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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Operating activities:    
Net loss $ (164,997,000) $ (146,829,000)
Adjustments to reconcile net loss to net cash used for operating activities:    
Stock-based compensation expense 34,183,000 40,312,000
Depreciation and amortization 2,135,000 1,480,000
Amortization of debt discount 1,013,000 780,000
Realized gain on available-for-sale securities 0 (8,000)
Amortization of premium (accretion of discount) on short-term investments 39,000 (3,264,000)
Impairment of property and equipment 61,000 80,000
Loss on disposal of property and equipment   53,000
Change in operating assets and liabilities:    
Accounts receivable 6,225,000 (2,303,000)
Inventory (17,781,000) 14,860,000
Prepaid expenses and other assets 6,799,000 (5,549,000)
Accounts payable 9,309,000 (15,236,000)
Accrued clinical and manufacturing liabilities 6,104,000 1,603,000
Accrued payroll and employee liabilities (2,013,000) (3,263,000)
Other accrued liabilities (13,343,000) 19,681,000
Net cash used for operating activities (132,266,000) (97,603,000)
Investing activities:    
Purchases of short-term investments (92,040,000) (287,579,000)
Maturities and sales of short-term investments 248,525,000 395,406,000
Purchases of property and equipment (4,319,000) (3,251,000)
Net cash provided by investing activities 152,166,000 104,576,000
Financing activities:    
Net proceeds from sale of common stock   (110,000)
Proceeds from stock option exercises 1,833,000 20,239,000
Proceeds from purchases under the Employee Stock Purchase Plan 1,507,000 1,170,000
Proceeds from warrant exercises 3,000  
Net cash provided by financing activities 3,343,000 21,299,000
Net increase in cash and cash equivalents 23,243,000 28,272,000
Cash and cash equivalents at beginning of year 71,898,000 31,836,000
Cash and cash equivalents at end of period $ 95,141,000 $ 60,108,000