UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q/A10-Q
(Amendment No. 1)
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2020March 31, 2021
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)
Jersey98-1057807
(State or Other Jurisdiction of(I.R.S. Employer
Incorporation or Organization)Identification No.)
No. 4 The Forum
Grenville Street
St. Helier, Jersey JE2 4UF
(Address of principal executive offices, including zip code)
+44 (0) 15 3475 6700
(Registrant’s Telephone Number, Including Area Code)
Not Applicable
(Former Name, Former Address and Former Fiscal Year, If Changed Since Last Report)

Securities registered pursuant to Section 12(b) of the Securities Exchange Act of 1934:
Title of each 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 every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes ☒    No  ☐.
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐    
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ☐    No  ☒.
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
ClassOutstanding as of JulyApril 23, 20202021
Ordinary shares, no par value 101,091,110103,413,367 Shares





EXPLANATORY NOTE
NovoCure Limited (the “Company”) is filing this Amendment No. 1 on Form 10-Q/A (the “Amendment”) to the Company’s Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2020, which was originally filed with the Securities and Exchange Commission (“SEC”) on July 30, 2020 (the “Original Filing”), to include corrections to the certifications of its principal executive officer and principal financial officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 and Section 906 of the Sarbanes-Oxley Act of 2002. The modified certifications are attached to this Amendment as Exhibits 31.1, 31.2, 32.1 and 32.2.
Except as described above, no other amendments have been made to the Original Filing. The Company has not updated the disclosures contained herein to reflect events that have occurred since the date of the Original Filing. Accordingly, this Amendment should be read in conjunction with the Company’s other filings made with the SEC subsequent to the filing of the Original Form 10-Q.
ii


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 (the “SEC”) and are not statements of historical fact. You can identify these statements by the fact that they do not relate strictly to historical or current facts. Such statements may include words such as “anticipate,” “will,” “estimate,” “expect,” “project,” “intend,” “should,” “plan,” “believe,” “hope,” and other words and terms of similar meaning in connection with any discussion of, among other things, future operating or financial performance, strategic initiatives and business strategies, regulatory or competitive environments, our intellectual property and research and development related to our Tumor Treating Fields delivery systems marketed under various brand names, including Optune and Optune Lua, and software and systems to support and optimize the delivery of Tumor Treating Fields (collectively, theour “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 our Products for current and 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 our Products for current and future indications by patients, physicians, third-party payers and others in the healthcare and scientific community;
our plans to pursue the use of our Products for the treatment of solid tumor cancers other than glioblastoma multiforme (“GBM”) and malignant pleural mesothelioma (“MPM”);
our estimates regarding revenues, expenses, capital requirements and needs for additional financing;
our ability to obtain regulatory approvals for the use of our Products in cancersindications other than GBM and MPM;
our ability to acquire from third-party suppliers the supplies needed to manufacture our Products;
our ability to manufacture adequate supply;supply of our Products;
our ability to secure and maintain adequate coverage from third-party payers to reimburse us for our Products for current and future indications;
our ability to receive payment from third-party payers for use of our Products for current and future indications;
our ability to maintain and develop our intellectual property position;
our ability to manage the risks andassociated with business disruptions associated withcaused by natural disasters, extreme weather events, pandemics such as the COVID-19 pandemic;(coronavirus) or international conflict or other disruptions outside of our control;
our cash needs; and
our prospects, financial condition and results of operations.
These forward-looking statements involve a number of risks and uncertainties (some of which are beyond our control) or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements. Should one or more of these risks or uncertainties materialize, or should any of our assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. Factors which may cause such differences to occur include those risks and uncertainties set forth under Part I, Item 1A., “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 20192020 filed on February 27, 2020 (the “2019 10-K”) and in Part II, Item 1A of our Quarterly Report on Form 10-Q filed on April 30, 2020,25, 2021, as well as other risks and uncertainties set forth from time to time in the reports we file with the SEC. In our prior filings, including our 2019 10-K, references to NovoTTF-100L now refer
i


to Optune Lua. We do not intend to update publicly any forward-looking statement, whether as a result of new information, future events or otherwise, except as required by law.
iii


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.
ivii

Table of Contents
NovoCure Limited
Quarterly Report on Form 10-Q
TABLE OF CONTENTS
Page
 
 
 
 
 
 

1

Table of Contents
PART I—FINANCIAL INFORMATION
Item 1.  Financial Statements

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands (except share data)U.S. dollars in thousands (except share data)U.S. dollars in thousands (except share data)
June 30,
2020
December 31, 2019March 31,
2021
December 31, 2020
UnauditedAuditedUnauditedAudited
ASSETSASSETSASSETS
CURRENT ASSETS:CURRENT ASSETS:CURRENT ASSETS:
Cash and cash equivalentsCash and cash equivalents$196,784 $177,321 Cash and cash equivalents$314,547 $234,674 
Short-term investmentsShort-term investments149,930 148,769 Short-term investments549,855 607,902 
Restricted cashRestricted cash801 2,095 Restricted cash11,430 11,499 
Trade receivables76,026 58,859 
Trade receivables, netTrade receivables, net92,514 96,699 
Receivables and prepaid expensesReceivables and prepaid expenses38,104 29,202 Receivables and prepaid expenses18,922 21,245 
InventoriesInventories26,136 23,701 Inventories27,968 27,422 
Total current assetsTotal current assets487,781 439,947 Total current assets1,015,236 999,441 
LONG-TERM ASSETS:LONG-TERM ASSETS:LONG-TERM ASSETS:
Property and equipment, netProperty and equipment, net10,530 9,342 Property and equipment, net11,733 11,395 
Field equipment, netField equipment, net8,339 7,684 Field equipment, net12,132 11,230 
Right-of-use assets, net17,429 17,571 
Right-of-use assetsRight-of-use assets17,741 19,009 
Other long-term assetsOther long-term assets4,860 4,904 Other long-term assets10,788 10,908 
Total long-term assetsTotal long-term assets41,158 39,501 Total long-term assets52,394 52,542 
TOTAL ASSETSTOTAL ASSETS$528,939 $479,448 TOTAL ASSETS$1,067,630 $1,051,983 
The accompanying notes are an integral part of these unaudited consolidated financial statements.The accompanying notes are an integral part of these unaudited consolidated financial statements.The accompanying notes are an integral part of these unaudited consolidated financial statements.
2

Table of Contents
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
U.S. dollars in thousands (except share data)U.S. dollars in thousands (except share data)U.S. dollars in thousands (except share data)
June 30,
2020
December 31, 2019March 31,
2021
December 31, 2020
UnauditedAuditedUnauditedAudited
LIABILITIES AND SHAREHOLDERS' EQUITYLIABILITIES AND SHAREHOLDERS' EQUITYLIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT LIABILITIES:CURRENT LIABILITIES:CURRENT LIABILITIES:
Trade payablesTrade payables$38,506 $36,925 Trade payables$52,703 $53,647 
Other payables, lease liabilities and accrued expensesOther payables, lease liabilities and accrued expenses46,615 49,386 Other payables, lease liabilities and accrued expenses57,784 59,965 
Total current liabilitiesTotal current liabilities85,121 86,311 Total current liabilities110,487 113,612 
LONG-TERM LIABILITIES:LONG-TERM LIABILITIES:LONG-TERM LIABILITIES:
Long-term loan, net of discount and issuance costs149,507 149,424 
Long-term debt, netLong-term debt, net559,584 429,905 
Deferred revenueDeferred revenue8,022 7,807 Deferred revenue9,577 12,139 
Long-term leasesLong-term leases13,668 14,140 Long-term leases12,708 14,293 
Employee benefitsEmployee benefits4,626 3,754 Employee benefits2,963 5,171 
Other long-term liabilitiesOther long-term liabilities173 222 Other long-term liabilities177 337 
Total long-term liabilitiesTotal long-term liabilities175,996 175,347 Total long-term liabilities585,009 461,845 
TOTAL LIABILITIESTOTAL LIABILITIES261,117 261,658 TOTAL LIABILITIES695,496 575,457 
COMMITMENTS AND CONTINGENCIESCOMMITMENTS AND CONTINGENCIESCOMMITMENTS AND CONTINGENCIES00
SHAREHOLDERS' EQUITY:SHAREHOLDERS' EQUITY:SHAREHOLDERS' EQUITY:
Share capital -Share capital -Share capital -
Ordinary shares no par value, unlimited shares authorized; issued and outstanding:
101,020,721 shares and 99,528,435 shares at June 30, 2020 (unaudited) and December 31, 2019, respectively
0 0 
Ordinary shares no par value, unlimited shares authorized; issued and outstanding:
103,187,460 shares and 102,334,276 shares at March 31, 2021 (unaudited) and December 31, 2020, respectively
Ordinary shares no par value, unlimited shares authorized; issued and outstanding:
103,187,460 shares and 102,334,276 shares at March 31, 2021 (unaudited) and December 31, 2020, respectively
Additional paid-in capitalAdditional paid-in capital916,632 871,442 Additional paid-in capital1,005,785 1,111,435 
Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)(3,532)(2,767)Accumulated other comprehensive income (loss)(1,948)(3,832)
Retained earnings (accumulated deficit)Retained earnings (accumulated deficit)(645,278)(650,885)Retained earnings (accumulated deficit)(631,703)(631,077)
TOTAL SHAREHOLDERS' EQUITYTOTAL SHAREHOLDERS' EQUITY267,822 217,790 TOTAL SHAREHOLDERS' EQUITY372,134 476,526 
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITYTOTAL LIABILITIES AND SHAREHOLDERS' EQUITY$528,939 $479,448 TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY$1,067,630 $1,051,983 

The accompanying notes are an integral part of these unaudited consolidated financial statements.
3

