Q2 2026 Profound Medical Corp Earnings Call

August 6, 2026

Operator: Thank you for standing by. Welcome to Profound Medical Corp.'s Q2 2026 financial results conference call. At this time, all participants are in listen-only mode. After the speaker's presentation, there will be a question and answer session. To ask a question during the session, you will need to press star one one on your telephone. You will then hear an automated message advising your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your first speaker today, Stephen Kilmer, Investor Relations.

Arun Menawat: Thank you for standing by. Welcome to Profound Medical Corp.'s Q2 2026 financial results conference call. At this time, all participants are in listen-only mode. After the speaker's presentation, there will be a question and answer session. To ask a question during the session, you will need to press star one one on your telephone. You will then hear an automated message advising your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your first speaker today, Stephen Kilmer, Investor Relations.

Speaker #1: After the speaker's presentation, there will be a question-and-answer session. To ask a question during the session, you will need to press star, 11, on your telephone. hear an automated message withdraw your question, please press star, 11, again.

Speaker #1: recorded. I would now like to hand the conference over to your first speaker today, Stephen Kilmer, Investor Relations.

Stephen Kilmer: Thank you. Good afternoon, everyone. Let me start by pointing out that this conference call will include forward-looking statements within the meaning of applicable securities laws in the US and Canada. All forward-looking statements are based on Profound's current beliefs, assumptions and expectations and relate to, among other things, any express or implied statements or guidance regarding current or future financial performance and position and expectations regarding the efficacy of Profound's technology. Such statements involve known and unknown risks and uncertainties and other factors that may cause actual results, performance or achievements to be materially different from those implied by such statements. No forward-looking statement can be guaranteed. Listeners are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this conference call.

Speaker #2: afternoon, everyone. Let me start by pointing out that this conference call will include forward-looking statements within the meaning of applicable securities laws in the United States and Canada.

Speaker #2: All forward-looking statements are based on profound current beliefs, assumptions, and expectations and relate to, among other things, any express or implied statements or guidance regarding current or future financial performance and position, and expectations regarding the efficacy of profound technology.

Speaker #2: Such statements involve known risks and uncertainties, and other factors that may cause actual results, performance, or achievements to be materially different from those implied by such statements.

Speaker #2: No forward-looking statement can be guaranteed. Listeners are cautioned not to place undue reliance on these forward-looking statements, or speak only as to the date of this conference call.

Stephen Kilmer: 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. Representing the company today are Dr. Arun Menawat, Profound's Chief Executive Officer and Chairman, Dr. Mathieu Burtnyk, Profound's President, and Tom Tamberrino, our Chief Commercial Officer. Also filling in for our CFO due to a scheduling issue is our Corporate Controller, Matthew Sawchuk. With that said, I'll now turn the call over to Matthew.

Stephen Kilmer: 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. Representing the company today are Dr. Arun Menawat, Profound's Chief Executive Officer and Chairman, Dr. Mathieu Burtnyk, Profound's President, and Tom Tamberrino, our Chief Commercial Officer. Also filling in for our CFO due to a scheduling issue is our Corporate Controller, Matthew Sobczyk. With that said, I'll now turn the call over to Matthew.

Speaker #2: 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.

Speaker #2: Representing the company today are Dr. Arun Menawat, Profound's Chief Executive Officer and Chairman, Dr. Mathieu Burtnyk, Profound's President, and Thomas Tamberrino, our Chief Commercial Officer.

Speaker #2: Also filling in for our CFO due to a scheduling issue is our Corporate Controller, Matthew Sobchuk. With that said, I'll now turn the call over to Matthew.

Speaker #3: Good afternoon, everyone, and welcome to the second quarter 2026 conference call. On behalf of the management team, and everyone at Profound, I would like to thank our company.

Matthew Sawchuk: Good afternoon, everyone, and welcome to the Q2 2026 Conference Call. On behalf of the management team and everyone at Profound, I would like to thank you for your ongoing interest in our company. For those of you who are shareholders, we appreciate your continued interest and support. I will turn the call over to Mathieu Burtnyk in a moment to provide clinical updates. Before I do, I would like to provide a brief summary of our Q2 2026 financial results. All of the numbers I will refer to have been rounded, so they are approximate. For the three-month period ended 30 June 2026, the company recorded revenue of CAD 2.5 million, with CAD 1.6 million from recurring revenue and CAD 871,000 from capital equipment sales.

Matthew Sobczyk: Good afternoon, everyone, and welcome to the Q2 2026 Conference Call. On behalf of the management team and everyone at Profound, I would like to thank you for your ongoing interest in our company. For those of you who are shareholders, we appreciate your continued interest and support. I will turn the call over to Mathieu Burtnyk in a moment to provide clinical updates. Before I do, I would like to provide a brief summary of our Q2 2026 financial results. All of the numbers I will refer to have been rounded, so they are approximate. For the three-month period ended 30 June 2026, the company recorded revenue of CAD 2.5 million, with CAD 1.6 million from recurring revenue and CAD 871,000 from capital equipment sales.

Speaker #3: For those of you who are shareholders, we appreciate your continued interest and support. I will turn the call over to Matthew in a moment to provide clinical updates.

Speaker #3: However, before I do, I would like to provide a brief summary of our second quarter 2026 financial results. All of the numbers I will refer to have been rounded, so they are approximate.

Speaker #3: For the three-month period ended June 30, 2026, the company recorded revenue of $2.5 million with $1.6 million from recurring revenue and $871,00 from capital equipment sales.

Matthew Sawchuk: Q2 2026 revenue was up 12% from CAD 2.2 million for the same three-month period a year ago. As noted in today's press release, this doesn't fully reflect our sales performance in Q2 2026. Approximately CAD 3.1 million of TULSA product shipments originally anticipated in the final weeks of June were completed in July, affecting the period of revenue recognition. Excluding the shipment timing, Q2 revenue would have been approximately CAD 5.6 million, representing 153% year-over-year growth. Gross margin in Q2 2026 was 78%, compared to 73% in Q2 2025. We continue to have confidence that the gross margin for our business will remain above our stated goals of over 70% over the long haul. Total operating expenses in Q2 2026 were CAD 13 million, down 16% from the CAD 15.4 million in Q2 2025.

Matthew Sobczyk: Q2 2026 revenue was up 12% from CAD 2.2 million for the same three-month period a year ago. As noted in today's press release, this doesn't fully reflect our sales performance in Q2 2026. Approximately CAD 3.1 million of TULSA product shipments originally anticipated in the final weeks of June were completed in July, affecting the period of revenue recognition. Excluding the shipment timing, Q2 revenue would have been approximately CAD 5.6 million, representing 153% year-over-year growth. Gross margin in Q2 2026 was 78%, compared to 73% in Q2 2025. We continue to have confidence that the gross margin for our business will remain above our stated goals of over 70% over the long haul. Total operating expenses in Q2 2026 were CAD 13 million, down 16% from the CAD 15.4 million in Q2 2025.

Speaker #3: Second quarter 2026 revenue was up 12% from $2.2 million for the same three-month period a year ago. As noted in today's press release, this doesn't fully reflect our sales performance in Q2 2026.

Speaker #3: Approximately $3.1 million of Tulsa product shipments, originally anticipated in the final weeks of June, were completed in July, affecting the period of revenue recognition.

Speaker #3: Excluding this shipment timing, second quarter revenue would have been approximately $5.6 million representing 153% year-over-year growth. Gross margin in Q2 2026 was 78% compared to 73% in Q2 2025.

Speaker #3: We continue to have confidence that the gross margin for our business will remain above our stated goals of over 70% over the long haul.

Speaker #3: Total operating expenses in the 2026 second quarter were $13 million, down 16% from the $15.4 million in the second quarter of 2025. Overall, the company recorded a second quarter 2026 net loss of $9.5 million or $26 cents per common share, compared to a net loss of approximately $15.7 million or $52 cents per common share in the three months ended June 30, 2025.

Matthew Sawchuk: Overall, the company recorded a Q2 2026 net loss of CAD 9.5 million or CAD 0.26 per common share, compared to a net loss of approximately CAD 15.7 million or CAD 0.52 per common share in the three months ended 30 June 2025. As of 30 June 2026, Profound had cash of CAD 38.3 million. Tom Tamberrino and Arun Menawat will discuss later in the call, despite the revenue recognition timing issue in Q2, based on record order activity, Profound continues to project total revenue for full year 2026 to be approximately CAD 25 million, which represents 56% growth compared to its prior year revenue. With that, I'll now turn the call over to Mathieu Burtnyk for an update on clinical and development activities.

Matthew Sobczyk: Overall, the company recorded a Q2 2026 net loss of CAD 9.5 million or CAD 0.26 per common share, compared to a net loss of approximately CAD 15.7 million or CAD 0.52 per common share in the three months ended 30 June 2025. As of 30 June 2026, Profound had cash of CAD 38.3 million. Tom Tamberrino and Arun Menawat will discuss later in the call, despite the revenue recognition timing issue in Q2, based on record order activity, Profound continues to project total revenue for full year 2026 to be approximately CAD 25 million, which represents 56% growth compared to its prior year revenue. With that, I'll now turn the call over to Mathieu Burtnyk for an update on clinical and development activities.

Speaker #3: As of June 30, 2026, Profound had cash of $38.3 million. As Tom and Arun will discuss later in the call, despite the revenue recognition timing issue in the second quarter, based on record order activity, Profound continues to project total revenue for full year 2026 to be approximately $25 million, which represents 56% growth compared to its prior year revenue.

Speaker #3: With that, I'll now turn the call over to Matthew Burtnyk for an update on clinical and development activities.

Speaker #4: Thank you, and good afternoon. On past calls, I've highlighted the growing body of clinical evidence supporting the TULSA procedure as a new platform for prostate disease management, capable of delivering whole-gland treatment efficacy while preserving quality of life.

