Form 10-Q - Quarterly report [Sections 13 or 15(d)]

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_______________________________________________________

FORM 10-Q

(Mark One)


☒			QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2024


☐			TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission File Number 001-37565

NovoCure Limited

(Exact Name of Registrant as Specified in Its Charter)


Jersey						98-1057807
(State or Other Jurisdiction of						(I.R.S. Employer
Incorporation or Organization)						Identification No.)

No. 4 The Forum

Grenville Street

St. Helier, Jersey JE2 4UF

(Address of principal executive offices, including zip code)

+44 (0) 15 3475 6700

(Registrant’s Telephone Number, Including Area Code)

Not Applicable

(Former Name, Former Address and Former Fiscal Year, If Changed Since Last Report)

_______________________________________________________

Securities registered pursuant to Section 12(b) of the Securities Exchange Act of 1934:


Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Ordinary Shares, no par value	NVCR	The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐.

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐.

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

☒

Accelerated filer

☐

Non-accelerated filer

☐

Smaller reporting company

☐

Emerging growth company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒.

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.


Class						Outstanding as of July 19, 2024
Ordinary shares, no par value						108,217,490 Shares

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

In addition to historical facts or statements of current condition, this report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements contained in this report are based on our current plans, expectations, hopes, beliefs, intentions or strategies concerning future developments and their impact on us. Forward-looking statements contained in this report constitute our expectations or forecasts of future events as of the date this report was filed with the Securities and Exchange Commission and are not statements of historical fact. You can identify these statements by the fact that they do not relate strictly to historical or current facts. Such statements may include words such as “anticipate,” “will,” “estimate,” “expect,” “project,” “intend,” “should,” “plan,” “believe,” “hope” and other words and terms of similar meaning in connection with any discussion of, among other things, future operating or financial performance, strategic initiatives and business strategies, regulatory or competitive environments, our intellectual property and research and development related to our Tumor Treating Fields ("TTFields") devices marketed under various brand names, including "Optune Gio" and "Optune Lua", and software, tools and other items to support and optimize the delivery of TTFields (collectively, the “Products”). In particular, these forward-looking statements include, among others, statements about:

•our research and development, clinical study and commercialization activities and projected expenditures;

•the further commercialization of our Products for current and future indications;

•our business strategies and the expansion of our sales and marketing efforts in the United States ("U.S.") and in other countries;

•the market acceptance of our Products for current and future indications by patients, physicians, third-party payers and others in the healthcare and scientific community;

•our plans to pursue the use of our Products for the treatment of indications other than glioblastoma (“GBM”) and malignant pleural mesothelioma (“MPM”);

•our estimates regarding revenues, expenses, capital requirements and needs for additional financing;

•our ability to obtain regulatory approvals for the use of our Products in indications other than GBM and MPM;

•our ability to acquire from third-party suppliers the supplies needed to manufacture our Products;

•our ability to manufacture adequate supply of our Products;

•our ability to secure and maintain adequate coverage from third-party payers to reimburse us for our Products for current and future indications;

•our ability to receive payment from third-party payers for use of our Products for current and future indications;

•our ability to maintain, develop protect, defend or enforce our intellectual property position;

•our ability to manage the risks associated with business disruptions caused by natural disasters, extreme weather events, pandemics such as COVID-19 (coronavirus), or international conflict or other disruptions outside of our control;

•our cash needs; and

•our prospects, financial condition and results of operations.

These forward-looking statements involve a number of risks and uncertainties (some of which are beyond our control) or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements. Should one or more of these risks or uncertainties materialize, or should any of our assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. Factors which may cause such differences to occur include those risks and uncertainties set forth under Part I, Item 1A., “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023 filed on February 22, 2024, as well as other risks and uncertainties set forth from time to time in the reports we file with the Securities and Exchange Commission (the "SEC"). In our prior filings, references to Optune now refer to Optune Gio® and NovoTTF-100L refer to Optune Lua®. We do not intend

to update publicly any forward-looking statement, whether as a result of new information, future events or otherwise, except as required by law.

TRADEMARKS

This Quarterly Report on Form 10-Q includes trademarks of NovoCure Limited and other persons. All trademarks or trade names referred to herein are the property of their respective owners.

Table of Contents

NovoCure Limited

Quarterly Report on Form 10-Q

TABLE OF CONTENTS


		Page
Cautionary Note Regarding Forward Looking Statements		i
Trademarks		ii

PART I—FINANCIAL INFORMATION

Item 1.	Financial Statements	2
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	20
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	29
Item 4.	Controls and Procedures	29

PART II—OTHER INFORMATION

Item 1.	Legal Proceedings	31
Item 1A.	Risk Factors	31
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	31
Item 3.	Defaults Upon Senior Securities	31
Item 4.	Mine Safety Disclosures	31
Item 5.	Other Information	31
Item 6.	Exhibits	33

	Signatures	34

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PART I—FINANCIAL INFORMATION

Item 1. Financial Statements


NOVOCURE LIMITED AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands (except share data)
	June 30, 2024		December 31, 2023
	Unaudited		Audited
ASSETS
CURRENT ASSETS:
Cash and cash equivalents	$	164,796	$	240,821
Short-term investments	786,390		669,795
Restricted cash	3,647		1,743
Trade receivables, net	64,703		61,221
Receivables and prepaid expenses	32,858		22,677
Inventories	40,442		38,152
Total current assets	1,092,836		1,034,409
LONG-TERM ASSETS:
Property and equipment, net	66,477		51,479
Field equipment, net	11,719		11,384
Right-of-use assets	29,076		34,835
Other long-term assets	12,062		14,022
Total long-term assets	119,334		111,720
TOTAL ASSETS	$	1,212,170	$	1,146,129

The accompanying notes are an integral part of these unaudited consolidated financial statements.

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NOVOCURE LIMITED AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands (except share data)
	June 30, 2024		December 31, 2023
	Unaudited		Audited
LIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT LIABILITIES:
Trade payables	$	90,171	$	94,391
Other payables, lease liabilities and accrued expenses	79,007		84,724
Total current liabilities	169,178		179,115
LONG-TERM LIABILITIES:
Convertible note	556,508		568,822
Senior secured credit facility, net	96,962		—
Long-term leases	21,731		27,420
Employee benefit liabilities	6,023		8,258
Other long-term liabilities	18		18
Total long-term liabilities	681,242		604,518
TOTAL LIABILITIES	850,420		783,633
COMMITMENTS AND CONTINGENCIES

SHAREHOLDERS' EQUITY:
Share capital -
Ordinary shares no par value, unlimited shares authorized; issued and outstanding: 108,013,830 shares and 107,075,754 shares at June 30, 2024 (unaudited) and December 31, 2023, respectively	—		—
Additional paid-in capital	1,422,903		1,353,468
Accumulated other comprehensive income (loss)	(3,515)		(5,469)
Retained earnings (accumulated deficit)	(1,057,638)		(985,503)
TOTAL SHAREHOLDERS' EQUITY	361,750		362,496
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$	1,212,170	$	1,146,129

The accompanying notes are an integral part of these unaudited consolidated financial statements.

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NOVOCURE LIMITED AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS
U.S. dollars in thousands (except share and per share data)
	Three months ended June 30,				Six months ended June 30,				Year ended December 31,
	2024		2023		2024		2023		2023
	Unaudited				Unaudited				Audited
Net revenues	$	150,356	$	126,051	$	288,859	$	248,233	$	509,338
Cost of revenues	34,654		34,018		68,343		63,632		128,280
Gross profit	115,702		92,033		220,516		184,601		381,058

Operating costs and expenses:
Research, development and clinical studies	54,955		55,427		106,553		115,131		223,062
Sales and marketing	56,616		58,488		111,822		109,657		226,809
General and administrative	37,711		40,778		77,241		82,722		164,057
Total operating costs and expenses	149,282		154,693		295,616		307,510		613,928

Operating income (loss)	(33,580)		(62,660)		(75,100)		(122,909)		(232,870)
Financial income (expenses), net	10,851		8,756		20,729		17,925		41,130

Income (loss) before income tax	(22,729)		(53,904)		(54,371)		(104,984)		(191,740)
Income tax	10,646		3,514		17,764		5,495		15,303
Net income (loss)	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)	$	(207,043)

Basic and diluted net income (loss) per ordinary share	$	(0.31)	$	(0.54)	$	(0.67)	$	(1.04)	$	(1.95)
Weighted average number of ordinary shares used in computing basic and diluted net income (loss) per share	107,700,284		106,289,073		107,483,241		105,979,791		106,391,178

The accompanying notes are an integral part of these unaudited consolidated financial statements.

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
U.S. dollars in thousands
	Three months ended June 30,				Six months ended June 30,				Year ended December 31,
	2024		2023		2024		2023		2023
	Unaudited				Unaudited				Audited
Net income (loss)	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)	$	(207,043)
Other comprehensive income (loss), net of tax:
Change in foreign currency translation adjustments	102		529		(225)		829		1,473
Unrealized gain (loss) from debt securities			68		—		425		445
Pension benefit plan	530		113		2,179		(802)		(4,954)
Total comprehensive income (loss)	$	(32,743)	$	(56,708)	$	(70,181)	$	(110,027)	$	(210,079)


NOVOCURE LIMITED AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
U.S. dollars in thousands (except share data)
	Ordinary shares	Additional paid-in capital		Accumulated other comprehensive loss		Retained earnings (accumulated deficit)		Total shareholders' equity

Balance as of December 31, 2023 (audited)	107,075,754	$	1,353,468	$	(5,469)	$	(985,503)	$	362,496

Share-based compensation to employees	—	34,084		—		—		34,084
Exercise of options and vested RSUs	528,020	213		—		—		213
Other comprehensive income (loss), net of tax benefit of $0	—	—		1,322		—		1,322
Net income (loss)	—	—		—		(38,760)		(38,760)
Balance as of March 31, 2024 (Unaudited)	107,603,774	$	1,387,765	$	(4,147)	$	(1,024,263)	$	359,355

Share-based compensation to employees	—	31,830		—		—		31,830
Proceeds from issuance of shares	178,668	2,187		—		—		2,187
Exercise of options and vested RSUs	231,388	1,121				—		1,121
Other comprehensive income (loss), net of tax benefit of $0	—	—		632		—		632
Net income (loss)	—	—		—		(33,375)		(33,375)
Balance as of June 30, 2024 (Unaudited)	108,013,830	$	1,422,903	$	(3,515)	$	(1,057,638)	$	361,750

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	Ordinary shares	Additional paid-in capital		Accumulated other comprehensive loss		Retained earnings (accumulated deficit)		Total shareholders' equity

Balance as of December 31, 2022 (audited)	105,049,411	$	1,222,063	$	(2,433)	$	(778,460)	$	441,170

Share-based compensation to employees	—	39,084		—		—		39,084
Exercise of options and vested RSUs	1,137,751	5,211		—		—		5,211
Other comprehensive income (loss), net of tax benefit of $0	—	—		(258)		—		(258)
Net income (loss)	—	—		—		(53,061)		(53,061)
Balance as of March 31, 2023 (Unaudited)	106,187,162	$	1,266,358	$	(2,691)	$	(831,521)	$	432,146

Share-based compensation to employees	—	32,740		—		—		32,740
Proceeds from issuance of shares	81,730	2,883		—		—		2,883
Exercise of options and vested RSUs	336,439	4,622		—		—		4,622
Other comprehensive income (loss), net of tax benefit of $0	—	—		710		—		710
Net income (loss)	—	—		—		(57,418)		(57,418)
Balance as of June 30, 2023 (Unaudited)	106,605,331	$	1,306,603	$	(1,981)	$	(888,939)	$	415,683

The accompanying notes are an integral part of these unaudited consolidated financial statements.

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NOVOCURE LIMITED AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS
U.S. dollars in thousands
	Three months ended June 30,				Six months ended June 30,				Year ended December 31,
	2024		2023		2024		2023		2023
	Unaudited				Unaudited				Audited
Cash flows from operating activities:
Net income (loss)	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)	$	(207,043)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization	2,858		2,721		5,673		5,443		10,969
Accrued Interest	(349)		1,170		1,273		50		(95)
Asset write-downs and impairment of field equipment	140		136		334		262		493
Share-based compensation	31,830		32,740		65,914		71,824		115,608
Foreign currency remeasurement loss (gain)	653		914		1,266		787		161
Decrease (increase) in accounts receivables and prepaid expenses	(11,119)		6,941		(14,394)		21,452		29,414
Amortization of discount (premium)	(6,854)		(5,075)		(12,235)		(9,131)		(23,084)
Decrease (increase) in inventories	1,888		(1,452)		(2,762)		(4,170)		(8,919)
Decrease (increase) in other long-term assets	4,889		(1,920)		6,063		(386)		4,072
Increase (decrease) in accounts payables and accrued expenses	9,548		207		(8,697)		(10,257)		14,869
Increase (decrease) in other long-term liabilities	(1,829)		(1,701)		(3,594)		(4,859)		(9,781)
Net cash provided by (used in) operating activities	$	(1,720)	$	(22,737)	(33,294)		(39,464)		(73,336)

Cash flows from investing activities:
Purchase of property, equipment and field equipment	$	(11,446)	$	(6,931)	(23,230)		(13,019)		(27,093)
Proceeds from maturity of short-term investments	160,000		314,597		418,000		640,884		1,214,982
Purchase of short-term investments	(522,994)		(321,563)		(522,994)		(559,475)		(1,003,741)
Net cash provided by (used in) investing activities	$	(374,440)	$	(13,897)	(128,224)		68,390		184,148

Cash flows from financing activities:
Proceeds from issuance of shares, net	$	2,187	$	2,883	2,187		2,883		4,416
Proceeds from senior secured credit facility, net	96,922		—		96,922		—		—
Repayment and redemption of long-term debt	(12,913)		(3)		(12,913)		(10)		(10)
Exercise of options	1,121		4,622		1,334		9,833		11,381
Net cash provided by (used in) financing activities	$	87,317	$	7,502	87,530		12,706		15,787

Effect of exchange rate changes on cash, cash equivalents and restricted cash	$	(77)	$	(13)	(133)		28		131

Increase (decrease) in cash, cash equivalents and restricted cash	(288,920)		(29,145)		(74,121)		41,660		126,730
Cash, cash equivalents and restricted cash at the beginning of the period	457,363		186,639		242,564		115,834		115,834

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NOVOCURE LIMITED AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS
U.S. dollars in thousands

Cash, cash equivalents and restricted cash at the end of the period	$	168,443	$	157,494	$	168,443	$	157,494	$	242,564





Supplemental cash flow activities:
Cash paid during the period for:
Income taxes paid (refunded), net	$	7,501	$	5,831	$	10,415	$	7,543	$	13,665
Interest paid	$	1,968	$	—	$	1,970	$	1	$	6
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents	$	164,796	$	156,978	$	164,796	$	156,978	$	240,821
Restricted cash	3,647		516		3,647		516		1,743
Total cash, cash equivalents and restricted cash	$	168,443	$	157,494	$	168,443	$	157,494	$	242,564
Non-cash activities:
Right-of-use assets obtained (disposed) in exchange for lease liabilities	$	(1,649)	$	2,333	$	(1,367)	$	5,784	$	18,063
Purchase of property incurred but unpaid at period end	$	401	$	—	$	401	$	—	$	1,714

The accompanying notes are an integral part of these unaudited consolidated financial statements.

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NOVOCURE LIMITED AND SUBSIDIARIES

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

U.S. dollars in thousands (except share data)

NOTE 1: ORGANIZATION AND BASIS OF PRESENTATION

Organization. NovoCure Limited (including its consolidated subsidiaries, the "Company") was incorporated in the Bailiwick of Jersey and is principally engaged in the development, manufacture and commercialization of Tumor Treating Fields ("TTFields") devices, including Optune Gio and Optune Lua (collectively, our "Products"), for the treatment of solid tumor cancers. The Company markets Optune Gio and Optune Lua in multiple countries around the globe with the majority of revenues coming from the use of Optune Gio in the U.S., Germany, France and Japan. The Company also has a License and Collaboration Agreement (the "Zai Agreement") with Zai Lab (Shanghai) Co., Ltd. ("Zai") to market Optune in China, Hong Kong, Macau and Taiwan ("Greater China").

Financial statement preparation. The accompanying unaudited consolidated financial statements include the accounts of the Company and intercompany accounts and transactions have been eliminated. In the opinion of the Company’s management, the unaudited consolidated financial statements reflect all adjustments, which are normal and recurring in nature, necessary for fair financial statement presentation for the periods presented. The preparation of these unaudited consolidated financial statements in conformity with U.S. generally accepted accounting principles ("GAAP") requires management to make estimates and assumptions that affect the amounts reported in these unaudited consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates. These unaudited consolidated financial statements and accompanying notes should be read in conjunction with the Company’s annual consolidated financial statements and the notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2023 (the "2023 10-K") filed with the Securities and Exchange Commission on February 22, 2024.

The significant accounting policies applied in the audited annual consolidated financial statements of the Company as disclosed in the 2023 10-K are applied consistently in these unaudited interim consolidated financial statements.

Concentration Risks. The Company's cash, cash equivalents, short-term investments and trade receivables are potentially subject to a concentration of risk. Cash, cash equivalents and short-term investments are invested at top tier financial institutions globally and the total value invested at any one institution is limited pursuant to the Company's investment policy. These investments may be in excess of insured limitations or not insured in certain jurisdictions. Generally, these investments may be redeemed upon demand according to the terms of the securities.

The Company's trade receivables are due from numerous governments and federal and state agencies that are paid from their respective budgets, and from hundreds of health insurance companies. The Company does not believe that there are significant default risks associated with these governments, agencies and health insurance companies based upon the Company's historical experience.

The Company has no off-balance sheet concentrations of credit risk such as foreign exchange contracts, option contracts or other foreign hedging arrangements.

Recently announced accounting pronouncements

In November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires public entities to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280 on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-07.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-09.

