Share count
30Mpeak FY2025
← All companies ← PRME Manual PROK → ← PRCT Medical Devices & Equipment QTEX →
PROF, Profound Medical Corp.
We are a commercial-stage medical device company focused on the development and marketing of AI-powered, MRI-guided, incision-free therapies for the ablation of diseased tissue utilizing our platform technologies.
Our lead product, the TULSA-PRO system, combines real-time MRI, robotically-driven transurethral sweeping action/thermal ultrasound and closed-loop temperature feedback control to ablate whole gland or physician defined region of malignant or benign prostate tissue.
The TULSA-PRO system has been shown in clinical and commercial settings to be an effective tool for physicians who are treating prostate diseases including cancer and other conditions such as benign prostatic hyperplasia (" BPH ").
The business
What it sells, where the money comes from, the kind of company it is.
Revenue · FY2025
$16M
+65.3% YoY
Vital signs · TTM
The business in brief
read the 10-K →What this business is and what moves its needle, from its own SEC filings.
- Situation
- Unprofitable. No meaningful revenue yet; the record is the cash on hand against the burn. Distress / turnaround. Thin interest coverage, or operating cash burned against real debt, across the record. The balance sheet carries this situation; the debt schedule sets the clock. Net current asset value. Current assets alone exceed every liability combined, and the surplus is most of the balance sheet: the shape Graham called a net-net.
- What moves the needle
- Operating margin has run around −339% through the cycle on a 63% gross margin, the operating line in the red even at its best — so the lever is whether the spending below the gross line can come down enough to clear a profit: revenue growth against the cost curve, and the cash runway until it does. Inventory runs near 60% of sales, so how fast it turns back into cash — and the risk of writing it down when demand softens — sits alongside the margin. Read this kind of business on the installed base and what follows it. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.
- Is it a good business?
- Return on capital has rarely cleared the cost of capital (median −257%, above 15% in 0 of 3 years). Owner earnings, the cash-based check, have been thin too. This is price-taker territory, where the balance sheet and the cycle matter more than any multiple; the rest is in the 10-K.
Every line is arithmetic on the company's filings, shown in full in the sections below.
The record
Ten years of arithmetic, read across the cycle.
The record, 2023–2025
realized figures from each filing · older years to the left| 2023’23 | 2024’24 | 2025’25 | TTMTTMMar 2026 | |
|---|---|---|---|---|
| Income statement | ||||
| $6M | $10M | $16M | $19M | RevenueRevenue |
| 51% | 63% | 71% | 71% | Gross marginGross mgn |
| 314% | 238% | 199% | 162% | SG&A / revenueSG&A/rev |
| 245% | 174% | 128% | 112% | R&D / revenueR&D/rev |
| ($29M) | ($33M) | ($41M) | ($38M) | Operating incomeOp. inc. |
| −485.7% | −339.4% | −256.3% | −202.6% | Operating marginOp. mgn |
| ($28M) | ($28M) | ($43M) | ($39M) | Net incomeNet inc. |
| Cash flow & returns | ||||
| ($23M) | ($23M) | ($38M) | ($39M) | Operating cash flowOp. cash |
| $727K | $707K | $373K | $350K | DepreciationDeprec. |
| $2M | $1M | ($2M) | ($6M) | Working capital & otherWC & other |
| — | — | $176K | $176K | CapexCapex |
| — | — | 1.1% | 0.9% | Capex / revenueCapex/rev |
| — | — | ($38M) | ($39M) | Owner earningsOwner earn. |
| — | — | −238.4% | −205.6% | Owner earnings marginOE mgn |
| — | — | ($38M) | ($39M) | Free cash flowFCF |
| — | — | −238.4% | −205.6% | Free cash flow marginFCF mgn |
| -187% | -257% | -291% | -166% | ROICROIC |
| -91% | -46% | -64% | -65% | Return on equityROE |
| −91% | −46% | −64% | −65% | Retained to equityRetained/eq |
| Balance sheet | ||||
| $26M | $55M | $60M | $50M | Cash & investmentsCash+inv |
| $7M | $6M | $8M | $9M | InventoryInvent. |
| $865K | $1M | $2M | $2M | Accounts payablePayables |
| $6M | $4M | $7M | $7M | Operating working capitalOper. WC |
| $42M | $69M | $76M | $70M | Current assetsCur. assets |
| $6M | $7M | $6M | $11M | Current liabilitiesCur. liab. |
| 6.6× | 10.5× | 12.5× | 6.6× | Current ratioCurr. ratio |
| $44M | $70M | $77M | $73M | Total assetsAssets |
| $7M | $5M | $4M | $9M | Total debtDebt |
| ($19M) | ($50M) | ($55M) | ($41M) | Net debt / (cash)Net debt |
| $31M | $60M | $66M | $59M | Shareholders’ equityEquity |
| 57.9% | 26.5% | 34.1% | 29.5% | Stock comp / revenueSBC/rev |
| Per share | ||||
| 21.2M | 24.8M | 30.2M | 36.3M | Shares out (diluted)Shares |
| $0.28 | $0.39 | $0.53 | $0.52 | Revenue / shareRev/sh |
| $-1.34 | $-1.12 | $-1.41 | $-1.07 | EPS (diluted)EPS |
| — | — | $-1.27 | $-1.07 | Owner earnings / shareOE/sh |
| — | — | $-1.27 | $-1.07 | Free cash flow / shareFCF/sh |
| — | — | $0.01 | $0.00 | Cap. spending / shareCapex/sh |
| $1.47 | $2.44 | $2.20 | $1.64 | Book value / shareBVPS |
The record, charted
FY2023–2025Each measure over its full record; the current point and the worst year marked.
