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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 June 30, 2026

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 August 6, 2026, the registrant had 36,532,594 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 June 30, 2026.

Table of Contents

Form 10-Q – QUARTERLY REPORT

For the Quarter Ended June 30, 2026

Table of Contents

Page

PART I.

Financial Information

Item 1.

Condensed Consolidated Financial Statements

Condensed Consolidated Balance Sheets (Unaudited)

1

Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited)

2

Condensed Consolidated Statements of Shareholders’ Equity (Unaudited)

3

Condensed Consolidated Statements of Cash Flows (Unaudited)

5

Notes to Condensed Consolidated Financial Statements

6

Item 2.

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

16

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

23

Item 4.

Controls and Procedures

23

PART II.

Other Information

23

Item 1.

Legal Proceedings

23

Item 1A.

Risk Factors

23

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

23

Item 3.

Defaults Upon Senior Securities

24

Item 4.

Mine Safety Disclosures

24

Item 5.

Other Information

24

Item 6.

Exhibits

24

Signatures

25

i

Table of Contents

Profound Medical Corp.

CONDENSED CONSOLIDATED BALANCE SHEETS

(USD in thousands, except per share data)

(unaudited)

June 30, 

December 31, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Assets

Current assets:

Cash

38,271

 

59,723

Trade and other receivables, net (note 3)

9,614

 

7,200

Inventory (note 4)

10,456

 

8,238

Prepaid expenses and deposits

523

 

928

Total current assets

58,864

 

76,089

Trade and other receivables, net (note 3)

300

Property and equipment, net (note 5)

556

 

698

Intangible assets, net (note 6)

121

 

138

Right-of-use assets, net (note 9)

2,763

 

184

Deferred tax assets, net

81

66

Total assets

62,385

 

77,475

Liabilities

 

Current liabilities:

 

Accounts payable

955

 

1,563

Accrued expenses and other current liabilities (note 7)

3,127

 

3,815

Deferred revenue

342

 

445

Long-term debt (note 8)

4,507

 

Lease liabilities (note 9)

119

 

213

Income tax payable

63

 

39

Total current liabilities

9,113

 

6,075

Deferred revenue

618

 

388

Long-term debt (note 8)

 

4,499

Lease liabilities (note 9)

2,754

 

Other non-current liabilities

92

 

79

Total liabilities

12,577

 

11,041

Shareholders’ equity

 

Common shares, no par value, unlimited shares authorized, 36,532,594 and 36,293,640 issued and outstanding at June 30, 2026 and December 31, 2025, respectively (note 10)

325,383

 

323,839

Additional paid-in capital

25,688

 

25,310

Accumulated other comprehensive income

3,070

 

5,025

Accumulated deficit

(304,333)

 

(287,740)

Total shareholders’ equity

49,808

 

66,434

Total liabilities and shareholders’ equity

62,385

 

77,475

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 COMPREHENSIVE LOSS

(USD in thousands, except per share data)

(unaudited)

Three Months Ended June 30, 

Six Months Ended June 30, 

  ​ ​ ​

2026

  ​ ​ ​

2025

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

$

$

Revenue (note 12)

Recurring - non-capital

 

1,612

 

1,561

4,086

 

3,362

Capital equipment

 

871

 

650

3,734

 

1,470

 

2,483

 

2,211

7,820

 

4,832

Cost of sales

 

536

 

593

2,041

 

1,361

Gross profit

 

1,947

 

1,618

5,779

 

3,471

Operating expenses

 

 

 

Research and development

 

5,654

 

6,098

10,916

 

10,906

Selling, general and administrative

 

7,359

 

9,326

13,950

 

17,537

Total operating expenses

 

13,013

 

15,424

24,866

 

28,443

Operating loss

 

11,066

 

13,806

19,087

 

24,972

Other (income) expenses

 

 

 

Net finance income

 

(336)

 

(343)

(713)

 

(788)

Net foreign exchange (gain) loss

 

(1,245)

 

2,168

(1,861)

 

2,130

Total other (income) expenses

 

(1,581)

 

1,825

(2,574)

 

1,342

Net loss before income taxes

 

9,485

 

15,631

16,513

 

26,314

Income tax expense

 

68

 

78

95

 

119

Deferred tax recovery

 

(13)

 

(14)

(15)

 

(14)

Total income tax expense

55

64

80

105

Net loss attributed to shareholders for the period

 

9,540

 

15,695

16,593

 

26,419

Other comprehensive (income) loss

 

 

 

Item that may be reclassified to (income) loss

 

 

 

Foreign currency translation adjustment

 

950

 

(2,713)

