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Tactile Systems Technology, Inc. Reports Fourth Quarter and Full Year 2024 Financial Results

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Tactile Medical (TCMD) reported strong Q4 2024 financial results with total revenue increasing 10% year-over-year to $85.6 million. The company achieved a gross margin of 75% and net income of $9.7 million in Q4 2024, compared to 72% and $8.2 million in Q4 2023, respectively.

For the full year 2024, total revenue grew 7% to $293.0 million, with gross margin improving to 74% from 71% in 2023. Operating cash flow reached $40.7 million, up from $35.9 million in 2023. The company ended 2024 with $94.4 million in cash, a significant increase from $61.0 million at the end of 2023.

Looking ahead, TCMD provided 2025 guidance projecting total revenue between $316-322 million (8-10% growth) and adjusted EBITDA of $35-37 million.

Tactile Medical (TCMD) ha riportato risultati finanziari solidi per il quarto trimestre del 2024, con un aumento del fatturato totale del 10% rispetto all'anno precedente, raggiungendo i 85,6 milioni di dollari. L'azienda ha ottenuto un margine lordo del 75% e un reddito netto di 9,7 milioni di dollari nel quarto trimestre del 2024, rispetto al 72% e 8,2 milioni di dollari nel quarto trimestre del 2023.

Per l'intero anno 2024, il fatturato totale è aumentato del 7%, raggiungendo i 293,0 milioni di dollari, con un margine lordo migliorato al 74% rispetto al 71% nel 2023. Il flusso di cassa operativo ha raggiunto i 40,7 milioni di dollari, in aumento rispetto ai 35,9 milioni di dollari nel 2023. L'azienda ha chiuso il 2024 con 94,4 milioni di dollari in cassa, un significativo aumento rispetto ai 61,0 milioni di dollari alla fine del 2023.

Guardando al futuro, TCMD ha fornito una previsione per il 2025, stimando un fatturato totale tra i 316 e i 322 milioni di dollari (crescita dell'8-10%) e un EBITDA rettificato di 35-37 milioni di dollari.

Tactile Medical (TCMD) reportó resultados financieros sólidos para el cuarto trimestre de 2024, con un aumento del 10% en los ingresos totales en comparación con el año anterior, alcanzando los 85.6 millones de dólares. La compañía logró un margen bruto del 75% y una ganancia neta de 9.7 millones de dólares en el cuarto trimestre de 2024, en comparación con el 72% y 8.2 millones de dólares en el cuarto trimestre de 2023.

Para el año completo 2024, los ingresos totales crecieron un 7% hasta 293.0 millones de dólares, con un margen bruto mejorado al 74% desde el 71% en 2023. El flujo de efectivo operativo alcanzó los 40.7 millones de dólares, aumentando desde los 35.9 millones de dólares en 2023. La compañía finalizó 2024 con 94.4 millones de dólares en efectivo, un aumento significativo desde los 61.0 millones de dólares a finales de 2023.

De cara al futuro, TCMD proporcionó una guía para 2025 proyectando ingresos totales entre 316 y 322 millones de dólares (crecimiento del 8-10%) y un EBITDA ajustado de 35-37 millones de dólares.

택타일 메디컬 (TCMD)는 2024년 4분기 재무 결과가 강력하게 나타났으며, 총 수익이 전년 대비 10% 증가하여 8560만 달러에 달했다고 보고했습니다. 회사는 2024년 4분기에 75%의 총 이익률과 970만 달러의 순이익을 달성했으며, 이는 각각 2023년 4분기의 72%와 820만 달러에 비해 개선된 수치입니다.

2024년 전체 연도 동안 총 수익은 7% 증가하여 2억 9300만 달러에 도달했으며, 총 이익률은 2023년의 71%에서 74%로 개선되었습니다. 운영 현금 흐름은 4070만 달러에 도달했으며, 이는 2023년의 3590만 달러에서 증가한 수치입니다. 회사는 2024년을 9440만 달러의 현금으로 마감했으며, 이는 2023년 말의 6100만 달러에서 상당히 증가한 것입니다.

앞으로 TCMD는 2025년을 위한 가이드를 제공하며 총 수익이 3억 1600만 달러에서 3억 2200만 달러(8-10% 성장) 사이가 될 것으로 예상하고 조정된 EBITDA는 3500만 달러에서 3700만 달러가 될 것으로 전망했습니다.

Tactile Medical (TCMD) a annoncé des résultats financiers solides pour le quatrième trimestre 2024, avec un chiffre d'affaires total en hausse de 10 % par rapport à l'année précédente, atteignant 85,6 millions de dollars. L'entreprise a réalisé une marge brute de 75 % et un bénéfice net de 9,7 millions de dollars au quatrième trimestre 2024, contre 72 % et 8,2 millions de dollars au quatrième trimestre 2023.

