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Interest Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Other Income and Expenses [Abstract]        
Interest expense $ (5,033) $ (4,945) $ (14,593) $ (14,430)
Interest expense on nonrecourse liability related to sale of future royalties (892) (1,143) (2,896) (3,228)
Total (5,925) (6,088) (17,489) (17,658)
Amortization of deferred financing costs and debt discount $ 4,400 $ 4,200 $ 13,037 $ 12,351