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NOTE 2: CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

Cash equivalents include items almost as liquid as cash, with maturity periods of three months or less when purchased, and short-term investments include items with maturity dates between three months and one year when purchased. As of June 30, 2024 and December 31, 2023, the Company’s cash and cash equivalents and short-term investments were composed of:


	June 30, 2024
	Unaudited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	17,238	$	—	$	—	$	17,238	$	17,238	$	17,238	$	—
Money market funds	Level 1	145,558		—		—		145,558		145,558		145,558		—
Certificate of deposits and term deposits	Level 2	210,197		—		—		210,197		210,197		2,000		208,197
HTM securities (1)
U.S. Treasury bills	Level 1	$	127,396	$	19	$	(15)	127,400		127,396		$	—	$	127,396

Corporate debt securities	Level 2	$	450,797	$	131	$	(285)	450,643		450,797		$	—	$	450,797

		$	578,193	$	150	$	(300)	$	578,043	$	578,193	$	—	$	578,193

Total		$	951,186	$	150	$	(300)	$	951,036	$	951,186	$	164,796	$	786,390


	December 31, 2023
	Audited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	9,955	$	—	$	—	$	9,955	$	9,955	$	9,955	$	—
Money market funds	Level 1	227,166		—		—		227,166		227,166		227,166		—
Certificate of deposits and term deposits	Level 2	153,169		—		—		153,169		153,169		3,700		149,469
HTM securities (1)
U.S. Treasury bills	Level 1	$	78,844	$	55	$	(110)	78,789		78,844		$	—	$	78,844
Government and governmental agencies	Level 2	$	24,940	$	13	$	—	24,953		24,940		$	—	$	24,940
Corporate debt securities	Level 2	$	416,542	$	486	$	(149)	416,879		416,542		$	—	$	416,542

		$	520,326	$	554	$	(259)	$	520,621	$	520,326	$	—	$	520,326

Total		$	910,616	$	554	$	(259)	$	910,911	$	910,616	$	240,821	$	669,795

(1) Changes in fair value of held-to-maturity ("HTM") securities are presented for disclosure purposes as required by ASC 320 "Investments — Debt Securities" and are recorded as finance expenses only if the unrealized loss is identified as a credit loss.

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(2) Pursuant to a bank guaranty agreement,$16,074 of short-term investments are pledged. See Note 4.

In accordance with ASC 820, "Fair Value Measurements and Disclosures," the Company measures its money market funds at fair value. The fair value of the money market funds and HTM securities, which is presented for disclosure purposes, is classified within Level 1 or Level 2. This is because these assets are valued using quoted market prices or alternative pricing sources and models utilizing market observable inputs.

As of June 30, 2024 and December 31, 2023, all investments mature in one year or less.

Unrealized losses from debt securities are primarily attributable to changes in interest rates. The Company does not believe any remaining unrealized losses represent impairments based on the evaluation of available evidence.

NOTE 3: INVENTORIES

Inventories are stated at the lower of cost or net realizable value. The weighted average methodology is applied to determine cost. As of June 30, 2024 and December 31, 2023, the Company’s inventories were composed of:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Raw materials	$	9,585	$	10,265
Work in progress	11,854		9,796
Finished products	19,003		18,091
Total	$	40,442	$	38,152

NOTE 4: COMMITMENTS AND CONTINGENT LIABILITIES

Operating Leases. The facilities of the Company are leased under various operating lease agreements for periods, including options for extensions, ending no later than 2044. The Company also leases motor vehicles under various operating leases, which expire on various dates, the latest of which is in 2027.

Pledged deposits and bank guarantees. As of June 30, 2024 and December 31, 2023, the Company pledged bank deposits of $2,797 and $2,848, respectively, to cover bank guarantees in respect of its leases of operating facilities and obtained bank guarantees for the fulfillment of the Company’s lease and other contractual commitments of $3,155 and $3,216, respectively. In addition, €15,000 ($16,074) of the Company's short term investments are pledged to a bank as guarantee for the Company's due execution of cash concentration agreements.

Legal Proceedings. In June 2023, a putative class action lawsuit was filed against the Company, its Executive Chairman and its Chief Executive Officer. The complaint, later amended to add our Chief Financial Officer as a defendant, which purports to be brought on behalf of a class of persons and/or entities who purchased or otherwise acquired ordinary shares of the Company from January 5, 2023 through June 5, 2023, alleges material misstatements and/or omissions in the Company’s public statements with respect to the results from its phase 3 LUNAR clinical trial. The Company believes that the action is without merit and plans to defend the lawsuit vigorously. As of June 30, 2024, the Company has not accrued any amounts in respect of this claim, as it believes liability is not probable and the amount of any potential liability cannot be reasonably estimated.

NOTE 5: LONG-TERM DEBT, NET

a.Convertible notes

On November 5, 2020, the Company issued $575,000 aggregate principal amount of 0% Convertible Senior Notes due 2025 (the “Notes”).

The Notes mature on November 1, 2025, unless earlier repurchased, redeemed or converted as set forth in the Notes. As of June 30, 2024, the conditions allowing holders of the Notes to convert were not met. The Notes are therefore not convertible as of June 30, 2024 and are classified as long-term liability.

In June 2024 the Company redeemed $14,055 of Notes in consideration of $12,913. The gain from redemption was reported as finance income in accordance with ASC 470 "Debt with Conversion and Other Options".

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The net carrying amount of the liability of the Notes as of June 30, 2024 and December 31, 2023 are as follows:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Liability component, net:
Principal amount	$	560,945	$	575,000
Unamortized issuance costs	(4,437)		(6,178)
Net carrying amount of liability component (1)	$	556,508	$	568,822

(1) An effective interest rate determines the fair value of the Notes, therefore they are categorized as Level 3 in accordance with ASC 820. The estimated fair value of the net carrying amount of liability component of the Notes as of June 30, 2024 and December 31, 2023 were $507,158 and $515,962, respectively.

The net carrying amount of the liability is represented by the principal amount of the Notes, less total issuance costs plus any amortization of issuance costs. The total issuance costs upon issuance of the Notes were $16,561 and are amortized to interest expense using the effective interest rate method over the contractual term of the Notes. Interest expense is recognized at an annual effective interest rate of 0.59% over the contractual term of the Notes.

Finance expense related to the Notes was as follows:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Gain from redemption of Notes	(1,142)		—		(1,142)		—		—
Amortization of debt issuance costs	911		826		1,741		1,641		3,313
Total finance expenses (income) recognized	$	(231)	$	826	$	599	$	1,641	$	3,313

b. Senior secured credit facility, net

On May 1, 2024 Novocure Luxembourg S.a.r.l. ("Borrower"), a wholly-owned subsidiary of the Company, entered into a new five-year senior secured credit facility of up to $400.0 million (the "Facility") with BPCR Limited Partnership and BioPharma Credit Investments V (Master) LP (collectively, the "Lenders"), BioPharma Credit PLC, as collateral agent for the Lenders, and the guarantors party to such agreement (the "Loan Agreement"). The Facility may be drawn in up to four drawings. The Loan Agreement provides for an initial term loan in the principal amount of $100.0 million (the "Tranche A Loan"), which was funded to the Borrower on May 1, 2024 (the "Tranche A Funding Date"). Under the Loan Agreement, the Borrower is required to draw $100.0 million on the Facility on or before June 30, 2025 (the "Tranche B Loan"), subject to customary conditions precedent as set forth in the Loan Agreement. Not later than December 31, 2025, the Borrower has the option to draw an additional $100.0 million of the Facility (the "Tranche C Loan") if (i) (A) the Company has received positive results from its PANOVA-3 phase 3 clinical trial or (B) the Company's trailing net revenues for the most recently completed four quarters as reported by the Company in its financial statements filed with the U.S. Securities and Exchange Commission ("Trailing Four Quarters of Net Revenue") are greater than $575.0 million and (ii) the Notes are extinguished in full and are no longer outstanding. Not later than March 31, 2026, the Borrower has the option to draw an additional $100.0 million of the Facility (the "Tranche D Loan") if (i) the Company receives an approval or clearance from the U.S. Food and Drug Administration for the Company's Tumor Treating Fields device for a pancreatic cancer indication or (ii) Trailing Four Quarters of Net Revenue is greater than $625.0 million. The obligations under the Loan Agreement are guaranteed by certain of the Company's subsidiaries and secured by a first lien on the Borrower's and certain of the Company's other subsidiaries’ assets. Outstanding term loans under the Loan Agreement will bear interest at an annual rate equal to 6.25% plus the three-month SOFR (subject to a 3.25% floor), payable quarterly in arrears and calculated on the basis of actual days elapsed in a 360-day year. The Borrower must pay 2.5% of additional consideration on each principal draw, with payment for the Tranche A Loan and the Tranche B Loan paid on the Tranche A Funding Date, and payments for the Tranche C Loan and the Tranche D Loan on their respective funding dates. Principal under the Facility will be repaid in eight equal quarterly repayments commencing with the third quarter of 2027 and continuing each quarter thereafter, with the final payment of outstanding principal due on the fifth anniversary of the Tranche A Funding Date. Voluntary prepayment of all, but not less than all, of the term loans outstanding is permitted at any time, subject to make-whole and prepayment premiums as set forth in the Loan

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Agreement. Prepayment of all term loans outstanding, subject to make-whole and prepayment premiums, is due and payable upon a change-in-control as defined in the Loan Agreement. Make-whole and prepayment premiums are due and payable for the Tranche B Loans for any voluntary prepayment of the term loans outstanding, upon a change-in-control (as defined in the Loan Agreement), and upon any acceleration of the maturity date, in each case regardless of whether the Tranche B Loan is drawn. The Loan Agreement contains a financial covenant only if the Tranche C Loan and/or Tranche D Loan are funded, in which case the Company is required to maintain at least Trailing Four Quarters of Net Revenue of at least $500.0 million, calculated on a trailing twelve-month basis as of the end of each fiscal quarter, beginning with the first quarter of 2027 based on year-end 2026 audited financial statements.

As of June 30, 2024 the Company had borrowed the Tranche A Loan in the principal amount of $100,000.


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Liability component, net:
Principal amount	$	100,000	$	—
Unamortized issuance costs	(3,038)		—
Net carrying amount of liability component (1)	$	96,962	$	—

The net carrying amount of the liability is represented by the principal amount of the Notes, less total issuance costs plus any amortization of issuance costs. The total issuance costs upon issuance of the Notes were $3,078 and are amortized to interest expense using the effective interest rate method over the contractual term of the Notes. For purposes of calculating the net carrying amount, the annual effective interest rate is assumed to be 13.3% over the remaining contractual term of the Notes.

Finance expense related to the Facility was as follows:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Interest	1,962		—		1,962		—		—
Amortization of debt issuance costs	40		—		40		—		—
Total finance expense recognized	$	2,002	$	—	$	2,002	$	—	$	—

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NOTE 6: REVENUE RECOGNITION

a. Net revenues

The Company’s net revenues by geographic region, based on the patient’s location are summarized as follows:


	Three months ended June 30,					Six months ended June 30,				Year ended December 31,
	2024		0	2023		2024		2023		2023
United States	$	95,711		$	86,958	$	186,254	$	172,186	$	349,743
International markets:
Germany	15,097			15,744		30,844		30,864		60,210
France (1)	14,267			—		24,755		—		11,736
Japan	7,664			7,861		15,481		16,530		31,668
Other international markets	11,771			8,737		20,742		16,587		32,757
International markets - Total	48,799			32,342		91,822		63,981		136,371

Greater China (2)	5,846			6,751		10,783		12,066		23,224

Total net revenues	$	150,356		$	126,051	$	288,859	$	248,233	$	509,338

(1) For periods ending prior to December 31, 2023, net revenue for France is included in "Other international markets".

(2) For additional information, see Notes 12 and 13 to the Consolidated Financial Statements in the 2023 10-K.

The Company's net revenues by performance period are as follows:


	Three months ended June 30,					Six months ended June 30,				Year ended December 31,
	2024		0	2023		2024		2023		2023
Net revenues recognized in the reporting period from performance obligations satisfied in:
Reporting period	$	138,857		$	119,823	$	269,343	$	236,932	$	492,089
Previous periods	11,499			6,228		19,516		11,301		17,249
Total net revenues	$	150,356		$	126,051	$	288,859	$	248,233	$	509,338

b. Contract balances

The following table provides information about trade receivables, unbilled receivables and contract liabilities from contracts with customers:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Trade receivables	$	59,869	$	56,970
Unbilled receivables	$	4,834	$	4,251
Deferred revenues (short-term contract liabilities)	(15,605)		(16,224)

During the six months ended June 30, 2024 and 2023 and the year ended December 31, 2023 the Company recognized $16,224, $18,028 and $18,028, respectively, which were included in the deferred revenues (short-term contract liability) balance at January 1, 2024 and 2023.

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NOTE 7: SHARE OPTION PLANS AND ESPP

In September 2015, the Company adopted the 2015 Omnibus Incentive Plan (the “2015 Plan”). Under the 2015 Plan, the Company can issue various types of equity compensation awards such as share options, restricted shares, performance shares, restricted share units (“RSUs”), performance-based share units (“PSUs”), long-term cash awards and other share-based awards.

Options granted under the 2015 Plan generally have a two-year or four-year vesting period and expire ten years after the date of grant. Options granted under the 2015 Plan that are canceled or forfeited before expiration become available for future grants. RSUs granted under the 2015 Plan generally vest over a three-year period. PSUs granted under the 2015 Plan generally vest between a three- and six-year period as performance targets are attained. RSUs and PSUs granted under the 2015 Plan that are canceled before expiration become available for future grants.

As of June 30, 2024, no ordinary shares were available for grant under the 2015 Plan (see below).

In April 2024, the Company adopted the 2024 Omnibus Incentive Plan (the "2024 Plan"), which replaced the 2015 Plan, effective June 5, 2024 (the "Effective Date") following approval from the Company's shareholders. Under the 2024 Plan, the Company can issue various types of equity compensation awards such as share options, restricted shares, performance shares, restricted share units (“RSUs”), performance-based share units (“PSUs”), long-term cash awards and other share-based awards. The total number of shares of the Company’s ordinary shares that may be granted under the 2024 Plan consists of (i) up to 9,000,000 ordinary shares (reduced by 433,018 shares subject to awards granted under the 2015 Plan after April 2, 2024), all of which were available under the 2015 Plan and which ceased to be available for future awards under the 2015 Plan as of the Effective Date and (ii) the number of undelivered shares subject to outstanding awards under the 2015 Plan that become available for future awards under the 2024 Plan as provided for in the 2024 Plan.

Options granted under the 2024 Plan generally will have a two-year or four-year vesting period and expire ten years after the date of grant. Options granted under the 2015 Plan and 2024 Plan that are canceled or forfeited before expiration become available for future grants under the 2024 Plan. RSUs granted under the 2024 Plan generally will vest over a three-year period. PSUs granted under the 2024 Plan generally will vest between a three- and six-year period as performance targets are attained. RSUs and PSUs granted under the 2015 Plan and 2024 Plan that are canceled before expiration become available for future grants under the 2024 Plan.

As of June 30, 2024, no awards have been granted under the 2024 Plan and 9,270,636 ordinary shares were available for grant under the 2024 Plan.

A summary of the status of the Company’s option plans as of June 30, 2024 and changes during the period then ended is presented below:


	Six months ended June 30, 2024
	Unaudited
	Number of options	Weighted average exercise price
Outstanding at beginning of year	8,539,507	$	40.07
Granted	3,593,899	15.46
Exercised	(172,463)	7.74
Forfeited and canceled	(431,933)	49.89
Outstanding as of June 30, 2024	11,529,010	$	32.51

Exercisable options	6,897,941	$	35.39

A summary of the status of the Company’s RSUs and PSUs as of June 30, 2024 and changes during the period then ended is presented below.

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	Six months ended June 30, 2024
	Unaudited
	Number of RSU/PSUs	Weighted average grant date fair value
Unvested at beginning of year	5,813,066	$	60.52
Granted	9,225,787	15.21
Vested	(586,945)	88.14
Forfeited and cancelled	(816,451)	47.71
Unvested as of June 30, 2024 (1)	13,635,457	29.44

(1) Includes PSUs that have a mix of service, market and other milestone performance vesting conditions which are vested upon achievements of performance milestones that are not probable as of June 30, 2024, in accordance with ASC 718 "Compensation — Stock Compensation" as follows:


June 30, 2024
Number of PSUs	Fair value at grant date per PSU		Total fair value at grant date
588,952	$	16.30	$	9,600
2,703,852	48.16		130,218
199,315	76.97		15,341
234,512	80.59		18,899
15,210	87.66		1,333
3,741,841			$	175,393

These PSUs will be expensed over the performance period when the vesting conditions become probable in accordance with ASC 718.

In September 2015, the Company adopted an employee share purchase plan (“ESPP”) to encourage and enable eligible employees to acquire ownership of the Company’s ordinary shares purchased through accumulated payroll deductions on an after-tax basis. In the United States, the ESPP is intended to be an “employee stock purchase plan” within the meaning of Section 423 of the Internal Revenue Code and the provisions of the ESPP are construed in a manner consistent with the requirements of such section. As of June 30, 2024, 5,557,123 ordinary shares were available to be purchased by eligible employees under the ESPP.