Table of Contents

NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
U.S. dollars in thousands (except share and per share data)U.S. dollars in thousands (except share and per share data)U.S. dollars in thousands (except share and per share data)
Three months ended June 30,Six months ended June 30,Year ended December 31,Three months ended March 31,Year ended December 31,
20202019202020192019202120202020
UnauditedUnauditedAuditedUnauditedAudited
Net revenuesNet revenues$115,925 $86,713 $217,753 $160,022 $351,318 Net revenues$134,695 $101,828 $494,366 
Cost of revenuesCost of revenues25,474 21,106 49,970 40,920 88,606 Cost of revenues26,385 24,496 106,501 
Gross profitGross profit90,451 65,607 167,783 119,102 262,712 Gross profit108,310 77,332 387,865 
Operating costs and expenses:Operating costs and expenses:Operating costs and expenses:
Research, development and clinical trialsResearch, development and clinical trials29,918 19,454 55,190 36,496 79,003 Research, development and clinical trials45,916 25,271 132,010 
Sales and marketingSales and marketing28,461 23,708 57,294 46,041 96,675 Sales and marketing31,357 28,834 118,017 
General and administrativeGeneral and administrative25,404 21,249 52,012 41,487 87,948 General and administrative31,125 26,608 107,437 
Total operating costs and expensesTotal operating costs and expenses83,783 64,411 164,496 124,024 263,626 Total operating costs and expenses108,398 80,713 357,464 
Operating income (loss)Operating income (loss)6,668 1,196 3,287 (4,922)(914)Operating income (loss)(88)(3,381)30,401 
Financial expenses (income), netFinancial expenses (income), net2,617 1,239 5,049 3,610 7,910 Financial expenses (income), net2,646 2,432 12,299 
Income (loss) before income taxIncome (loss) before income tax4,051 (43)(1,762)(8,532)(8,824)Income (loss) before income tax(2,734)(5,813)18,102 
Income taxIncome tax2,396 1,227 (7,369)4,888 (1,594)Income tax1,394 (9,765)(1,706)
Net income (loss)Net income (loss)$1,655 $(1,270)$5,607 $(13,420)$(7,230)Net income (loss)$(4,128)$3,952 $19,808 
Basic net income (loss) per ordinary shareBasic net income (loss) per ordinary share$0.02 $(0.01)$0.06 $(0.14)$(0.07)Basic net income (loss) per ordinary share$(0.04)$0.04 $0.20 
Weighted average number of ordinary shares used in computing basic net income (loss) per shareWeighted average number of ordinary shares used in computing basic net income (loss) per share100,718,893 96,356,317 100,298,230 95,583,802 97,237,549 Weighted average number of ordinary shares used in computing basic net income (loss) per share102,633,545 99,877,567 100,930,866 
Diluted net income (loss) per ordinary shareDiluted net income (loss) per ordinary share$0.02 $(0.01)$0.05 $(0.14)$(0.07)Diluted net income (loss) per ordinary share$(0.04)$0.04 $0.18 
Weighted average number of ordinary shares used in computing diluted net income (loss) per shareWeighted average number of ordinary shares used in computing diluted net income (loss) per share107,647,802 96,356,317 107,897,907 95,583,802 97,237,549 Weighted average number of ordinary shares used in computing diluted net income (loss) per share102,633,545 108,100,623 108,877,648 

The accompanying notes are an integral part of these unaudited consolidated financial statements.
4

Table of Contents

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
U.S. dollars in thousandsU.S. dollars in thousandsU.S. dollars in thousands
Three months ended June 30,Six months ended June 30,Year ended December 31,Three months ended March 31,Year ended December 31,
20202019202020192019202120202020
UnauditedUnauditedAuditedUnauditedAudited
Net income (loss)Net income (loss)$1,655 $(1,270)$5,607 $(13,420)$(7,230)Net income (loss)$(4,128)$3,952 $19,808 
Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:
Change in foreign currency translation adjustmentsChange in foreign currency translation adjustments84 47 (117)(214)(304)Change in foreign currency translation adjustments(268)(200)(85)
Pension benefit planPension benefit plan13 (662)(648)(743)(1,063)Pension benefit plan2,152 (662)(980)
Total comprehensive income (loss)Total comprehensive income (loss)$1,752 $(1,885)$4,842 $(14,377)$(8,597)Total comprehensive income (loss)$(2,244)$3,090 $18,743 


NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY
U.S. dollars in thousands (except share data)U.S. dollars in thousands (except share data)U.S. dollars in thousands (except share data)
Ordinary sharesAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained earnings (accumulated
deficit)
Total shareholders'
equity
Ordinary sharesAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained earnings (accumulated
deficit)
Total shareholders'
equity
Accumulated
other
comprehensive
loss
Retained earnings (accumulated
deficit)
Total shareholders'
equity
Balance as of December 31, 2019 (audited)99,528,435 $871,442 $(2,767)$(650,885)$217,790 
Balance as of December 31, 2020 (audited)Balance as of December 31, 2020 (audited)102,334,276 $1,111,435 $(3,832)$(631,077)$476,526 
Share-based compensation to employeesShare-based compensation to employees 16,557   16,557 Share-based compensation to employees— 18,863 — — 18,863 
Exercise of options and vested RSUsExercise of options and vested RSUs834,538 4,511   4,511 Exercise of options and vested RSUs853,184 7,961 — — 7,961 
Cumulative effect adjustment resulting from ASU 2020-06 early adoption (see Note 5)Cumulative effect adjustment resulting from ASU 2020-06 early adoption (see Note 5)— (132,474)— 3,502 (128,972)
Other comprehensive income (loss), net of tax benefit of $0Other comprehensive income (loss), net of tax benefit of $0  (862) (862)Other comprehensive income (loss), net of tax benefit of $0— — 1,884 — 1,884 
Net income (loss)Net income (loss)   3,952 3,952 Net income (loss)— — — (4,128)(4,128)
Balance as of March 31, 2020 (unaudited)100,362,973 $892,510 $(3,629)$(646,933)$241,948 
Balance as of March 31, 2021(Unaudited)Balance as of March 31, 2021(Unaudited)103,187,460 $1,005,785 $(1,948)$(631,703)$372,134 
Share-based compensation to employees 18,770   18,770 
Proceeds from issuance of shares33,075 1,667   1,667 
Exercise of options and vested RSUs624,673 3,685   3,685 
Other comprehensive income (loss), net of tax benefit of $0  97  97 
Net income (loss)   1,655 1,655 
Balance as of June 30, 2020 (unaudited)101,020,721 $916,632 $(3,532)$(645,278)$267,822 

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Table of Contents
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 

Ordinary sharesAdditional
paid-in
capital
Accumulated
other
comprehensive
loss
Retained earnings (accumulated
deficit)
Total shareholders'
equity
Balance as of December 31, 2019 (audited)99,528,435 $871,442 $(2,767)$(650,885)$217,790 
Share-based compensation to employees— 16,557 — — 16,557 
Exercise of options and vested RSUs834,538 4,511 — — 4,511 
Other comprehensive income (loss), net of tax benefit of $0— — (862)— (862)
Net income (loss)— — — 3,952 3,952 
Balance as of March 31, 2020 (Unaudited)100,362,973 $892,510 $(3,629)$(646,933)$241,948 

The accompanying notes are an integral part of these unaudited consolidated financial statements.
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NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
NOVOCURE LIMITED AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
U.S. dollars in thousandsU.S. dollars in thousandsU.S. dollars in thousands
Three months ended June 30,Six months ended June 30,Year ended December 31,Three months ended March 31,Year ended December 31,
20202019202020192019202120202020
UnauditedUnauditedAuditedUnauditedAudited
Cash flows from operating activities:Cash flows from operating activities:Cash flows from operating activities:
Net income (loss)Net income (loss)$1,655 $(1,270)$5,607 $(13,420)$(7,230)Net income (loss)$(4,128)$3,952 $19,808 
Adjustments to reconcile net income (loss) to net cash used in operating activities:Adjustments to reconcile net income (loss) to net cash used in operating activities:Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortizationDepreciation and amortization2,601 2,132 4,489 4,061 8,460 Depreciation and amortization2,370 1,888 9,150 
Asset write-downs and impairment of field equipmentAsset write-downs and impairment of field equipment133 86 139 161 398 Asset write-downs and impairment of field equipment176 429 
Share-based compensationShare-based compensation18,770 13,732 35,327 23,381 52,416 Share-based compensation18,863 16,557 75,721 
Foreign currency remeasurement loss (gain)Foreign currency remeasurement loss (gain)(463)0 (470)0 (917)Foreign currency remeasurement loss (gain)2,157 (7)(699)
Decrease (increase) in accounts receivablesDecrease (increase) in accounts receivables(6,160)(4,998)(25,878)(7,034)(36,496)Decrease (increase) in accounts receivables4,624 (19,718)(30,354)
Amortization of discount (premium)Amortization of discount (premium)(538)(587)(1,078)(1,165)(2,176)Amortization of discount (premium)603 (539)3,260 
Decrease (increase) in inventoriesDecrease (increase) in inventories(3,539)(1,316)(2,391)(2,899)(1,159)Decrease (increase) in inventories(1,296)1,147 (2,935)
Decrease (increase) in other long-term assetsDecrease (increase) in other long-term assets1,143 168 2,379 82 3,446 Decrease (increase) in other long-term assets1,432 1,235 (1,366)
Increase (decrease) in accounts payables and accrued expensesIncrease (decrease) in accounts payables and accrued expenses405 2,223 (1,934)4,469 16,883 Increase (decrease) in accounts payables and accrued expenses(2,626)(2,339)25,470 
Increase (decrease) in other long-term liabilitiesIncrease (decrease) in other long-term liabilities(1,266)(1,104)(1,492)(2,885)(7,006)Increase (decrease) in other long-term liabilities(4,394)(225)664 
Net cash provided by (used in) operating activitiesNet cash provided by (used in) operating activities$12,741 $9,066 $14,698 $4,751 $26,620 Net cash provided by (used in) operating activities$17,780 $1,957 $99,148 
Cash flows from investing activities:Cash flows from investing activities:Cash flows from investing activities:
Purchase of property, equipment and field equipmentPurchase of property, equipment and field equipment$(3,315)$(2,397)$(6,427)$(4,722)$(10,485)Purchase of property, equipment and field equipment$(3,981)$(3,112)$(14,968)
Proceeds from maturity of short-term investmentsProceeds from maturity of short-term investments0 105,000 0 210,661 420,661 Proceeds from maturity of short-term investments608,000 150,000 
Purchase of short-term investmentsPurchase of short-term investments0 (104,351)0 (208,676)(461,843)Purchase of short-term investments(549,848)(607,879)
Net cash provided by (used in) investing activitiesNet cash provided by (used in) investing activities$(3,315)$(1,748)$(6,427)$(2,737)$(51,667)Net cash provided by (used in) investing activities$54,171 $(3,112)$(472,847)
Cash flows from financing activities:Cash flows from financing activities:Cash flows from financing activities:
Proceeds from issuance of shares, netProceeds from issuance of shares, net$1,667 $1,208 $1,667 $1,208 $2,467 Proceeds from issuance of shares, net$$$3,370 
Proceeds from long term debt, netProceeds from long term debt, net558,439 
Repayment of long-term loanRepayment of long-term loan(7)(8)(15)(16)(31)Repayment of long-term loan(6)(8)(150,028)
Exercise of options and warrantsExercise of options and warrants3,685 19,457 8,196 36,435 59,245 Exercise of options and warrants7,961 4,511 28,428 
Net cash provided by (used in) financing activitiesNet cash provided by (used in) financing activities$5,345 $20,657 $9,848 $37,627 $61,681 Net cash provided by (used in) financing activities$7,955 $4,503 $440,209 
Effect of exchange rate changes on cash, cash equivalents and restricted cashEffect of exchange rate changes on cash, cash equivalents and restricted cash$109 $47 $50 $(214)$26 Effect of exchange rate changes on cash, cash equivalents and restricted cash$(102)$(59)$247 
Increase (decrease) in cash, cash equivalents and restricted cashIncrease (decrease) in cash, cash equivalents and restricted cash14,880 28,022 18,169 39,427 36,660 Increase (decrease) in cash, cash equivalents and restricted cash79,804 3,289 66,757 
Cash, cash equivalents and restricted cash at the beginning of the periodCash, cash equivalents and restricted cash at the beginning of the period246,173 179,416 179,416 
Cash, cash equivalents and restricted cash at the end of the periodCash, cash equivalents and restricted cash at the end of the period$325,977 $182,705 $246,173 
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Cash, cash equivalents and restricted cash at the beginning of the period182,705 154,161 179,416 142,756 142,756 
Cash, cash equivalents and restricted cash at the end of the period$197,585 $182,183 $197,585 $182,183 $179,416 
Three months ended June 30,Six months ended June 30,Year ended December 31,
20202019202020192019
UnauditedUnauditedAudited
Supplemental cash flow activities:
Cash paid during the period for:
Income taxes$4,728 $4,358 $6,937 $7,391 $11,241 
Interest$3,415 $3,415 $6,831 $6,794 $13,699 
Non-cash activities in accordance with ASC-842:
Right-of-use assets obtained in exchange for lease obligations$1,391 $1,539 $2,174 17,273 $22,943 