Mathieu Burtnyk: Thank you, good afternoon. On past calls, I've highlighted the growing body of clinical evidence supporting the TULSA procedure as a new platform for prostate disease management, capable of delivering whole-gland treatment efficacy while preserving quality of life. The CAPTAIN trial has already proven that TULSA delivered statistically superior quality of life outcomes compared to robotic radical prostatectomy, achieving its primary safety endpoint with statistically higher preservation of the composite endpoint of urinary incontinence and erectile function at 6 months. Patients treated with TULSA experienced superior perioperative outcomes, including no blood loss, no overnight hospital stay, less pain, and faster recovery, along with statistically significantly fewer serious complications and a faster return to normal activities and paid employment. Most recently, at SRS, we presented positive incremental data from CAPTAIN demonstrating that whole-gland TULSA provided statistically superior penile length preservation compared to robotic prostatectomy.

Speaker #4: The captain trial has already proven that Tulsa delivered statistically superior quality of life outcomes compared to robotic radical prostatectomy, achieving its primary safety endpoint with statistically higher preservation of the composite endpoint of urinary incontinence and erectile function at six months.

Speaker #4: In addition, patients treated with Tulsa experienced superior perioperative outcomes, including no blood loss, no overnight hospital stay, less pain, and faster recovery, along with statistically significantly fewer serious complications and a faster return to normal activities and paid employment.

Speaker #4: Most recently, at SRS, we presented positive incremental data from captain demonstrating that whole-gland Tulsa provided statistically superior penile length preservation compared to robotic prostatectomy.

Speaker #4: At one month following the Tulsa procedure, there was no median change in penile length after Tulsa, compared with a median 0.65-centimeter reduction in penile length after robotic prostatectomy.

Mathieu Burtnyk: At one month following the TULSA procedure, there was no median change in penile length after TULSA, compared with a median 0.65 centimeter reduction in penile length after robotic prostatectomy. To some people, and please pardon the pun, that might not sound like a super big deal. Even modest amounts of penile shortening can contribute meaningfully to patient distress and reduce satisfaction following treatment. This new data points to the greater peace of mind that the TULSA procedure can deliver to patients by gently, safely, and precisely ablating prostate tissue while actively protecting surrounding structures such as the prostatic urethra. As we've noted before, one of CAPTAIN's primary objectives is to support broader payer coverage. Randomized controlled trials remain the gold standard for coverage decisions. CAPTAIN continues to generate evidence demonstrating meaningful quality-of-life advantages that resonate with both patients and payers.

Speaker #4: To some people, and please pardon the pun, that might not sound like a super big deal, but even modest amounts of penile shortening can contribute meaningfully to patients' distress and reduce satisfaction following treatment.

Speaker #4: This new data points to the greater peace of mind that the Tulsa procedure can deliver to patients by gently safely and precisely ablating prostate tissue while actively protecting surrounding structures such as the prostatic urethra.

Speaker #4: As we've noted before, one of captain's primary objectives is to support broader payer coverage. Randomized controlled trials remain the gold standard for coverage decisions and captain continues to generate evidence demonstrating meaningful quality of life advantages that resonate with both patients and payers.

Speaker #4: In addition to ongoing captain readouts and analyses, the clinical value of Tulsa's continuing to become sharper as presentations focus more on what specifically make Tulsa most versatile.

Mathieu Burtnyk: In addition to ongoing CAPTAIN readouts and analyses, the clinical value of TULSA is continuing to become sharper as presentations focus more on what specifically make TULSA most versatile. Beyond demonstrating overall efficacy and quality-of-life benefits, ongoing clinical analyses are increasingly helping physicians understand where TULSA's capabilities may be particularly valuable. Examples include patients with apical cancer, where the enhanced visualization of the MR allows urologists to precisely carve out tumor from the boundary of the sphincter muscle that controls continence. These patients almost always end up with urinary incontinence following robotic RP, whose continence can almost always be saved if treated with TULSA. Secondly, patients with unilateral disease or cancer on one side of the prostate and whose nerves that maintain erectile function can be spared by not ablating the benign side of the prostate.

Speaker #4: Beyond demonstrating overall efficacy and quality of life benefits, ongoing clinical analyses are increasingly helping physicians understand where Tulsa's capabilities may be particularly valuable. Examples include patients with apical cancer, where the enhanced visualization of the MR allows urologists to precisely carve out tumor from the boundary of the sphincter muscle that controls continence.

Speaker #4: These patients almost always end up with urinary incontinence following robotic RP, but whose continence can almost always be saved if treated with Tulsa. Secondly, patients with unilateral disease or cancer on one side of the prostate and whose nerves that maintain erectile function can be spared by not ablating the benign side of the prostate.

Speaker #4: Thirdly, patients where multiparametric MRI provides a clear hot zone that is suspicious of cancer within the prostate and thereby giving surgeons better guidance of what part of the prostate to kill.

Mathieu Burtnyk: Thirdly, patients where multiparametric MRI provides a clear hot zone that is suspicious of cancer within the prostate, thereby giving surgeons better guidance of what part of the prostate to kill. Patients with very large prostates, where TULSA has demonstrated treatment flexibility without the increased side effect burden often associated with other modalities. I'd like to conclude my remarks by reiterating that from gold standard treatment reflex findings to TACT durable 5-year outcomes to CAPTAIN's compelling level 1 data, the clinical foundation supporting TULSA continues to strengthen. We believe this growing body of evidence increasingly positions TULSA as a differentiated platform capable of delivering whole-gland efficacy, superior quality-of-life outcomes, and expanded reimbursement support. I will now turn the call over to Tom.

Speaker #4: And patients with very large prostates, where TULSA has demonstrated treatment flexibility without the increased side effect burden often associated with other modalities. I’d like to conclude my remarks by reiterating that—from gold standard treatment effect findings, to TULSA’s durable five-year outcomes, to CAPTAIN’s compelling level one data—the clinical foundation supporting TULSA continues to strengthen.

Speaker #4: We believe the growing body of evidence increasingly positions Tulsa as a differentiated platform capable of delivering whole-bland efficacy superior quality of life outcomes and expanded reimbursement support.

Speaker #4: I will now turn the call over to Tom.

Speaker #1: Thank you. There's no question that momentum in our business is continuing to build. As Matthew Sobichek mentioned, we recorded a year-over-year increase of 12%, which would have been 153% absent the 3.1 million shift in Q2 orders that were shift in July and will be recognized in the current quarter.

Tom Tamberrino: Thank you. There's no question that momentum in our business is continuing to build. As Matthew Sobczyk mentioned, we recorded a year-over-year increase of 12%, which would have been 153% Absent the CAD 3.1 million shift in Q2 orders that were shipped in July and will be recognized in the current quarter. Speaking of temporary interruptions, you may have also noticed that while same-store sequential quarter-over-quarter growth, as measured by our new TULSA INDEX20, declined by 12%, it grew 39% in the H1 2026 over the same period in 2025, and 22% year-over-year. The sequential change was mainly attributable to five sites not realizing the expected growth due to short-term issues. For example, one of the sites converted from a placement to a capital model in Q2 and paused treatments during the transition. That site is now back online.

Speaker #1: Speaking of temporary interruptions, you may have also noticed that while same-store sequential quarter-over-quarter growth, as measured by our new index 20, declined by 12%, it grew 39% in the first half of 2026 over the same period in 2025, and 22% year-over-year.

Speaker #1: The sequential change was mainly attributable to five sites, not realizing the expected growth due to short-term issues. For example, one of the sites converted from a placement to a capital model in Q2 and paused treatments during the transition.

Speaker #1: That site is now back online. Despite these one-time and/or temporary issues, Q2 2026 marked another true commercial inflection point, and so far, we have seen that momentum continue into Q3.

Tom Tamberrino: Despite these one-time and/or temporary issues, Q2 2026 marked another true commercial inflection point. So far, we have seen that momentum continue into Q3. We estimate that our qualified sales pipeline, defined as being within one of the verified, negotiate, and contracting stages for TULSA-PRO and Sonalleve, is now approximately CAD 70 million. While we can't predict the extent and/or timing which that qualified sales pipeline will translate into recognized revenue, it has been growing steadily, which certainly bodes well for the future. We had another monthly record for new orders in July, none of which included any of the shift or rollover from Q2. SRS 2026 was the most productive medical meeting I have ever been a part of.

Speaker #1: We estimate that our qualified sales pipeline defined as being within one of the verified, negotiate, and contracting stages for Tulsa Pro and Sonileve is now approximately 70 million dollars.

Speaker #1: While we can't predict the extent and/or timing, which that qualified sales pipeline will translate into recognized revenue, it has been growing steadily with certainly bodes well for the future.

Speaker #1: We had another monthly record for new orders in July, none of which included any of the shift or rollover from Q2. And SRS 2026 was the most productive medical meeting I have ever been a part of.

Speaker #1: To put that into perspective, our team's work generated more than 160 qualified leads over the four days of the event—so, around four or five new commercial opportunities per hour.

Tom Tamberrino: To put that into perspective, our team's work generated more than 160 qualified leads over the 4 days of the event, so around 4 or 5 new commercial opportunities per hour. Again, it's not possible to predict what number of those will translate into actual sales, but also again, boding well for the future. Three additional tailwinds helping drive our commercial momentum acceleration are higher and expanding reimbursement. With respect to Medicare, a few weeks ago, CMS released the current year 2027 hospital outpatient prospective payment system, or OPPS, and ambulatory surgical center, or ASC, proposed rules. Under the OPPS proposal, TULSA furthers its favorable reimbursement level relative to other treatment modalities. To summarize those proposed changes, TULSA remains at urology APC level 7, with OPPS payment increasing 14.9% to USD 15,494 per procedure. That compares to an 11.6% increase for HIFU and Aquablation to USD 10,797, and USD 12,300 for robotic RP.

Speaker #1: Again, it's not possible to predict what number of those will translate into actual sales, but also again, boding well for the future. Three additional tailwinds helping drive our commercial momentum acceleration are hire and expanding reimbursement.

Speaker #1: With respect to Medicare, a few weeks ago, CMS released the current year 2027 hospital outpatient prospective payment system or OPPVS, an ambulatory surgical center or ASC proposed rules.

Speaker #1: Under the OPPS proposal, Tulsa furthers its favorable reimbursement level relative to other treatment modalities. To summarize those proposed changes, Tulsa remains at urology APC Level 7, with OPPS payment increasing 14.9% to $15,494 per procedure.

Speaker #1: That compares to an 11.6% increase for HIFU and Aquablation to $10,797. And $12,300 for robotic RP. So assuming the final rule doesn't change these numbers, starting in January 2027, hospitals will be paid $44% or $4,697 more per procedure for Tulsa than HIFU and Aquablation.

