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Revenue Recognition (Tables)
3 Months Ended
Mar. 31, 2023
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, 2023 and 2022 was as follows:
 Three months ended March 31,
(In thousands)20232022
Healthcare insurers$80,602 $95,779 
Government payers20,417 27,588 
Client payers27,168 159,040 
Patients4,181 4,192 
Total$132,368 $286,599 
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, 2023 and 2022:
(In thousands)Chargebacks, discounts, rebates and feesGovernmental ReturnsTotal
Balance at December 31, 2022$1,532 $5,063 $1,683 $8,278 
  Provision related to current period sales3,306 4,045 286 7,637 
  Credits or payments made(3,264)(3,968)(293)(7,525)
Balance at March 31, 2023$1,574 $5,140 $1,676 $8,390 
Total gross Rayaldee sales
$14,281 
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales
53%
(In thousands)Chargebacks, discounts, rebates and feesGovernmental ReturnsTotal
Balance at December 31, 2021$2,014 $5,499 $2,639 $10,152 
  Provision related to current period sales3,215 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%
Schedule of Changes in Contractual Liabilities Balance Changes in the contractual liabilities balance during the three months ended March 31, 2023 were as follows:
(In thousands)
Balance at December 31, 2022$138 
Balance at March 31, 2023140 
Revenue recognized in the period from:
Amounts included in contracts liability at the beginning of the period(2)