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Revenue Recognition and Contractual Adjustments (Tables) | 3 Months Ended
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Mar. 31, 2018
Revenue Recognition [Abstract] |
Summary of Contract Assets and Liabilities | The following table summarizes the values of contract assets, capitalized commissions and contract liabilities as of March 31, 2018 and December 31, 2017 (in thousands):
| March 31, |  | December 31,
| 2018 |  | 2017
Current pharma contract asset | $ | 821 |  |  | $ | 541 |
Long-term pharma contract asset | 140 |  |  | 31 |
Total pharma contract asset | $ | 961 |  |  | $ | 572 |
Current pharma capitalized commissions | $ | 436 |  |  | $ | 371 |
Long-term pharma capitalized commissions | 213 |  |  | 171 |
Total pharma capitalized commissions | $ | 649 |  |  | $ | 542 |
Current pharma contract liability | $ | 2,193 |  |  | $ | 1,406 |
Long-term pharma contract liability | 522 |  |  | 283 |
Total pharma contract liability | $ | 2,715 |  |  | $ | 1,689 |
Summary of Disaggregation of Revenue | The following table details the disaggregation of revenue for both the Clinical and Pharma Services Segments (in thousands):
|  | Three Months Ended March 31,
|  | 2018 |  | 2017
Clinical Services: |  |  |  |
Client direct billing |  | $ | 38,530 |  |  | $ | 33,630 |
Commercial Insurance |  | 10,326 |  |  | 11,436 |
Medicare and Medicaid |  | 8,084 |  |  | 7,818 |
Self-Pay |  | 31 |  |  | 22 |
Total Clinical Services |  | $ | 56,971 |  |  | $ | 52,906 |
Pharma Services: |  | 6,452 |  |  | 4,521 |
Total Revenue |  | $ | 63,423 |  |  | $ | 57,427 |

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- Definition Tabular disclosure of contract balances and changes in contract balances. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 10 -URI http://asc.fasb.org/extlink&oid=82913847&loc=SL49130551-203045 + Details
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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=82913847&loc=SL49130545-203045 + Details
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