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 September 30, 2017

2019

or

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

Jersey

98-1057807
(State or Other Jurisdiction of

(I.R.S. Employer

Incorporation or Organization)

Identification No.)

Le Masurier House

La Rue Le Masurier

No. 4 The Forum
Grenville Street
St. Helier, Jersey JE2 4YE

4UF

(Address of principal executive offices)

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 classTrading Symbol(s)Name of each exchange on which registered
Ordinary Shares, no par valueNVCRThe 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 and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post 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. (Check one):

Large accelerated filer

Accelerated filer

Non-accelerated filer

  (Do not check if a smaller reporting company)

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 registrant’sissuer’s classes of common stock, as of the latest practicable date.

Class

ClassOutstanding as of October 19, 2017

23, 2019

Ordinary shares, no par value

89,363,83598,968,534 Shares



i


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 delivery system research and development.development related to our Tumor Treating Fields delivery systems marketed under various brand names, including Optune, the NovoTTF-100L System (“NovoTTF-100L”) and software and systems to support and optimize the delivery of Tumor Treating Fields (collectively, the “Products”). In particular, these forward-looking statements include, among others, statements about:

our research and development, clinical trial and commercialization activities and projected expenditures;

the further commercialization of Optune®, our first Tumor Treating Fields (“TTFields”) delivery system,Products for current and our other TTFields delivery system candidates;

future indications;

our business strategies and the expansion of our sales and marketing efforts in the United States and in other countries;

the market acceptance of Optuneour Products for current and our other TTFields delivery systemsfuture indications by patients, physicians, third-party payers and others in the healthcare and scientific community;

our plans to pursue the use of TTFieldsour Products for the treatment of other solid tumor cancers;

cancers 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 additional indicationsthe use of our Products in cancers other than GBM and any future TTFields delivery systems;

MPM;

our ability to acquire from third-party suppliers the supplies needed to manufacture our TTFields delivery systems from third-party suppliers;

Products;

our ability to manufacture adequate supply;

our ability to secure and maintain adequate coverage from third-party payers to reimburse us for Optune orour Products for current and future TTFields delivery systems;

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

our ability to maintain and develop our intellectual property position;

our cash needs;

and

our ongoing legal proceedings and tax audits; 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-lookingforward-looking statements. Factors which may cause such differences to occur include those risks and uncertainties set forth under Part I, Item 1A., “Risk Factors” of our AnnualQuarterly Report on Form 10-K10-Q for the fiscal yearquarter ended December 31, 2016,June 30, 2019, as well as other risks and uncertainties set forth from time to time in the reports we file with the U.S. Securities and Exchange Commission.Commission. 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.

ii


Table of Contents
NovoCure Limited

Quarterly Report on Form 10-Q

TABLE OF CONTENTS

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1 -


Table of Contents
PART I—FINANCIALFINANCIAL INFORMATION

Item 1.  Financial Statements

NOVOCURE LIMITED AND SUBSIDIARIES


NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands
September 30,
2019
December 31, 2018
UnauditedAudited
ASSETS
CURRENT ASSETS:
Cash and cash equivalents$208,034  $140,622  
Short-term investments104,565  105,256  
Restricted cash2,134  2,134  
Trade receivables49,904  36,523  
Receivables and prepaid expenses17,917  14,279  
Inventories24,388  22,555  
Total current assets406,942  321,369  
LONG-TERM ASSETS:
Property and equipment, net8,425  8,442  
Field equipment, net8,139  6,924  
Right-of-use assets, net14,635  —  
Other long-term assets5,717  3,058  
Total long-term assets36,916  18,424  
TOTAL ASSETS$443,858  $339,793  
The accompanying notes are an integral part of these unaudited consolidated financial statements.
2

Table of ContentsCONSOLIDATED BALANCE SHEETS

U.S. dollars in thousands

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

Unaudited

 

 

Audited

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CURRENT ASSETS:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

82,104

 

 

$

99,780

 

Short-term investments

 

 

104,453

 

 

 

119,854

 

Restricted cash

 

 

2,129

 

 

 

267

 

Trade receivables

 

 

23,000

 

 

 

6,339

 

Receivables and prepaid expenses

 

 

5,559

 

 

 

10,084

 

Inventories

 

 

24,642

 

 

 

25,549

 

Total current assets

 

 

241,887

 

 

 

261,873

 

 

 

 

 

 

 

 

 

 

LONG-TERM ASSETS:

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

9,361

 

 

 

9,812

 

Field equipment, net

 

 

8,948

 

 

 

8,808

 

Severance pay fund

 

 

104

 

 

 

88

 

Other long-term assets

 

 

1,978

 

 

 

1,500

 

Total long-term assets

 

 

20,391

 

 

 

20,208

 

 

 

 

 

 

 

 

 

 

TOTAL ASSETS

 

$

262,278

 

 

$

282,081

 

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands
September 30,
2019
December 31, 2018
UnauditedAudited
LIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT LIABILITIES:
Trade payables$31,998  $26,708  
Other payables, lease liabilities and accrued expenses48,407  37,852  
Total current liabilities80,405  64,560  
LONG-TERM LIABILITIES:
Long-term loan, net of discount and issuance costs149,384  149,268  
Deferred revenue8,341  9,929  
Employee benefits3,701  2,683  
Long-term leases11,367  —  
Other long-term liabilities295  1,094  
Total long-term liabilities173,088  162,974  
TOTAL LIABILITIES253,493  227,534  
COMMITMENTS AND CONTINGENCIES
SHAREHOLDERS' EQUITY:
Share capital -
Ordinary shares no par value, unlimited shares authorized; issued and outstanding:
98,948,935 shares and 93,254,185 shares at September 30, 2019 (unaudited) and December 31, 2018, respectively
—  —  
Additional paid-in capital848,151  757,314  
Accumulated other comprehensive income (loss)(2,641) (1,400) 
Retained earnings (accumulated deficit)(655,145) (643,655) 
TOTAL SHAREHOLDERS' EQUITY190,365  112,259  
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY$443,858  $339,793  

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

- 2 -


3

Table of ContentsNOVOCURE LIMITED AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

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

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

Unaudited

 

 

Audited

 

LIABILITIES AND SHAREHOLDERS' EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CURRENT LIABILITIES:

 

 

 

 

 

 

 

 

Trade payables

 

$

14,143

 

 

$

18,356

 

Other payables and accrued expenses

 

 

26,842

 

 

 

18,526

 

Total current liabilities

 

 

40,985

 

 

 

36,882

 

 

 

 

 

 

 

 

 

 

LONG-TERM LIABILITIES:

 

 

 

 

 

 

 

 

Long-term loan, net of discount and issuance costs

 

 

97,049

 

 

 

96,231

 

Employee benefit liabilities

 

 

2,489

 

 

 

2,590

 

Other long-term liabilities

 

 

5,070

 

 

 

4,033

 

Total long-term liabilities

 

 

104,608

 

 

 

102,854

 

 

 

 

 

 

 

 

 

 

TOTAL LIABILITIES

 

 

145,593

 

 

 

139,736

 

 

 

 

 

 

 

 

 

 

COMMITMENTS AND CONTINGENCIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHAREHOLDERS' EQUITY:

 

 

 

 

 

 

 

 

Share capital -

 

 

-

 

 

 

-

 

Ordinary shares no par value, unlimited shares authorized; issued and outstanding:

   89,355,679 shares and 87,066,446 shares at September 30, 2017 (unaudited)  and

   December 31, 2016, respectively

 

 

 

 

 

 

 

 

Additional paid-in capital

 

 

689,460

 

 

 

664,154

 

Accumulated other comprehensive loss

 

 

(1,462

)

 

 

(1,883

)

Accumulated deficit

 

 

(571,313

)

 

 

(519,926

)

Total shareholders' equity

 

 

116,685

 

 

 

142,345

 

 

 

 

 

 

 

 

 

 

TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY

 

$

262,278

 

 

$

282,081

 

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
U.S. dollars in thousands (except share and per share data)
Three months ended September 30,Nine months ended September 30,Year ended December 31,
20192018201920182018
UnauditedUnauditedAudited
Net revenues$92,062  $64,756  $252,084  $178,395  $248,069  
Cost of revenues22,900  18,949  63,820  57,020  80,048  
Gross profit69,162  45,807  188,264  121,375  168,021  
Operating costs and expenses:
Research, development and clinical trials18,766  13,074  55,262  35,540  50,574  
Sales and marketing23,830  19,124  69,871  56,455  77,663  
General and administrative22,711  18,855  64,198  54,388  73,456  
Total operating costs and expenses65,307  51,053  189,331  146,383  201,693  
Operating income (loss)3,855  (5,246) (1,067) (25,008) (33,672) 
Financial expenses (income), net2,555  2,397  6,165  10,110  12,270  
Income (loss) before income taxes1,300  (7,643) (7,232) (35,118) (45,942) 
Income taxes(630) 4,051  4,258  12,810  17,617  
Net income (loss)$1,930  $(11,694) $(11,490) $(47,928) $(63,559) 
Basic net income (loss) per ordinary share$0.02  $(0.13) $(0.12) $(0.52) $(0.69) 
Weighted average number of ordinary shares used in computing basic net income (loss) per share98,485,519  92,911,375  96,551,041  91,409,619  91,828,043  
Diluted net income (loss) per ordinary share$0.02  $(0.13) $(0.12) $(0.52) $(0.69) 
Weighted average number of ordinary shares used in computing diluted net income (loss) per share107,604,578  92,911,375  96,551,041  91,409,619  91,828,043  



4

Table of Contents
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
U.S. dollars in thousands
Three months ended September 30,Nine months ended September 30,Year ended December 31,
20192018201920182018
UnauditedUnauditedAudited
Net income (loss)$1,930  $(11,694) $(11,490) $(47,928) $(63,559) 
Other comprehensive income (loss), net of tax:
Change in foreign currency translation adjustments(216) (2) (430) 19  27  
Pension benefit plan(68) 147  (811) 197  (84) 
Total comprehensive income (loss)$1,646  $(11,549) $(12,731) $(47,712) $(63,616) 
The accompanying notes are an integral part of these unaudited consolidated financial statements.

- 3 -


5

Table of ContentsNOVOCURE LIMITED AND SUBSIDIARIES

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
U.S. dollars in thousands (except share data)
Ordinary sharesAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained earnings (accumulated
deficit)
Total shareholders'
equity
Balance as of December 31, 2018 (audited)93,254,185  $757,314  $(1,400) $(643,655) $112,259  
Share-based compensation to employees—  9,649  —  —  9,649  
Exercise of options and warrants and vested RSUs2,438,612  16,978  —  —  16,978  
Other comprehensive income (loss), net of tax benefit of $11—  —  (342) —  (342) 
Net income (loss)—  —  —  (12,150) (12,150) 
Balance as of March 31, 2019 (unaudited)95,692,797  $783,941  $(1,742) $(655,805) $126,394  
Share-based compensation to employees—  13,732  —  —  13,732  
Proceeds from issuance of shares43,421  1,208  —  —  1,208  
Exercise of options and warrants and vested RSUs2,122,658  19,457  —  —  19,457  
Other comprehensive income (loss), net of tax benefit of $69—  —  (615) —  (615) 
Net income (loss)—  —  —  (1,270) (1,270) 
Balance as of June 30, 2019 (unaudited)97,858,876  $818,338  $(2,357) $(657,075) $158,906  
Share-based compensation to employees—  14,338  —  —  14,338  
Proceeds from issuance of shares—  —  —  —  —  
Exercise of options and warrants and vested RSUs1,090,059  15,475  —  —  15,475  
Other comprehensive income (loss), net of tax benefit of $11—  —  (284) —  (284) 
Net income (loss)—  —  —  1,930  1,930  
Balance as of September 30, 2019 (unaudited)98,948,935  $848,151  $(2,641) $(655,145) $190,365  

6

Table of ContentsCONSOLIDATED STATEMENTS OF OPERATIONS

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

 

 

Three months ended September 30,

 

 

Nine months ended September 30,

 

 

Year ended

December 31,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2016

 

 

 

Unaudited

 

 

Unaudited

 

 

Audited

 

Net revenues

 

$

50,109

 

 

$

21,674

 

 

$

123,365

 

 

$

52,646

 

 

$

82,888

 

Cost of revenues

 

 

15,153

 

 

 

11,118

 

 

 

39,969

 

 

 

28,897

 

 

 

39,870

 

Impairment of field equipment

 

 

-

 

 

 

-

 

 

 

-

 

 

 

6,412

 

 

 

6,412

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit

 

 

34,956

 

 

 

10,556

 

 

 

83,396

 

 

 

17,337

 

 

 

36,606

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research, development and clinical trials

