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    SEC Form 10-Q filed by Profound Medical Corp.

    5/8/25 4:32:33 PM ET
    $PROF
    Medical/Dental Instruments
    Health Care
    Get the next $PROF alert in real time by email
    Profound Medical Corp._March 31, 2025
    Profound Medical Corp.0001628808--12-312025Q1falseUnlimitedUnlimitedhttp://fasb.org/us-gaap/2024#PrimeRateMember00-0000000UnlimitedUnlimited0001628808us-gaap:RestrictedStockUnitsRSUMemberus-gaap:AdditionalPaidInCapitalMember2025-01-012025-03-310001628808us-gaap:RestrictedStockUnitsRSUMemberus-gaap:CommonStockMember2025-01-012025-03-310001628808us-gaap:CommonStockMember2024-01-012024-03-310001628808us-gaap:RetainedEarningsMember2025-03-310001628808us-gaap:AdditionalPaidInCapitalMember2025-03-310001628808us-gaap:AccumulatedOtherComprehensiveIncomeMember2025-03-310001628808us-gaap:RetainedEarningsMember2024-12-310001628808us-gaap:AdditionalPaidInCapitalMember2024-12-310001628808us-gaap:AccumulatedOtherComprehensiveIncomeMember2024-12-310001628808us-gaap:RetainedEarningsMember2024-03-310001628808us-gaap:AdditionalPaidInCapitalMember2024-03-310001628808us-gaap:AccumulatedOtherComprehensiveIncomeMember2024-03-310001628808us-gaap:RetainedEarningsMember2023-12-310001628808us-gaap:AdditionalPaidInCapitalMember2023-12-310001628808us-gaap:AccumulatedOtherComprehensiveIncomeMember2023-12-310001628808prof:LongTermIncentivePlanMember2023-05-172023-05-1700016288082023-05-172023-05-170001628808us-gaap:EmployeeStockOptionMember2024-12-310001628808us-gaap:EmployeeStockOptionMember2025-03-192025-03-190001628808us-gaap:EmployeeStockOptionMember2025-03-190001628808us-gaap:RestrictedStockUnitsRSUMember2025-03-310001628808prof:DeferredShareUnitsDsusMember2025-03-310001628808us-gaap:RestrictedStockUnitsRSUMember2024-12-310001628808prof:DeferredShareUnitsDsusMember2024-12-310001628808srt:MaximumMemberus-gaap:EmployeeStockOptionMember2025-01-012025-03-310001628808srt:MaximumMemberprof:LongTermIncentivePlanMember2025-01-012025-03-310001628808prof:RecurringNonCapitalMemberstpr:DE2025-01-012025-03-310001628808prof:RecurringNonCapitalMemberstpr:CA2025-01-012025-03-310001628808prof:RecurringNonCapitalMembercountry:US2025-01-012025-03-310001628808prof:CapitalEquipmentMemberstpr:CA2025-01-012025-03-310001628808prof:CapitalEquipmentMembercountry:US2025-01-012025-03-310001628808stpr:DE2025-01-012025-03-310001628808prof:RecurringNonCapitalMemberstpr:DE2024-01-012024-03-310001628808prof:RecurringNonCapitalMemberstpr:CA2024-01-012024-03-310001628808prof:RecurringNonCapitalMembercountry:US2024-01-012024-03-310001628808stpr:DE2024-01-012024-03-310001628808stpr:CA2024-01-012024-03-310001628808country:US2024-01-012024-03-310001628808prof:CapitalEquipmentMember2025-01-012025-03-310001628808us-gaap:AccumulatedOtherComprehensiveIncomeMember2025-01-012025-03-310001628808us-gaap:AccumulatedOtherComprehensiveIncomeMember2024-01-012024-03-310001628808prof:RecurringNonCapitalMember2025-01-012025-03-310001628808prof:RecurringNonCapitalMember2024-01-012024-03-310001628808us-gaap:RetainedEarningsMember2025-01-012025-03-310001628808us-gaap:RetainedEarningsMember2024-01-012024-03-310001628808us-gaap:SoftwareAndSoftwareDevelopmentCostsMember2025-03-310001628808us-gaap:LicensingAgreementsMember2025-03-310001628808us-gaap:SoftwareAndSoftwareDevelopmentCostsMember2024-12-310001628808us-gaap:LicensingAgreementsMember2024-12-310001628808country:US2025-01-012025-03-310001628808country:US2024-01-012024-12-310001628808us-gaap:CommonStockMember2025-03-310001628808us-gaap:CommonStockMember2024-12-310001628808us-gaap:CommonStockMember2024-03-310001628808us-gaap:CommonStockMember2023-12-310001628808srt:MaximumMemberus-gaap:EmployeeStockOptionMember2020-05-2000016288082024-03-310001628808stpr:DE2025-03-310001628808stpr:CA2025-03-310001628808country:US2025-03-310001628808country:FI2025-03-310001628808country:CN2025-03-310001628808stpr:DE2024-12-310001628808stpr:CA2024-12-310001628808country:US2024-12-310001628808country:FI2024-12-310001628808country:CN2024-12-310001628808us-gaap:RestrictedStockUnitsRSUMember2025-01-012025-03-310001628808us-gaap:EmployeeStockOptionMember2025-01-012025-03-310001628808prof:DeferredShareUnitsDsusMember2025-01-012025-03-310001628808us-gaap:RestrictedStockUnitsRSUMember2024-01-012024-03-310001628808us-gaap:EmployeeStockOptionMember2024-01-012024-03-310001628808prof:DeferredShareUnitsDsusMember2024-01-012024-03-310001628808stpr:CA2025-01-012025-03-310001628808stpr:CA2024-01-012024-12-310001628808us-gaap:SellingGeneralAndAdministrativeExpensesMember2025-01-012025-03-310001628808us-gaap:RestrictedStockUnitsRSUMember2025-01-012025-03-310001628808us-gaap:ResearchAndDevelopmentExpenseMember2025-01-012025-03-310001628808us-gaap:EmployeeStockOptionMember2025-01-012025-03-310001628808us-gaap:CostOfSalesMember2025-01-012025-03-310001628808prof:DeferredShareUnitsDsusMember2025-01-012025-03-310001628808us-gaap:SellingGeneralAndAdministrativeExpensesMember2024-01-012024-03-310001628808us-gaap:RestrictedStockUnitsRSUMember2024-01-012024-03-310001628808us-gaap:ResearchAndDevelopmentExpenseMember2024-01-012024-03-310001628808us-gaap:EmployeeStockOptionMember2024-01-012024-03-310001628808us-gaap:CostOfSalesMember2024-01-012024-03-310001628808prof:DeferredShareUnitsDsusMember2024-01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    Table of Contents

    ​

    ​

    UNITED STATES

    SECURITIES AND EXCHANGE COMMISSION

    WASHINGTON, DC 20549

    ​

    FORM 10-Q

    ​

    (Mark One)

    ​

    ☒

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

    ​

    For the quarterly period ended March 31, 2025

    ​

    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: 001-39032

    ​

    PROFOUND MEDICAL CORP.

    ​

    (Exact Name of Registrant as Specified in its Charter)

    ​

    ​

    ​

    Ontario, Canada

    Not Applicable

    (State or other jurisdiction
    of incorporation or organization)

    (I.R.S. Employer Identification No.)

    ​

    ​

    2400 Skymark Avenue, Unit #6, Mississauga,
    Ontario, Canada

    (Address of principal executive offices)

    L4W 5K5

    (Zip Code)

    ​

    Registrant’s telephone number, including area code: (647) 476-1350

    ​

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

    ​

    ​

    ​

    ​

    ​

    ​

    Title of each class

        

    Trading Symbol(s)

        

    Name of each exchange on which registered

    Common Shares, No Par Value Per Share

    ​

    PROF

    ​

    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, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

    ​

    ​

    ​

    ​

    Large accelerated filer ☐

        

    Accelerated filer ☐

    Non-accelerated filer ☒

    ​

    Smaller reporting company ☒

    Emerging growth company ☐

    ​

    ​

    ​

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

    ​

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

    ​

    As of May 8, 2025, the registrant had 30,053,142 common shares, no par value per share, outstanding.

    ​

    ​

    ​

    ​

    ​

    Table of Contents

    EXPLANATORY NOTE

    Profound Medical Corp. (the “Company”) qualifies as a “Foreign Private Issuer,” as defined in Rule 3b-4 under the Securities Exchange Act of 1934 (the “Exchange Act”) and is exempt from filing quarterly reports on Form 10-Q by virtue of Rules 13a-13 and 15d-13 under the Exchange Act. The Company has voluntarily elected to file this Quarterly Report on Form 10-Q for the quarter ended March 31, 2025.