Tom Tamberrino: That compares to an 11.6% increase for HIFU and Aquablation to USD 10,797, and USD 12,300 for robotic RP. Assuming the final rule doesn't change these numbers, starting in January 2027, hospitals will be paid 44%, or USD 4,697 more per procedure for TULSA than HIFU and Aquablation, and 26%, or USD 3,194 more for TULSA than robotic RP. Keeping in mind that hospitals can generally perform as many or more TULSA procedures versus those other modalities in a day, our premium there is clearly growing, making our relative profitability for hospitals higher as well.

Tom Tamberrino: Assuming the final rule doesn't change these numbers, starting in January 2027, hospitals will be paid 44%, or USD 4,697 more per procedure for TULSA than HIFU and Aquablation, and 26%, or USD 3,194 more for TULSA than robotic RP. Keeping in mind that hospitals can generally perform as many or more TULSA procedures versus those other modalities in a day, our premium there is clearly growing, making our relative profitability for hospitals higher as well. With respect to ASCs, the proposed rule would reduce TULSA to USD 6,866. However, we don't currently have any active ASC sites, and we believe there may be an opportunity for us to correct the hospital cost reporting that appears to have drove the reduction. On the physician payment schedule side, TULSA is more than holding its ground as well when viewed on an apples-to-apples basis.

Speaker #1: And 26%, or $3,194, more for Tulsa than robotic RP. Keeping in mind that hospitals can generally perform as many or more Tulsa procedures versus those other modalities in a day, the premium there is clearly growing.

Speaker #1: Making our relative profitability for hospitals higher as well. With respect to ASCs, the proposed rule would reduce Tulsa to $6,866. However, we don't currently have any active ASC sites, and we believe there may be an opportunity for us to correct the hospital cost reporting that appears to have drove the reduction.

Tom Tamberrino: With respect to ASCs, the proposed rule would reduce TULSA to USD 6,866. However, we don't currently have any active ASC sites, and we believe there may be an opportunity for us to correct the hospital cost reporting that appears to have drove the reduction. On the physician payment schedule side, TULSA is more than holding its ground as well when viewed on an apples-to-apples basis.

Speaker #1: On the physician payment schedule side, Tulsa is more than holding its ground as well when viewed on an apples-to-apples basis. Adjusting for the fact that Tulsa is zero-day while competitors are 90-day, physicians will be paid $880 for each Tulsa procedure compared to $865 for HIFU, $1,064 for robotic RP, and $539 for Aquablation.

Tom Tamberrino: Adjusting for the fact that TULSA is zero-day while competitors are 90-day, physicians will be paid USD 880 for each TULSA procedure, compared to USD 865 for HIFU, USD 1,064 for robotic RP, and USD 539 for Aquablation. Turning to other payers, coverage for the TULSA procedure expanded by approximately 18.3 million covered lives during Q2. Most of the newly covered lives came through state Medicaid and managed Medicaid and Medicare programs. This follows the addition of 8.5 million covered lives in Q1, which included 6.9 million covered lives with Humana. Just today, we announced that the Johns Hopkins and the Prime Healthcare employee health plans, together covering more than 105,000 employees, medical staff and family members have become the first ever employer-owned health plan to list the TULSA procedure as a covered service. We're just getting started.

Speaker #1: Turning to other payers, coverage for the Tulsa procedure expanded by approximately 18.3 million covered lives during the second Second quarter . Most of the newly covered lives came through state Medicaid and managed Medicaid and better programs This follows the addition of 8.5 .

Speaker #1: Million covered lives in the first quarter , which included 6.9 million covered lives with Humana . And just today , we announced that the Johns Hopkins and the Prime Health employee health plans together covering more than 105 000 employees .

Speaker #1: Medical staff and family members , have become the first ever employer owned health plans to list the Tulsa procedure as a covered service , and we're just getting started .

Speaker #1: Her film will continue to work collaboratively with payers , providers and health systems to expand coverage and streamline patient access pathways for the Tulsa procedure Looking ahead , I'm confident in our ability to further accelerate .

Tom Tamberrino: Profound will continue to work collaboratively with payers, providers, and health systems to expand coverage and streamline patient access pathways for the TULSA procedure. Looking ahead, I'm confident in our ability to further accelerate. We're well positioned to capitalize on the expanding interest in image-guided, incisionless, and autonomous robotic surgery. We're anticipating an extended reimbursement premium for TULSA hospitals and physicians. We're growing an already formal body of clinical evidence demonstrating the superiority of our technology, and we're continuing to scale our commercial footprint both at home and abroad. Thank you for your time. I'll turn the call over to Arun now.

Speaker #1: We're well positioned to capitalize on the expanding interest in image guided incisionless and autonomous robotic surgery . For anticipating an extended reimbursement premium for Tulsa hospitals and physicians .

Speaker #1: We're growing and already formidable body of clinical evidence demonstrating the superiority of our technology . And we're continuing to scale our commercial footprint both at home and abroad Thank you for your time .

Speaker #1: I'll turn the call over to Arun now

Speaker #2: Thanks , Tom . And good afternoon , everyone As I discussed in our Q1 call , the dynamics in the prostate disease treatment space continue to change at a rapid pace .

Arun Menawat: Thanks, Tom, and good afternoon, everyone. As I discussed in our Q1 call, the dynamics in the prostate disease treatment space continue to change at a rapid pace. Whole-gland robotic prostatectomy or radiation therapy are the standard of care for treating prostate cancer today. For BPH, mainstream treatment with transurethral resection of the prostate, or TURP, has largely been unchanged over the past 100 years. It remains our belief that today's standards have plateaued and that we can do better than the clinical outcomes from these standards. Just a few days ago, at SRS 2026, we saw firsthand that robotic surgeons are beginning to not only understand the potential of TULSA clinically, but also recognize that TULSA is the only prostate treatment system that is MRI-guided.

Speaker #2: Prostate gland robotic prostatectomy or radiation therapy are the standard of care for treating prostate cancer today. And for BPH, mainstream treatment with transurethral resection of the prostate, or TURP, has largely been unchanged over the past 100 years.

Speaker #2: It remains our belief that today's standards have allowed , and that we can do better than the clinical outcomes from these standards . Just a few days ago at SRS 2026 , we saw firsthand that robotic surgeons are beginning to not only understand the potential of Tulsa clinically , but also recognize that Tulsa is the only prostate treatment system that is MRI guided .

Speaker #2: Elsa is the only modality that offers the flexibility to treat the prostate gland regionally , meaning with whole or near gland subtotal . Family or focal ablation .

Arun Menawat: TULSA is the only modality that offers the flexibility to treat the prostate gland regionally, meaning with whole or near-gland subtotal, hemil, or focal ablation. The time for incisionless surgery has come. The most tangible evidence of this is that the new Society of Incisionless Surgery, or SIS, began its activities at SRS 2026, and Profound Medical Corp., HistoSonics, and Insightec are among the most prominent founding members of the new society. TULSA is the only modality that deploys supervised robotic autonomy, meaning it executes predetermined and/or AI-driven tasks independently. This compares to all competitive, so-called master-slave robotic systems that rely entirely on direct, real-time human hand movement and control. Today, TULSA's autonomous robotics enables surgeons to deliver consistent, highly personalized treatment based on each patient's unique anatomy and disease.

Speaker #2: The time for incision less surgery has come , but most tangible evidence of this is that the new Society of Incisionless surgery , or CIS , began its activities at CES 2026 and profound Histosonics and Insightec were among the most prominent founding members of the new society , and Tulsa is the only modality that deploys supervised robotic autonomy , meaning it executes predetermined and or AI driven tasks independently This compares to all competitors so-called master slave , robotic systems that rely entirely on direct , real time human and movement , and control .

Speaker #2: Today , HealthSouth Autonomous Robotics enables surgeons to deliver consistent , highly personalized treatment based on each patient's unique anatomy and disease in the future , it may also give us an even stronger competitive advantage in incisionless surgery advances to its next frontier , including potentially telesurgery With respect to MRI guidance , I would like to directly address what many of our competitors have tried to use as a knock against Tulsa .

Arun Menawat: In the future, it may also give us an even stronger competitive advantage in incisionless surgery advances to its next frontier, including potentially telesurgery. With respect to MRI guidance, I would like to directly address what many of our competitors have tried to use as a knock against TULSA. While it is true that as we first started commercialization, finding compatible MR available time and convincing urology and radiology to work together to adopt a TULSA program was a hurdle to climb. Today, TULSA is compatible with an install base of about 5,000 MRs in the United States and more worldwide, and that number continues to grow.

Speaker #2: While it is true that as we first started commercialization , finding compatible . Mr. . Available time and convincing urology and radiology to work together to adopt a Tulsa program was a hurdle to climb .

Speaker #2: But today , Sosa is compatible with an installed base of about 5000 EMRs in the United States and more worldwide . And that number continues to grow .

Speaker #2: It is therefore a lot easier to find an Mr. . And justify Tulsa , particularly with the economic proposition as it's facility fee is already higher than that of any other treatment modality , and based on the proposed rule for 2027 that Tulsa Premium is only going to get higher Our relationship with Mr. Companies also continues to expand as they see interventional EMRs as a growth opportunity for them to and as we have talked about on the past false EMRs , specifically designed for interventional procedures are now becoming commercially available .

Arun Menawat: It is therefore a lot easier to find an MR and justify TULSA, particularly with the economic proposition as its facility fee is already higher than that of any other treatment modality, and based on the proposed rule for 2027, the TULSA premium is only going to get higher. Our relationship with MR companies also continues to expand as they see interventional iMRs as a growth opportunity for them, too. As we have talked about on the past calls, MRs specifically designed for interventional procedures are now becoming commercially available. These MRs are significantly smaller, lighter, and easier to use to the point that even an MR tech is not necessary to operate them. They are also less costly to acquire and maintain and can be placed just about anywhere since they don't need the same shielding as larger magnets.

Speaker #2: These EMRs are significantly smaller , lighter and easier to use to the point that even an Mr. text is not necessary to operate them .

Speaker #2: They are also less costly to acquire and maintain , and can be placed just about anywhere . Since they don't need the same shielding as larger magnets , the Siemens Free series , which is a prime example of such an .

