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Debt (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended 43 Months Ended
Apr. 30, 2019
Dec. 31, 2018
Aug. 08, 2017
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Dec. 31, 2017
Mar. 31, 2019
Aug. 31, 2017
Sep. 30, 2015
Debt Instrument [Line Items]                        
Interest paid           $ 4,300 $ 4,000          
Issuance of common stock to Orbimed       $ 506   $ 506     $ 2,700      
Common stock, shares issued   62,083,000   70,035,000   70,035,000   70,035,000        
Amortization of debt discount       $ 100 $ 100 $ 215 195          
Debt discount       1,000   1,000   $ 1,000        
Interest expense       2,721 2,560 5,445 4,949          
Net carrying amount   $ 73,357   73,511   73,511   73,511        
Line Of Credit-UBS                        
Debt Instrument [Line Items]                        
Maximum borrowing capacity                       $ 50,000
Outstanding balance       50,100   50,100   50,100        
Accrued interest                   $ 1,100    
Interest expense       500 400 $ 900 700          
Line Of Credit-UBS | 30-day LIBOR                        
Debt Instrument [Line Items]                        
Spread on interest rate (as a percent)           1.10%            
2017 Term Loan                        
Debt Instrument [Line Items]                        
Maximum borrowing capacity     $ 100,000                  
Available borrowing capacity     75,000                  
Remaining borrowing capacity   $ 50,000 $ 25,000               $ 50,000  
Interest expense       2,200 $ 2,000 $ 4,500 $ 4,000          
Additional interest in the event of default (as a percent)     3.00%                  
Issuance of common stock to Orbimed               3,200        
Debt instrument, term     84 months                  
Common stock, shares issued 25,000                   300,000  
2017 Term Loan | Minimum                        
Debt Instrument [Line Items]                        
Prepayment premium (as a percent)     2.50%                  
2017 Term Loan | Maximum                        
Debt Instrument [Line Items]                        
Prepayment premium (as a percent)     12.50%                  
2017 Term Loan | Base Rate                        
Debt Instrument [Line Items]                        
Spread on interest rate (as a percent)   8.50% 8.75%                  
Base interest rate (as a percent)   1.00% 1.00%                  
2017 Term Loan | Base Rate | Scenario of minimum capacity of $25.0 million drawn                        
Debt Instrument [Line Items]                        
Spread on interest rate (as a percent) 8.25%                      
2017 Term Loan | Direct reduction from outstanding debt balance                        
Debt Instrument [Line Items]                        
Debt instrument, fee amount     $ 2,000                  
Unamortized debt discount       1,500   1,500   1,500        
2017 Term Loan | Noncurrent assets                        
Debt Instrument [Line Items]                        
Debt instrument, fee amount       $ 1,200   $ 1,200   $ 1,200     $ 1,200