Note 13 - Revenue Recognition (Tables)

6 Months Ended

Jun. 30, 2025

Revenue from Contract with Customer [Abstract]

Disaggregation of Revenue

The composition of revenue from services by payor for the three and six months ended June 30, 2025 and 2024 was as follows:

	Three months ended June 30,				Six months ended June 30,
(In thousands)	2025		2024		2025		2024
Healthcare insurers	$	58,478	$	78,808	$	116,130	$	153,416
Government payers		17,102		21,234		34,257		43,193
Client payers		23,168		25,061		48,448		50,749
Patients		2,353		4,292		5,110		8,928
Total	$	101,101	$	129,395	$	203,945	$	256,286

Schedule of Product Sales Allowances and Accruals

The following table presents an analysis of Rayaldee product sales allowances and accruals for the three and six months ended June 30, 2025 and 2024:

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at March 31, 2025	$	1,228		$	3,851		$	2,478		$	7,557
Provision related to current period sales		3,173			3,858			291			7,322
Credits or payments made		(3,161	)		(3,583	)		(452	)		(7,196	)
Balance at June 30, 2025	$	1,240		$	4,126		$	2,317		$	7,683
Total gross Rayaldee sales										$	14,528
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales											50	%

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at December 31, 2024	$	2,070		$	5,365		$	2,465		$	9,900
Provision related to current period sales		6,258			7,292			553			14,103
Credits or payments made		(7,088	)		(8,531	)		(701	)		(16,320	)
Balance at June 30, 2025	$	1,240		$	4,126		$	2,317		$	7,683
Total gross Rayaldee sales										$	27,638
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales											51	%

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at March 31, 2024	$	2,494		$	4,475		$	2,215		$	9,184
Provision related to current period sales		4,400			6,416			368			11,184
Credits or payments made		(4,151	)		(4,900	)		(389	)		(9,440	)
Balance at June 30, 2024	$	2,743		$	5,991		$	2,194		$	10,928
Total gross Rayaldee sales										$	18,424
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 December 31, 2023	$	2,578		$	6,150		$	2,192		$	10,920
Provision related to current period sales		8,219			10,548			672			19,439
Credits or payments made		(8,054	)		(10,707	)		(670	)		(19,431	)
Balance at June 30, 2024	$	2,743		$	5,991		$	2,194		$	10,928
Total gross Rayaldee sales										$	33,582
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales											58	%