Arun Menawat: The Siemens 3-series, which is a prime example of such an MR, Cook Medical has created an iMRI division with the purpose of selling a turnkey interventional MR solution to hospitals that includes the smaller Siemens MR. The idea is that just as cath labs or robotic operating rooms were created in the past, the future is about creating interventional MR suites. We currently anticipate that if all goes well, TULSA will get FDA clearance for integration with the Siemens MAGNETOM Free.Max by early next year, and we believe that we will meaningfully contribute to our growth in 2027. We aren't stopping TULSA image guidance at MRI. In May, Telix Pharmaceuticals announced a collaboration with us, as well as with a competitor that focuses on focal therapy.

Speaker #2: Mr. Cook medical , has created an MRI division with the purpose of selling a turnkey interventional . Mr. solution to hospitals that includes the smaller Siemens .

Speaker #2: Mr. The idea is that just as cath labs or robotic operating rooms were created in the past, the future is about creating interventional.

Speaker #2: Mr. suites . We currently anticipate that if all goes well , Tulsa will get FDA clearance for integration with Siemens free Max by early next year .

Speaker #2: And we believe that we will meaningfully contribute to our growth in 2027 . And we aren't stopping . Tulsa image guidance at MRI in May , Felix Pharmaceuticals announced a collaboration with us , as well as with a competitor that focuses on focal therapy .

Speaker #2: Felix makes a Psma Pet imaging agent that bombs preferentially to prostate cancer and provides a clear view of the geographic location of cancer within the prostate Our team is exploring the potential to integrate these types of SMA images into the Tulsa Pro Treatment planning software .

Arun Menawat: Telix makes a PSMA PET imaging agent that bonds preferentially to prostate cancer and provides a clear view of the geographic location of cancer within the prostate. Our team is exploring the potential to integrate these types of PSMA images into the TULSA-PRO treatment planning software. Approximately 85% of prostate cancer is multifocal, meaning that there are two or more distinct index lesions and/or satellite lesions present in different areas of the organ. The other 15% is unifocal, meaning there is only one distinct index lesion. It follows that whole-gland and subtotal ablation is likely the most appropriate approach for the vast majority of prostate cancer that is multifocal, while focal ablation may be best for patients with unifocal disease. We are already seeing urologists use PSMA to complement MRI to better define treatment extent with appropriate margins extending to the prostate capsule.

Speaker #2: Approximately 85% of prostate cancer is multifocal , meaning that there are two or more distinct index lesions and or satellite lesions present in different areas of the organ .

Speaker #2: The other 15% is unifocal , meaning there is only one distinct index lesion . It follows that whole gland and subtotal . Ablation is likely the most appropriate approach for the vast majority of prostate cancer .

Speaker #2: That is , multifocal . While focal ablation may be best for patients with unifocal disease , we are already seeing urologists use Psma to complement MRI to better define treatment , experiment with appropriate margins extending to the prostate capsule so for Tulsa , this isn't about patient selection .

Arun Menawat: For TULSA, this isn't about patient selection. It's about empowering physicians to plan and deliver the best possible regional ablation from whole-gland to focal and everything in between. To summarize, Profound is pioneering iMRI procedures which enable precise incision-less therapies that improve clinical confidence, procedural control, and patient outcomes. By leveraging real-time MRI guidance and autonomous robotics, Profound's technologies are designed to replace uncertainty with consistency and clarity across treatment planning, delivery, and confirmation. In prostate cancer, we believe we are now crossing the chasm by transitioning TULSA from early adopter customers to the mainstream market by establishing the technology as a third distinct regional ablation category that doesn't make surgeons or their patients choose between whole-gland or focal treatments, because TULSA can do both and anything in between. The TULSA-PRO install base was 84 at the end of Q2 2026.

Speaker #2: It's about empowering physicians to plan and deliver the best possible regional ablation from whole to focal and everything in between . To summarize , profound is pioneering I MRI procedures , which enable precise incisionless therapies that improve clinical confidence .

Speaker #2: Procedural control and patient outcomes by leveraging real time MRI guidance and autonomous robotics . Profound technologies are designed to replace uncertainty with consistency and clarity across treatment planning , delivery and confirmation in prostate cancer .

Speaker #2: We believe we are now crossing the chasm by transitioning . Tulsa from early adopter customers to the mainstream market . By establishing the technology as a third distinct regional ablation category that doesn't make surgeons or their patients choose between whole gland or focal treatments .

Speaker #2: Because Tulsa can do both and anything in between. The Tulsa Pro install base was 84 at the end of Q2 2026. We estimate that the current aggregate total dollar value of our qualified sales pipeline for Tulsa Pro and Sonalleve is approximately $70 million.

Arun Menawat: We estimate that the current aggregate total CAD 70 million dollar value of our qualified sales pipeline for TULSA-PRO and Sonalleve is approximately. We are reiterating our approximate CAD 25 million total revenue outlook for full year 2026, which represents 56% growth compared to 2025, and we also continue to expect full year gross margin to be 70% or higher. Based on CMS proposed rules for 2027, the premium price we are reimbursed for TULSA over all competing technologies is expanding and at the same time, more and more lives are being covered by other payers, including employer-owned health plans. We continue to believe that we are on a path to profitable growth. This ends our prepared remarks for today. With that, we're happy to take any questions you might have. Operator?

Speaker #2: We are reiterating our approximate 25 million total revenue outlook for full year 2026 , which represents 56% growth compared to 2025 . And we also continue to expect full year gross margin to be 70% or higher based on CMS proposed rules for 2027 .

Speaker #2: The premium hospitals are reimbursed for Tulsa over all competing technologies is expanding and at the same time , more and more lives are being covered by other payers , including employer owned health plans .

Speaker #2: We continue to believe that we are on a path to profitable growth . This ends our prepared remarks for today . With that , we're happy to take any questions you might have .

Speaker #2: Operator

Speaker #3: Thank you . At this time , we will conduct the question and answer session . As a reminder to ask a question , you will need to press star one one on your telephone and wait for your name to be announced .

Operator: Thank you. At this time, we will conduct a question and answer session. As a reminder, to ask a question, you will need to press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. Please stand by while we compile the Q&A roster. Our first question comes from the line of Ben Haynor of Lake Street Capital Markets. Your line is now open.

Speaker #3: To withdraw your question , please press star one one again . Please stand by while we compile the Q&A roster Our first question comes from the line of Ben Heppner of Lake Street Capital Markets .

Speaker #3: Your line is now open

Ben Haynor: Good afternoon, gentlemen. Thanks for taking the questions. First off for me, just thinking about the CAD 3.1 million that slipped from Q2 to Q3, is that both capital and consumables? Just generally speaking, how soon after quarter end did those units or product ship?

Speaker #4: Good afternoon gentlemen , thanks for taking the questions First off , for me , just thinking about the 3.1 million that slipped from Q1 to Q2 or Q2 to Q3 , is that both capital and consumables ?

Speaker #4: And then just generally speaking , how soon after quarter end did that ? Did those units or product ship , ship ?

Arun Menawat: Good afternoon, Ben. Good question. It was actually a consolidated shipment that went from Canada. The only reason it was not recognized is because we did not get all of the delivery receipts within the quarter time frame. Some of them, they were in July. Pretty much everything has been sent. I think, it sort of begs the second question is like, okay, how do we make sure this kind of stuff does not happen again? I think that I can certainly provide a little bit of color on that in the sense that we have, since that time, increased our logistics and operating staff. We are actually in the final stages of bringing a very experienced vice president-level operations person. This is part of our growing and it was, as I said, was a consolidated shipment.

Speaker #2: Good afternoon Ben Good question So it was actually a consolidated shipment that went from Canada and the only reason it was not recognized is because we did not get all of the you know , delivered receipts within the quarter time frame .

Speaker #2: So some of them , they were in July . So pretty much everything is been sent . And I think , you know , it sort of begs the second question is like , okay , how do we make sure this kind of stuff does not happen again ?

Speaker #2: And I think that I can certainly provide a little bit of color on that in the sense that we have since that time increase our logistics and operating staff , and we are actually in the final stages of bringing a very experienced vice president level operations person .

Speaker #2: And so this is , you know , part of our growing . And it was , you know , as I said , it was a consolidated shipment .

Speaker #2: We didn't get all the receipts . So we didn't recognize it in Q3 , but it is most certainly will be recognized in Q3

Arun Menawat: We didn't get all the receipts, so we didn't recognize it in Q3, but it most certainly will be recognized in Q3.

Ben Haynor: To be on the seven million CAD of new orders, maybe you can share what the previous record was, and then, obviously you had a great conference here recently with the 160 new qualified opportunities. Do you have a sense, based upon history, how quickly some of those can shake out into actual orders?

Speaker #4: The $7 million of new orders . Maybe you could share what the previous record was , and then obviously , you've had I had a great conference here recently with the 160 new qualified opportunities .

Speaker #4: Do you have a sense , based upon history , kind of how quickly some of those can shake out into actual orders

Tom Tamberrino: Ben, that's a great question, and I appreciate you asking it. As mentioned in the prepared remarks, very difficult to give a definitive answer. What I can tell you anecdotally is some of those leads have already materialized into deals that were not in our pipeline, that are already well down the funnel and into the negotiating and contracting stage, which is extremely exciting. As is often said in the line of medical device sales, deals can take a year to develop and a day to dissolve, or they can take a day to develop and a year to complete. It completely runs the gamut. Really just time will tell, Ben.

Speaker #1: Then that's a great question . And I appreciate you asking it . As mentioned in the prepared remarks , very difficult to give a definitive answer .

Speaker #1: But what I can tell you anecdotally is some of those leads have have already materialized into deals that were not in our pipeline that are already well down the funnel .

Speaker #1: And into the negotiating contracting stage , which is extremely exciting , as is often said in the line of medical device sales , deals can take a year to develop and a day to dissolve , or they can take a day to develop and a year to complete .

Speaker #1: So it completely runs the gamut . So it really just time will tell . Ben

Ben Haynor: Fair enough. Then on the penile, I guess, un-lengthening that you get with the robot, is there a plan to publish that data? Maybe is it possible to characterize the range of outcomes there? I would think a lot of guys would care about the worst-case scenario rather than an average or median.

