TCMD

Tactile Systems Technology, Inc. Reports 10% Revenue Growth in Q4 2024 and Announces Strategic Leadership Changes

Tactile Medical reports 10% revenue growth in Q4 2024, with expanded product launches and improved financial metrics.

Quiver AI Summary

Tactile Systems Technology, Inc. reported its financial results for the fourth quarter and full year of 2024, showcasing a 10% year-over-year revenue increase in Q4 to $85.6 million and a 7% increase for the full year to $293 million. The company's gross margin improved to 75% in Q4, with net income rising to $9.7 million compared to $8.2 million in the prior year. Significant milestones included the expanded launch of its Nimbl platform for lower extremity lymphedema patients and key appointments in management. For 2025, Tactile projects revenue growth of about 8% to 10%, aiming for total revenues between $316 million and $322 million, while adjusted EBITDA is expected to range from $35 million to $37 million. The company emphasizes its commitment to improving patient experiences and expanding treatment options.

Potential Positives

  • Total revenue increased 10% year-over-year in Q4 2024 to $85.6 million, indicating strong demand for the company’s products.
  • Gross margin improved to 75% in Q4 2024 compared to 72% in Q4 2023, reflecting better cost management and pricing strategies.
  • Net income in Q4 2024 was $9.7 million, up from $8.2 million in Q4 2023, showcasing enhanced profitability.
  • Appointment of Laura King to the Board of Directors and promotion of Aaron Snodgrass to Senior Vice President of Sales highlight the company’s commitment to strong leadership and strategic growth.

Potential Negatives

  • Net income for the full year 2024 decreased significantly to $17.0 million, down from $28.5 million in 2023, indicating a substantial decline in profitability.
  • Despite a revenue increase, operating expenses rose by 17% in Q4 2024 compared to Q4 2023, which may signal potential inefficiencies or escalating costs.
  • Adjusted EBITDA for 2025 is projected to decrease to a range of $35 million to $37 million, compared to $37.1 million in 2024, which could reflect concerns about future operational performance and profitability.

FAQ

What were Tactile Medical's revenue figures for Q4 2024?

Total revenue for Q4 2024 was $85.6 million, up 10% year-over-year.

How did Tactile Medical's net income change in 2024?

Net income for 2024 was $17.0 million, a decrease from $28.5 million in the previous year.

What are the key highlights from Tactile Medical's business in Q4 2024?

Key highlights include a 10% revenue increase, expanded Nimbl launch, and a new board appointment.

What is Tactile Medical's financial outlook for 2025?

The company projects total revenue between $316 million and $322 million, reflecting an 8-10% growth.

Who is Tactile Medical's new Senior Vice President of Sales?

Aaron Snodgrass has been promoted to Senior Vice President, Sales, effective February 18, 2025.

Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.


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Full Release



MINNEAPOLIS, Feb. 18, 2025 (GLOBE NEWSWIRE) -- Tactile Systems Technology, Inc. (“Tactile Medical”; the “Company”) (Nasdaq: TCMD), a medical technology company providing therapies for people with chronic disorders, today reported financial results for the fourth quarter and full year ended December 31, 2024.





Fourth Quarter 2024 Summary & Recent Business Highlights:





  • Total revenue increased 10% year-over-year to $85.6 million


  • Gross margin of 75% versus 72% in Q4 2023


  • Net income of $9.7 million versus $8.2 million in Q4 2023


  • Adjusted EBITDA of $16.2 million versus $15.4 million in Q4 2023


  • Expanded launch of Nimbl to include patients with lower extremity lymphedema


  • Appointed Laura King to Board of Directors


  • Promoted Aaron Snodgrass to Senior Vice President, Sales, effective February 18, 2025







Full Year 2024 Summary:





  • Total revenue increased 7% year-over-year in 2024 to $293.0 million


  • Gross margin of 74% in 2024, compared to 71% in 2023


  • Operating cashflow of $40.7 million in 2024, compared to $35.9 million in 2023


  • Ended 2024 with $94.4 million in cash, up from $61.0 million at the end of 2023



“Our fourth quarter results capped off a dynamic year for Tactile, during which we launched our next-generation lymphedema platform, generated clinical evidence supporting the value of our therapies, deployed new workflow-related tools to enhance speed and efficiency in order operations, and served over 79,000 patients with our lymphedema and airway clearance solutions,” said Sheri Dodd, President and Chief Executive Officer of Tactile Medical. “Financially, we demonstrated a consistent ability to strengthen our balance sheet and expand profitability, while also delivering double-digit revenue growth in the fourth quarter.”



