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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 129 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Cash flows from operating activities:          
Net loss     $ (308,510) $ (378,192)  
Adjustments to reconcile net loss to net cash used in operating activities:          
Non-cash royalty revenue related to the sales of future royalties     (52,167) (58,667) $ 385,618
Non-cash interest expense on liabilities related to the sales of future royalties $ 6,953 $ 12,801 21,710 39,186 265,983
Change in fair value of development derivative liability 0 3,328 (33,427) 7,640  
Non-cash research and development expense     4,951 11,497  
Stock-based compensation 12,518 24,657 44,582 72,269  
Depreciation and amortization     9,848 10,710  
Impairment of right-of-use assets and property, plant and equipment 1,200   58,521 0  
Amortization of premiums (discounts), net and other non-cash transactions     (372) 5,677  
Changes in operating assets and liabilities:          
Accounts receivable     10,960 9,895  
Inventory     (3,256) (38)  
Operating leases, net     (1,423) 2,932  
Other assets     4,861 814  
Accounts payable     (4,184) 1,247  
Accrued compensation     8,657 18,350  
Other accrued expenses     (7,055) (4,442)  
Net cash used in operating activities     (246,304) (261,122)  
Cash flows from investing activities:          
Purchases of investments     (295,439) (816,049)  
Maturities of investments     626,424 902,687  
Sales of investments     0 5,035  
Purchases of property, plant and equipment     (5,164) (9,093)  
Net cash provided by investing activities     325,821 82,580  
Cash flows from financing activities:          
Proceeds from shares issued under equity compensation plans     655 31,436  
Cash receipts from development derivative liability     750 2,250  
Net cash provided by financing activities     1,405 33,686  
Effect of foreign exchange rates on cash and cash equivalents     (382) (82)  
Net increase (decrease) in cash and cash equivalents     80,540 (144,938)  
Cash and cash equivalents at beginning of period     25,218 198,955  
Cash and cash equivalents at end of period $ 105,758 $ 54,017 105,758 54,017 $ 105,758
Supplemental disclosures of cash flow information:          
Operating lease right-of-use asset recognized in exchange for lease liabilities     $ 0 $ 1,057