Speaker #4: Fair enough . And then on the , the the penile , I guess lengthening that you get with the the robot is there , is there plan to publish that data and maybe is it possible to characterize the range of outcomes there .

Speaker #4: I mean, I would think a lot of guys would care about the worst-case scenario rather than, you know, an average or median.

Mathieu Burtnyk: Hey, Ben. Yeah, thanks. This is Mathieu on the line. To answer your question directly, we are preparing that data as part of the broader picture of perioperative outcomes that we have released in the past in Q1 and before that. To really package it together as a total sort of patient experience. On the surface, a difference of a few millimeters may not sound like a major outcome. However, for many men undergoing treatment for prostate cancer, literally every millimeter matters. The reason that penile shortening is not just a physical measurement, it can also serve as a constant reminder of both their cancer and the treatment that they underwent, which can affect their confidence, their emotional well-being, their intimate relationships, and overall satisfaction with treatment. We do view this result in the broader context of the CAPTAIN dataset.

Speaker #5: Yeah . Thanks . This is Matthew on the line . So to answer your question directly , the we are preparing that data as part of the broader picture of perioperative outcomes that we have released in the past .

Speaker #5: In Q1 and before that . And so to really package it together as a total sort of patient experience on the surface , you know , a difference of a few millimeters may not sound like a major outcome .

Speaker #5: However , for many men undergoing treatment for prostate cancer , literally every millimeter matters The reason that penile shortening is not just a physical measurement .

Speaker #5: It can also serve as a constant reminder of both their cancer and the treatment that they underwent , which can affect their confidence , their emotional well-being , their intimate relationships , and overall satisfaction with treatment .

Speaker #5: So we do view this result in a broader context of the data set in and of itself . Penile length preservation is not the reason a physician or a patient may choose a treatment .

Mathieu Burtnyk: In and of itself, penile length preservation is not the reason a physician or a patient may choose a treatment. However, when you combine this result with the previously reported superiority in preserving erectile function, urinary incontinence, as well as perioperative benefits of the no blood loss, no overnight stay, faster recovery, fewer major complications, it really paints a compelling picture of the overall patient experience. Really together, these outcomes highlight the potential for TULSA to deliver that effective cancer treatment while preserving quality of life. Ultimately, we believe the future of prostate cancer treatment will be driven not only by cancer control, but also by quality-of-life outcomes. This penile length result is another example of how the TULSA procedure's ability to precisely ablate the prostate tissue while protecting surrounding structures can translate into benefits that matter to patients.

Speaker #5: However , when you combine this result with the previously reported superiority in preserving erectile function , urinary incontinence , as well as perioperative benefits of the no blood loss , no overnight stay faster recovery , fewer major complications .

Speaker #5: It really paints a compelling picture of the overall patient experience . And really , together , these outcomes highlight the potential for Tulsa to deliver that effective cancer treatment .

Speaker #5: While preserving quality of life . So ultimately , we believe the future prostate cancer treatment will be driven not only by cancer control , but also by quality of life outcomes .

Speaker #5: And this penile length result is another example of how the Tulsa Procedure's ability to precisely ablate the prostate tissue . While protecting surrounding structures can translate into benefits that matter to patient .

Speaker #5: And as more of these quality of life data emerge , we do believe that this will increase the influence of patient preference , physician recommendations and overall demand for treatments that do preserve the quality of life .

Mathieu Burtnyk: As more of these quality-of-life data emerge, we do believe that this will increase the influence of patient preference, physician recommendations, and overall demand for treatments that do preserve the quality of life. On the topic of sort of the range, certainly there was a range. This is a non-conventional endpoint that we did include in the protocol. The way that they made the measurement has a median change and a range around that

Speaker #5: On the topic of sort of the range , I mean , certainly there was a range . This is a non conventional endpoint that we did include in the protocol .

Speaker #5: And , you know , so the way that the measurement made the measurement has a medium range and a range around that , okay .

Ben Haynor: Okay. Got it. Well, thanks for-

Speaker #2: Got it . Well , I have just a quick , I think just a quick anecdote . I was actually a publication at the SRS where , you know , the effectively it conclusion was that every millimeter counts for patients

Arun Menawat: Ben, I have just a quick anecdote. There was actually a publication at the SRS where effectively, its conclusion was that every millimeter counts for patients.

Speaker #4: Yeah . I mean , it makes sense . I believe there was an Italian study out there that showed some even greater impact for the robot .

Ben Haynor: Yeah, it makes sense. I believe there was an Italian study out there that showed some even greater impact for the robot.

Speaker #4: But I'll leave it there . And congrats on the progress . Thanks for taking the questions .

Ben Haynor: Yeah.

Arun Menawat: Yeah.

Ben Haynor: I'll leave it there, and congrats on the progress. Thanks for taking the questions.

Speaker #2: Thank you . Ben

Arun Menawat: Thank you, Ben.

Tom Tamberrino: Thanks, Ben.

Speaker #3: Thank you . Our next question comes from the line of Michael Freeman of Raymond James . Your line is now open .

Operator: Thank you. Our next question comes from the line of Michael Freeman of Raymond James. Your line is now open.

Speaker #6: Hi , Arun . Tom , Matthew , Matthew , a few questions . Following up on Ben . So I'm curious on the on the shipment timing challenge , we we also saw that there was a shipment timing statement that you guys made in the first quarter , indicating that .

Michael Freeman: Hi, Arun, Tom, Matthew. Matthew. A few questions following up on Ben's. I'm curious on the shipment timing challenge. We also saw that there was a shipment timing statement that you guys made in Q1 indicating that 6 TULSA systems were shipped but not installed by Q1. I noticed that the incremental increase in TULSA installs was 4 quarter-over-quarter. Could you tell us just, I guess, what logistically or operationally is happening on these shipments? What challenges or delays maybe you're running into? I know you mentioned that you had hired on some extra staff to manage this. I wonder if you could just shed some light on this timing challenge.

Speaker #6: Six Tulsa systems were shipped , but not stalled by the first quarter . And I noticed that the , the incremental increase in Tulsa installs was , was for quarter to quarter .

Speaker #6: Could you could you tell us just , I guess what logistically or operationally is happening on these on these shipments ? What challenges or delays maybe you're running into ?

Speaker #6: And I know you mentioned that you had hired on some , some extra staff to , to manage this . I wonder if you could just shed some light on , on this timing challenge

Arun Menawat: Michael, I'm happy to do it. These are actually two different issues. The one related to rev rec in Q2 is more about shipping to fulfill orders that we have received. Given that we did not get all the receipts, these have been recognizable, we're recognizing today. It's more of a logistics issue from the perspective of shipment and so on. As I said, we're pretty much fixed it already, that's sort of a issue of the past. The other one that you're asking is actually, once a product is shipped, it is installed, the site gets trained, they schedule patients and so on. When we look at the install base, we're looking at sites actually treating patients. Normally there's a gap of a minimum of 60 days to 120 days.

Speaker #2: Michael , I'm happy to do it . So these are actually two different issues . The , the related to red brick in the second quarter is more about shipping the to fulfill orders that we have received and given that we did not get all the receipts , we just didn't recognize and we recognize in .

Speaker #2: So it's more of a logistics issue from the perspective of shipment and so on . And as I said , we are you know , we're pretty much fixed already .

Speaker #2: So that's sort of an issue of the past . The other one that you're asking is actually , once the product is shipped , it , you know , it is installed a , the site gets trained , they schedule patients and so on .

Speaker #2: So then when we look at the installed base , we're looking at sites actually treating patients . And normally there's a gap of a minimum of 60 days to 120 days based upon the scheduling at the hospital , the training programs and their ability to start educating their customer population and so on , so that that is actually a separate issue .

Arun Menawat: It's based upon the scheduling of the hospital, the training programs, and their ability to start educating their customer population, so on. That is actually a separate issue. It is more about how do they actually convert the TULSA system into a treatment program and confirm all of their reimbursement and so on. I hope that answers your question from the perspective of the install base.

Speaker #2: It it is more about , you know , how do they actually convert the Tulsa system into a , a , a treatment program ?

Speaker #2: And , you know , confirm all of their reimbursement and so on . So I hope that answers your question . You know , from the perspective of the install base .

Speaker #6: Gotcha . Yep . That that is helpful . Now on the maybe a question for Tom on the , on the pipeline , you know , we've earlier you were quantifying the pipeline in terms of number of , of Tulsa systems .

Michael Freeman: Gotcha. Yeah, that is helpful. Maybe a question for Tom on the pipeline. Earlier, you were quantifying the pipeline in terms of number of TULSA systems. Now we're talking about dollars in aggregate value and also splitting that between TULSA-PRO and Sonalleve. Are you able to give a number of new TULSA systems in your pipeline? Then I guess also shed some light on what proportion of Sonalleve sales might make up that $70 million aggregate value.

Speaker #6: Now we're talking about dollars in aggregate value . And also and also splitting that between Tulsa Pro and , and leave . Are you able to give a number of new Tulsa systems in your , in your pipeline and , and then , and then I guess also shed some light on what proportion of sales might make up that 70 million aggregate value .

Speaker #1: Michael . Great questions and thank you for asking them . I'll tackle the last question first and then work my way to the beginning of your your commentary .

Tom Tamberrino: Michael, great questions, and thank you for asking them. I'll tackle the last question first then work my way to the beginning of your commentary. What I can tell you is that in terms of the $70 million that fall within the verify, negotiate, and contract categories of the sales funnel, it's roughly a 70% and 30% split between the United States and international in terms of dollars forecasted within those respective categories. Then as it relates to TULSA-PRO versus Sonalleve, it's roughly a 90% TULSA-PRO, 10% Sonalleve split. The reason that we have moved away from providing what I would consider to be units versus dollars is we want to stay focused on maximizing top-line revenue and gross margin and growing TULSA programs and Sonalleve programs versus simply installing systems.

Speaker #1: What I can tell you is that in terms of the $70 million that fall within the verify , negotiate and contract categories , the sales funnel , it's roughly a 70% , 30% split between the United States and international .

Speaker #1: In terms of dollars forecasted within those respective categories . And then as it relates to Tulsa Pro versus Sonyliv , it's roughly a 90% Tulsa Pro , 10% Sonyliv split .

