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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Income Statement [Abstract]          
Net revenues $ 86,713 $ 61,514 $ 160,022 $ 113,639 $ 248,069
Cost of revenues 21,106 19,833 40,920 38,071 80,048
Gross profit 65,607 41,681 119,102 75,568 168,021
Operating costs and expenses:          
Research, development and clinical trials 19,454 11,362 36,496 22,466 50,574
Sales and marketing 23,708 19,196 46,041 37,331 77,663
General and administrative 21,249 18,208 41,487 35,533 73,456
Total operating costs and expenses 64,411 48,766 124,024 95,330 201,693
Operating income (loss) 1,196 (7,085) (4,922) (19,762) (33,672)
Financial expenses (income), net 1,239 2,860 3,610 7,713 12,270
Income (loss) before income taxes (43) (9,945) (8,532) (27,475) (45,942)
Income taxes 1,227 5,565 4,888 8,759 17,617
Net income (loss) $ (1,270) $ (15,510) $ (13,420) $ (36,234) $ (63,559)
Basic and diluted net income (loss) per ordinary share $ (0.01) $ (0.17) $ (0.14) $ (0.40) $ (0.69)
Weighted average number of ordinary shares used in computing basic and diluted net income (loss) per share 96,356,317 91,331,862 95,583,802 90,658,735 91,828,043