Three months ended March 31,Year ended December 31,
202120202020
UnauditedAudited
Supplemental cash flow activities:
Cash paid during the period for:
Income taxes paid (refunded), net$(2,405)$2,209 $(3,261)
Interest paid$$3,415 $8,686 
Non-cash activities:
Right-of-use assets obtained in exchange for lease liabilities$284 783 $5,617 
The accompanying notes are an integral part of these unaudited consolidated financial statements.
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NOVOCURE LIMITED AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
U.S. dollars in thousands (except share data)
NOTE 1: ORGANIZATION AND BASIS OF PRESENTATION
Organization. NovoCure Limited (including its consolidated subsidiaries, the “Company”"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 andOptune Lua (collectively, our "Products"), for the treatment of solid tumors.tumor cancers. The Company has received regulatory approval fromcurrently markets Optune in the United States ("U.S. Food"), Austria, Germany, Israel, Japan, Sweden and Drug Administration (“FDA”) underSwitzerland. The Company currently markets Optune Lua in the Premarket Approval (“PMA") pathway and regulatory approvals and clearances in certain other countries for Optune to treat adult patients with glioblastoma multiforme (“GBM”).U.S. The Company also has received FDA approval under the Humanitarian Device Exemption pathwaya License and Collaboration Agreement (the "Zai Agreement") with Zai Lab (Shanghai) Co., Ltd. ("Zai") to market Optune Lua for unresectable, locally advanced or metastatic malignant pleural mesothelioma (“MPM”) in combination with standard chemotherapies.Greater China.
Financial statement preparation. The accompanying unaudited consolidated financial statements include the accounts of the Company and intercompany accounts and transactions have been eliminated. In the opinion of the Company’s management, the consolidated financial statements reflect all adjustments, which are normal and recurring in nature, necessary for fair financial statement presentation for the periods presented. The preparation of these consolidated financial statements in conformity with U.S. generally accepted accounting principles 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, 20192020 (the “2019 10-K”"2020 10-K') filed with the Securities and Exchange Commission on February 27, 2020.25, 2021.
The significant accounting policies applied in the audited annual consolidated financial statements of the Company as disclosed in the 20192020 10-K are applied consistently in these unaudited interim consolidated financial statements, except as noted below:
Recently Adopted Accounting Pronouncements.
In June 2016,August 2020, the Financial Accounting Standards Board (“FASB”("FASB") issued Accounting Standards Update (“ASU”("ASU") 2016-13, FinancialNo. 2020-06, Accounting for Convertible Instruments - Credit Losses (Topic 326): Measurementand Contracts in an Entity’s Own Equity (ASU 2020-06), which simplifies the accounting for certain financial instruments with characteristics of Credit Losses on Financial Instruments (“liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Among other changes, ASU 2016-13”). ASU 2016-13 amends2020-06 removes from GAAP the impairmentliability and equity separation model to utilizefor convertible instruments with a cash conversion feature, and as a result, after adoption, entities will no longer separately present in equity an expected loss methodology in placeembedded conversion feature for such debt. Similarly, the embedded conversion feature will no longer be amortized into income as interest expense over the life of the currently used incurred loss methodology, whichinstrument. Instead, entities will result inaccount for a convertible debt instrument wholly as debt unless (1) a convertible instrument contains features that require bifurcation as a derivative under ASC Topic 815, Derivatives and Hedging, or (2) a convertible debt instrument was issued at a substantial premium. Additionally, ASU 2020-06 requires the more timely recognition of losses. ASU 2016-13 also applies to employee benefit plan accounting, with an effective dateapplication of the first quarterif-converted method to calculate the impact of convertible instruments on diluted earnings per share (EPS), which is consistent with the Company’s accounting treatment under the current standard. ASU 2020-06 is effective for fiscal 2020.years beginning after December 15, 2021, with early adoption permitted for fiscal years beginning after December 15, 2020, and can be adopted on either a fully retrospective or modified retrospective basis. The Company early adopted ASU 2020-06, effective January 1, 2021 on a modified retrospective basis.
The impact of the standard effectiveCompany’s adoption of ASU 2020-06 on the balance sheet as of January 1, 2020,2021 was an increase in long term debt, net of $128,972, a decrease in additional paid-in capital of $132,474, and a decrease in accumulated deficit of $3,502. Interest expense recognized in future periods will be reduced as a result of accounting for the convertible debt instrument as a single liability measured at its amortized cost. For additional information see Note 5 of these unaudited consolidated financial statements.
In December 2019, the FASB issued Accounting Standard Update No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (ASU 2019-12), which simplifies the accounting for income taxes, eliminates certain exceptions within ASC 740, Income Taxes, and clarifies certain aspects of the current guidance. ASU 2019-12 is effective for the Company as of January 1, 2021 and the adoption of this standard did not have an impact on the Company's consolidated financial statements.
In August 2018, FASB issued ASU 2018-15, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract. The amendments in this ASU align the requirements for capitalizing implementation costs incurred in a hosting arrangement with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. The implementation costs incurred in a hosting arrangement that is a service contract should be presented as a prepaid asset in the balance sheet and expensed over the term of the hosting arrangement to the same line item in the statement of income as the costs related to the hosting fees. The Company adopted the standard effective as of January 1, 2020, and the adoption of this standard did not have anmaterial impact on the Company's consolidated financial statements.
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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.
June 30,
2020
December 31,
2019
UnauditedAudited
Cash$17,589 $18,377 
Money market funds179,195 158,944 
Total cash and cash equivalents$196,784 $177,321 
As of March 31, 2021 and December 31, 2020, the Company’s cash and cash equivalents were composed of:
March 31,
2021
December 31,
2020
UnauditedAudited
Cash$31,849 $20,339 
Money market funds282,698 214,335 
Total cash and cash equivalents$314,547 $234,674 
The Company also 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.
June 30,
2020
December 31,
2019
 UnauditedAudited
Short-term investments$149,930 $148,769 
As of March 31, 2021 and December 31, 2020, the Company’s short-term investments were:
March 31,
2021
December 31,
2020
 UnauditedAudited
Short-term investments$549,855 $607,902 
Quoted market prices were applied to determine the fair value of cash equivalents and short-term investments, therefore they arewere categorized as Level 1 in accordance with Accounting Standards Codification (“ASC”) 820, “Fair Value Measurements and Disclosures.” The estimated fair value of the Company’s short-term investments as of June 30, 2020March 31, 2021 and December 31, 20192020 was $149,992$549,890 and $148,738,$607,905, respectively.

NOTE 3: INVENTORIES
Inventories are stated at the lower of cost or net realizable value. The weighted average methodology is applied to determine cost. As of June 30, 2020March 31, 2021 and December 31, 2019,2020, the Company’s inventories were composed of:
June 30,
2020
December 31,
2019
 UnauditedAudited
Raw materials$5,605 $3,912 
Work in progress9,331 6,482 
Finished products11,200 13,308 
Total$26,136 $23,701 
March 31,
2021
December 31,
2020
 UnauditedAudited
Raw materials$3,376 $5,175 
Work in progress9,342 4,896 
Finished products15,250 17,351 
Total$27,968 $27,422 

NOTE 4: COMMITMENTS AND CONTINGENT LIABILITIES
Operating Leases. The facilities of the Company are leased under various operating lease agreements for periods, including options for extensions, ending no later than 2030. The Company also leases motor vehicles under various operating leases, which expire on various dates, the latest of which is in 2024.
Pledged deposits and bank guarantees. As of June 30, 2020March 31, 2021 and December 31, 2019,2020, the Company pledged bank deposits of $1,394$1,409 and $1,390,$1,438, respectively, to cover bank guarantees in respect of its leases of operating facilities and obtained bank guarantees for the fulfillment of the Company’s lease and other contractual commitments of $1,625$1,649 and $1,557,$1,687, respectively.

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Senior secured revolving credit facility. On November 6, 2020, the Company entered into a new three-year $150,000 senior secured revolving credit facility with a syndicate of relationship banks. For additional information, see Note 12(c) to the Consolidated Financial Statements in the 2020 10-K. As of March 31, 2021, the Company had no outstanding balance borrowed under the facility.

NOTE 5: EQUITY INCENTIVECONVERTIBLE NOTE
On November 5, 2020, the Company issued $575,000 aggregate principal amount of 0% Convertible Senior Notes due 2025 (the “Notes”).
The Notes are senior unsecured obligations of the Company. The Notes do not bear regular interest, and the principal amount of the Notes will not accrete. Special interest, if any, payable in accordance with the terms of the Notes will be payable in cash semi-annually in arrears on May 1 and November 1 of each year, beginning on May 1, 2021. The Notes mature on November 1, 2025, unless earlier repurchased, redeemed or converted. For additional information, see Note 10(a) to the Consolidated Financial Statements in the 2020 10-K.
In January 2021, the Company irrevocably elected to settle all conversions of Notes by a combination of cash and the Company's ordinary shares and that the cash portion per $1,000 principal amount of Notes for all conversion settlements shall be $1,000. Accordingly, from and after the date of the election, upon conversion of any Notes, holders of Notes will receive, with respect to each $1,000 principal amount of Notes converted, cash in an amount up to $1,000 and the balance of the conversion value, if any, in ordinary shares (the "Conversion Shares").
The net carrying amount of the liability and equity components of the Notes as of March 31, 2021 and December 31, 2020 are as follows:
March 31,
2021
December 31,
2020
UnauditedAudited
Liability component, net:
Principal amount$575,000 $575,000 
Unamortized discount(132,797)
Unamortized issuance costs(15,416)(12,298)
Net carrying amount of liability component (1)$559,584 $429,905 
Equity component, net:
Conversion feature$$136,402 
Issuance costs(3,928)
Net carrying amount of equity component$$132,474 
(1) An effective interest rate determines the fair value of the Notes, therefore they are categorized as Level 3 in accordance with ASC 820, "Fair Value Measurements and Disclosures." The estimated fair value of the Net carrying amount of liability component of the Notes as of March 31, 2021 and December 31, 2020 were $477,841 and $450,437, respectively.