Speaker #1: And the reason that we have moved away from providing what I would consider to be , you know , units versus dollars is we want to stay focused on maximizing top line revenue and gross margin and growing Tulsa programs .

Speaker #1: And suddenly programs versus simply installing systems . And that's one of the major reasons we've obviously introduced the index 20 as well , is that we want to get to the point as we've messaged before , where we have 200 Tulsa Pro systems installed and treating men across the world with an average of 50 men per year .

Tom Tamberrino: That's one of the major reasons we've obviously introduced the TULSA INDEX20 as well, is that we want to get to the point, as we've messaged before, where we have 200 TULSA-PRO systems installed and treating men across the world with an average of 50 men per year. That would allow us to treat over 10,000 men per year. I hope that answers the question that you had, and I'm of course, happy to answer any follow-up questions based on what I just responded with.

Speaker #1: And that would allow us to treat over 10,000 men per year . So I hope that answers the question that you had . And of course , happy to answer any follow up questions based on what I've responded with

Speaker #6: Yeah , yeah , that's that is really helpful Let's see . And then you did Arun shed some light on the on the decline in the in the Tulsa , the utilization index .

Michael Freeman: Yeah. That is really helpful. Let's see. You did, Arun, shed some light on the decline in the TULSA utilization index. I wonder if you could just speak more about those sites that ran into temporary issues and then also the trends you're seeing. You mentioned good numbers in July.

Speaker #6: I wonder if you could just speak more about , about those , those sites that ran into temporary issues . And then also the , the trends you're seeing , you mentioned or good numbers in July

Speaker #2: Yeah . Actually , Tom , since it was in your presentation , if you could just provide more color on that topic

Arun Menawat: Yeah. Actually, Tom, since it was in your presentation, if you could just provide more color on that topic.

Speaker #1: , of course . Michael , thank you for bringing it up . Obviously , there's , there's a lot being presented within the index 20 and we're excited to share it .

Tom Tamberrino: Of course. Michael, thank you for bringing it up. Obviously, there's a lot being presented within TULSA INDEX20, and we're excited to share it. I just want to reiterate what I stated in the prepared remarks and then provide some more color on that. While we did see the decline by 12% in terms of sequential quarter-over-quarter growth, we did see an increase of 39% in H1 2026 versus H1 2025, and a 22% increase in Q2 2026 compared to Q2 2025. In terms of the main drivers of that, there were five sites in particular that did not grow as we expected them to do due to short-term issues. To give some color to the example that was called out in the prepared remarks, in different countries and different independent distribution networks or health systems, they have different policies.

Speaker #1: And I just want to reiterate what I what I stated in the remarks and then provide some more color on that . So while we did see the decline by 12% in terms of sequential quarter over quarter growth , we did see an increase of 39% in the first six months of 2026 versus the first six months of 2025 .

Speaker #1: And a 22% increase in Q2 2026 compared to Q2 2025 . In terms of the main drivers of that , there were five sites in particular that did not grow as we expected them to do due to short term issues .

Speaker #1: To give some color to the example that was called out in the prepared remarks in different countries and different industries , independent distribution networks or health systems , they have different policies .

Speaker #1: For instance , if we're required to come in on a placement model , that placement model normally has a set period of time and a set number of metrics and milestones that need to be completed .

Tom Tamberrino: For instance, if we're required to come in on a placement model, that placement model normally has a set period of time and a set number of metrics and milestones that need to be completed. After that point in time, they literally stop the program until they complete the process of determining whether they're going to acquire the technology. In this instance, it's actually a high-class problem. We were successful with the placement. The timeline associated with that agreement had come to close, and there was a gap of a certain period of time between when that placement ended and when the capital acquisition actually took place. With our modeling, it's beneficial to the hospital to go to the capital ownership model because that lowers the cost per procedure as it relates to the TULSA-PRO kits.

Speaker #1: And after that point in time , they literally stopped the program until they complete the process of determining whether they're going to acquire the technology .

Speaker #1: So in this instance , it's actually a high class problem . We were successful with the placement , the timeline associated with that agreement had come to close , and there was a gap of a certain period of time between when that placement ended and when the capital acquisition actually took place .

Speaker #1: And with our modeling , it's beneficial to the hospital to go to the capital ownership model , because that lowers the cost per procedure as it relates to the Tulsa Pro kits .

Speaker #1: So all in all , it's a net positive . But clearly not impactful as it relates to speaking to quarter over quarter sequential growth

Tom Tamberrino: All in all, it's a net positive, but clearly not impactful as it relates to speaking to quarter-over-quarter sequential growth.

Speaker #6: Gotcha . All right . Thank you very much for this color . I'll pass it on now .

Michael Freeman: Gotcha. All right. Thank you very much for this clarity. I'll pass it on now.

Speaker #1: Thank you . Michael

Tom Tamberrino: Thank you, Michael.

Speaker #3: Thank you. Our next question comes from Scott Macaulay with Paradigm Capital. Your line is open.

Operator: Thank you. Our next question comes from Scott McAuley with Paradigm Capital. Your line is open.

Speaker #6: Thanks . Afternoon , everyone . Thanks for taking the questions . Maybe just to circle back on some of Michael's questions . So the install base versus unit sold .

Scott McAuley: Thanks. Afternoon, everyone. Thanks for taking the questions. The install base versus units sold. Correct me if I have this wrong, if you have 84 installed as of the end of Q2, there is 80 installed by the end of Q1, that is net 4 new in the quarter. If from the end of Q1, there were 6 units that had been sold but not installed, does that mean there is still 2 more from that Q1 period that have not been installed and up and running yet? Versus net new sales in Q2. I understand it can be kind of confusing. Just looking for a little more color on-

Speaker #6: So correct me if I have this wrong , but so if you have 84 installed as of the end of Q2 , there's 80 installed by the end of Q1 .

Speaker #6: So that's net four new in the quarter . But if from the end of Q1 , there were six units that had been sold , but not installed .

Speaker #6: So does that mean there's still two more from that Q1 period that haven't been installed ? And up and running yet ? And then versus kind of net new sales in Q2 , like I understand , it can be kind of confusing .

Speaker #6: So just looking for a little more color on some of those .

Arun Menawat: Yeah

Scott McAuley: some of those numbers.

Speaker #2: Yeah . Scott . I think the way you analyze it is exactly right . That we shipped six systems in Q1 . Four of them were installed in Q1 .

Arun Menawat: Yeah. Scott, I think the way you have analyzed it is exactly right, that we shipped 6 systems in Q1. 4 of them were installed in Q1. 2 of them are still in the process. We have shipped about the same number in Q2, as you have already heard, the logistics thing. We are continuing to install more sites, Q3, you will again see an increase in the install base. That you have analyzed the numbers is exactly right.

Speaker #2: Two of them are still in the process . We've shipped about the same number in Q2 as you've already heard , the logistics thing , but you know , we are continuing to install more sites .

Speaker #2: And so Q3 , you will again see an increase in the installed base so that you have analyzed the numbers . Is exactly right

Speaker #6: Got it . And in terms of that pipeline of getting the from the sale to the install , I think that's 60 to 100 days .

Scott McAuley: Got it. In terms of that pipeline of getting from the sale to the install, I think that is 60 to 100 days you have referenced the-

Speaker #6: You'd reference the work on . I know it's a lot of out of your hands , but trying to trying to accelerate that .

Arun Menawat: Yeah

Scott McAuley: work on.

Arun Menawat: That's-

Scott McAuley: I know it's a lot out of your hands, trying to accelerate that.

Speaker #2: Yeah . And , and , you know , we are continuing to grow our teams in every key department . And I do think that over time , those numbers will continue to drop .

Arun Menawat: Yeah. We are continuing to grow our teams in every key department. I do think that over time, those numbers will continue to drop. It used to be higher than that. It used to be kind of six months. Now it's indeed less. I also think that, as Tom described, the momentum that we're building at SRS, I think people are beginning to sort of see that, hey, this is the next thing. That is automatically adding to a bit of a sense of urgency in multiple sites. I do think that over time, that number will shrink far closer to 60 days than it is today. I think to your point on number of sites and so on, Tom described that we're moving more towards a pipeline that is described in dollars.

Speaker #2: But that has been sort of it. It used to be higher than that, used to be kind of six months, but now it's indeed less.

Speaker #2: And I also think that , you know , as Tom described , the momentum that we're building in at , you at , at SRS , I think people are beginning to sort of see that , hey , this is the next thing .

Speaker #2: And that is automatically adding to a bit of a sense of urgency in multiple sites . So I do think that over time , that number will shrink far closer to 60 days than it is today .

Speaker #2: And I think to your point on number of sites and so on . And , you know , Tom described that we're moving more towards a a pipeline that is described in dollars .

Arun Menawat: I do think that one of the early indicators that we are gaining confidence in our pipeline is the fact that Q2, from a number of purchase orders point of view in dollars, was actually the best quarter we've ever had. I think that is a tangible data that sort of says that, hey, this pipeline that we're now dollarizing is very real.

Speaker #2: But I do sort of think that it's that one of the early indicators that we are gaining confidence in our pipeline is the fact that our Q2 from a number of purchase orders , point of view in dollars was actually the best quarter we've ever had And so I think that is a tangible data that sort of says , hey , you know , this is this pipeline that we're not tolerizing is , is very real

Speaker #6: Absolutely . Yeah . That's , that's helpful . And maybe again , on , on , working back on that pipeline question . And I understand wanting to present it in dollars versus necessarily units .

Scott McAuley: Absolutely. No, that's helpful. Maybe again, on circling back on that pipeline question, and I understand wanting to present it in dollars versus necessarily units. Is there any way you can kind of quantify how that pipeline's expanded or grown from that initial number of units versus dollar amount? Any other color there?

Speaker #6: Is there any way you can kind of quantify how that pipeline's expanded or grown from that initial number of units versus versus dollar amount ?

Speaker #6: Any other color there ?

Speaker #2: Yeah , yeah . You know , we , I don't have an exact number for you , but , you know , again , as you heard from Tom at the SRS , we have 160 leads .

