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Consolidated Statements of Cash Flows - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Operating activities:      
Net income (loss) $ 2,000 $ (29,126,000) $ (59,995,000)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:      
Depreciation and amortization 8,920,000 10,598,000 10,033,000
Acquired in-process research and development 7,000,000 0 0
Stock-based compensation 11,826,000 32,633,000 36,575,000
Provision for credit loss (recovery) 0 1,000,000 1,000,000
Provision for credit loss (recovery) 0 (1,000,000) (1,000,000)
Disposal of property and equipment 1,000 1,000 0
Loss on debt extinguishment 0 8,146,000 0
Changes in operating assets and liabilities:      
Accounts receivable, net (7,824,000) (5,983,000) 2,353,000
Inventory, net 2,583,000 (3,655,000) (284,000)
Prepaid expenses and other 2,367,000 2,669,000 2,207,000
Other current assets (1,982,000) 3,194,000 (3,120,000)
Accounts payable (4,734,000) (902,000) (7,107,000)
Accrued expenses and other (33,065,000) 5,209,000 19,251,000
Post-marketing commitment liability (921,000) (1,134,000) (140,000)
Net cash provided by (used in) operating activities (15,827,000) 20,650,000 773,000
Investing activities:      
Purchase of property and equipment 0 0 (46,000)
Acquired in-process research and development (7,000,000) 0 0
Purchase of available-for-sale securities (4,836,000) (38,073,000) (29,826,000)
Maturity of available-for-sale securities 18,940,000 27,192,000 73,275,000
Purchase of intangible assets 0 0 (10,000,000)
Net cash provided by (used in) investing activities 7,104,000 (10,881,000) 33,403,000
Financing activities:      
Net proceeds from shares issued under employee stock plans 0 0 68,000
Gross proceeds from private investments in public equity 12,500,000 0 0
Issuance costs associated with private investments in public equity (277,000) 0 0
Proceeds from debt 0 98,500,000 8,444,000
Payment of debt 0 (100,000,000) (8,444,000)
Payment of prepayment costs, end of loan payment and other extinguishment costs 0 (8,521,000) 0
Payment of debt issuance costs 0 (1,910,000)
Installment payment for purchase of intangible asset 0 (20,000,000) (10,000,000)
Net cash provided by (used in) financing activities 12,223,000 (31,931,000) (9,932,000)
Net increase (decrease) in cash, cash equivalents and restricted cash 3,500,000 (22,162,000) 24,244,000
Cash, cash equivalents and restricted cash, beginning of period 75,292,000 97,454,000 73,210,000
Cash, cash equivalents and restricted cash, end of period 78,792,000 75,292,000 97,454,000
Supplemental disclosures of non-cash investing and financing activities:      
Intangibles in accrued in-license rights 12,500,000 0 20,000,000
Supplemental disclosure of cash flow information:      
Interest paid 10,319,000 10,342,000 9,703,000
Income taxes paid $ 384,000 $ 324,000 $ 207,000