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The fair value of share-based awards was estimated using the Black-Scholes model for all equity grants. For market condition awards, the Company also applied the Monte-Carlo simulation model. The Company assessed fair value using the following underlying assumptions:


	Six months ended June 30,				Year ended December 31, 2023
	2024		2023
	Unaudited				Audited
Stock Option Plans
Expected term (years)	5.50-5.73		5.50-6.00		5.50-6.00
Expected volatility	71%-73%		63%-67%		63%-70%
Risk-free interest rate	3.88%-4.43%		3.48%-4.10%		3.48%-4.79%



Dividend yield	0.00	%	0.00	%	0.00	%
ESPP
Expected term (years)	0.50		0.50		0.50
Expected volatility	90	%	56	%	56%-122%
Risk-free interest rate	5.13	%	4.76	%	4.76%-5.38%


Dividend yield	0.00	%	0.00	%	0.00	%

The total non-cash share-based compensation expense related to all of the Company’s equity-based awards recognized for the three and six months ended June 30, 2024 and 2023, and the year ended December 31, 2023 was:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Cost of revenues	$	1,698	$	2,023	$	3,446	$	4,029	$	6,587
Research, development and clinical studies	9,517		8,537		18,127		20,316		31,827
Sales and marketing	9,896		10,213		20,944		21,857		35,968
General and administrative	10,719		11,967		23,397		25,622		41,226
Total share-based compensation expense	$	31,830	$	32,740	$	65,914	$	71,824	$	115,608

NOTE 8: Basic and diluted net income (loss) per ordinary share

Basic net income (loss) per share is computed based on the weighted average number of ordinary shares outstanding during each period. Diluted net income per share is computed based on the weighted average number of ordinary shares outstanding during the period, plus potential dilutive shares (deriving from options, RSUs, PSUs, Notes and the ESPP) considered outstanding during the period, in accordance with ASC 260-10 "Earnings Per Share", as determined under the treasury stock or if-converted method, as applicable.

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The following table sets forth the computation of the Company’s basic and diluted net income (loss) per ordinary share:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Net income (loss) attributable to ordinary shares as reported used in computing basic and diluted net income (loss) per share	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)	$	(207,043)






Weighted average number of ordinary shares used in computing diluted net income (loss) per share	107,700,284		106,289,073		107,483,241		105,979,791		106,391,178

Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:
Options	9,931,469		81,733		9,112,573		81,730		6,950,781
RSUs and PSUs	3,918,515		1,660,471		3,284,521		965,915		1,423,377
ESPP	178,668		6,741,132		178,668		6,685,594		161,627
Weighted anti-dilutive shares outstanding which were not included in the diluted calculation	14,028,652		8,483,336		12,575,762		7,733,239		8,535,785

Basic and diluted net income (loss) per ordinary share	$	(0.31)	$	(0.54)	$	(0.67)	$	(1.04)	$	(1.95)

NOTE 9: SUPPLEMENTAL INFORMATION

The Company operates in a single reportable segment.

The following table presents long-lived assets by location:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
United States	$	50,124	$	41,634
Israel	8,449		8,317
Switzerland	13,620		7,733


Others	6,003		5,179
Total long lived assets	$	78,196	$	62,863

Restructuring

In November 2023, the Company announced a series of actions to strengthen and optimize its business operations to support near-term growth drivers and long-term value creation. The plan included a reduction in headcount of approximately 200 employees or 13% of the Company's then current workforce. The Company incurred restructuring costs (including severance pay, garden leave payments, etc.) for the three and six months ended June 30, 2024 and the year ended December 31, 2023, as follows:

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	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Cost of revenues	$	—	$	—	$	52	$	—	$	262
Research, development and clinical studies	—		—		275		—		2,070
Sales and marketing	(27)		—		1,512		—		2,404
General and administrative	—		—		164		—		1,495
Total restructuring cost	$	(27)	$	—	$	2,003	$	—	$	6,231

Restructuring costs paid during the period	$	327	$	—	$	5,455	$	—	$	2,753

These restructuring costs were offset by accrual reversals for the three and six months ended June 30, 2024 and the year ended December 31, 2023 in the amount of $0, $369 and $3,041, respectively, which relate to the terminated employees' exits from the Company’s cash incentive plans. These restructuring costs were further offset by forfeited equity-based compensation expense reversals for the three and six months ended June 30, 2024 and the year ended December 31, 2023 in the amount of $330, $1,991 and $9,313, respectively, which relate to the terminated employees' exits from the Company’s equity incentive plan.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to provide information to assist you in better understanding and evaluating our financial condition and results of operations. We encourage you to read this MD&A in conjunction with our unaudited consolidated financial statements and the notes thereto for the period ended June 30, 2024 included in Part I, Item 1 of this Quarterly Report on Form 10-Q. This discussion contains forward-looking statements that involve risks and uncertainties. Please refer to the information under the heading “Cautionary Note Regarding Forward-Looking Statements” elsewhere in this report. References to the words “we,” “our,” “us,” and the “Company” in this report refer to NovoCure Limited, including its consolidated subsidiaries.

Critical Accounting Policies and Estimates

In accordance with U.S. generally accepted accounting principles (“GAAP”), in preparing our financial statements, we must make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of net revenues and expenses during the reporting period. We develop and periodically change these estimates and assumptions based on historical experience and on various other factors that we believe are reasonable under the circumstances. Actual results may differ from these estimates.

The critical accounting policies requiring estimates, assumptions and judgments that we believe have the most significant impact on our consolidated financial statements can be found in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023 (the "2023 10-K"). For additional information, see Note 1 to our unaudited consolidated financial statements in Part I, Item 1 of this Quarterly Report. There were no other material changes to our critical accounting policies and estimates as compared to the critical accounting policies and estimates described in our 2023 10-K.

Overview

We are a global oncology company with a proprietary platform technology called Tumor Treating Fields ("TTFields"), which are electric fields that exert physical forces to kill cancer cells via a variety of mechanisms. Our key priorities are to drive commercial adoption of Optune Gio® and Optune Lua®, our commercial TTFields therapy devices, and to advance clinical and product development programs intended to extend overall survival in some of the most aggressive forms of cancer.

Optune Gio is approved by the U.S. Food and Drug Administration ("FDA") under the Premarket Approval ("PMA") pathway for the treatment of adult patients with newly diagnosed glioblastoma ("GBM") together with temozolomide, a chemotherapy drug, and for adult patients with GBM following confirmed recurrence after chemotherapy as monotherapy treatment. We also have a CE certificate to market Optune Gio for the treatment of GBM in the European Union ("EU"), as well as approval or local registration in the United Kingdom ("UK"), Japan, Canada and certain other countries. Optune Lua is approved by the FDA under the Humanitarian Device Exemption ("HDE") pathway to treat malignant pleural mesothelioma and pleural mesothelioma (together, "MPM") together with standard chemotherapies. We have also received CE certification in the EU and approval or local registration to market Optune Lua in certain other countries. We market Optune Gio and Optune Lua in multiple countries around the globe with the majority of our revenues coming from the use of Optune Gio in the U.S., Germany, France and Japan. We are actively evaluating opportunities to expand our international footprint.

We believe the physical mechanisms of action behind TTFields therapy may be broadly applicable to solid tumor cancers. We are focusing our research and development activities in areas of greatest anticipated value creation. This includes non-small cell lung cancer, brain cancers, and pancreatic cancer.

In 2023, we announced results from our phase 3 LUNAR study evaluating the use of TTFields together with standard therapies following platinum-based treatment failure in the treatment of patients with metastatic non-small cell lung cancer ("NSCLC"). Patients treated with TTFields therapy and standard therapies demonstrated a statistically significant and clinically meaningful improvement in overall survival over standard therapies alone. The LUNAR study also showed a statistically significant and clinically meaningful improvement in overall survival when patients were treated with TTFields therapy and immune checkpoint inhibitors, as compared to those treated with immune checkpoint inhibitors alone, and a positive trend in overall survival when patients were treated with TTFields therapy and docetaxel versus docetaxel alone. In December 2023, we filed a PMA application with the FDA seeking approval for the use of TTFields therapy together with standard systemic therapies for the treatment of NSCLC following progression on or after platinum-based therapy. In January 2024, we announced the FDA had accepted this submission for filing. We completed the Day 100 meeting with the U.S. FDA regarding the PMA

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application submission for Optune Lua in NSCLC based off of the LUNAR phase 3 clinical study. The FDA Day 100 meeting conversation was productive with no indication that the LUNAR PMA is tracking for an advisory panel. We anticipate the PMA decision in the second half of 2024. We have also filed applications for use to the necessary regulatory bodies in Europe and Japan.

In June 2024, we presented positive results from the phase 3 METIS trial, evaluating the use of TTFields therapy and supportive care for the treatment of patients with 1-10 brain metastases from NSCLC following stereotactic radiosurgery (“METIS”) at the 2024 American Society of Clinical Oncology (ASCO) annual meeting. The METIS trial met its primary endpoint, demonstrating a statistically significant improvement in time to intracranial progression for adult patients treated with TTFields therapy and supportive care compared to patients treated with supportive care alone. Patients treated with TTFields therapy and supportive care exhibited a median time to intracranial progression of 21.9 months compared to 11.3 months in patients treated with supportive care alone for brain metastasis (n=298; hazard ratio=0.67; P=0.016). These data are expected to serve as the basis for regulatory submissions.

In June 2024, we also presented top-line results from the prospective, non-interventional TIGER study at the 2024 ASCO annual meeting. The TIGER study investigated the use of TTFields therapy in routine clinical use in the treatment of newly diagnosed GBM in Germany. Of the 710 patients enrolled in the study between August 2017 to November 2019, 429 patients received TTFields therapy, across 81 participating centers. Median overall survival for patients treated with TTFields therapy was 19.6 months (95% CI, 17.9-22.4) and median progression-free survival was 10.2 months (95% CI, 9.4-11.4). TTFields therapy use was not associated with an increase in systemic toxicity and was well tolerated. The outcomes observed in the TIGER study are consistent with the survival and safety results from our phase 3 EF-14 clinical trial.

In March 2024, an exploratory subgroup analysis of the phase 3 INNOVATE-3 clinical trial was presented at the European Society of Gynaecological Oncology 2024 Congress. The randomized, phase 3 INNOVATE-3 trial evaluated the use of TTFields therapy together with paclitaxel in platinum-resistant ovarian cancer in patients with a maximum of five total prior lines of systemic therapy. While the INNOVATE-3 trial did not meet its primary overall survival endpoint in the intent-to-treat population, the exploratory subgroup analysis found that pegylated liposomal doxorubicin (PLD) -naïve patients randomized to receive TTFields therapy and paclitaxel demonstrated significant improvement in median overall survival compared to PLD-naïve patients treated with paclitaxel alone. These data provide valuable insights into the use of TTFields therapy in the treatment of solid tumors and will be informative in the design of future clinical trials. Novocure and investigators will continue to analyze the data from the INNOVATE-3 trial.

We have several ongoing or planned trials which will further explore the use of TTFields therapy in the treatment of NSCLC, pancreatic cancer, and primary brain cancer.

In addition to the recently completed METIS trial, our NSCLC program includes the phase 3 LUNAR-2 trial, which explores the use of TTFields therapy together with pembrolizumab and platinum-based chemotherapy as first-line treatment for metastatic NSCLC and the phase 2 LUNAR-4 trial, which evaluates the use of TTFields therapy together with an immune checkpoint inhibitor (ICI) following prior ICI treatment as a second-line treatment for metastatic NSCLC. Finally, our phase 2 KEYNOTE B36 trial is exploring the use of TTFields therapy together with pembrolizumab for front-line treatment of locally advanced or metastatic NSCLC. We are evaluating appropriate next steps for this trial given its pace of enrollment and our focus on LUNAR-2.

Our pancreatic cancer program is comprised of the phase 3 PANOVA-3 trial and the phase 2 PANOVA-4 trial. The PANOVA-3 trial is exploring the use of TTFields therapy together with nab-paclitaxel and gemcitabine as front-line treatment for unresectable locally advanced pancreatic cancer and is fully enrolled with top-line data anticipated in the fourth quarter of 2024. The PANOVA-4 trial is exploring the use of TTFields therapy together with atezolizumab, gemcitabine and nab-paclitaxel for the treatment of metastatic pancreatic cancer and is currently open and enrolling.

Our primary brain cancer clinical trial program includes the fully enrolled phase 3 TRIDENT trial and the planned KEYNOTE D58 trial. The TRIDENT trial is exploring the use of TTFields therapy concomitant with radiation and chemotherapy for the treatment of newly diagnosed GBM and top-line data is anticipated in 2026. The KEYNOTE D58 trial will evaluate the use of TTFields therapy together with temozolomide and pembrolizumab for the treatment of newly diagnosed GBM.

We anticipate expanding our clinical pipeline over time to study the safety and efficacy of TTFields therapy for additional solid tumor indications and combinations with other cancer treatment modalities.

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The table below presents the current status of the ongoing clinical trials in our pipeline and anticipated timing of data.

Our therapy is delivered through a medical device and we continue to advance our Products with the intention to extend survival and maintain quality of life for patients. We have several product development programs underway that are designed to optimize TTFields delivery to the target tumor and enhance patient ease of use. One of these initiatives is the launch of new arrays, which are thinner, lighter and more flexible. We have obtained a CE Mark and are rolling out our new arrays in multiple European countries. We submitted the new arrays for regulatory approval in the U.S. via a PMA supplement in 2023 and are awaiting a regulatory decision.

In 2018, we granted Zai Lab (Shanghai) Co., Ltd. ("Zai") a license to commercialize our Products in China, Hong Kong, Macau and Taiwan ("Greater China") under a License and Collaboration Agreement (the "Zai Agreement"). The Zai Agreement also establishes a development partnership intended to accelerate the development of TTFields therapy in multiple solid tumor cancer indications. For additional information, see Note 13 to the 2023 10-K.

We view our operations and manage our business in one operating segment. For the three and six months ended June 30, 2024, our net revenues were $150.4 million and $288.9 million, respectively. Our net loss for the three and six months ended June 30, 2024 was $33.4 million and $72.1 million, respectively.. As of June 30, 2024, we had an accumulated deficit of $1,057.6 million.

Impact of Current Events

On October 7, 2023, the State of Israel was attacked by and subsequently declared war on Hamas. As of the date of this filing, we believe that there is no immediate risk to our business facilities or operations. Our supply chain teams have increased stock levels to mitigate distribution and service risks from our suppliers in Israel.

Commentary on Results of Operations

Net revenues. Our revenues are primarily derived from patients using our Products in our active markets. We charge for treatment with our Products on a monthly basis. Our potential net revenues per patient are determined by our ability to secure payment, the monthly fee we collect and the number of months that the patient remains on therapy.

We also receive revenues pursuant to the Zai Agreement. For additional information regarding the Zai Agreement, see Note 13 to the Consolidated Financial Statements in our 2023 10-K.

Cost of revenues. We contract with third parties to manufacture our Products. Our cost of revenues is primarily comprised of the following:

•disposable arrays;

•depreciation expense for the field equipment, including the electric field generator used by patients;

•patient support and other personnel costs; and

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•overhead costs, such as facilities, freight and depreciation of property, plant and equipment associated with managing our inventory, warehousing and order fulfillment functions.

Operating expenses. Our operating expenses consist of research, development and clinical studies, sales and marketing and general and administrative expenses. Personnel costs are a significant component for each category of operating expenses and consist of wages, benefits and bonuses. Personnel costs also include share-based compensation.

Financial income (expenses), net. Financial income (expenses), net primarily consists of interest income from cash balances and short-term investments, credit facility interest expense and related debt issuance costs, and gains (losses) from foreign currency transactions. Our reporting currency is the U.S. dollar. We have historically held substantially all of our cash balances in U.S. dollar denominated accounts to minimize the risk of translational currency exposure.

Results of Operations

The following discussion provides an analysis of our results of operations and reasons for material changes therein for the three and six months ended June 30, 2024 as compared to the three and six months ended June 30, 2023. The tables contained in this section report U.S. dollars in thousands (except share, patient, and prescription data). The following table sets forth our consolidated statements of operations data:


	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	Unaudited				Unaudited
Net revenues	$	150,356	$	126,051	$	288,859	$	248,233
Cost of revenues	34,654		34,018		68,343		63,632
Gross profit	115,702		92,033		220,516		184,601

Operating costs and expenses:
Research, development and clinical studies	54,955		55,427		106,553		115,131
Sales and marketing	56,616		58,488		111,822		109,657
General and administrative	37,711		40,778		77,241		82,722
Total operating costs and expenses	149,282		154,693		295,616		307,510

Operating income (loss)	(33,580)		(62,660)		(75,100)		(122,909)
Financial income (expenses), net	10,851		8,756		20,729		17,925

Income (loss) before income taxes	(22,729)		(53,904)		(54,371)		(104,984)
Income taxes	10,646		3,514		17,764		5,495
Net income (loss)	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)

Basic and diluted net income (loss) per ordinary share	$	(0.31)	$	(0.54)	$	(0.67)	$	(1.04)
Weighted average number of ordinary shares used in computing basic and diluted net income (loss) per share	107,700,284		106,289,073		107,483,241		105,979,791

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The following table details the share-based compensation expense included in costs and expenses:


	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	Unaudited				Unaudited
Cost of revenues	$	1,698	$	2,023	$	3,446	$	4,029
Research, development and clinical studies	9,517		8,537		18,127		20,316
Sales and marketing	9,896		10,213		20,944		21,857
General and administrative	10,719		11,967		23,397		25,622
Total share-based compensation expense	$	31,830	$	32,740	$	65,914	$	71,824

Key performance indicators

We believe certain commercial operating statistics are useful to investors in evaluating our commercial business as they help our management team and investors evaluate and compare the adoption of our Products from period to period. The number of active patients on therapy is our principal revenue driver. An "active patient" is a patient who is receiving treatment under a commercial prescription order as of the measurement date, including patients who may be on a temporary break from treatment and who plan to resume treatment in less than 60 days. Prescriptions are a leading indicator of demand. A "prescription received" is a commercial order for Optune Gio or Optune Lua that is received from a physician certified to treat patients with our Products for a patient not previously on Optune Gio or Optune Lua. Orders to renew or extend treatment are not included in this total.

The following table includes certain commercial operating statistics for and as of the end of the periods presented.