Arun Menawat: Yeah. I don't have an exact number for you. Again, as you heard from Tom, at the SRS, we have 160 leads. Q1 also in terms of new leads was Q2 was also a very good quarter. We are dollarizing. We are going to start qualifying and making sure that that earlier pipeline that we just built is also added to this. Most certainly, this number is probably 30% to 40% higher than what we have been looking at before. We sort of feel like if you go and say 100 sites versus a dollar amount, we just think once you get beyond 100, it just becomes far less meaningful, and a dollar number becomes more meaningful. That's the only reason for using the dollars.

Speaker #2: Q1 . Also , in terms of new leads was a sorry . Q2 was also very good . Quarter . So we are dollar .

Speaker #2: We are going to start qualifying and and making sure that that earlier pipeline that we've just built is also added to this . But most certainly this number is probably 3,040% higher than what we have been have been looking at before .

Speaker #2: We , you know , we sort of feel like if you go and say 100 . Sites versus a dollar amount , we just think once you get beyond 100 , it just becomes far less meaningful .

Speaker #2: And a dollar number becomes more meaningful . That's the only reason for using the dollars

Speaker #6: Yeah , definitely that that makes sense . And maybe lastly , on the on the team and the , you know , operations side of things , I think is mentioned in the press release that , that the operating costs actually went relative may or may not have that right .

Scott McAuley: Yeah. Definitely. That makes sense. Maybe lastly, on the team and the operations side of things, I think as mentioned in the press release, that the operating costs actually went down, relative. I may or may not have that right. As you had highlighted, bringing on new operations people, potentially expanding the team to help get these installations in faster, and obviously dealing with the expanded pipeline. Any comments on how you see operating costs scale in the next few quarters? Obviously, kind of move in lockstep with revenue growth, but how do you see that expense side of the-

Speaker #6: But as you highlighted , bringing on new operations people potentially expanding the team to help get these installations in faster . And obviously dealing with the expanded pipeline kind of .

Speaker #6: Any comments on how you see operating costs ? You know , scale in the next few quarters and obviously kind of move in lockstep with revenue growth , but kind of how do you see that expense side of the income statement going in the next .

Arun Menawat: Yeah

Scott McAuley: income statement growing in the next few quarters?

Speaker #2: Few years ? Yeah , great , great question . Scott . You know , there are several things about this . First of all , I do think that it does speak to the leverage ability of our product because , you know , good high dollar amount in revenue for the capital .

Arun Menawat: Yeah. Great question, Scott. There are several things about this. First of all, I do think that it does speak to the leveragability of our product. Good high dollar amount in revenue for the capital, very good dollar amount per patient on the utilization part, and a good high margin. I do think that it is important to recognize that we are not just looking to be a growth company at any cost. We actually think that as the revenues come in, that we are going to be heading more and more towards profitable growth. I think that's a very important part of our strategy. The second thing is that your point is exactly right, is that we are adding resources as we go. We need to, because obviously we are very, very careful with the expenses.

Speaker #2: Very good dollar amount per patient on the utilization part and a good high margin . So I do think that it is important to recognize that we are not just looking to be a growth company at any cost .

Speaker #2: We actually think that as the revenues come in , that we are going to be heading more and more towards profitable growth . And I think that's a very important part of our strategy .

Speaker #2: The second thing is that your point is exactly right , is that we are adding resources as we go . We need to because obviously we are very , very careful with the expenses , but we need to .

Arun Menawat: We need to, and I think that there will not always be complete sync in more people added and higher revenue in every quarter. I agree with you that you will probably see a little bit of an up and down in a quarter here and there. Again, I think as we see in the utilization side of this phase, if you begin to look at it as a half yearly perspective, I think you will begin to see a trend as the cost will grow as close as possible to the growth of the revenue for us. Again, just to be clear, you're exactly right that there will be some up and down. I think on a bigger time interval, you will begin to see a trend that will be on the growth and the potential profitability.

Speaker #2: And I think that there will not always be a sink in , you know , more people added and higher revenue in every quarter .

Speaker #2: So I agree with you that you will probably see a little bit of an up and down in a quarter here and there , but again , I think as we see in the utilization side at this stage , if you begin to look at it as a , you know , half year , half year , old perspective , I think you will begin to see a trend as the cost grow .

Speaker #2: The cost will grow . You know , as close as possible to the growth of the revenue for us . So , you know , again , just to be clear , you're exactly right that there will be some up and down .

Speaker #2: But I think on a bigger time interval , you will begin to see a trend that will that will be on the growth and the potential profitability

Speaker #6: That's great. Really appreciate the color. And that's all from me for now.

Scott McAuley: That's great, Arun. Really appreciate the color and that's all from me for now.

Arun Menawat: Beautiful. Thank you, Scott.

Speaker #2: Thank you . Scott

Speaker #3: Thank you . As a reminder to ask a question , you will need to press star one one on your telephone and wait for your name to be announced to withdraw your question , please press star one one again Our next question comes Our next question comes from the line of Kyle Bowser of Titan Partners .

Operator: Thank you. As a reminder, to ask a question, you will need to press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. Our next question comes from the line of Kyle Bauser of Titan Partners. Your line is open.

Speaker #3: Your line is open

Speaker #7: Great . Thank you for taking my questions . Maybe on the on the sales guidance . Are you assuming a certain amount of additional payer coverage policies this year ?

Kyle Bauser: Great. Thank you for taking my question. Maybe on the sales guidance, are you assuming a certain amount of additional payer coverage policies this year? Also, do you have a total number of covered lives to date? I know it was up 18.3 million in this last quarter and up 8.5 million in Q1. Just wondering if you have a total running number.

Speaker #7: And then also , do you have a kind of a total number of covered lives to date ? I know it was up 18.3 million .

Speaker #7: In this last quarter and up 8.5 million in Q1 . Just wondering if you have a total running number

Arun Menawat: Yes. Good afternoon, Kyle. To answer your first question, the answer is yes. We are continuing to work with insurance companies. On a routine basis, almost every day, we see that patients who apply for reimbursement, even with insurance companies that don't have coverage policies, more and more are beginning to get reimbursed. I think based upon that, we certainly expect that the number of covered lives will continue to increase. Mathieu, I don't have the full number offhand. Do you have the full number of the 18 plus what we reported in the Q1?

Speaker #2: Yes . Good afternoon Carl . To answer your first question The answer is yes , we are continuing to work with insurance companies on a routine basis .

Speaker #2: You know , almost every day we see that patients who apply for reimbursement , even with insurance companies that don't have coverage policies and more and more are beginning to to get reimbursed .

Speaker #2: So I think based upon that , we certainly expect that the number of covered lives , lives will continue to increase . Matthew , I don't have the full number offhand .

Speaker #2: Do you have the full number for the 18-plus? What we reported in the first quarter?

Speaker #5: Are you asking me in the first quarter , in terms of covered lives ? Yeah , I think it was in the 8.5 million .

Mathieu Burtnyk: Are you asking me in the Q1 in terms of covered lives?

Arun Menawat: Yeah.

Mathieu Burtnyk: I think it was in the $8.5 million.

Speaker #2: So I think, in whole numbers, we're close to 30 million—maybe 29 million, or close to 30 million.

Arun Menawat: I think in whole numbers, we're close to $30 million, maybe $29 million, but we're close to $30 million.

Speaker #7: Okay . Including Medicare as well

Kyle Bauser: Okay. Including Medicare as well?

Speaker #2: But no , that does not include Medicare . Medicare is on top of that . Yeah .

Arun Menawat: No, that does not include Medicare.

Kyle Bauser: Yeah.

Arun Menawat: Medicare is on top of that. Yeah.

Speaker #7: Yep . Got it . Okay . So just Medicare on top of the Q1 and Q2 . Does that make sense ? Got it .

Kyle Bauser: Yep. Got it. Okay. Just Medicare on top of the Q1 and Q2 numbers. That makes sense. Got it.

Speaker #7: Yeah , it great . And then you've talked about and , you know , extensively during this call compelling the data out there is resonating with physicians , particularly with the captain results or the fear and showing Tulsa's clear benefit over robotic RP , you know , across continents and recovery .

Arun Menawat: Yeah.

Kyle Bauser: Great. Then, you've talked about, extensively and during this call, how compelling the data out there is resonating with physicians, particularly with the CAPTON results earlier this year, and showing TULSA's clear benefit over robotic RP across ED, continence, and recovery. I guess on the patient side, in your assessment, be curious to understand how involved the patients are when it comes to defining the treatment path. It just would seem like TULSA would be kind of a no-brainer here given the superior quality of life outcomes. Just any color around this.

Speaker #7: But I guess on the patient side , in your assessment , be curious to understand how involved the patients are when it comes to defining a treatment path .

Speaker #7: I mean, it just would seem like Tulsa would be kind of a no-brainer here, given the superior quality of life outcomes.

Speaker #7: So just any color around this would be helpful .

Arun Menawat: Yeah

Kyle Bauser: Would be helpful.

Speaker #2: Yeah . So let me just say a couple of things . And then Tom , if you could please chime in also . So , you know , to your first point regarding the captain trial and the conversations that we're beginning to have with , you know , urology community , I think the most interesting part to me has been the dialogue around the concept of trifecta .

Arun Menawat: Yeah. Let me just state a couple of things, and then Tom, if you could please chime in also. To your first point regarding the CAPTAIN trial and the conversations that we're beginning to have with urology community. I think the most interesting part to me has been the dialogue around the concept of trifecta. What is trifecta? Trifecta is cancer outcome, erectile dysfunction, and incontinence. The reality is that in some ways, all three of these things are kind of connected. If you remove more prostate, you probably have little better clinical outcome, but you have high likelihood of incontinence or erectile dysfunction.

Speaker #2: So what is trifecta ? Trifecta is , you know , cancer outcome , erectile dysfunction and incontinence . And the reality is that in some ways , all three of these things are kind of connected .

Speaker #2: You know , if you remove more prostate , you probably have a little better clinical outcome , but you have higher likelihood of incontinence or erectile dysfunction .

Speaker #2: And I think the most interesting conversation that we're beginning to have with the urology community and , and we find them to be very receptive to this way of thinking about it .

Arun Menawat: I think the most interesting conversation that we're beginning to have with the urology community, and we find them to be very receptive to this way of thinking about it, is that I think that what we're beginning to see that if you evaluate it on a trifecta basis, statistically the population that is in the trifecta of the robotic surgery versus the population that is in the TULSA arm, we think they are absolutely separate and there's more flexibility. I think talking to urologists in the language that they already use like this is one of the things that we find very satisfying. Tom, I'll turn it over to you from the perspective of the patient.