Ms. Dodd concluded, “Our financial and operational progress in 2024, coupled with strong market fundamentals and an innovative portfolio, leaves us confident that we are well-positioned to advance our market leadership this year and over the long-term while delivering sustainable, profitable growth. In 2025, we will also continue investing in our strategic priority to enhance the overall patient experience, including through improving access to care, expanding treatment options, and supporting the end-to-end patient journey.”





Fourth Quarter 2024 Financial Results




Total revenue in the fourth quarter of 2024 increased $7.9 million, or 10%, to $85.6 million, compared to $77.7 million in the fourth quarter of 2023. The increase in total revenue was attributable to an increase of $7.6 million, or 11%, in sales and rentals of the lymphedema product line and an increase of $0.3 million, or 4%, in sales of the airway clearance product line in the quarter ended December 31, 2024, compared to the fourth quarter of 2023.



Gross profit in the fourth quarter of 2024 increased $8.4 million, or 15%, to $64.4 million, compared to $56.0 million in the fourth quarter of 2023. Gross margin was 75.2% of revenue, compared to 72.1% of revenue in the fourth quarter of 2023.



Operating expenses in the fourth quarter of 2024 increased $7.6 million, or 17%, to $51.9 million, compared to $44.2 million in the fourth quarter of 2023.



Operating income was $12.5 million in the fourth quarter of 2024, compared to $11.8 million in the fourth quarter of 2023.



Interest income was $0.9 million in each of the fourth quarters of 2024 and 2023.



Interest expense was $0.5 million in the fourth quarter of 2024, compared to $0.9 million in the fourth quarter of 2023.



Income tax expense was $3.3 million in the fourth quarter of 2024, compared to $3.6 million in the fourth quarter of 2023.



Net income in the fourth quarter of 2024 was $9.7 million, or $0.40 per diluted share, compared to $8.2 million, or $0.35 per diluted share, in the fourth quarter of 2023.



Weighted average shares used to compute diluted net income per share were 24.5 million and 23.8 million for the fourth quarters of 2024 and 2023, respectively.



Adjusted EBITDA was $16.2 million in the fourth quarter of 2024, compared to $15.4 million in the fourth quarter of 2023.





Full Year 2024 Financial Results




Total revenue in the full year of 2024 increased $18.6 million, or 7%, to $293.0 million, compared to $274.4 million in the full year of 2023. The increase in total revenue was attributable to an increase of $17.6 million, or 7%, in sales and rentals of the lymphedema product line and an increase of $0.9 million, or 3%, in sales of the airway clearance product line in the full year of 2024, compared to the full year of 2023.



Net income in the full year of 2024 was $17.0 million, or $0.70 per diluted share, compared to $28.5 million, or $1.23 per diluted share, in the full year of 2023.



Weighted average shares used to compute diluted net income per share were 24.1 million and 23.2 million in the full year of 2024 and 2023, respectively.



Adjusted EBITDA was $37.1 million in the full year of 2024, compared to $29.7 million in the full year of 2023.





Balance Sheet Summary




As of December 31, 2024, the Company had $94.4 million in cash and $26.3 million of outstanding borrowings under its credit agreement, compared to $61.0 million in cash and $29.3 million of outstanding borrowings under its credit agreement as of December 31, 2023. As of December 31, 2024, $26.5 million remained available under the Company’s $30.0 million share repurchase program, which became effective on October 30, 2024, and expires October 31, 2026.





2025 Financial Outlook




The Company expects full year 2025 total revenue in the range of $316 million to $322 million, representing growth of approximately 8% to 10% year-over-year, compared to total revenue of $293.0 million in 2024. The Company also expects full year 2025 adjusted EBITDA in the range of $35 million to $37 million, compared to adjusted EBITDA of $37.1 million in 2024.





Conference Call




Management will host a conference call with a question-and-answer session at 5:00 p.m. Eastern Time on February 18, 2025, to discuss the results of the quarter and fiscal year. Those who would like to participate may dial 877-407-3088 (201-389-0927 for international callers) and provide access code 13751026. A live webcast of the call will also be provided on the investor relations section of the Company's website at investors.tactilemedical.com.