	June 30,
Operating statistics	2024	2023
Active patients at period end
United States	2,175	2,200
International markets:
Germany	538	499
France	369	70
Japan	403	352
Other international	478	450
International markets - Total	1,788	1,371

Total	3,963	3,571

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	Three months ended June 30,		Six months ended June 30,
	2024	2023	2024	2023
Prescriptions received in period
United States	957	981	1,947	2,032
International markets:
Germany	206	204	412	412
France	176	132	362	152
Japan	108	92	199	164
Other international	187	147	357	292
International markets - Total	677	575	1,330	1,020

Total	1,634	1,556	3,277	3,052

Three and six months ended June 30, 2024 compared to three and six months ended June 30, 2023


	Three months ended June 30,						Six months ended June 30,
	2024		2023		% Change		2024		2023		% Change
Net revenues	$	150,356	$	126,051	19	%	$	288,859	$	248,233	16	%

Net revenues. Net revenues increased 19% to $150.4 million for the three months ending June 30, 2024 from $126.1 million for the same period in 2023. For the three months and six months ended June 30, 2024, the increase primarily resulted from $14.3 million and $24.8 million of net revenues from the successful launch in France and $8.8 million and $14.1 million of net revenues in the U.S. due to improved approval rates. The improved approval rates in the U.S. resulted in $5.0 million and $9.2 million of increased net revenue from prior period claims during the three- and six- month periods, primarily from 2023. In addition, we received $2.6 million in net revenues in the second quarter from a private payer in the United Kingdom where payments are not routine.


	Three months ended June 30,						Six months ended June 30,
	2024		2023		% Change		2024		2023		% Change
Cost of revenues	$	34,654	$	34,018	2	%	$	68,343	$	63,632	7	%

Cost of revenues. Our cost of revenues for the three months ended June 30, 2024 was $34.7 million, an increase of 2% from $34.0 million for the same period in 2023. For the three and six months ended June 30, 2024, the increase in cost of revenues was primarily due to 11% growth in active patients, partially offset by lower support personnel costs in the amount of $0.9 million and $0.8 million, respectively.

Excluding sales to Zai, cost of revenues per active patient per month was $2,692 for the three months ended June 30, 2024, a decrease of 6% from $2,878 for the same period in 2023, primarily due to decreased support personnel costs. Cost of revenues per active patient is calculated by dividing the cost of revenues for the quarter less equipment sales to Zai for the quarter by the average of the active patients at the end of the prior quarter and the ending active patients in the current quarter. This quarterly figure is then divided by three to estimate the monthly cost of revenues per active patient. Sales to Zai are deducted because they are sold at cost and in anticipation of future royalties from Zai, and Zai patient counts are not included in our active patient population. Product sales to Zai totaled $3.1 million and $5.9 million for the three and six months ended June 30, 2024 compared to $3.6 million and $6.3 million for the three and six months ended June 30, 2023.

Gross margin was 77% for the three months ended June 30, 2024 compared to 73% for the three months ended June 30, 2023. We expect that our gross margins will continue to be impacted by current and future product enhancements, such as the ongoing launch of next generation arrays in the U.S. and our potential launch in NSCLC. We continue to focus on opportunities to increase efficiencies and scale within our supply chain. This includes evaluating new materials, manufacturers, and processes that could lead to lower costs.

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Operating Expenses.


	Three months ended June 30,						Six months ended June 30,
	2024		2023		% Change		2024		2023		% Change
Research, development and clinical studies	$	54,955	$	55,427	(1)	%	$	106,553	$	115,131	(7)	%
Sales and marketing	56,616		58,488		(3)	%	111,822		109,657		2	%
General and administrative	37,711		40,778		(8)	%	77,241		82,722		(7)	%
Total operating expenses	$	149,282	$	154,693	(3)	%	$	295,616	$	307,510	(4)	%

Research, development and clinical study expenses. Research, development and clinical study expenses decreased 1% to $55.0 million for the three months ended June 30, 2024 from $55.4 million for the same period in 2023. For the three months ended June 30, 2024, the change was de minimis. For the six months ended June 30, 2024, the change resulted primarily from $5.6 million in decreased personnel expenses. Total research and development expenses can fluctuate quarter-to-quarter dependent upon the amount of clinical research organization services delivered, clinical materials procured and the number of trials actively underway within a given quarter.

Sales and marketing expenses. Sales and marketing expenses decreased 3% to $56.6 million for the three months ended June 30, 2024 from $58.5 million for the same period in 2023. For the three months ended June 30, 2024, these changes were primarily driven by a $4.2 million reduction in marketing and health policy spend attributed to lower personnel costs and $1.2 million less in medical grants, partially offset by a $3.5 million increase in sales costs related to a sales force expansion in anticipation of a potential launch in NSCLC. For the six months ended June 30, 2024, the increase was driven by a $5.2 million increase related to the sales force expansion for NSCLC, partially offset by $3.7 million reduction in other personnel expenses.

General and administrative expenses. General and administrative expenses decreased 8% to $37.7 million for the three-month period ended June 30, 2024 from $40.8 million for the same period in 2023. For the three and six months ended June 30, 2024, these changes were primarily due to lower personnel expenses.


	Three months ended June 30,						Six months ended June 30,
	2024		2023		% Change		2024		2023		% Change
Financial income (expenses), net	$	10,851	$	8,756	24	%	$	20,729	$	17,925	16	%

Financial income (expenses), net. For the three months ended June 30, 2024, financial income increased $2.1 million or 24% to $10.9 million from $8.8 million for the same period in 2023, primarily due to $2.2 million higher interest income offset by $2.0 million interest expenses related to the senior secured credit facility (see "Senior Secured Term Loan Credit Facility" below), $1.1 million in gain from redemptions of our 0% Convertible Senior Notes due 2025 (the “Notes”) and $0.9 million in favorable foreign exchange adjustments. Financial income increased $2.8 million or 16%, to $20.7 million for the six months ended June 30, 2024 from $17.9 million in income for the same period in 2023, primarily due to $2.2 million in higher interest income.


	Three months ended June 30,						Six months ended June 30,
	2024		2023		% Change		2024		2023		% Change
Income taxes	$	10,646	$	3,514	203	%	$	17,764	$	5,495	223	%

Income taxes. Income taxes increased 203% to $10.6 million for the three months ended June 30, 2024 from $3.5 million for the same period in 2023, and increased 223% to $17.8 million for the six months ended June 30, 2024 from $5.5 million for the same period in 2023. The change is driven by a decrease in tax benefits from share-based compensation and the utilization of tax credits in 2023 related to prior years. The increase also reflects a change in the mix of applicable statutory tax rates in active jurisdictions.

Non-GAAP financial measures

We also measure our performance using a non-GAAP measurement of earnings before interest, taxes, depreciation, amortization and shared-based compensation (“Adjusted EBITDA”). We believe Adjusted EBITDA is

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useful to investors in evaluating our operating performance because it helps investors evaluate and compare the results of our operations from period to period by removing the impact of earnings attributable to our capital structure, tax rate and material non-cash items, specifically share-based compensation.

We calculate Adjusted EBITDA as operating income before financial expenses and income taxes, net of depreciation, amortization and share-based compensation. The following table reconciles net income (loss), which is the most directly comparable GAAP operating performance measure, to Adjusted EBITDA.


	Three months ended June 30,						Six months ended June 30,
	2024		2023		% Change		2024		2023		% Change
Net income (loss)	$	(33,375)	$	(57,418)	(42)	%	$	(72,135)	$	(110,479)	(35)	%
Add: Income tax	10,646		3,514		203	%	17,764		5,495		223	%
Add: Financial expenses (income), net	(10,851)		(8,756)		24	%	(20,729)		(17,925)		16	%
Add: Depreciation and amortization	2,858		2,721		5	%	5,673		5,443		4	%
EBITDA	$	(30,722)	$	(59,939)	(49)	%	$	(69,427)	$	(117,466)	(41)	%
Add: Share-based compensation	31,830		32,740		(3)	%	65,914		71,824		(8)	%
Adjusted EBITDA	$	1,108	$	(27,199)	(104)	%	$	(3,513)	$	(45,642)	(92)	%

Adjusted EBITDA increased by $28.3 million to $1.1 million for the three months ended June 30, 2024 from $(27.2) million for the same period in 2023. This increase was primarily driven by revenue growth from improved approval rates in the U.S., a successful launch in France, and a benefit from prior period claims in the U.S. and UK. The revenue increase resulted in a $23.7 million increase in gross margin. Actions taken during the November 2023 restructuring and a heightened focus on driving operational efficiencies reduced total operating expenses, excluding share-based compensation, by $4.1 million year-over-year. We intend to take actions that prioritize growth and maintain financial health and flexibility as we position our company for future profitability.

Liquidity and Capital Resources

We have incurred significant losses and cumulative negative cash flows from operations since our founding in 2000. As of June 30, 2024, we had an accumulated deficit of $1,057.6 million. To date, we have primarily financed our operations through the issuance and sale of equity and the proceeds from long-term loans.

At June 30, 2024, we had $951.2 million in cash, cash equivalents and short-term investments, an increase of $40.6 million compared to $910.6 million at December 31, 2023, primarily as a result of the $100 million draw down of the first tranche of our senior secured credit facility in May 2024 (see "Senior Secured Term Loan Credit Facility" below), offset by net cash used in operations and used in investing activities. We believe our cash, cash equivalents and short-term investments as of June 30, 2024 are sufficient for our operations for at least the next 12 months based on our existing business plan and our ability to control the timing of significant expense commitments. We expect that our operating expenses will continue to increase over the next several years and may outpace our gross profit as we prepare to expand into additional indications beyond GBM. As a result, we may need to raise additional capital to fund our operations.

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The following summary of our cash flows for the periods indicated has been derived from our unaudited consolidated financial statements, which are included elsewhere in this Quarterly Report:


	Six months ended June 30,
	2024		2023		Change		% Change
Net cash provided by (used in) operating activities	$	(33,294)	$	(39,464)	$	6,170	(16)	%
Net cash provided by (used in) investing activities	(128,224)		68,390		(196,614)		(287)	%
Net cash provided by financing activities	87,530		12,706		74,824		589	%
Effect of exchange rate changes on cash and cash equivalents	(133)		28		(161)		(575)	%
Net increase (decrease) in cash, cash equivalents and restricted cash	$	(74,121)	$	41,660	$	(115,781)	(278)	%

Operating activities. Net cash used in or provided by operating activities represents our net income (loss) for the periods presented, share-based compensation and depreciation and amortization. Operating cash flows are also impacted by changes in working capital.

Net cash used in operating activities decreased by $6.2 million from $39.5 million net cash used in operating activities for the six months ended June 30, 2023 to $33.3 million net cash used in operating activities for the six months ended June 30, 2024. This was a result of a $38.3 million reduction in net loss, offset by a $32.9 million increase in working capital primarily driven by a $35.8 million increase in accounts receivable, a decrease of $7.1 million in cash to non-cash based expenses primarily consisting of shared-based compensation, and a decrease of $7.8 million in other long term assets and liabilities.

Investing activities. Our investing activities consist primarily of investments in and redemptions of our short-term investments as well as investments in property and equipment.

Net cash used in investing activities was $128.2 million for the six months ended June 30, 2024, compared to $68.4 million provided by investing activities for the six months ended June 30, 2023. The $128.2 million net cash used in investing activities for the six months ended June 30, 2024 was primarily attributable to $105.0 million of the net purchase of short term investments and the purchase of $23.2 million of property and equipment. The $68.4 million net cash provided by investing activities for the six months ended June 30, 2023 was primarily attributable to $81.4 million of net proceeds from maturity of short term investments and by the purchase of $13.0 million of property and equipment.

Financing activities. Net cash provided by financing activities was $87.5 million for the six months ended June 30, 2024, as compared to $12.7 million provided by financing activities for the six months ended June 30, 2023, primarily attributable to $96.9 million of net proceeds from the first tranche of our senior secured credit facility offset by $12.9 million used to partially repay Notes, In addition, the net cash provided by financing activities for the six months ended June 30, 2024 and June 30, 2023 included proceeds from the exercise of options under the Company's stock option plan.

Convertible Notes

On November 5, 2020, we issued $575.0 million aggregate principal amount of Notes. The Notes are senior unsecured obligations. The Notes do not bear regular interest, and the principal amount of the Notes will not accrete. The Notes are convertible at an initial conversion rate of 5.9439 ordinary shares per $1,000 principal amount of the Notes, which is equivalent to an initial conversion price of approximately $168.24 per ordinary share. The Notes are convertible at the option of the holders upon the satisfaction of certain other conditions and during certain periods, and if the Company exercises its right to redeem the Notes as permitted or required by the indenture. On or after August 1, 2025 until the close of the business on the business day immediately preceding the maturity date, holders may convert all or any portion of their Notes at the conversion rate at any time irrespective of the foregoing conditions.

In January 2021, we irrevocably elected to settle all conversions of Notes by a combination of cash and our ordinary shares and that the cash portion per $1,000 principal amount of Notes for all conversion settlements shall be $1,000. Accordingly, from and after the date of the election, upon conversion of any Notes, holders of Notes will

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receive, with respect to each $1,000 principal amount of Notes converted, cash in an amount up to $1,000 and the balance of the conversion value, if any, in our ordinary shares.

For more information, see Note 10a. to the Consolidated Financial Statements in the 2023 10-K.

Senior Secured Term Loan Credit Facility

On May 1, 2024 Novocure Luxembourg S.a.r.l. ("Borrower"), our wholly-owned subsidiary, entered into a new five-year senior secured credit facility of up to $400.0 million (the "Facility") with BPCR Limited Partnership and BioPharma Credit Investments V (Master) LP (collectively, the "Lenders"), BioPharma Credit PLC, as collateral agent for the Lenders, and the guarantors party to such agreement (the "Loan Agreement"). The Facility may be drawn in up to four drawings. The Loan Agreement provides for an initial term loan in the principal amount of $100.0 million (the "Tranche A Loan"), which was funded to the Borrower on May 1, 2024 (the "Tranche A Funding Date"). Under the Loan Agreement, the Borrower is required to draw $100.0 million on the Facility on or before June 30, 2025 (the "Tranche B Loan"), subject to customary conditions precedent as set forth in the Loan Agreement. Not later than December 31, 2025, the Borrower has the option to draw an additional $100.0 million of the Facility (the "Tranche C Loan") if (i) (A) we have received positive results from our PANOVA-3 phase 3 clinical trial or (B) our trailing net revenues for the most recently completed four quarters as reported in our financial statements filed with the U.S. Securities and Exchange Commission ("Trailing Four Quarters of Net Revenue") are greater than $575.0 million and (ii) the Notes are extinguished in full and are no longer outstanding. Not later than March 31, 2026, the Borrower has the option to draw an additional $100.0 million of the Facility (the "Tranche D Loan") if (i) we receive an approval or clearance from the U.S. Food and Drug Administration for our Tumor Treating Fields device for a pancreatic cancer indication or (ii) Trailing Four Quarters of Net Revenue is greater than $625.0 million. The obligations under the Loan Agreement are guaranteed by certain of our subsidiaries and secured by a first lien on the Borrower's and certain of our other subsidiaries’ assets. Outstanding term loans under the Loan Agreement will bear interest at an annual rate equal to 6.25% plus the three-month SOFR (subject to a 3.25% floor), payable quarterly in arrears and calculated on the basis of actual days elapsed in a 360-day year. The Borrower must pay 2.5% of additional consideration on each principal draw, with payment for the Tranche A Loan and the Tranche B Loan paid on the Tranche A Funding Date, and payments for the Tranche C Loan and the Tranche D Loan on their respective funding dates. Principal under the Facility will be repaid in eight equal quarterly repayments commencing with the third quarter of 2027 and continuing each quarter thereafter, with the final payment of outstanding principal due on the fifth anniversary of the Tranche A Funding Date. Voluntary prepayment of all, but not less than all, of the term loans outstanding is permitted at any time, subject to make-whole and prepayment premiums as set forth in the Loan Agreement. Prepayment of all term loans outstanding, subject to make-whole and prepayment premiums, is due and payable upon a change-in-control as defined in the Loan Agreement. Make-whole and prepayment premiums are due and payable for the Tranche B Loans for any voluntary prepayment of the term loans outstanding, upon a change-in-control (as defined in the Loan Agreement), and upon any acceleration of the maturity date, in each case regardless of whether the Tranche B Loan is drawn. The Loan Agreement contains a financial covenant only if the Tranche C Loan and/or Tranche D Loan are funded, in which case we are required to maintain at least Trailing Four Quarters of Net Revenue of at least $500.0 million, calculated on a trailing twelve-month basis as of the end of each fiscal quarter, beginning with the first quarter of 2027 based on year-end 2026 audited financial statements.

Contractual Obligations and Commitments

There have been no material changes from the information disclosed in our 2023 10-K.

Off-Balance Sheet Arrangements

We did not have during the periods presented, and we do not currently have, any off-balance sheet arrangements as defined under U.S. Securities and Exchange Commission (“SEC”) rules.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no material changes from the information disclosed in our 2023 10-K.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

As required by Rule 13a-15(b) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial

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Officer, has evaluated the effectiveness of our disclosure controls and procedures as of June 30, 2024. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on the evaluation of our disclosure controls and procedures as of June 30, 2024, our Chief Executive Officer and Chief Financial Officer have concluded that, as of June 30, 2024, our disclosure controls and procedures were effective at the reasonable assurance level.

Changes in Internal Control over Financial Reporting

There has been no change in our internal control over financial reporting during the quarter ended June 30, 2024 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

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PART II—OTHER INFORMATION

Item 1. Legal Proceedings

In June 2023, a putative class action lawsuit was filed against the Company, its Executive Chairman and its Chief Executive Officer. The complaint, later amended to add our Chief Financial Officer as a defendant, which purports to be brought on behalf of a class of persons and/or entities who purchased or otherwise acquired ordinary shares of the Company from January 5, 2023 through June 5, 2023, alleges material misstatements and/or omissions in the Company’s public statements with respect to the results from its phase 3 LUNAR clinical trial. The Company believes that the action is without merit and plans to defend the lawsuit vigorously.

In addition, from time to time, we are involved in various legal proceedings, claims, investigations and litigation that arise in the ordinary course of our business. Litigation is inherently uncertain. Accordingly, we cannot predict with certainty the outcome of these matters. After considering a number of factors, including (but not limited to) the views of legal counsel, the nature of contingencies to which the Company is subject and prior experience, management believes that the ultimate disposition of these legal actions will not materially affect its consolidated financial position or results of operations.

