Form 10-Q - Quarterly report [Sections 13 or 15(d)]

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

☐	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.

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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.

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		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

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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.

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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.

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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.

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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.

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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.

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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

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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

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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.

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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).

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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

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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.

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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

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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 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.

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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

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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.

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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

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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.

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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

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.

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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

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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.

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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.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

	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)

Exhibit 31.1

CERTIFICATIONS UNDER SECTION 302

I, Arun Menawat, certify that:

1.I have reviewed this quarterly report on Form 10-Q of Profound Medical Corp.;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a)designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b)designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c)evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d)disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a)all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b)any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 8, 2025

/s/ Arun Menawat
Arun Menawat
Principal Executive Officer

Exhibit 31.2

CERTIFICATIONS UNDER SECTION 302

I, Rashed Dewan, certify that:

1.I have reviewed this quarterly report on Form 10-Q of Profound Medical Corp.;

b)any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 8, 2025

/s/ Rashed Dewan
Rashed Dewan
Principal Financial Officer

Exhibit 32

CERTIFICATIONS UNDER SECTION 906

Pursuant to section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of title 18, United States Code), each of the undersigned officers of Profound Medical Corp., an Ontario, Canada corporation (the “Company”), does hereby certify, to such officer’s knowledge, that:

The Quarterly Report for the quarter ended March 31, 2025 (the “Form 10-Q”) of the Company fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, and the information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated: May 8, 2025		/s/ Arun Menawat
		Arun Menawat
		Principal Executive Officer

Dated: May 8, 2025		/s/ Rashed Dewan
		Rashed Dewan
		Principal Financial Officer

Document and Entity Information - shares	3 Months Ended
Document and Entity Information - shares	Mar. 31, 2025	May 08, 2025
Document and Entity Information [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2025
Document Transition Report	false
Entity File Number	001-39032
Entity Registrant Name	Profound Medical Corp.
Entity Incorporation, State or Country Code	Z4
Entity Tax Identification Number	00-0000000
Entity Address, Address Line One	2400 Skymark Avenue, Unit #6,
Entity Address, City or Town	Mississauga
Entity Address State Or Province	ON
Entity Address, Postal Zip Code	L4W 5K5
City Area Code	647
Local Phone Number	476-1350
Title of 12(b) Security	Common Shares, No Par Value Per Share
Trading Symbol	PROF
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		30,053,142
Entity Central Index Key	0001628808
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2025
Document Fiscal Period Focus	Q1
Amendment Flag	false

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Mar. 31, 2025	Dec. 31, 2024
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
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

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	3 Months Ended	12 Months Ended
	Mar. 31, 2025	Dec. 31, 2024
CONDENSED CONSOLIDATED BALANCE SHEETS
Common stock, No par value	$ 0	$ 0
Common stock, Shares authorized	Unlimited	Unlimited
Common stock, Shares issued	30,053,142	30,039,809
Common stock, shares outstanding	30,053,142	30,039,809

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Revenue (note 11)	$ 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
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 net loss per common share	$ 0.36	$ 0.27
Diluted net loss per common share	$ 0.36	$ 0.27
Basic weighted average common shares outstanding	30,041,735	24,295,749
Diluted weighted average common shares outstanding	30,041,735	24,295,749
Recurring - non-capital
Revenue (note 11)	$ 1,801	$ 1,439
Capital equipment
Revenue (note 11)	$ 820

CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY - USD ($) $ in Thousands	RSUs Common Shares	RSUs Additional Paid-in Capital	Common Shares	Additional Paid-in Capital	Accumulated Other Comprehensive Income	Accumulated Deficit	Total
Balance at beginning at Dec. 31, 2023			$ 222,205	$ 20,808	$ 5,565	$ (217,354)	$ 31,224
Balance at beginning (In shares) at Dec. 31, 2023			21,370,565
Net Income (Loss)						(6,585)	(6,585)
Cumulative translation adjustment - net of tax of $nil					(969)		(969)
Shares issued in public offering and private placement			$ 21,079				21,079
Shares issued in public offering and private placement (in shares)			3,058,334
Share-based compensation (note 10)				767			767
Balance at ending at Mar. 31, 2024			$ 243,284	21,575	4,596	(223,939)	45,516
Balance at ending (in shares) at Mar. 31, 2024			24,428,899
Balance at beginning at Dec. 31, 2024			$ 281,552	21,298	2,742	(245,170)	$ 60,422
Balance at beginning (In shares) at Dec. 31, 2024			30,039,809				30,039,809
Net Income (Loss)						(10,724)	$ (10,724)
Cumulative translation adjustment - net of tax of $nil					103		103
Vesting of share-based payment award, equity instruments other than options	$ 89	$ (89)
Vesting of share-based payment award, equity instruments other than options (in shares)	13,333
Share-based compensation (note 10)				989			989
Balance at ending at Mar. 31, 2025			$ 281,641	$ 22,198	$ 2,845	$ (255,894)	$ 50,790
Balance at ending (in shares) at Mar. 31, 2025			30,053,142				30,053,142

CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (Parenthetical) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
Cumulative translation adjustment, tax	$ 0	$ 0

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 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	$ 707
Amortization of intangible assets (note 6)	47	51	229
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)	(1,978)
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	26,213
Cash, end of period	46,433	41,180	$ 54,912
Supplemental cash flow information:
Interest paid, included in financing activities	56	159
Income taxes paid, included in operating activities	$ 11	$ 14

Description of business

3 Months Ended

Mar. 31, 2025

Description of business

Description of business

1Description of business

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

Summary of significant accounting policies

3 Months Ended

Mar. 31, 2025

Summary of significant accounting policies

Summary of significant accounting policies

2	Summary of significant accounting policies

Basis of preparation

Unaudited interim condensed financial statements

Use of estimates

Recent Accounting Pronouncements

Trade and other receivables, net

3 Months Ended

Mar. 31, 2025

Trade and other receivables, net

Trade and other receivables, net

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

Inventory

3 Months Ended

Mar. 31, 2025

Inventory

Inventory

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

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

Property and equipment, net

3 Months Ended

Mar. 31, 2025

Property and equipment, net

Property and equipment, net

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

Intangible assets

3 Months Ended

Mar. 31, 2025

Intangible assets

Intangible assets

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

Accrued expenses and other current liabilities

3 Months Ended

Mar. 31, 2025

Accrued expenses and other current liabilities

Accrued expenses and other current liabilities

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

Long-term debt

3 Months Ended

Mar. 31, 2025

Long-term debt

Long-term debt

8	Long-term debt


	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

Share capital

3 Months Ended

Mar. 31, 2025

Share capital

Share capital

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

Dividends

Liquidation, Dissolution and Winding Up

Share-based payments

3 Months Ended

Mar. 31, 2025

Share-based payments

Share-based payments

10	Share-based payments

Share options

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


	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).

Long-term incentive plan

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

Revenue

3 Months Ended

Mar. 31, 2025

Revenue

Revenue

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

Loss per share

3 Months Ended

Mar. 31, 2025

Loss per share

Loss per share

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

Segment reporting

3 Months Ended

Mar. 31, 2025

Segment reporting

Segment reporting

13	Segment reporting

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

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Mar. 31, 2025	Mar. 31, 2024
Pay vs Performance Disclosure
Net Income (Loss)	$ (10,724)	$ (6,585)

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2025
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false
Rule 10b5-1 Arrangement Modified	false
Non Rule 10b5-1 Arrangement Modified	false

Summary of significant accounting policies (Policies)	3 Months Ended
Summary of significant accounting policies (Policies)	Mar. 31, 2025
Summary of significant accounting policies
Basis of preparation	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	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	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.
Recent Accounting Pronouncements	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.