 

 

9,273

 

 

 

10,233

 

 

 

28,055

 

 

 

32,996

 

 

 

41,467

 

Sales and marketing

 

 

16,387

 

 

 

15,865

 

 

 

47,503

 

 

 

43,771

 

 

 

59,449

 

General and administrative

 

 

15,215

 

 

 

12,723

 

 

 

42,660

 

 

 

38,010

 

 

 

51,007

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total operating costs and expenses

 

 

40,875

 

 

 

38,821

 

 

 

118,218

 

 

 

114,777

 

 

 

151,923

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating loss

 

 

(5,919

)

 

 

(28,265

)

 

 

(34,822

)

 

 

(97,440

)

 

 

(115,317

)

Financial expenses, net

 

 

2,156

 

 

 

2,189

 

 

 

6,785

 

 

 

3,293

 

 

 

6,147

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss before income tax expense

 

 

(8,075

)

 

 

(30,454

)

 

 

(41,607

)

 

 

(100,733

)

 

 

(121,464

)

Income tax expense

 

 

3,423

 

 

 

3,174

 

 

 

9,110

 

 

 

8,944

 

 

 

10,381

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(11,498

)

 

$

(33,628

)

 

$

(50,717

)

 

$

(109,677

)

 

$

(131,845

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted net loss per ordinary share

 

$

(0.13

)

 

$

(0.39

)

 

$

(0.57

)

 

$

(1.29

)

 

$

(1.54

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of ordinary shares used in

   computing basic and diluted net loss per share

 

 

89,125,646

 

 

 

85,774,874

 

 

 

88,265,835

 

 

 

85,153,644

 

 

 

85,558,448

 

Ordinary sharesAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained earnings (accumulated
deficit)
Total shareholders'
equity
Balance as of December 31, 2017 (audited)89,478,032  $697,165  $(1,343) $(582,258) $113,564  
Share-based compensation to employees—  8,520  —  —  8,520  
Exercise of options and warrants and vested RSUs920,869  2,581  —  —  2,581  
Cumulative effect adjustment on retained earnings (*)—  —  —  2,162  2,162  
Other comprehensive income (loss), net of tax benefit of $5—  —  15  —  15  
Net income (loss)—  —  —  (20,724) (20,724) 
Balance as of March 31, 2018 (unaudited)90,398,901  $708,266  $(1,328) $(600,820) $106,118  
Share-based compensation to employees—  10,206  —  —  10,206  
Proceeds from issuance of shares54,386  938  —  —  938  
Exercise of options and warrants and vested RSUs2,049,986  10,274  —  —  10,274  
Other comprehensive income (loss), net of tax benefit of $3—  —  55  —  55  
Net income (loss)—  —  —  (15,510) (15,510) 
Balance as of June 30, 2018 (unaudited)92,503,273  $729,684  $(1,273) $(616,330) $112,081  
Share-based compensation to employees—  10,479  —  —  10,479  
Proceeds from issuance of shares—  —  —  —  —  
Exercise of options and warrants and vested RSUs504,571  3,924  —  —  3,924  
Other comprehensive income (loss), net of tax benefit of $11—  —  146  —  146  
Net income (loss)—  —  —  (11,694) (11,694) 
Balance as of September 30, 2018 (unaudited)93,007,844  $744,087  $(1,127) $(628,024) $114,936  

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

U.S. dollars in thousands

 

 

Three months ended September 30,

 

 

Nine months ended September 30,

 

 

Year ended

December 31,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2016

 

 

 

Unaudited

 

 

Unaudited

 

 

Audited

 

Net loss

 

$

(11,498

)

 

$

(33,628

)

 

$

(50,717

)

 

$

(109,677

)

 

$

(131,845

)

Other comprehensive income (loss), net of tax :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Change in foreign currency translation adjustments

 

 

(2

)

 

 

8

 

 

 

8

 

 

 

64

 

 

 

10

 

Pension benefit plan

 

 

279

 

 

 

(409

)

 

 

413

 

 

 

(644

)

 

 

(388

)

Total comprehensive loss

 

$

(11,221

)

 

$

(34,029

)

 

$

(50,296

)

 

 

(110,257

)

 

$

(132,223

)


(*) Resulting from the adoption of ASC 606.
The accompanying notes are an integral part of these unaudited consolidated financial statements.

- 4 -


7

Table of ContentsNOVOCURE LIMITED AND SUBSIDIARIES

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
U.S. dollars in thousands
Three months ended September 30,Nine months ended September 30,Year ended December 31,
20192018201920182018
UnauditedUnauditedAudited
Cash flows from operating activities:
Net income (loss)$1,930  $(11,694) $(11,490) $(47,928) $(63,559) 
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization1,932  2,311  5,993  6,801  9,006  
Asset write-downs and impairment of field equipment78  178  239  320  407  
Amortization of discount (premium)(547) (555) (1,712) 1,502  1,022  
Share-based compensation to employees14,338  10,479  37,719  29,205  39,846  
Decrease (increase) in accounts receivables(9,986) 3,577  (17,020) (4,805) (10,325) 
Decrease (increase) in inventories1,067  (1,735) (1,832) 385  (529) 
Increase (decrease) in accounts payables and accrued expenses6,433  2,839  10,902  (2,760) 13,713  
Decrease (increase) in other long-term assets1,069  155  1,151  (743) (949) 
Increase (decrease) in other long-term liabilities(1,407) 83  (4,292) (656) 9,503  
Net cash provided by (used in) operating activities$14,907  $5,638  $19,658  $(18,679) $(1,865) 
Cash flows from investing activities:
Purchase of property, equipment and field equipment$(2,708) $(1,353) $(7,430) $(4,918) $(6,711) 
Proceeds from maturity of short-term investments105,000  45,000  315,661  150,000  255,000  
Purchase of short-term investments(104,466) (44,652) (313,142) (148,786) (253,782) 
Net cash provided by (used in) investing activities$(2,174) $(1,005) $(4,911) $(3,704) $(5,493) 
Cash flows from financing activities:
Proceeds from issuance of shares, net$—  $—  $1,208  $938  $1,835  
Proceeds from long-term loan, net—  —  —  149,150  149,150  
Repayment of long-term loan(7) (22) (23) (100,063) (100,084) 
Exercise of options and warrants15,475  3,924  51,910  16,779  18,468  
Net cash provided by (used in) financing activities$15,468  $3,902  $53,095  $66,804  $69,369  
Effect of foreign currency translation$(216) $(2) $(430) $19  $27  
Increase (decrease) in cash, cash equivalents and restricted cash27,985  8,533  67,412  44,440  62,038  
Cash, cash equivalents and restricted cash at the beginning of the period182,183  116,625  142,756  80,718  80,718  
Cash, cash equivalents and restricted cash at the end of the period$210,168  $125,158  $210,168  $125,158  $142,756  
8

Table of ContentsCONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY

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

 

 

Ordinary shares

 

 

 

Additional

paid-in

 

 

Accumulated

other

comprehensive

 

 

Accumulated

 

 

Total shareholders'

 

 

 

Shares

 

 

 

capital

 

 

loss

 

 

deficit

 

 

equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance as of December 31, 2015 (audited)

 

 

83,778,581

 

 

 

$

640,406

 

 

$

(1,505

)

 

$

(388,081

)

 

$

250,820

 

Share-based compensation to employees

 

 

-

 

 

 

 

21,441

 

 

 

-

 

 

 

-

 

 

 

21,441

 

Exercise of options and warrants

 

 

3,195,477

 

 

 

 

993

 

 

 

-

 

 

 

-

 

 

 

993

 

Issuance of shares in connection with employee stock

   purchase plan

 

 

92,388

 

 

 

 

616

 

 

 

-

 

 

 

-

 

 

 

616

 

Tax benefit from share-based award activity

 

 

-

 

 

 

 

698

 

 

 

-

 

 

 

-

 

 

 

698

 

Other comprehensive loss, net of tax benefit of $38

 

 

-

 

 

 

 

-

 

 

 

(378

)

 

 

-

 

 

 

(378

)

Net loss

 

 

-

 

 

 

 

-

 

 

 

-

 

 

 

(131,845

)

 

 

(131,845

)

Balance as of December 31, 2016 (audited)

 

 

87,066,446

 

 

 

$

664,154

 

 

$

(1,883

)

 

$

(519,926

)

 

$

142,345

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share-based compensation to employees

 

 

-

 

 

 

 

20,760

 

 

 

-

 

 

 

-

 

 

 

20,760

 

Exercise of options and warrants

 

 

2,172,266

 

 

 

 

3,095

 

 

 

-

 

 

 

-

 

 

 

3,095

 

Cumulative effect adjustment resulting from ASU

   2016-09 adoption (see Note 1)

 

 

-

 

 

 

 

670

 

 

 

-

 

 

 

(670

)

 

 

-

 

Issuance of shares in connection with employee stock

   purchase plan

 

 

116,967

 

 

 

 

781

 

 

 

-

 

 

 

-

 

 

 

781

 

Other comprehensive income, net of tax benefit of $57

 

 

-

 

 

 

 

-

 

 

 

421

 

 

 

-

 

 

 

421

 

Net loss

 

 

-

 

 

 

 

-

 

 

 

-

 

 

 

(50,717

)

 

 

(50,717

)

Balance as of September 30, 2017 (unaudited)

 

 

89,355,679

 

 

 

$

689,460

 

 

$

(1,462

)

 

$

(571,313

)

 

$

116,685

 

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
U.S. dollars in thousands
Three months ended September 30,Nine months ended September 30,Year ended December 31,
20192018201920182018
UnauditedUnauditedAudited
Supplemental cash flow activities:
Cash paid during the period for:
Income taxes$3,040  $4,145  $10,431  $16,159  $20,350  
Interest$3,453  $3,454  $10,247  $9,879  $13,334  
Non-cash activities in accordance with of ASC-842:
Right-of-use assets obtained in exchange for lease obligations$1,062  —  $18,335  —  —  


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

- 5 -

9

Table of Contents
NOVOCURE LIMITED AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

U.S. dollars in thousands

 

 

Three months ended September 30,

 

 

Nine months ended September 30,

 

 

Year ended

December 31,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2016

 

 

 

Unaudited

 

 

Unaudited

 

 

Audited

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(11,498

)

 

$

(33,628

)

 

$

(50,717

)

 

$

(109,677

)

 

$

(131,845

)

Adjustments to reconcile net loss to net cash provided by

   (used in) operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

2,053

 

 

 

1,553

 

 

 

5,524

 

 

 

4,063

 

 

 

5,652

 

Asset write-downs and impairment of field equipment

 

 

72

 

 

 

10

 

 

 

206

 

 

 

6,440

 

 

 

6,446

 

Increase in accrued interest expense

 

 

-

 

 

 

222

 

 

 

-

 

 

 

222

 

 

 

-

 

Share-based compensation to employees

 

 

8,629

 

 

 

5,626

 

 

 

20,760

 

 

 

16,719

 

 

 

22,139

 

Excess tax benefits from share-based award activity

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(698

)

Increase in trade receivables

 

 

(9,112

)

 

 

-

 

 

 

(16,661

)

 

 

-

 

 

 

(6,339

)

Amortization of discount

 

 

17

 

 

 

81

 

 

 

226

 

 

 

25

 

 

 

155

 

Decrease (increase) in receivables and prepaid expenses

 

 

5,986

 

 

 

694

 

 

 

4,525

 

 

 

(1,514

)

 

 

243

 

Decrease (increase) in inventories

 

 

504

 

 

 

(2,757

)

 

 

907

 

 

 

(10,378

)

 

 

(11,955

)

Increase in other long-term assets

 

 

(238

)

 

 

(526

)

 

 

(532

)

 

 

(804

)

 

 

(692

)

Increase (decrease) in trade payables

 

 

983

 

 

 

(6,765

)

 

 

(4,213

)

 

 

(2,621

)

 

 

1,601

 

Increase in other payables and accrued expenses

 

 

4,830

 

 

 

1,651

 

 

 

8,308

 

 

 

2,407

 

 

 

6,647

 

Increase in employee benefit liabilities, net

 

 

113

 

 

 

80

 

 

 

352

 

 

 

350

 

 

 

97

 

Increase in other long-term liabilities

 

 

208

 

 

 

263

 

 

 

1,079

 

 

 

901

 

 

 

957

 

Net cash provided by (used in) operating activities

 

$

2,547

 

 

$

(33,496

)

 

$

(30,236

)

 

$

(93,867

)

 

$

(107,592

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchase of property and equipment

 

$

(544

)

 

$

(1,715

)

 

$

(1,951

)

 

$

(5,055

)

 

$

(5,674

)

Purchase of field equipment

 

