XML 63 R46.htm IDEA: XBRL DOCUMENT v3.10.0.1
Significant Accounting Policies - Additional Information (Details) - USD ($)
3 Months Ended 12 Months Ended 36 Months Ended
Jan. 01, 2018
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2018
Jan. 01, 2019
Significant Accounting Policies [Line Items]                                    
Impairment losses on short-term investments                                 $ 0  
Inventory write-offs                           $ 684,000 $ 489,000 $ 774,000    
Impairment of long-lived assets                                 0  
Increase (decrease) in trade receivables                           4,151,000 23,228,000 6,339,000    
Net revenues   $ 69,674,000 $ 64,756,000 $ 61,514,000 $ 52,125,000 $ 53,661,000 $ 50,109,000 $ 38,376,000 $ 34,880,000 $ 30,242,000 $ 21,674,000 $ 17,919,000 $ 13,053,000 248,069,000 177,026,000 82,888,000    
Increase (decrease) in net loss   $ (15,631,000) $ (11,694,000) $ (15,510,000) $ (20,724,000) $ (10,945,000) $ (11,498,000) $ (21,174,000) $ (18,045,000) $ (22,168,000) $ (33,628,000) $ (40,612,000) $ (35,437,000) $ (63,559,000) $ (61,662,000) $ (131,845,000)    
Increase (decrease) in basic and diluted net loss per ordinary share   $ (0.17) $ (0.13) $ (0.17) $ (0.23) $ (0.12) $ (0.13) $ (0.24) $ (0.21) $ (0.26) $ (0.39) $ (0.48) $ (0.42) $ (0.69) $ (0.70) $ (1.54)    
Increase in other payables and accrued expenses                           $ 4,210,000 $ 14,460,000 $ 6,647,000    
Indirect taxes                           1,698,000 1,239,000 972,000    
Cost related to charitable care                           2,762,000 1,483,000 1,675,000    
Pension expense                           882,000 1,036,000 529,000    
Severance costs                           526,000 506,000 430,000    
Sales Revenue Net | Customer One | Customer Concentration Risk                                    
Significant Accounting Policies [Line Items]                                    
Net revenues                           $ 22,959,000 $ 15,479,000 $ 10,393,000    
Concentration risk percentage                           9.00% 9.00% 13.00%    
Restricted Share Unit                                    
Significant Accounting Policies [Line Items]                                    
Stock awards granted, vesting period                           3 years        
Option                                    
Significant Accounting Policies [Line Items]                                    
Stock awards granted, vesting period                           4 years        
Expected dividend yield                           0.00% 0.00% 0.00%    
Shipping and Handling                                    
Significant Accounting Policies [Line Items]                                    
Direct costs included in sales and marketing costs                           $ 2,936,000 $ 5,322,000 $ 3,389,000    
Accounting Standards Update 2014-09                                    
Significant Accounting Policies [Line Items]                                    
Increase (decrease) in trade receivables                           (6,288,000)        
Cumulative deficit effect adjustment resulting from ASU adoption   $ (6,517,000)                       (6,517,000)     $ (6,517,000)  
Increase (decrease) in net loss   $ 4,136,000                       $ 8,679,000        
Increase (decrease) in basic and diluted net loss per ordinary share   $ 0.04                       $ 0.09        
Increase in other payables and accrued expenses                           $ 1,052,000        
Accounting Standards Update 2014-09 | Difference between Revenue Guidance in Effect before and after Topic 606                                    
Significant Accounting Policies [Line Items]                                    
Increase (decrease) in trade receivables $ 2,807,000                                  
Increase in deferred revenue 645,000                                  
Cumulative deficit effect adjustment resulting from ASU adoption $ (2,162,000)                                  
Net revenues   $ (4,054,000)                       $ (8,683,000)        
Accounting Standards Update 2014-09 | First Generation Optune System Field Equipment                                    
Significant Accounting Policies [Line Items]                                    
Identify the contract with patient                           Identify the contract with a patient. A contract with a patient exists when (i) the Company enters into an enforceable contract with a patient that defines each party’s rights regarding delivery of and payment for Optune, (ii) the contract has commercial substance and (iii) the Company determines that collection of substantially all consideration for Optune is probable based on the payer’s intent and ability to pay the promised consideration. The evidence of a contract generally consists of a prescription, a patient service agreement and the verification of the assigned payer for the contract and intention to collect.        
Identify the performance obligations in the contract, description                           Optune contracts include the lease of the device, the supply obligation of disposable transducer arrays and technical support for the term of treatment. To the extent a contract includes multiple promised products and/or services, the Company must apply judgment to determine whether those products and/or services are capable of being distinct in the context of the contract. If these criteria are not met the promised products and/or services are accounted for as a combined performance obligation. In the Company’s case, Optune’s device, support, and disposables are provided as one inseparable package of monthly treatment for a single monthly fee.        
Determine the transaction price, description                           The transaction price is determined based on the consideration to which the Company will be entitled in exchange for providing Optune to the patient. To the extent the transaction price includes variable consideration, the Company estimates the amount of variable consideration that should be included in the transaction price utilizing either the expected value method or the most likely amount method depending on the nature of the variable consideration. Variable consideration is included in the transaction price if, in the Company’s judgment, it is probable that a significant future reversal of cumulative revenue under the contract will not occur. The Company has agreements with many payers that define explicit discounts off the gross transaction price. In addition to the explicit discounts negotiated with each payer, the Company expects to receive, in aggregate for a given portfolio, less than the gross revenue net of explicit discounts. ASC 606 requires that the Company recognize this variable consideration as an implicit discount in the billing period. The implicit discount includes both an estimate of claims that will pay at an amount less than billed and an estimate of claims that will not pay within a given time horizon. The implicit discount adjustments to the transaction price are due to concessions, not collectability concerns driven by payer credit risk.        
Allocate the transaction price to performance obligations in the contract, description                           If a contract contains a single performance obligation, the entire transaction price is allocated to the single performance obligation. As discussed above, there is a combined performance obligation under the Company’s contracts and, therefore, the monthly transaction price determined for the performance obligation will be recognized over time ratably over the monthly term of the treatment.        
Recognize revenue when or as the company satisfies a performance obligation, description                           The Company satisfies performance obligations over time as discussed above. Revenue is recognized at the time the related performance obligation is satisfied by transferring a promised service to a patient. The patient consumes the benefits of Optune treatment on a daily basis over the monthly term. As this criterion is met, the revenues will be recognized over the monthly term.        
Accounting Standards Update 2016-09                                    
Significant Accounting Policies [Line Items]                                    
Cumulative deficit effect adjustment resulting from ASU adoption                   $ 670,000           670,000    
Accounting Standards Update 2016-02 | Subsequent Event                                    
Significant Accounting Policies [Line Items]                                    
Operating leases right-of-use assets                                   $ 15,733,000
Operating lease liabilities                                   $ 15,733,000
Field Equipment Under Operating Leases                                    
Significant Accounting Policies [Line Items]                                    
Equipment write-downs included in cost of revenue                           $ 350,000 $ 195,000 $ 6,436,000    
Field Equipment Under Operating Leases | Minimum                                    
Significant Accounting Policies [Line Items]                                    
Property and equipment useful life                           18 months        
Field Equipment Under Operating Leases | Maximum                                    
Significant Accounting Policies [Line Items]                                    
Property and equipment useful life                           36 months