For those unable to participate, a replay of the call will be available for two weeks at 877-660-6853 (201-612-7415 for international callers); access code 13751026. The webcast will be archived at investors.tactilemedical.com.





About Tactile Systems Technology, Inc. (DBA Tactile Medical)




Tactile Medical is a leader in developing and marketing at-home therapies for people suffering from underserved, chronic conditions including lymphedema, lipedema, chronic venous insufficiency and chronic pulmonary disease by helping them live better and care for themselves at home. Tactile Medical collaborates with clinicians to expand clinical evidence, raise awareness, increase access to care, reduce overall healthcare costs and improve the quality of life for tens of thousands of patients each year.





Legal Notice Regarding Forward-Looking Statements




This release contains forward-looking statements, including guidance for the full year 2025. Forward-looking statements are generally identifiable by the use of words like “may,” “will,” “should,” “could,” “expect,” “anticipate,” “estimate,” “believe,” “intend,” “continue,” “confident,” “outlook,” “guidance,” “project,” “goals,” “look forward,” “poised,” “designed,” “plan,” “return,” “focused,” “prospects” or “remain” or the negative of these words or other variations on these words or comparable terminology. The reader is cautioned not to put undue reliance on these forward-looking statements, as these statements are subject to numerous factors and uncertainties outside of the Company’s control that can make such statements untrue, including, but not limited to, the Company’s ability to obtain reimbursement from third-party payers for its products; the impacts of inflation, rising interest rates or a recession; the adequacy of the Company’s liquidity to pursue its business objectives; adverse economic conditions or intense competition; price increases for supplies and components; wage and component price inflation; loss of a key supplier; entry of new competitors and products; compliance with and changes in federal, state and local government regulation; loss or retirement of key executives, including prior to identifying a successor; technological obsolescence of the Company’s products; technical problems with the Company’s research and products; the Company’s ability to expand its business through strategic acquisitions; the Company’s ability to integrate acquisitions and related businesses; the effects of current and future U.S. and foreign trade policy and tariff actions; or the inability to carry out research, development and commercialization plans. In addition, other factors that could cause actual results to differ materially are discussed in the Company’s filings with the SEC. Investors and security holders are urged to read these documents free of charge on the SEC’s website at http://www.sec.gov. The Company undertakes no obligation to publicly update or revise its forward-looking statements as a result of new information, future events or otherwise.





Use of Non-GAAP Financial Measures




This press release includes the non-GAAP financial measure of Adjusted EBITDA, which differs from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). Adjusted EBITDA in this release represents net income, plus interest expense, net, or less interest income, net, less income tax benefit or plus income tax expense, plus depreciation and amortization, plus stock-based compensation expense, plus or minus the change in fair value of earn-out and plus executive transition costs. Reconciliation of this non-GAAP financial measure to its most directly comparable GAAP measure is included in this press release.



This non-GAAP financial measure is presented because the Company believes it is a useful indicator of its operating performance. Management uses this measure principally as a measure of the Company’s operating performance and for planning purposes, including the preparation of the Company’s annual operating plan and financial projections. The Company believes this measure is useful to investors as supplemental information and because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company also believes this non-GAAP financial measure is useful to its management and investors as a measure of comparative operating performance from period to period. In addition, Adjusted EBITDA is used as a performance metric in the Company’s compensation program.



The non-GAAP financial measure presented in this release should not be considered as an alternative to, or superior to, its respective GAAP financial measure, as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP, and it should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, Adjusted EBITDA is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized. In evaluating non-GAAP financial measures, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in this presentation. The Company’s presentation of non-GAAP financial measures should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using non-GAAP financial measures on a supplemental basis. The Company’s definition of these non-GAAP financial measures is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.




































































































































































































































































































































































































































Tactile Systems Technology, Inc.