 

(1,208

)

 

 

(3,113

)

 

 

(3,469

)

 

 

(9,213

)

 

 

(11,990

)

Decrease (increase) in restricted cash

 

 

(592

)

 

 

27

 

 

 

(1,861

)

 

 

15

 

 

 

(180

)

Proceeds from maturity of short-term investments

 

 

-

 

 

 

120,000

 

 

 

120,000

 

 

 

270,000

 

 

 

270,000

 

Purchase of short-term investments

 

 

-

 

 

 

(119,613

)

 

 

(104,006

)

 

 

(239,341

)

 

 

(239,341

)

Net cash provided by (used in) investing activities

 

$

(2,344

)

 

$

(4,414

)

 

$

8,713

 

 

$

16,406

 

 

$

12,815

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from issuance of shares, net

 

$

-

 

 

$

-

 

 

$

781

 

 

$

-

 

 

$

616

 

Proceeds from long-term loan, net

 

 

-

 

 

 

72,870

 

 

 

19

 

 

 

72,887

 

 

 

72,887

 

Excess tax benefits from share-based award activity

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

698

 

Repayment of other long-term loan

 

 

(19

)

 

 

(17

)

 

 

(56

)

 

 

(52

)

 

 

(70

)

Exercise of options and warrants

 

 

1,732

 

 

 

-

 

 

 

3,095

 

 

 

961

 

 

 

993

 

Net cash provided by financing activities

 

$

1,713

 

 

$

72,853

 

 

$

3,839

 

 

$

73,796

 

 

$

75,124

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Effect of exchange rate changes on cash and cash equivalents

 

$

(2

)

 

$

8

 

 

$

8

 

 

$

64

 

 

$

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Increase (decrease) in cash and cash equivalents

 

 

1,914

 

 

 

34,951

 

 

 

(17,676

)

 

 

(3,601

)

 

 

(19,643

)

Cash and cash equivalents at the beginning of the period

 

 

80,190

 

 

 

80,871

 

 

 

99,780

 

 

 

119,423

 

 

 

119,423

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents at the end of the period

 

$

82,104

 

 

$

115,822

 

 

$

82,104

 

 

$

115,822

 

 

$

99,780

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplemental cash flow activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash paid during the period for:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income taxes

 

$

2,335

 

 

$

4,624

 

 

$

7,237

 

 

$

7,793

 

 

$

9,447

 

Interest

 

$

2,561

 

 

$

1,880

 

 

$

7,603

 

 

$

3,813

 

 

$

6,595

 

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

- 6 -


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”)delivery systems, including Optune andNovoTTF-100L, for the treatment of solid tumors. The Company has received regulatory approval from the U.S. Food and Drug Administration (“FDA”) under the Premarket Approval pathway and regulatory approvals and clearances in certain other countries for Optune its first TTFields delivery system, to treat adult patients with glioblastoma (“GBM”).   

GBM.  The Company also has received FDA approval under the Humanitarian Device Exemption pathway to market NovoTTF-100L for unresectable, locally advanced or metastatic MPM in combination with standard chemotherapies.

Financial statement preparation. The accompanying consolidated financial statements include the accounts of the Company and its consolidated subsidiaries, and intercompany accounts and transactions have been eliminated. In the opinion of the Company’s management, the consolidated financial statements reflect all adjustments, which are normal and recurring in nature, necessary for fair financial statement presentation.presentation for the periods presented. The preparation of these 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 consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates. These 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, 20162018 (the “2016“2018 10-K”) filed with the Securities and Exchange Commission (the “SEC”) on February 23, 2017.

28, 2019.

The significant accounting policies applied in the audited annual consolidated financial statements of the Company as disclosed in the 20162018 10-K are applied consistently in these unaudited interim consolidated financial statements, except as noted below:

Recently Adopted Accounting Pronouncements. Pronouncements. In March 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2016-09, Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting. The amendments in ASU 2016-09 affect all entities that issue share-based payment awards to their employees and involve multiple aspects of the accounting for share-based payment transactions, including income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. ASU 2016-09 is effective for annual periods beginning after December 15, 2016, and interim periods within those annual periods.  The Company adopted ASU 2016-09 during the quarter ended March 31, 2017, at which time it changed its accounting policy to account for forfeitures as they occur. The change was applied on a modified retrospective basis with a cumulative effect adjustment to accumulated deficit of $670 as of January 1, 2017. In addition, excess tax benefits for share-based payments are now presented as an operating activity in the statements of cash flows rather than financing activity. The changes have been applied prospectively in accordance with the ASU and prior periods have not been adjusted.

Recent Accounting Pronouncements. In May 2014, FASB issued ASU 2014-09, Revenue from Contracts with CustomersNo. 2016-02, “Leases (Topic 606) (ASU 2014-09)842)”, which amends the existing accounting standards for revenue recognition. In August 2015, the FASB issued ASU No. 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date, which delays the effective date of ASU 2014-09 by one year. The Company is currently evaluating the requirements of the new standardlease accounting, requiring lessees to insure that it has processes, systems and internal controls in place to collect the necessary information to implement the standard, which will be effective as of January 1, 2018.  Currently, the Company anticipates using a portfolio approach to apply the standard to portfolios of contracts with similar characteristics and anticipates that it will apply the cumulative catch-up transition method which requires the application of the provisions of the new standard as of the date of adoption with the cumulative effect of the retrospective application of the provisions as an adjustment through retained earnings. While the Company is still in the process of completing its assessmentrecognize most leases on the impact this guidance will have on its consolidated financial statements and related disclosures, the Company does not anticipate that the adoption of this standard will have a material impact on its financial position, results of operations or cash flows.

In April 2016, FASB issued ASU 2016-10, Revenue from Contracts with Customers (Topic 606): Identifying Performance Obligations and Licensing. ASU 2016-10 covers two specific topics: performance obligations and licensing. This amendment includes guidance on immaterial promised goods or services, shipping or handling activities, separately identifiable performance obligations, functional or symbolic intellectual property licenses, sales-based and usage-based royalties, license restrictions (time, use, geographical) and licensing renewals. In addition, in May 2016, FASB issued ASU No. 2016-12, Revenue from Contracts with Customers (Topic 606): Narrow-Scope Improvements and Practical Expedients, which is intended to not change the core principle of the guidance in Topic 606, but rather affect only the narrow aspects of Topic 606 by reducing the potential for diversity in practice at initial application and by reducing the cost and complexity of applying Topic 606 both at transition and on an ongoing basis. The Company is currently evaluating the impact of the adoption of both revenue standards on its consolidated financial statements.

In February 2016, FASB issued ASU 2016-02-Leases (ASC 842), which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).their balance sheets. The new standard establishes a right-of-use model that requires lesseesa lessee to apply

- 7 -


a dual approach, classifying leases as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase by the lessee. This classification will determine whether lease expense is recognized based on an effective interest method or on a straight line basis over the term of the lease, respectively. A lessee is also required to recordrecognize a right-of-use asset and a lease liability on the balance sheet for all leases with a term of greaterlonger than twelve months regardless of their classification.12 months. Leases with a term of twelve months or less will be accounted for similar to existing guidance for operating leases. The new standard requires lessors to account for leases using an approach that is substantially equivalent to existing guidance for sales-type leases, direct financing leases and operating leases. ASC 842 supersedes the previous leases standard, ASC 840.classified as finance or operating. The standard is effective on January 1, 2019,for interim and annual reporting periods beginning after December 15, 2018.

The provisions of ASU 2016-02 are to be applied using a modified retrospective approach. In July 2018, the FASB issued ASU No. 2018-11, “Targeted Improvements - Leases (Topic 842)” (together with earlyASU 2016-02, “ASC 842”). This update provides an additional (and optional) transition method to adopt the new leases standard. Under this method, an entity initially applies the new leases standard at the adoption permitted.date and recognizes a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. Consequently, the prior comparative period’s financials will remain the same as those previously presented. The Company currently anticipates adoptingadopted the new standard effectiveas of January 1, 2019 and it has also elected to adopt the package of practical expedients permitted in ASC 842.
ASC 842 provides lessors with a practical expedient, by class of underlying asset, not to separate non-lease components from the associated lease component and, instead, to account for those components as a single component if the non-lease components otherwise would be accounted for under the new revenue guidance (Topic 606). Our product supply agreements include the right to use the device (lease component), the supply obligation of disposable transducer arrays and technical support for the term of treatment (non-lease component). As the non-lease component(s) associated with the lease component is evaluating the impactpredominant component of the adoption of this standard on itscombined component, the Company accounts for the combined component in accordance with Topic 606.
The consolidated financial statements.

In May 2017, FASB issued ASU 2017-09, Compensation-Stock Compensation (Topic 718) Scopestatements for the three and nine months ended September 30, 2019 are presented under the new standard, while comparative year and other periods presented are not adjusted and continue to be reported in accordance with Topic 840, Leases.

10

Table of Modification Accounting. ASU 2017-09 provides clarification on when modification accounting should be used for changes to the terms or conditions of a share-based payment award. This ASU does not change the accounting for modifications but clarifies that modification accounting guidance should only be applied if there is a change to the value, vesting conditions, or award classification and would not be required if the changes are considered non-substantive. The Company is evaluating the impact of ASU 2017-09.

Contents

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

Cash equivalents include items almost as liquid as cash, such as certificates of deposit and time deposits with maturity periods of three months or less when purchased.
September 30,
2019
December 31,
2018
UnauditedAudited
Cash$5,851  $9,197  
Money market funds202,183  131,425  
Total cash and cash equivalents$208,034  $140,622  
The Company invests in marketable U.S. Treasury Bills (“T-bills”) that are classified as held-to-maturity securities. The amortized cost and recorded basis of the T-bills are presented as short-term investments.
September 30,
2019
December 31,
2018
 UnauditedAudited
Short-term investments$104,565  $105,256  
Quoted market prices were applied to determine the fair value of cash equivalents and short-term investments, therefore they are categorized as Level 1 in accordance with ASC 820, “Fair Value Measurements and Disclosures.” The estimated fair value of the amount of $104,453 and $119,854Company’s short-term investments as of September 30, 20172019 and December 31, 2016, respectively,2018 was $104,613 and their estimated fair value as of September 30, 2017 and December 31, 2016 was $104,419 and $119,825,$105,266, respectively.

NOTE 3: INVENTORIES

Inventories are stated at the lower of cost or market.net realizable value. The weighted average methodology is applied to determine cost. As of September 30, 20172019 and December 31, 2016,2018, the Company’s inventories were composed of:

 

September 30,

 

 

December 31,

 

 

2017

 

 

2016

 

September 30,
2019
December 31,
2018

 

Unaudited

 

 

Audited

 

UnauditedAudited

Raw materials

 

$

5,936

 

 

$

5,243

 

Raw materials$3,077  $870  

Work in progress

 

 

10,621

 

 

 

8,292

 

Work in progress9,860  8,667  

Finished products

 

 

8,085

 

 

 

12,014

 

Finished products11,451  13,018  

Total

 

$

24,642

 

 

$

25,549

 

Total$24,388  $22,555  


NOTE 4: COMMITMENTS, RIGHTS OF USE AND CONTINGENT LIABILITIES

Operating Leases and Rights of Use. The facilities of the Company are leased under various operating lease agreements for periods, including options for extensions, ending no later than 2024.2029. The Company also leases motor vehicles under various operating leases, which expire on various dates, the latest of which is in 2020.

2022.

Under ASC 842, all leases with durations greater than 12 months, including non-cancelable operating leases, are now recognized on the balance sheet. The aggregated present value of lease agreements, net of deferred rent, is recorded as a long-term asset titled right-of-use assets. The corresponding lease liabilities are split between other payables and long-term lease liabilities.
11

Table of Contents
Upon implementation of ASC 842, effective January 1, 2019, the Company recorded an increase in right-of-use assets obtained in exchange for lease obligations of $15,733 on our opening balance sheet. Lease and rental payments for the nine months ended September 30, 2019, totaled $3,799. Future minimum lease payments under non-cancelable operating leases as of September 30, 2019, are as follows:
September 30,
2019
Unaudited
Future minimum lease payments:
2019 (remainder of the year)$1,146  
20204,519  
20214,193  
20223,130  
20231,933  
Thereafter3,651  
Total future minimum lease payments$18,572  
Less imputed interest(2,956) 
Net present value of future minimum lease payments$15,616  
 
Presented as of September 30, 2019:
Short-term lease liabilities$4,249  
Long-term lease liabilities11,367  
Net present value of future minimum lease payments$15,616  
Weighted average of remaining operating lease term4.85
Weighted average of operating lease discount rate7.51%  
Pledged deposits and bank guarantees. As of September 30, 20172019 and December 31, 2016,2018, the Company pledged bank deposits of $1,051 $1,325and $807,$1,143, respectively, to cover bank guarantees in respect of its leases of operating facilities and obtained bank guarantees by the bank for the fulfillment of the Company’s lease and other contractual commitments of $1,212 $1,491and $955, respectively.