Speaker #2: Is that I think that what we're beginning to see that if you evaluate it on a trifecta basis , you know , statistically the population that is in the trifecta of the robotic surgery versus the population that is in the Tulsa arm , we think they are absolutely separate .

Speaker #2: And there's more flexibility. And I think talking to urologists in the language that they already use, like this, is one of the things that we find very, very satisfying.

Speaker #2: I'll turn it over to you from the , you know , perspective of the patient

Speaker #1: Yeah . Thank you Arun . And excellent question . Kyle , thank you for asking it . I wanted to glean off of what we experienced in society robotic surgery .

Tom Tamberrino: Thank you, Arun, and excellent question, Kyle. Thank you for asking it. I wanted to glean off of what we experienced at the Society of Robotic Surgery, Arun and Mathieu, which was arguably the most successful medical conference I've attended, whether that was at LifeCell Corporation, Novadaq Technologies, or here at Profound. We not only had the opportunity, of course, to meet with the 4,000-plus physicians from around the world who were in attendance, but as Arun mentioned, we got to meet with the founders of the Society of Incisionless Surgery, which we plan to be a big part of at their inaugural meeting in February of 2025.

Speaker #1: And Matthew , which was arguably the most successful medical conference I've attended , whether that was at Lifecell Corporation , Nova Technologies , or here profound .

Speaker #1: And we not only had the opportunity , of course , to meet with the 4000 plus physicians from around the world who were in attendance .

Speaker #1: But as I mentioned , we got to meet with the founders of the Society of Incisionless Surgery , which we plan to be a big part of at their inaugural meeting in February of 2025 .

Speaker #1: But there were also men that we spoke with who were courageous enough to confide that they were prostate cancer patients or survivors , and to share with great vulnerability the struggles that they've been through .

Tom Tamberrino: There were also men that we spoke with who were courageous enough to confide that they were prostate cancer patients or survivors, and to share with great vulnerability the struggles that they've been through related to complications they've experienced from the treatments they've endured. I think we'd be remiss not to mention the mental health impact that men who get diagnosed with prostate cancer are subjected to, not only with the diagnosis, but the stress and the anxiety and the unknown of what treatment to select, because it's the first time they've gone through it, and hopefully the last time. Part of what we have done here at Profound is we've launched a global patient advocacy group called Let's Huddle, and that's led by Leonard Wheeler, who is a prostate cancer survivor and a TULSA-PRO patient. That group is not meant to promote TULSA-PRO.

Speaker #1: Related to complications they've experienced from the treatments they've endured . And I think we'd be remiss not to mention the mental health impact that men who get diagnosed with prostate cancer are subjected to , not only with the diagnosis , but the stress and the anxiety and the unknown of what treatment to select .

Speaker #1: Because it's the first time they've gone through it . And hopefully the last time . So part of what we have done here at is we've launched a global patient advocacy group called Let's Huddle , and that's led by Leonard Wheeler , who is a prostate cancer and a Tulsa Pro patient .

Speaker #1: And that group is not meant to promote Tulsa Pro . It's meant to promote awareness around men's health in particular prostate health and mental health .

Tom Tamberrino: It's meant to promote awareness around men's health, in particular prostate health and mental health. On a monthly basis, Leonard hosts a group of men who can join from all over the world and provides open space for peer-to-peer conversation. What I can tell you from having the privilege to participate in that, the last go around in July, unfortunately missed today's session, which was here in August, this afternoon Eastern time, was that we had men on who were authors of books regarding facing prostate disease, men who have blogs with hundreds of thousands of followers. Men who have consulting agencies that are literally built around educating other men how to take on their prostate disease journey. Personally, I'm most excited about raising the awareness around men's health, both prostate health and mental health, because they go hand in hand.

Speaker #1: And so on a monthly basis , Leonard hosts a group of men who join from all over the world and provides open space for peer to peer conversation .

Speaker #1: And what I can tell you from having the privilege to participate in that , the last go around in July , unfortunately missed today's session , which was here in August .

Speaker #1: This afternoon , Eastern time , was that we had men on who were authors of books regarding facing prostate disease , men who have blogs with hundreds of thousands of followers , men who have consulting agencies that are literally built around educating other men how to take on their prostate disease journey .

Speaker #1: So personally , I'm most excited about raising the awareness around men's health , both prostate health and mental health , because they go hand in hand and what really took place at SRS , in my opinion , is that the conversation that's being done behind a consulting door inside of an office is now happening on the podium , and the audience amongst the men and women providing prostate disease treatment .

Tom Tamberrino: What really took place at SRS, in my opinion, is that the conversation that's being done behind a consulting room door inside of an office is now happening on the podium in the audience amongst the men and women providing prostate disease treatment. We're forcing the dialogue the same way that women forced the dialogue around breast cancer diagnosis, treatment, and reconstruction. Women were subjected to total mastectomies, radical mastectomies, where they had their breasts removed, they had their pec removed, and all they were left with was a flat chest wall. Well, now, when women go through a breast reconstruction, depending on the stage of the cancer, the results of their reconstruction rival that of an augmentation for cosmetic reasons.

Speaker #1: And we're forcing the dialogue , the same way that women force the dialogue around breast cancer diagnosis , treatment , and reconstruction . Women were subjected to total mastectomies , radical mastectomies where they had their breasts removed .

Speaker #1: They had their pec removed , and all they were left with was , you know , a flat chest wall . Well , now , when women go through a breast reconstruction , depending on the stage of the cancer , the results of their reconstruction rival , that of an augmentation for cosmetic reasons .

Speaker #1: And I truly believe all of us on the phone that are men and caregivers of men , we need to start the rallying cry , whether it's profound or the other folks that offer interventions for men's prostate disease , that men should be aware they should have access , and they should be empowered to make the decision with their clinician based on their clinical presentation and what's important to them as it relates to quality of life , sexual function , urinary penile length , mental health .

Tom Tamberrino: I truly believe all of us on the phone that are men and caregivers of men, we need to start the rallying cry, whether it's Profound or the other folks that offer interventions for men's prostate disease, that men should be aware, they should have access, and they should be empowered to make the decision with their clinician based on their clinical presentation and what's important to them as it relates to quality of life, sexual function, urinary continence, penile length, mental health. I apologize for the emboldened response, but I truly believe we're at an inflection point here in men's healthcare, and we've got to get louder. Thank you for asking the question.

Speaker #1: So I apologize for the emboldened response, but I truly believe we're at an inflection point here in men's health care, and we've got to get louder.

Speaker #1: So thank you for asking the question .

Speaker #7: Yeah . Got it . No . Agreed . And very helpful . Thank you for that . And then maybe just one more question , if I may .

Kyle Bauser: Got it. No, agreed, and very helpful. Thank you for that. Maybe just one more question, if I may. We saw in the RP arm in the CAPTAIN trial that about 33% of patients had positive surgical margins. Any more specific timing estimate for later this year around when we'll see the TULSA procedure histology and imaging for the, I think, 12-month biopsying MRI results to kind of quantify surgical margins?

Speaker #7: We saw in the p arm in the captain trial that about 33% of patients had positive surgical margins any more specific timing estimate for later this year around when we'll see the Tulsa procedure histology and Imaging for the , I think , 12 month biopsy and MRI results to kind of quantify surgical margins

Arun Menawat: Kyle, we are still in the process of collecting all the final data. We have a vast majority of the patient data in, but we're not all the way there yet. We are still very comfortable that sometime in Q4, we should be able to get the whole TULSA arm information out, 12-month data. I would still like to point out that in the TULSA arm, it's biopsy, which is the gold standard of how we're measuring, and it's very detailed, versus in the robotic arm, it is basically measuring positive margins, which is much simpler and far less comprehensive. Most of the prostate patients who underwent the robotic arm underwent what they call nerve-sparing prostatectomy.

Speaker #2: I we are still in the process of collecting all the final data . We're in the you know , we have a vast majority of the patient data in .

Speaker #2: But we're not all the way there yet . We are still very comfortable that that sometime in Q4 , we should be able to get , you know , the whole Tulsa arm information out trauma .

Speaker #2: I would still like to point out that in the Tulsa ARM , you know , it's biopsy , which is the gold standard of how we're measuring .

Speaker #2: And it's very detailed and it versus in the robotic arm , it is basically measuring positive margins , which is very , you know , much simpler .

Speaker #2: And , and far less comprehensive . And most of the patients who underwent the robotic arm underwent what they call nerve sparing prostectomy .

Speaker #2: And so , you know , again , coming to that point about the trifecta , you know , you're seeing 35% positive margins and you're actually seeing a little bit better than what you see in other studies on the erectile dysfunction .

Arun Menawat: Again, coming to that point about the trifecta, you're seeing 35% positive margins, and you're actually seeing a little bit better than what you see in other studies on the erectile dysfunction. We do think that we're in a pretty good position with respect to particularly the trifecta. Kyle, to give you the answer, I think most certainly we are on track with getting the information out in Q4.

Speaker #2: And so , you know , we do think that we're in a pretty good , good Position with respect to , to the , the , particularly the trifecta , but Kyle , to give you the answer , I think most certainly you're on track with getting the information out in Q4

Speaker #7: Got it . Okay , great . Very helpful . And thank you for taking my questions .

Kyle Bauser: Got it. Okay. Great. Very helpful, and thank you for taking my questions.

Speaker #2: Thank you . Carl

Arun Menawat: Thank you, Kyle.

Speaker #3: Thank you. This concludes the question-and-answer session. I would now like to turn it back to Dr. Menawat for closing remarks.

Operator: Thank you. This concludes the question and answer session. I would now like to turn it back to Dr. Menawat for closing remarks.

Speaker #2: Thank you so much. And thank you to all the analysts for their questions. Hopefully, we'll answer them comprehensively for you. We look forward to similar dialogue in Q3.

Arun Menawat: Thank you so much, and thank you for all the analysts for their questions. Hopefully, we've answered them comprehensively for you. Look forward to a similar dialogue in Q3. Thank you.

Speaker #2: Thank you

Operator: Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.

Q2 2026 Profound Medical Corp Earnings Call

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