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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Operating activities:    
Net loss $ (63,888) $ (52,614)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock-based compensation expense 10,915 11,486
Depreciation and amortization 721 739
Amortization of debt discount   502
Amortization of debt issuance costs 50  
Amortization of premium on short-term investments 104 48
Impairment of property and equipment 47 80
Loss on disposal of property and equipment 96  
Change in operating assets and liabilities:    
Accounts receivable (5,604) 3,325
Inventory (8,088) (724)
Prepaid expenses and other assets (405) (2,718)
Accounts payable 4,423 1,164
Accrued clinical and manufacturing liabilities 13,561 4,257
Accrued payroll and employee liabilities (3,049) (3,968)
Other accrued and other non-current liabilities 7,178 (3,515)
Net cash used in operating activities (43,939) (41,938)
Investing activities:    
Purchases of short-term investments (38,023) (44,058)
Maturities and sales of short-term investments 49,957 40,500
Purchases of property and equipment (1,044) (786)
Proceeds from the sale of property and equipment 56  
Net cash provided by (used in) investing activities 10,946 (4,344)
Financing activities:    
Net proceeds from issuance of common stock under equity incentive plan (637) 883
Net cash (used in) provided by financing activities (637) 883
Net decrease in cash and cash equivalents (33,630) (45,399)
Cash and cash equivalents at beginning of year 90,541 105,138
Cash and cash equivalents at end of period $ 56,911 $ 59,739