In January 2017, two putative class action lawsuits were filed against the Company, its directors and certain of its officers, as well as the underwriters in the Company’s October 2015 initial public offering.  The complaints, which purport to be brought on behalf of a class of persons and/or entities who purchased or otherwise acquired ordinary shares of the Company pursuant and/or traceable to the registration statement and prospectus issued in connection with the Company’s initial public offering, allege material misstatements and/or omissions in the Company’s initial public offering materials in alleged violation of the federal securities laws and seek compensatory damages, among other remedies.  The two actions have been consolidated and the plaintiffs filed a consolidated amended complaint on May 31, 2017.  The court granted the defendants’ motion to bifurcate the motion to dismiss into two stages: a threshold motion to dismiss for lack of personal jurisdiction, lack of subject matter jurisdiction, and insufficient process and service of process; and, if the matter is not dismissed following that threshold motion, a subsequent merits motion to dismiss regarding whether the allegations in the amended complaint state a claim under the securities laws. The defendants filed the threshold motion to dismiss on July 31, 2017, and the plaintiffs filed an opposition to the threshold motion to dismiss on September 29, 2017. The Company believes that the amended complaint is without merit and plans to defend the consolidated lawsuits vigorously. The Company has not

- 8 -


accrued any amounts in respect of these lawsuits, as a liability is not probable and the amount of any potential liability cannot be reasonably estimated.

$1,299, respectively.

NOTE 5: SHARE CAPITAL

For the nine months ended September 30, 2017, warrants to purchase 1,418,711 ordinary shares with an exercise price of $3.59 per share were cashlessly exercised, resulting in the issuance of 803,138 ordinary shares.  Also, warrants to purchase 6,498 ordinary shares with an exercise price of $3.59 per share were exercised for cash. For the nine months ended September 30, 2017, options to purchase 1,370,810 ordinary shares were exercised, resulting in the issuance of 1,364,645 ordinary shares.  

NOTE 6: EQUITY INCENTIVE PLANS

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 stock units (“RSUs”), performance units, long-term cash awards and other share-based awards.

Options granted under the 2015 Plan generally have a four-yearfour-year vesting period and expire ten years after the date of grant. Options granted under the 2015 Plan that are cancelledcanceled or forfeited before expiration become available for future grants. RSUs granted under the 2015 Plan generally vest in equal installments over a three-yearthree-year period. RSUs granted under the 2015 Plan that are canceled before expiration become available for future grants. As of September 30, 2017, 9,563,9852019, 11,915,754 ordinary shares were available for grant under the 2015 Plan.

12

Table of Contents
A summary of the status of the Company’s option plans as of September 30, 20172019 and changes during the period then ended is presented below: 

 

Nine months ended September 30, 2017

 

Nine months ended September 30, 2019

 

Unaudited

 

Unaudited

 

Number

of options

 

 

Weighted

average

exercise

price

 

Number
of options
Weighted
average
exercise
price

Outstanding at beginning of year

 

 

11,377,354

 

 

$

9.76

 

Outstanding at beginning of year14,438,215  $13.56  

Granted

 

 

5,117,088

 

 

 

9.96

 

Granted1,496,161  49.43  

Exercised

 

 

(1,370,810

)

 

 

2.31

 

Exercised(4,914,918) 10.55  

Forfeited and cancelled

 

 

(310,693

)

 

 

12.39

 

Outstanding as of September 30, 2017

 

 

14,812,939

 

 

 

10.46

 

Forfeited and canceledForfeited and canceled(144,403) 19.91  
Outstanding as of September 30, 2019Outstanding as of September 30, 201910,875,055  $19.77  

 

 

 

 

 

 

 

 

Exercisable options

 

 

6,119,710

 

 

 

8.17

 

Exercisable options3,444,478  $14.61  

 

 

 

 

 

 

 

 

Vested and expected to vest

 

 

14,812,939

 

 

$

10.46

 

For the nine months, ended September 30, 2019, options to purchase 4,914,918 ordinary shares were exercised, resulting in the issuance of 4,914,918 ordinary shares.
A summary of the status of the Company’s RSUs as of September 30, 20172019 and changes during the period then ended is presented below: 

 

Nine months ended September 30, 2017

 

Nine months ended September 30, 2019

 

Unaudited

 

Unaudited

 

Number

of RSUs

 

 

Weighted

average

grant date fair value

price

 

Number
of RSUs
Weighted
average
grant date fair value
price

Unvested at beginning of year

 

 

-

 

 

$

-

 

Unvested at beginning of year1,613,197  14.04  

Granted

 

 

1,661,619

 

 

 

9.64

 

Granted597,583  50.71  

Vested

 

 

-

 

 

 

-

 

Vested(736,411) 13.36  

Forfeited and cancelled

 

 

(10,400

)

 

 

7.15

 

Forfeited and cancelled(24,356) 34.32  

Unvested as of September 30, 2017

 

 

1,651,219

 

 

$

9.66

 

Unvested as of September 30, 2019Unvested as of September 30, 20191,450,013  29.16  

- 9 -


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 will beare construed in a manner consistent with the requirements of such section. The Company began its offerings under the ESPP on August 1, 2016. As of September 30, 2017, 2,328,1712019, 3,078,989 ordinary shares were available to be purchased by eligible employees under the ESPP and 209,355390,614 shares had been issued under the ESPP.

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Table of Contents
The fair value of all equity-basedshare-based awards was estimated using the Black-Scholes option-pricing model withfor all equity grants. For market condition awards, the Company also applied the Monte-Carlo simulation model. We assessed fair value using the following underlying assumptions, excluding market condition awards for which fair value was estimated using the Monte Carlo option-pricing model: 

assumptions: 

 

Nine months ended September 30,

 

 

Year ended

December 31,

Nine months ended September 30,Year ended December 31,
2018

 

2017

 

2016

 

 

2016

20192018Year ended December 31,
2018

 

Unaudited

 

 

Audited

UnauditedAudited

Stock Option Plans

 

 

 

 

 

 

 

 

Stock Option Plans

Expected term (years)

 

5.5-6.25

 

6.25

 

 

6.25

Expected term (years)5.50-6.505.50-6.255.50-6.25

Expected volatility

 

56.74%-59.45%

 

59.80%-61.65%

 

 

58.40%-61.70%

Expected volatility55%-61%52%-55%52%-55%

Risk-free interest rate

 

1.97%-2.23%

 

1.23%-1.88%

 

 

1.23%-1.88%

Risk-free interest rate1.90%-2.40%2.70%-2.89%2.70%-2.99%

Dividend yield

 

0.00%

 

0.00%

 

 

0.00%

Dividend yield0.00 %0.00 %0.00 %

ESPP

 

 

 

 

 

 

 

 

ESPP

Expected term (years)

 

0.50

 

 

0.42

 

 

0.42

Expected term (years)0.500.500.50

Expected volatility

 

76.37%-82.00%

 

70.45%

 

 

70.45%

Expected volatility44%-62%45%-53%45%-53%

Risk-free interest rate

 

0.62%-1.13%

 

0.40%

 

 

0.40%

Risk-free interest rate2.10%-2.51%1.61%-2.14%1.61%-2.14%

Dividend yield

 

0.00%

 

0.00%

 

 

0.00%

Dividend yield0.00 %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 nine months ended September 30, 20172019 and 20162018 and the year ended December 31, 20162018 was:

 

Three months ended September 30,

 

 

Nine months ended September 30,

 

 

Year ended

December 31,

 

Three months ended September 30,Nine months ended September 30,Year ended December 31,
2018

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2016

 

2019201820192018Year ended December 31,
2018

 

Unaudited

 

 

Unaudited

 

 

Audited

 

UnauditedUnauditedAudited

Cost of revenues

 

$

79

 

 

$

160

 

 

$

353

 

 

$

471

 

 

$

623

 

Cost of revenues$605  $464  $1,626  $891  $1,261  

Research, development and clinical trials

 

 

972

 

 

 

776

 

 

 

2,645

 

 

 

2,378

 

 

 

3,155

 

Research, development and clinical trials2,202  1,223  5,203  3,415  4,709  

Sales and marketing

 

 

1,874

 

 

 

1,249

 

 

 

4,264

 

 

 

3,888

 

 

 

5,111

 

Sales and marketing3,368  1,979  8,585  5,309  7,393  

General and administrative

 

 

5,704

 

 

 

3,441

 

 

 

13,498

 

 

 

9,982

 

 

 

12,552

 

General and administrative8,163  6,813  22,305  19,590  26,483  

Total share-based compensation expense

 

$

8,629

 

 

$

5,626

 

 

$

20,760

 

 

$

16,719

 

 

$

21,441

 

Total share-based compensation expense$14,338  $10,479  $37,719  $29,205  $39,846  

NOTE 6: EARNINGS PER 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 considered outstanding during the period, in accordance with ASC 260-10, as determined under the treasury stock method. Basic and diluted net loss per ordinary share was the same for each period presented, except for the three months ended September 30, 2019, as the inclusion of all potential dilutive shares (deriving from options, RSUs and the ESPP) outstanding would be anti-dilutive.
The calculation of diluted earnings per share includes the weighted average of potentially dilutive securities, which consists of ordinary shares underlying outstanding share options, RSUs and the ESPP. The effect of these dilutive securities under the treasury stock method was approximately 9,119,059 shares for the three months ended September 30, 2019.
The Company excluded 57,782 share options from the computation of dilutive net income per share for the three months ended September 30, 2019 because including them would had have an anti-dilutive effect.

NOTE 7: SUPPLEMENTAL INFORMATION

The Company operates in a single reportable segment.

The following table presents long-lived assets by location:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

Unaudited

 

 

Audited

 

United States

 

$

10,942

 

 

$

11,981

 

Switzerland

 

 

5,057

 

 

 

4,346

 

Israel

 

 

1,884

 

 

 

1,915

 

Others

 

426

 

 

 

378

 

Total

 

$

18,309

 

 

$

18,620

 

14

- 10 -


Table of Contents
September 30,
2019
December 31,
2018
 UnauditedAudited
United States$8,170  $8,289  
Switzerland3,695  2,513  
Israel2,393  2,236  
Germany778  1,054  
Others1,528  1,274  
Total$16,564  $15,366  
The Company’s revenues by geographic region, based on the customer’s location, are summarized as follows:

 

Three months ended September 30,

 

 

Nine months ended September 30,

 

 

Year ended

December 31,

 

Three months ended September 30,Nine months ended September 30,Year ended December 31,
2018

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

2016

 

2019201820192018Year ended December 31,
2018

 

Unaudited

 

 

Unaudited

 

 

Audited

 

UnauditedUnauditedAudited

United States

 

$

35,300

 

 

$

18,131

 

 

$

95,826

 

 

$

46,264

 

 

$

72,771

 

United States$61,399  $44,469  $166,937  $124,206  $168,414  

EMEA (*)

 

 

14,757

 

 

 

3,519

 

 

 

27,316

 

 

 

6,296

 

 

 

10,028

 

EMEA (*)24,482  18,295  69,507  50,692  72,485  

Japan

 

 

52

 

 

 

24

 

 

 

223

 

 

 

86

 

 

 

89

 

Japan4,779  1,992  12,334  3,497  6,351  
Greater China (1)Greater China (1)1,402  —  3,306  —  819  

Total

 

$

50,109

 

 

$

21,674

 

 

$

123,365

 

 

$

52,646

 

 

$

82,888

 

Total$92,062  $64,756  $252,084  $178,395  $248,069  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(*) including Germany

 

$

14,664

 

 

$

1,766

 

 

 

26,880

 

 

 

2,659

 

 

$

9,799

 

- 11 -


(*) including Germany$21,688  $17,536  $64,065  $48,545  $67,849  

(1) Reflects revenue recognized in accordance with a License and Collaboration Agreement between us and Zai Lab (Shanghai) Co., Ltd. (“Zai”), dated September 10, 2018, pursuant to which Zai is commercializing Optune in China, Hong Kong, Macau and Taiwan (referred to in this table as “Greater China”). For additional information, see Note 12 to the Consolidated Financial Statements in our 2018 10-K.
15

Table of Contents
Item 2.  Management’s Discussion and Analysis ofof 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 consolidated financial statements and the notes thereto for the period ended September 30, 20172019 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. As a result of many factors, such as those set forthPlease refer to the information under Part I, Item 1A, “Risk Factors”, of our Annual Report on Form 10-K for the fiscal year ended December 31, 2016 (the “2016 10-K”), our actual results may differ materially from those anticipatedheading “Cautionary Note Regarding Forward-Looking Statements” elsewhere in these forward-looking statements.this report. References to the words “we,” “our,” “us,” and the “Company” in this report refer to NovoCure Limited, including its consolidated subsidiaries.