    ​

    ​

    ​

    Table of Contents

    Table of Contents

    ​

    ​

    ​

    ​

    ​

    Page

    PART I.

    Financial Information

    ​

    Item 1.

    Condensed Consolidated Financial Statements

    ​

    ​

    Condensed Consolidated Balance Sheets as of March 31, 2025 and December 31, 2024 (Unaudited)

    1

    ​

    Condensed Consolidated Statements of Operations and Comprehensive Loss for the Three Months Ended March 31, 2025 and 2024 (Unaudited)

    2

    ​

    Condensed Consolidated Statements of Shareholders’ Equity for the Three Months Ended March 31, 2025 and 2024 (Unaudited)

    3

    ​

    Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2025 and 2024 (Unaudited)

    4

    ​

    Notes to Condensed Consolidated Financial Statements

    5

    Item 2.

    Management’s Discussion and Analysis of Financial Condition and Results of Operations

    13

    Item 3.

    Quantitative and Qualitative Disclosures About Market Risk

    18

    Item 4.

    Controls and Procedures

    19

    PART II.

    Other Information

    20

    Item 1.

    Legal Proceedings

    20

    Item 1A.

    Risk Factors

    20

    Item 2.

    Unregistered Sales of Equity Securities and Use of Proceeds

    20

    Item 3.

    Defaults Upon Senior Securities

    20

    Item 4.

    Mine Safety Disclosures

    20

    Item 5.

    Other Information

    20

    Item 6.

    Exhibits

    21

    Signatures

    22

    ​

    ​

    ​

    i

    ​

    Table of Contents

    Profound Medical Corp.

    CONDENSED CONSOLIDATED BALANCE SHEETS

    (USD in thousands, except per share data)

    (unaudited)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Assets

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Current assets:

    ​

    ​

    ​

    ​

    Cash

    ​

    46,433

     

    54,912

    Trade and other receivables, net (note 3)

    ​

    5,966

     

    7,045

    Inventory (note 4)

    ​

    6,795

     

    5,801

    Prepaid expenses and deposits

    ​

    718

     

    1,307

    Total current assets

    ​

    59,912

     

    69,065

    ​

    ​

    ​

    ​

    ​

    Property and equipment, net (note 5)

    ​

    309

     

    425

    Intangible assets, net (note 6)

    ​

    214

     

    261

    Right-of-use assets, net

    ​

    342

     

    396

    Deferred tax assets, net

    ​

    87

    ​

    87

    Total assets

    ​

    60,864

     

    70,234

    ​

    ​

    ​

    ​

    ​

    Liabilities

    ​

    ​

     

    ​

    ​

    ​

    ​

    ​

    ​

    Current liabilities:

    ​

    ​

     

    ​

    Accounts payable

    ​

    1,048

     

    1,317

    Accrued expenses and other current liabilities (note 7)

    ​

    3,350

     

    2,835

    Deferred revenue

    ​

    636

     

    419

    Long-term debt (note 8)

    ​

    —

     

    1,737

    Lease liabilities

    ​

    261

     

    257

    Total current liabilities

    ​

    5,295

     

    6,565

    ​

    ​

    ​

    ​

    ​

    Deferred revenue

    ​

    85

     

    49

    Long-term debt (note 8)

    ​

    4,486

     

    2,924

    Lease liabilities

    ​

    136

     

    203

    Other non-current liabilities

    ​

    72

     

    71

    Total liabilities

    ​

    10,074

     

    9,812

    ​

    ​

    ​

    ​

    ​

    Shareholders’ equity

    ​

    ​

     

    ​

    ​

    ​

    ​

    ​

    ​

    Common shares, no par value, unlimited shares authorized, 30,053,142 and 30,039,809 issued and outstanding at March 31, 2025 and December 31, 2024, respectively (note 9)

    ​

    281,641

     

    281,552

    Additional paid-in capital

    ​

    22,198

     

    21,298

    Accumulated other comprehensive income

    ​

    2,845

     

    2,742

    Accumulated deficit

    ​

    (255,894)

     

    (245,170)

    Total shareholders’ equity

    ​

    50,790

     

    60,422

    ​

    ​

    ​

    ​

    ​

    Total liabilities and shareholders’ equity

    ​

    60,864

     

    70,234

    ​

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

    1

    Table of Contents

    Profound Medical Corp.

    CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHESIVE LOSS

    (USD in thousands, except per share data)

    (unaudited)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Revenue (note 11)

    ​

    ​

    ​

    ​

    Recurring - non-capital

     

    1,801

     

    1,439

    Capital equipment

     

    820

     

    —

    ​

     

    2,621

     

    1,439

    Cost of sales

     

    768

     

    573

    Gross profit

     

    1,853

     

    866

    ​

    ​

    ​

    ​

    ​

    Operating expenses

     

    ​

     

    ​

    Research and development

     

    4,808

     

    3,945

    Selling, general and administrative

     

    8,211

     

    4,798

    Total operating expenses

     

    13,019

     

    8,743

    ​

    ​

    ​

    ​

    ​

    Operating loss

     

    11,166

     

    7,877

    ​

    ​

    ​

    ​

    ​

    Other (income) expenses

     

    ​

     

    ​

    Net finance (income) expense

     

    (445)

     

    (462)

    Net foreign exchange (gain) loss

     

    (38)

     

    (870)

    Total other (income) expenses

     

    (483)

     

    (1,332)

    ​

    ​

    ​

    ​

    ​

    Net loss before income taxes

     

    10,683

     

    6,545

    ​

    ​

    ​

    ​

    ​

    Income tax expense

     

    41

     

    40

    Total income tax expense

    ​

    41

    ​

    40

    ​

    ​

    ​

    ​

    ​

    Net loss attributed to shareholders for the period

     

    10,724

     

    6,585

    ​

    ​

    ​

    ​

    ​

    Other comprehensive (income) loss

     

    ​

     

    ​

    Item that may be reclassified to (income) loss

     

    ​

     

    ​

    Foreign currency translation adjustment

     

    (103)

     

    969

    ​

    ​

    ​

    ​

    ​

    Net loss and other comprehensive loss for the period

     

    10,621

     

    7,554

    ​

    ​

    ​

    ​

    ​

    Loss per share (note 12)

     

    ​

     

    ​

    Basic and diluted net loss per common share

     

    0.36

     

    0.27

    Basic and diluted weighted average common shares outstanding

     

    30,041,735

     

    24,295,749

    ​

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

    ​

    ​

    2

    Table of Contents

    Profound Medical Corp.

    CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY

    (USD in thousands)

    (unaudited)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    ​

        

    ​

        

    ​

        

    Accumulated

        

    ​

        

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Additional

    ​

    Other

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Paid-in

    ​

    Comprehensive

    ​

    Accumulated 

    ​

    ​

    ​

    ​

    Common Shares

    ​

    Capital

    ​

    Income

    ​

    Deficit

    ​

    Tota1

    ​

    ​

    Shares

    ​

    Amount $

    ​

    $

    ​

    $

    ​

    $

    ​

    $

    Balance - December 31, 2024

     

    30,039,809

     

    281,552

     

    21,298

     

    2,742

     

    (245,170)

     

    60,422

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss for the period

     

    —

     

    —

     

    —

     

    —

     

    (10,724)

     

    (10,724)

    Cumulative translation adjustment – net of tax of $nil

     

    —

     

    —

     

    —

     

    103

     

    —

     

    103

    Vesting of RSUs (note 10)

    ​

    13,333

    ​

    89

    ​

    (89)

    ​

    —

    ​

    —

    ​

    —

    Share-based compensation (note 10)

     

    —

     

    —

     

    989

     

    —

     

    —

     

    989

    Balance - March 31, 2025

     

    30,053,142

     

    281,641

     

    22,198

     

    2,845

     

    (255,894)

     

    50,790

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Accumulated

    ​

    ​

    ​

     

    ​

    ​

    ​

    ​

    ​

    ​

    Additional

    ​

    Other

    ​

    ​

    ​

     

    ​

    ​

    ​

    ​

    ​

    ​

    Paid-in

    ​

    Comprehensive

    ​

    Accumulated

    ​

     

    ​

    ​

    Common Shares

    ​

    Capital

    ​

    Income

    ​

    Deficit

    ​

    Total

    ​

    ​

    Shares

    ​

    Amount $

    ​

    $

    ​

    $

    ​

    $

    ​

    $

    Balance – December 31, 2023

        

    21,370,565

        

    222,205

        

    20,808

        

    5,565

        

    (217,354)

        

    31,224

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss for the period

     

    —

     

    —

     

    —

     

    —

     

    (6,585)

     

    (6,585)

    Cumulative translation adjustment – net of tax of $nil

     

    —

     

    —

     

    —

     

    (969)

     

    —

     

    (969)

    Shares issued in public offering and private placement

     

    3,058,334

     

    21,079

     

    —

     

    —

     

    —

     

    21,079

    Share-based compensation (note 10)

     

    —

     

    —

     

    767

     

    —

     

    —

     

    767

    Balance – March 31, 2024

     

    24,428,899

     

    243,284

     

    21,575

     

    4,596

     

    (223,939)

     

    45,516

    ​

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

    ​

    ​

    ​

    3

    Table of Contents

    Profound Medical Corp.

