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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Operating activities:    
Net loss $ (51,579,000) $ (63,012,000)
Adjustments to reconcile net loss to net cash used for operating activities:    
Stock-based compensation expense 11,974,000 17,902,000
Depreciation and amortization 621,000 467,000
Amortization of debt discount 310,000 247,000
Realized gain on available-for-sale securities 0 (8,000)
Accretion of discount on short-term investments (117,000) (1,357,000)
Impairment of property and equipment 27,000 27,000
Loss on disposal of property and equipment   52,000
Change in operating assets and liabilities:    
Accounts receivable 5,068,000 (9,355,000)
Prepaid expenses and other assets 10,803,000 (346,000)
Inventory (9,881,000) 7,611,000
Accounts payable 8,804,000 (6,052,000)
Accrued clinical and manufacturing liabilities 707,000 (868,000)
Accrued payroll and employee liabilities (6,478,000) (6,757,000)
Other accrued liabilities (3,194,000) 12,425,000
Net cash used for operating activities (32,935,000) (49,024,000)
Investing activities:    
Purchases of short-term investments (28,922,000) (127,763,000)
Maturities and sales of short-term investments 95,675,000 164,009,000
Purchases of property and equipment (2,938,000) (2,136,000)
Net cash provided by investing activities 63,815,000 34,110,000
Financing activities:    
Proceeds from stock option exercises 504,000 6,539,000
Proceeds from warrant exercises 3,000  
Net cash provided by financing activities 507,000 6,539,000
Net increase (decrease) in cash and cash equivalents 31,387,000 (8,375,000)
Cash and cash equivalents at beginning of year 71,898,000 31,836,000
Cash and cash equivalents at end of period $ 103,285,000 $ 23,461,000