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Long-term Debt - Narrative (Details)
3 Months Ended 9 Months Ended
Sep. 12, 2019
USD ($)
installment
$ / shares
shares
Sep. 30, 2019
USD ($)
$ / shares
Sep. 12, 2019
USD ($)
installment
$ / shares
shares
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
$ / shares
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Debt Instrument [Line Items]              
Loss on extinguishment of debt   $ 7,155,000   $ 0 $ 7,155,000 $ 0  
Senior Notes | Note Purchase Agreement              
Debt Instrument [Line Items]              
Debt maximum borrowing capacity $ 150,000,000   $ 150,000,000        
Debt face amount 80,000,000 80,000,000 80,000,000   80,000,000   $ 75,000,000
Debt amount to be issued $ 70,000,000   $ 70,000,000        
Stated interest rate 10.75%   10.75%        
Debt principal payments, number of installments | installment 8   8        
Debt upfront fee $ 1,125,000   $ 1,125,000        
Number of shares called by warrants | shares 810,357   810,357        
Warrants exercise price (in USD per share) | $ / shares $ 6.72   $ 6.72        
Loans, term 5 years            
Debt issuance costs $ 4,836,000   $ 4,836,000        
Fair value of warrants $ 2,404,000            
Debt issuance costs, additional as percentage of principal amount 0.50%   0.50%        
Prepayment fee, after second and before third anniversary 2.00%   2.00%        
Prepayment fee, after third and before fourth anniversary 1.00%   1.00%        
Prepayment premium amount $ 0   $ 0        
Debt covenant, cash and cash equivalents   30,000     30,000    
Interest expense   $ 2,372,000   $ 2,361,000 $ 7,148,000 $ 6,855,000  
Senior Notes | Note Purchase Agreement - First Delayed Draw Notes              
Debt Instrument [Line Items]              
Debt amount to be issued 30,000,000   30,000,000        
Senior Notes | Note Purchase Agreement - First Delayed Draw Notes | Quarter Ended December 31, 2019              
Debt Instrument [Line Items]              
Debt issuance criteria term, net sales and royalties benchmark 9,000,000            
Senior Notes | Note Purchase Agreement - Second Delayed Draw Notes              
Debt Instrument [Line Items]              
Debt amount to be issued 20,000,000   20,000,000        
Senior Notes | Note Purchase Agreement - Second Delayed Draw Notes | Quarter Ended March 31, 2020              
Debt Instrument [Line Items]              
Debt issuance criteria term, net sales and royalties benchmark 11,000,000            
Senior Notes | Note Purchase Agreement - Second Delayed Draw Notes | Six Months Ended June 30, 2020              
Debt Instrument [Line Items]              
Debt issuance criteria term, net sales and royalties benchmark 25,000,000            
Senior Notes | Note Purchase Agreement - Third Delayed Draw Notes              
Debt Instrument [Line Items]              
Debt amount to be issued 20,000,000   20,000,000        
Senior Notes | Note Purchase Agreement - Third Delayed Draw Notes | Quarter Ended September 30, 2020              
Debt Instrument [Line Items]              
Debt issuance criteria term, net sales and royalties benchmark 14,500,000            
Senior Notes | Note Purchase Agreement - Third Delayed Draw Notes | Six Months Ended December 31, 2020              
Debt Instrument [Line Items]              
Debt issuance criteria term, net sales and royalties benchmark 31,000,000            
Senior Notes | Athyrium Senior Secured Notes              
Debt Instrument [Line Items]              
Prepayment premium amount $ 3,669,000   3,669,000        
Accrued and unpaid interest     $ 2,049,000        
Exit fee (as a percent) 2.00%   2.00%        
Loss on extinguishment of debt $ 7,155,000            
Warrants Expiring September 12, 2022              
Debt Instrument [Line Items]              
Warrants exercise price (in USD per share) | $ / shares   $ 6.72     $ 6.72