    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

    (USD in thousands)

    (unaudited)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Cash flows from operating activities

     

      

     

      

    Net loss for the period

     

    (10,724)

    ​

    (6,585)

    Adjustments to reconcile net loss to net cash provided by operating activities:

     

    ​

    ​

    ​

    Depreciation of property and equipment (note 5)

     

    116

    ​

    199

    Amortization of intangible assets (note 6)

     

    47

    ​

    51

    Non-cash lease expense adjustment

     

    (9)

    ​

    (11)

    Share-based compensation (note 10)

     

    989

    ​

    767

    Interest and accretion expense

     

    48

    ​

    169

    Change in amortized cost of trade and other receivables

     

    —

    ​

    (68)

    Changes in operating assets and liabilities:

     

    ​

     

      

    Trade and other receivables (note 3)

     

    1,090

    ​

    1,325

    Inventory (note 4)

     

    (984)

    ​

    (180)

    Prepaid expenses and deposits

     

    592

    ​

    467

    Accounts payable, accrued expenses and other liabilities (note 7)

     

    300

    ​

    (570)

    Deferred revenue

     

    252

    ​

    (107)

    Income taxes payable

     

    —

     

    14

    Net cash used in operating activities

     

    (8,283)

    ​

    (4,529)

    ​

    ​

    ​

    ​

    ​

    Cash flows from financing activities

     

    ​

    ​

    ​

    Repayments of long-term debt (note 8)

    ​

    (290)

    ​

    (623)

    Issuance of commons shares (note 10)

    ​

    —

    ​

    22,938

    Payments of financing costs (note 10)

    ​

    —

    ​

    (1,859)

    Net cash provided by (used in) financing activities

    ​

    (290)

    ​

    20,456

    ​

    ​

    ​

    ​

    ​

    Net increase (decrease) in cash and cash equivalents

    ​

    (8,573)

    ​

    15,927

    Effect of exchange rate changes on cash

    ​

    94

    ​

    (960)

    Cash, beginning of period

    ​

    54,912

    ​

    26,213

    Cash, end of period

    ​

    46,433

    ​

    41,180

    ​

    ​

    ​

    ​

    ​

    Supplemental cash flow information:

    ​

    ​

    ​

    ​

    Interest paid, included in financing activities

    ​

    56

    ​

    159

    Income taxes paid, included in operating activities

    ​

    11

    ​

    14

    ​

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

    ​

    ​

    4

    Table of Contents

    Profound Medical Corp.

    NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

    (unaudited)

    1Description of business

    Profound Medical Corp. (Profound) and its subsidiaries (together, the Company) were incorporated under the Ontario Business Corporations Act on July 16, 2014. The Company is a commercial-stage medical device company focused on the development and marketing of customizable, incision-free therapeutic systems for the ablation of diseased tissue utilizing platform technologies.

    The Company’s registered address is 2400 Skymark Avenue, Unit 6, Mississauga, Ontario, Canada, L4W 5K5.

    2

    Summary of significant accounting policies

    Basis of preparation

    The Company prepares its condensed consolidated financial statements in accordance with accounting principles generally accepted in the United States (US GAAP). The condensed consolidated financial statements include the accounts of wholly owned subsidiaries, after elimination of intercompany accounts and transactions. The consolidated financial information presented herein reflects all financial information that, in the opinion of management, is necessary for a fair statement of financial position, results of operations and cash flows for the periods presented.

    Unaudited interim condensed financial statements

    The accompanying balance sheet as of March 31, 2025, the statements of operations and comprehensive loss and cash flows for the three months ended March 31, 2025 and 2024, and the statements of shareholders’ equity as of March 31, 2025 and 2024, are unaudited. The financial data and other information disclosed in these notes to the financial statements related to March 31, 2025, and the three months ended March 31, 2025 and 2024, are also unaudited. The accompanying balance sheet as of December 31, 2024 has been derived from the audited consolidated financial statements included in the Company’s Annual Report on Form 10-K (“Annual Report”) filed with the Securities and Exchange Commission on March 7, 2025.

    The unaudited interim condensed financial statements have been prepared on the same basis as the annual consolidated financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary to a fair statement of the Company’s financial position as of March 31, 2025, and the results of its operations and cash flows for the three months ended March 31, 2025 and 2024. The results for the three months ended March 31, 2025, are not necessarily indicative of results to be expected for the year ending December 31, 2025, or for any other interim period or for any future year and should be read in conjunction with the annual consolidated financial statements included in the Company’s Annual Report dated March 7, 2025.

    Use of estimates

    The preparation of the Company’s unaudited interim condensed consolidated financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the unaudited interim condensed consolidated financial statements, and the reported amounts of revenue and expenses during the reporting period. Significant estimates and assumptions reflected in these unaudited interim condensed consolidated financial statements include, but are not limited to, assumptions related to the valuation of inventory, the determination of the amortized cost of trade and other receivables, determination of expected credit loss, and the valuation of stock options. The Company based its estimates on historical experience, known trends and other market-specific or other relevant factors that it believes to be reasonable under the circumstances. On an ongoing basis, management evaluates its estimates when there are changes in circumstances, facts and experience. Changes in estimates are recorded in the period in which they become known. Actual results could differ from those estimates.

    5

    Table of Contents

    Recent Accounting Pronouncements

    The FASB issued ASU 2024-03 in November 2024 and ASU 2025-01 in January 2025 clarifying the effective date of ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, an accounting standard update to improve income statement expenses disclosures. The standard requires more detailed information related to the types of expenses, including (among other items) the amounts of purchases of inventory, employee compensation, depreciation and intangible asset amortization included within each interim and annual income statement’s expense caption, as applicable. This authoritative guidance can be applied prospectively or retrospectively and will be effective for fiscal years beginning after December 15, 2026, and interim periods within annual reporting periods beginning after December 15, 2027. Early adoption permitted. The Company is currently evaluating the effect of this pronouncement on its disclosures.

    3

    Trade and other receivables, net

    Trade receivables and other receivables, net, as of March 31, 2025 and December 31, 2024 consists of the following:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Trade receivables, gross

     

    4,832

     

    5,245

    Contract assets, gross

    ​

    565

    ​

    1,340

    Trade receivables and contract assets

    ​

    5,397

    ​

    6,585

    Allowance for expected credit losses

     

    (105)

     

    (158)

    Trade receivables, net

     

    5,292

     

    6,427

    Tax receivables

     

    499

     

    308

    Other receivables

     

    175

     

    310

    Total trade and other receivables, net

     

    5,966

     

    7,045

    ​

    The activity in the allowance for expected credit losses for trade receivables and contract assets was as follows:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    March 31,

        

    December 31,

     

    ​

    ​

    2025

    ​

    2024

     

    ​

    ​

    $

    ​

    $

     

    ​

    ​

    ​

    ​

    ​

    ​

    Balance - Beginning of the period

    ​

    158

    ​

    76

    ​

    Provision for allowance for expected credit losses

    ​

    (53)

    ​

    82

    ​

    Balance - End of the period

    ​

    105

    ​

    158

    ​

    ​

    ​

    4

    Inventory

    Inventory as of March 31, 2025 and December 31, 2024 consists of the following:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Finished goods

     

    4,631

     

    3,837

    Raw materials

     

    2,164

     

    1,964

    Inventory

     

    6,795

     

    5,801

    ​

    6

    Table of Contents

    During the three months ended March 31, 2025, $660 (three months ended March 31, 2024 - $437) of inventory was recognized in cost of sales.

    ​

    5

    Property and equipment, net

    The major components of property and equipment, net, as of March 31, 2025 and December 31, 2024 consist of the following:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Leasehold improvements

     

    542

     

    542

    Equipment under operating lease

     

    1,705

     

    2,273

    Total

     

    2,247

     

    2,815

    Accumulated depreciation

     

    (1,938)

     

    (2,390)

    Property and equipment, net

     

    309

     

    425

    ​

    Depreciation expense for the three months ended March 31, 2025 was $116 (three months ended March 31, 2024 - $199). During the three months ended March 31, 2025, the Company sold $78 (three months ended March 31, 2024 - $nil) of equipment under operating lease to a customer.