Item 1A. Risk Factors

There have been no material changes to our risk factors disclosed in Part I, Item 1A “Risk Factors” in the 2023 10-K.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

None.

Item 3. Defaults Upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

Securities Trading Plans of Executive Officers and Directors

Rule 10b5-1 under the Exchange Act provides an affirmative defense that enables prearranged transactions in securities in a manner that avoids concerns about initiating transactions at a future date while possibly in possession of material nonpublic information. Our Insider Trading Policy permits our executive officers and directors to enter into trading plans designed to comply with Rule 10b5-1.

During the three-month period ending June 30, 2024, we did not adopt or terminate any contract, instruction or written plan for the purchase or sale of our securities that are intended to satisfy the affirmative defense conditions of Rule 10b5–1(c) promulgated under the Securities Exchange Act of 1934, as amended or adopted or terminated a non-Rule 10b5-1 trading arrangement (as defined in Item 408(c) of Regulation S-K).

The following table describes contracts, instructions or written plans for the purchase or sale of our securities that are intended to satisfy the affirmative defense conditions of Rule 10b5–1(c) promulgated under the Securities Exchange Act of 1934, as amended (each a "Rule 10b5-1 Plan") adopted by our executive officers and directors during the three month period ending June 30, 2024:

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Name

Title

Date of Adoption

Duration of Rule 10b5-1 Plan

Aggregate Number of Securities to be Purchased Pursuant to the Rule 10b5-1 Plan

Aggregate Number of Securities to be Sold Pursuant to the Rule 10b5-1 Plan

Uri Weinberg

Chief Innovation Officer

June 5, 2024

September 4, 2024 - December 31, 2026

—

278,612

Wilhelmus Groenhuysen (1)

Chief Operating Officer

June 5, 2024

September 4, 2024 - May 31, 2025

—

1,249,563

Gabriel Kinyip Leung

Director

June 5, 2024

September 4, 2024 - August 31, 2025

—

88,413

(1) Includes shares held by the Groenhuysen Family Trust, in which Mr. Groenhuysen maintains a pecuniary interest. Mr. Groenhuysen does not disclaim beneficial ownership of such shares.

During the three-month period ending June 30, 2024, none of our executive officers or directors terminated a Rule 10b5-1 trading plan or adopted or terminated a non-Rule 10b5-1 trading arrangement (as defined in Item 408(c) of Regulation S-K).

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Item 6. Exhibits

EXHIBIT INDEX

Exhibit
Number

Incorporated by Reference

Filed
Herewith

Exhibit Description

Form

Date

Number

10.1

NovoCure Limited 2024 Omnibus Incentive Plan #

8-K

6/10/2024

10.1

31.1

Certification of Principal Executive Officer Required Under Rule 13a-14(a) and 15d-14(a) of the Securities Exchange Act of 1934, as amended

31.2

Certification of Principal Financial Officer Required Under Rule 13a-14(a) and 15d-14(a) of the Securities Exchange Act of 1934, as amended

32.1*

Certification of Principal Executive Officer Required Under Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended, and 18 U.S.C. §1350

32.2*

Certification of Principal Financial Officer Required Under Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended, and 18 U.S.C. §1350

101.INS

Inline XBRL Instance Document

101.SCH

Inline XBRL Taxonomy Extension Schema Document

101.CAL

Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

Inline XBRL Taxonomy Extension Label Linkbase Document

101.PRE

Inline XBRL Extension Presentation Linkbase Document

104

Cover Page Interactive Date File (formatted as Inline XBRL and contained in Exhibit 101)

____________________________________________

# Compensation plans and arrangements for executive officers and others.

* The certifications attached as Exhibits 32.1 and 32.2 that accompany this Quarterly Report on Form 10-Q are not deemed filed with the Securities and Exchange Commission and are not to be incorporated by reference into any filing of NovoCure Limited under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Form 10-Q, irrespective of any general incorporation language contained in such filing.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


						NovoCure Limited

Date: July 25, 2024						/s/ Ashley Cordova
						Ashley Cordova Chief Financial Officer (principal financial and accounting officer and duly authorized officer)

Exhibit 31.1

CERTIFICATIONS

I, Asaf Danziger, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q of NovoCure Limited;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c)Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting.

5.The registrant's other certifying officers and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a)all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b)any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal controls over financial reporting.


Date: July 25, 2024

/s/ Asaf Danziger
Asaf Danziger
Chief Executive Officer and Director

Exhibit 31.2

CERTIFICATIONS

I, Ashley Cordova, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q of NovoCure Limited;

(b)any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal controls over financial reporting.


Date: July 25, 2024

/s/ Ashley Cordova
Ashley Cordova
Chief Financial Officer
(Principal Accounting and Financial Officer)

Exhibit 32.1

NOVOCURE LIMITED

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of NovoCure Limited (the "Company") on Form 10-Q for the quarter ended June 30, 2024, as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, Asaf Danziger, Chief Executive Officer (Principal Executive Officer) of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1)The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.


/s/ Asaf Danziger
Asaf Danziger
Chief Executive Officer
(Principal Executive Officer)

Date: July 25, 2024

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff on request.

This certification accompanies the Report to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of NovoCure Limited under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Report), irrespective of any general incorporation language contained in such filing.

Exhibit 32.2

NOVOCURE LIMITED

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of NovoCure Limited (the "Company") on Form 10-Q for the quarter ended June 30, 2024, as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, Ashley Cordova, Chief Financial Officer (Principal Financial and Accounting Officer) of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1)The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.


/s/ Ashley Cordova
Ashley Cordova
Chief Financial Officer
(Principal Financial and Accounting Officer)

Date: July 25, 2024

Cover - shares	6 Months Ended
Cover - shares	Jun. 30, 2024	Jul. 19, 2024
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2024
Document Transition Report	false
Entity File Number	001-37565
Entity Registrant Name	NovoCure Limited
Entity Incorporation, State or Country Code	Y9
Entity Tax Identification Number	98-1057807
Entity Address, Address Line One	No. 4 The Forum
Entity Address, Address Line Two	Grenville Street
Entity Address, City or Town	St. Helier
Entity Address, Country	JE
Entity Address, Postal Zip Code	JE2 4UF
City Area Code	44 (0) 15
Local Phone Number	3475 6700
Title of 12(b) Security	Ordinary Shares, no par value
Trading Symbol	NVCR
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		108,217,490
Amendment Flag	false
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q2
Entity Central Index Key	0001645113
Current Fiscal Year End Date	--12-31

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
CURRENT ASSETS:
Cash and cash equivalents	$ 164,796	$ 240,821
Short-term investments	786,390	669,795
Restricted cash	3,647	1,743
Trade receivables, net	64,703	61,221
Receivables and prepaid expenses	32,858	22,677
Inventories	40,442	38,152
Total current assets	1,092,836	1,034,409
LONG-TERM ASSETS:
Property and equipment, net	66,477	51,479
Field equipment, net	11,719	11,384
Right-of-use assets	29,076	34,835
Other long-term assets	12,062	14,022
Total long-term assets	119,334	111,720
TOTAL ASSETS	1,212,170	1,146,129
CURRENT LIABILITIES:
Trade payables	90,171	94,391
Other payables, lease liabilities and accrued expenses	79,007	84,724
Total current liabilities	169,178	179,115
LONG-TERM LIABILITIES:
Convertible note	556,508	568,822
Senior secured credit facility, net	96,962	0
Long-term leases	21,731	27,420
Employee benefit liabilities	6,023	8,258
Other long-term liabilities	18	18
Total long-term liabilities	681,242	604,518
TOTAL LIABILITIES	850,420	783,633
COMMITMENTS AND CONTINGENCIES
SHAREHOLDERS' EQUITY:
Ordinary shares no par value, unlimited shares authorized; issued and outstanding: 108,013,830 shares and 107,075,754 shares at June 30, 2024 (unaudited) and December 31, 2023, respectively	0	0
Additional paid-in capital	1,422,903	1,353,468
Accumulated other comprehensive income (loss)	(3,515)	(5,469)
Retained earnings (accumulated deficit)	(1,057,638)	(985,503)
TOTAL SHAREHOLDERS' EQUITY	361,750	362,496
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$ 1,212,170	$ 1,146,129

CONSOLIDATED BALANCE SHEETS (Parenthetical) - shares	Jun. 30, 2024	Dec. 31, 2023
Statement of Financial Position [Abstract]
Common stock, shares issued (in shares)	108,013,830	107,075,754
Common stock, shares outstanding (in shares)	108,013,830	107,075,754

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Income Statement [Abstract]
Net revenues	$ 150,356	$ 126,051	$ 288,859	$ 248,233	$ 509,338
Cost of revenues	34,654	34,018	68,343	63,632	128,280
Gross profit	115,702	92,033	220,516	184,601	381,058
Operating costs and expenses:
Research, development and clinical studies	54,955	55,427	106,553	115,131	223,062
Sales and marketing	56,616	58,488	111,822	109,657	226,809
General and administrative	37,711	40,778	77,241	82,722	164,057
Total operating costs and expenses	149,282	154,693	295,616	307,510	613,928
Operating income (loss)	(33,580)	(62,660)	(75,100)	(122,909)	(232,870)
Financial income (expenses), net	10,851	8,756	20,729	17,925	41,130
Income (loss) before income tax	(22,729)	(53,904)	(54,371)	(104,984)	(191,740)
Income tax	10,646	3,514	17,764	5,495	15,303
Net income (loss)	$ (33,375)	$ (57,418)	$ (72,135)	$ (110,479)	$ (207,043)
Basic net income (loss) per ordinary share (in usd per share)	$ (0.31)	$ (0.54)	$ (0.67)	$ (1.04)	$ (1.95)
Diluted net income (loss) per ordinary share (in usd per share)	$ (0.31)	$ (0.54)	$ (0.67)	$ (1.04)	$ (1.95)
Weighted average number of ordinary shares used in computing basic net income (loss) per share (in shares)	107,700,284	106,289,073	107,483,241	105,979,791	106,391,178
Weighted average number of ordinary shares used in computing diluted net income (loss) per share (in shares)	107,700,284	106,289,073	107,483,241	105,979,791	106,391,178

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ (33,375)	$ (57,418)	$ (72,135)	$ (110,479)	$ (207,043)
Other comprehensive income (loss), net of tax:
Change in foreign currency translation adjustments	102	529	(225)	829	1,473
Unrealized gain (loss) from debt securities		68	0	425	445
Pension benefit plan	530	113	2,179	(802)	(4,954)
Total comprehensive income (loss)	$ (32,743)	$ (56,708)	$ (70,181)	$ (110,027)	$ (210,079)

CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY - USD ($) $ in Thousands	Total	Ordinary shares	Additional paid-in capital	Accumulated other comprehensive loss	Retained earnings (accumulated deficit)
Beginning balance (in shares) at Dec. 31, 2022		105,049,411
Beginning balance at Dec. 31, 2022	$ 441,170		$ 1,222,063	$ (2,433)	$ (778,460)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation to employees	39,084		39,084
Exercise of options and vested RSUs (in shares)		1,137,751
Exercise of options and vested RSUs	5,211		5,211
Other comprehensive income (loss), net of tax benefit of $0	(258)			(258)
Net income (loss)	(53,061)				(53,061)
Ending balance (in shares) at Mar. 31, 2023		106,187,162
Ending balance at Mar. 31, 2023	432,146		1,266,358	(2,691)	(831,521)
Beginning balance (in shares) at Dec. 31, 2022		105,049,411
Beginning balance at Dec. 31, 2022	441,170		1,222,063	(2,433)	(778,460)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(110,479)
Ending balance (in shares) at Jun. 30, 2023		106,605,331
Ending balance at Jun. 30, 2023	415,683		1,306,603	(1,981)	(888,939)
Beginning balance (in shares) at Dec. 31, 2022		105,049,411
Beginning balance at Dec. 31, 2022	441,170		1,222,063	(2,433)	(778,460)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(207,043)
Ending balance (in shares) at Dec. 31, 2023		107,075,754
Ending balance at Dec. 31, 2023	362,496		1,353,468	(5,469)	(985,503)
Beginning balance (in shares) at Mar. 31, 2023		106,187,162
Beginning balance at Mar. 31, 2023	432,146		1,266,358	(2,691)	(831,521)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation to employees	32,740		32,740
Proceeds from issuance of shares (in shares)		81,730
Proceeds from issuance of shares	2,883		2,883
Exercise of options and vested RSUs (in shares)		336,439
Exercise of options and vested RSUs	4,622		4,622
Other comprehensive income (loss), net of tax benefit of $0	710			710
Net income (loss)	(57,418)				(57,418)
Ending balance (in shares) at Jun. 30, 2023		106,605,331
Ending balance at Jun. 30, 2023	415,683		1,306,603	(1,981)	(888,939)
Beginning balance (in shares) at Dec. 31, 2023		107,075,754
Beginning balance at Dec. 31, 2023	362,496		1,353,468	(5,469)	(985,503)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation to employees	34,084		34,084
Exercise of options and vested RSUs (in shares)		528,020
Exercise of options and vested RSUs	213		213
Other comprehensive income (loss), net of tax benefit of $0	1,322			1,322
Net income (loss)	(38,760)				(38,760)
Ending balance (in shares) at Mar. 31, 2024		107,603,774
Ending balance at Mar. 31, 2024	359,355		1,387,765	(4,147)	(1,024,263)
Beginning balance (in shares) at Dec. 31, 2023		107,075,754
Beginning balance at Dec. 31, 2023	362,496		1,353,468	(5,469)	(985,503)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(72,135)
Ending balance (in shares) at Jun. 30, 2024		108,013,830
Ending balance at Jun. 30, 2024	361,750		1,422,903	(3,515)	(1,057,638)
Beginning balance (in shares) at Mar. 31, 2024		107,603,774
Beginning balance at Mar. 31, 2024	359,355		1,387,765	(4,147)	(1,024,263)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Share-based compensation to employees	31,830		31,830
Proceeds from issuance of shares (in shares)		178,668
Proceeds from issuance of shares	2,187		2,187
Exercise of options and vested RSUs (in shares)		231,388
Exercise of options and vested RSUs	1,121		1,121
Other comprehensive income (loss), net of tax benefit of $0	632			632
Net income (loss)	(33,375)				(33,375)
Ending balance (in shares) at Jun. 30, 2024		108,013,830
Ending balance at Jun. 30, 2024	$ 361,750		$ 1,422,903	$ (3,515)	$ (1,057,638)

CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY (Parenthetical) - USD ($) $ in Thousands	3 Months Ended
	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023
Statement of Stockholders' Equity [Abstract]
Other comprehensive income (loss), tax benefit	$ 0	$ 0	$ 0	$ 0

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Cash flows from operating activities:
Net income (loss)	$ (33,375)	$ (57,418)	$ (72,135)	$ (110,479)	$ (207,043)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization	2,858	2,721	5,673	5,443	10,969
Accrued Interest	(349)	1,170	1,273	50	(95)
Asset write-downs and impairment of field equipment	140	136	334	262	493
Share-based compensation	31,830	32,740	65,914	71,824	115,608
Foreign currency remeasurement loss (gain)	653	914	1,266	787	161
Decrease (increase) in accounts receivables and prepaid expenses	(11,119)	6,941	(14,394)	21,452	29,414
Amortization of discount (premium)	(6,854)	(5,075)	(12,235)	(9,131)	(23,084)
Decrease (increase) in inventories	1,888	(1,452)	(2,762)	(4,170)	(8,919)
Decrease (increase) in other long-term assets	4,889	(1,920)	6,063	(386)	4,072
Increase (decrease) in accounts payables and accrued expenses	9,548	207	(8,697)	(10,257)	14,869
Increase (decrease) in other long-term liabilities	(1,829)	(1,701)	(3,594)	(4,859)	(9,781)
Net cash provided by (used in) operating activities	(1,720)	(22,737)	(33,294)	(39,464)	(73,336)
Cash flows from investing activities:
Purchase of property, equipment and field equipment	(11,446)	(6,931)	(23,230)	(13,019)	(27,093)
Proceeds from maturity of short-term investments	160,000	314,597	418,000	640,884	1,214,982
Purchase of short-term investments	(522,994)	(321,563)	(522,994)	(559,475)	(1,003,741)
Net cash provided by (used in) investing activities	(374,440)	(13,897)	(128,224)	68,390	184,148
Cash flows from financing activities:
Proceeds from issuance of shares, net	2,187	2,883	2,187	2,883	4,416
Proceeds from senior secured credit facility, net	96,922	0	96,922	0	0
Repayment and redemption of long-term debt	(12,913)	(3)	(12,913)	(10)	(10)
Exercise of options	1,121	4,622	1,334	9,833	11,381
Net cash provided by (used in) financing activities	87,317	7,502	87,530	12,706	15,787
Effect of exchange rate changes on cash, cash equivalents and restricted cash	(77)	(13)	(133)	28	131
Increase (decrease) in cash, cash equivalents and restricted cash	(288,920)	(29,145)	(74,121)	41,660	126,730
Cash, cash equivalents and restricted cash at the beginning of the period	457,363	186,639	242,564	115,834	115,834
Cash, cash equivalents and restricted cash at the end of the period	168,443	157,494	168,443	157,494	242,564
Cash paid during the period for:
Income taxes paid (refunded), net	7,501	5,831	10,415	7,543	13,665
Interest paid	1,968	0	1,970	1	6
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents	164,796	156,978	164,796	156,978	240,821
Restricted cash	3,647	516	3,647	516	1,743
Total cash, cash equivalents and restricted cash	168,443	157,494	168,443	157,494	242,564
Non-cash activities:
Right-of-use assets obtained (disposed) in exchange for lease liabilities	(1,649)	2,333	(1,367)	5,784	18,063
Purchase of property incurred but unpaid at period end	$ 401	$ 0	$ 401	$ 0	$ 1,714

ORGANIZATION AND BASIS OF PRESENTATION	6 Months Ended
ORGANIZATION AND BASIS OF PRESENTATION	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization and basis of presentation	ORGANIZATION AND BASIS OF PRESENTATION Organization. NovoCure Limited (including its consolidated subsidiaries, the "Company") was incorporated in the Bailiwick of Jersey and is principally engaged in the development, manufacture and commercialization of Tumor Treating Fields ("TTFields") devices, including Optune Gio and Optune Lua (collectively, our "Products"), for the treatment of solid tumor cancers. The Company markets Optune Gio and Optune Lua in multiple countries around the globe with the majority of revenues coming from the use of Optune Gio in the U.S., Germany, France and Japan. The Company also has a License and Collaboration Agreement (the "Zai Agreement") with Zai Lab (Shanghai) Co., Ltd. ("Zai") to market Optune in China, Hong Kong, Macau and Taiwan ("Greater China"). Financial statement preparation. The accompanying unaudited consolidated financial statements include the accounts of the Company and intercompany accounts and transactions have been eliminated. In the opinion of the Company’s management, the unaudited consolidated financial statements reflect all adjustments, which are normal and recurring in nature, necessary for fair financial statement presentation for the periods presented. The preparation of these unaudited consolidated financial statements in conformity with U.S. generally accepted accounting principles ("GAAP") requires management to make estimates and assumptions that affect the amounts reported in these unaudited consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates. These unaudited consolidated financial statements and accompanying notes should be read in conjunction with the Company’s annual consolidated financial statements and the notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2023 (the "2023 10-K") filed with the Securities and Exchange Commission on February 22, 2024. The significant accounting policies applied in the audited annual consolidated financial statements of the Company as disclosed in the 2023 10-K are applied consistently in these unaudited interim consolidated financial statements. Concentration Risks. The Company's cash, cash equivalents, short-term investments and trade receivables are potentially subject to a concentration of risk. Cash, cash equivalents and short-term investments are invested at top tier financial institutions globally and the total value invested at any one institution is limited pursuant to the Company's investment policy. These investments may be in excess of insured limitations or not insured in certain jurisdictions. Generally, these investments may be redeemed upon demand according to the terms of the securities. The Company's trade receivables are due from numerous governments and federal and state agencies that are paid from their respective budgets, and from hundreds of health insurance companies. The Company does not believe that there are significant default risks associated with these governments, agencies and health insurance companies based upon the Company's historical experience. The Company has no off-balance sheet concentrations of credit risk such as foreign exchange contracts, option contracts or other foreign hedging arrangements. Recently announced accounting pronouncements In November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires public entities to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280 on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-07. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-09.

CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

6 Months Ended

Jun. 30, 2024

Cash, Cash Equivalents, and Short-Term Investments [Abstract]

Cash, cash equivalents and short-term investments

CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS


	June 30, 2024
	Unaudited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	17,238	$	—	$	—	$	17,238	$	17,238	$	17,238	$	—
Money market funds	Level 1	145,558		—		—		145,558		145,558		145,558		—
Certificate of deposits and term deposits	Level 2	210,197		—		—		210,197		210,197		2,000		208,197
HTM securities (1)
U.S. Treasury bills	Level 1	$	127,396	$	19	$	(15)	127,400		127,396		$	—	$	127,396

Corporate debt securities	Level 2	$	450,797	$	131	$	(285)	450,643		450,797		$	—	$	450,797

		$	578,193	$	150	$	(300)	$	578,043	$	578,193	$	—	$	578,193

Total		$	951,186	$	150	$	(300)	$	951,036	$	951,186	$	164,796	$	786,390


	December 31, 2023
	Audited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	9,955	$	—	$	—	$	9,955	$	9,955	$	9,955	$	—
Money market funds	Level 1	227,166		—		—		227,166		227,166		227,166		—
Certificate of deposits and term deposits	Level 2	153,169		—		—		153,169		153,169		3,700		149,469
HTM securities (1)
U.S. Treasury bills	Level 1	$	78,844	$	55	$	(110)	78,789		78,844		$	—	$	78,844
Government and governmental agencies	Level 2	$	24,940	$	13	$	—	24,953		24,940		$	—	$	24,940
Corporate debt securities	Level 2	$	416,542	$	486	$	(149)	416,879		416,542		$	—	$	416,542

		$	520,326	$	554	$	(259)	$	520,621	$	520,326	$	—	$	520,326

Total		$	910,616	$	554	$	(259)	$	910,911	$	910,616	$	240,821	$	669,795

(2) Pursuant to a bank guaranty agreement,$16,074 of short-term investments are pledged. See Note 4.

As of June 30, 2024 and December 31, 2023, all investments mature in one year or less.

INVENTORIES

6 Months Ended

Jun. 30, 2024

Inventory Disclosure [Abstract]

Inventories

INVENTORIES


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Raw materials	$	9,585	$	10,265
Work in progress	11,854		9,796
Finished products	19,003		18,091
Total	$	40,442	$	38,152

COMMITMENTS AND CONTINGENT LIABILITIES	6 Months Ended
COMMITMENTS AND CONTINGENT LIABILITIES	Jun. 30, 2024
Commitments and Contingencies Disclosure [Abstract]
Commitments and contingent liabilities	COMMITMENTS AND CONTINGENT LIABILITIES Operating Leases. The facilities of the Company are leased under various operating lease agreements for periods, including options for extensions, ending no later than 2044. The Company also leases motor vehicles under various operating leases, which expire on various dates, the latest of which is in 2027. Pledged deposits and bank guarantees. As of June 30, 2024 and December 31, 2023, the Company pledged bank deposits of $2,797 and $2,848, respectively, to cover bank guarantees in respect of its leases of operating facilities and obtained bank guarantees for the fulfillment of the Company’s lease and other contractual commitments of $3,155 and $3,216, respectively. In addition, €15,000 ($16,074) of the Company's short term investments are pledged to a bank as guarantee for the Company's due execution of cash concentration agreements. Legal Proceedings. In June 2023, a putative class action lawsuit was filed against the Company, its Executive Chairman and its Chief Executive Officer. The complaint, later amended to add our Chief Financial Officer as a defendant, which purports to be brought on behalf of a class of persons and/or entities who purchased or otherwise acquired ordinary shares of the Company from January 5, 2023 through June 5, 2023, alleges material misstatements and/or omissions in the Company’s public statements with respect to the results from its phase 3 LUNAR clinical trial. The Company believes that the action is without merit and plans to defend the lawsuit vigorously. As of June 30, 2024, the Company has not accrued any amounts in respect of this claim, as it believes liability is not probable and the amount of any potential liability cannot be reasonably estimated.

LONG-TERM DEBT, NET

6 Months Ended

Jun. 30, 2024

Debt Disclosure [Abstract]

Long-term debt, net

LONG-TERM DEBT, NET

a.Convertible notes

On November 5, 2020, the Company issued $575,000 aggregate principal amount of 0% Convertible Senior Notes due 2025 (the “Notes”).

The net carrying amount of the liability of the Notes as of June 30, 2024 and December 31, 2023 are as follows:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Liability component, net:
Principal amount	$	560,945	$	575,000
Unamortized issuance costs	(4,437)		(6,178)
Net carrying amount of liability component (1)	$	556,508	$	568,822

Finance expense related to the Notes was as follows:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Gain from redemption of Notes	(1,142)		—		(1,142)		—		—
Amortization of debt issuance costs	911		826		1,741		1,641		3,313
Total finance expenses (income) recognized	$	(231)	$	826	$	599	$	1,641	$	3,313

b. Senior secured credit facility, net

As of June 30, 2024 the Company had borrowed the Tranche A Loan in the principal amount of $100,000.


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Liability component, net:
Principal amount	$	100,000	$	—
Unamortized issuance costs	(3,038)		—
Net carrying amount of liability component (1)	$	96,962	$	—

The net carrying amount of the liability is represented by the principal amount of the Notes, less total issuance costs plus any amortization of issuance costs. The total issuance costs upon issuance of the Notes were $3,078 and are amortized to interest expense using the effective interest rate method over the contractual term of the Notes. For purposes of calculating the net carrying amount, the annual effective interest rate is assumed to be 13.3% over the remaining contractual term of the Notes.

Finance expense related to the Facility was as follows:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Interest	1,962		—		1,962		—		—
Amortization of debt issuance costs	40		—		40		—		—
Total finance expense recognized	$	2,002	$	—	$	2,002	$	—	$	—

REVENUE RECOGNITION

6 Months Ended

Jun. 30, 2024

Revenue from Contract with Customer [Abstract]

Revenue Recognition

REVENUE RECOGNITION

a. Net revenues

The Company’s net revenues by geographic region, based on the patient’s location are summarized as follows:


	Three months ended June 30,					Six months ended June 30,				Year ended December 31,
	2024		0	2023		2024		2023		2023
United States	$	95,711		$	86,958	$	186,254	$	172,186	$	349,743
International markets:
Germany	15,097			15,744		30,844		30,864		60,210
France (1)	14,267			—		24,755		—		11,736
Japan	7,664			7,861		15,481		16,530		31,668
Other international markets	11,771			8,737		20,742		16,587		32,757
International markets - Total	48,799			32,342		91,822		63,981		136,371

Greater China (2)	5,846			6,751		10,783		12,066		23,224

Total net revenues	$	150,356		$	126,051	$	288,859	$	248,233	$	509,338

(1) For periods ending prior to December 31, 2023, net revenue for France is included in "Other international markets".

(2) For additional information, see Notes 12 and 13 to the Consolidated Financial Statements in the 2023 10-K.

The Company's net revenues by performance period are as follows:


	Three months ended June 30,					Six months ended June 30,				Year ended December 31,
	2024		0	2023		2024		2023		2023
Net revenues recognized in the reporting period from performance obligations satisfied in:
Reporting period	$	138,857		$	119,823	$	269,343	$	236,932	$	492,089
Previous periods	11,499			6,228		19,516		11,301		17,249
Total net revenues	$	150,356		$	126,051	$	288,859	$	248,233	$	509,338

b. Contract balances

The following table provides information about trade receivables, unbilled receivables and contract liabilities from contracts with customers:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Trade receivables	$	59,869	$	56,970
Unbilled receivables	$	4,834	$	4,251
Deferred revenues (short-term contract liabilities)	(15,605)		(16,224)

SHARE OPTION PLANS AND ESPP

6 Months Ended

Jun. 30, 2024

Share-Based Payment Arrangement, Recognized Amount [Abstract]

Share option plans and ESPP

SHARE OPTION PLANS AND ESPP

As of June 30, 2024, no ordinary shares were available for grant under the 2015 Plan (see below).

As of June 30, 2024, no awards have been granted under the 2024 Plan and 9,270,636 ordinary shares were available for grant under the 2024 Plan.

A summary of the status of the Company’s option plans as of June 30, 2024 and changes during the period then ended is presented below:


	Six months ended June 30, 2024
	Unaudited
	Number of options	Weighted average exercise price
Outstanding at beginning of year	8,539,507	$	40.07
Granted	3,593,899	15.46
Exercised	(172,463)	7.74
Forfeited and canceled	(431,933)	49.89
Outstanding as of June 30, 2024	11,529,010	$	32.51

Exercisable options	6,897,941	$	35.39

A summary of the status of the Company’s RSUs and PSUs as of June 30, 2024 and changes during the period then ended is presented below.


	Six months ended June 30, 2024
	Unaudited
	Number of RSU/PSUs	Weighted average grant date fair value
Unvested at beginning of year	5,813,066	$	60.52
Granted	9,225,787	15.21
Vested	(586,945)	88.14
Forfeited and cancelled	(816,451)	47.71
Unvested as of June 30, 2024 (1)	13,635,457	29.44


June 30, 2024
Number of PSUs	Fair value at grant date per PSU		Total fair value at grant date
588,952	$	16.30	$	9,600
2,703,852	48.16		130,218
199,315	76.97		15,341
234,512	80.59		18,899
15,210	87.66		1,333
3,741,841			$	175,393

These PSUs will be expensed over the performance period when the vesting conditions become probable in accordance with ASC 718.


	Six months ended June 30,				Year ended December 31, 2023
	2024		2023
	Unaudited				Audited
Stock Option Plans
Expected term (years)	5.50-5.73		5.50-6.00		5.50-6.00
Expected volatility	71%-73%		63%-67%		63%-70%
Risk-free interest rate	3.88%-4.43%		3.48%-4.10%		3.48%-4.79%



Dividend yield	0.00	%	0.00	%	0.00	%
ESPP
Expected term (years)	0.50		0.50		0.50
Expected volatility	90	%	56	%	56%-122%
Risk-free interest rate	5.13	%	4.76	%	4.76%-5.38%


Dividend yield	0.00	%	0.00	%	0.00	%


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Cost of revenues	$	1,698	$	2,023	$	3,446	$	4,029	$	6,587
Research, development and clinical studies	9,517		8,537		18,127		20,316		31,827
Sales and marketing	9,896		10,213		20,944		21,857		35,968
General and administrative	10,719		11,967		23,397		25,622		41,226
Total share-based compensation expense	$	31,830	$	32,740	$	65,914	$	71,824	$	115,608

Basic and diluted net income (loss) per ordinary share

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Abstract]

Basic and diluted net income (loss) per ordinary share

The following table sets forth the computation of the Company’s basic and diluted net income (loss) per ordinary share:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Net income (loss) attributable to ordinary shares as reported used in computing basic and diluted net income (loss) per share	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)	$	(207,043)






Weighted average number of ordinary shares used in computing diluted net income (loss) per share	107,700,284		106,289,073		107,483,241		105,979,791		106,391,178

Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:
Options	9,931,469		81,733		9,112,573		81,730		6,950,781
RSUs and PSUs	3,918,515		1,660,471		3,284,521		965,915		1,423,377
ESPP	178,668		6,741,132		178,668		6,685,594		161,627
Weighted anti-dilutive shares outstanding which were not included in the diluted calculation	14,028,652		8,483,336		12,575,762		7,733,239		8,535,785

Basic and diluted net income (loss) per ordinary share	$	(0.31)	$	(0.54)	$	(0.67)	$	(1.04)	$	(1.95)

SUPPLEMENTAL INFORMATION

6 Months Ended

Jun. 30, 2024

Geographic Areas, Long-Lived Assets [Abstract]

Supplemental information

SUPPLEMENTAL INFORMATION

The Company operates in a single reportable segment.

The following table presents long-lived assets by location:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
United States	$	50,124	$	41,634
Israel	8,449		8,317
Switzerland	13,620		7,733


Others	6,003		5,179
Total long lived assets	$	78,196	$	62,863

Restructuring


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Cost of revenues	$	—	$	—	$	52	$	—	$	262
Research, development and clinical studies	—		—		275		—		2,070
Sales and marketing	(27)		—		1,512		—		2,404
General and administrative	—		—		164		—		1,495
Total restructuring cost	$	(27)	$	—	$	2,003	$	—	$	6,231

Restructuring costs paid during the period	$	327	$	—	$	5,455	$	—	$	2,753

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended				6 Months Ended		12 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Pay vs Performance Disclosure
Net income (loss)	$ (33,375)	$ (38,760)	$ (57,418)	$ (53,061)	$ (72,135)	$ (110,479)	$ (207,043)

Insider Trading Arrangements

3 Months Ended

Jun. 30, 2024

Trading Arrangements, by Individual

Rule 10b5-1 Arrangement Adopted

false

Non-Rule 10b5-1 Arrangement Adopted

false

Rule 10b5-1 Arrangement Terminated

false

Non-Rule 10b5-1 Arrangement Terminated

false

Executive Officer And Director Trading Agreement [Member]

Trading Arrangements, by Individual

Material Terms of Trading Arrangement

Name

Title

Date of Adoption

Duration of Rule 10b5-1 Plan

Aggregate Number of Securities to be Purchased Pursuant to the Rule 10b5-1 Plan

Aggregate Number of Securities to be Sold Pursuant to the Rule 10b5-1 Plan

Uri Weinberg

Chief Innovation Officer

June 5, 2024

September 4, 2024 - December 31, 2026

—

278,612

Wilhelmus Groenhuysen (1)

Chief Operating Officer

June 5, 2024

September 4, 2024 - May 31, 2025

—

1,249,563

Gabriel Kinyip Leung

Director

June 5, 2024

September 4, 2024 - August 31, 2025

—

88,413

(1) Includes shares held by the Groenhuysen Family Trust, in which Mr. Groenhuysen maintains a pecuniary interest. Mr. Groenhuysen does not disclaim beneficial ownership of such shares.