Overview

We are a commercial stageglobal oncology company developing a profoundly different cancer treatment centered onwith a proprietary therapyplatform technology called Tumor Treating Fields, (“TTFields”), the use of electric fields tuned to specific frequencies to disrupt solid tumor cancer cell division. Our key priorities are to accelerate commercialdrive adoption of Optune and the NovoTTF-100L System (“NovoTTF-100L”), our first commercial TTFieldsTumor Treating Fields delivery system, for the treatment of glioblastoma (“GBM”)systems, and to advance programs testing the safety and efficacy and safety of TTFieldsour products in multiple solid tumor indications through our clinical pipeline.

We were foundedhave built a commercial organization in 2000the United States, Austria, Germany, Israel, Japan, Sweden and operatedSwitzerland, which we refer to as a development stage company through December 31, 2011. We initially receivedour currently active markets. Optune is approved by the U.S. Food and Drug Administration (“FDA”) approvalunder the Premarket Approval (“PMA”) pathway for Optunethe treatment of adult patients with newly diagnosed glioblastoma (“GBM”) in 2011combination with temozolomide, a chemotherapy drug, and for use as a monotherapy treatment for adult patients with GBM following confirmed recurrence after chemotherapy. In October 2015, we received FDAWe also have approval to market Optune for the treatment of adult patients with newly diagnosed GBM in combination with temozolomide, a chemotherapy drug. We have also received approval to market Optune in Germany, Austria, Switzerland, Israel,the European Union, Japan and certain other countries.  To date, we have focused on commercializing Optune in the United States, Germany, Austria, Switzerland, Israel and Japan, which we refer to collectively as our currently active markets.

In April 2017, we announced final analyses of the full 695 patient dataset with a median follow-up of 40 months from our phase 3 pivotal trial of Optune in combination with temozolomide for patients with newly diagnosed GBM. For patients treated with Optune in combination with temozolomide versus patients treated with temozolomide alone, the two-year survival rate increased from 30 percent to 43 percent and the five-year survival rate increased from five percent to 13 percent. In September 2017, we announced results from health-related quality of life analyses from this same phase 3 pivotal trial. Patients treated with Optune in combination with temozolomide were able to maintain quality of life for longer compared to patients treated with temozolomide alone.  These data further support our belief that Optune plus temozolomide is an essential combination treatment for patients with newly diagnosed GBM.

We continue to work with payers to expand access to Optune for patients with newly diagnosed and recurrent GBM. As of September 30, 2017, more than 210 million2019, a substantial majority of Americans have availablewith private health insurance had coverage for the use of Optune for newly diagnosed and/or recurrent GBM. Additionally, we have signed contracts to establish OptuneEffective as an in-network benefit for more than 178 million American lives. The percentage of our U.S. active patient populationSeptember 1, 2019, Americans who are beneficiaries of the Medicare fee-for-service program which has deniedalso have coverage for our claims to date, continues to range from 20 to 25 percent.

In Germany, we are able to bill healthcare payers for individual cases and each case is evaluated individually on its merits and under the payer’s specific rules for such cases. In the third quarter 2017, approximately half of German claims were approved for reimbursement. In September 2017, the German Federal Joint Committee, or G-BA, published its decision to support a clinical trial studying Optune for the treatment of newly diagnosed GBM. Our team is focused on working through the typical administrative ramp-up with Medicare to ensure that we realize the full financial benefit as soon as possible. We are actively appealing Medicare fee-for-service coverage denials up to and including the Administrative Law Judge (“ALJ”) process with Centers for Medicare and Medicaid Services (“CMS”).

In June 2019, the German Institute for Quality and Efficiency in Healthcare (“IQWiG”), published its rapid report concluding that, based on a review of our EF-14 phase 3 pivotal trial, patients with newly diagnosed GBM lived longer when treated with Optune in addition to standard chemotherapy, without affecting quality of life. According to the published timeline, we now expect a national reimbursement decision in Germany no later than October 2020.
As of September 30, 2019, the total number of contracted lives globally was more than 407 million.
In order to further advance the scientific evidence supporting the use of Optune in GBM and gather additional information about Optune’s optimal use, we plan to initiate additional randomized trials in GBM. The proposedfirst trial, designwhich we plan to begin in the next few months, will examinebe a post-marketing trial designed to study the potential benefit of startingearlier initiation of Optune, concurrent with radiation therapy, versus initiation post radiation, and temozolomide prioris intended to support possible label expansion. A second trial, which we plan to begin in 2020, is currently being designed.
We are expanding our commercial operations into France with an initial focus on developing key opinion leader relationships in GBM and establishing a path to reimbursement.
In May 2019, NovoTTF-100L received approval by the initiationFDA under the Humanitarian Device Exemption (“HDE”) pathway to treat unresectable, locally advanced or metastatic malignant pleural mesothelioma (“MPM”) in combination with standard chemotherapies based upon the results of maintenance temozolomideour STELLAR trial. In October 2019, results from our STELLAR trial were published in accordance with Section 137eThe Lancet Oncology. We have initiated a phased launch for MPM shaped by our learnings from our GBM rollout.  Our initial launch efforts are focused on certifying radiation oncologists and on supporting the required Institutional Review Board (“IRB”) approval process at the approximately 40 centers that we believe see the majority of U.S. MPM patients. As of September 30, 2019, prescribers were certified at 10 centers across the U.S. and two centers had successfully completed the required IRB approval process. The first MPM commercial patient started therapy in September 2019. We are currently exploring the appropriate regulatory pathway for MPM in our currently active markets outside of the German Healthcare Provision Act.U.S.
16

Table of Contents
We expect to begin a dialogue with payers around access to NovoTTF-100L for patients with MPM in future quarters. We anticipate that MPM claims during the early launch phase will go through an appeal process with payers, similar to our early experience with GBM.
In March 2019, we enrolled the first patient in our ENGOT-ov50/INNOVATE-3 trial, a phase 3 pivotal trial testing the effectiveness of Tumor Treating Fields with paclitaxel in patients with recurrent, platinum-resistant ovarian cancer. The protocol specifies overall survival as primary endpoint and an event-driven interim analysis, which we anticipate will shareoccur in 2022. The European Network for Gynaecological Oncological Trial groups (“ENGOT”) and The GOG Foundation, Inc. (“GOG”), third-party clinical trial networks, are collaborating with us on the costs fortrial.  ENGOT and GOG were involved in the conductdevelopment of the clinical trial withand the G-BA. The statutory health insurance funds will reimburse treatment costs, includingcollaborations are intended to facilitate enrollment of INNOVATE-3 at leading cancer centers in Europe and the cost of Optune for clinical trial patients.  The G-BA decision is an important first step in the process to secure national reimbursement for Optune in Germany.

In August 2017,United States.

Currently, we signed a contract with the Federation of Austrian Social Insurance Institutions to grant reimbursement for Optune. All 18 Austrian insurance funds have agreed to participate in the contract, marking our first national reimbursement decision.  We are currently working to implement the contract and believe that our first payments for Austrian claims will begin in the fourth quarter 2017.

In April 2017, we submitted our applicate to the Federal Office of Public Health in Switzerland to secure a defined reimbursement rate for Optune based upon the long-term analysis of the EF-14 clinical trial data. We now believe a Swiss reimbursement decision will come no earlier than 2018. Until we secure a defined reimbursement rate, payment is not guaranteed.

- 12 -


In March 2017, we received Japanese Ministry of Health, Labour and Welfare (“MHLW”) approval for the second generation Optune. In March 2017, we filed an application to request a defined reimbursement rate for Optune based on the December 2016 regulatory approval of Optune to treat newly diagnosed GBM.  We are currently in active reimbursement discussions with the MHLW and believe that a reimbursement decision will come before the end of 2017.

We have researched the biological effects of TTFields extensively. Because TTFields are delivered regionally, act only on dividing cells (a biological process known as mitosis) and are frequency-tuned to target cells of a specific size, we believe there is minimal damage to healthy cells. We believe our pre-clinical and clinical research demonstrates that TTFields’ mechanism of action affects fundamental aspects of cell division and may have broad applicability across a variety of solid tumors. We have demonstrated in pre-clinical studies that TTFields can offer additive or synergistic benefits in combination with radiation, chemotherapy and immunotherapy, which may lead to greater efficacy than radiation, chemotherapy and immunotherapy alone, without significantly increasing the side effects when used in combination with other cancer treatments.

We are currently planning or conducting clinicalphase 3 pivotal trials evaluating the use of TTFieldsTumor Treating Fields in brain metastases, non-small-cell lung cancer, (“NSCLC”), pancreatic cancer and ovarian cancer and mesothelioma.cancer. We are also conducting a phase 2 pilot trial evaluating the use of Tumor Treating Fields in liver cancer. We anticipate expanding our clinical pipeline over time to study the safety and efficacy of TTFieldsTumor Treating Fields for additional solid tumor indications.

The table below presents the current status of the ongoing or completed clinical trials in our clinical pipeline and our expected next milestone for each.

We now expect data from the HEPANOVA phase 2 pilot trial in 2021.

nvcr-20190930_g1.jpg
We believe we have a diverse intellectual property portfolio that includes over 145 issued patents and pending patent applications as well as numerous trade secrets. We believe these intellectual property assets provide expansive commercialization rights to our products in the oncology space.
In May 2017,2018, we received humanitarian use device (HUD) designationgranted Zai Lab (Shanghai) Co., Ltd. (“Zai”) a license to commercialize Optune in China, Hong Kong, Macau and Taiwan under a License and Collaboration Agreement (the “Zai Agreement”). The Chinese regulatory authorities designated Optune as an Innovative Medical Device and have accepted the Marketing Authorization Application for the useGBM indication in China. Zai is pursuing a clinical trial waiver and, should a clinical trial waiver be granted, Zai intends to launch Optune in China before the end of TTFields for2019. On the treatment of pleural mesothelioma.  The HUD designationclinical development front, Zai is the first step in obtaining a Humanitarian Device Exemption (HDE) for the treatment of pleural mesothelioma with TTFields.  An approved HDE would allow usworking to market TTFields in combination with standard of care chemotherapy as a treatment for pleural mesothelioma in the United States.

In October 2016, we enrolled the first patient in our METIS trial, a phase 3 pivotal trial testing the effectiveness of stereotactic radiosurgery plus TTFields compared to stereotactic radiosurgery alone in patients with brain metastases resulting from NSCLC. In September 2017, the FDA approved an IDE supplement amendingfinalize the protocol for a phase 2 pilot trial in gastric cancer and is collaborating closely with our clinical teams to initiate trials in other key indications in China.

Financial Overview. We view our operations and manage our business in one operating segment. For the METIS trial.  The protocol amendment is designed to accelerate the pace of enrollment by expanding the eligible patient population. Among other updates, the protocol now allowsthree and nine months ended September 30, 2019, our net revenues were $92.1 million and $252.1 million, respectively. Our net income (loss) for the enrollmentthree and nine months ended September 30, 2019 was $1.9 million and $(11.5) million, respectively. As of patients with infratentorial brain metastases, based upon new scientific information to support a specialized array layout to treat infratentorial tumors.

We own all commercialization rights to TTFields in oncology. Our robust global patentSeptember 30, 2019, we had an accumulated deficit of $655.1 million.

Critical Accounting Policies and intellectual property portfolio consists of over 120 issued patents, with numerous additional patent applications pending worldwide. The patents have expected expiration dates between 2021 and 2035. We have also filed approximately 50 additional patent applications that, if issued, may protect aspects of our platform beyond 2035. We believe we will maintain exclusive rights to market TTFields for all solid tumor indications in our key markets through the life of our patents.

We were incorporated in the Bailiwick of Jersey in 2000.  Our U.S. operations are located in Portsmouth, New Hampshire, Malvern, Pennsylvania, and New York City. Additionally, we have offices in Germany, Switzerland, Israel and Japan, and a research center in Israel.  We completed our initial public offering of our ordinary shares in October 2015.  Our ordinary shares are quoted on the NASDAQ Global Select Market under the symbol “NVCR.”