ROIC
−291%low FY2025
Gross margin
71%low FY2023
Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.
In fiscal 2025 the business turned a $43M loss into ($38M) of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.
| FY2025 | |
|---|---|
| Reported net income | ($43M) |
| Depreciation & amortizationnon-cash charge added back | +$373K |
| Stock-based compensationreal costnon-cash, but a real cost | +$5M |
| Working capital & othertiming of cash in and out, other non-cash items | −$2M |
| Cash from operations | ($38M) |
| Capital expenditurecash put back in to keep running and to grow | −$176K |
| Owner earnings | ($38M) |
| Owner-earnings marginowner earnings ÷ revenue | -238% |
Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $5M), owner earnings is nearer ($44M).
Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.
Quality & stewardship
Returns, the balance sheet, capital allocation, and pay.
Owner’s Scorecard
FY2025 10-K · source on SEC EDGAR →
Will it survive?
- No meaningful interest burdenLittle or no interest expense reported
What this means
Little or no interest expense reported, the business isn't leaning on lenders to operate.
- Net cashCash $60M − debt $6M
What this means
Cash and short-term investments exceed every dollar of debt by $53M, on net the company owes nothing, and can act from strength when others can't. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.
- Not enough data
What this means
The filing data didn't include the inputs for this check.
Is it a good business?
- Below average through the cycle3-yr median, range -291%–-187%; -252% latest = NOPAT ($33M) ÷ invested capital $13MIndustry peers: median -83%
What this means
The rate the business earns on the money tied up in it, Buffett's north star, because over time a stock tracks the ROIC beneath it. Above ~15% sustained hints at a moat; a return below the cost of capital (~8%) erodes value as a business grows rather than building it — the test Buffett weighs most. The headline is the median of the last 3 years (it ran -252% most recently), so one peak or trough year doesn't set the verdict. Asset-light businesses (R&D expensed, little capital) read artificially high, pair this with Owner Earnings.
- Owner-earnings margin -238%Consumes cashOwner earnings ($38M) = operating cash ($38M) − maintenance capex $176KIndustry peers: median -76%
What this means
What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's -238% of revenue this year. Treating stock comp as the real expense it is (less $5M of SBC) leaves ($44M).
- Are earnings backed by cash? ($38M)Loss, and burning cashNet income ($43M) · cash from operations ($38M)
What this means
The company reported a net loss, so a conversion ratio isn't meaningful. What matters then is whether operations still threw off cash, here, they did not.
How is the cash used?
- Not enough data
What this means
The filing data didn't include the inputs for this check.
- Investing or harvesting? 0.47×HarvestingCapex $176K ÷ depreciation $373K
What this means
Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.
Graham’s defensive tests · 2 of 3 met
Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.
- Adequate size MissRevenue ≥ $2B · $16M
What this means
Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.
- Strong liquidity PassCurrent ratio ≥ 2× · 12.52×
What this means
Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.
- Conservative debt PassDebt ≤ working capital · $6M vs $70M WC
What this means
Graham's rule that borrowings not exceed net current assets. Capital-heavy and buyback-heavy firms routinely fail it, read it next to interest coverage, not alone.
- Moderate price —P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
What this means
Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $-0.91/share (latest year $-1.17), the averaged base the calculator's gate runs on, and book value is $1.83/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.
Does AI threaten the moat?
Low contestabilityThe moat is physical, regulated or balance-sheet-funded, the kind AI cuts costs within but does not contest.
In its own filing A competitive risk, new this year
Its FY2025 10-K names artificial intelligence as a competitive threat, in language that was not in the prior year's filing.
