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SHARE OPTION PLANS AND ESPP (Tables)
3 Months Ended
Mar. 31, 2026
Share-Based Payment Arrangement, Recognized Amount [Abstract]  
Schedule of stock option plans
A summary of the status of the Company’s option plans as of March 31, 2026 and changes during the period then ended is presented below:
Three months ended March 31, 2026
Unaudited
Number
of options
Weighted
average
exercise
price
Outstanding at beginning of year10,827,353 $29.93 
Granted856,937 13.30 
Exercised(34,547)11.30 
Forfeited and canceled(561,212)22.45 
Outstanding as of March 31, 202611,088,531 $29.08 
Exercisable options7,527,349 $34.11 
Schedule of RSUs and PSUs
A summary of the status of the Company’s RSUs and PSUs as of March 31, 2026 and changes during the period then ended is presented below.
Three months ended March 31, 2026
Unaudited
Number
of RSU/PSUs
Weighted
average
grant date fair value
Unvested at beginning of year13,134,654 $23.67 
Granted4,860,073 13.37 
Vested(3,293,726)23.02 
RSUs withheld for tax liabilities
(40,950)31.25 
Forfeited and cancelled(2,032,184)47.43 
Unvested as of March 31, 2026 (1)12,627,867 16.13 

(1) Includes PSUs that have a mix of service, market and other milestone performance vesting conditions which are vested upon achievements of performance milestones that are not probable as of March 31, 2026, in accordance with ASC 718 "Compensation - Stock Compensation" as follows:
 March 31, 2026
Number of
PSUs
Fair value at grant date per PSUTotal fair value at grant date
894,375 $13.48 $12,056 
49,079 14.99 736 
373,003 16.30 6,080 
595,755 18.19 10,837 
1,912,212 $29,709 
Schedule of fair value assumptions used for all equity based awards estimated using black-scholes option pricing model
The fair value of share-based awards was estimated using the Black-Scholes model for all equity grants. For market condition awards, the Company also applied the Monte-Carlo simulation model. The Company assessed fair value using the following underlying assumptions: 
Three months ended March 31,Year ended December 31,
2025
20262025
UnauditedAudited
Stock Option Plans
Expected term (years)5.845.78
5.50-5.79
Expected volatility77 %75 %
75%-77%
Risk-free interest rate3.68 %4.01 %
4.01%-4.02%
Dividend yield0.00 %0.00 %0.00 %
ESPP
Expected term (years)0.500.500.50
Expected volatility62 %89 %
56%-89%
Risk-free interest rate3.52 %4.16 %
4.16%-4.20%
Dividend yield0.00 %0.00 %0.00 %
Schedule of non-cash share-based compensation expense related to company's equity-based awards
The total non-cash share-based compensation expense related to all of the Company’s equity-based awards recognized for the three months ended March 31, 2026 and 2025, and the year ended December 31, 2025 was:
Three months ended March 31,Year ended December 31,
2025
20262025
UnauditedAudited
Cost of revenues$599 $1,102 $3,627 
Research, development and clinical studies4,026 6,201 25,538 
Sales and marketing4,297 8,517 27,121 
General and administrative (1)
54,087 13,732 48,546 
Total share-based compensation expense$63,009 $29,552 $104,832 
(1) On February 11, 2026, the U.S. Food and Drug Administration approved Optune Pax for the treatment of adult patients with locally advanced pancreatic cancer concomitant with gemcitabine and nab-paclitaxel. As a result of this approval,we expensed approximately $43,406 related to the vesting of 901,284 PSUs granted in March 2020 to an executive officer that were not distributed and were forfeited and cancelled (see RSU/PSU summary table above).