contractual liabilities balance for the year ended December 31, 2022 are as follows:

(In thousands)
Balance at December 31, 2021	$	466
Balance at December 31, 2022	138
Revenue recognized in the period from:
Amounts included in contracts liability at the beginning of the period	$	328