    ​

    6

    Intangible assets

    The major components of intangible assets as of March 31, 2025 and December 31, 2024 consist of:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

      

        

    2025

        

    2024

    ​

    ​

    ​

    ​

    $

    ​

    $

    ​

        

    Weighted

        

    ​

        

    ​

        

    ​

        

    ​

        

    ​

        

    ​

    ​

    ​

    Average

    ​

    ​

    ​

      

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Remaining

    ​

    ​

    ​

    Accumulated

    ​

      

    ​

      

        

    Accumulated

        

    ​

    ​

    ​

    Useful

    ​

    Gross

    ​

    Amortization

    ​

    Net

    ​

    Gross

    ​

    Amortization

    ​

    Net

    ​

    ​

    Lives

    ​

    Carrying

    ​

    and

    ​

    Carrying

    ​

    Carrying

    ​

    and

    ​

    Carrying

    ​

    ​

    (Years)

    ​

    Amount

    ​

    Impairments

        

    Amount

    ​

    Amount

    ​

    Impairments

    ​

    Amount

    Exclusive license agreement

    ​

    4.4

    ​

    231

    ​

    (147)

    ​

    84

    ​

    231

    ​

    (142)

    ​

    89

    Software

    ​

    0.8

    ​

    978

    ​

    (848)

    ​

    130

    ​

    978

    ​

    (806)

    ​

    172

    ​

    ​

    ​

    ​

    1,209

    ​

    (995)

    ​

    214

    ​

    1,209

    ​

    (948)

    ​

    261

    ​

    The Company has a license agreement (the license) with Sunnybrook Health Sciences Centre (Sunnybrook), pursuant to which Sunnybrook licenses to the Company certain intellectual property and exclusively licensed-in rights that enable the Company to use Sunnybrook’s technology for MRI-guided trans-urethral ultrasound therapy. The Company has the option to acquire rights to improvements to the relevant technology and intellectual property. If the Company fails to comply with any of its obligations or otherwise breaches this agreement, Sunnybrook may have the right to terminate the license.

    ​

    7

    Accrued expenses and other current liabilities

    Accrued expenses and other current liabilities, as of March 31, 2025 and December 31, 2024 consist of the following:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Accrued employee compensation

    ​

    1,972

    ​

    706

    Clinical trials

    ​

    423

    ​

    325

    Other general accruals

    ​

    955

    ​

    1,804

    Accrued expenses and other current liabilities

    ​

    3,350

    ​

    2,835

    ​

    7

    Table of Contents

    8

    Long-term debt

    On March 3, 2025, the Company entered into an amended and restated credit agreement with CIBC (the “CIBC Credit Agreement”), which amended the terms of the CIBC Loan and the existing long-term debt provided under the Original CIBC Credit Agreement was repaid with proceeds from a new revolving line of credit provided by CIBC to Profound. This was accounted for as a modification of debt whereby a new effective interest rate was established based on the carrying value of the debt and the revised cash flows. The line of credit bears interest at the Wall Street Journal Prime Rate subject to a floor of 6.25%. The CIBC Credit Agreement contains financial covenants whereby unrestricted cash is at all times greater than EBITDA for the most recent nine-month period, reported on a monthly basis and that revenue for the 12 month period must be 15% greater than revenue for the same time period in the prior fiscal year, reported on a quarterly basis. The obligations are secured by, inter alia, a general security agreement over the assets and the assets of the Company’s subsidiaries. The revolving line of credit matures on March 3, 2027 and provides an option to the Company to increase the amount of the revolving commitment by $5,000 within 18 months from March 3, 2025, subject to achieving a minimum trailing 12 month revenue exceeding $15,000. The exercise of the option would result in the size of the revolving commitment increasing from $10,000 to a maximum of $15,000. Additionally, the CIBC Credit Agreement provides that Profound may request a one-time increase in the principal amount of the revolving line of credit up to a maximum amount of $10,000, which is subject to the approval of CIBC in its sole discretion. The Company is in compliance with these financial covenants as at March 31, 2025. Future compliance with the financial covenants included in the CIBC Credit Agreement is dependent upon achieving certain revenue, EBITDA, and anticipated cash levels.

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 31,

    ​

    December 31,

    ​

        

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Balance - Beginning of period

    ​

    4,661

    ​

    7,104

    Interest expense

    ​

    104

    ​

    600

    Interest paid

    ​

    (56)

    ​

    (582)

    Foreign exchange

    ​

    67

    ​

    (483)

    Repayment

    ​

    (290)

    ​

    (1,978)

    Balance - End of period

    ​

    4,486

    ​

    4,661

    Less: Current portion

    ​

    —

    ​

    1,737

    Long-term portion

    ​

    4,486

    ​

    2,924

    ​

    ​

    9

    Share capital

    Common shares

    The Company is authorized to issue an unlimited number of common shares.

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    March 31,

        

    December 31,

    ​

    ​

    2025

    ​

    2024

    Issued and outstanding (with no par value)

    ​

    $

    ​

    $

    30,053,142 (December 31, 2024 2023 – 30,039,809) common shares

    ​

    281,641

    ​

    281,552

    ​

    Voting Power

    Except as otherwise required by law, the holders of common shares possess all voting power for the election of the Company’s directors and all other matters requiring shareholder action. Holders of common shares are entitled to one vote per share on matters to be voted on by shareholders.

    Dividends

    Holders of common shares will be entitled to receive such dividends, if any, as may be declared from time to time by the Company’s board of directors in its discretion out of funds legally available therefor. In no event will any stock dividends or stock splits or combinations of stock be declared or made on common stock unless the shares of common stock at the time outstanding are treated equally and identically.

    8

    Table of Contents

    Liquidation, Dissolution and Winding Up

    In the event of the Company’s voluntary or involuntary liquidation, dissolution, distribution of assets or winding-up, the holders of the common stock will be entitled to receive an equal amount per share of all of the Company’s assets of whatever kind available for distribution to shareholders, after the rights of the creditors have been satisfied.

    ​

    10

    Share-based payments

    Share options

    Effective May 20, 2020, the Company adopted amendments to the share option plan (the Share Option Plan). The maximum number of common shares reserved for issuance under the share option plan and the long-term incentive plan is 3,905,175 common shares or such other number as may be approved by the holders of the voting shares of the Company.

    As at March 31, 2025, 2,111,036 (December 31, 2024 – 2,291,152) options are outstanding. Each share option granted allows the holder to purchase one common share, at an exercise price not less than the lesser of the closing trading price of the common shares on the TSX (or other exchange where the common shares are listed), on the date a share option is granted and the volume-weighted average price of the common shares for the five trading days immediately preceding the date the share option is granted. Share options granted under the Share Option Plan generally have a maximum term of ten years and vest over a period of up to four years.

    A summary of the share option activity during the period presented and the total number of share options outstanding as at those dates are set forth below:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Weighted 

    ​

    ​

    ​

    ​

    average 

    ​

    ​

    ​

    ​

    exercise 

    ​

    ​

    Number

    ​

    price 

    ​

        

    of options

        

    C$

    Balance – December 31, 2024

     

    2,291,152

     

    14.13

    Granted

     

    7,200

     

    9.87

    Forfeited/expired

     

    (187,316)

     

    18.14

    Balance – March 31, 2025

     

    2,111,036

     

    13.76

    Exercisable - March 31, 2025

     

    1,174,052

     

    15.71

    Expected to vest - March 31, 2025

     

    2,111,036

     

    13.76

    ​

    The Company estimated the fair value of the share options granted during the period using the Black-Scholes option pricing model with the weighted average assumptions below. The Company estimated the expected future stock price volatility for its common stock by using its historical volatility based on daily price observations for the most recent historical period equal to the length of the instrument’s expected life of options.

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    March 19,

    ​

    Grant date

        

    2025

    ​

    Exercise price

     

    C$9.87

    ​

    Expected volatility

     

    68

    %

    Expected life of options

     

    6 years

    ​

    Risk-free interest rate

     

    2.85

    %

    Dividend yield

     

    —

    ​

    ​

    ​

    The weighted average grant date fair values of share options granted for the three months ended March 31, 2025 were C$6.32 (three months ended March 31, 2024 - C$7.01).

    9

    Table of Contents

    Long-term incentive plan

    Effective May 17, 2023, the Company adopted the amended long term incentive plan (the LTIP). The LTIP is an incentive-based equity compensation plan that provides for the grant of restricted share units (the RSUs) and deferred share units (the DSUs, together with the RSUs, the Units). The maximum number of units which may be reserved for issuance under this LTIP in respect of grants of RSUs and DSUs shall not exceed 4.9% of the issued and outstanding common shares on a non-diluted basis, provided that, the maximum number of shares which may be reserved for issuance pursuant to all of the Company’s security-based compensation arrangements shall not in the aggregate exceed 13% of the issued and outstanding common shares on a non-diluted basis. The Company may grant Units to officers, directors or employees of the Company. Each Unit represents the right to receive one common share in accordance with the terms of the LTIP. The number of Units granted at any particular time will be calculated by dividing the dollar amount of such grant by the market value of a common share on the applicable grant date, which is equal to the volume weighted average trading price of all common shares traded on the TSX (or other exchange where the Common Shares are listed) for the five trading days immediately preceding such date. RSUs and DSUs granted under the LTIP vest over a period of up to three years.