1,955

 

(2,816)

Net loss and other comprehensive loss for the period

 

10,490

 

12,982

18,548

 

23,603

Loss per share (note 13)

 

 

 

Basic and diluted net loss per common share

 

0.26

 

0.52

0.46

 

0.88

Basic and diluted weighted average common shares outstanding

 

36,350,665

 

30,053,142

36,324,393

 

30,055,047

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, 2025

 

36,293,640

 

323,839

 

25,310

 

5,025

 

(287,740)

 

66,434

Net loss for the period

 

 

 

 

 

(7,053)

 

(7,053)

Cumulative translation adjustment – net of tax of $nil

 

 

 

 

(1,005)

 

 

(1,005)

Vesting of DSUs (note 11)

10,000

68

(68)

Vesting of RSUs (note 11)

33,997

256

(256)

Share-based compensation (note 11)

 

 

 

1,048

 

 

 

1,048

Balance – March 31, 2026

 

36,337,637

 

324,163

 

26,034

 

4,020

 

(294,793)

 

59,424

Net loss for the period

 

 

 

 

 

(9,540)

 

(9,540)

Cumulative translation adjustment – net of tax of $nil

 

 

 

 

(950)

 

 

(950)

Vesting of DSUs (note 11)

 

16,128

 

96

 

(96)

 

 

 

Vesting of RSUs (note 11)

178,829

1,124

(1,124)

Share-based compensation (note 11)

 

 

 

874

 

 

 

874

Balance – June 30, 2026

 

36,532,594

 

325,383

 

25,688

 

3,070

 

(304,333)

 

49,808

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

3

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

Total

  ​ ​ ​

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 11)

13,333

89

(89)

Share-based compensation (note 11)

 

 

 

989

 

 

 

989

Balance – March 31, 2025

 

30,053,142

 

281,641

 

22,198

 

2,845

 

(255,894)

 

50,790

Net loss for the period

(15,695)

(15,695)

Cumulative translation adjustment – net of tax of $nil

2,713

2,713

Share-based compensation (note 11)

1,451

1,451

Balance – June 30, 2025

30,053,142

281,641

23,649

5,558

(271,589)

39,259

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

4

Table of Contents

Profound Medical Corp.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(USD in thousands)

(unaudited)

Six Months Ended June 30, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Cash flows from operating activities

 

  ​

 

  ​

Net loss for the period

 

(16,593)

(26,419)

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

 

Depreciation of property and equipment (note 5)

 

219

218

Amortization of intangible assets (note 6)

 

16

86

Non-cash lease expense adjustment

 

99

(19)

Share-based compensation (note 11)

 

1,922

2,440

Interest and accretion expense

 

9

51

Changes in operating assets and liabilities:

 

Trade and other receivables (note 3)

 

(2,473)

2,449

Inventory (note 4)

 

(2,686)

(2,723)

Prepaid expenses and deposits

 

384

1,042

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

 

(991)

545

Deferred revenue

 

164

317

Income taxes payable

 

27

Deferred tax assets

 

(18)

(14)

Net cash used in operating activities

 

(19,921)

(22,027)

Cash flows from financing activities

 

Repayments of long-term debt (note 8)

(290)

Net cash provided by (used in) financing activities

(290)

Net increase (decrease) in cash

(19,921)

(22,317)

Effect of exchange rate changes on cash

(1,531)

2,600

Cash, beginning of period

59,723

54,912

Cash, end of period

38,271

35,195

Supplemental cash flow information:

Interest paid

150

139

Income taxes paid, included in operating activities

69

65

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

5

Table of Contents

Profound Medical Corp.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

1Description of business

Profound Medical Corp. (Profound) (the Company) was 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 condensed consolidated financial statements

The condensed consolidated balance sheet as of June 30, 2026, the condensed consolidated statements of operations and comprehensive loss for the three and six months ended June 30, 2026 and 2025, the condensed consolidated statements of shareholders’ equity for the three and six months ended June 30, 2026 and 2025, and the condensed consolidated statements of cash flows for the six months ended June 30, 2026 and 2025, are unaudited. The financial data and other information disclosed in these notes to the consolidated financial statements related to June 30, 2026, and the three and six months ended June 30, 2026 and 2025, are also unaudited. The accompanying condensed consolidated balance sheet as of December 31, 2025, has been derived from the audited consolidated financial statements included in the Annual Report on Form 10-K (“Annual Report”) filed with the Securities and Exchange Commission on March 5, 2026.

