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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Operating activities:    
Net loss $ (113,234,000) $ (90,935,000)
Adjustments to reconcile net loss to net cash used for operating activities:    
Stock-based compensation expense 30,608,000 15,522,000
Depreciation and amortization 959,000 711,000
Amortization of debt discount 507,000 428,000
Realized gain on short-term investments (8,000) 0
Accretion of discount on short-term investments (2,437,000) (864,000)
Impairment on property and equipment 54,000  
Loss on disposal of property and equipment 53,000 3,000
Change in operating assets and liabilities:    
Accounts receivable (2,169,000) (4,012,000)
Prepaid expenses and other assets 2,454,000 (3,039,000)
Inventory 9,762,000 (17,287,000)
Accounts payable (8,866,000) (13,790,000)
Accrued clinical and manufacturing liabilities 913,000 (8,934,000)
Accrued payroll and employee liabilities (4,415,000) (1,974,000)
Other accrued liabilities 13,687,000 1,729,000
Net cash used for operating activities (72,132,000) (122,442,000)
Investing activities:    
Purchases of short-term investments (204,358,000) (157,885,000)
Maturities and sales of short-term investments 284,606,000 22,500,000
Purchases of property and equipment (4,299,000) (2,238,000)
Net cash provided by (used for) investing activities 75,949,000 (137,623,000)
Financing activities:    
Net proceeds from sale of common stock   363,127,000
Proceeds from stock option exercises 16,215,000 10,641,000
Proceeds from purchases under the Employee Stock Purchase Plan 1,170,000 648,000
Net cash provided by financing activities 17,385,000 374,416,000
Net increase in cash and cash equivalents 21,202,000 114,351,000
Cash and cash equivalents at beginning of year 31,836,000 144,583,000
Cash and cash equivalents at end of period $ 53,038,000 258,934,000
Supplemental disclosure of cash flow information:    
Interest paid   1,000,000
Cumulative effect of adoption of new accounting standard   $ 1,574,000