Financial Overview. We expect to continue to incur significant expenses and operating losses for at least the next several years. We expect our research, development and clinical trials expenses to increase in connection with our ongoing activities, and as additional indications enter late-stage clinical development. In addition, we expect to incur significant commercialization expenses for product sales, marketing, manufacturing and distribution. We may need additional funding to support the continuation of our operating activities. Until we can generate substantial revenues (which may not occur), we expect to finance our cash needs through our existing cash, cash equivalents, short-term investments, equity issuances or additional debt, and possibly also from collaborations, strategic alliances, licensing arrangements and other marketing and distribution arrangements. We will need to generate significant revenues to achieve profitability, and we may never do so.

- 13 -


Critical accounting policies and estimates

Estimates

In accordance with U.S. GAAP,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 2016 10-K.Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2018 (the “2018 10-K”). For additional information, see Note 1 to our Unaudited Consolidated Financial Statements. There have beenwere no other material changes to our critical accounting policies and estimates as compared to the critical accounting policies and estimates described in our 20162018 10-K.

17

Table of Contents
Commentary on Results of Operations

We account for revenue when all revenue recognition criteria have been met or when cash is collected. Revenue recognized in a given period may include a mixture of accrued revenue, cash collections from amounts billed in prior periods and cash collections from amounts billed in the current period

Net revenues. We report certain operating statistics to provide additional insight into the commercial performance of Optune in our currently active markets.

The number of active patients on Optune is our principal revenue driver. Growth in the number of active patients is a factor of both treatment duration and new patient starts. Median treatment duration differs based upon the clinical diagnosis of the patient. For the three months ended September 30, 2017, more than 60% of prescriptions received were for patients with newly diagnosed GBM.  The conversion of prescriptions to new patients is driven by the prescription fill rate and the time to fill. In the twelve months ended September 30, 2017, our prescription fill rate was between 70-75%.

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

 

 

 

 

 

 

 

 

 

 

September 30,

 

Operating statistics

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

Active patients at period end (1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

 

 

 

 

 

 

 

 

 

1,234

 

 

 

783

 

EMEA (2) (*)

 

 

 

 

 

 

 

 

 

 

448

 

 

 

202

 

Japan (2)

 

 

 

 

 

 

 

 

 

 

1

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

1,683

 

 

 

985

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(*) including Germany

 

 

 

 

 

 

 

 

 

 

331

 

 

 

146

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended September 30,

 

 

Nine months ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Prescriptions received in period (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

 

805

 

 

 

569

 

 

 

2,293

 

 

 

1,800

 

EMEA (2) (*)

 

 

270

 

 

 

120

 

 

 

731

 

 

 

301

 

Japan (2)

 

 

1

 

 

 

1

 

 

 

5

 

 

 

1

 

 

 

 

1,076

 

 

 

690

 

 

 

3,029

 

 

 

2,102

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(*) including Germany

 

 

202

 

 

 

87

 

 

 

553

 

 

 

221

 

(1)

An “active patient” is a patient who is on Optune 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.

(2)

As we enter each new market, our commercial activities focus initially on establishing the required in-market infrastructure, certifying physicians to prescribe Optune and obtaining a defined reimbursement pathway. Once established, our commercial efforts turn to increasing adoption.

(3)

A “prescription received” is a commercial order for Optune that is received from a physician certified to treat patients with Optune for a patient not previously on Optune. Orders to renew or extend treatment are not included in this total.

- 14 -


Net revenues. Substantially all of ourOur revenues are primarily derived from patients using our TTFields delivery system, marketed as Optune in our currently active markets. We charge patients or their third-party healthcare payers directly for treatment with Optune andNovoTTF-100Lon a monthly basis and bear the financial risk of securing payment in the United States and Europe.

The following is a summary of gross billings and revenues recorded on an accrual basis and a cash basis by quarters (unaudited):

 

 

2017

 

 

2016

 

U.S. dollars in millions

 

Q3

 

 

Q2

 

 

Q1

 

 

Q4

 

 

Q3

 

 

Q2

 

 

Q1

 

Gross billings

 

$

101.9

 

 

$

87.2

 

 

$

73.2

 

 

$

63.8

 

 

$

57.5

 

 

$

54.0

 

 

$

45.5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accrual basis revenue

 

$

35.7

 

 

$

19.1

 

 

$

14.7

 

 

$

8.5

 

 

$

0.0

 

 

$

0.0

 

 

$

0.0

 

Cash basis revenue for therapy provided in the period

 

 

3.1

 

 

 

5.7

 

 

 

5.9

 

 

 

6.3

 

 

 

8.9

 

 

 

7.6

 

 

 

5.6

 

Cash basis revenue for therapy provided in previous periods

 

 

11.3

 

 

 

13.6

 

 

 

14.3

 

 

 

15.5

 

 

 

12.7

 

 

 

10.3

 

 

 

7.4

 

Net revenues

 

$

50.1

 

 

$

38.4

 

 

$

34.9

 

 

$

30.2

 

 

$

21.7

 

 

$

17.9

 

 

$

13.1

 

We began recognizing a portion of ourbasis. 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 an accrual basis in the fourth quarter 2016. Priortherapy.

We also recognized revenue pursuant to the thirdZai Agreement in each quarter 2017, all of 2019. For additional information regarding the net revenues recognized on an accrual basis represent chargesZai Agreement, see Note 12 to certain U.S.-based third-party payers. Beginningthe Consolidated Financial Statements in the third quarter 2017, net revenues recognized on an accrual basis represent charges to certain U.S.-based third-party payers and certain German payers. In the period of transition from cash-based to accrual-based revenue recognition, there is a one-time impact to net revenues as net revenues in the current period may also include revenues from gross billings from previous periods. In the table above, gross billings reflect the total charges for active patients on Optune without any deductions or adjustments for payer discounts, patient financial assistance, charitable care or other similar items.  The subsequent table line items detail the three sources of net revenue in the applicable reporting period.

our 2018 10-K.

Cost of revenues.We contract with third-party manufacturers that manufacture our products. Our cost of revenues is comprised primarily of (i) costcomprised of the following:
disposable transducer arrays purchased from third-party manufacturers, (ii) arrays;
depreciation expense for the field equipment, including the electric field generator used by patientspatients; and (iii)
personnel, warranty and 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. expenses. Our operating expenses consist of research, development and clinical trials, 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 expenses, net.net.Financial expenses, net primarily consists of credit facility interest expense and related debt issuance costs, under our Term Loan Credit Facility (as defined below), interest income from cash balances and short-term investments and gains (losses) from foreign currency transactions.

Our reporting currency is the U.S. dollar. We viewhave historically held substantially all of our operationscash balances in U.S. dollar denominated accounts to minimize the risk of translational currency exposure.

Results of Operations
The following table includes certain commercial patient operating statistics for and manage our businessas of the end of the periods presented.
September 30,
Operating statistics20192018
Active patients at period end (1)
United States1,860  1,602  
EMEA (*)731  581  
Japan160  69  
Total2,751  2,252  
(*) including Germany499  399  

Three months ended September 30,Nine months ended September 30,
 2019201820192018
Gross billings (in millions)$171.4  $139.2  $499.4  $401.0  
Prescriptions received in period (2)
United States917  907  2,831  2,800  
EMEA (*)318  288  947  835  
Japan84  48  213  110  
Total1,319  1,243  3,991  3,745  
(*) including Germany218  235  696  635  
1.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 one operating segment. Forless than 60 days.
18

Table of Contents
2.A “prescription received” is a commercial order for Optune or NovoTTF-100L that is received from a physician certified to treat patients for a patient not previously on Optune or NovoTTF-100L. Orders to renew or extend treatment are not included in this total.
Prescriptions for newly diagnosed GBM represented 82% of total prescriptions for the three and nine months ended September 30, 2017, our net revenues were $50.1 million and $123.4 million, respectively, and our net loss was $11.5 million and $50.7 million, respectively. Our net loss2019, compared to 75% for the three and nine months ended September 30, 2017 includes $8.6 million and $20.8 million, respectively,same period in non-cash share-based compensation expense. As of September 30, 2017, we had an accumulated deficit of $571.3 million.

2018.

Three months ended September 30, 20172019 compared to three months ended September 30, 2016

(All dollar figures in tables are in thousands unless otherwise indicated)

2018

 

 

Three months ended September 30,

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

 

% Change

 

Net revenues

 

$

50,109

 

 

$

21,674

 

 

$

28,435

 

 

 

131

%

Three months ended September 30,
20192018Change% Change
Net revenues$92,062  $64,756  $27,306  42 %

Net revenues.Net revenues increased $28.4$27.3 million, or 131%42%, to $50.1$92.1 million for the three months September 30, 2019 from $64.8 million for the three months ended September 30, 2017 from $21.7 million for the three months ended September 30, 2016.2018. This was primarily due to an increase of $17.2 million499 active patients in commercial sales of Optune in the United States and an increase of $11.3 million in commercial sales of Optune in our other currently active markets, representing 22% growth, and an improvement in the net revenues booked per active patient. The increase in net revenues per active patient benefited from continued improvements in reimbursement rates in both the U.S. and EMEA. In addition, under the newly defined coverage policy effective as well asof September 1, 2019, we recognized the transition to accrual-based revenue recognition for a portion of our billings.

- 15 -


initial benefit from Medicare with $0.5 million in third quarter net revenues.

Three months ended September 30,  
20192018Change% Change
Cost of revenues$22,900  $18,949  $3,951  21 %
Cost of revenues.Our cost of revenues increased by $4.0 million, or 36%21%, to $15.2$22.9 million for the three months endedSeptember 30, 2017 2019from $11.1$18.9 million for the three months endedSeptember 30, 2016.2018. The increase resultedin cost of revenues was primarily fromdue to the cost of shipping transducer arrays to a higher volume of commercial patients as well as an increasepartially offset by a reduction in field equipment depreciation.  Costthe cost of revenues includes $0.1 million of non-cash share-based compensation.

goods per active patient driven by ongoing efficiency initiatives and scale. Gross margin was75% for the three months endedSeptember 30, 2019 and71% for the three months endedSeptember 30, 2018.

Operating Expenses.

 

 

Three months ended September 30,

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

 

% Change

 

Research, development and clinical trials

 

$

9,273

 

 

$

10,233

 

 

$

(960

)

 

 

(9

%)

Sales and marketing

 

 

16,387

 

 

 

15,865

 

 

 

522

 

 

 

3

%

General and administrative

 

 

15,215

 

 

 

12,723

 

 

 

2,492

 

 

 

20

%

Total operating expenses

 

$

40,875

 

 

$

38,821

 

 

$

2,054

 

 

 

5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-cash expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share-based compensation expense

 

$

8,550

 

 

$

5,466

 

 

$

3,084

 

 

 

56

%

Other non-cash expenses

 

 

600

 

 

 

708

 

 

 

(108

)

 

 

(15

%)

Total non-cash expenses

 

$

9,150

 

 

$

6,174

 

 

$

2,976

 

 

 

48

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total operating expenses, net of non-cash expenses *

 

$

31,725

 

 

$

32,647

 

 

$

(922

)

 

 

(3

%)

Three months ended September 30,  
20192018Change% Change
Research, development and clinical trials$18,766  $13,074  $5,692  44 %
Sales and marketing23,830  19,124  4,706  25 %
General and administrative22,711  18,855  3,856  20 %
Total operating expenses$65,307  $51,053  $14,254  28 %

*

This non-GAAP metric has been included because management believes that it provides for a more accurate year to year comparison of our operating expenses without the impact of non-cash items.

Research, development and clinical trials expenses.Research, development and clinical trials expenses decreased $1.0increased $5.7 million, or 9%44%, to $9.3$18.8 million for the three months ended September 30, 20172019 from $10.2$13.1 million for the three months ended September 30, 2016.2018. The change is primarily due to a decrease in clinical trial expenses resulting from the conclusion of our EF-14 phase 3 pivotal trial in newly diagnosed GBM, a decrease in expenses related to the approval of our second generation Optune and a decrease in medical grants driven principally by timing, partially offset by an increase in clinical trial and personnel expenses for our LUNARphase 3 pivotal trials and METIS trials. These expenses include $1.0 million of non-cash share-based compensation.

an increase in costs associated with medical affairs, regulatory matters and engineering.

Sales and marketing expenses.Sales and marketing expenses increased $0.5$4.7 million, or 3%25%, to $16.4$23.8 million for the three months ended September 30, 20172019 from $15.9$19.1 million for the three months ended September 30, 2016.2018. The change was primarily due to increased marketing expenses and personnel costs to support our growing commercial business.
General and administrative expenses. General and administrative expenses increased $3.9 million, or 20%, to $22.7 million for the three months ended September 30, 2019 from $18.9 million for the three months ended September 30, 2018. The change was primarily due to an increase of $1.7 million in personnel costs including an increase of $0.7 million in non-cash share-based compensation, and an increase in professional services.
Three months ended September 30,
20192018Change% Change
Financial expenses (income), net$2,555  $2,397  $158  %
19

Table of $0.4 million in commercial shipping charges, reflecting our expanding commercial operations in the United States and Germany. This was partially offset by a decrease of $1.6 million in marketingContents
Financial expenses, primarily related to advertising and professional services for the launch of our second generation Optune and the communication of our inclusion in the updated National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology for Central Nervous System Cancer (“NCCN Guidelines”).  These expenses include $1.9 million of non-cash share-based compensation.