Trade and other receivables, net (Tables)

3 Months Ended

Mar. 31, 2025

Trade and other receivables, net

Summary of trade receivables 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

Summary of allowance for expected credit losses for trade receivables and contract assets


	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

Inventory (Tables)

3 Months Ended

Mar. 31, 2025

Inventory

Schedule of inventory


	March 31,	December 31,
	2025	2024
	$	$
Finished goods	4,631	3,837
Raw materials	2,164	1,964
Inventory	6,795	5,801

Property and equipment, net (Tables)

3 Months Ended

Mar. 31, 2025

Property and equipment, net

Schedule of major components of property and equipment, net


	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

Intangible assets (Tables)

3 Months Ended

Mar. 31, 2025

Intangible assets

Schedule of major components of intangible assets


		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

Accrued expenses and other current liabilities (Tables)

3 Months Ended

Mar. 31, 2025

Accrued expenses and other current liabilities

Schedule of accrued expenses and other current liabilities


	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

Long-term debt (Tables)

3 Months Ended

Mar. 31, 2025

Long-term debt

Schedule of long-term debt


	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

Share capital (Tables)

3 Months Ended

Mar. 31, 2025

Share capital

Schedule of information about 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

Share-based payments (Tables)

3 Months Ended

Mar. 31, 2025

Share-based payments

Schedule of share option activity


		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

Schedule of weighted average assumptions used in share option valuation


	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	—

Schedule of 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

Schedule of DSUs changes


		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

Schedule of components and classification of share-based compensation recognized for share options, RSUs, and DSUs

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

Revenue (Tables)

3 Months Ended

Mar. 31, 2025

Revenue

Summary of 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

Loss per share (Tables)

3 Months Ended

Mar. 31, 2025

Loss per share

Schedule 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

Segment reporting (Tables)

3 Months Ended

Mar. 31, 2025

Segment reporting

Summary of total revenue by geographic area, based on the location of the customer


	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

Summary of other geographic information


	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

Trade and other receivables, net (Details) - USD ($) $ in Thousands	Mar. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Trade and other receivables, net
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)	$ (76)
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

Trade and other receivables, net - Allowance for credit losses (Details) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2025	Dec. 31, 2024
Trade and other receivables, net
Balance - Beginning of the period	$ 158	$ 76
Provision for allowance for expected credit losses	(53)	82
Balance - End of the period	$ 105	$ 158

Inventory (Details) - USD ($) $ in Thousands	3 Months Ended
Inventory (Details) - USD ($) $ in Thousands	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 2024
Inventory
Finished goods	$ 4,631		$ 3,837
Raw materials	2,164		1,964
Inventory	6,795		$ 5,801
Inventory recognized in cost of sales	$ 660	$ 437

Property and equipment, net (Details) - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 2024
Property and equipment, net
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 of property and equipment	116	$ 199	$ 707
Equipment under operating lease	$ 78	$ 0

Intangible assets - Components of intangible assets (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Dec. 31, 2024
Intangible assets
Gross Carrying Amount	$ 1,209	$ 1,209
Accumulated Amortization and Impairments	(995)	(948)
Net Carrying Amount	$ 214	261
Exclusive license agreement
Intangible assets
Intangible assets, useful life	4 years 4 months 24 days
Gross Carrying Amount	$ 231	231
Accumulated Amortization and Impairments	(147)	(142)
Net Carrying Amount	$ 84	89
Software
Intangible assets
Intangible assets, useful life	9 months 18 days
Gross Carrying Amount	$ 978	978
Accumulated Amortization and Impairments	(848)	(806)
Net Carrying Amount	$ 130	$ 172

Accrued expenses and other current liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2025	Dec. 31, 2024
Accrued expenses and other current liabilities
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

Long-term debt (Details) - Senior secured revolving line of credit $ in Thousands	Mar. 03, 2025 USD ($)
Long-term debt
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]	us-gaap:PrimeRateMember
Percentage of interest floor rate	6.25%
EBITDA measurement term	9 months
Amount of revolving commitment	$ 5,000
Duration of revolving commitment	18 months
Duration of minimum trailing revenue	12 months
Amount of minimum trailing revenue	$ 15,000
Borrowing capacity of revolving commitment	10,000
Aggregate maximum borrowing capacity of revolving commitment	15,000
Borrowing capacity of revolving commitment additional	$ 10,000

