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CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY - USD ($)
shares in Thousands, $ in Thousands
Common Stock
Additional Paid-In Capital
Accumulated Deficit
Total
Balance at Dec. 31, 2019 $ 1,501 $ 1,209,846 $ (1,287,468) $ (76,121)
Balance (in shares) at Dec. 31, 2019 150,136      
Increase (Decrease) in Shareholders' Equity (Deficit)        
Net loss     (44,372) (44,372)
Issuance of common stock pursuant to the exercise of stock options and employee stock purchase plan $ 5 1,466   1,471
Issuance of common stock pursuant to the exercise of stock options and employee stock purchase plan (in shares) 458      
Issuance of common stock, net of issuance costs $ 445 193,826   194,271
Issuance of common stock, net of issuance costs (in shares) 44,496      
Restricted stock award forfeitures $ (5) 5    
Restricted stock award forfeitures (in shares) (487)      
Restricted stock units vested $ 4 (4)    
Restricted stock units vested (in shares) 395      
Stock option and restricted stock compensation expense   13,978   13,978
Directors' deferred share unit compensation   343   343
Balance at Dec. 31, 2020 $ 1,950 1,419,460 (1,331,840) 89,570
Balance (in shares) at Dec. 31, 2020 194,998      
Increase (Decrease) in Shareholders' Equity (Deficit)        
Net loss     (139,303) (139,303)
Issuance of common stock pursuant to the exercise of stock options and employee stock purchase plan $ 10 3,759   3,769
Issuance of common stock pursuant to the exercise of stock options and employee stock purchase plan (in shares) 998      
Issuance of common stock, net of issuance costs $ 242 153,788   154,030
Issuance of common stock, net of issuance costs (in shares) 24,181      
Conversion of convertible senior notes $ 3 997   1,000
Conversion of convertible senior notes (in shares) 239      
Issuance of pre-funded warrants, net of issuance costs   199,045   199,045
Restricted stock award forfeitures $ (1) 1    
Restricted stock award forfeitures (in shares) (57)      
Restricted stock units vested (in shares) 2      
Stock option and restricted stock compensation expense   16,794   16,794
Directors' deferred share unit compensation   681   681
Balance at Dec. 31, 2021 $ 2,204 1,794,525 (1,471,143) $ 325,586
Balance (in shares) at Dec. 31, 2021 220,361     220,361
Increase (Decrease) in Shareholders' Equity (Deficit)        
Net loss     (222,929) $ (222,929)
Issuance of common stock pursuant to the exercise of stock options and employee stock purchase plan $ 5 1,900   1,905
Issuance of common stock pursuant to the exercise of stock options and employee stock purchase plan (in shares) 491      
Issuance of common stock, net of issuance costs $ 51 25,598   25,649
Issuance of common stock, net of issuance costs (in shares) 5,167      
Restricted stock units vested (in shares) 27      
Stock option and restricted stock compensation expense   24,899   24,899
Directors' deferred share unit compensation   716   716
Balance at Dec. 31, 2022 $ 2,260 $ 1,847,638 $ (1,694,072) $ 155,826
Balance (in shares) at Dec. 31, 2022 226,046     226,046