Non-Rule 10b5-1 Arrangement Adopted

false

Rule 10b5-1 Arrangement Terminated

false

Non-Rule 10b5-1 Arrangement Terminated

false

Executive Officer And Director Trading Agreement [Member] | Uri Weinberg [Member]

Trading Arrangements, by Individual

Name

Uri Weinberg

Title

Chief Innovation Officer

Rule 10b5-1 Arrangement Adopted

true

Adoption Date

June 5, 2024

Arrangement Duration

848 days

Aggregate Available

278,612

Executive Officer And Director Trading Agreement [Member] | Wilhelmus Groenhuysen [Member]

Trading Arrangements, by Individual

Name

Wilhelmus Groenhuysen (1)

Title

Chief Operating Officer

Rule 10b5-1 Arrangement Adopted

true

Adoption Date

June 5, 2024

Arrangement Duration

269 days

Aggregate Available

1,249,563

Executive Officer And Director Trading Agreement [Member] | Gabriel Kinyip Leung [Member]

Trading Arrangements, by Individual

Name

Gabriel Kinyip Leung

Title

Director

Rule 10b5-1 Arrangement Adopted

true

Adoption Date

June 5, 2024

Arrangement Duration

361 days

Aggregate Available

88,413

ORGANIZATION AND BASIS OF PRESENTATION (Policies)	6 Months Ended
ORGANIZATION AND BASIS OF PRESENTATION (Policies)	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Financial Statement Preparation	Financial statement preparation. The accompanying unaudited consolidated financial statements include the accounts of the Company and intercompany accounts and transactions have been eliminated. In the opinion of the Company’s management, the unaudited consolidated financial statements reflect all adjustments, which are normal and recurring in nature, necessary for fair financial statement presentation for the periods presented. The preparation of these unaudited consolidated financial statements in conformity with U.S. generally accepted accounting principles ("GAAP") requires management to make estimates and assumptions that affect the amounts reported in these unaudited consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates. These unaudited consolidated financial statements and accompanying notes should be read in conjunction with the Company’s annual consolidated financial statements and the notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2023 (the "2023 10-K") filed with the Securities and Exchange Commission on February 22, 2024. The significant accounting policies applied in the audited annual consolidated financial statements of the Company as disclosed in the 2023 10-K are applied consistently in these unaudited interim consolidated financial statements.
Concentration Risks	Concentration Risks. The Company's cash, cash equivalents, short-term investments and trade receivables are potentially subject to a concentration of risk. Cash, cash equivalents and short-term investments are invested at top tier financial institutions globally and the total value invested at any one institution is limited pursuant to the Company's investment policy. These investments may be in excess of insured limitations or not insured in certain jurisdictions. Generally, these investments may be redeemed upon demand according to the terms of the securities. The Company's trade receivables are due from numerous governments and federal and state agencies that are paid from their respective budgets, and from hundreds of health insurance companies. The Company does not believe that there are significant default risks associated with these governments, agencies and health insurance companies based upon the Company's historical experience. The Company has no off-balance sheet concentrations of credit risk such as foreign exchange contracts, option contracts or other foreign hedging arrangements.
Recently announced accounting pronouncements	Recently announced accounting pronouncements In November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires public entities to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280 on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-07. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-09

CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS (Tables)

6 Months Ended

Jun. 30, 2024

Cash, Cash Equivalents, and Short-Term Investments [Abstract]

Schedule of cash and cash equivalents

As of June 30, 2024 and December 31, 2023, the Company’s cash and cash equivalents and short-term investments were composed of:


	June 30, 2024
	Unaudited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	17,238	$	—	$	—	$	17,238	$	17,238	$	17,238	$	—
Money market funds	Level 1	145,558		—		—		145,558		145,558		145,558		—
Certificate of deposits and term deposits	Level 2	210,197		—		—		210,197		210,197		2,000		208,197
HTM securities (1)
U.S. Treasury bills	Level 1	$	127,396	$	19	$	(15)	127,400		127,396		$	—	$	127,396

Corporate debt securities	Level 2	$	450,797	$	131	$	(285)	450,643		450,797		$	—	$	450,797

		$	578,193	$	150	$	(300)	$	578,043	$	578,193	$	—	$	578,193

Total		$	951,186	$	150	$	(300)	$	951,036	$	951,186	$	164,796	$	786,390


	December 31, 2023
	Audited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	9,955	$	—	$	—	$	9,955	$	9,955	$	9,955	$	—
Money market funds	Level 1	227,166		—		—		227,166		227,166		227,166		—
Certificate of deposits and term deposits	Level 2	153,169		—		—		153,169		153,169		3,700		149,469
HTM securities (1)
U.S. Treasury bills	Level 1	$	78,844	$	55	$	(110)	78,789		78,844		$	—	$	78,844
Government and governmental agencies	Level 2	$	24,940	$	13	$	—	24,953		24,940		$	—	$	24,940
Corporate debt securities	Level 2	$	416,542	$	486	$	(149)	416,879		416,542		$	—	$	416,542

		$	520,326	$	554	$	(259)	$	520,621	$	520,326	$	—	$	520,326

Total		$	910,616	$	554	$	(259)	$	910,911	$	910,616	$	240,821	$	669,795

(2) Pursuant to a bank guaranty agreement,$16,074 of short-term investments are pledged. See Note 4.

Schedule of amortized cost and recorded basis of T-bills in short-term Investments

As of June 30, 2024 and December 31, 2023, the Company’s cash and cash equivalents and short-term investments were composed of:


	June 30, 2024
	Unaudited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	17,238	$	—	$	—	$	17,238	$	17,238	$	17,238	$	—
Money market funds	Level 1	145,558		—		—		145,558		145,558		145,558		—
Certificate of deposits and term deposits	Level 2	210,197		—		—		210,197		210,197		2,000		208,197
HTM securities (1)
U.S. Treasury bills	Level 1	$	127,396	$	19	$	(15)	127,400		127,396		$	—	$	127,396

Corporate debt securities	Level 2	$	450,797	$	131	$	(285)	450,643		450,797		$	—	$	450,797

		$	578,193	$	150	$	(300)	$	578,043	$	578,193	$	—	$	578,193

Total		$	951,186	$	150	$	(300)	$	951,036	$	951,186	$	164,796	$	786,390


	December 31, 2023
	Audited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	9,955	$	—	$	—	$	9,955	$	9,955	$	9,955	$	—
Money market funds	Level 1	227,166		—		—		227,166		227,166		227,166		—
Certificate of deposits and term deposits	Level 2	153,169		—		—		153,169		153,169		3,700		149,469
HTM securities (1)
U.S. Treasury bills	Level 1	$	78,844	$	55	$	(110)	78,789		78,844		$	—	$	78,844
Government and governmental agencies	Level 2	$	24,940	$	13	$	—	24,953		24,940		$	—	$	24,940
Corporate debt securities	Level 2	$	416,542	$	486	$	(149)	416,879		416,542		$	—	$	416,542

		$	520,326	$	554	$	(259)	$	520,621	$	520,326	$	—	$	520,326

Total		$	910,616	$	554	$	(259)	$	910,911	$	910,616	$	240,821	$	669,795

(2) Pursuant to a bank guaranty agreement,$16,074 of short-term investments are pledged. See Note 4.

Schedule of available-for-sale securities reconciliation

As of June 30, 2024 and December 31, 2023, the Company’s cash and cash equivalents and short-term investments were composed of:


	June 30, 2024
	Unaudited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	17,238	$	—	$	—	$	17,238	$	17,238	$	17,238	$	—
Money market funds	Level 1	145,558		—		—		145,558		145,558		145,558		—
Certificate of deposits and term deposits	Level 2	210,197		—		—		210,197		210,197		2,000		208,197
HTM securities (1)
U.S. Treasury bills	Level 1	$	127,396	$	19	$	(15)	127,400		127,396		$	—	$	127,396

Corporate debt securities	Level 2	$	450,797	$	131	$	(285)	450,643		450,797		$	—	$	450,797

		$	578,193	$	150	$	(300)	$	578,043	$	578,193	$	—	$	578,193

Total		$	951,186	$	150	$	(300)	$	951,036	$	951,186	$	164,796	$	786,390


	December 31, 2023
	Audited
	Fair value level	Adjusted cost basis		Unrealized gains		Unrealized losses		Fair market value		Recorded basis		Cash and cash equivalents		Short-term investments (2)
Cash		$	9,955	$	—	$	—	$	9,955	$	9,955	$	9,955	$	—
Money market funds	Level 1	227,166		—		—		227,166		227,166		227,166		—
Certificate of deposits and term deposits	Level 2	153,169		—		—		153,169		153,169		3,700		149,469
HTM securities (1)
U.S. Treasury bills	Level 1	$	78,844	$	55	$	(110)	78,789		78,844		$	—	$	78,844
Government and governmental agencies	Level 2	$	24,940	$	13	$	—	24,953		24,940		$	—	$	24,940
Corporate debt securities	Level 2	$	416,542	$	486	$	(149)	416,879		416,542		$	—	$	416,542

		$	520,326	$	554	$	(259)	$	520,621	$	520,326	$	—	$	520,326

Total		$	910,616	$	554	$	(259)	$	910,911	$	910,616	$	240,821	$	669,795

(2) Pursuant to a bank guaranty agreement,$16,074 of short-term investments are pledged. See Note 4.

INVENTORIES (Tables)

6 Months Ended

Jun. 30, 2024

Inventory Disclosure [Abstract]

Schedule of Inventories

As of June 30, 2024 and December 31, 2023, the Company’s inventories were composed of:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Raw materials	$	9,585	$	10,265
Work in progress	11,854		9,796
Finished products	19,003		18,091
Total	$	40,442	$	38,152

LONG-TERM DEBT NET (Tables)

6 Months Ended

Jun. 30, 2024

Debt Disclosure [Abstract]

Summary of the convertible notes

The net carrying amount of the liability of the Notes as of June 30, 2024 and December 31, 2023 are as follows:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Liability component, net:
Principal amount	$	560,945	$	575,000
Unamortized issuance costs	(4,437)		(6,178)
Net carrying amount of liability component (1)	$	556,508	$	568,822

Finance expense related to the Notes was as follows:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Gain from redemption of Notes	(1,142)		—		(1,142)		—		—
Amortization of debt issuance costs	911		826		1,741		1,641		3,313
Total finance expenses (income) recognized	$	(231)	$	826	$	599	$	1,641	$	3,313

Schedule of senior secured credit facility


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Liability component, net:
Principal amount	$	100,000	$	—
Unamortized issuance costs	(3,038)		—
Net carrying amount of liability component (1)	$	96,962	$	—

Finance expense related to the Facility was as follows:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Interest	1,962		—		1,962		—		—
Amortization of debt issuance costs	40		—		40		—		—
Total finance expense recognized	$	2,002	$	—	$	2,002	$	—	$	—

Revenue from Contract with Customer (Tables)

6 Months Ended

Jun. 30, 2024

Revenue from Contract with Customer [Abstract]

Schedule of Revenues by Geographic Region

The Company’s net revenues by geographic region, based on the patient’s location are summarized as follows:


	Three months ended June 30,					Six months ended June 30,				Year ended December 31,
	2024		0	2023		2024		2023		2023
United States	$	95,711		$	86,958	$	186,254	$	172,186	$	349,743
International markets:
Germany	15,097			15,744		30,844		30,864		60,210
France (1)	14,267			—		24,755		—		11,736
Japan	7,664			7,861		15,481		16,530		31,668
Other international markets	11,771			8,737		20,742		16,587		32,757
International markets - Total	48,799			32,342		91,822		63,981		136,371

Greater China (2)	5,846			6,751		10,783		12,066		23,224

Total net revenues	$	150,356		$	126,051	$	288,859	$	248,233	$	509,338

(1) For periods ending prior to December 31, 2023, net revenue for France is included in "Other international markets".

(2) For additional information, see Notes 12 and 13 to the Consolidated Financial Statements in the 2023 10-K.

Revenue Recognized According Performance Period

The Company's net revenues by performance period are as follows:


	Three months ended June 30,					Six months ended June 30,				Year ended December 31,
	2024		0	2023		2024		2023		2023
Net revenues recognized in the reporting period from performance obligations satisfied in:
Reporting period	$	138,857		$	119,823	$	269,343	$	236,932	$	492,089
Previous periods	11,499			6,228		19,516		11,301		17,249
Total net revenues	$	150,356		$	126,051	$	288,859	$	248,233	$	509,338

Contract with Customer, Contract Asset, Contract Liability, and Receivable

The following table provides information about trade receivables, unbilled receivables and contract liabilities from contracts with customers:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
Trade receivables	$	59,869	$	56,970
Unbilled receivables	$	4,834	$	4,251
Deferred revenues (short-term contract liabilities)	(15,605)		(16,224)

SHARE OPTION PLANS AND ESPP (Tables)

6 Months Ended

Jun. 30, 2024

Share-Based Payment Arrangement, Recognized Amount [Abstract]

Schedule of stock option plans

A summary of the status of the Company’s option plans as of June 30, 2024 and changes during the period then ended is presented below:


	Six months ended June 30, 2024
	Unaudited
	Number of options	Weighted average exercise price
Outstanding at beginning of year	8,539,507	$	40.07
Granted	3,593,899	15.46
Exercised	(172,463)	7.74
Forfeited and canceled	(431,933)	49.89
Outstanding as of June 30, 2024	11,529,010	$	32.51

Exercisable options	6,897,941	$	35.39

Schedule of RSUs and PSUs

A summary of the status of the Company’s RSUs and PSUs as of June 30, 2024 and changes during the period then ended is presented below.


	Six months ended June 30, 2024
	Unaudited
	Number of RSU/PSUs	Weighted average grant date fair value
Unvested at beginning of year	5,813,066	$	60.52
Granted	9,225,787	15.21
Vested	(586,945)	88.14
Forfeited and cancelled	(816,451)	47.71
Unvested as of June 30, 2024 (1)	13,635,457	29.44


June 30, 2024
Number of PSUs	Fair value at grant date per PSU		Total fair value at grant date
588,952	$	16.30	$	9,600
2,703,852	48.16		130,218
199,315	76.97		15,341
234,512	80.59		18,899
15,210	87.66		1,333
3,741,841			$	175,393

Schedule of fair value assumptions used for All equity based awards estimated using black-scholes option pricing model


	Six months ended June 30,				Year ended December 31, 2023
	2024		2023
	Unaudited				Audited
Stock Option Plans
Expected term (years)	5.50-5.73		5.50-6.00		5.50-6.00
Expected volatility	71%-73%		63%-67%		63%-70%
Risk-free interest rate	3.88%-4.43%		3.48%-4.10%		3.48%-4.79%



Dividend yield	0.00	%	0.00	%	0.00	%
ESPP
Expected term (years)	0.50		0.50		0.50
Expected volatility	90	%	56	%	56%-122%
Risk-free interest rate	5.13	%	4.76	%	4.76%-5.38%


Dividend yield	0.00	%	0.00	%	0.00	%

Schedule of non-cash share-based compensation expense related to company's equity-based awards


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Cost of revenues	$	1,698	$	2,023	$	3,446	$	4,029	$	6,587
Research, development and clinical studies	9,517		8,537		18,127		20,316		31,827
Sales and marketing	9,896		10,213		20,944		21,857		35,968
General and administrative	10,719		11,967		23,397		25,622		41,226
Total share-based compensation expense	$	31,830	$	32,740	$	65,914	$	71,824	$	115,608

Basic and diluted net income (loss) per ordinary share (Tables)

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Abstract]

Schedule of basic and diluted net income (loss) per ordinary share

The following table sets forth the computation of the Company’s basic and diluted net income (loss) per ordinary share:


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Net income (loss) attributable to ordinary shares as reported used in computing basic and diluted net income (loss) per share	$	(33,375)	$	(57,418)	$	(72,135)	$	(110,479)	$	(207,043)






Weighted average number of ordinary shares used in computing diluted net income (loss) per share	107,700,284		106,289,073		107,483,241		105,979,791		106,391,178

Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:
Options	9,931,469		81,733		9,112,573		81,730		6,950,781
RSUs and PSUs	3,918,515		1,660,471		3,284,521		965,915		1,423,377
ESPP	178,668		6,741,132		178,668		6,685,594		161,627
Weighted anti-dilutive shares outstanding which were not included in the diluted calculation	14,028,652		8,483,336		12,575,762		7,733,239		8,535,785

Basic and diluted net income (loss) per ordinary share	$	(0.31)	$	(0.54)	$	(0.67)	$	(1.04)	$	(1.95)

SUPPLEMENTAL INFORMATION (Tables)

6 Months Ended

Jun. 30, 2024

Geographic Areas, Long-Lived Assets [Abstract]

Schedule of long-lived assets by location

The following table presents long-lived assets by location:


	June 30, 2024		December 31, 2023
	Unaudited		Audited
United States	$	50,124	$	41,634
Israel	8,449		8,317
Switzerland	13,620		7,733


Others	6,003		5,179
Total long lived assets	$	78,196	$	62,863

Schedule of Restructuring and Related Costs


	Three months ended June 30,				Six months ended June 30,				Year ended December 31, 2023
	2024		2023		2024		2023
	Unaudited				Unaudited				Audited
Cost of revenues	$	—	$	—	$	52	$	—	$	262
Research, development and clinical studies	—		—		275		—		2,070
Sales and marketing	(27)		—		1,512		—		2,404
General and administrative	—		—		164		—		1,495
Total restructuring cost	$	(27)	$	—	$	2,003	$	—	$	6,231

Restructuring costs paid during the period	$	327	$	—	$	5,455	$	—	$	2,753

CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS - Schedule of Cash and Cash Equivalents and Short-Term Investments (Details) € in Thousands, $ in Thousands	Jun. 30, 2024 USD ($)	Jun. 30, 2024 EUR (€)	Dec. 31, 2023 USD ($)	Jun. 30, 2023 USD ($)
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	$ 164,796		$ 240,821	$ 156,978
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	578,193		520,326
Unrealized gains	150		554
Unrealized losses	(300)		(259)
Fair market value	578,043		520,621
Debt securities, available-for-sale and held-to-maturity, adjusted cost basis	951,186		910,616
Debt securities, available-for-sale and held-to-maturity, unrealized gains	150		554
Debt securities, available-for-sale and held-to-maturity, unrealized losses	(300)		(259)
Debt securities, available-for-sale and held-to-maturity, fair value	951,036		910,911
Debt securities, available-for-sale and held-to-maturity	951,186		910,616
Asset pledged as collateral
HTM Securities
Debt securities, available-for-sale and held-to-maturity, adjusted cost basis	16,074	€ 15,000
Level 1 \| U.S. Treasury bills
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	127,396		78,844
Unrealized gains	19		55
Unrealized losses	(15)		(110)
Fair market value	127,400		78,789
Level 2 \| Government and governmental agencies
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis			24,940
Unrealized gains			13
Unrealized losses			0
Fair market value			24,953
Level 2 \| Corporate debt securities
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	450,797		416,542
Unrealized gains	131		486
Unrealized losses	(285)		(149)
Fair market value	450,643		416,879
Cash and cash equivalents
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	0		0
Debt securities, available-for-sale and held-to-maturity	164,796		240,821
Cash and cash equivalents \| Level 1 \| U.S. Treasury bills
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	0
Cash and cash equivalents \| Level 2 \| Corporate debt securities
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	0		0
Short-term investments (2)
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	578,193		520,326
Debt securities, available-for-sale and held-to-maturity	786,390		669,795
Short-term investments (2) \| Level 1 \| U.S. Treasury bills
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	127,396		78,844
Short-term investments (2) \| Level 2 \| Government and governmental agencies
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis			24,940
Short-term investments (2) \| Level 2 \| Corporate debt securities
HTM Securities
Debt securities, held-to-maturity, adjusted cost basis and recorded basis	450,797		416,542
Cash
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents, fair value	17,238		9,955
Cash \| Cash and cash equivalents
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	17,238		9,955
Money market funds \| Level 1
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents, fair value	145,558		227,166
Money market funds \| Cash and cash equivalents \| Level 1
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	145,558		227,166
Certificate of deposits and term deposits \| Level 2
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents, fair value	210,197		153,169
Certificate of deposits and term deposits \| Cash and cash equivalents \| Level 2
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	2,000		3,700
Certificate of deposits and term deposits \| Short-term investments (2) \| Level 2
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	$ 208,197		$ 149,469