Long-term debt - Long-term portion (Details) - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 2024
Long-term debt
Balance - Beginning of period	$ 4,661	$ 7,104	$ 7,104
Interest expense	104		600
Interest paid	(56)		(582)
Foreign exchange	67		(483)
Repayment	(290)	$ (623)	(1,978)
Balance - End of period	4,486		4,661
Less: Current portion			1,737
Long-term portion	$ 4,486		$ 2,924

Share capital - Common shares (Details) $ / shares in Units, $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2025 USD ($) Vote $ / shares shares	Dec. 31, 2024 USD ($) $ / shares shares
Share capital
Common stock, Shares authorized	Unlimited	Unlimited
Common stock, par value (in dollars per share) \| $ / shares	$ 0	$ 0
Common stock shares issued	30,053,142	30,039,809
Common stock shares outstanding	30,053,142	30,039,809
Common shares \| $	$ 281,641	$ 281,552
Vote per share \| Vote	1

Share-based payments - Share options (Details)	3 Months Ended
Share-based payments - Share options (Details)	Mar. 31, 2025 D shares	Dec. 31, 2024 shares	May 20, 2020 shares
Summary of significant accounting policies
Number of options outstanding	2,111,036	2,291,152
Employee Stock Option
Summary of significant accounting policies
Number of options outstanding	2,111,036	2,291,152
Number of shares per option	1
Number of days prior to grant for volume-weighted average price calculation \| D	5
Employee Stock Option \| Maximum
Summary of significant accounting policies
Number of shares reserved for future issuance			3,905,175
Term of award (in years)	10 years
Vesting period (in years)	4 years

Share-based payments - Share option activity (Details)	3 Months Ended
Share-based payments - Share option activity (Details)	Mar. 31, 2025 $ / shares shares
Number of options
Balance - beginning \| shares	2,291,152
Granted \| shares	7,200
Forfeited/expired \| shares	(187,316)
Balance - ending \| shares	2,111,036
Exercisable \| shares	1,174,052
Expected to vest \| shares	2,111,036
Weighted average exercise price
Balance - beginning \| $ / shares	$ 14.13
Granted \| $ / shares	9.87
Forfeited/expired \| $ / shares	18.14
Balance - ending \| $ / shares	13.76
Exercisable \| $ / shares	15.71
Expected to vest \| $ / shares	$ 13.76

Share-based payments - Weighted average assumptions to estimate the fair value of the share options granted (Details) - Employee Stock Option	Mar. 19, 2025 $ / shares
Share-based payments
Exercise price	$ 9.87
Expected volatility	68.00%
Expected life of options	6 years
Risk-free interest rate	2.85%

Share-based payments - Option additional information (Details) - $ / shares	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Employee Stock Option
Share-based payments
Weighted-average grant date fair values of share options	$ 6.32	$ 7.01

Share-based payments - Long-term incentive plan (Details)		3 Months Ended
	May 17, 2023 D shares	Mar. 31, 2025
Summary of significant accounting policies
Percentage of shares reserved for issuance to the issued and outstanding share capital	13.00%
LTIP
Summary of significant accounting policies
Percentage of shares reserved for issuance to the issued and outstanding share capital	4.90%
Number of shares per unit \| shares	1
Number of days prior to grant for volume-weighted average price calculation \| D	5
LTIP \| Maximum
Summary of significant accounting policies
Vesting period (in years)		3 years

Share-based payments - RSU activity (Details) - RSUs	3 Months Ended
Share-based payments - RSU activity (Details) - RSUs	Mar. 31, 2025 $ / shares shares
Number of RSUs
Balance - beginning \| shares	324,621
Granted \| shares	242,000
Vested \| shares	(13,333)
Forfeited \| shares	(14,334)
Balance - ending \| shares	538,954
Weighted-average grant-date fair value per share
Balance - beginning \| $ / shares	$ 11.18
Granted \| $ / shares	10.03
Vested \| $ / shares	11.27
Forfeited \| $ / shares	9.53
Balance - ending \| $ / shares	$ 10.7

Share-based payments - DSU Activity (Details) - DSUs	Mar. 31, 2025 $ / shares shares
Number of DSUs
Balance - beginning \| shares	91,670
Balance - ending \| shares	91,670
Weighted-average grant-date fair value per share
Balance - beginning \| $ / shares	$ 10.4
Balance - ending \| $ / shares	$ 10.4

