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Stock-Based Compensation (Tables)
12 Months Ended
Dec. 31, 2019
Share-based Payment Arrangement [Abstract]  
Summary of Activity Under ESPP
The table below summarizes the stock-based compensation expense, common stock purchased by Company employees and the average purchase price per share under the ESPP in the years ended December 31, 2019, 2018 and 2017.
 
Year Ended December 31,
 
2019
 
2018
 
2017
Stock-based compensation expense
$
131

 
$
1,033

 
$
850

Common stock purchased by Company employees
103,981

 
60,695

 
44,649

Average purchase price per share
$
3.33

 
$
22.16

 
$
56.43

Stock-based Compensation Expense Summary
The table below summarizes the impact of recording stock-based compensation expense in the Consolidated Statements of Operations and Comprehensive Loss in the years ended December 31, 2019, 2018 and 2017:

Year Ended December 31,

2019

2018

2017
Cost of goods sold
$
829

 
$
830

 
$
828

Operating expenses:
 
 
 
 
 
Research and development
1,346

 
1,132

 
1,259

Clinical and regulatory affairs
790

 
483

 
770

Marketing and sales
3,100

 
3,468

 
3,796

General and administrative
4,784

 
5,117

 
4,991

Total operating expenses
10,020

 
10,200

 
10,816

Total stock-based compensation expense
$
10,849

 
$
11,030

 
$
11,644

Schedule of Value Assumptions for Stock Options
The following assumptions were used to determine fair value for the stock options granted in the applicable year:

Year Ended December 31,

2019

2018

2017
Expected life (in years)
5.7
 
5.6
 
5.6
Volatility
62.9%
 
56.5%
 
51.3%
Risk-free interest rate
2.3%
 
2.7%
 
1.9%
Dividend yield
 
 
Weighted average grant date fair value per share
$6.48
 
$10.66
 
$25.13

Schedule of Stock Option Activity
Stock option activity in the year ended December 31, 2019 was as follows:
 
Number of
Shares
 
Weighted
Average
Exercise Price
 
Weighted-
Average
Remaining
Contractual Life 
(in years)
 
Aggregate Intrinsic Value (a)
Outstanding balance at December 31, 2018
1,315,360

 
$
54.20

 
 
 
 
Granted
2,039,387

 
6.48

 
 
 
 
Exercised

 

 
 
 
 
Forfeited
(508,630
)
 
38.86

 
 
 
 
Expired
(504,591
)
 
81.28

 
 
 
 
Outstanding balance at December 31, 2019
2,341,526

 
$
10.12

 
8.6
 
$

Vested and expected to vest balance at December 31, 2019
2,081,243

 
$
10.53

 
8.6
 
$

Exercisable balance at December 31, 2019
482,446

 
$
21.65

 
8.1
 
$


(a)
The aggregate intrinsic value of stock options as of December 31, 2019 is calculated based on the difference between the Company’s closing stock price on the last trading day of the period reported and the stock option exercise price.
Schedule of Outstanding and Exercisable Stock Options
The following table summarizes information regarding outstanding and exercisable stock options as of December 31, 2019:
 
 
Outstanding
 
Exercisable
Range of Exercise Prices
 
Number of Shares
 
Weighted
Average
Remaining
Contractual
Term (in years)
 
Weighted
Average
Exercise
Price
 
Number of Shares
 
Weighted
Average
Remaining
Contractual
Term (in years)
 
Weighted
Average
Exercise
Price
$
2.30

$
6.35

 
317,162

 
6.4
 
$
5.12

 

 
0.0
 
$

6.67

6.67

 
1,450,075

 
9.3
 
6.67

 
146,982

 
9.0
 
6.67

6.76

7.45

 
290,484

 
9.0
 
7.29

 
214,631

 
9.0
 
7.43

7.53

75.30

 
265,773

 
7.2
 
31.02

 
103,021

 
5.8
 
56.95

77.60

175.80

 
18,032

 
2.2
 
112.55

 
17,812

 
2.1
 
112.52

$
2.30

$
175.80

 
2,341,526

 
8.6
 
$
10.12

 
482,446

 
8.1
 
$
21.65

Summary of Activity for Restricted Stock Units
The following table summarizes the activity for RSUs:
 
Number of
Shares
 
Weighted Average
Grant Date Fair
Value
Unvested as of December 31, 2018
422,720

 
$
26.15

Granted (1)
745,498

 
6.51

Forfeited
(41,363
)
 
31.50

Vested
(255,873
)
 
16.69

Unvested as of December 31, 2019
870,982

 
$
11.88


(1)
Shares granted in 2019 include 470,886 performance stock units that require certain performance conditions to be achieved in order to vest.