INVENTORIES (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Inventory Disclosure [Abstract]
Raw materials	$ 9,585	$ 10,265
Work in progress	11,854	9,796
Finished products	19,003	18,091
Total	$ 40,442	$ 38,152

COMMITMENTS AND CONTINGENT LIABILITIES (Details) € in Thousands, $ in Thousands	Jun. 30, 2024 USD ($)	Jun. 30, 2024 EUR (€)	Dec. 31, 2023 USD ($)
Line of Credit Facility [Line Items]
Pledged bank deposits	$ 2,797		$ 2,848
Operating lease and other contractual commitments	3,155		3,216
Debt securities, available-for-sale and held-to-maturity, adjusted cost basis	951,186		$ 910,616
Asset pledged as collateral
Line of Credit Facility [Line Items]
Debt securities, available-for-sale and held-to-maturity, adjusted cost basis	$ 16,074	€ 15,000

LONG-TERM DEBT, NET - Convertible notes Narrative (Details) - USD ($) $ in Thousands	1 Months Ended	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023	Nov. 05, 2020
Debt Instrument [Line Items]
Repayments of long-term debt		$ 12,913	$ 3	$ 12,913	$ 10	$ 10
Convertible debt \| 0% Convertible Senior Notes Due 2025
Debt Instrument [Line Items]
Principal amount							$ 575,000
Stated interest rate							0.00%
Redeemed convertible note	$ 14,055	14,055		14,055
Repayments of long-term debt	12,913
Debt issuance costs, gross	$ 16,561	$ 16,561		$ 16,561
Debt instrument, interest rate, effective percentage	0.59%	0.59%		0.59%

LONG-TERM DEBT, NET - Liability and Equity Components of the Convertible Notes (Details) - Convertible debt - 0% Convertible Senior Notes Due 2025 - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
Principal amount	$ 560,945	$ 575,000
Unamortized issuance costs	(4,437)	(6,178)
Net carrying amount of liability component	556,508	568,822
Estimated fair value	$ 507,158	$ 515,962

LONG-TERM DEBT, NET - Amortization of Finance Expense Convertible Notes (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Debt Instrument [Line Items]
Financial income (expenses), net	$ 10,851	$ 8,756	$ 20,729	$ 17,925	$ 41,130
0% Convertible Senior Notes Due 2025 \| Convertible debt
Debt Instrument [Line Items]
Gain from redemption of Notes	(1,142)	0	(1,142)	0	0
Amortization of debt issuance costs	911	826	1,741	1,641	3,313
Financial income (expenses), net	$ (231)	$ 826	$ 599	$ 1,641	$ 3,313

LONG-TERM DEBT, NET - Senior Secured Credit Facility Narrative (Details) - Revolving Credit Facility $ in Thousands			12 Months Ended
	Jun. 30, 2025 USD ($)	May 01, 2024 USD ($) drawing yr repayment	Dec. 31, 2026 USD ($)	Mar. 31, 2026 USD ($)	Dec. 31, 2025 USD ($)	Jun. 30, 2024 USD ($)
2024 Credit Facility
Debt Instrument [Line Items]
Contractual term		5 years
Maximum borrowing capacity		$ 400,000
Number of drawings \| drawing		4
Stated interest rate		6.25%				13.30%
Debt instrument additional interest rate		2.50%
Number of repayments \| repayment		8
Final payment of outstanding principal due, year \| yr		5
2024 Credit Facility \| Minimum
Debt Instrument [Line Items]
Basis spread on variable rate		3.25%
2024 Credit Facility \| Forecast \| Minimum
Debt Instrument [Line Items]
Trailing net revenues			$ 500,000	$ 625,000	$ 575,000
2024 Credit Facility Tranche A
Debt Instrument [Line Items]
Drawing amount		$ 100,000
Debt issuance costs, gross						$ 3,078
2024 Credit Facility Tranche B \| Forecast
Debt Instrument [Line Items]
Drawing amount	$ 100,000
2024 Credit Facility Tranche C \| Forecast
Debt Instrument [Line Items]
Accordion additional borrowing option					$ 100,000
2024 Credit Facility Tranche D \| Forecast
Debt Instrument [Line Items]
Accordion additional borrowing option				$ 100,000

LONG-TERM DEBT, NET - Liability and Equity Components of the Senior Secured Credit Facility (Details) - Revolving Credit Facility - 2024 Credit Facility Tranche A - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
Principal amount	$ 100,000	$ 0
Unamortized issuance costs	(3,038)	0
Net carrying amount of liability component	96,962	0
Fair Value, Inputs, Level 3
Debt Instrument [Line Items]
Estimated fair value	$ 114,187	$ 0

LONG-TERM DEBT, NET - Amortization of Finance Expense Senior Secured Credit Facility (Details) - Revolving Credit Facility - 2024 Credit Facility Tranche A - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Debt Instrument [Line Items]
Interest	$ 1,962	$ 0	$ 1,962	$ 0	$ 0
Amortization of debt issuance costs	40	0	40	0	0
Total finance expenses (income) recognized	$ 2,002	$ 0	$ 2,002	$ 0	$ 0

Revenue from Contract with Customer - Schedule of Revenues by Geographic Region (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	$ 150,356	$ 126,051	$ 288,859	$ 248,233	$ 509,338
United States
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	95,711	86,958	186,254	172,186	349,743
Germany
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	15,097	15,744	30,844	30,864	60,210
France
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	14,267	0	24,755	0	11,736
Japan
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	7,664	7,861	15,481	16,530	31,668
Other international markets
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	11,771	8,737	20,742	16,587	32,757
International markets - Total
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	48,799	32,342	91,822	63,981	136,371
Greater China
Revenues from External Customers and Long-Lived Assets [Line Items]
Net revenues	$ 5,846	$ 6,751	$ 10,783	$ 12,066	$ 23,224

REVENUE RECOGNITION - Revenue Recognized According Performance Period (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Net revenues	$ 150,356	$ 126,051	$ 288,859	$ 248,233	$ 509,338
Reporting period
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Net revenues	138,857	119,823	269,343	236,932	492,089
Previous periods
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Net revenues	$ 11,499	$ 6,228	$ 19,516	$ 11,301	$ 17,249

REVENUE RECOGNITION - Contract with Customer, Contract Asset, Contract Liability, and Receivable (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Revenue from Contract with Customer [Abstract]
Trade receivables	$ 59,869	$ 56,970
Unbilled receivables	4,834	4,251
Deferred revenues (short-term contract liabilities)	$ (15,605)	$ (16,224)

REVENUE RECOGNITION - Narrative (Details) - USD ($) $ in Thousands	6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Revenue from Contract with Customer [Abstract]
Liability, revenue recognized	$ 16,224	$ 18,028	$ 18,028

SHARE OPTION PLANS AND ESPP - Additional Information (Details) - shares	1 Months Ended	3 Months Ended	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2024	Jun. 30, 2024	Jun. 05, 2024
Share Capital [Line Items]
Number of options, granted (in shares)			3,593,899
ESPP
Share Capital [Line Items]
Ordinary shares available for grants (in shares)	5,557,123	5,557,123	5,557,123
RSUs and PSUs
Share Capital [Line Items]
Granted (in shares)			9,225,787
2015 plan
Share Capital [Line Items]
Ordinary shares available for grants (in shares)	0	0	0
Number of options, granted (in shares)		433,018
2015 plan \| Options
Share Capital [Line Items]
Stock awards granted, expiration period (years)			10 years
2015 plan \| Options \| Minimum
Share Capital [Line Items]
Stock awards granted, vesting period (years)			2 years
2015 plan \| Options \| Maximum
Share Capital [Line Items]
Stock awards granted, vesting period (years)			4 years
2015 plan \| Restricted share units
Share Capital [Line Items]
Stock awards granted, vesting period (years)			3 years
2015 plan \| PSUs \| Minimum
Share Capital [Line Items]
Stock awards granted, vesting period (years)	3 years
2015 plan \| PSUs \| Maximum
Share Capital [Line Items]
Stock awards granted, vesting period (years)			6 years
2024 plan
Share Capital [Line Items]
Ordinary shares available for grants (in shares)	9,270,636	9,270,636	9,270,636	9,000,000
Number of options, granted (in shares)			0
2024 plan \| Options \| Minimum
Share Capital [Line Items]
Stock awards granted, vesting period (years)	2 years
2024 plan \| Options \| Maximum
Share Capital [Line Items]
Stock awards granted, vesting period (years)			4 years
2024 plan \| Restricted share units
Share Capital [Line Items]
Stock awards granted, vesting period (years)			3 years
2024 plan \| PSUs \| Minimum
Share Capital [Line Items]
Stock awards granted, vesting period (years)	3 years
2024 plan \| PSUs \| Maximum
Share Capital [Line Items]
Stock awards granted, vesting period (years)	6 years
2024 plan \| RSUs and PSUs
Share Capital [Line Items]
Granted (in shares)			0

SHARE OPTION PLANS AND ESPP - Schedule of Stock Option Plan (Details) - $ / shares	6 Months Ended
	Jun. 30, 2024
Number of options
Number of options, beginning outstanding (in shares)	8,539,507
Number of options, granted (in shares)	3,593,899
Number of options, exercised (in shares)	(172,463)
Number of options, forfeited and canceled (in shares)	(431,933)
Number of options, ending outstanding (in shares)	11,529,010
Number of options, exercisable options (in shares)	6,897,941
Weighted average exercise price
Weighted average exercise price, beginning outstanding (in usd per share)	$ 40.07
Weighted average exercise price, granted (in usd per share)	15.46
Weighted average exercise price, exercised (in usd per share)	7.74
Weighted average exercise price, forfeited and canceled (in usd per share)	49.89
Weighted average exercise price, ending outstanding (in usd per share)	32.51
Weighted average exercise price, exercisable options (in usd per share)	$ 35.39

SHARE OPTION PLANS AND ESPP - Schedule of RSUs and PSUs (Details) $ / shares in Units, $ in Thousands	6 Months Ended
	Jun. 30, 2024 USD ($) $ / shares shares
RSUs and PSUs
Number of RSU/PSUs
Unvested at beginning of year (in shares)	5,813,066
Granted (in shares)	9,225,787
Vested (in shares)	(586,945)
Forfeited and cancelled (in shares)	(816,451)
Unvested at ending of year (in shares)	13,635,457
Weighted average grant date fair value
Unvested at beginning of year (in usd per share) \| $ / shares	$ 60.52
Granted (in usd per share) \| $ / shares	15.21
Vested (in usd per share) \| $ / shares	88.14
Forfeited and cancelled (in usd per share) \| $ / shares	47.71
Unvested at ending of year (in usd per share) \| $ / shares	$ 29.44
PSUs
Weighted average grant date fair value
Number of PSUs (in shares)	3,741,841
Total fair value at grant date \| $	$ 175,393
PSUs \| Award One
Weighted average grant date fair value
Number of PSUs (in shares)	588,952
Fair value at grant date per PSU (in usd per share) \| $ / shares	$ 16.30
Total fair value at grant date \| $	$ 9,600
PSUs \| Award Two
Weighted average grant date fair value
Number of PSUs (in shares)	2,703,852
Fair value at grant date per PSU (in usd per share) \| $ / shares	$ 48.16
Total fair value at grant date \| $	$ 130,218
PSUs \| Award Three
Weighted average grant date fair value
Number of PSUs (in shares)	199,315
Fair value at grant date per PSU (in usd per share) \| $ / shares	$ 76.97
Total fair value at grant date \| $	$ 15,341
PSUs \| Award Four
Weighted average grant date fair value
Number of PSUs (in shares)	234,512
Fair value at grant date per PSU (in usd per share) \| $ / shares	$ 80.59
Total fair value at grant date \| $	$ 18,899
PSUs \| Award Five
Weighted average grant date fair value
Number of PSUs (in shares)	15,210
Fair value at grant date per PSU (in usd per share) \| $ / shares	$ 87.66
Total fair value at grant date \| $	$ 1,333

SHARE OPTION PLANS AND ESPP - Schedule of Fair Value Assumptions Used Only for Equity Based Awards Estimated Using Black-Scholes Option Pricing Model (Details)	6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
ESPP
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (years)	6 months	6 months	6 months
Expected volatility, minimum	90.00%	56.00%	56.00%
Expected volatility, maximum			122.00%
Risk-free interest rate, minimum	5.13%	4.76%	4.76%
Risk-free interest rate, maximum			5.38%
Dividend yield	0.00%	0.00%	0.00%
Stock Option Plans
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected volatility, minimum	71.00%	63.00%	63.00%
Expected volatility, maximum	73.00%	67.00%	70.00%
Risk-free interest rate, minimum	3.88%	3.48%	3.48%
Risk-free interest rate, maximum	4.43%	4.10%	4.79%
Dividend yield	0.00%	0.00%	0.00%
Stock Option Plans \| Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (years)	5 years 6 months	5 years 6 months	5 years 6 months
Stock Option Plans \| Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (years)	5 years 8 months 23 days	6 years	6 years

SHARE OPTION PLANS AND ESPP - Schedule of Non-cash Share-Based Compensation Expenses Related to Company's Equity-Based Awards (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation expense	$ 31,830	$ 32,740	$ 65,914	$ 71,824	$ 115,608
Cost of revenues
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation expense	1,698	2,023	3,446	4,029	6,587
Research, development and clinical studies
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation expense	9,517	8,537	18,127	20,316	31,827
Sales and marketing
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation expense	9,896	10,213	20,944	21,857	35,968
General and administrative
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total share-based compensation expense	$ 10,719	$ 11,967	$ 23,397	$ 25,622	$ 41,226

Basic and diluted net income (loss) per ordinary share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended				6 Months Ended		12 Months Ended
	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Net income (loss) attributable to ordinary shares as reported used in computing basic and diluted net income (loss) per share	$ (33,375)	$ (38,760)	$ (57,418)	$ (53,061)	$ (72,135)	$ (110,479)	$ (207,043)
Weighted average number of ordinary shares used in computing diluted net income (loss) per share (in shares)	107,700,284		106,289,073		107,483,241	105,979,791	106,391,178
Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:	14,028,652		8,483,336		12,575,762	7,733,239	8,535,785
Diluted net income (loss) per ordinary share (in usd per share)	$ (0.31)		$ (0.54)		$ (0.67)	$ (1.04)	$ (1.95)
Basic net income (loss) per ordinary share (in usd per share)	$ (0.31)		$ (0.54)		$ (0.67)	$ (1.04)	$ (1.95)
Stock Option Plans
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:	9,931,469		81,733		9,112,573	81,730	6,950,781
RSUs and PSUs
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:	3,918,515		1,660,471		3,284,521	965,915	1,423,377
ESPP
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially anti-dilutive shares that were excluded from the computation of basic net income (loss) per share:	178,668		6,741,132		178,668	6,685,594	161,627

SUPPLEMENTAL INFORMATION - Schedule of Long-Lived Assets by Location (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Revenues from External Customers and Long-Lived Assets [Line Items]
Long-term assets	$ 78,196	$ 62,863
United States
Revenues from External Customers and Long-Lived Assets [Line Items]
Long-term assets	50,124	41,634
Israel
Revenues from External Customers and Long-Lived Assets [Line Items]
Long-term assets	8,449	8,317
Switzerland
Revenues from External Customers and Long-Lived Assets [Line Items]
Long-term assets	13,620	7,733
Others
Revenues from External Customers and Long-Lived Assets [Line Items]
Long-term assets	$ 6,003	$ 5,179

SUPPLEMENTAL INFORMATION - Narrative (Details) $ in Thousands	1 Months Ended	3 Months Ended	6 Months Ended	12 Months Ended
	Nov. 30, 2023 employee	Jun. 30, 2024 USD ($)	Jun. 30, 2024 USD ($) segment	Dec. 31, 2023 USD ($)
Geographic Areas, Long-Lived Assets [Abstract]
Number of reporting units \| segment			1
Restructuring , number of positions eliminated \| employee	200
Restructuring, positions eliminated percent	13.00%
Employee benefit and share-based payment arrangement, reversal of accrual		$ 0	$ 369	$ 3,041
Forfeited share-based compensation expense		$ 330	$ 1,991	$ 9,313

SUPPLEMENTAL INFORMATION - Schedule of Restructuring and Related Costs (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Restructuring Cost and Reserve [Line Items]
Total restructuring cost	$ (27)	$ 0	$ 2,003	$ 0	$ 6,231
Restructuring costs paid during the period	327	0	5,455	0	2,753
Cost of revenues
Restructuring Cost and Reserve [Line Items]
Total restructuring cost	0	0	52	0	262
Research, development and clinical studies
Restructuring Cost and Reserve [Line Items]
Total restructuring cost	0	0	275	0	2,070
Sales and marketing
Restructuring Cost and Reserve [Line Items]
Total restructuring cost	(27)	0	1,512	0	2,404
General and administrative
Restructuring Cost and Reserve [Line Items]
Total restructuring cost	$ 0	$ 0	$ 164	$ 0	$ 1,495