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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
CASH FLOWS FROM OPERATING ACTIVITIES:        
Net loss   $ (93,601) $ (37,983)  
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation and amortization expense   139,396 118,017  
Equity-settled share-based compensation   83,478 48,915  
Acquired in-process research and development expense   47,517    
Loss on debt extinguishment   17,254 17,464  
Amortization of debt discount and deferred financing costs   10,817 11,622  
Loss on sale of assets $ 10,963   10,963  
Deferred income taxes   (4,561) (1,257)  
Foreign exchange and other adjustments   661 493  
Changes in operating assets and liabilities:        
Accounts receivable   (135,125) 69,787  
Inventories   (12,343) (504)  
Prepaid expenses and other current assets   (20,410) (17,696)  
Accounts payable   83,555 11,554  
Accrued trade discounts and rebates   (177,721) (59,151)  
Accrued expenses   81,505 (28,071)  
Deferred revenues     2,410  
Other non-current assets and liabilities   16,586 873  
Net cash provided by operating activities   37,008 147,436  
CASH FLOWS FROM INVESTING ACTIVITIES:        
Payments for acquisitions   (262,305)    
Purchases of property and equipment   (119,970) (6,858)  
Change in escrow deposit for property purchase   6,000    
Proceeds from sale of assets     6,000  
Net cash used in investing activities   (376,275) (858)  
CASH FLOWS FROM FINANCING ACTIVITIES:        
Net proceeds from the issuance of ordinary shares     326,793  
Repayment of term loans     (818,026)  
Repayment of senior notes     (258,282)  
Net proceeds from term loans     517,378  
Proceeds from the issuance of ordinary shares in conjunction with ESPP program   7,979 5,465  
Proceeds from the issuance of ordinary shares in connection with stock option exercises   25,887 12,029  
Payment of employee withholding taxes relating to share-based awards   (53,009) (24,374)  
Net cash used in financing activities   (19,143) (239,017)  
Effect of foreign exchange rate changes on cash, cash equivalents and restricted cash   58 58  
Net decrease in cash, cash equivalents and restricted cash   (358,352) (92,381)  
Cash, cash equivalents and restricted cash, beginning of the period   1,080,039 962,117 $ 962,117
Cash, cash equivalents and restricted cash, end of the period $ 869,736 721,687 869,736 $ 1,080,039
SUPPLEMENTAL CASH FLOW INFORMATION:        
Cash paid for interest   30,068 49,516  
Cash paid for amounts included in the measurement of lease liabilities   3,797 2,906  
Cash paid for income taxes, net of refunds received   597 7,644  
SUPPLEMENTAL NON-CASH FLOW INFORMATION:        
Principal amount of Exchangeable Senior Notes exchanged for ordinary shares   207,044    
Purchases of property and equipment included in accounts payable and accrued expenses   2,912 $ 1,941  
TEPEZA [Member]        
SUPPLEMENTAL NON-CASH FLOW INFORMATION:        
Milestone payments for TEPEZZA intangible asset included in accrued expenses   $ 98,606