The unaudited condensed consolidated 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 June 30, 2026, and the results of its operations and cash flows for the three and six months ended June 30, 2026 and 2025. The results for the three and six months ended June 30, 2026, are not necessarily indicative of results to be expected for the year ending December 31, 2026, or for any other period or for any future year and should be read in conjunction with the annual consolidated financial statements included in the Annual Report.

Use of estimates

The preparation of the Company’s 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 consolidated financial statements, and the reported amounts of revenue and expenses during the reporting period. Significant estimates and assumptions reflected in these consolidated financial statements include, but are not limited to, assumptions related to the determination of expected credit losses, 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.

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Table of Contents

Recent Accounting Pronouncements

In January 2026, the Company adopted ASU 2025-05, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets. The Company elected the practical expedient to assume that current conditions as of the balance-sheet date remain unchanged for the remaining life of its current accounts receivable and contract assets. The adoption of this guidance did not have a material impact on the Company’s condensed consolidated financial statements.

3

Trade and other receivables, net

Trade receivables and other receivables, net, as of June 30, 2026 and December 31, 2025 consists of the following:

June 30, 

December 31, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Trade receivables, gross

 

9,584

 

7,621

Contract assets, gross

386

Trade receivables and contract assets

9,584

8,007

Allowance for expected credit losses

 

(577)

 

(898)

Trade receivables, net

 

9,007

 

7,109

Tax receivables

 

427

 

311

Other receivables

 

180

 

80

Total trade and other receivables, net

 

9,614

 

7,500

Less: Current portion

9,614

7,200

Long-term portion

300

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

  ​ ​ ​

June 30, 

  ​ ​ ​

December 31, 

2026

2025

$

$

Balance - Beginning of the period

898

158

Write off against the allowance

(375)

Provision for allowance for expected credit losses

54

740

Balance - End of the period

577

898

4

Inventory

Inventory as of June 30, 2026 and December 31, 2025 consists of the following:

June 30, 

December 31, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Finished goods

 

5,899

 

5,280

Raw materials

 

4,557

 

2,958

Inventory

 

10,456

 

8,238

During the three and six months ended June 30, 2026, $428 and $1,861, respectively (three and six months ended June 30, 2025 - $496 and $1,156, respectively) of inventory was recognized in cost of sales.

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5

Property and equipment, net

The major components of property and equipment, net, as of June 30, 2026 and December 31, 2025 consist of the following:

June 30, 

December 31, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Leasehold improvements

 

542

 

542

Equipment

176

176

Equipment under operating lease

 

1,494

 

1,571

Total

 

2,212

 

2,289

Accumulated depreciation

 

(1,656)

 

(1,591)

Property and equipment, net

 

556

 

698

Depreciation expense for the three and six months ended June 30, 2026 was $126 and $219, respectively (three and six months ended June 30, 2025 - $102 and $218, respectively). During the three and six months ended June 30, 2026, the Company sold $71 and $154, respectively (three and six months ended June 30, 2025 - $135 and $213, respectively) of equipment under operating lease to a customer.

6

Intangible assets

The major components of intangible assets as of June 30, 2026 and December 31, 2025 consist of:

June 30, 2026

December 31, 2025

$

$

  ​ ​ ​

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

3.1

231

(171)

60

231

(158)

73

Software

978

(978)

978

(978)

Distribution rights

14.3

66

(5)

61

66

(1)

65

1,275

(1,154)

121

1,275

(1,137)

138

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 June 30, 2026 and December 31, 2025 consist of the following:

June 30, 

December 31, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Accrued employee compensation

1,437

2,347

Clinical trials

694

524

Other general accruals

996

944

Accrued expenses and other current liabilities

3,127

3,815

8

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8

Long-term debt

On March 3, 2025, the Company entered into an amended and restated credit agreement (the “CIBC Credit Agreement”), with Canadian Imperial Bank of Commerce (“CIBC”) 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%. Following an amendment to the CIBC Credit Agreement on September 30, 2025, the amended financial covenants are that unrestricted cash is at all times greater of: (i) to the extent that EBITDA is a negative number or loss for the most recent six-month period, the amount of such loss, or (ii) $10,000, reported on a monthly basis and that revenue for the 12 month period must be 15% greater than revenue for the same period in the prior fiscal year, reported on a quarterly basis. The Company is in compliance with these financial covenants as of June 30, 2026. Future compliance with the financial covenants included in the CIBC Credit Agreement is dependent upon achieving certain revenue, EBITDA, and anticipated unrestricted cash levels.

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.