    The following table summarizes RSUs activities:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Weighted

    ​

    ​

    ​

    ​

    average grant

    ​

    ​

    ​

    ​

    date fair value 

    ​

    ​

    Number of 

    ​

    per share 

    ​

        

    RSUs

        

    C$

    Balance – December 31, 2024

     

    324,621

     

    11.18

    Granted

     

    242,000

    ​

    10.03

    Vested

     

    (13,333)

    ​

    11.27

    Forfeited

     

    (14,334)

    ​

    9.53

    Balance – March 31, 2025

     

    538,954

    ​

    10.70

    ​

    A summary of the DSUs changes during the period are set forth below:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Weighted

    ​

    ​

    ​

    ​

    average grant

    ​

    ​

    ​

    ​

    date fair value 

    ​

    ​

    Number of 

    ​

    per share 

    ​

        

    DSUs

        

    C$

    Balance - December 31, 2024

     

    91,670

     

    10.40

    Balance – March 31, 2025 and December 31, 2024

     

    91,670

    ​

    10.40

    ​

    Share-based compensation expense

    The following table presents the components and classification of share-based compensation recognized for share options, RSUs, and DSUs for the three months ended March 31, 2025 and 2024:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31,

    ​

    ​

    2025

    ​

    2024

    ​

        

    $

        

    $

    Share options

     

    633

     

    169

    RSUs

     

    242

     

    489

    DSUs

     

    114

     

    109

    Share-based compensation

     

    989

     

    767

    ​

    ​

    ​

    ​

    ​

    Cost of sales

     

    3

     

    15

    Research and development

     

    273

     

    167

    Selling, general and administrative

     

    713

     

    585

    Share-based compensation

     

    989

     

    767

    ​

    ​

    ​

    10

    Table of Contents

    11

    Revenue

    The following table provides information about disaggregated revenue by products and services:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    For the three months ended March 31, 2025

    ​

    ​

    Contracts with

    ​

    ​

    ​

    ​

    ​

    ​

    customers

    ​

    Leasing

    ​

    Total

    ​

        

    $

        

    $

        

    $

    Revenue

     

      

     

      

     

      

    Recurring - non-capital

     

    1,521

     

    280

     

    1,801

    Capital equipment

     

    820

     

    —

     

    820

    ​

     

    2,341

     

    280

     

    2,621

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    For the three months ended March 31, 2024

    ​

    ​

    Contracts with

    ​

    ​

    ​

    ​

    ​

    ​

    customers

    ​

    Leasing

    ​

    Total

    ​

        

    $

        

    $

        

    $

    Revenue

     

      

     

      

     

      

    Recurring - non-capital

     

    1,219

     

    220

     

    1,439

    ​

     

    1,219

     

    220

     

    1,439

    ​

    ​

    12

    Loss per share

    The following table shows the calculation of basic and diluted loss per share:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    Three Months Ended March 31,

    ​

    ​

    2025

    ​

    2024

    ​

    ​

    $

    ​

    $

    Net loss for the period

     

    $

    10,724

     

    $

    6,585

    Weighted average number of common shares

     

    ​

    30,041,735

     

    ​

    24,295,749

    Basic and diluted loss per share

     

    $

    0.36

     

    $

    0.27

    ​

    The computation of diluted loss per share is equal to the basic loss per share due to the anti-dilutive effect of the share options, RSUs and DSUs. Of the 2,111,036 (March 31, 2024 – 1,490,859) share options, 538,954 (March 31, 2024 – 511,730) RSUs, and 91,670 (March 31, 2024 – 75,000) DSUs are not included in the calculation of diluted loss per share for the period ended March 31, 2025, 1,174,052 (March 31, 2024 – 1,273,347) were exercisable.

    ​

    13

    Segment reporting

    The Company’s operations are categorized into one industry segment, which is medical technology focused on magnetic resonance guided ablation procedures for the treatments to ablate the prostate gland, uterine fibroids, osteoid osteoma and nerves for palliative pain relief for patients with metastatic bone disease. The CODM regularly reviews the operating results of the Company on a consolidated basis as part of making decisions for allocating resources and evaluating performance. Further, the CODM is regularly provided with the consolidated expenses as noted on the consolidated statements of operations and comprehensive loss.

    11

    Table of Contents

    The following tables represent total revenue by geographic area, based on the location of the location of the reporting entity for the three months ended March 31, 2025 and 2024, respectively:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    For the three months ended March 31, 2025

    ​

    ​

    Canada

    ​

    USA

    ​

    Germany

    ​

    Total

    ​

        

    $

        

    $

        

    $

        

    $

    Revenue

     

    ​

     

    ​

    ​

    ​

     

    ​

    Recurring - non-capital

    ​

    282

    ​

    1,293

    ​

    226

    ​

    1,801

    Capital equipment

     

    570

     

    250

    ​

    —

     

    820

    ​

     

    852

     

    1,543

    ​

    226

     

    2,621

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    For the three months ended March 31, 2024

    ​

    ​

    Canada

    ​

    USA

    ​

    Germany

    ​

    Total

    ​

        

    $

        

    $

        

    $

        

    $

    Revenue

     

    ​

     

    ​

    ​

    ​

     

    ​

    Recurring - non-capital

    ​

    104

    ​

    1,158

    ​

    177

    ​

    1,439

    ​

     

    104

     

    1,158

    ​

    177

     

    1,439

    ​

    The following tables represent other geographic information for the three months ended March 31, 2025 and the year ended December 31, 2024:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    For the period ended March 31, 2025

    ​

    ​

    Canada

    ​

    USA

    ​

    Germany

    ​

    China

    ​

    Finland

    ​

    Total

    ​

        

    $

        

    $

        

    $

        

    $

        

    $

        

    $

    Total assets

     

    49,910

     

    6,265

     

    1,815

     

    115

     

    2,759

     

    60,864

    Intangible assets

     

    214

     

    —

     

    —

     

    —

     

    —

     

    214

    Property and equipment

     

    79

     

    230

     

    —

     

    —

     

    —

     

    309

    Right-of-use assets

     

    342

     

    —

     

    —

     

    —

     

    —

     

    342

    Amortization of intangible assets

     

    47

     

    —

     

    —

     

    —

     

    —

     

    47

    Depreciation of property and equipment

     

    13

     

    103

     

    —

     

    —

     

    —

     

    116

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    For the year ended December 31, 2024

    ​

    ​

    Canada

    ​

    USA

    ​

    Germany

    ​

    China

    ​

    Finland

    ​

    Total

    ​

        

    $

        

    $

        

    $

        

    $

        

    $

        

    $

    Total assets

     

    58,743

     

    6,351

     

    1,661

     

    92

     

    3,387

     

    70,234

    Intangible assets

     

    261

     

    —

     

    —

     

    —

     

    —

     

    261

    Property and equipment

     

    93

     

    332

     

    —

     

    —

     

    —

     

    425

    Right-of-use assets

     

    396

     

    —

     

    —

     

    —

     

    —

     

    396

    Amortization of intangible assets

     

    229

     

    —

     

    —

     

    —

     

    —

     

    229

    Depreciation of property and equipment

     

    66

     

    641

     

    —

     

    —

     

    —

     

    707

    ​

    ​

    12

    Table of Contents

    ​

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

    As used in this Quarterly Report on Form 10-Q, the “Company”, the “Registrant”, “we” or “us” refer to Profound Medical Corp. The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited condensed consolidated financial statements and related notes that appear elsewhere in this report. In addition to historical financial information, the following discussion contains forward-looking statements that reflect our plans, estimates, assumptions and beliefs. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those discussed in the Risk Factors section of the Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 7, 2025, and elsewhere in this report under “Part II, Other Information—Item 1A, Risk Factors.” Forward-looking statements include information concerning our possible or assumed future results of operations, business strategies and operations, financing plans, potential growth opportunities, potential market opportunities, potential results of our development efforts or trials, and the effects of competition. Forward-looking statements include all statements that are not historical facts and can be identified by terms such as “anticipates,” “believes,” “could,” “seeks,” “estimates,” “expects,” “intends,” “may,” “plans,” “potential,” “predicts,” “projects,” “should,” “will,” “would” or similar expressions and the negatives of those terms. Given these uncertainties, you should not place undue reliance on these forward-looking statements. Also, forward-looking statements represent our management’s plans, estimates, assumptions and beliefs only as of the date of this report. Except as required by law, we assume no obligation to update these forward-looking statements publicly or to update the reasons actual results could differ materially from those anticipated in these forward-looking statements, even if new information becomes available in the future. Unless stated otherwise, all references to “$” are to United States dollars in thousands and all references to “C$” are to Canadian dollars in thousands.

