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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Total revenue, net $ 86,951 $ 64,872 $ 49,647
Cost of goods sold 18,838 15,975 6,335
Gross profit 68,113 48,897 43,312
Operating expenses:      
Selling and marketing 108,195 117,052 114,231
General and administrative 92,602 76,954 60,494
Research and development 7,086 10,432 19,792
Total operating expenses 207,883 204,438 194,517
Loss from operations (139,770) (155,541) (151,205)
Other (expense) income:      
Loss on extinguishment of debt     (10,058)
Interest expense and other financing costs (32,917) (28,581) (17,382)
Other income, net 272 598 2,500
Total other expense, net (32,645) (27,983) (24,940)
Loss before income taxes (172,415) (183,524) (176,145)
Net loss $ (172,415) $ (183,524) $ (176,145)
Loss per common share, basic and diluted $ (0.43) $ (0.67) $ (0.72)
Weighted average common shares, basic and diluted 397,992 275,649 246,353
Comprehensive loss:      
Net loss $ (172,415) $ (183,524) $ (176,145)
Comprehensive loss (172,415) (183,524) (176,145)
Product [Member]      
Total revenue, net 85,780 62,872 34,141
License [Member]      
Total revenue, net $ 1,171 $ 2,000 $ 15,506