June 30, 

December 31, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Balance - Beginning of period

4,499

4,661

Interest expense

159

394

Interest paid

(150)

(331)

Foreign exchange

(1)

65

Repayment

(290)

Balance - End of period

4,507

4,499

Less: Current portion

4,507

Long-term portion

4,499

9

Leases

Leases where the Company is the Lessee

The Company leases certain office premises. In January 2026, the Company entered into a lease modification agreement for one of its office premises that extended the lease term and modified the payment schedule. This modification increased the right-of-use assets but did not provide the Company with any additional right‑of‑use assets. Therefore, this was accounted for as a modification of an existing operating lease, resulting in a remeasurement of the related operating lease liability using an updated incremental borrowing rate and a corresponding adjustment to the right‑of‑use asset. The extension commences October 1, 2026, with fixed payment structures expiring in 2033. Lease liabilities and corresponding right-of-use assets were recognized based on the present value of future lease payments.

9

Table of Contents

Lease expense for the three and six months ended June 30, 2026 and 2025:

  ​ ​ ​

Three Months Ended June 30, 

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

Operating lease costs

 

118

 

58

Total lease costs

 

118

 

58

  ​ ​ ​

Six Months Ended June 30,

  ​ ​ ​

2026 

  ​ ​ ​

2025 

$

$

Operating lease costs

237

116

Total lease costs

237

116

Other information related to operating leases is as follows:

  ​ ​ ​

Six Months Ended June 30, 

 

  ​ ​ ​

2026

  ​ ​ ​

2025

 

Cash paid from operating cash flows for amounts included in the measurement of lease liabilities

 

143

 

140

Weighted average remaining lease term

 

7.25 years

 

0.75 years

Weighted average discount rate

 

5.50

%  

5.99

%

Maturities of the operating lease liabilities and minimum payments for operating leases having initial or remaining noncancellable terms in excess of one year as of June 30, 2026 were as follows:

2026

  ​ ​ ​

69

2027

 

377

2028

 

497

2029

 

512

2030

 

528

Thereafter

 

1,533

Total

 

3,516

Less: Imputed interest

 

643

Present value of remaining lease payments

 

2,873

Less: Current portion

 

119

Non-current portion

 

2,754

10

Share capital

Common shares

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

  ​ ​ ​

June 30, 

  ​ ​ ​

December 31, 

2026

2025

Issued and outstanding (with no par value)

$

$

36,532,594 (December 31, 2025 – 36,293,640) common shares

325,383

323,839

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.

10

Table of Contents

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.

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.

11

Share-based payments

Share options

Effective May 20, 2020, the Company adopted amendments to the share option plan (the Share Option Plan). The aggregate maximum number of common shares that may be issued under the Share Option Plan, together with all other security-based compensation arrangements of the Company, is limited to 13% of the issued and outstanding common shares. The current maximum number of common shares reserved for issuance under the share option plan together with the long-term incentive plan is 4,749,237 common shares (or such other number as may be approved by the holders of the voting shares of the Company).

As of June 30, 2026, 2,151,048 (December 31, 2025 – 2,142,522) options were 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 of those dates are set forth below:

Weighted average 

Number

exercise price 

  ​ ​ ​

of options

  ​ ​ ​

C$

Balance - December 31, 2025

 

2,142,522

 

13.53

Granted

 

121,600

 

8.29

Forfeited/expired

 

(113,074)

 

15.69

Balance - June 30, 2026

 

2,151,048

 

13.12

Exercisable - June 30, 2026

 

1,450,606

 

14.49

Expected to vest - June 30, 2026

 

2,151,048

 

13.12

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 17,

May 19,

June 11,

Grant date

  ​ ​ ​

2026

2026

2026

 

Exercise price

 

C$7.58

C$9.63

C$9.41

Expected volatility

 

68

%

67

%  

67

%

Expected life of options

 

6 years

6 years

6 years

Risk-free interest rate

 

3.00

%

3.45

%  

3.32

%

Dividend yield

 

11

Table of Contents

The weighted average grant date fair values of share options granted for the three and six months ended June 30, 2026 were C$5.78 and C$5.40, respectively (three and six months ended June 30, 2025 - C$4.59 and C$4.82).

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 aggregate maximum number of common shares that may be reserved for issuance under the LTIP in respect of grants of RSUs and DSUs is limited to 4.9% of the issued and outstanding common shares on a non-diluted basis, provided that, the maximum number of common 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 RSUs to officers, directors, employees, or consultants of the Company or any of its affiliates and any such person’s personal holding company, as designated by the Board in a resolution upon the terms and conditions set forth in a grant agreement. DSUs may be granted to any director of the Company who has been designated by the Company for participation in the LTIP and who has agreed to participate in the LTIP 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, subject to DSU deferral features.