    Overview

    We are a commercial-stage medical device company focused on the development and marketing of customizable, incision-free therapeutic systems for the image guided ablation of diseased tissue utilizing its platform technologies and leveraging the healthcare system’s existing imaging infrastructure. Our lead product (the “TULSA-PRO system”) combines real-time MRI, robotically driven transurethral sweeping-action thermal ultrasound with closed-loop temperature feedback control for the ablation of prostate tissue. The product is comprised of one-time-use devices and durable equipment that are used in conjunction with a customer’s existing MRI scanner.

    We are commercializing TULSA-PRO, a technology that combines real-time MRI, robotically-driven transurethral ultrasound and closed-loop temperature feedback control. The TULSA procedure, performed using the TULSA-PRO system, has the potential of becoming a mainstream treatment modality across the entire prostate disease spectrum; ranging from low-, intermediate-, or high-risk prostate cancer; to hybrid patients suffering from both prostate cancer and benign prostatic hyperplasia (“BPH”); to men with BPH only; and also, to patients requiring salvage therapy for radio-recurrent localized prostate cancer. TULSA employs real-time MR guidance for pixel-by-pixel precision to preserve prostate disease patients’ urinary continence and sexual function, while killing the targeted prostate tissue via a precise sound absorption technology that gently heats it to kill temperature (55-57°C). TULSA is an incision- and radiation-free “one-and-done” procedure performed in a single session that takes a few hours. Virtually all prostate shapes and sizes can be safely, effectively, and efficiently treated with TULSA. There is no bleeding associated with the procedure; no hospital stay is required; and most TULSA patients report quick recovery to their normal routine. TULSA-PRO is CE marked, Health Canada approved, and 510(k) cleared by the U.S. Food and Drug Administration (“FDA”).

    We are also commercializing Sonalleve, an innovative therapeutic platform that is CE marked for the treatment of uterine fibroids and palliative pain treatment of bone metastases. Sonalleve has also been approved by the China National Medical Products Administration for the non-invasive treatment of uterine fibroids and has FDA approval under a Humanitarian Device Exemption for the treatment of osteoid osteoma. We are in the early stages of exploring additional potential treatment markets for Sonalleve where the technology has been shown to have clinical application, such as non-invasive ablation of abdominal cancers and hyperthermia for cancer therapy.

    We deploy a hybrid recurring revenue business model in the United States to market TULSA-PRO, i) charging a one-time payment that includes a supply of our one-time-use device, use of the system as well as our Genius services that support each TULSA center with clinical and patient recruitment and ii) a traditional model of charging for the system separately as capital and an additional per patient charge for the one-time-use devices and associated Genius services. The Sonalleve product is marketed primarily outside North America in European and Asian countries, deploying a capital sales model. Outside of North America, we generate most of our revenues from our system sales in Europe and Asia, where we deploy a more traditional hybrid business model, charging for the system separately as a capital sale and an additional per patient charge for the one-time-use devices and associated Genius services.

    13

    Table of Contents

    Results of Operations

    Comparison of Three Months Ended March 31, 2025 and 2024

    The following selected financial information as at and for the three months ended March 31, 2025 and 2024 have been derived from the unaudited consolidated financial statements and should be read in conjunction with those unaudited consolidated financial statements and related notes.

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    For the three months ended March 31, 

    ​

    ​

    2025

        

    2024

    ​

    ​

    $

    ​

    $

    Revenue

    ​

    ​

    2,621

    ​

    ​

    1,439

    Operating expenses

    ​

     

    13,019

    ​

    ​

    8,743

    Other (income) expense

    ​

     

    (483)

    ​

    ​

    (1,332)

    Net loss for the period

    ​

     

    10,724

    ​

    ​

    6,585

    Basic and diluted loss per share

    ​

     

    0.36

    ​

    ​

    0.27

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    For the three months ended

     

    ​

        

    March 31, 

    ​

    ​

    ​

    2025

    ​

    2024

    ​

    Change

     

    ​

    ​

    $

        

    $

        

    $

        

    %

     

    Revenue

    ​

    2,621

    ​

    1,439

    ​

    1,182

    ​

    82

    %

    Cost of sales

     

    768

    ​

    573

    ​

    195

    ​

    34

    %

    Gross profit

     

    1,853

    ​

    866

    ​

    987

    ​

    114

    %

    Gross margin

    ​

    71

    %

    60

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Expenses

     

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Research and development

     

    4,808

    ​

    3,945

    ​

    863

    ​

    22

    %

    Selling, general and administrative

     

    8,211

    ​

    4,798

    ​

    3,413

    ​

    71

    %

    Total operating expenses

     

    13,019

    ​

    8,743

    ​

    4,276

    ​

    49

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Other (income) expense

     

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net finance (income) expense

     

    (445)

    ​

    (462)

    ​

    17

    ​

    (4)

    %

    Net foreign exchange (gain) loss

     

    (38)

     

    (870)

     

    832

     

    (96)

    %

    Total other (income) expense

     

    (483)

    ​

    (1,332)

    ​

    849

    ​

    (64)

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss before income taxes

     

    10,683

    ​

    6,545

    ​

    4,138

    ​

    63

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Income taxes

     

    41

    ​

    40

    ​

    1

    ​

    3

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss attributed to shareholders for the period

     

    10,724

    ​

    6,585

    ​

    4,139

    ​

    63

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Other comprehensive (income) loss

     

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Item that may be reclassified to profit or loss

     

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Foreign currency translation adjustment

     

    (103)

    ​

    969

    ​

    (1,072)

    ​

    (111)

    %

    Net loss and comprehensive loss for the period

     

    10,621

    ​

    7,554

    ​

    3,067

    ​

    41

    %

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Loss per share

     

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Basic and diluted net loss per common share

     

    0.36

    ​

    0.27

    ​

    0.09

    ​

    33

    %

    Basic and diluted weighted average common share outstanding

     

    30,041,735

    ​

    24,295,749

    ​

    ​

    ​

    ​

    ​

    ​

    14

    Table of Contents

    Key Components of Our Results of Operations

    Revenue

    We deploy a hybrid recurring revenue business model in the United States to market TULSA-PRO, i) charging a one-time payment that includes a supply of our one-time-use device, use of the system as well as our Genius services that support each TULSA center with clinical and patient recruitment and ii) a traditional model of charging for the system separately as capital and an additional per patient charge for the one-time-use devices and associated Genius services. The Sonalleve product is marketed primarily outside North America in European and Asian countries deploying a one-time capital sales model with limited recurring service revenue. Outside of North America, we generate most of our revenues from our system sales (both TULSA-PRO and Sonalleve) in Europe and Asia where we deploy a more traditional hybrid business model, charging for the system separately as capital and an additional per patient charge for the one-time-use devices and associated Genius services. Revenue is comprised of recurring – non-capital revenue, which consists of the sale of one-time-use devices, lease of medical devices, procedures and services associated with extended warranties and capital equipment, which is the one-time sale of capital equipment.

    For the three months ended March 31, 2025, we recorded revenue totaling $2,621, consisting of $820 from the one-time sale of capital equipment and $1,801 from recurring – non-capital revenue. For the three months ended March 31, 2024, we recorded revenue of $1,439, consisting entirely of recurring – non-capital revenue. The increase of $1,182, or 82%, in revenue for the three months ended March 31, 2025 compared to the three months ended March 31, 2024 was the result of higher recurring revenue in the United States and capital sales overseas during the first quarter of 2025.

    Cost of Sales

    Cost of sales primarily includes the cost of finished goods, depreciation of equipment under lease, inventory write-downs, royalties, warranty expenses, freight and direct overhead and labor expenses necessary to acquire or manufacture the finished goods.

    For the three months ended March 31, 2025, we recorded a cost of sales of $768, related to the sale of medical devices, capital and non-capital, which reflects a 71% gross profit. For the three months ended March 31, 2024, we recorded a cost of sales of $573, related to the sale of medical devices, which reflects a 60% gross profit. The increase of $195, or 34%, in cost of sales for the three months ended March 31, 2025 compared to the three months ended March 31, 2024 was the result of different product combination whereby more capital equipment was sold which contains a higher margin. The gross profit was higher in the three months ended March 31, 2025 by $987, or 114%, due to manufacturing operating at higher efficiency rates based on improvements that have been implemented and the growth in the number of capital systems sold.

