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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2018
Income Tax Disclosure [Abstract]  
Schedule of Loss Before Income Taxes in the US and Globally The Company's loss before income taxes in the US and globally was as follows (in thousands):
 
Years Ended December 31,
2018
 
2017
 
2016
US
$
(286,211
)
 
$
(136,682
)
 
$
(140,354
)
Foreign
(37,865
)
 
(56,239
)
 
(35,821
)
Total
$
(324,076
)
 
$
(192,921
)
 
$
(176,175
)
Schedule of Components Income Tax (Benefit) Provision The Company's income tax (benefit) provision consisted of the following (in thousands):
 
Years Ended December 31,
 
2018
 
2017
 
2016
Current:
 

 
 

 
 

Federal
$

 
$

 
$

State
4

 
3

 
3

Foreign
197

 
142

 
95

 
201

 
145

 
98

Deferred:
 

 
 

 
 

Federal

 
(417
)
 

State

 

 

Foreign

 

 

 

 
(417
)
 

Total
$
201

 
$
(272
)
 
$
98

Reconciliation Between Federal Statutory Tax Rate and Effective Tax Rate The reconciliation between the federal statutory tax rates and the Company's effective tax rate is as follows:
 
Years Ended December 31,
 
2018
 
2017
 
2016
Statutory federal tax rate
21
 %
 
34
 %
 
34
 %
Permanent items
 %
 
(3
)%
 
(3
)%
State income taxes, net of federal benefit
5
 %
 
4
 %
 
4
 %
R&D and other tax credits
2
 %
 
8
 %
 
8
 %
Foreign income taxes
(1
)%
 
(6
)%
 
(4
)%
Impact of Tax Act
 %
 
(49
)%
 
 %
Change in valuation allowance
(27
)%
 
12
 %
 
(39
)%
Other
 %
 
 %
 
 %
Effective tax rate
 %
 
 %
 
 %
Schedule of Components of Deferred Tax Assets and Liabilities The components of the deferred tax assets and liabilities consist of the following:
 
As of December 31,
 
2018
 
2017
Deferred tax assets:
 

 
 

Net operating loss carryforwards
$
231,918

 
$
186,342

General business credits
109,502

 
66,371

Product license
6,902

 
7,730

Inventory
7,651

 

Other
24,855

 
17,217

Gross deferred tax assets
$
380,828

 
$
277,660

Deferred tax liabilities:
 

 
 

Intangibles
$
(15,424
)
 
$
(16,360
)
Convertible debt
(32,799
)
 

Deferred tax liabilities
$
(48,223
)
 
$
(16,360
)
Net deferred tax assets
$
332,605

 
$
261,300

Valuation allowance
(332,605
)
 
(261,300
)
Net deferred tax assets
$

 
$

Schedule of Unrecognized Tax Benefits The following table summarizes the gross amounts of unrecognized tax benefits (in thousands):

 
Net Deferred Tax Assets
Balance as of January 1,
$

 
$

Additions related to prior period tax positions
3,345

 

Additions related to current period tax positions
742

 

Balance as of December 31,
$
4,087

 
$