The following table summarizes RSUs activities:

Weighted

average grant

date fair value 

Number of 

per share 

  ​ ​ ​

RSUs

  ​ ​ ​

C$

Balance - December 31, 2025

 

859,335

 

9.23

Granted

 

97,430

8.29

Vested

 

(212,826)

9.18

Forfeited

 

(82,003)

9.19

Balance - June 30, 2026

 

661,936

9.11

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, 2025

 

135,490

 

9.39

Granted

51,324

9.36

Vested

 

(26,128)

8.84

Forfeited

 

(17,098)

9.37

Balance - June 30, 2026

 

143,588

9.48

12

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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 and six months ended June 30, 2026 and 2025:

Three Months Ended June 30, 

Six Months Ended June 30, 

2026

2025

2026

2025

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Share options

 

295

125

647

 

758

RSUs

 

521

627

1,204

 

869

DSUs

 

58

699

71

 

813

Share-based compensation

 

874

1,451

1,922

 

2,440

Cost of sales

 

(26)

7

(19)

 

10

Research and development

 

219

315

422

 

588

Selling, general and administrative

 

681

1,129

1,519

 

1,842

Share-based compensation

 

874

1,451

1,922

 

2,440

12

Revenue

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

 

Three Months Ended June 30, 

2026

2025

  ​ ​ ​

$

  ​ ​ ​

$

Timing of transfer of control

Point in time revenue

2,298

2,028

Service revenue recognized over time

185

183

2,483

2,211

Six Months Ended June 30,

2026 

2025 

  ​ ​ ​

$

  ​ ​ ​

$

Timing of transfer of control

Point in time revenue

7,440

 

4,475

Service revenue recognized over time

380

 

357

7,820

 

4,832

13

Loss per share

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

  ​ ​ ​

Three Months Ended June 30, 

Six Months Ended June 30, 

2026

  ​ ​ ​

2025

  ​ ​ ​

2026

  ​ ​ ​

2025

$

$

$

$

Net loss for the period

 

9,540

15,695

16,593

 

26,419

Weighted average number of common shares

 

36,350,665

30,053,142

36,324,393

 

30,055,047

Basic and diluted loss per share

 

$

0.26

$

0.52

$

0.46

 

$

0.88

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 2,151,048 (June 30, 2025 – 2,147,568) share options, 661,936 (June 30, 2025 – 1,075,454) RSUs, and 143,588 (June 30, 2025 – 152,155) DSUs that are not included in the calculation of diluted loss per share for the period ended June 30, 2026, 1,450,606 (June 30, 2025 – 1,187,803) were exercisable.

13

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14

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.

The following tables represent total revenue by geographic area, based on the location of the reporting entity for the three months ended June 30, 2026 and 2025, respectively:

 

For the three months ended June 30, 2026

Canada

USA

Germany

Total

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Revenue

Recurring - non-capital

129

1,301

182

1,612

Capital equipment

427

444

871

556

1,745

182

2,483

For the three months ended June 30, 2025

Canada

USA

Germany

Total

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Revenue

 

 

 

Recurring - non-capital

94

1,327

140

1,561

Capital equipment

 

 

650

 

650

 

94

 

1,977

140

 

2,211

For the six months ended June 30, 2026

Canada

USA

Germany

Total

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Revenue

 

 

 

Recurring - non-capital

1,614

2,140

332

4,086

Capital equipment

 

2,513

 

1,221

 

3,734

 

4,127

 

3,361

332

 

7,820

For the six months ended June 30, 2025

Canada

USA

Germany

Total

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Revenue

 

 

 

Recurring - non-capital

376

2,620

366

3,362

Capital equipment

 

570

 

900

 

1,470

 

946

 

3,520

366

 

4,832

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The following tables represent other geographic information for the six months ended June 30, 2026 and the year ended December 31, 2025:

For the period ended June 30, 2026

Canada

USA

Germany

China

Finland

Total

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Total assets

 

51,218

 

7,215

 

540

 

137

 

3,275

 

62,385

Intangible assets

 

121

 

 

 

 

 

121

Property and equipment

 

13

 

389

 

 

 

154

 

556

Right-of-use assets

 

2,763

 

 

 

 

 

2,763

Amortization of intangible assets

 

16

 

 

 

 

 

16

Depreciation of property and equipment

 

28

 

169

 

 

 

22

 

219

For the year ended December 31, 2025

Canada

USA

Germany

China

Finland

Total

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

$

Total assets

 

63,046

 

9,791

 

1,243

 

137

 

3,258

 

77,475

Intangible assets

 

138

 

 

 

 

 

138

Property and equipment

 

41

 

481

 

 

 

176

 

698

Right-of-use assets

 

184

 

 

 

 

 

184

Amortization of intangible assets

 

187

 

 

 

 

 

187

Depreciation of property and equipment

 

51

 

322

 

 

 

 

373

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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 5, 2026, 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 AI-powered, MRI-guided, incision-free therapies for the ablation of diseased tissue utilizing our 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 capital 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 generally 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.