“As necessary, we have developed policies governing the use of AI to encourage appropriate use of AI by our employees, contractors, and authorized agents and that our assets, including intellectual property, competitive information, personal information we may collect or process, and customer information, are protected.…”
AI is unlikely to contest a moat that is physical, regulated or balance-sheet-funded; here it reads more as a cost tool than a threat, and the company is using it that way.
Read from the filing's own risk factors, paired with the industry's structure under its SIC code; the durability is read above, the price below.
All figures as filed; the source filing is linked above.
Current Position
as of the latest quarter, Mar 31, 2026Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.
Current assets$70M
- Cash & short-term investments$50M
- Inventory$9M
- Other current assets$10M
Current liabilities$11M
- Debt due within a year$5M
- Accounts payable$2M
- Other current liabilities$4M
Current ratio6.56×all current assets ÷ what's due · Graham looked for 2×
Quick ratio5.71×stricter: inventory excluded
Cash ratio4.74×strictest: cash alone against what's due
Working capital$59Mthe cushion left after near-term bills
Debt due this year vs. cash$5M due · $50M cash
covered by cash on hand, no refinancing forced · both figures from the Mar 31, 2026 balance sheet
Cash runway1.3 yrsthe business is consuming cash; this is how long the cash on hand lasts at that rate
Revenue, latest quarter vs. a year ago+103.6%the freshest read on whether the business is still growing
Current ratio, recent quarters10.5× → 6.6×
Deeper floors
Tangible book value$59Mequity stripped of goodwill & intangibles
Net current asset value$55MGraham's net-net: current assets less all liabilities
Debt incl. operating leases$12M$3M of it operating leases
Deferred revenue$905Kcustomer cash collected before delivery; operating float
From the company's latest filing.
Management, ownership & pay
From the proxy: how much of the business the people running it own, and how they are paid.
- Stock-based compensation$5M
The slice of the business handed to employees in shares this year, 34% of revenue. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.
What an owner would ask, FY2025
read the 10-K →- Which reported numbers are a judgment call?Management names Credit & receivables as critical estimates
each rests partly on management's judgment; the filing's note sets out the assumptionsverify →
The questions the record and the charts do not answer on their own; each carries the figure and the place to look.
Peers, Medical Devices & Equipment
The same industry, side by side on owner economics. Each figure is a through-cycle median, so a peak or trough year can’t distort it; the group median at the foot is the line to read each against.
| Company | Revenue | Gross margin | Op. margin | ROIC | Owner earn. margin |
|---|---|---|---|---|---|
| BBNXBeta Bionics Inc. | $100M | 55% | -71.5% | -22% | -76% |
| NPCENeuropace Inc. | $100M | 74% | -36.6% | -32% | -42% |
| DCTHDelcath Systems Inc. | $85M | 81% | -690.0% | -127% | -640% |
| ELMDElectromed Inc. | $64M | 77% | 10.8% | 11% | 7% |
| CLPTClearPoint Neuro Inc. | $37M | 63% | -75.4% | -228% | -65% |
| DRIODarioHealth Corp. | $22M | 31% | -257.7% | -83% | -192% |
| PROFProfound Medical Corp. | $16M | 63% | -339.4% | -257% | -238% |
| CVCapsoVision Inc. | $14M | 53% | -188.3% | -152% | -169% |
| Group median | — | 63% | -131.8% | -105% | -123% |
The price
What a price has to assume.
What the price implies
reverse-DCFProfound Medical Corp. is profitable, but owner earnings are negative this year because capital spending currently outruns operating cash, a build-out, so the owner-earnings reverse-DCF has no positive base to grow. We read the price from both ends instead: type a price to see the steady-state profitability it demands, then set the mature margin you would believe and weigh the two against each other. Nothing leaves your browser unless you enter it in your notebook.
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The assumptions
Enter a price to run it.
Owner earnings it must reach—
Margin the price demands—
Owner-earnings margin today−206%
A dated snapshot of the price you typed, the assumptions you set, and what the page showed for them. A snapshot is never edited after it is saved. Your notebook is yours alone — the commitment states what is stored and what we will never do.
Two reads of one future. From your price: the owner earnings the company must reach, valued at a mature multiple and discounted back at your rate, expressed as the margin it implies on revenue grown at your rate. From your belief: the mature margin you would credit, set on the dial above. When the margin the price demands runs above the one you would believe, you are paying for a future taken on faith. For a deep cyclical at a trough, normalized through-cycle earnings are the better lens; this mode is for the genuinely unprofitable, and for the profitable business whose capital spending currently outruns its cash.
Cite: Owner Scorecard, "Profound Medical Corp. (PROF), the owner's record," https://ownerscorecard.com/c/PROF, data as of 2026-07-09.
Manual order: ← PRME its page in the Manual PROK →
Industry order: ← PRCT the Medical Devices & Equipment chapter QTEX →