Pour l'année entière 2024, le chiffre d'affaires total a augmenté de 7 % pour atteindre 293,0 millions de dollars, avec une marge brute améliorée à 74 % contre 71 % en 2023. Le flux de trésorerie d'exploitation a atteint 40,7 millions de dollars, en hausse par rapport à 35,9 millions de dollars en 2023. L'entreprise a terminé 2024 avec 94,4 millions de dollars en liquidités, une augmentation significative par rapport à 61,0 millions de dollars à la fin de 2023.

En regardant vers l'avenir, TCMD a fourni des prévisions pour 2025, projetant un chiffre d'affaires total entre 316 et 322 millions de dollars (croissance de 8 à 10 %) et un EBITDA ajusté de 35 à 37 millions de dollars.

Tactile Medical (TCMD) berichtete über starke Finanzzahlen für das vierte Quartal 2024, wobei die Gesamteinnahmen im Vergleich zum Vorjahr um 10% auf 85,6 Millionen Dollar stiegen. Das Unternehmen erzielte eine Bruttomarge von 75% und einen Nettogewinn von 9,7 Millionen Dollar im vierten Quartal 2024, verglichen mit 72% und 8,2 Millionen Dollar im vierten Quartal 2023.

Für das gesamte Jahr 2024 wuchsen die Gesamteinnahmen um 7% auf 293,0 Millionen Dollar, wobei die Bruttomarge auf 74% von 71% im Jahr 2023 verbessert wurde. Der operative Cashflow erreichte 40,7 Millionen Dollar, ein Anstieg von 35,9 Millionen Dollar im Jahr 2023. Das Unternehmen schloss das Jahr 2024 mit 94,4 Millionen Dollar in bar ab, was einen signifikanten Anstieg von 61,0 Millionen Dollar am Ende des Jahres 2023 darstellt.

In die Zukunft blickend gab TCMD eine Prognose für 2025 ab und erwartet Gesamteinnahmen zwischen 316 und 322 Millionen Dollar (Wachstum von 8-10%) und ein bereinigtes EBITDA von 35-37 Millionen Dollar.

Positive
  • Q4 revenue increased 10% YoY to $85.6M
  • Gross margin improved to 75% from 72% YoY in Q4
  • Net income grew to $9.7M from $8.2M YoY in Q4
  • Cash position strengthened to $94.4M from $61.0M YoY
  • Operating cash flow improved to $40.7M from $35.9M YoY
Negative
  • Projected 2025 adjusted EBITDA of $35-37M shows potential decline from $37.1M in 2024
  • Full year 2024 net income decreased to $17.0M from $28.5M in 2023
  • Operating expenses increased 17% YoY in Q4 2024

Insights

The Q4 2024 results demonstrate Tactile Medical's successful execution of its growth strategy and operational improvements. The 310 basis point gross margin expansion to 75.2% reflects enhanced operational efficiency and successful pricing strategies, contributing to a 18% increase in net income despite higher operating expenses.

The company's working capital management has been particularly impressive, with operating cash flow increasing to $40.7 million in 2024 from $35.9 million in 2023. The strengthened balance sheet, featuring $94.4 million in cash (up 55% YoY) and reduced debt, provides substantial flexibility for strategic investments and market expansion.

The lymphedema product line's 11% growth in Q4 indicates strong market penetration and successful expansion of the Nimbl platform. However, the more modest 4% growth in airway clearance products suggests potential market saturation or competitive pressures in this segment.

Looking ahead, the 2025 guidance implies a slight compression in adjusted EBITDA margins, potentially reflecting planned investments in patient experience enhancement and market expansion. While the revenue growth target of 8-10% appears achievable given market dynamics and product momentum, investors should monitor the impact of these investments on profitability metrics.

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


FAQ

What was TCMD's revenue growth in Q4 2024?

TCMD's total revenue increased 10% year-over-year to $85.6 million in Q4 2024.

What is Tactile Medical's revenue guidance for 2025?

The company expects 2025 total revenue between $316-322 million, representing 8-10% growth year-over-year.

How much cash did TCMD have at the end of 2024?

TCMD ended 2024 with $94.4 million in cash, up from $61.0 million at the end of 2023.

What was TCMD's gross margin in Q4 2024?

TCMD's gross margin was 75.2% in Q4 2024, compared to 72.1% in Q4 2023.

How much operating cash flow did TCMD generate in 2024?

TCMD generated operating cash flow of $40.7 million in 2024, compared to $35.9 million in 2023.

Tactile Systems

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