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Results of Operations

Comparison of Three and Six Months Ended June 30, 2026 and 2025

The following selected financial information as of and for the three and six months ended June 30, 2026 and 2025 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 six months ended June 30, 

2026

  ​ ​ ​

2025

$

$

Revenue

7,820

4,832

Operating expenses

24,866

28,443

Other (income) expense

(2,574)

1,342

Net loss for the period

16,593

26,419

Basic and diluted loss per share

0.46

0.88

  ​ ​ ​

For the three months ended June 30, 

2026

2025

Change

 

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

%

 

Revenue

2,483

2,211

272

12

%

Cost of sales

 

536

593

(57)

(10)

%

Gross profit

 

1,947

1,618

329

20

%

Gross margin

Expenses

 

Research and development

 

5,654

6,098

(444)

(7)

%

Selling, general and administrative

 

7,359

9,326

(1,967)

(21)

%

Total operating expenses

 

13,013

15,424

(2,411)

(16)

%

Other (income) expense

 

Net finance (income) expense

 

(336)

(343)

7

(2)

%

Net foreign exchange (gain) loss

 

(1,245)

 

2,168

 

(3,413)

 

(157)

%

Total other (income) expense

 

(1,581)

1,825

(3,406)

(187)

%

Net loss before income taxes

 

9,485

15,631

(6,146)

(39)

%

Income taxes

 

55

64

(9)

(14)

%

Net loss attributed to shareholders for the period

 

9,540

15,695

(6,155)

(39)

%

Other comprehensive (income) loss

 

Item that may be reclassified to profit or loss

 

Foreign currency translation adjustment

 

950

(2,713)

3,663

(135)

%

Net loss and comprehensive loss for the period

 

10,490

12,982

(2,492)

(19)

%

Loss per share

 

Basic and diluted net loss per common share

 

0.26

0.52

(0.26)

(50)

%

Basic and diluted weighted average common shares outstanding

 

36,350,665

30,053,142

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For the six months ended June 30, 

  ​ ​ ​

2026

2025

Change

$

  ​ ​ ​

$

  ​ ​ ​

$

  ​ ​ ​

%

Revenue

7,820

4,832

2,988

62

%

Cost of sales

2,041

1,361

680

50

%

Gross profit

5,779

3,471

2,308

66

%

Gross margin

Expenses

Research and development

10,916

10,906

10

Selling, general and administrative

13,950

17,537

(3,587)

(20)

%

Total operating expenses

24,866

28,443

(3,577)

(13)

%

Other (income) expense

Net finance (income) expense

(713)

(788)

75

(10)

%

Net foreign exchange (gain) loss

(1,861)

2,130

(3,991)

(187)

%

Total other (income) expense

(2,574)

1,342

(3,916)

(292)

%

Net loss before income taxes

16,513

26,314

(9,801)

(37)

%

Income taxes

80

105

(25)

(24)

%

Net loss attributed to shareholders for the period

16,593

26,419

(9,826)

(37)

%

Other comprehensive (income) loss

Item that may be reclassified to profit or loss

Foreign currency translation adjustment

1,955

(2,816)

4,771

(169)

%

Net loss and comprehensive loss for the period

18,548

23,603

(5,055)

(21)

%

Loss per share

Basic and diluted net loss per common share

0.46

0.88

(0.42)

(48)

%

Basic and diluted weighted average common shares outstanding

36,324,393

30,055,047

  ​

  ​

Key Components of Our Results of Operations

Revenue

We deploy a hybrid revenue business model in the United States to market TULSA-PRO by charging for the system separately as capital and an additional charge for the one-time-use devices. The Sonalleve product is marketed primarily outside North America 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 hybrid business model, charging for the system separately as capital and an additional charge for the one-time-use devices. Revenue is comprised of (a) recurring – non-capital revenue, which consists of the sale of one-time-use devices and services associated with maintenance contracts and (b) capital equipment, which is the one-time sale of capital equipment and the lease of capital equipment.

