CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
CASH FLOWS FROM OPERATING ACTIVITIES
Net income (loss)	$ 181,468	$ 34,597	$ (36,944)
Adjustments to reconcile net income to net cash used in operating activities:
Depreciation	419	416	394
Intangible amortization	22,966	18,424	9,843
Acquired in-process research & development (IPR&D) expense			2,000
Stock-based and employee stock purchase compensation expense	26,173	15,659	4,693
Stock appreciation rights market adjustment	732	446	497
Warrant expense			3,109
Debt issuance costs amortization	1,663	2,238	2,412
Deferred taxes	(85,943)
Amortization of premiums and accretion of discounts on Investment securities	(432)
Loss on debt extinguishment		26,146	22,639
Other non-cash expenses	1,526
Change in operating assets and liabilities:
Trade receivables	(19,897)	(12,667)	(17,922)
Inventory	135	(609)	(2,735)
Prepaid expenses and other assets	(7,548)	(1,655)	(5,774)
Trade payables	2,785	(1,555)	(3,804)
Accrued expenses and other current liabilities	20,570	17,263	18,450
Other non-current liabilities	(151)	(146)	157
Net cash provided by operating activities	144,466	98,557	(2,985)
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of investment securities	(110,729)
Proceeds from maturities and sales of investment securities	9,069
Purchase of property and equipment	(172)	(298)	(2)
Milestone payments	(40,000)	(100,000)	(2,000)
Net cash used in investing activities	(141,832)	(100,298)	(2,002)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock upon initial public offering			147,628
Initial public offering issuance costs			(12,193)
Proceeds from issuance of common stock		30,000
Common stock issuance costs		(300)
Proceeds from long term debt		200,000	200,000
Debt issuance costs		(9,152)	(5,804)
Extinguishment of debt		(200,000)	(102,538)
Extinguishment of debt exit fees		(22,000)	(18,047)
Principal repayment of long term debt	(2,000)	(500)
Proceeds from exercised options	8,841	9,371	299
Repurchase of common stock			(167)
Tax payments for employees shares withheld			(17)
Net cash provided by financing activities	6,841	7,419	209,161
NET INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH	9,475	5,678	204,174
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH-Beginning of period	235,059	229,381	25,207
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH-End of period	244,534	235,059	229,381
Supplemental Disclosure of Cash Flow Information:
Cash paid during the year for interest	16,364	19,830	26,203
Cash paid during the year for taxes	$ 12,645	$ 2,875
Supplemental Disclosures of Noncash Investing and Financing Activities:
Warrant financing			2,359
Warrant liability reclassified to equity			5,468
Series A Convertible Preferred Stock
Supplemental Disclosures of Noncash Investing and Financing Activities:
Preferred Stock accrued return			22,780
Accretion of issuance costs			5,562
Series B Convertible Preferred Stock
Supplemental Disclosures of Noncash Investing and Financing Activities:
Preferred Stock accrued return			777
Accretion of issuance costs			53
Series C Convertible Preferred Stock
Supplemental Disclosures of Noncash Investing and Financing Activities:
Preferred Stock accrued return			3,347
Accretion of issuance costs			$ 921