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Profound Medical Announces Fourth Quarter and Full Year 2020 Financial Results

TORONTO, March 02, 2021 (GLOBE NEWSWIRE) -- Profound Medical Corp. (NASDAQ:PROF; TSX:PRN) (“Profound” or the “Company”), a commercial-stage medical device company that develops and markets customizable, incision-free therapies for the ablation of diseased tissue, today reported financial results for the fourth quarter and full year ended December 31, 2020.

Change in Presentation Currency

Effective December 31, 2020, Profound changed its presentation currency from the Canadian dollar to the United States dollar. The Company believes that changing its presentation currency to U.S. dollars will result in more relevant and reliable information for its financial statement users, and will more accurately reflect the results of its operations.

For the period ended September 30, 2020 and for all prior periods, Profound presented its financial statements in Canadian dollars. The comparative figures disclosed in this press release have been retrospectively changed to reflect the change in presentation currency to the U.S. dollar, as if the U.S. dollar had been used as the presentation currency for all prior periods. Unless specified otherwise, all amounts in this press release are expressed in U.S. dollars and are presented in accordance with International Financial Reporting Standards as issued by the International Accounting Standards Board.

Full Year 2020 and Recent Corporate Highlights

  • On January 10, 2020, Profound signed its first U.S. multi-site imaging center agreement for TULSA-PRO® with RadNet, Inc., a national leader in providing diagnostic imaging services through a network of 334 owned and/or operated outpatient imaging centers.
  • On January 10, 2020, Profound announced that it had submitted its application for a Healthcare Common Procedure Coding System C-Code from the Centers for Medicare & Medicaid Services (“CMS”) for the TULSA-PRO® procedure. Subsequent to this announcement, based upon feedback that Profound received from CMS and potential hospital customers, the Company requested that CMS set aside its application and recommends that hospitals consider using a previously established C-Code. In addition, as part of its overall reimbursement strategy, Profound continues to plan and conduct additional trials designed to support TULSA-PRO® to potentially qualify for a specific CPT code.

  • On January 27, 2020, the Company closed an underwritten offering of common shares, including the full exercise of the over-allotment option, for gross proceeds of approximately $39.5 million.
  • On February 4, 2020, Profound announced that it had retired its C$12.5 million in principal amount loan with Canadian Imperial Bank of Commerce approximately 30 months ahead of schedule, thereby extinguishing all of its long-term debt.
  • On April 3, 2020, Profound launched a TULSA procedure website, www.tulsaprocedure.com, as a resource for patients with prostate disease.
  • On July 21, 2020, Profound closed an underwritten offering of common shares, including the full exercise of the over-allotment option, for gross proceeds of approximately $46.0 million.

  • On November 30, 2020, the Company announced the resignation of Dr. Linda Maxwell from its Board of Directors and the appointment of Murielle Lortie, CPA, CA.

  • On November 30, 2020, Profound announced that Sonalleve® received U.S. Food and Drug Administration approval under a Humanitarian Device Exemption for the treatment of osteoid osteoma.
  • On December 21, 2020, Profound announced an agreement with GE Healthcare to expand provider access to TULSA-PRO®.

“We are energized for 2021 after having successfully executed against our strategic priorities last year,” said Arun Menawat, Profound’s CEO. “Our continuing focus is on our U.S. commercial activities. While our near-term outlook for TULSA-PRO® adoption remains cautious in the face of COVID-19 headwinds, we are encouraged by the growing interest in the technology we are seeing from both surgeons and prostate disease patients across the United States.”

Summary Fourth Quarter 2020 Results

For the quarter ended December 31, 2020, the Company recorded revenue of approximately $2.9 million, with $2.6 million from the sale of products, $145,000 from pay per procedure and $179,000 from installation, training and support of the multi-use system components. This was slightly higher than the Company’s preliminary unaudited revenue estimate of $2.8 million (C$3.7 million) announced on January 5, 2021, and represented revenue growth of 36% year-over-year and 29% sequentially over the previous quarter.

Total operating expenses, which consist of research and development (“R&D”), general and administrative (“G&A”), and selling and distribution expenses, were approximately $6.1 million in the fourth quarter of 2020, an increase of 14% compared with approximately $5.3 million in the fourth quarter of 2019.  

Expenditures for R&D for the three months ended December 31, 2020 were approximately $2.5 million, an increase of 4% compared with approximately $2.4 million in the three months ended December 31, 2019, primarily driven by increased spending for the setup and administrative costs of new clinical trials, options awarded to employees, additional headcount and overall increase to general expenses, partially offset by decreases in materials costs, consulting fees and travel expenses. G&A expenses for the 2020 fourth quarter decreased by 6% to approximately $1.8 million, compared with approximately $1.9 million in the same period in 2019, due to lower consulting fees, travel, software, bad debt and depreciation expenses, which were partially offset by increases in salaries and benefits and share based compensation. Fourth quarter 2020 selling and distribution expenses increased by 79% to approximately $1.7 million, compared with $977,000 in the fourth quarter of 2019. Historically, selling and distribution expenses have been lower than R&D expenses; however, in the future, Profound expects selling and distribution expenses to exceed R&D expenses as the Company continues to commercialize the TULSA-PRO® system in the United States.

