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Stock Option Plans
12 Months Ended
Dec. 31, 2020
Share-based Payment Arrangement [Abstract]  
Stock Option Plans Stock Option Plans
In 2007, the Company established its 2007 Stock Option Plan which provided for the granting of stock options to employees, directors and consultants of the Company. In connection with its acquisition of NeuroCo in December 2018, the Company also assumed NeuroCo’s 2015 Equity Incentive Plan. In March 2019, the Company's Board of Directors approved the termination of the 2007 Stock Option Plan and the NeuroCo 2015 Equity Incentive Plan and the adoption of the 2019 Equity Incentive Plan, or the 2019 Plan, which became effective immediately prior to the Company's IPO. The 2019 Plan provides for the grant of ISOs to employees and for the grant of NSOs, restricted stock, restricted stock units, stock appreciation rights, performance units and performance shares to employees, directors and consultants. A total of 2,317,000 shares of common stock were initially reserved for issuance pursuant to the 2019 Plan. In addition, the shares reserved for issuance under the 2019 Plan will also include shares reserved but not issued under the 2007 Stock Option Plan, plus any share awards granted under the 2007 Stock Option Plan that expire or terminate without having been exercised in full or that are forfeited or repurchased. In addition, the number of shares available for issuance under the 2019 Plan will also include an annual increase on the first day of each fiscal year, equal to the lesser of (i) 3,000,000 shares; (ii) 4.0% of the outstanding shares of common stock as of the last day of the immediately preceding fiscal year; or (iii) an amount as determined by the Board of Directors. As of December 31, 2020, the Company has reserved 3,635,009 shares of common stock for issuance under the 2019 Plan.
A summary of the shares available for issuance under the 2007 Stock Option Plan, NeuroCo 2015 Equity Incentive Plan and 2019 Plan, or the Plans, is as follows:
Number of Shares
Balances, December 31, 2017328,290 
Authorized223,664 
Granted(629,716)
Canceled135,651 
Balances, December 31, 201857,889 
Authorized2,317,000 
Granted(848,023)
Canceled27,824
Balances, December 31, 20191,554,690
Authorized1,250,210 
Granted/Awarded(1,079,883)
Cancelled65,670 
Balances, December 31, 20201,790,687 
The exercise price of ISOs and NSOs shall not be less than 100% and 85%, respectively, of the estimated fair value of the shares on the date of grant as determined by the Board of Directors. The exercise price of ISOs and NSOs granted to a 10% stockholder shall not be less than 110% of the estimated fair value of the shares on the date of grant as determined by the Board of Directors. To date, options have a term of ten years and generally vest over 4 years from the date of grant.
Stock option activity under the Company's Plans is set forth below:
Options Outstanding
Number of SharesWeighted Average Exercise PriceWeighted Average Remaining Contractual Term (in Years)Aggregate Intrinsic Value (in thousands)
Balances, December 31, 20174,308,890 $3.09 7.81$5,073 
Options granted629,716 $6.51 
Options exercised(438,578)$1.50 
Options cancelled(135,651)$1.56 
Balances, December 31, 20184,364,377 $3.79 7.36$33,132 
Options granted848,023 $22.77 
Options exercised(873,786)$1.77 
Options cancelled(27,824)$8.71 
Balances, December 31, 20194,310,790 $7.91 7.27$140,234 
Options granted1,010,843 $40.67 
Options exercised(1,018,779)$3.42 
Options cancelled(65,026)$23.32 
Balances, December 31, 20204,237,828 $16.56 7.38$197,407 
Vested and exercisable at December 31, 20202,392,563 $8.48 6.53$130,417 
Vested and expected to vest at December 31, 20204,237,828 $16.56 7.38$197,407 
The aggregate intrinsic value of options exercised during the years ended December 31, 2020, 2019 and 2018 was $47,861,000, $24,867,000 and $787,000, respectively. The aggregate intrinsic value was calculated as the difference between the exercise prices of the underlying options and the estimated fair value of the common stock on the date of exercise. The weighted-average grant date fair value of options granted during the years ended December 31, 2020, 2019 and 2018 was $18.22, $10.17 and $2.93 per share, respectively. The total fair value of options vested during the years ended December 31, 2020, 2019 and 2018 was $5,138,000, $2,221,000 and $569,000, respectively, based on the grant date fair value.
