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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Mar. 31, 2021
Sep. 30, 2020
Mar. 31, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Operating activities:              
Net loss $ (59,544) $ (69,580) $ (59,959) $ (60,747) $ (212,162) $ (296,457)  
Adjustments to reconcile net loss to net cash used in operating activities:              
Depreciation and amortization         1,485 1,559  
Amortization of intangibles 9,000   6,100   27,032 24,307  
Intangible asset impairment charge         0 115,527  
Amortization of premium/discount on investments         (15) (31)  
Non-cash interest expense related to sale of future royalties         6,779 0  
Non-cash royalty revenue related to sale of future royalties         (425) 0  
Non-cash interest expense         852 1,255  
Non-cash operating lease expense         (1,415) (1,660)  
Fair value step-up of inventory sold or written off         21,575 39,522  
Write-down of inventory 1,700   8,500   7,126 18,608  
Change in excess inventory purchase commitments (6,000)       15,376 10,304  
Stock-based compensation         18,099 18,372  
Change in fair value of derivative liability 0 80     (490) 340  
Changes in operating assets and liabilities:              
Accounts receivable         (22,837) 14,398  
Inventory         (35,282) 6,415  
Prepaid expenses and other current assets         (25,020) (2,279)  
Other long-term assets         4,728 (6,518)  
Accounts payable         (14,933) 3,028  
Accrued expense         15,099 (6,072)  
Operating lease liabilities         1,173 1,032  
Deferred revenue         3,098 (21,256)  
Net cash used in operating activities         (190,157) (79,606)  
Investing activities:              
Purchase of equipment         (59) 0  
Purchase of available for sale securities         0 (99,932)  
Proceeds from the maturities of available for sale securities         40,000 245  
Net cash provided by (used in) investing activities         39,941 (99,687)  
Financing activities:              
Proceeds from sale of future royalties, net         44,783 0  
Proceeds from the issuance of common stock, net of issuance costs         82,799 198,883  
Proceeds from the sale of stock under employee stock purchase plan         746 1,100  
Proceeds from the exercise of stock options         0 1,226  
Net cash provided by financing activities         128,328 201,209  
Increase (decrease) in cash, cash equivalents, and restricted cash         (21,888) 21,916  
Cash, cash equivalents, and restricted cash at beginning of the period   $ 231,132   $ 149,804 231,132 149,804 $ 149,804
Cash, cash equivalents, and restricted cash at end of the period $ 209,244   $ 171,720   209,244 171,720 $ 231,132
Non-cash financing activities              
Unpaid offering costs         $ 57 $ 75