Fourth quarter 2020 net loss was approximately $7.5 million, or $0.38 per common share, compared to approximately $3.9 million, or $0.33 per common share, in the three months ended December 31, 2019.

Summary Full Year 2020 Results

For the year ended December 31, 2020, the Company recorded revenue of approximately $7.3 million, with $6.2 million from the sale of products, $347,000 from pay per procedure and $724,000 from installation, training and support of the multi-use system components. This represents an increase of 75% from approximately $4.2 million in the twelve months ended December 31, 2019.

Profound’s full year 2020 total operating expenses were approximately $22.3 million, a 29% increase compared to approximately $17.3 million in the same period of 2019.

Expenditures for R&D for the year ended December 31, 2020 were approximately $9.9 million, an increase of 5% compared with approximately $9.4 million in the year ended December 31, 2019, primarily driven by increased spending on materials and R&D projects for technology improvements and upgrades, options awarded to employees and additional headcount, partially offset by lower clinical trial costs, consulting fees and travel expenses. Full year 2020 G&A expenses increased by 31% to approximately $7.6 million, compared with approximately $5.8 million in 2019, due to salary increases and bonuses awarded to management, options issued to employees, increased insurance costs associated with being Nasdaq listed and overall increase in general costs, offset partially by lower depreciation expenses, travel costs and consulting fees. Selling and distribution expenses for the year ended December 31, 2020 increased by 131% to approximately $4.9 million, compared with $2.1 million in the year ended December 31, 2019.

The Company recorded a net loss for the year ended December 31, 2020 of approximately $21.6 million, or $1.25 per common share, compared to approximately $15.1 million, or $1.37 per common share, for the year ended December 31, 2019.

Liquidity and Outstanding Share Capital

As at December 31, 2020, Profound had cash of approximately $83.9 million.

As at March 2, 2021, Profound had 20,289,899 common shares issued and outstanding.

For complete financial results, please see Profound’s filings at www.sedar.com, www.sec.gov and on the Company’s website at www.profoundmedical.com under “Financial” in the Investors section.

Conference Call Details

Profound Medical is pleased to invite all interested parties to participate in a conference call today, March 2, 2021, at 4:30 pm ET during which time the results will be discussed.

Live Call:  1-833-710-1825 (Canada and the United States)
  1-929-517-0404 (International)
   
Replay:  1-404-537-3406
   
Passcode: 7999443

The call will also be broadcast live and archived on the Company's website at www.profoundmedical.com under "Webcasts" in the Investors section.

About Profound Medical Corp.

Profound is a commercial-stage medical device company that develops and markets customizable, incision-free therapies for the ablation of diseased tissue.

Profound is commercializing TULSA-PRO®, a technology that combines real-time MRI, robotically-driven transurethral ultrasound and closed-loop temperature feedback control. TULSA-PRO® is designed to provide customizable and predictable radiation-free ablation of a surgeon-defined prostate volume while actively protecting the urethra and rectum to help preserve the patient’s natural functional abilities. TULSA-PRO® has the potential to be a flexible technology in customizable prostate ablation, including intermediate stage cancer, localized radio-recurrent cancer, retention and hematuria palliation in locally advanced prostate cancer, and the transition zone in large volume benign prostatic hyperplasia (BPH). TULSA-PRO® is CE marked, Health Canada approved, and 510(k) cleared by the U.S. Food and Drug Administration (“FDA”).

Profound is 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. The Company is 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.

Forward-Looking Statements

This release includes forward-looking statements regarding Profound and its business which may include, but is not limited to, the expectations regarding the efficacy of Profound’s technology in the treatment of prostate cancer, uterine fibroids, palliative pain treatment and osteoid osteoma. Often, but not always, forward-looking statements can be identified by the use of words such as "plans", "is expected", "expects", "scheduled", "intends", "contemplates", "anticipates", "believes", "proposes" or variations (including negative variations) of such words and phrases, or state that certain actions, events or results "may", "could", "would", "might" or "will" be taken, occur or be achieved. Such statements are based on the current expectations of the management of Profound. The forward-looking events and circumstances discussed in this release, may not occur by certain specified dates or at all and could differ materially as a result of known and unknown risk factors and uncertainties affecting the company, including risks regarding the medical device industry, regulatory approvals, reimbursement, economic factors, the equity markets generally and risks associated with growth and competition. Although Profound has attempted to identify important factors that could cause actual actions, events or results to differ materially from those described in forward-looking statements, there may be other factors that cause actions, events or results to differ from those anticipated, estimated or intended. No forward-looking statement can be guaranteed. In addition, there is uncertainty about the spread of the COVID-19 virus and the impact it will have on Profound’s operations, the demand for its products, global supply chains and economic activity in general. Except as required by applicable securities laws, forward-looking statements speak only as of the date on which they are made and Profound undertakes no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events, or otherwise, other than as required by law.

