Note 13 - Revenue Recognition (Tables)

9 Months Ended

Sep. 30, 2025

Revenue from Contract with Customer [Abstract]

Disaggregation of Revenue

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

	Three months ended September 30,				Nine months ended September 30,
(In thousands)	2025		2024		2025		2024
Healthcare insurers	$	53,915	$	76,184	$	170,045	$	229,600
Government payers		15,597		20,368		49,855		63,561
Client payers		23,509		20,773		71,957		71,521
Patients		2,223		3,946		7,333		12,875
Total	$	95,244	$	121,271	$	299,190	$	377,557

Schedule of Product Sales Allowances and Accruals

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

(In thousands)	Chargebacks, discounts, rebates and fees			Governmental			Returns			Total
Balance at June 30, 2025	$	1,240		$	4,126		$	2,317		$	7,683
Provision related to current period sales		3,207			3,894			297			7,398
Credits or payments made		(2,793	)		(3,797	)		(307	)		(6,897	)
Balance at September 30, 2025	$	1,654		$	4,223		$	2,307		$	8,184
Total gross Rayaldee sales										$	14,876
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		9,465			11,186			850			21,501
Credits or payments made		(9,881	)		(12,328	)		(1,008	)		(23,217	)
Balance at September 30, 2025	$	1,654		$	4,223		$	2,307		$	8,184
Total gross Rayaldee sales										$	42,515
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 June 30, 2024	$	2,743		$	5,991		$	2,194		$	10,928
Provision related to current period sales		4,005			5,776			317			10,098
Credits or payments made		(5,058	)		(7,013	)		(278	)		(12,349	)
Balance at September 30, 2024	$	1,690		$	4,754		$	2,233		$	8,677
Total gross Rayaldee sales										$	15,865
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales											64	%

(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		12,224			16,325			989			29,538
Credits or payments made		(13,112	)		(17,721	)		(948	)		(31,781	)
Balance at September 30, 2024	$	1,690		$	4,754		$	2,233		$	8,677
Total gross Rayaldee sales										$	49,447
Provision for Rayaldee sales allowances and accruals as a percentage of gross Rayaldee sales											60	%