Consolidated Balance Sheets





December 31,




December 31,


(In thousands, except share and per share data)



2024




2023




Assets









Current assets








Cash


$

94,367


$

61,033

Accounts receivable



44,937



43,173

Net investment in leases



14,540



14,195

Inventories



18,666



22,527

Prepaid expenses and other current assets



5,053



4,366

Total current assets



177,563



145,294


Non-current assets








Property and equipment, net



5,603



6,195

Right of use operating lease assets



16,633



19,128

Intangible assets, net



42,789



46,724

Goodwill



31,063



31,063

Accounts receivable, non-current







10,936

Deferred income taxes



18,311



19,378

Other non-current assets



5,962



2,720

Total non-current assets



120,361



136,144


Total assets



$

297,924


$

281,438



Liabilities and Stockholders' Equity










Current liabilities








Accounts payable


$

5,648


$

6,659

Note payable



2,956



2,956

Accrued payroll and related taxes



17,923



16,789

Accrued expenses



7,780



5,904

Income taxes payable



270



1,467

Operating lease liabilities



2,980



2,807

Other current liabilities



3,147



4,475

Total current liabilities



40,704



41,057


Non-current liabilities








Note payable, non-current



23,220



26,176

Accrued warranty reserve, non-current



1,209



1,681

Income taxes payable, non-current



239



446

Operating lease liabilities, non-current



15,955



18,436

Total non-current liabilities



40,623



46,739


Total liabilities




81,327



87,796









Stockholders’ equity:








Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of December 31, 2024 and December 31, 2023









Common stock, $0.001 par value, 300,000,000 shares authorized; 23,883,475 shares issued and outstanding as of December 31, 2024; 23,600,584 shares issued and outstanding as of December 31, 2023



24



24

Additional paid-in capital



180,719



174,724

Retained earnings



35,854



18,894


Total stockholders’ equity




216,597



193,642


Total liabilities and stockholders’ equity



$

297,924


$

281,438




















































































































































































































































































































































































































































































































































































































































































Tactile Systems Technology, Inc.



Consolidated Statements of Operations































Three Months Ended




Year Ended





December 31,




December 31,


(In thousands, except share and per share data)



2024




2023




2024




2023



Revenue














Sales revenue


$

75,270



$

67,407



$

256,012



$

239,493


Rental revenue



10,315




10,245




36,972




34,930


Total revenue



85,585




77,652




292,984




274,423



Cost of revenue














Cost of sales revenue



18,005




18,190




64,815




66,713


Cost of rental revenue



3,211




3,455




11,481




12,577


Total cost of revenue



21,216




21,645




76,296




79,290



Gross profit














Gross profit - sales revenue



57,265




49,217




191,197




172,780


Gross profit - rental revenue



7,104




6,790




25,491




22,353


Gross profit



64,369




56,007




216,688




195,133



Operating expenses














Sales and marketing



29,206




26,581




112,009




107,119


Research and development



2,038




1,793




8,832




7,823


Reimbursement, general and administrative



19,977




15,200




71,135




62,074


Intangible asset amortization and earn-out



633




633




2,531




76


Total operating expenses



51,854




44,207




194,507




177,092



Income from operations




12,515




11,800




22,181




18,041


Interest income



948




859




3,384




1,874


Interest expense



(472

)



(897

)



(2,085

)



(4,147

)

Other income








2




9




2



Income before income taxes




12,991




11,764




23,489




15,770


Income tax expense (benefit)



3,275




3,562




6,529




(12,745

)


Net income



$

9,716



$

8,202



$

16,960



$

28,515


Net income per common share













Basic


$

0.40



$

0.35



$

0.71



$

1.24


Diluted


$

0.40



$

0.35



$

0.70



$

1.23


Weighted-average common shares used to compute net income per common share













Basic



24,007,863




23,551,388




23,883,729




22,925,497


Diluted



24,473,898




23,771,490




24,138,244




23,176,169


















































































































































































































































































































































































































































































































































Tactile Systems Technology, Inc.



Consolidated Statements of Cash Flows








Year Ended December 31,


(In thousands)



2024






2023





Cash flows from operating activities








Net income


$

16,960



$

28,515


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







Depreciation and amortization



6,792




6,539


Deferred income taxes



1,067




(19,378

)

Stock-based compensation expense



7,819




7,547


Loss on disposal of property and equipment and intangibles



308




3


Change in fair value of earn-out liability








(2,475

)

Changes in assets and liabilities, net of acquisition:







Accounts receivable



(1,764

)



11,653


Net investment in leases



(345

)



1,935


Inventories



3,861




597


Income taxes



(1,404

)



(721

)

Prepaid expenses and other assets



(3,929

)



72


Right of use operating lease assets



187




71


Accounts receivable, non-current



10,936




12,125


Accounts payable



(1,087

)



(3,853

)