For further information, please contact:

Stephen Kilmer
Investor Relations
skilmer@profoundmedical.com
T: 647.872.4849


Profound Medical Corp.
Consolidated Balance Sheets
In USD (000s)

  2020
  2019
 
  $   $  
     
Assets    
     
Current assets    
Cash 83,913   14,800  
Trade and other receivables 7,431   3,125  
Investment tax credits receivable -   185  
Inventory 5,331   3,668  
Prepaid expenses and deposits 1,067   1,028  
Total current assets 97,742   22,806  
     
Property and equipment 859   527  
Intangible assets 1,898   2,409  
Right-of-use assets 1,424   1,693  
Goodwill 2,678   2,625  
     
Total assets 104,601   30,060  
     
Liabilities    
     
Current liabilities    
Accounts payable and accrued liabilities 3,382   3,028  
Deferred revenue 358   504  
Long-term debt -   3,961  
Provisions 195   104  
Other liabilities 99   221  
Derivative financial instrument 450   196  
Lease liabilities 312   199  
Income taxes payable 13   11  
Total current liabilities 4,809   8,224  
     
Long-term debt -   5,174  
Deferred revenue 1,078   639  
Provisions -   15  
Lease liabilities 1,364   1,637  
     
Total liabilities 7,251   15,689  
     
Shareholders’ Equity    
     
Share capital 211,527   100,298  
Contributed surplus 11,250   15,076  
Accumulated other comprehensive loss 4,567   7,369  
Deficit (129,994 ) (108,372 )
     
Total Shareholders’ Equity 97,350   14,371  
     
Total Liabilities and Shareholders’ Equity 104,601   30,060  




Profound Medical Corp.
Consolidated Statements of Loss and Comprehensive Loss
In USD (000s)

  2020
2019
  $ $
     
Revenue    
Products        6,233 3,697
Services            724 477
Pay per procedure            347 -
         7,304 4,174
Cost of sales 3,830 1,784
Gross profit 3,474 2,390
     
Operating expenses    
Research and development 9,912 9,397
General and administrative 7,565 5,793
Selling and distribution 4,860 2,104
Total operating expenses 22,337 17,294
     
Operating Loss 18,863 14,904
     
Net finance costs 2,714 171
     
Loss before taxes 21,577 15,075
     
Income taxes 45 147
     
Net loss attributed to shareholders for the year 21,622 15,222
     
Other comprehensive loss    
Item that may be reclassified to loss    
Foreign currency translation adjustment - net of tax 2,802 4,490
     
Net loss and comprehensive loss for the year 24,424 19,712
     
Loss per share    
Basic and diluted loss per common share 1.25 1.37




Profound Medical Corp.
Consolidated Statements of Cash Flows
In USD (000s)

  2020
  2019
 
  $   $  
     
Operating activities    
Net loss for the year (21,622 ) (15,222 )
Adjustments to reconcile net loss to net cash flows from operating activities:    
Depreciation of property and equipment 352   394  
Amortization of intangible assets 881   856  
Depreciation of right-of-use assets 305   261  
Share-based compensation 3,018   1,266  
Interest and accretion expense 543   1,040  
Deferred revenue 257   598  
Change in fair value of derivative financial instrument 237   118  
Change in fair value of contingent consideration 90   (623 )
Changes in non-cash working capital balances    
Investment tax credits receivable 179   181  
Trade and other receivables (4,028 ) (1,034 )
Prepaid expenses and deposits (17 ) (833 )
Inventory (2,141 ) (854 )
Accounts payable and accrued liabilities 102   (83 )
Provisions 71   (903 )
Income taxes payable 1   (212 )
Foreign exchange on cash 1,198   -  
Net cash flow used in operating activities (20,574 ) (15,050 )
     
Investing activities    
Purchase of intangible assets (350 ) (189 )
Total cash used in investing activities (350 ) (189 )
     
Financing activities    
Issuance of common shares 85,523   8,709  
Transaction costs paid (6,429 ) (776 )
Payment of other liabilities (212 ) (89 )
Payment of long-term debt and interest (9,317 ) (1,009 )
Proceeds from share options exercised 1,826   4  
Proceeds from warrants exercised 16,331   -  
Payment of lease liabilities (289 ) (241 )
Total cash from financing activities 87,433   6,598  
     
Net change in cash during the year 66,509   (8,641 )
Foreign exchange on cash 2,604   946  
Cash – Beginning of year 14,800   22,495  
Cash End of year 83,913   14,800  

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