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Finance expense related to the Notes was as follows:
Three months ended March 31,Year ended December 31,
2020
20212020
UnauditedAudited
Amortization of debt discount$$$3,605 
Amortization of debt issuance costs709 333 
Total finance expense recognized$709 $$3,938 
Effective January 1, 2021, the Company early adopted ASU 2020-06 using the modified retrospective approach.
NOTE 6: SHARE OPTION PLANS AND ESPP
In September 2015, the Company adopted the 2015 Omnibus Incentive Plan (the “2015 Plan”). Under the 2015 Plan, the Company can issue various types of equity compensation awards such as share options, restricted shares, performance shares, restricted share units (“RSUs”), performance-based share units (“PSUs”), long-term cash awards and other share-based awards.
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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 canceled or forfeited before expiration become available for future grants. RSUs granted under the 2015 Plan generally vest over a three year period. PSUs granted under the 2015 Plan generally vest between a three and six year period as performance targets are attained. RSUs and PSUs granted under the 2015 Plan that are canceled before expiration become available for future grants. As of June 30, 2020, 11,477,884March 31, 2021, 14,450,270 ordinary shares were available for grant under the 2015 Plan.
A summary of the status of the Company’s option plans as of June 30, 2020March 31, 2021 and changes during the period then ended is presented below:
Six months ended June 30, 2020Three months ended March 31, 2021
UnauditedUnaudited
Number
of options
Weighted
average
exercise
price
Number
of options
Weighted
average
exercise
price
Outstanding at beginning of yearOutstanding at beginning of year10,350,810 $20.40 Outstanding at beginning of year9,220,326 $26.21 
GrantedGranted748,247 68.99 Granted375,689 153.09 
ExercisedExercised(583,753)14.06 Exercised(404,591)19.36 
Forfeited and canceledForfeited and canceled(172,913)18.40 Forfeited and canceled(20,911)62.86 
Outstanding as of June 30, 202010,342,391 $24.30 
Outstanding as of March 31, 2021Outstanding as of March 31, 20219,170,513 $31.63 
Exercisable optionsExercisable options5,360,242 $16.08 Exercisable options5,344,848 $18.59 
For the sixthree months ended June 30, 2020,March 31, 2021, options to purchase 583,753404,591 ordinary shares were exercised, resulting in the issuance of 583,753404,591 ordinary shares.
A summary of the status of the Company’s RSUs and PSUs as of June 30, 2020March 31, 2021 and changes during the period then ended is presented below.
Six months ended June 30, 2020
Unaudited
Number
of RSU/PSUs
Weighted
average
grant date fair value
Unvested at beginning of year1,474,395 $30.26 
Granted (1)3,804,611 53.63 
Vested(875,458)19.85 
Forfeited and cancelled(17,587)45.05 
Unvested as of June 30, 20204,385,961 52.55 
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Three months ended March 31, 2021
Unaudited
Number
of RSU/PSUs
Weighted
average
grant date fair value
Unvested at beginning of year4,466,151 $54.06 
Granted538,908 139.43 
Vested(448,593)48.38 
Forfeited and cancelled(12,262)75.05 
Unvested as of March 31, 2021 (1)4,544,204 64.69 

(1) Includes RSUs and PSUs granted on March 3, 2020 as follows: (a) 527,041 RSUs that are expensed based on their grant date fair value of $69.37 per RSU over the service period of three years; (b) 408,539 PSUs that have a mix of service and clinical milestone vesting conditions, cliff-vest in pre-determined increments, and that have been deemed probable to vest and are therefore expensed beginning in the first quarter of 2020 based on their grant date fair value of $69.37 per PSU; (c) 108,113 PSUs that have a mix of service and clinical milestone vesting conditions, cliff-vest in pre-determined increments, and that will begin to be expensed at $69.37 per PSU when it becomes probable that the milestones will be achieved, and (d) 2,703,852 PSUs that have a mix of service, market and other milestone performance vesting conditions (including butwhich are vested upon achievements of performance milestones which are not limited to new FDA approved indications), cliff-vest in pre-determined increments, and have a compensation costprobable, as of $48.16 per PSU that will not be recognized until the performance condition becomes probable. The PSUs vest no earlier than three years from the date of grant and no later than six years from the date of grant. The grant date fair value of PSUs with market vesting conditions were obtained by using Monte Carlo simulations. The Company accounts for stock-based compensationMarch 31, 2021, in accordance with ASC 718.718 as follows:
 March 31, 2021
Number of
PSUs
Fair value at grant date per PSUTotal fair value at gtant date
2,703,852 $48.16 $130,218 
216,226 69.37 15,000 
35,424 84.68 3,000 
94,813 $114.26 10,833 
3,050,315 $159,050 
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These PSUs will be expensed over the performance period when the vesting conditions become probable in accordance with ASC 718.
In September 2015, the Company adopted an employee share purchase plan (“ESPP”) to encourage and enable eligible employees to acquire ownership of the Company’s ordinary shares purchased through accumulated payroll deductions on an after-tax basis. In the United States, the ESPP is intended to be an “employee stock purchase plan” within the meaning of Section 423 of the Internal Revenue Code and the provisions of the ESPP are construed in a manner consistent with the requirements of such section. As of June 30, 2020, 4,017,014March 31, 2021, 5,006,367 ordinary shares were available to be purchased by eligible employees under the ESPP and 447,634 shares had been issued under the ESPP.
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The fair value of share-based awards was estimated using the Black-Scholes model for all equity grants. For market condition awards, the Company also applied the Monte-Carlo simulation model. We assessed fair value using the following underlying assumptions: 
Six months ended June 30,Year ended December 31,
2019
Three months ended March 31,Year ended December 31,
2020
20202019Year ended December 31,
2019
20212020Year ended December 31,
2020
UnauditedAuditedUnauditedAudited
Stock Option PlansStock Option PlansStock Option Plans
Expected term (years)Expected term (years)5.50-6.255.50-6.505.50-6.5Expected term (years)5.86-6.006.255.50-6.00
Expected volatilityExpected volatility54%-56%55%-57%55%-61%Expected volatility60 %54 %54%-56%
Risk-free interest rateRisk-free interest rate0.39%-0.86%2.21%-2.40%1.73%-2.40%Risk-free interest rate0.85%-0.88%0.86 %0.30%-0.86%
Dividend yieldDividend yield0.00 %0.00 %0.00 %Dividend yield0.00 %0.00 %0.00 %
ESPPESPPESPP
Expected term (years)Expected term (years)0.500.500.50Expected term (years)0.500.500.50
Expected volatilityExpected volatility47%62%44%-62%Expected volatility55 %47 %47%-66%
Risk-free interest rateRisk-free interest rate1.57%2.51%2.10%-2.51%Risk-free interest rate0.09 %1.57 %0.17%-1.57%
Dividend yieldDividend yield0.00 %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 six months ended June 30,March 31, 2021 and 2020 and 2019 and the year ended December 31, 20192020 was:
Three months ended June 30,Six months ended June 30,Year ended December 31,
2019
2020201920202019
UnauditedUnauditedAudited
Cost of revenues$559 $595 $1,149 $1,021 $2,231 
Research, development and clinical trials3,779 1,813 7,173 3,001 7,570 
Sales and marketing4,769 3,255 8,385 5,217 11,897 
General and administrative9,663 8,069 18,620 14,142 30,718 
Total share-based compensation expense$18,770 $13,732 $35,327 $23,381 $52,416 
Three months ended March 31,Year ended December 31,
2020
20212020
UnauditedAudited
Cost of revenues$733 $590 $2,221 
Research, development and clinical trials5,124 3,394 18,125 
Sales and marketing4,471 3,616 17,672 
General and administrative8,535 8,957 37,703 
Total share-based compensation expense$18,863 $16,557 $75,721 

NOTE 6: EARNINGS PER SHARE7: Basic and diluted net income (loss) per ordinary share

Basic net income (loss) per share is computed based on the weighted average number of ordinary shares outstanding during each period. Diluted net income per share is computed based on the weighted average number of ordinary shares outstanding during the period, plus potential dilutive shares (deriving from options, RSUs, PSUs, convertible notes and the ESPP) considered outstanding during the period, in accordance with ASC 260-10, as determined under the treasury stockif-converted method. Basic and diluted net income per ordinary share was the same for each period presented, except for the three months ended June 30, 2020, 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, performance share units and the ESPP. The effect of these dilutive securities under the treasury stock method was approximately 6,928,909 and 7,599,677 shares for the three and six months ended June 30, 2020, respectively.
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The Company excluded 1,148,420 and 598,533 share options under the treasury stock method fromfollowing table sets forth the computation of dilutivethe Company’s basic and diluted net income (loss) per share for the three and six months ended June 30, 2020 because including them would had have an anti-dilutive effect.ordinary share:
 Three months ended March 31,Year ended December 31,
2020
 20212020
UnauditedAudited
Net income (loss) attributable to ordinary shares as reported$(4,128)$3,952 $19,808 
Net income (loss) used in computing basic net income (loss) per share$(4,128)$3,952 $19,808 
Adjustment needed in calculating diluted net income (loss) per share
Net income (loss) used in computing diluted net income (loss) per share$(4,128)$3,952 $19,808 
Weighted average number of ordinary shares used in computing basic net income (loss) per share102,633,545 99,877,567 100,930,866 
Potentially dilutive shares that were excluded from the computation of basic net income (loss) per share:
Options7,113,992 6,967,554 
Restricted share units1,094,385 945,612 
ESPP14,679 33,616 
Weighted average number of ordinary shares used in computing diluted net income (loss) per share102,633,545 108,100,623 108,877,648 
Weighted anti-dilutive shares outstanding which were not included in the diluted calculation9,734,269 352,291 1,307,762 
Basic net income (loss) per ordinary share$(0.04)$0.04 $0.20 
Diluted net income (loss) per ordinary share$(0.04)$0.04 $0.18 


