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Income Taxes Schedule of reconciliation of income taxes computed using the U.S. federal statutory rate to that reflected in operations (Details) - USD ($)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Tax Disclosure [Abstract]      
Income tax benefit using U.S. federal statutory rate $ (86,426,000) $ (62,141,000) $ (34,391,000)
State income taxes, net of federal benefit (22,148,000) (5,236,000) (4,434,000)
Stock-based compensation (5,909,000) 1,585,000 752,000
Research and development tax credits (2,468,000) (2,794,000) (1,469,000)
Effect of federal tax law change 82,767,000 0 0
Other adjustments - ASU 2016-09 adoption 6,135,000 0 0
Change in the valuation allowance (19,198,000) 48,096,000 39,291,000
Convertible note 47,016,000 0 0
Permanent items 543,000 53,000 26,000
Other (312,000) 1,371,000 225,000
Expiring NOLs and credits - 382 Limitation 0 19,066,000 0
Income tax expense $ 0 $ 0 $ 0