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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Cash flows from operating activities:    
Net income (loss) $ 38,883 $ (145,161)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Depreciation and amortization 5,133 5,341
Share-based compensation 14,379 7,673
Non-cash royalty revenue (28,903) (29,950)
Non-cash interest expense 48,295 44,109
Donation of assets   622
Loss on disposal of assets 83 14
Change in fair value of contingent obligations 13,531 4,652
Gain on extinguishment of debt (6,197)  
Loss on modification of debt   2,720
Changes in operating assets and liabilities:    
Accounts receivable (20,596) 15,883
Prepaid expenses (7,612) (822)
Accounts payable 4,885 6,291
Deferred revenue (20,384) (8,741)
Accrued liabilities and other current liabilities (11,181) (8,748)
Other operating assets and liabilities 2,756 2,611
Net cash provided by (used in) operating activities 33,072 (103,506)
Cash flows from investing activities:    
Purchases of plant and equipment (24,852) (2,632)
Purchases of available-for-sale securities (4,999)  
Cash paid for business acquisition, net   (975)
Net cash used in investing activities (29,851) (3,607)
Cash flows from financing activities:    
Net proceeds from sale of equity 147,437 151,431
Proceeds from employee stock purchases and option exercises 8,829 4,408
Proceeds from issuance of long-term debt   6,197
Repayments of debt (462) (1,231)
Payment of contingent purchase price consideration (1,542)  
Payment of finance lease obligation (603) (1,597)
Net cash provided by financing activities 153,659 159,208
Effect of exchange rate changes on cash (187) 241
Net increase in cash, cash equivalents and restricted cash 156,693 52,336
Cash, cash equivalents and restricted cash, beginning of period 102,505 61,808
Cash, cash equivalents and restricted cash, end of period 259,198 114,144
Supplemental cash flow information:    
Cash paid for interest 862 892
Supplemental disclosures - non-cash activities:    
Purchases of plant and equipment in accounts payable and accrued liabilities 3,481 166
Issuance of subsidiary shares to noncontrolling interest 10,000  
Insurance financing agreement 987  
Contingent purchase price consideration in connection with business acquisition   144
Lease right-of-use assets obtained in exchange for new operating lease liabilities 898 8,600
Lease right-of-use assets obtained in exchange for new finance lease liabilities 762 2,434
Payment for services [Member]    
Supplemental disclosures - non-cash activities:    
Issuance of common stock 75 62
Business Acquisition Related [Member]    
Supplemental disclosures - non-cash activities:    
Issuance of common stock   $ 900
Employee bonus [Member]    
Supplemental disclosures - non-cash activities:    
Issuance of common stock 3,126  
Series C-1 Convertible Preferred Stock [Member]    
Supplemental disclosures - non-cash activities:    
Conversion of series C-1 convertible preferred stock to common stock, $0.01 par value $ 26,917