    Operating Expenses

    Operating expenses consist of two components: research and development (“R&D”) and selling, general and administrative (“SG&A”).

    R&D Expenses

    R&D expenses are comprised of costs incurred in performing R&D activities, including new product development, continuous product improvement, investment in clinical trials and related clinical manufacturing costs, materials and supplies, salaries and benefits, consulting fees, patent procurement costs, and occupancy costs related to R&D activity.

    For the three months ended March 31, 2025, R&D expenses increased by $863, or 22%, to $4,808 compared to $3,945 for the three months ended March 31, 2024. The increase in R&D expenses was largely due to increased headcount, increased enrolment for the CAPTAIN trial and recruitment efforts, and higher material expenditures due to spending on R&D initiatives to increase compatibility with MRI scanners, reduce design costs and improve efficiencies. These expenses promote the ongoing development and improvement of the products while further strengthening the commitment to a reliable and customizable product.

    15

    Table of Contents

    SG&A expenses

    Selling, general and administrative expenses are comprised of business development costs related to the market development activities and commercialization of our systems, including salaries and benefits, marketing support functions, occupancy costs, insurance, various management and administrative support functions and other miscellaneous marketing and management costs.

    SG&A expenses for the three months ended March 31, 2025 increased by $3,413, or 71%, to $8,211 compared to $4,798 for the three months ended March 31, 2024. The increase in SG&A was due to increased sales force and commission payments, increased travel for conferences, and costs associated with hosting our educational event Pro-Talk Live in February 2025.

    Net finance (income) expense

    Net finance (income) expense is primarily comprised of the following: (i) the CIBC Credit Agreement (as defined herein) accreting to the principal amount repayable and its related interest expense; (ii) interest income from cash and cash equivalents; (iii) the lease liability interest expense; and (iv) the interest income on trade and other receivables.

    Net finance (income) expense decreased $17 to ($445) during the three months ended March 31, 2025, compared to $(462) during the three months ended March 31, 2024. The decrease in net finance (income) expense was due to decrease in interest income from cash and cash equivalents.

    Liquidity and Capital Resources

    As of March 31, 2025, we had cash and cash equivalents of $46,433 compared to $54,912 as of December 31, 2024. Historically, our primary source of cash has been financing activities, e.g., equity offerings as well as the CIBC Credit Agreement (as defined below).

    Based on our current operating plans, we expect that our existing cash and sales of our products and services will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months from the date of the issuance of these unaudited consolidated financial statements. During that time, we expect that our expenses will increase, primarily due to the continued commercialization of TULSA-PRO and Sonalleve. We have based these estimates on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we expect.

    Use of Proceeds

    2024 Public Offering

    We received net proceeds of $36,132 from our public offering completed on December 10, 2024 (the “2024 Public Offering”). We intend to use net proceeds from the 2024 Public Offering to fund the continued commercialization of the TULSA-PRO system in the United States, the continued development and commercialization of the TULSA-PRO system and the SONALLEVE system globally and for working capital and general corporate purposes. In addition, there have been no material adjustments to the cost or timing of the business objective previously disclosed in such prospectus supplement.

    ​

    ​

    ​

    ​

    ​

    Total spending of proceeds

    ​

    ​

    from the 2024 Public

    ​

    ​

    Offering as of

    ​

        

    March 31, 2025

    ​

    ​

    $

    TULSA-PRO commercialization

    ​

    7,060

    Sonalleve development and commercialization

    ​

    2,541

    Working capital and general corporate purposes

     

    2,560

    Total

     

    12,161

    ​

    16

    Table of Contents

    CIBC Loan

    We entered into a credit agreement with Canadian Imperial Bank of Commerce (“CIBC”) on November 3, 2022 (the “Original CIBC Credit Agreement”), for gross proceeds of C$10,000, maturing on November 3, 2027, with an interest rate based on CIBC prime plus 2% (the “CIBC Loan”). We were required to make interest-only payments until October 31, 2023, and monthly repayments on the principal of C$208 plus accrued interest commenced on October 31, 2023. All of our obligations under the Original CIBC Credit Agreement are guaranteed by our current and future subsidiaries and include security of first priority interests in our and our subsidiaries’ assets. Initially, we had financial covenants in relation to the CIBC Loan where unrestricted cash is at all times greater than EBITDA for the most recent six-month period, reported on a monthly basis and that revenue for any fiscal quarter must be 15% greater than revenue for the same fiscal quarter in the prior fiscal year, reported on a quarterly basis.

    On March 3, 2025, we entered into an amended and restated credit agreement with CIBC (the “CIBC Credit Agreement”), which amended the terms of the CIBC Loan and the existing long-term debt provided under the Original CIBC Credit Agreement was repaid with proceeds from a new revolving line of credit provided by CIBC to us. The line of credit bears interest at the Wall Street Journal Prime Rate subject to a floor of 6.25%. The CIBC Credit Agreement contains certain financial covenants, and the obligations thereunder are secured by, inter alia, a general security agreement over our assets and the assets of our subsidiaries. The revolving line of credit matures on March 3, 2027 and provides an option to us to increase the amount of the revolving commitment by $5,000 within 18 months from March 3, 2025, subject to achieving a minimum trailing 12 month revenue exceeding $15,000. The exercise of the option would result in the size of the revolving commitment increasing from $10,000 to a maximum of $15,000. Additionally, the CIBC Credit Agreement provides that we may request a one-time increase in the principal amount of the revolving line of credit up to a maximum amount of $10,000, which is subject to the approval of CIBC in its sole discretion.

    Cash Flows

    The following table summarizes our cash flows for each of the periods presented (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three months ended March 31,

    ​

    ​

    2025

    ​

    2024

    ​

        

    $

        

    $

    Cash provided by (used in) operating activities

    ​

    (8,283)

    ​

    (4,529)

    Cash provided by (used in) financing activities

     

    (290)

     

    20,456

    Foreign exchange on cash

     

    94

     

    (960)

    Net increase (decrease) in cash

     

    (8,479)

     

    14,967

    ​

    Operating Activities

    Net cash used in operating activities for the three months ended March 31, 2025 was $(8,283). The principal use of the operating cash flows during the period related to a net loss of $10,724 and an increase in net operating assets and liabilities of $1,250 and an increase in non-cash charges of $1,191. The cash used in operating expenses was primarily due to the increased efforts supporting the commercialization and expansion of our products. This resulted in an increase in headcount, travel, clinical trial costs and marketing fees. Non-cash charges consisted primarily of share-based compensation, amortization and depreciation.

    Net cash provided by (used in) operating activities for the three months ended March 31, 2024 was $(4,529). The principal use of the operating cash flows during the period related to a net loss of $6,585 and an increase in net operating asset and liabilities of $949 and by non-cash charges of $1,107. The cash used in operating expenses was primarily due to the increased sales and marketing efforts in the US and overall consulting and legal fees. Non-cash charges consisted primarily of share-based compensation, amortization and depreciation.

    Financing Activities

    Net cash provided by (used in) financing activities for the three months ended March 31, 2025 was $(290) primarily from the repayments of long-term debt principal.

    Net cash provided by (used in) financing activities for the three months ended March 31, 2024 was $20,456 primarily from the proceeds from the issuance of common shares of $21,079, net of issuance costs, which were offset by the $623 repayments of long-term debt.

    17

    Table of Contents

    Foreign Exchange on Cash

    Cash was impacted by the change in the foreign exchange rates for the Company’s foreign currency denominated cash (non-USD). The value of our currencies decreased, resulting in a decrease in our cash holdings.

    Funding Requirements

    Based on our current operating plans, we expect that our existing cash and sales of our products and services will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months from the date of the issuance of these unaudited consolidated financial statements. During that time, we expect that our expenses will increase, primarily due to the continued commercialization of TULSA-PRO and Sonalleve.

    We manage liquidity risk by monitoring actual and projected cash flows. A cash flow forecast is performed regularly to ensure that we have sufficient cash to meet our operational needs while maintaining sufficient liquidity. Our cash requirements depend on numerous factors, including market acceptance of our products, the resources devoted to developing and supporting the products and other factors. We expect to continue to devote substantial resources to expand procedure adoption and acceptance of our products.