NOTE 7:8: SUPPLEMENTAL INFORMATION
The Company operates in a single reportable segment.
The following table presents long-lived assets by location:
June 30,
2020
December 31,
2019
March 31,
2021
December 31,
2020
UnauditedAudited UnauditedAudited
United StatesUnited States$10,249 $8,896 United States$12,418 $11,868 
IsraelIsrael4,552 4,370 
SwitzerlandSwitzerland1,719 3,067 Switzerland4,048 2,849 
Israel3,736 2,753 
JapanJapan1,042 1,230 
GermanyGermany982 729 Germany1,084 1,075 
OthersOthers2,183 1,581 Others721 1,233 
Total long-term assets$18,869 $17,026 
TotalTotal$23,865 $22,625 
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The Company’s revenues by geographic region, based on the customer’s location, are summarized as follows:
Three months ended June 30,Six months ended June 30,Year ended December 31,
2019
2020201920202019
UnauditedUnauditedAudited
United States$81,209 $58,934 $150,468 $105,538 $232,805 
EMEA:
Germany21,469 21,097 43,271 42,377 86,564 
Other EMEA3,927 1,408 6,601 2,648 8,782 
Japan7,179 4,185 13,630 7,555 17,912 
Greater China (1)2,141 1,089 3,783 1,904 5,255 
Total net revenues$115,925 $86,713 $217,753 $160,022 $351,318 
Three months ended March 31,Year ended December 31,
2020
20212020
UnauditedAudited
United States$85,908 $69,259 $340,782 
EMEA:
Germany26,364 21,802 93,264 
Other EMEA8,619 2,674 18,654 
Japan8,278 6,451 29,076 
Greater China (1)5,526 1,642 12,590 
Total net revenues$134,695 $101,828 $494,366 

(1) Reflects revenue recognized in accordance with a License and Collaboration Agreement (the “Zai Agreement”) between the Company 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”). In the three months ended June 30, 2020, the Company triggered a $8,000 milestone related to the approval of Optune for the treatment of GBM in China and in the six months ended June 30, 2020, the Company also triggered a $2,000 clinical trial milestone, each of which are being recognized over the remainder of the Zai performance period ending in September 2024. For additional information, see Note 12 to the Consolidated Financial Statements in the 20192020 10-K.

NOTE 8: INCOME TAX
In accordance with the changes to the U.S. tax code enacted in response to the economic impacts of COVID-19 signed into legislation on March 27, 2020 the Company recorded a net tax benefit of $11,269 in the first quarter of 2020. The benefit resultsfrom net operating loss carry-backs in the U.S.
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Item 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations
Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to provide information to assist you in better understanding and evaluating our financial condition and results of operations. We encourage you to read this MD&A in conjunction with our unaudited consolidated financial statements and the notes thereto for the period ended June 30, 2020March 31, 2021 included in Part I, Item 1 of this Quarterly Report on Form 10-Q. This discussion contains forward-looking statements that involve risks and uncertainties. Please refer to the information under the heading “Cautionary Note Regarding Forward-Looking Statements” elsewhere in this report. References to the words “we,” “our,” “us,” and the “Company” in this report refer to NovoCure Limited, including its consolidated subsidiaries.
Overview
We are a global oncology company with a proprietary platform technology called Tumor Treating Fields the use of("TTFields"), which are electric fields tuned to specific frequencies tothat disrupt solid tumor cancer cell division. Our key priorities are to drive commercial adoption of Optune and Optune Lua, our commercial Tumor Treating FieldsTTFields delivery systems, (collectively, our “Products”), and to advance clinical and product development programs intended to extend overall survival in some of the most aggressive forms of cancer.
Optune is approved by the United StatesU.S. Food and Drug Administration (“FDA”("FDA") under the premarket approval (“PMA”Premarket Approval ("PMA") pathway for the treatment of adult patients with newly diagnosed glioblastoma multiforme (“GBM”)GBM in combination with temozolomide, a chemotherapy drug, and for adult patients with GBM following confirmed recurrence after chemotherapy as monotherapy treatment. We also have approval or a CE certificate to market Optune for the treatment of GBM in the European Union (“EU”("EU"), Japan and certain other countries. Optune Lua is approved by the FDA under the humanitarian device exemption (“HDE”) pathway to treat malignant pleural mesothelioma (“MPM") in combination with standard chemotherapies. We are currently seeking to obtain CE Certification for Optune Lua in the EU.
We market Optune in the U.S., Austria, Germany, Israel, Japan, Sweden and Switzerland, which we refer to as our “active markets”, and we market Optune Lua in the U.S."active markets." With respect to the treatment of GBM, our sales and marketing efforts are principally focused on driving adoption with both neuro-oncologists and radiation oncologists. With respect to the treatment of MPM, our commercial efforts are principally focused on generating awareness with radiation oncologists and on establishing a dialogue with third-party payers around access to Optune Lua. 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 for our Products.
Optune Lua is approved by the FDA under the Humanitarian Device Exemption ("HDE") pathway to treat MPM in combination with standard chemotherapies. We continuehave received CE certification to work with payersmarket Optune Lua (under the name "NovoTTF-100L") in the EU and Switzerland. We currently market Optune Lua in the U.S., and are evaluating plans to expand access to our therapy for MPM patients in other markets. With respect to MPM, our commercial efforts are principally focused on generating awareness and on establishing a dialogue with third-party payers around access to Optune Lua.
We believe the mechanism of action behind TTFields therapy may be broadly applicable to solid tumor cancers. Currently, we are conducting phase 3 pivotal trials evaluating the use of TTFields in brain metastases from non-small-cell lung cancer ("brain metastases"), non-small-cell lung cancer ("NSCLC"), ovarian cancer and pancreatic cancer. In 2020, we enrolled our first patient in our global phase 4 TRIDENT trial to test the potential survival benefit of initiating Optune concurrent with radiation therapy versus following radiation therapy in patients with newly diagnosed GBM. We recently concluded a phase 2 pilot trial evaluating the use of TTFields in liver cancer and are conducting a phase 2 pilot trial in gastric cancer, as well as testing the potential incremental survival benefit of TTFields delivered using high-intensity arrays versus standard arrays. We anticipate expanding our clinical pipeline over time to study the safety and efficacy of TTFields for additional solid tumor indications and combinations with other cancer treatment modalities.
On April 13, 2021, we announced that an independent data monitoring committee ("DMC") informed Novocure that the pre-specified interim analysis for the phase 3 pivotal LUNAR trial for the treatment of NSCLC was accelerated given the length of accrual and the number of events observed, to date. The interim analysis included data from 210 patients accrued through February 2021. After review of the interim analysis, the DMC concluded that the LUNAR trial should continue with no evidence of increased systemic toxicity. The DMC went on to comment that the continued accrual to 534 patients as proposed in the original protocol, given the current rate of accrual and the interim data presented, is likely unnecessary and possibly unethical for patients randomized to control. For this reason, the DMC recommended an adjustment of accrual to approximately 276 patients with GBM. a 12-month follow-up following the enrollment of the last patient. The DMC believes this amended protocol would provide adequate data regarding toxicity and efficacy, providing sufficient overall power, as well as potentially providing important information regarding efficacy within treatment subgroups. We have since filed an IDE supplement incorporating the recommended protocol adjustments for FDA approval.
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In January 2020,April 2021, the StateFDA approved our investigational device exemption ("IDE") application to initiate the KEYNOTE B36 phase 2 pilot trial to study TTFields with pembrolizumab in first-line NSCLC through our clinical collaboration with MSD (a tradename of Israel Ministry of Health added OptuneMerck & Co.). We are currently evaluating clinical trial sites for initiation.
Also in combination with temozolomide to the Israeli medical services basket, establishing national reimbursement for Optune in newly diagnosed GBM in Israel. In March 2020, the German Federal Joint Committee (G-BA) updated its directive for Contracted Medical Care to includeApril 2021, we concluded our phase 2 pilot HEPANOVA trial investigating Tumor Treating Fields establishing national reimbursementtogether with sorafenib, a kinase inhibitor, in 25 patients with advanced liver cancer. We have submitted an abstract for presentation at an upcoming medical conference in late June and look forward to discussing the full data set with clinicians, investigators and investors in the future.
The table below presents the current status of the ongoing clinical trials in our oncology pipeline and anticipated timing of final data.
nvcr-20210331_g1.jpg
Our therapy is delivered through a medical device and we continue to advance our Products with the intention to extend survival and maintain quality of life for patients. We have several product development programs underway that prioritize impact on both TTFields' dose and patient ease of use. Our oncology intellectual property portfolio contains over 185 issued patents and numerous patent applications pending worldwide. We believe we own global commercialization rights to our Products in oncology and are well-positioned to extend those rights into the future as we continue to find innovative ways to improve our Products.
In 2018, we granted Zai Lab (Shanghai) Co., Ltd. ("Zai") a license to commercialize Optune in newly diagnosed GBMChina, Hong Kong, Macau and Taiwan ("Greater China") under a License and Collaboration Agreement (the "Zai Agreement"). The Zai Agreement also establishes a development partnership intended to accelerate the development of TTFields in Germany.multiple solid tumor cancer indications. For additional information, see Note 12 to the Consolidated Financial Statements in the 2020 10-K.
We view our operations and manage our business in one operating segment. For the three months ended March 31, 2021, our net revenues were $134.7 million. Our net loss for the three months ended March 31, 2021, was $4.1 million. As of June 30, 2020,March 31, 2021, we had an accumulated deficit of $631.7 million. Our net loss resulted primarily from net revenue growth which was more than offset by increasing investments in research and development to advance our pipeline programs and increase acceptance of TTFields across the total numberglobal oncology community.
Impact of contracted GBM lives was approximately 264 million in the U.S., approximately 111 million in our active EMEA markets and approximately 126 million in Japan.

COVID-19
The COVID-19 pandemic did not have a material adverse effectimpact on our financial results inthrough the first halfquarter of 2020. There was no material2021. The pandemic has had and is having an impact toon our commercial business or global supply chain fromday-to-day operations, which varies by region based on factors such as geographical spread, stage of containment and recurrence of the pandemic in each region. We believe the prolonged disruption caused by the COVID-19 pandemic is resulting in increased volatility across global health care systems, such as fluctuations in patient volumes and we do not anticipate a materialchanges in patterns of care in certain regions, which is currently impacting and might continue to impact going forward based on what we know as of the date of this filing. The anticipated timing of final data from our ongoingbusiness and clinical trials is unchanged from what was disclosed in our Quarterly Report on Form 10-Q filed on April 30, 2020 (“First Quarter 2020 10-Q”).