The following table summarizes information about stock options outstanding and vested as of December 31, 2020:
Options OutstandingOptions Vested
Exercise PriceOptions OutstandingWeighted Average Remaining Contractual Term (in Years)Weighted Average Exercise PriceNumber ExercisableWeighted Average Exercise Price
$1.35 - $3.16
1,214,279 5.45$1.97 1,128,865 $1.88 
$4.73 - $7.10
722,615 7.17$5.64 443,670 $5.69 
$8.27 - $12.41
564,188 7.08$11.67 394,727 $11.81 
$20.00 - $30.00
656,009 8.26$20.00 270,305 $20.00 
$30.93 - $46.40
771,966 9.21$33.50 136,151 $33.76 
$47.20 - $70.80
308,771 9.53$58.86 18,845 $51.99 
4,237,828 7.38$16.56 2,392,563 $8.48 
Restricted Stock Units
In March 2020, the Company began granting restricted stock units, or RSUs, under the 2019 Plan. RSUs generally vest over four years in annual equal increments, no RSUs vested during the year ended December 31, 2020. The fair value of RSUs is based on the Company’s closing stock price on the date of grant. A summary of RSUs activity for the year ended December 31, 2020 is as follows:
Number of Restricted Stock UnitsWeighted Average Grant Date Fair Value
Balances, December 31, 2019— 
Restricted stock granted69,040 $46.14 
Restricted stock vested— 
Restricted stock forfeited(644)$44.62 
Balances, December 31, 202068,396 $46.16 
Expected to vest at December 31, 202068,396 $46.16 

2019 Employee Stock Purchase Plan
In March 2019, the Company's Board of Directors adopted the 2019 Employee Stock Purchase Plan, or the 2019 ESPP, under which eligible employees are permitted to purchase common stock at a discount through payroll deductions. A total of 434,000 shares of common stock were initially reserved for
issuance and is increased on the first day of each fiscal year by an amount equal to the lesser of (i) 1,200,000 shares (ii) 1.0% of the outstanding shares of common stock as of the last day of the immediately preceding fiscal year; or (iii) an amount as determined by the Board of Directors. As of December 31, 2020, the Company has reserved 746,552 shares of common stock for issuance under the 2019 ESPP. The price of the common stock purchased will be the lower of 85% of the fair market value of the common stock at the beginning of an offering period or at the end of a purchase period. The 2019 ESPP was effective upon adoption by the Company's Board of Directors but was not in use until the completion of the Company's IPO in April 2019. The 2019 ESPP is intended to qualify as an "employee stock purchase plan" within the meaning of Section 423 of the Internal Revenue Code of 1986, as amended.
As of December 31, 2020, 114,175 shares of common stock have been issued to employees participating in the 2019 ESPP and 632,377 shares were available for future issuance under the 2019 ESPP.

Stock-Based Compensation
The Company estimated the fair value of stock options using the Black–Scholes option pricing model. The fair value of employee and nonemployee stock options is being amortized on a straight–line basis over the requisite service period of the awards. The fair value of employee and nonemployee stock options was estimated using the following assumptions for the years ended December 31, 2020, 2019 and 2018:
Year Ended December 31,
202020192018
Expected term (in years)
5.25 - 6.25
5.00 - 6.25
5.00 - 6.25
Expected volatility
43.0% - 50.3%
42.4% - 42.9%
38.0% - 38.8%
Risk-free interest rate
0.32% - 1.41%
1.47% - 2.54%
2.68% - 2.98%
Dividend yield—%—%—%
Prior to completion of the Company's IPO, the fair value of common stock was determined by the Company’s Board of Directors, who considered, among other things, contemporaneous valuations of the Company’s common stock prepared by an unrelated third-party valuation firm in accordance with the guidance provided by the American Institute of Certified Public Accountants Practice Guide, Valuation of Privately-Held-Company Equity Securities Issued as Compensation. For stock options granted after the completion of the IPO, the fair value of the underlying common stock is based on the closing price of the Company's common stock on The NASDAQ Global Market on the date of grant. The expected term of stock options represents the weighted-average period the stock options are expected to remain outstanding. The Company does not have sufficient historical exercise and post-vesting termination activity to provide accurate data for estimating the expected term of options and has opted to use the “simplified method,” whereby the expected term equals the arithmetic average of the vesting term and the original contractual term of the option. The expected stock price volatility assumption was determined by examining the historical volatilities for industry peers, as the Company does not have sufficient trading history for the Company’s common stock. The Company will continue to analyze the historical stock price volatility and expected term assumption as more historical data for the Company’s common stock becomes available. The risk-free interest rate assumption is based on the U.S. Treasury instruments whose term was consistent with the expected term of the Company’s stock options. The expected dividend assumption is based on the Company’s history and expectation of dividend payouts.
Effective January 1, 2018, the Company made an accounting policy election to account for forfeitures as they occur.
The fair value of the shares to be issued under the Company’s 2019 ESPP was estimated using the Black-Scholes valuation model with the following assumptions for the years ended December 31, 2020 and 2019:
Year Ended December 31,
20202019
Expected term (in years)0.50
0.50 - 0.63
Expected volatility
44.4% - 76.4%
44.4% - 47.8%
Risk-free interest rate
0.10% - 1.58%
1.58% - 2.45%
Dividend yield—%—%
The following table summarizes the total stock-based compensation expense included in the statements of operations for all periods presented (in thousands):
Year Ended December 31,
202020192018
Cost of goods sold$339 $179 $51 
Research and development expenses1,110 426 256 
Selling, general and administrative expenses5,777 2,372 604 
$7,226 $2,977 $911 
As of December 31, 2020, there was total unrecognized compensation costs of $20,188,000 related to stock options expected to be recognized over a period of approximately 3.02 years, a total of $2,716,000 of unrecognized compensation costs related to unvested RSUs expected to be recognized over a period of approximately 3.48 years and $295,000 related to the ESPP, which the Company will recognize over 0.38 years.