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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Operating activities    
Net income $ 45,907 $ 56,654
Adjustments to reconcile net income to net cash provided by operating activities:    
Amortization expense 166,419 109,833
Depreciation expense 3,259 2,815
Deferred income taxes (15,585) (16,658)
Stock-based compensation expense 32,153 24,804
Non-cash lease expense (benefit) 443 (67)
Non-cash interest expense for amortization of debt discount and issuance costs 4,065 4,592
Net accretion for deferred royalty obligation 1,666 473
Loss on extinguishment of debt   11,329
Net amortization of premiums and discounts on investments (818) (1,652)
Change in fair value of contingent consideration (1,163)  
Changes in operating assets and liabilities:    
Accounts receivable (5,417) (4,520)
Inventory (2,492) 11,455
Prepaid expenses and other assets 217 (12,122)
Accounts payable 3,673 (12,088)
Accrued liabilities (20,200) (61,952)
Accrued rebates, returns and discounts (5,807) 7,440
Operating lease assets and liabilities 10  
Deferred revenue (55)  
Net cash provided by operating activities 206,275 120,336
Investing activities    
Acquisition of Ironshore (net of cash acquired)   (267,538)
Purchases of property and equipment (1,051) (1,082)
Purchases of marketable securities (87,746) (84,003)
Maturities of marketable securities 45,334 76,626
Net cash used in investing activities (43,463) (275,997)
Financing activities    
Proceeds from issuances of common stock from employee stock purchase plan 1,363 827
Proceeds from the exercise of stock options 3,295 10,073
Payments made for employee stock tax withholdings (11,985) (18,891)
Repurchases of common stock, including the ASR agreement (25,104) (35,000)
Repayment of term notes (48,438) (91,667)
Proceeds from term note modification, net of fees paid to lender of $11,825   313,175
Redemption of 2026 Convertible Notes, including premium and redemption costs   (33,245)
Repayment of assumed debt from Ironshore acquisition   (164,598)
Payments made for deferred purchase price for acquisition (7,555)  
Net cash used in financing activities (88,424) (19,326)
Net increase (decrease) in cash, cash equivalents and restricted cash 74,388 (174,987)
Cash, cash equivalents and restricted cash at beginning of period 96,612 239,994
Cash, cash equivalents and restricted cash at end of period 171,000 65,007
Reconciliation of cash, cash equivalents and restricted cash to the Condensed Consolidated Balance Sheets:    
Cash and cash equivalents 150,096 38,960
Restricted cash 20,904 26,047
Total cash, cash equivalents and restricted cash 171,000 65,007
Supplemental disclosure of cash flow information    
Cash paid for interest 57,067 47,210
Cash paid for income taxes 47,761 51,469
Supplemental disclosure of non-cash activities    
Acquisition of property and equipment included in accounts payable and accrued liabilities $ 314  
Contingent consideration   4,096
Business combination consideration payable   $ 28,956