We are following the guidance of the World Health Organization, the U.S. Centers for Disease Control and Prevention, and local health authorities in all of our active markets and we have adjusted the way we conduct business to adapt to the evolving situation.future. For example, our field-based patient support teams continue to conduct in-person patient visits when possible and leverage technology to virtually conduct new patient starts and provide ongoing patient support visits. We are respecting any restrictions on external visitors at the cancer centers, hospitals and research institutions we serve and have implemented web-based technologies to engage healthcare professionals and enable information sharing. Many of the medical conferences where we present have been moved to virtual formats, and we have been able to present our findings and speak with thought leaders remotely.
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we continue to see fluctuations in the timing of surgeries and radiation therapy in certain regions, which has had some adverse influence on the eligible patient population for Optune. TTFields is an emerging modality in cancer care and requires significant educational effort to drive awareness and acceptance of our therapy. We have relied heavily on virtual engagement to manage these educational efforts for nearly a year, which poses challenges to our ability to effectively communicate and engage with our customers and partners around the world.
Given the aggressive nature of the cancers that we treat, we believe that the fundamental value proposition of the TTFields platform remains unchanged. We continue to evaluate and plan for the potential effects of the COVID-19 pandemic on our business moving forward. The extent to which the COVID-19 pandemic may impact our business and clinical trials in the future will depend on further developments, which are highly uncertain and cannot be predicted with confidence. The COVID-19 pandemic may also have the effect of heightening many of the other risks described in our risk factors disclosed in our 2019 10-K and First Quarter 2020 10-Q.
We believe the mechanism of action behind Tumor Treating Fields therapy may be broadly applicable to solid tumor cancers. Currently, we are conducting phase 3 pivotal trials evaluating the use of Tumor Treating Fields in brain metastases, non-small cell lung cancer (“NSCLC”), pancreatic cancer and ovarian cancer. We are also conducting phase 2 pilot trials evaluating the use of Tumor Treating Fields in liver cancer and gastric cancer. In July 2020, we enrolled the last patient in HEPANOVA, a phase 2 pilot trial testing Tumor Treating Fields in combination with sorafenib in advanced liver cancer with final data collection to occur in six months. We plan to initiate additional randomized trials in GBM in order to further advance the scientific evidence supporting the use of Optune in GBM and to gather additional information about Optune's optimal use. We anticipate expanding our clinical pipeline over time to study the safety and efficacy of Tumor Treating Fields for additional solid tumor indications.10-K.

We have several product development programs underway intended to improve efficacy and usability for patients. For example, this quarter, we completed initial development of MAXPOINTTM treatment planning software to optimize Tumor Treating Fields dosing with the potential to improve the efficacy of our therapy. Additionally, we enrolled the first patient in our EF-33 pilot study to test the potential incremental survival benefit of delivering Tumor Treating Fields through high-intensity arrays.
The table below presents the current status of the ongoing or completed clinical and product development programs in our pipeline and anticipated timing of final data.
nvcr-20200630_g1.jpg
In July 2020, we entered into a clinical trial collaboration with MSD, a trade name of Merck & Co., Inc., through a subsidiary, to develop Tumor Treating Fields together with MSD’s anti-PD-1 therapy KEYTRUDA® (pembrolizumab) for treatment of first-line NSCLC, expanding our research in the lung cancer space. We plan to conduct a phase 2 pilot study of Tumor Treating Fields concomitant with KEYTRUDA for first-line treatment of intrathoracic advanced or metastatic, PD-L1 positive NSCLC. The study is expected to begin in the second half of 2020.
In 2018, we entered into a License and Collaboration Agreement (the “Zai Agreement”) between us and Zai Lab (Shanghai) Co., Ltd. (“Zai”) pursuant to which we granted Zai a license to commercialize Optune in China, Hong Kong, Macau and Taiwan (collectively, “Greater China”). The Zai Agreement also establishes a development partnership intended to accelerate the development of Tumor Treating Fields in multiple solid tumor indications. In May 2020, the China National Medical Products Administration approved the Marketing Authorization Application for Optune in combination with temozolomide for the treatment of patients with newly diagnosed GBM, and also as a monotherapy for the treatment of patients with recurrent GBM. For additional information, see Note 12 to the Consolidated Financial Statements in our 2019 10-K.
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We believe we have a robust patent and intellectual property portfolio, with over 180 issued patents and numerous patent applications pending worldwide. We believe we own global commercialization rights to our Products in oncology and that we are well-positioned to extend those rights into the future as we continue to find innovative ways to improve our Products.
We view our operations and manage our business in one operating segment. For the three and six months ended June 30, 2020, our net revenues were $115.9 million and $217.8 million, respectively. Our net income for the three and six months ended June 30, 2020 was $1.7 million and $5.6 million, respectively. As of June 30, 2020, we had an accumulated deficit of $645.3 million. Our accumulated deficit primarily resulted from costs incurred in connection with our preclinical and clinical trial programs, costs incurred to commercialize our Products and general and administrative costs necessary to operate as a global oncology business.
Critical Accounting Policies and Estimates
In accordance with U.S. generally accepted accounting principles (“GAAP”), in preparing our financial statements, we must make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of net revenues and expenses during the reporting period. We develop and periodically change these estimates and assumptions based on historical experience and on various other factors that we believe are reasonable under the circumstances. Actual results may differ from these estimates.
The critical accounting policies requiring estimates, assumptions and judgments that we believe have the most significant impact on our consolidated financial statements can be found in our 20192020 10-K. For additional information, see Note 1 to our unaudited consolidated financial statements in Part I, Item 1 of this Quarterly Report. There were no other material changes to our critical accounting policies and estimates as compared to the critical accounting policies and estimates described in our 20192020 10-K.

Commentary on Results of Operations
Net revenues. Our revenues are primarily derived from patients using our Products in our active markets. We charge for treatment with our Productson a monthly basis. Our potential net revenues per patient are determined by our ability to secure payment, the monthly fee we collect and the number of months that the patient remains on therapy.
We also receive revenues pursuant to the Zai Agreement. For additional information regarding the Zai Agreement, see Note 12 to the Consolidated Financial Statements in our 20192020 10-K.
Cost of revenues. We contract with third parties to manufacture our Products. Our cost of revenues is primarily comprised of the following:

disposable transducer arrays;
depreciation expense for the field equipment, including the electric field generator used by patients; and
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. 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. Financial expenses, net primarily consists of credit facility interest expense and related debt issuance costs, 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 have historically held substantially all of our cash balances in U.S. dollar denominated accounts to minimize the risk of translational currency exposure.
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Results of Operations
The following discussion provides an analysis of our results of operations and reasons for material changes therein for the three and six months ended June 30, 2020March 31, 2021 as compared to the three and six months ended June 30, 2019.March 31, 2020. The tables contained in this section report U.S. dollars in thousands (except share, patient, and prescription data).
The following table sets forth our consolidated statements of operations data:
Three months ended March 31,
20212020
Unaudited
Net revenues$134,695 $101,828 
Cost of revenues26,385 24,496 
Gross profit108,310 77,332 
Operating costs and expenses:
Research, development and clinical trials45,916 25,271 
Sales and marketing31,357 28,834 
General and administrative31,125 26,608 
Total operating costs and expenses108,398 80,713 
Operating income (loss)(88)(3,381)
Financial expenses (income), net2,646 2,432 
Income (loss) before income taxes(2,734)(5,813)
Income taxes1,394 (9,765)
Net income (loss)$(4,128)$3,952 
Basic net income (loss) per ordinary share$(0.04)$0.04 
Weighted average number of ordinary shares used in computing basic net income (loss) per share102,633,545 99,877,567 
Diluted net income (loss) per ordinary share$(0.04)$0.04 
Weighted average number of ordinary shares used in computing diluted net income (loss) per share102,633,545 108,100,623 

Three months ended June 30,Six months ended June 30,
2020201920202019
UnauditedUnaudited
Net revenues$115,925 $86,713 $217,753 $160,022 
Cost of revenues25,474 21,106 49,970 40,920 
Gross profit90,451 65,607 167,783 119,102 
Operating costs and expenses:
Research, development and clinical trials29,918 19,454 55,190 36,496 
Sales and marketing28,461 23,708 57,294 46,041 
General and administrative25,404 21,249 52,012 41,487 
Total operating costs and expenses83,783 64,411 164,496 124,024 
Operating income (loss)6,668 1,196 3,287 (4,922)
Financial expenses (income), net2,617 1,239 5,049 3,610 
Income (loss) before income taxes4,051 (43)(1,762)(8,532)
Income taxes2,396 1,227 (7,369)4,888 
Net income (loss)$1,655 $(1,270)$5,607 $(13,420)
Basic net income (loss) per ordinary share$0.02 $(0.01)$0.06 $(0.14)
Weighted average number of ordinary shares used in computing basic net income (loss) per share100,718,893 96,356,317 100,298,230 95,583,802 
Diluted net income (loss) per ordinary share$0.02 $(0.01)$0.05 $(0.14)
Weighted average number of ordinary shares used in computing diluted net income (loss) per share107,647,802 96,356,317 107,897,907 95,583,802 
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The following table details the share-based compensation expense included in costs and expenses:

Three months ended June 30,Six months ended June 30,
2020201920202019
UnauditedUnaudited
Cost of revenues$559 $595 $1,149 $1,021 
Research, development and clinical trials3,779 1,813 7,173 3,001 
Sales and marketing4,769 3,255 8,385 5,217 
General and administrative9,663 8,069 18,620 14,142 
Total share-based compensation expense$18,770 $13,732 $35,327 $23,381 
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Three months ended March 31,
20212020
Unaudited
Cost of revenues$733 $590 
Research, development and clinical trials5,124 3,394 
Sales and marketing4,471 3,616 
General and administrative8,535 8,957 
Total share-based compensation expense$18,863 $16,557 
Key performance indicators

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

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

March 31,
Operating statistics20212020
Active patients at period end
United States2,183 2,023 
EMEA:
Germany594 514 
Other EMEA406 336 
Japan271 222 
Total3,454 3,095 
June 30,
Operating statistics20202019
Active patients at period end
United States2,143 1,846 
EMEA:
Germany535 496 
Other EMEA365 241 
Japan235 143 
Total3,278 2,726 

Three months ended June 30,Six months ended June 30,Three months ended March 31,
2020201920202019 20212020
Prescriptions received in periodPrescriptions received in periodPrescriptions received in period
United StatesUnited States968 989 1,954 1,914 United States917 986 
EMEA:EMEA:EMEA:
GermanyGermany231 224 438 478 Germany248 207 
Other EMEAOther EMEA138 75 260 151 Other EMEA134 122 
JapanJapan85 74 179 129 Japan103 94 
TotalTotal1,422 1,362 2,831 2,672 Total1,402 1,409 
In the U.S., there were 1117 active MPM patients on therapy as of June 30, 2020March 31, 2021 and 1511 MPM prescriptions were received in the three months ended June 30, 2020.March 31, 2021.
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Three and six months ended June 30, 2020March 31, 2021 compared to three and six months ended June 30, 2019March 31, 2020

Three months ended June 30,Six months ended June 30,
20202019% Change20202019% Change
Net revenues$115,925 $86,713 34 %$217,753 $160,022 36 %
Three months ended March 31,
20212020% Change
Net revenues$134,695 $101,828 32 %
Net revenues. Net revenues increased 34%32% to $115.9$134.7 million for the three month period ending June 30, 2020March 31, 2021 from $86.7$101.8 million for the same period in 2019, and increased 36% to $217.8 million for the six month period endedJune 30, 2020 from $160.0 million for the same period in 2019.2020. The increase in both the three and six month periods resulted primarily from an increase of 552359 active patients in our currently active markets, representing 20%12% growth, and ana durable improvement in the net revenues booked per active patient. The increase in net revenues per active patient benefited from continued improvements in U.S. reimbursement rates.
We recognized $10.8recorded $9.4 million and $18.9 million in net revenues from Medicare fee-for-service beneficiaries billed under the coverage policy effective on September 1, 2019 for the three and six month periodsperiod ended June 30, 2020, respectively. This was our third full quarter progressing throughMarch 31, 2021, an increase of 32% from the administrative ramp-up with Medicare, and we$7.1 million recognized in the same period in 2020. We have gained a good understanding of how to ensure timely processing of clean claims. Approximately 60% of our Medicare active patients are currently eligible for coverage under the policy, as they started therapy after coverage
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was defined. We continue to gain experience processing claims and we believe that require an appeal and expect we will gainhave sufficient experience over the next two quarters to recognize additional revenueapproximately two-thirds of the expected contribution from these Medicare beneficiaries.