General and administrative expenses.  General and administrativenet. Financial expenses increased $2.5$0.2 million, or 20%7%, to $15.2$2.6 million for the three months ended September 30, 20172019 from $12.7$2.4 million for the three months ended September 30, 2016.2018. The change was primarily due to an increase of $2.5 million in personnel costs, including an increase of $2.3 million in share based compensation. Personnel costs included $5.7 million of non-cash share-based compensation expense, including equity awards granted to our executive chairman and expenses related to our employee share purchase plan (“ESPP”).  

Financial expenses, net.  Financial expenses remained consistent at $2.2 million for both the three months ended September 30, 2017interest income and the three months ended September 30, 2016.  

unfavorable impact of foreign exchange.

 

 

Three months ended September 30,

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

 

% Change

 

Income tax expenses

 

$

3,423

 

 

$

3,174

 

 

$

249

 

 

 

8

%

Three months ended September 30,
20192018Change% Change
Income taxes$(630) $4,051  $(4,681) (116)%

Income taxes.Income taxes increased $0.2decreased $4.7 million, or 8%116%, to $3.4a benefit of $0.6 million for the three months ended September 30, 20172019 from $3.2$4.1 million for the three months ended September 30, 2016.2018. The increasechange was primarily a result of a change in the mix of applicable statutory tax rates in certain non-USactive jurisdictions.

- 16 -


We also recorded an income tax benefit of approximately $1.5 million in the quarter ended September 30, 2019 as a result of research and development credits claimed in the U.S.

Nine months ended September 30, 20172019 compared to nine months ended September 30, 2016

(All dollar figures in tables are in thousands unless otherwise indicated)

2018

 

 

Nine months ended September 30,

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

 

% Change

 

Net revenues

 

$

123,365

 

 

$

52,646

 

 

$

70,719

 

 

 

134

%

Nine months ended September 30,  
20192018Change% Change
Net revenues$252,084  $178,395  $73,689  41 %

Net revenues.Net revenues increased by $70.7$73.7 million, or 134%41%, to $123.4$252.1 million for the nine months endedSeptember 30, 2019from $178.4 million for the nine months endedSeptember 30, 2018. This was primarily due to an increase of 499 active patients in our currently active markets, representing 22% growth, and an improvement in the net revenues booked per active patient.
 Nine months ended September 30,  
 20192018Change% Change
Cost of revenues$63,820  $57,020  $6,800  12 %
Cost of revenues. Our cost of revenues increased by $6.8 million, or 12%, to $63.8 million for the nine months ended September 30, 20172019 from $52.6$57.0 million for the nine months ended September 30, 2016. This2018. The increase in cost of revenues was primarily due to an increase of $49.6 million in commercial sales of Optune in the United States and an increase of $21.2 million in commercial sales of Optune in our other currently active markets, as well as the transition to accrual-based revenue recognition for a portion of our billings.

Cost of revenues.  Our cost of revenues (excluding the impairment of field equipment described below) increased by $11.1 million, or 38%, to $40.0 million for the nine months ended September 30, 2017 from $28.9 million for the nine months ended September 30, 2016.  The increase resulted primarily from the cost of shipping transducer arrays to a higher volume of commercial patients as well as an increase in field equipment depreciation.  Cost of revenues include $0.4 million of non-cash share-based compensation.

We received FDA approval on our PMA supplement application to market our second generation Optunepartially offset by a reduction in the United States in July 2016. In the second quarter 2016, we recorded an impairment loss with respect to the write-off of first generation Optune field equipment (finished goods and production stage) in the amount of $6.4 million that was not recoverable and was presented in cost of revenues. We do not expectgoods per active patient driven by ongoing efficiency initiatives and scale. Gross margin was 75% for the conversion to our second generation Optune to result in an additional material impairment charge innine months ended September 30, 2019 and 68% for the future.

nine months ended September 30, 2018.

Operating Expenses.

 

 

Nine months ended September 30,

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

 

% Change

 

Research, development and clinical trials

 

$

28,055

 

 

$

32,996

 

 

$

(4,941

)

 

 

(15

%)

Sales and marketing

 

 

47,503

 

 

 

43,771

 

 

 

3,732

 

 

 

9

%

General and administrative

 

 

42,660

 

 

 

38,010

 

 

 

4,650

 

 

 

12

%

Total operating expenses

 

$

118,218

 

 

$

114,777

 

 

$

3,441

 

 

 

3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-cash expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share-based compensation expense

 

$

20,407

 

 

$

16,248

 

 

$

4,159

 

 

 

26

%

Other non-cash expenses

 

 

1,749

 

 

 

2,023

 

 

 

(274

)

 

 

(14

%)

Total non-cash expenses

 

$

22,156

 

 

$

18,271

 

 

$

3,885

 

 

 

21

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total operating expenses, net of non-cash expenses

 

$

96,062

 

 

$

96,506

 

 

$

(444

)

 

 

(0

%)

Nine months ended September 30,  
20192018Change% Change
Research, development and clinical trials$55,262  $35,540  $19,722  55 %
Sales and marketing69,871  56,455  13,416  24 %
General and administrative64,198  54,388  9,810  18 %
Total operating expenses$189,331  $146,383  $42,948  29 %

*

This non-GAAP metric has been included because management believes that it provides for a more accurate year to year comparison of our operating expenses without the impact of non-cash items.

Research, development and clinical trials expenses.Research, development and clinical trials expenses decreased $4.9increased $19.7 million, or 15%55%, to $28.1$55.3 million for the nine months ended September 30, 20172019 from $33.0$35.5 million for the nine months ended September 30, 2016 .2018. The change is primarily due to a decrease in clinical trial expenses resulting from the conclusion of our EF-14 phase 3 pivotal trial in newly diagnosed GBM, a decrease in expenses related to the approval of our second generation Optune and a decrease in medical grants driven principally by timing, partially offset by an increase in clinical trial and personnel expenses for our LUNARphase 3 pivotal trials and METIS trials. These expenses include $2.6 million of non-cash share-based compensation.

an increase in costs associated with medical affairs, regulatory matters and engineering.

Sales and marketing expenses.Sales and marketing expenses increased $3.7$13.4 million, or 9%24%, to $47.5$69.9 million for the nine months ended September 30, 20172019 from $43.8$56.5 million for the nine months ended September 30, 2016.2018. The change was primarily due to an increase of $6.1 million in personnel costs, including $0.4 million of non-cash share-based compensation, and an increase of $1.2 million in commercial shipping charges, reflecting our expanding commercial operations in the United States and Germany. This was partially offset by a decrease of $1.6 million inincreased marketing expenses primarily related to advertising and professional services for the launch of NovoTTF-100L for MPM and increases in our second generation Optune and the communication of our inclusion in the updated NCCN Guidelines.  These expenses include $4.3 million of non-cash share-based compensation.

- 17 -


personnel costs associated with a larger sales force globally.

General and administrative expenses.General and administrative expenses increased $4.7$9.8 million, or 12%18%, to $42.7$64.2 million for the nine months ended September 30, 20172019 from $38.0$54.4 million for the nine months ended September 30, 2016. The change was primarily due to an increase of $5.6 million in personnel costs, including $3.5 million in share based compensation, partially offset by a decrease of $0.9 million in professional services and other expenses. Personnel costs included $13.5 million of non-cash share-based compensation expense, including equity awards granted to our executive chairman and expenses related to our ESPP.  

Financial expenses, net.  Financial expenses, net increased by $3.5 million, or 106%, to $6.8 million for the nine months ended September 30, 2017 from $3.3 million for the nine months ended September 30, 2016.2018. The change was primarily due to an increase in interest expense, including amortization expensepersonnel costs and an increase in professional services.

20

Table of the discount and deferred issuance costs, relatedContents
Nine months ended September 30,  
20192018Change% Change
Financial expenses (income), net$6,165  $10,110  $(3,945) (39)%
Financial expenses, net. Financial expenses decreased $3.9 million, or 39%, to our July 2016 withdrawal of the remaining $75 million in available funds under the term loan credit facility that we, as borrower, entered into with BioPharma Secured Investments III Holdings Cayman LP, as lender, in January 2015, amended as of December 2016, February 2017 and September 2017 (collectively, the “Term Loan Credit Facility”).

 

 

Nine months ended September 30,

 

 

 

 

 

 

 

 

 

 

 

2017

 

 

2016

 

 

Change

 

 

% Change

 

Income tax expenses

 

$

9,110

 

 

$

8,944

 

 

$

166

 

 

 

2

%

Income taxes.  Income taxes increased by $0.2 million to $9.1$6.2 million for the nine months ended September 30, 20172019 from $8.9$10.1 million for the nine months ended September 30, 2016.2018. The increasechange was primarily due to the 2018 accelerated amortization costs triggered by the repayment of our 2015 term loan credit facility, interest income and the favorable impact of foreign exchange, partially offset by interest expenses on our new $150 million term loan credit facility. For additional information, see Note 10 to our Consolidated Financial Statementsin our 2018 10-K.

Nine months ended September 30,  
20192018Change% Change
Income taxes$4,258  $12,810  $(8,552) (67)%
Income taxes. Income taxesdecreased $8.6 million, or67%, to $4.3 million for the nine months endedSeptember 30, 2019from $12.8 million for the nine months endedSeptember 30, 2018. The change was primarily a result of a change in the mix of applicable statutory tax rates in certain non-USactive jurisdictions.

We also recorded an income tax benefit of approximately $1.5 million in the quarter ended September 30, 2019 as a result of research and development credits claimed in the U.S.

Liquidity and Capital Resources

We have incurred significant losses and cumulative negative cash flows from operations since our founding in 2000. As of September 30, 2019, we had an accumulated deficit of $655.1 million. To date, we have primarily financed our operations through the issuance and sale of equity and the proceeds from long-term loans. At September 30, 2019, we had $312.6 million in cash, cash equivalents and short-term investments, an increase of $66.7 million compared to $245.9 million at December 31, 2018. The increase in our cash, cash equivalents and short-term investments was primarily due to cash flow from operations and the exercise of options.
We believe our cash, cash equivalents and short-term investments as of September 30, 2019 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 anticipate continuing to incur significant costs associated with commercializing our products for approved indications. We expect our research and development expenses to increase in connection with our ongoing activities and as we continue to fund investments in our clinical pipeline and technology development. Such expenses may outpace our gross profit. As a result, we may need to raise additional capital to fund our operations.
Sources of Liquidity

Since inception, we have financed our operations primarily through the issuance and sale of equity and the proceeds from long-term loans. As of September 30, 2017,2019, we had received a total of $715.9$839.8 million from these activities.      As of September 30, 2017, we had an accumulated deficit of $571.3 million since inception.

Our net losses were $50.7 million for the nine months ended September 30, 2017 and $131.8 million for the year ended December 31, 2016. Our net losses primarily resulted from costs incurred in connection with our pre-clinical and clinical trial programs, costs incurred in our commercial launch efforts, and general and administrative costs necessary to operate as a multi-national oncology business.

As of September 30, 2017, we had $82.1 million of cash and cash equivalents and $104.5 million of short-term investments.  We believe our cash and cash equivalents and short term investments as of September 30, 2017, are sufficient for our operations for at least the next twelve months, taking into consideration our existing business plan, our ability to control the timing of significant expense commitments and our upcoming milestone payment obligation discussed below.

In the first quarter of 2018, we anticipate making a milestone payment of $5.5 million (the “Milestone Payment”) to the Technion Research and Development Foundation (“Technion”) pursuant to the settlement agreement dated February 10, 2015 (the “Settlement Agreement”).  Pursuant to the Settlement Agreement, we are obligated to pay the Milestone Payment to Technion in the quarter following the quarter in which we achieve $250.0 million of cumulative net sales (as defined in the Settlement Agreement) (the “Net Sales Milestone”).  We anticipate achieving the Net Sales Milestone in the fourth quarter of 2017. We previously accrued for the anticipated Milestone Payment in the fourth quarter of 2016. 

We also expect that our research, development and clinical trials expenses, sales and marketing expenses and general and administrative expenses will continue to increase over the next several years. As a result, we may need to raise additional capital in the future to fund our operations.