For the three months ended June 30, 2026, we recorded revenue totaling $2,483, consisting of $871 from the one-time sale of capital equipment and $1,612 from recurring – non-capital revenue. For the three months ended June 30, 2025, we recorded revenue of $2,211, consisting of $650 from the one-time sale of capital equipment and $1,561 from recurring – non-capital revenue. The increase of $272, or 12%, in revenue for the three months ended June 30, 2026 compared to the three months ended June 30, 2025 was the result of higher recurring revenue and capital sales overseas during the second quarter of 2026.

For the six months ended June 30, 2026, we recorded revenue totaling $7,820, consisting of $3,734 from the one-time sale of capital equipment and $4,086 from recurring – non-capital revenue. For the six months ended June 30, 2025, we recorded revenue of $4,832, consisting of $1,470 from the one-time sale of capital equipment and $3,362 from recurring – non-capital revenue. The increase

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of $2,988, or 62%, in revenue for the six months ended June 30, 2026 compared to the six months ended June 30, 2025 was driven by higher capital sales in the United States and overseas.

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 June 30, 2026, we recorded a cost of sales of $536, related to the sale of medical devices, capital and non-capital, which reflects 78% gross profit. For the three months ended June 30, 2025, we recorded a cost of sales of $593, which reflects a 73% gross profit. The decrease of $57, or 10%, in cost of sales for the three months ended June 30, 2026 compared to the three months ended June 30, 2025 was the result of the sale of multiple systems under existing operating leases to customers. The gross profit was higher in the three months ended June 30, 2026 by $329, or 20%, due to growth in the number of one-time-use devices sold.

For the six months ended June 30, 2026, we recorded a cost of sales of $2,041, related to the sale of medical devices, capital and non-capital, which reflects a 74% gross profit. For the six months ended June 30, 2025, we recorded a cost of sales of $1,361, which reflects a 72% gross profit. The increase of $680, or 50%, in cost of sales for the six months ended June 30, 2026 compared to the six months ended June 30, 2025 was the result of a different product combination whereby more capital equipment was sold which contains a higher margin. The gross profit was higher in the six months ended June 30, 2026 by $2,308, or 66%, due to 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 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 June 30, 2026, R&D expenses decreased by $444, or 7%, to $5,654 compared to $6,098 for the three months ended June 30, 2025. The decrease in R&D expenses was largely due to a reduction in clinical trial costs due to CAPTAIN trial enrollment completion. Offsetting these costs was an increased headcount, travel expenditures and higher consulting expenditures due to spending on R&D initiatives to reduce product costs and improve quality and efficiencies of our products.

For the six months ended June 30, 2026, R&D expenses increased by $10, or nil%, to $10,916 compared to $10,906 for the six months ended June 30, 2025. The increase in R&D expenses was largely due to increased headcount, travel expenditures and higher consulting expenditures due to spending on R&D initiatives to reduce product costs and improve quality and efficiencies of our products. Offsetting these costs were a reduction in clinical trial costs due to CAPTAIN trial enrollment completion.

These expenses emphasize our commitment to the ongoing development and improvement of the products while further demonstrating the commitment to a reliable and customizable product.

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 June 30, 2026 decreased by $1,967, or 21%, to $7,359 compared to $9,326 for the three months ended June 30, 2025. The decrease in SG&A was primarily due to decreased salary and commission expenses related to lower headcount in sales force, a reduction in travel expenses, an overall discount in our insurance premiums for the same coverage from the prior year and a reduction in bad debt expense. Offsetting these expenses was an increase in promotion and marketing expenses.

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SG&A expenses for the six months ended June 30, 2026 decreased by $3,587, or 20%, to $13,950 compared to $17,537 for the six months ended June 30, 2025. The decrease in SG&A was primarily due to decreased salaries and commission payments, a reduction in consulting fees and travel expenses, an overall discount in our insurance premiums for the same coverage from the prior year and a reduction in bad debt expense. Offsetting these expenses was an increase in promotion and marketing expenses.

Net finance income

Net finance income 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; and (ii) interest income from cash.

Net finance income decreased by $7 to ($336) during the three months ended June 30, 2026, compared to ($343) during the three months ended June 30, 2025. The decrease in net finance income was primarily due to a decrease in interest income from cash.

Net finance income decreased by $75 to ($713) during the six months ended June 30, 2026, compared to ($788) during the six months ended June 30, 2025. The decrease in net finance income was primarily due to a decrease in interest income from cash.

Net foreign exchange (gain) loss

Net foreign exchange (gain) loss is primarily comprised of the change in the foreign exchange rates for the Company’s foreign currency denominated cash, trade receivables and accounts payable.