In the first quarter of 2021, incremental net revenues resulting from the successful appeal of previously denied claims for Medicare fee-for-service beneficiaries billed prior to established coverage reverted to normalized levels from the first half of 2020.
Three months ended June 30,Six months ended June 30,
20202019% Change20202019% Change
Cost of revenues$25,474 $21,106 21 %$49,970 $40,920 22 %
Three months ended March 31,
20212020% Change
Cost of revenues$26,385 $24,496 %
Cost of revenues. Our cost of revenues increased by 21%8%, to $25.5$26.4 million for the three months ended June 30, 2020March 31, 2021 from $21.1$24.5 million for the same period in 2019, and increased by 22% to $50.0 million for the six months ended June 30, 2020 from $40.9 million for the same period in 2019.2020. For both the three and six month periods,period, the increase in cost of revenues was primarily due to the cost of shipping transducer arrays to a higher volume of commercial patients partially offset by benefitsand increasing shipments of ongoingequipment to Zai Lab. Excluding sales to Zai, cost of revenues per active patient per month decreased 9% to $2,415 for the three months ended March 31, 2021 from $2,641 for the same period in 2020 due to on-going efficiency initiatives and scale.
Cost of revenues per active patient is calculated by dividing the cost of revenues for the quarter less equipment sales to Zai for the quarter by the average of the active patients at the end of the prior quarter and the ending active patients in the current quarter. This quarterly figure is then divided by three to estimate the monthly cost of revenues per active patient. Sales to Zai are deducted because they are sold at cost and in anticipation of future royalties from Zai, and Zai patient counts are not included in our active patient population. Product sales to Zai totaled $1.5 million for the quarter ended March 31, 2021 compared to $0.7 million for the quarter ended March 31, 2020.
Gross margin was 78%80% for the three months ended June 30, 2020 andMarch 31, 2021 compared to 76% for the three months ended June 30, 2019. Gross margin was 77% for the six months ended June 30, 2020 and 74% for the six months ended June 30, 2019.March 31, 2020.
Operating Expenses.
Three months ended June 30,Six months ended June 30,
20202019% Change20202019% Change
Research, development and clinical trials$29,918 $19,454 54 %$55,190 $36,496 51 %
Sales and marketing28,461 23,708 20 %57,294 46,041 24 %
General and administrative25,404 21,249 20 %52,012 41,487 25 %
Total operating expenses$83,783 $64,411 30 %$164,496 $124,024 33 %
Three months ended March 31,
20212020% Change
Research, development and clinical trials$45,916 $25,271 82 %
Sales and marketing31,357 28,834 %
General and administrative31,125 26,608 17 %
Total operating expenses$108,398 $80,714 34 %
Research, development and clinical trials expenses. Research, development and clinical trials expenses increased 54%82% to $29.9$45.9 million for the three month period ended June 30, 2020March 31, 2021 from $19.5$25.3 million for the same period in 2019, and increased 51% to $55.2 million for the six month period ended June 30, 2020 from $36.5 million for the same period in 2019.2020. For both the three and six month periods,period, the change is primarily due to an increase in clinical trial and personnel expenses for our phase 3 pivotal and phase 4 post-marketing trials, an increase in development and personnel expenses to support our product development programs, increased investments in preclinical research and the expansion of our medical affairs activities.
We continue to invest in the advancement
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Table of Tumor Treating Fields' science and technology as part of our long-term value creation strategy. We anticipate that R&D expenses will continue to increase in future quarters as we advance our preclinical, clinical and product development programs and continue our efforts to increase acceptance of Tumor Treating Fields across the global scientific community.Contents
Sales and marketing expenses. Sales and marketing expenses increased 20%9% to $28.5$31.4 million for the three months ended June 30, 2020March 31, 2021 from $23.7$28.8 million for the same period in 2019, and increased 24% to $57.3 million for the six months ended June 30, 2020 from $46.0 million for the same period in 2019.2020. For both the three and six month periods,period, the change was primarily due to an increase in personnel and professional services costs to support our growing commercial business and reimbursement efforts and an increase in marketing expenses related to the launch of Optune Lua for MPM.efforts.
General and administrative expenses. General and administrative expenses increased 20%17% to $25.4$31.1 million for the three months ended June 30, 2020March 31, 2021 from $21.2$26.6 million for the same period in 2019, and increased 25% to $52.0 million for the six months ended June 30, 2020 from $41.5 million for the same period in 2019.2020. For both the three and six month periods,period, the change was primarily due to an increase in personnel costs insurance premiums and professional services.
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Three months ended June 30,Six months ended June 30,
20202019% Change20202019% Change
Financial expenses (income), net$2,617 $1,239 111 %$5,049 $3,610 40 %
Three months ended March 31,
20212020% Change
Financial expenses (income), net$2,646 $2,432 %
Financial expenses, net. Financial expenses increased 111%9% to $2.6 million for the three months ended June 30, 2020March 31, 2021 from $1.2$2.4 million for the same period in 2019, and increased 40% to $5.1 million for the six months ended June 30, 2020 from $3.6 million for the same period in 2019.2020. For both the three and six month periods,period, the changeincrease was primarily due to decliningforeign currency translation expenses, partially offset by the absence of interest income from cash balances and short-term investments.payments as a result of the loan repayment in August 2020.

Three months ended June 30,Six months ended June 30,
20202019% Change20202019% Change
Income taxes$2,396 $1,227 95 %$(7,369)$4,888 (251)%
Three months ended March 31,
20212020% Change
Income taxes$1,394 $(9,765)(114)%
Income taxes. Income taxes increased 95%$11.2 million or 114% to $2.4an expense of $1.4 million for the three months ended June 30, 2020March 31, 2021 from $1.2a benefit of $9.8 million for the same period in 2019, and decreased 251% to2020. In the first quarter of 2020, a benefit of $7.4million for the six months endedJune 30, 2020from $4.9million for the same period in 2019. For the three months ended June 30, 2020, the increase reflects a change in the mix of applicable statutory tax rates in certain active jurisdictions. For the six months ended June 30, 2020, the Company recorded a net one-time tax benefit of $11.3 million was recorded in the first quarter of 2020 in accordance withresponse to the changes toin the U.S. tax code enacted in responserelated to the economic impacts of the COVID-19 signed into legislation on March 27, 2020.pandemic. The benefit results from net operating loss carry-backs in the U.S. The changevariance also reflects a change in the mix of applicable statutory tax rates in certain active jurisdictions.
Non-GAAP financial measures
We also measure our performance using a non-GAAP measurement of earnings before interest, taxes, depreciation, amortization and shared-based compensation (“Adjusted EBITDA”). We believe Adjusted EBITDA is useful to investors in evaluating our operating performance because it helps investors evaluate and compare the results of our operations from period to period by removing the impact of earnings attributable to our capital structure, tax rate and material non-cash items, specifically share-based compensation.
We calculate Adjusted EBITDA as operating income before financial expenses and income taxes, net of depreciation, amortization and share-based compensation. The following table reconciles net income (loss), which is the most directly comparable GAAP operating performance measure, to Adjusted EBITDA.
Three months ended June 30,Six months ended June 30,Three months ended March 31,
20202019% Change20202019% Change20212020% Change
Net income (loss)Net income (loss)$1,655 $(1,270)(230)%$5,607 $(13,420)(142)%Net income (loss)$(4,128)$3,952 (204)%
Add: Income taxAdd: Income tax2,396 1,227 95 %(7,369)4,888 (251)%Add: Income tax1,394 (9,765)(114)%
Add: Financial income (expenses), netAdd: Financial income (expenses), net2,617 1,239 111 %5,049 3,610 40 %Add: Financial income (expenses), net2,646 2,432 %
Add: Depreciation and amortizationAdd: Depreciation and amortization2,601 2,132 22 %4,489 4,061 11 %Add: Depreciation and amortization2,370 1,888 26 %
EBITDAEBITDA$9,269 $3,328 179 %$7,776 $(861)(1,003)%EBITDA$2,282 $(1,493)(253)%
Add: Share-based compensationAdd: Share-based compensation18,770 13,732 37 %35,327 23,381 51 %Add: Share-based compensation18,863 16,557 14 %
Adjusted EBITDAAdjusted EBITDA$28,039 $17,060 64 %$43,103 $22,520 91 %Adjusted EBITDA$21,145 $15,064 40 %
Adjusted EBITDA increased by 64%40% to $28.0$21.1 million for the three months ended June 30, 2020March 31, 2021 from $17.1$15.1 million for the same period in 2019, and increased by 91% to $43.1 million for the six months ended June 30, 2020 from $22.5 million for the same period in 2019.2020. This improvement in fundamental financial performance in both the three and six month periods was driven by net revenue growth coupled with an ongoing commitmentpartially offset by research and development investments to disciplined managementadvance our pipeline programs and increase acceptance of expenses.TTFields across the global oncology community.
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Three months ended June 30,Six months ended June 30,
20192018% Change20192018% Change
Net income (loss)$(1,270)$(15,510)(92)%$(13,420)$(36,234)(63)%
Add: Income tax1,227 5,565 (78)%4,888 8,759 (44)%
Add: Financial income (expenses), net1,239 2,860 (57)%3,610 7,713 (53)%
Add: Depreciation and amortization2,132 2,287 (7)%4,061 4,490 (10)%
EBITDA$3,328 $(4,798)(169)%$(861)$(15,272)(94)%
Add: Share-based compensation13,732 10,206 35 %23,381 18,726 25 %
Adjusted EBITDA$17,060 $5,408 215 %$22,520 $3,454 552 %

