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Income Taxes - Reconciliation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Reconciliation between the amount of reported income tax and the amount computed using U.S. Statutory rate      
Pre-tax loss $ (60,947) $ (50,878) $ (151,949)
Loss at statutory rates (12,799) (10,684) (31,909)
Research and development credits (1,778) (1,902) (2,056)
State taxes (5,802) (2,170) (6,406)
Other (1,152) (1,011) (1,175)
Change in fair value remeasurement of contingent consideration (886) (272) (6,220)
Intangible impairment     19,105
Impact of pass-through entities     (913)
Expiration of NOLs and R&D credit 20,294 18,966  
Change in Valuation Allowance 956 $ (2,927) 28,809
Income tax (benefit) provision $ (1,167)   $ (765)