Net foreign exchange (gain) loss decreased by $3,413 to ($1,245) during the three months ended June 30, 2026, compared to $2,168 during the three months ended June 30, 2025. The decrease in net foreign exchange (gain) loss was primarily due to an increase in the EUR and USD currency rates.

Net foreign exchange (gain) loss decreased by $3,991 to ($1,861) during the six months ended June 30, 2026, compared to $2,130 during the six months ended June 30, 2025. The decrease in net foreign exchange (gain) loss was primarily due to an increase in the EUR and USD currency rates.

Liquidity and Capital Resources

As of June 30, 2026, we had cash of $38,271 compared to $59,723 as of December 31, 2025. Historically, our primary source of cash has been financing activities, e.g., equity offerings as well as the CIBC Loan (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.

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Use of Proceeds

2025 Offering and non-brokered private placement

We received net proceeds of $40,801 from the public offering and the private placement (together, the “2025 Offering”) completed in December 2025. We intend to use net proceeds from the 2025 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 2025

Offering as of

  ​ ​ ​

June 30, 2026

$

TULSA-PRO commercialization

17,075

Sonalleve development and commercialization

4,269

Working capital and general corporate purposes

 

5,563

Total

 

26,907

CIBC Loan

On March 3, 2025, we entered into an amended and restated credit agreement (the “CIBC Credit Agreement”) with Canadian Imperial Bank of Commerce (“CIBC”), which amended the terms of the loan with CIBC (the “CIBC Loan”) and the existing long-term debt provided under the original credit agreement with CIBC 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%. Following an amendment to the CIBC Credit Agreement on September 30, 2025, the amended financial covenants are that unrestricted cash is at all times greater of: (i) to the extent that EBITDA is a negative number or loss for the most recent six-month period, the amount of such loss, or (ii) $10,000, reported on a monthly basis and that revenue for the 12 month period must be 15% greater than revenue for the same period in the prior fiscal year, reported on a quarterly basis. We are in compliance with these financial covenants as of June 30, 2026. Future compliance with the financial covenants included in the CIBC Credit Agreement is dependent upon achieving certain revenue, EBITDA, and anticipated unrestricted cash levels.

The obligations 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 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):

Six months ended June 30, 

2026

2025

  ​ ​ ​

$

  ​ ​ ​

$

Cash provided by (used in) operating activities

(19,921)

(22,027)

Cash provided by (used in) financing activities

 

 

(290)

Foreign exchange on cash

 

(1,531)

 

2,600

Net increase (decrease) in cash

 

(21,452)

 

(19,717)

Operating Activities

Net cash used in operating activities for the six months ended June 30, 2026 was $(19,921), primarily attributable to a net loss of $16,593 and $5,593 in net operating assets and liabilities, partially offset by $2,265 of non-cash charges. The cash used in operating

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activities was primarily due to the increased efforts supporting the commercialization and expansion of our products. This resulted in an increase in marketing and promotion fees and increased travel. Non-cash charges consisted primarily of share-based compensation, amortization and depreciation.

Net cash used in operating activities for the six months ended June 30, 2025 was $(22,027). The principal use of the operating cash flows during the period related to a net loss of $26,419 and an increase in net operating assets and liabilities of $1,616 and non-cash charges of $2,776. 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.

Financing Activities

Net cash provided by (used in) financing activities for the six months ended June 30, 2026 was $nil.

Net cash provided by (used in) financing activities for the six months ended June 30, 2025 was $(290) from the repayments of long-term debt principal.

Foreign Exchange on Cash

Cash was impacted by the change in the foreign exchange rates for the Company’s foreign currency denominated cash. 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, 2025. 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 5, 2026.

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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, which is incorporated herein by reference.

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

Not applicable.

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 June 30, 2026, 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 5, 2026.

Changes in Internal Control Over Financial Reporting

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 June 30, 2026 that have materially affected, or are reasonably likely to materially affect, our 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 5, 2026 (the “2025 Annual Report”). There have been no material changes to the risk factors described in the 2025 Annual Report.

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

None.

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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 June 30, 2026, 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.

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

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

† 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.

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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: August 6, 2026

By:

/s/ Arun Menawat

Name: Arun Menawat

Title: Chief Executive Officer

(Principal Executive Officer)

Date: August 6, 2026

By:

/s/ Rashed Dewan

Name: Rashed Dewan

Title: Chief Financial Officer

(Principal Financial and Accounting Officer)

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ATTACHMENTS / EXHIBITS

ATTACHMENTS / EXHIBITS

EX-31.1

EX-31.2

EX-32

EX-101.SCH

EX-101.CAL

EX-101.DEF

EX-101.LAB

EX-101.PRE

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