Liquidity and Capital Resources
We have incurred significant losses and cumulative negative cash flows from operations since our founding in 2000. As of June 30, 2020,March 31, 2021, we had an accumulated deficit of $645.3$631.7 million. To date, we have primarily financed our operations through the issuance and sale of equity and the proceeds from long-term loans.
At June 30, 2020,March 31, 2021, we had $346.7$864.4 million in cash, cash equivalents and short-term investments, an increase of $20.6$21.8 million compared to $326.1$842.6 million at December 31, 2019.2020. The increase in our cash, cash equivalents and short-term investments was primarily due to the cash flow from operations and the exercise of options and proceeds from the issuance of shares, partially offset by the purchase of field equipment.options.
We believe our cash, cash equivalents and short-term investments as of June 30, 2020March 31, 2021 are sufficient for our operations for at least the next 12 months based on our existing business plan and our ability to control the timing of significant expense commitments. We expect that our research, development and clinical trials expenses, sales and marketing expenses and general and administrative expenses will continue to increase over the next several years and may outpace our gross profit. As a result, we may need to raise additional capital to fund our operations.
The following summary of our cash flows for the periods indicated has been derived from our unaudited consolidated financial statements, which are included elsewhere in this Quarterly Report:
Six months ended June 30,
20202019Change% Change
Net cash provided by (used in) operating activities$14,698 $4,751 $9,947 209 %
Net cash provided by (used in) investing activities(6,427)(2,737)(3,690)135 %
Net cash provided by (used in) financing activities9,848 37,627 (27,778)(74)%
Effect of exchange rate changes on cash and cash equivalents50 (214)265 (124)%
Net increase (decrease) in cash, cash equivalents and restricted cash$18,169 $39,427 $(21,257)(54)%
Three months ended March 31,
20212020Change% Change
Net cash provided by operating activities$17,780 $1,957 $15,823 809 %
Net cash provided by (used in) investing activities54,171 (3,112)57,283 (1841)%
Net cash provided by (used in) financing activities7,955 4,503 3,452 77 %
Effect of exchange rate changes on cash and cash equivalents(102)(59)(43)73 %
Net increase (decrease) in cash, cash equivalents and restricted cash$79,804 $3,289 $76,515 2326 %
Operating activities. Net cash provided by (used in) operating activities primarily represents our net income (loss) for the periods presented. Adjustments to net income (loss) for non-cash items include share-based compensation, depreciation and amortization, and asset write-downs and impairment of field equipment.write-downs. Operating cash flows are also impacted by changes in working capital,operating assets and liabilities, principally trade receivables,payables, deferred revenues, other payables, prepaid expenses, inventory and trade payables and accrued expenses, inventories, and other long-term assets.receivables.
Net cash provided by operating activities was $14.7$17.8 million for the sixthree months ended June 30, 2020,March 31, 2021, as compared to $4.8$2.0 million used inprovided by operating activities for the sixthree months ended June 30, 2019.March 31, 2020. Gross profit increased by $48.7$31.0 million for the sixthree months ended June 30, 2020March 31, 2021 versus the sixthree months ended June 30, 2019,March 31, 2020, fully funding incremental investments of $18.7$20.6 million in research and development and $21.8$7.0 million in sales, marketing, general and administrative expenses. The transition toincrease in positive cash flow from operations was primarily driven by a decrease in net losshigher cash earnings, lower interest payments, the receipt of income tax refunds, as well as the timing of receipts and an increasepayments in the amountordinary course of non-cash share-based compensation included in the reported net income (loss), offset by an increase in working capital.
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business.
Investing 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 by investing activities was $54.2 million for the three months ended March 31, 2021, compared to $3.1 million used in investing activities was $6.4 million for the sixthree months ended June 30, 2020, compared to $2.7 millionMarch 31, 2020. The net cash provided by investing activities for the sixthree months ended June 30, 2019.March 31, 2021 was primarily attributable to $58.2 million of net proceeds from maturity of short-term investments, partially offset by the purchase of $4.0 million of property and equipment. The increase in net cash used in investing activities for the three months ended March 31, 2020 was primarily attributable to the purchase of $3.1 million of property and equipment to support our growing commercial business and net proceeds generated from the sale of investments for cash needs in the same period in 2019.equipment.
Financing 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 $9.8$8.0 million for the sixthree months ended June 30, 2020,March 31, 2021, as compared to $37.6$4.5 million provided by financing activities for the sixthree months ended June 30, 2019.March 31, 2020. The year-over-year decrease innet cash provided by financing activities for the three months ended March 31, 2021 was primarily relateddue to a decrease in $8.0 million of
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proceeds from the exercise of options. The net cash provided by financing activities for the three months ended March 31, 2020 was due to $4.5 million of proceeds from the exercise of options.
AsConvertible Notes
On November 5, 2020, we issued $575.0 million aggregate principal amount of June 30,0% Convertible Senior Notes due 2025 (the “Notes”). The Notes are senior unsecured obligations. The Notes do not bear regular interest, and the principal amount of the Notes will not accrete. The Notes are convertible at an initial conversion rate of 5.9439 ordinary shares per $1,000 principal amount of the Notes, which is equivalent to an initial conversion price of approximately $168.24 per ordinary share. Prior to the close of business on July 31, 2025, the Notes are convertible at the option of the holders only upon the satisfaction of certain conditions and during certain periods and if the Company exercises its right to redeem the Notes as permitted or required by the indenture. On or after August 1, 2025 until the close of the business on the business day immediately preceding the maturity date, holders may convert all or any portion of their Notes at the conversion rate at any time irrespective of the foregoing conditions.
In January 2021, we irrevocably elected to settle all conversions of Notes by a combination of cash and our ordinary shares and that the cash portion per $1,000 principal amount of Notes for all conversion settlements shall be $1,000. Accordingly, from and after the date of the election, upon conversion of any Notes, holders of Notes will receive, with respect to each $1,000 principal amount of Notes converted, cash in an amount up to $1,000 and the balance of the conversion value, if any, in our ordinary shares
For more information, see Note 10(a) to the Consolidated Financial Statements in the 2020 our material outstanding indebtedness consisted of10-K.
Term loan credit facility
On November 6, 2020, we entered into a new three-year $150.0 million of principal outstanding under our term loansenior secured revolving credit facility with a syndicate of relationship banks (the “2018"2020 Credit Facility”Facility"). Interest on the outstanding loan is 9% annually, payable quarterly in arrears. The 2018 Credit Facility will mature on February 7, 2023, at which time any unpaid principal and accrued unpaid interest in respect of the loan will be due and payable. We may, prepay amountssubject to certain conditions and limitations, increase the revolving credit commitments outstanding under the 20182020 Credit Facility or incur new incremental term loans in full at any time. Any prepayment (whether permitted or mandatory) is subjectan aggregate principal amount not to a prepayment premium and/or make-whole payment. exceed an additional $100.0 million.
The prepayment fee if we prepay outstanding loan amounts prior to February 7, 2021 is 2.0%, and is 1.0% if made after the February 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 date of such prepayment through February 7, 2021. We must prepay the 2018 Credit Facility (i) in full or in part upon the entry into certain licensing arrangements and (ii) in full in the event of a change of control.
All obligationscommitments under the 20182020 Credit Facility are guaranteed by certain of our domestic directsubsidiaries and indirect subsidiaries. In addition, the obligations under the 2018 Credit Facility are secured by a first-priority securityfirst lien on our and certain of our subsidiaries’ assets. Outstanding loans will bear interest in substantially allat a sliding scale based on our secured leverage ratio from LIBOR plus 2.75% to LIBOR plus 3.25% per annum. Additionally, the 2020 Credit Facility contains a fee for the unused revolving credit commitments at a sliding scale based on our secured leverage ratio from 0.35% to 0.45%. The 2020 Credit Facility contains financial covenants requiring maintenance of the propertya minimum fixed charge coverage ratio and assets of,specifying a maximum senior secured net leverage ratio, as well as the equity interests owned by, us and the other guarantors. The 2018 Credit Facility contains other customary covenants.events of default which include a change of control. As of June 30, 2020,March 31, 2021, we were in compliance with such covenants.
As of March 31, 2021, we had no outstanding balance borrowed under the 2020 Credit Facility.
Contractual Obligations and Commitments
There have been no material changes from the information disclosed in our 20192020 10-K.
Off-Balance Sheet Arrangements
We did not have during the periods presented, and we do not currently have, any off-balance sheet arrangements as defined under U.S. Securities and Exchange Commission (“SEC”) rules.
Item 3.  Quantitative and Qualitative Disclosures About Market Risk
There have been no material changes from the information disclosed in our 20192020 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 our disclosure controls and procedures as of June 30, 2020.March 31, 2021. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means
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controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no
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matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on the evaluation of our disclosure controls and procedures as of June 30, 2020,March 31, 2021, our Chief Executive Officer and Chief Financial Officer have concluded that, as of June 30, 2020,March 31, 2021, our disclosure controls and procedures were effective at the reasonable assurance level.
Changes in Internal Control over Financial Reporting
There has been no change in our internal control over financial reporting during the quarter ended June 30, 2020March 31, 2021 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
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PART II—OTHER INFORMATION
Item 1.  Legal Proceedings
None.From time to time, we are involved in various legal proceedings, claims, investigations and litigation that arise in the ordinary course of our business. Litigation is inherently uncertain. Accordingly, we cannot predict with certainty the outcome of these matters. After considering a number of factors, including (but not limited to) the views of legal counsel, the nature of contingencies to which the Company is subject and prior experience, management believes that the ultimate disposition of these legal actions will not materially affect its consolidated financial position or results of operations.
Item 1A.  Risk Factors
There have been no material changes to our risk factors disclosed in Part I, Item 1A “Risk Factors” in the 2019 10-K and in Part II, Item 1A of our Quarterly Report on Form 10-Q filed on April 30, 2020. Also note that references in the 2019 10-K to NovoTTF-100L now refer to Optune Lua.2020 10-K.
Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds
None.
Item 3.  Defaults Upon Senior Securities
None.
Item 4.  Mine Safety Disclosures
Not applicable.
Item 5.  Other Information
None.
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Item 6.  Exhibits
EXHIBIT INDEX
Exhibit
Number
Incorporated by ReferenceFiled
Herewith
Exhibit DescriptionFormDateNumber
10.1X
10.2X
31.1X
31.2X
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 Exhibit 101)X

*    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.

#    Compensation plans and arrangements for executive officers and others.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
NovoCure Limited
 
Date: Date: October 2, 2020April 29, 2021/s/ Ashley Cordova
Ashley Cordova
Chief Financial Officer
(principal financial and accounting officer
and duly authorized officer)


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