Share-based payments - Share-based compensation expense (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Summary of significant accounting policies
Share-based compensation	$ 989	$ 767
Cost of sales
Summary of significant accounting policies
Share-based compensation	3	15
Research and development
Summary of significant accounting policies
Share-based compensation	273	167
Selling, general and administrative
Summary of significant accounting policies
Share-based compensation	713	585
Employee Stock Option
Summary of significant accounting policies
Share-based compensation	633	169
RSUs
Summary of significant accounting policies
Share-based compensation	242	489
DSUs
Summary of significant accounting policies
Share-based compensation	$ 114	$ 109

Revenue (Details) - USD ($) $ in Thousands	3 Months Ended
Revenue (Details) - USD ($) $ in Thousands	Mar. 31, 2025	Mar. 31, 2024
Revenue
Contracts with customers	$ 2,341	$ 1,219
Leasing	280	220
Total	2,621	1,439
Recurring - non-capital
Revenue
Contracts with customers	1,521	1,219
Leasing	280	220
Total	1,801	$ 1,439
Capital equipment
Revenue
Contracts with customers	820
Total	$ 820

Loss per share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Loss per share
Net loss for the period, basic	$ 10,724	$ 6,585
Net loss for the period, diluted	$ 10,724	$ 6,585
Weighted average number of common shares, basic	30,041,735	24,295,749
Weighted average number of common shares, diluted	30,041,735	24,295,749
Basic loss per share	$ 0.36	$ 0.27
Diluted loss per share	$ 0.36	$ 0.27

Loss per share - Anti-dilutive (Details) - shares	3 Months Ended
Loss per share - Anti-dilutive (Details) - shares	Mar. 31, 2025	Mar. 31, 2024
Loss per share
Number of dilutive securities exercisable	1,174,052	1,273,347
Employee Stock Option
Loss per share
Anti-dilutive securities excluded from computation of diluted earnings per share, amount	2,111,036	1,490,859
RSUs
Loss per share
Anti-dilutive securities excluded from computation of diluted earnings per share, amount	538,954	511,730
DSUs
Loss per share
Anti-dilutive securities excluded from computation of diluted earnings per share, amount	91,670	75,000

Segment reporting - Revenues (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Segment reporting
Revenue	$ 2,621	$ 1,439
Recurring - non-capital
Segment reporting
Revenue	1,801	1,439
Capital equipment
Segment reporting
Revenue	820
Canada
Segment reporting
Revenue	852	104
Canada \| Recurring - non-capital
Segment reporting
Revenue	282	104
Canada \| Capital equipment
Segment reporting
Revenue	570
USA
Segment reporting
Revenue	1,543	1,158
USA \| Recurring - non-capital
Segment reporting
Revenue	1,293	1,158
USA \| Capital equipment
Segment reporting
Revenue	250
Germany
Segment reporting
Revenue	226	177
Germany \| Recurring - non-capital
Segment reporting
Revenue	$ 226	$ 177

Segment reporting - Assets (Details) - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 2024
Segment reporting
Total assets	$ 60,864		$ 70,234
Intangible assets	214		261
Property and equipment	309		425
Right-of-use assets	342		396
Amortization of intangible assets	47	$ 51	229
Depreciation of property and equipment	116	$ 199	707
Canada
Segment reporting
Total assets	49,910		58,743
Intangible assets	214		261
Property and equipment	79		93
Right-of-use assets	342		396
Amortization of intangible assets	47		229
Depreciation of property and equipment	13		66
USA
Segment reporting
Total assets	6,265		6,351
Property and equipment	230		332
Depreciation of property and equipment	103		641
Germany
Segment reporting
Total assets	1,815		1,661
China
Segment reporting
Total assets	115		92
Finland
Segment reporting
Total assets	$ 2,759		$ 3,387

Segment reporting - Additional information (Details)	3 Months Ended
Segment reporting - Additional information (Details)	Mar. 31, 2025 segment
Segment reporting
Number of Operating Segments	1

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