    We may require additional capital to fund R&D activities and any significant expansion of operations. Potential sources of capital could include equity and/or debt financings, development agreements or marketing agreements, the collection of revenue resulting from future commercialization activities and/or new strategic partnership agreements to fund some or all costs of development. There can be no assurance that we will be able to obtain the capital sufficient to meet any or all of our needs. The availability of equity or debt financing will be affected by, among other things, the results of R&D, our ability to obtain regulatory approvals, the market acceptance of our products, the state of the capital markets generally, strategic alliance agreements and other relevant commercial considerations. In addition, if we raise additional funds by issuing equity securities, existing security holders will likely experience dilution, and any incurring of indebtedness would result in increased debt service obligations and could require us to agree to operating and financial covenants that would restrict operations. Any failure on our part to raise additional funds on terms favorable to us or at all may require us to significantly change or curtail current or planned operations in order to conserve cash until such time, if ever, that sufficient proceeds from operations are generated, and could result in us not being in a position to take advantage of business opportunities, in the termination or delay of clinical trials for our products, in curtailment of product development programs designed to identify new products, in the sale or assignment of rights to technologies, product and/or an inability to file market approval applications at all or in time to competitively market products.

    Critical Accounting Policies and Estimates

    There have been no significant changes to our critical accounting policies since December 31, 2024. For a description of critical accounting policies that affect our significant judgments and estimates used in the preparation of our unaudited condensed consolidated financial statements, refer to Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” contained in our Annual Report on Form 10-K dated March 7, 2025.

    Recent Accounting Pronouncements

    See Note 2 to our Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q is incorporated herein by reference.

    Item 3. Quantitative and Qualitative Disclosures About Market Risk.

    Not applicable.

    ​

    18

    Table of Contents

    Item 4. Controls and Procedures.

    Evaluation of Disclosure Controls and Procedures

    Our management maintains disclosure controls and procedures that are designed to ensure that information required to be disclosed in our periodic and current reports that we file with the SEC is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives, and management necessarily applies its judgment in evaluating the cost benefit relationship of possible controls and procedures.

    Our principal executive officer and principal financial officer, after evaluating the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) as of March 31, 2025, have concluded that, based on such evaluation, our disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and is accumulated and communicated to our management, including our principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. You should read this description of our controls and procedures together with “Item 9A. Controls and Procedures” included in our Annual Report. on Form 10-K, which was filed with the SEC on March 7, 2025.

    Changes in Internal Control Over Financial Reporting

    Other than the material weakness remediation activities described below, there were no changes in our internal control over financial reporting, as identified in connection with evaluation required by Rules 13a-15(e) and 15d-15(e) under the Exchange Act, that occurred during the three months ended March 31, 2025 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

    Based on our assessment, management believes that, as of December 31, 2024, the Company’s internal control over financial reporting was not effective based on those criteria as a result of a material weakness in internal control over financial reporting discussed in the paragraphs below.

    A material weakness is a deficiency, or a combination of deficiencies, such that there is a reasonable possibility that a material misstatement of the Company’s annual or interim financial statements will not be prevented or detected on a timely basis.

    In conjunction with the preparation of the Company’s financial statements for the year ended December 31, 2024, and specifically in connection with the recognition of revenue under ASC 606, Revenue from contracts with customers, management determined that the controls over the review of contract terms and arrangements with customers did not operate effectively during 2024. This material weakness resulted in audit adjustments to revenue, trade and other receivables and prepaid expenses, deposits and other assets, which were recorded prior to the issuance of the consolidated financial statements as of and for the year ended December 31, 2024. Management considered these adjustments to constitute a material weakness that required remediation.

    During the three months ended March 31, 2025, we have taken steps of implementing our remediation plans with respect to the material weakness identified in our internal control over financial reporting. Specifically, in an effort to address the identified material weakness and enhance our internal controls related to revenue recognition, management has commenced efforts to expand the finance team to include more Chartered Professional Accountants (CPAs) with technical expertise and experience in evaluating more complex areas of US GAAP, specifically contract terms and arrangements with customers, and engaged third-party consultants to assist with assessing the accounting for more complex revenue contracts, as necessary. Management’s efforts are ongoing and its remediation plan is expected to be completed during 2025.

    While we believe that these efforts will improve our internal control over financial reporting in accordance with U.S. GAAP and SEC reporting requirements, the implementation of these measures is ongoing and will require validation and testing of the design and operating effectiveness of internal controls over a sustained period of financial reporting cycles. This material weakness could result in misstatements of the company’s financial statement accounts and disclosures that could result in a material misstatement to the annual or interim consolidated financial statements that would not be prevented or detected. The material weaknesses will not be considered remediated until our management designs and implements effective controls that operate for a sufficient period of time and our

    19

    Table of Contents

    management has concluded through testing that these controls are effective. We cannot assure you that the measures we have taken to date, and are continuing to implement, will be sufficient to establish and maintain effective internal control over financial reporting.

    ​

    PART II—OTHER INFORMATION

    Item 1. Legal Proceedings.

    From time to time, we may be subject to legal proceedings. We are not currently a party to or aware of any proceedings that we believe will have, individually or in the aggregate, a material adverse effect on our business, financial condition or results of operations. Regardless of outcome, litigation can have an adverse impact on us because of defense and settlement costs, diversion of management resources, and other factors.

    Item 1A. Risk Factors.

    Our business is subject to a number of risks, including risks that may prevent us from achieving our business objectives or may adversely affect our business, financial condition, results of operations, cash flows, and prospects. These risks are discussed more fully in the section entitled “Risk Factors” in our Annual Report on Form 10-K filed with the SEC on March 7, 2025 (the “2024 Annual Report”). There have been no material changes to the risk factors described in the 2024 Annual Report.

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

    None.

    Item 3. Defaults Upon Senior Securities.

    None.

    ​

    Item 4. Mine Safety Disclosures.

    None.

    Item 5. Other Information.

    Rule 10b5-1 Trading Plans

    During the three months ended March 31, 2025, none of our directors or executive officers adopted, modified or terminated any contract, instruction or written plan for the purchase or sale of our securities that was intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) or any “non-Rule 10b5-1 trading arrangement” as defined in Item 408(c) of Regulation S-K.

    ​

    20

    Table of Contents

    Item 6. Exhibits.

    Exhibit Number

        

    Exhibit Description

        

    Filed with this Report

        

    Incorporated by Reference herein from Form or Schedule

        

    Filing Date

        

    SEC File/Reg. Number

    3.1

    ​

    Articles of Incorporation

    ​

    ​

    ​

    Form S-8
    (Exhibit 4.1)

    ​

    11/7/2019

    ​

    333-234574

    3.2

    ​

    Articles of Amendment

    ​

    ​

    ​

    Form S-8
    (Exhibit 4.2)

    ​

    11/7/2019

    ​

    333-234574

    3.3

    ​

    Articles of Amalgamation

    ​

    ​

    ​

    Form S-8
    (Exhibit 4.3)

    ​

    11/7/2019

    ​

    333-234574

    3.4

    ​

    Bylaws

    ​

    ​

    ​

    Form S-8
    (Exhibit 4.4)

    ​

    11/7/2019

    ​

    333-234574

    10.1

    ​

    Amended and Restated Credit Agreement, dated March 3, 2025, between the Company and Canadian Imperial Bank of Commerce

    ​

    ​

    ​

    Form 10-K
    (Exhibit 10.9)

    ​

    3/7/2025

    ​

    001-39032

    31.1

    ​

    Certification of the Company’s Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    31.2

    ​

    Certification of the Company’s Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    32†

    ​

    Certification of the Company’s Principal Executive Officer and Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    101.INS

    ​

    Inline XBRL Instance Document

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    101.SCH

    ​

    Inline XBRL Taxonomy Extension Schema Document

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    101.CAL

    ​

    Inline XBRL Taxonomy Extension Calculation Linkbase Document

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    101.DEF

    ​

    Inline XBRL Taxonomy Extension Definition Linkbase Document

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    101.LAB

    ​

    Inline XBRL Taxonomy Extension Label Linkbase Document

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    101.PRE

    ​

    Inline XBRL Taxonomy Extension Presentation Linkbase Document

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    104

    ​

    Cover Page Interactive Data File (formatted as iXBRL and contained in Exhibit 101).

    ​

    X

    ​

    ​

    ​

    ​

    ​

    ​

    *

    Filed herewith.

    †The certifications attached as Exhibit 32 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 the Company 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 such Form 10-Q), irrespective of any general incorporation language contained in such filing.

    ​

    21

    Table of Contents

    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.

    ​

    ​

    PROFOUND MEDICAL CORP.

    ​

    ​

    ​

    ​

    Date:May 8, 2025

    By:

    /s/ Arun Menawat

    ​

    ​

    ​

    Name: Arun Menawat

    ​

    ​

    ​

    Title: Chief Executive Officer

    ​

    ​

    ​

    (Principal Executive Officer)

    ​

    ​

    ​

    ​

    Date:May 8, 2025

    ​

    By:

    /s/ Rashed Dewan

    ​

    ​

    ​

    Name: Rashed Dewan

    ​

    ​

    ​

    Title: Chief Financial Officer

    ​

    ​

    ​

    (Principal Financial and Accounting Officer)

    ​

    ​

    ​

    ​

    ​

    22

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