Accrued payroll and related taxes



1,134




(311

)

Accrued expenses and other liabilities



120




(6,464

)

Net cash provided by operating activities



40,655




35,855



Cash flows from investing activities








Purchases of property and equipment



(2,392

)



(2,324

)

Proceeds from sale of property and equipment



12







Intangible assets expenditures



(117

)



(157

)

Net cash used in investing activities



(2,497

)



(2,481

)


Cash flows from financing activities








Proceeds from issuance of note payable








8,250


Payments on earn-out








(10,575

)

Payments on note payable



(3,000

)



(3,000

)

Payments on revolving line of credit








(25,000

)

Payments of deferred debt issuance costs








(125

)

Proceeds from exercise of common stock options



24




14


Proceeds from the issuance of common stock from the employee stock purchase plan



1,660




1,541


Payments for repurchases of common stock



(3,508

)






Proceeds from issuance of common stock at market








34,625


Net cash (used in) provided by financing activities



(4,824

)



5,730



Net increase (decrease) in cash




33,334




39,104


Cash – beginning of period



61,033




21,929


Cash – end of period


$

94,367



$

61,033










Supplemental cash flow disclosure








Cash paid for interest


$

2,106



$

4,560


Cash paid for taxes


$

6,848



$

5,815


Capital expenditures incurred but not yet paid


$

76



$

528












The following table summarizes revenue by product line for the three and twelve months ended December 31, 2024 and 2023:


















































































































































































































Three Months Ended




Year Ended





December 31,




December 31,


(In thousands)



2024




2023




2024




2023



Revenue














Lymphedema products


$

77,083



$

69,464



$

259,361



$

241,721


Airway clearance products



8,502




8,188




33,623




32,702


Total


$

85,585



$

77,652



$

292,984



$

274,423
















Percentage of total revenue














Lymphedema products



90

%



89

%



89

%



88

%

Airway clearance products



10

%



11

%



11

%



12

%

Total



100

%



100

%



100

%



100

%



















The following table contains a reconciliation of net income to Adjusted EBITDA for the three and twelve months ended December 31, 2024 and 2023, as well as the dollar and percentage change between the comparable periods:




































































































































































































































































































































































































Tactile Systems Technology, Inc.



Reconciliation of Net Income to Non-GAAP Adjusted EBITDA


(Unaudited)





























Three Months Ended




Increase




Year Ended




Increase





December 31,




(Decrease)




December 31,




(Decrease)


(Dollars in thousands)



2024




2023




$




%




2024




2023




$




%



Net income



$

9,716



$

8,202


$

1,514



18


%


$

16,960



$

28,515



$

(11,555

)


41


%

Interest (income) expense, net



(476

)



38



(514

)


N.M.


%



(1,299

)



2,273




(3,572

)


(157

)

%

Income tax expense (benefit)



3,275




3,562



(287

)


(8

)

%



6,529




(12,745

)



19,274



(151

)


Depreciation and amortization



1,714




1,624



90



6


%



6,793




6,539




254



4


%

Stock-based compensation



1,850




1,950



(100

)


(5

)

%



7,819




7,547




272



4


%

Change in fair value of earn-out



















%








(2,475

)



2,475



(100

)

%

Executive transition costs



137








137






%



248









248






%


Adjusted EBITDA



$

16,216



$

15,376


$

840



5


%


$

37,050



$

29,654



$

7,396



25


%


































The following table contains a reconciliation of GAAP net income guidance range to the Adjusted EBITDA guidance range for the twelve months ended December 31, 2025:
















































































































































Tactile Systems Technology, Inc.



Reconciliation of FY 2025 GAAP Net Income to Adjusted EBITDA Guidance


(Unaudited)











Year Ended





December 31, 2025


(Dollars in thousands)





Low






High



Net income



$

15,750



$

17,150


Interest income, net



(2,500

)



(2,500

)

Income tax expense benefit



6,100




6,700


Depreciation and amortization



6,700




6,700


Stock-based compensation



8,800




8,800


Executive transition costs



150




150



Adjusted EBITDA



$

35,000



$

37,000













Investor Inquiries:



Sam Bentzinger


Gilmartin Group


investorrelations@tactilemedical.com






This article was originally published on Quiver News, read the full story.

The views and opinions expressed herein are the views and opinions of the author and do not necessarily reflect those of Nasdaq, Inc.

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