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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
CASH FLOWS USED IN OPERATING ACTIVITIES:      
Net loss $ (221,337) $ (254,237) $ (182,804)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization 2,867 1,951 586
Amortization of premium (accretion of discount) on marketable securities, net (390) (264) 791
Stock-based compensation expense 28,701 35,003 26,058
Non-cash interest 13,800 4,816 0
Changes in operating assets and liabilities:      
Inventory (1,844) (4,366) 0
Trade receivables, net (12,317) (4,441) 0
Prepaid expenses (8,667) (3,689) (342)
Other current assets 989 (1,362) 4,996
Other long-term assets 255 (248) (291)
Accounts payable 311 (2,213) (100)
Accrued expenses and other current liabilities (7,000) 22,563 11,349
Other non-current liabilities (94) (190) 0
Net cash used in operating activities (204,726) (206,677) (139,757)
CASH FLOWS (USED IN) PROVIDED BY INVESTING ACTIVITIES:      
Purchases of property and equipment (185) (2,341) (2,936)
Payment of milestone related to intangible asset 0 (8,712) 0
Purchases of marketable securities (499) (429,296) (260,547)
Sales and maturities of marketable securities 135,000 191,363 499,603
Net cash (used in) provided by investing activities 134,316 (248,986) 236,120
CASH FLOWS PROVIDED BY FINANCING ACTIVITIES:      
Proceeds from exercise of stock options 9,106 17,478 2,573
Proceeds from issuance of convertible notes 0 305,000 0
Deferred financing costs 0 (9,360) 0
Proceeds from employee stock purchase plan 2,566 2,550 0
Net cash provided by financing activities 11,672 315,668 2,573
NET (DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH (58,738) (139,995) 98,936
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH AT BEGINNING OF YEAR 118,619 258,614 159,678
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH AT END OF YEAR 59,881 118,619 258,614
SUPPLEMENTAL DISCLOSURES:      
Cash paid for interest 9,582 0 0
Property and equipment purchases in accrued expense $ 309 $ 352 $ 675