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Nine months ended September 30,

 

 

 

2017

 

 

2016

 

Net cash used in operating activities

 

$

(30,236

)

 

$

(93,867

)

Net cash provided by investing activities

 

 

8,713

 

 

 

16,406

 

Net cash provided by financing activities

 

 

3,839

 

 

 

73,796

 

Net decrease in cash and cash equivalents

 

 

(17,684

)

 

 

(3,665

)

Effect of exchange rates on cash and cash equivalents

 

 

8

 

 

 

64

 

Changes in short-term investments

 

 

(15,994

)

 

 

(30,277

)

Net decrease in cash, cash equivalents and short-term investments

 

$

(33,670

)

 

$

(33,878

)

Nine months ended September 30,  
20192018Change% Change
Net cash provided by (used in) operating activities$19,658  $(18,679) $38,337  (205)%

Operating activities

activities. Net cash used inprovided by (used in) operating activities primarily represents our net lossincome (loss) for the periods presented. Adjustments to net lossincome (loss) for non-cash items include share-based compensation, depreciation and amortization, accrued interest and impairments. Operating cash flows are also impacted by changes in operating assets and liabilities,working capital, principally trade receivables, prepaid expenses, inventories, trade payables and accrued expenses.

Net cash used inprovided by operating activities was $30.2$19.7 million for the nine months ended September 30, 2017,2019, as compared to $93.9$18.7 million used in operating activities for the nine months ended September 30, 2018. Gross profit increased by $66.9 million for the nine months ended September 30, 2016, reflecting a net loss2019 versus the nine months ended September 30, 2018, fully funding incremental investments of $50.7 million and a change of $6.2$19.7 million in our netresearch and development and $23.2 million in sales, marketing, general and administrative expenses. The transition to positive cash flow from operations, with a $38.3 million increase in cash provided by operating assets and liabilities, partially offset by non-cash charges of $26.7 million.

The change in our net operating assets and liabilitiesactivities, was primarily the result ofdriven by a decrease in net loss, an increase in other payables of $8.3 million, a decrease in other receivables of $4.5 million, an increase in other long-term liabilitiesshare-based compensation and employee benefit liabilities, net of $1.4 million, and a decrease in inventories of $0.9 million offset by an increase in trade receivablesreceivables.

21

Table of $16.7 million, a decrease in trade payables of $4.2 million, and an increase in other long-term assets of $0.5 million. Non-cash charges included $20.8 million of share-based compensation, $5.7 million of depreciation and amortization and $0.2 million in impairments.

Contents

Nine months ended September 30,  
20192018Change% Change
Net cash provided by (used in) investing activities(4,911) (3,704) $(1,207) 33 %
Investing activities

activities. Our investing activities consist primarily of capital expenditures to purchase property and equipment and field equipment, as well as investments in and redemptions of our short-term investments.

Net cash provided byused in investing activities was $8.7$4.9 million for the nine months ended September 30, 2017,2019, compared to $16.4$3.7 million for the nine months ended September 30, 2016, reflecting an increase2018. The increased net cash used in investing activities was primarily attributable to our receipt of $120.0 million from the maturity of short-term investments, partially offset by the purchase of $104.0 million of new short-term investments, purchases of $3.5 million of field equipment, purchases of $2.0 million of property and equipment and a $1.9 million increase in restricted cash.  

to support our growing commercial business partially offset by net proceeds generated from the sale of investments for cash needs.

Nine months ended September 30,  
20192018Change% Change
Net cash provided by (used in) financing activities53,095  66,804  $(13,709) (21)%
Financing activities

activities. To date, our primary financing activities have been the sale of equity and the proceeds from long-term loans.

Net cash provided by financing activities was $3.8$53.1 million for the nine months ended September 30, 2017,2019, as compared to $73.8$66.8 million for the nine months ended September 30, 2016, reflecting2018. The year-over-year decrease in cash provided by financing activities was primarily related to the 2018 principal amount of our credit facility and partially offset by proceeds received from the exercise of warrants and options and our ESPP.

options.

Our material outstanding indebtedness consists of our Term Loan Credit Facility.term loan credit facility. As of September 30, 2017,2019, the aggregate principal balance of amounts outstanding under the Term Loan Credit Facilityterm loan credit facility was $100.0$150.0 million. We may prepay the term loans,loan, in whole,full, at any time,time. We must prepay the term loan (i) in full or in part upon the entry into certain licensing arrangements and must prepay(ii) in full in the event of a change of control, incontrol. In each case, any prepayment (whether permitted or mandatory) is subject to a pay-down fee, prepayment premium and/or make-whole payment. Interest on the outstanding loan is 10% annually, payable quarterly in arrears. The pay-down fee on all principal payments to be paid on the date such payments are made is 0.75% and the pre-paymentprepayment fee if we prepay outstanding loan amounts prior to February 7, 2021 is 2.0% and is 1.0% if made after the first, second or third yearFebruary 7, 2021 but prior to February 7, 2022. If we prepay outstanding loan amounts prior to August 7, 2020, we must pay a make-whole amount equal to the amount of interest that would have accrued on the amount of all principal we prepaid from the initial funding date is 3.0%, 2.0% or 1.0%, respectively.

- 19 -


of such prepayment through February 7, 2021.

All obligations under the Term Loan Credit Facilityterm loan credit facility are guaranteed by certain of our current and future domestic direct and indirect subsidiaries. In addition, the obligations under the Term Loan Credit Facilityterm loan credit facility are secured by a first-priority security interest in substantially all of the property and assets of, as well as the equity interests owned by, us and the other guarantors. On March 28, 2017, the Term Loan Credit Facility was amended as of February 21, 2017 to increase to $1.5 million the limit in the Company’s pledges and deposits security liability for reimbursement or indemnification obligations in respect of letters ofThe term loan credit or bank guarantees for the benefit of the Company’s landlords.  On September 29, 2017, the Term Loan Credit Facility was amended as of September 27, 2017 to increase the limit on the Company’s cash held at any financial institution to secure one or more letters of credit issued by such financial institution in respect of leased premises to $1.5 million, to increase the limit on the aggregate balance in certain of the Company’s operating accounts to $2.5 million, and to add certain provisions enabling the Company’s use of storage facilities to facilitate distribution of products to patients.

The Term Loan Credit Facility has a minimum liquidity covenant, which is tested quarterly. In addition, we must meet certain pro forma net sales requirements. The Term Loan Credit Facility alsofacility contains other customary covenants.

Contractual Obligations and Commitments

There werehave been no material changes from the information disclosed in our commitments under contractual obligations during the three months ended September 30, 2017.

The total amount of unrecognized tax benefits for uncertain tax positions was $3.5 million and $2.4 million at September 30, 2017 and December 31, 2016, respectively. Payment of these obligations would result from settlements with taxing authorities. Discussions with the taxing authorities are ongoing and we cannot estimate with reasonable certainty the timing or amount of any such payments.

2018 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 SECU.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 Annual Report on Form 10-K for the year ended December 31, 2016.

2018 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 Officer, has evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of September 30, 2017.2019. 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
22

Table of Contents
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 September 30, 2017,2019, our Chief Executive Officer and Chief Financial Officer have concluded that, as of September 30, 2017,2019, 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 September 30, 2017,2019 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

- 20 -

23

Table of Contents
PART II—OTHER INFORMATION

Item 1.  Legal Proceedings

In January 2017, two putative class action lawsuits were filed against the Company, its directors and certain of its officers, as well as the underwriters

There have been no material changes to our legal proceedings disclosed in the Company’s October 2015 initial public offering.  The complaints, which purport2018 10-K except as noted below.
In February 2019, a civil claim was filed in the District Court in Haifa, Israel (the “Court”), by Ofir Paz (“Paz”), a former member of our Board of Directors, and EES Investments Ltd., a company wholly owned by Paz (together with Paz, “Plaintiff”) against us and Prof. Yoram Palti (“Respondents”). Plaintiff claims that he is entitled to be brought on behalf210,000 ordinary shares (adjusted for share capital splits since 2003) from Respondents pursuant to an alleged 2003 verbal agreement between Plaintiff and Prof. Palti, who was also a member of our Board of Directors at that time, for Plaintiff’s contribution to the advancement of our business and the consummation of a class of persons and/or entities who purchased or otherwise acquired ordinary shares of the Company pursuant and/or traceable to the registration statement and prospectus issuedthird party investment in connection with the Company’s initial public offering, allege material misstatements and/or omissions in the Company’s initial public offering materials in alleged violation of the federal securities laws and seek compensatory damages, among other remedies.  The two actions have been consolidated and the plaintiffsour company. In May 2019, we filed a consolidated amended complaint on May 31, 2017.  The court granted the defendants’ motion to bifurcate the motion to dismiss into two stages:the claim that is still pending. In September 2019, Plaintiff filed a threshold motion to dismiss for lack of personal jurisdiction, lack of subject matter jurisdiction, and insufficient process and service of process; and, ifamend the matterclaim, requesting that Asaf Danziger be added as a Respondent. That motion is not dismissed followingstill pending. We believe that threshold motion, a subsequent merits motion to dismiss regarding whether the allegations in the amended complaint state a claim under the securities laws. The defendants filed the threshold motion to dismiss on July 31, 2017, and the plaintiffs filed an opposition to the threshold motion to dismiss on September 29, 2017.  The Company believes that the amended complaint is without merit and plansplan to defend the consolidated lawsuitsagainst this claim vigorously. The Company hasWe have not accrued any amounts in respect of these lawsuits,claims, as awe believe liability is not probable and the amount of any potential liability cannot be reasonably estimated.

Item 1A.  Risk Factors

There have been no material changes to our risk factors disclosed in Part I, Item 1A “Risk Factors” to our Annual ReportForm 10-Q filed with the Securities and Exchange Commission on Form 10-K for the year ended December 31, 2016.

July 25, 2019.

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

In July 2017, an investor in our 2007 Series E preferred shares offering exercised warrants to purchase 1,293 ordinary shares with an exercise price of $3.59 per share.  We believe that this issuance was exempt from registration under the Securities Act of 1933, as amended (the “Securities Act”), in reliance on Section 4(a)(2) of the Securities Act regarding transactions not involving a public offering.

None.

Item 3.  Defaults Upon Senior Securities

None.

Item 4.  Mine Safety Disclosures

Not applicable.

Item 5.  Other Information

None.

- 21 -

24

Table of Contents

Item 6.  Exhibits

EXHIBIT INDEX

Exhibit

 

 

 

Incorporated by Reference

 

Filed

Number

 

Exhibit Description

 

Form

 

Date

 

Number

 

Herewith

10.1

 

Third Amendment to Loan and Security Agreement, dated as of September 27, 2017, by and between the Company and BioPharma Secured Investments III Holdings Cayman LP

 

8-K

 

10/5/17

 

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

  

 

 

 

 

 

 

X

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

  

 

 

 

 

 

 

X

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

  

 

 

 

 

 

 

X

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

  

 

 

 

 

 

 

X

99.1

 

NovoCure Limited Policy on Recoupment of Incentive Compensation

 

8-K

 

8/1/17

 

99.1

 

 

101.INS

 

XBRL Instance Document

 

 

 

 

 

 

 

X

101.SCH

 

XBRL Taxonomy Extension Schema Document

 

 

 

 

 

 

 

X

101.CAL

 

XBRL Taxonomy Extension Calculation Linkbase Document

 

 

 

 

 

 

 

X

101.DEF

 

XBRL Taxonomy Extension Definition Linkbase Document

 

 

 

 

 

 

 

X

101.LAB

 

XBRL Taxonomy Extension Label Linkbase Document

 

 

 

 

 

 

 

X

101.PRE

 

XBRL Extension Presentation Linkbase Document

 

 

 

 

 

 

 

X

*

The certifications attached as Exhibits 32.1

Exhibit
Number
Incorporated by ReferenceFiled
Herewith
Exhibit DescriptionFormDateNumber
31.1 X
31.2 X
32.1*X
32.2*X
101.INSInline XBRL Instance DocumentX
101.SCHInline XBRL Taxonomy Extension Schema DocumentX
101.CALInline XBRL Taxonomy Extension Calculation Linkbase DocumentX
101.DEFInline XBRL Taxonomy Extension Definition Linkbase DocumentX
101.LABInline XBRL Taxonomy Extension Label Linkbase DocumentX
101.PREInline XBRL Extension Presentation Linkbase DocumentX
104Cover Page Interactive Date File (formatted as Inline XBRL and contained in such filing.

Exhibit 101)

- 22 -

* 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.
25

Table of ContentsSIGNATURES

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

NovoCure Limited

Date: October 26, 2017

31, 2019

/s/ Wilco Groenhuysen

Wilco Groenhuysen


Chief Financial Officer


(principal financial and accounting officer


and duly authorized officer)

- 23 -



26