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Tactile Systems Technology, Inc. Reports Third Quarter 2024 Financial Results

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Tactile Medical (TCMD) reported Q3 2024 financial results with total revenue increasing 5% year-over-year to $73.1 million. Lymphedema product revenue grew 4% and airway clearance product revenue rose 10%. The company reported net income of $5.2 million, down from $22.3 million in Q3 2023, while Adjusted EBITDA improved to $10.7 million from $7.7 million. The company ended Q3 with $82.1 million in cash and announced a $30 million share repurchase program. The company updated its 2024 revenue guidance to $292-295 million, representing 6-8% growth.

Tactile Medical (TCMD) ha riportato i risultati finanziari del terzo trimestre del 2024 con un aumento del fatturato totale del 5% su base annua, pari a 73,1 milioni di dollari. I ricavi dei prodotti per il linfedema sono aumentati del 4% e i ricavi dei prodotti per la pulizia delle vie respiratorie sono cresciuti del 10%. L'azienda ha riportato un utile netto di 5,2 milioni di dollari, in calo rispetto ai 22,3 milioni di dollari del terzo trimestre del 2023, mentre l'EBITDA rettificato è migliorato a 10,7 milioni di dollari, rispetto ai 7,7 milioni di dollari precedenti. L'azienda ha chiuso il terzo trimestre con 82,1 milioni di dollari in cassa e ha annunciato un programma di riacquisto di azioni da 30 milioni di dollari. L'azienda ha aggiornato le previsioni di fatturato per il 2024 a 292-295 milioni di dollari, che rappresenta una crescita del 6-8%.

Tactile Medical (TCMD) reportó los resultados financieros del tercer trimestre de 2024 con un aumento del 5% en los ingresos totales en comparación con el año anterior, alcanzando los 73,1 millones de dólares. Los ingresos por productos para el linfedema crecieron un 4% y los ingresos por productos de limpieza de vías respiratorias aumentaron un 10%. La compañía reportó un ingreso neto de 5,2 millones de dólares, una disminución respecto a los 22,3 millones de dólares en el tercer trimestre de 2023, mientras que el EBITDA ajustado mejoró a 10,7 millones de dólares desde los 7,7 millones de dólares. La compañía finalizó el tercer trimestre con 82,1 millones de dólares en efectivo y anunció un programa de recompra de acciones de 30 millones de dólares. La compañía actualizó su guía de ingresos para 2024 a entre 292 y 295 millones de dólares, lo que representa un crecimiento del 6-8%.

택타일 메디컬 (TCMD)는 2024년 3분기 재무 결과를 보고하며 총 매출이 전년 대비 5% 증가한 7310만 달러에 도달했다고 발표했습니다. 림프부종 제품 매출은 4% 증가했으며 기도 청소 제품 매출은 10% 상승했습니다. 회사는 520만 달러의 순이익을 발표했으며, 이는 2023년 3분기의 2230만 달러에서 감소한 수치입니다. 조정된 EBITDA는 770만 달러에서 1070만 달러로 개선되었습니다. 회사는 3분기를 8210만 달러의 현금으로 마감했으며 3000만 달러 규모의 자사주 매입 프로그램을 발표했습니다. 2024년 수익 가이던스는 2억 9200만에서 2억 9500만 달러로 업데이트되어 6-8%의 성장을 나타냅니다.

Tactile Medical (TCMD) a annoncé les résultats financiers du troisième trimestre 2024 avec une augmentation de 5% des revenus totaux par rapport à l'année précédente, atteignant 73,1 millions de dollars. Les revenus des produits pour le lymphœdème ont augmenté de 4% et ceux des produits de désencombrement des voies respiratoires de 10%. L'entreprise a rapporté un bénéfice net de 5,2 millions de dollars, en baisse par rapport à 22,3 millions de dollars au troisième trimestre 2023, tandis que l'EBITDA ajusté s'est amélioré à 10,7 millions de dollars contre 7,7 millions de dollars. L’entreprise a terminé le troisième trimestre avec 82,1 millions de dollars en liquidités et a annoncé un programme de rachat d'actions de 30 millions de dollars. La société a mis à jour ses prévisions de revenus pour 2024 à 292-295 millions de dollars, représentant une croissance de 6-8%.

Tactile Medical (TCMD) berichtete über die finanziellen Ergebnisse des dritten Quartals 2024 mit einem Anstieg des Gesamtumsatzes um 5% im Vergleich zum Vorjahr auf 73,1 Millionen Dollar. Der Umsatz mit Lymphödempflegeprodukten stieg um 4% und der Umsatz mit Atemwegshygieneprodukten um 10%. Das Unternehmen meldete einen Nettogewinn von 5,2 Millionen Dollar, ein Rückgang von 22,3 Millionen Dollar im dritten Quartal 2023, während das bereinigte EBITDA sich von 7,7 Millionen Dollar auf 10,7 Millionen Dollar verbesserte. Das Unternehmen schloss das dritte Quartal mit 82,1 Millionen Dollar Bargeld ab und kündigte ein Aktienrückkaufprogramm in Höhe von 30 Millionen Dollar an. Das Unternehmen hat seine Umsatzprognose für 2024 auf 292-295 Millionen Dollar aktualisiert, was ein Wachstum von 6-8% darstellt.

Positive
  • Revenue increased 5% YoY to $73.1 million
  • Adjusted EBITDA improved to $10.7 million from $7.7 million
  • Operating cash flow increased to $24.3 million from $17.5 million
  • Gross margin improved to 75.0% from 70.9%
  • Strong cash position of $82.1 million
Negative
  • Net income decreased to $5.2 million from $22.3 million YoY
  • Operating income declined to $6.8 million from $8.0 million
  • Operating expenses increased 16% to $48.0 million
  • Lowered full-year revenue guidance

Insights

The Q3 2024 results present a mixed financial picture. Revenue growth of 5% to $73.1 million shows moderate expansion, with notable improvements in gross margins to 75.0% from 70.9%. However, net income declined significantly to $5.2 million from $22.3 million, largely due to last year's tax benefit. The $30 million share buyback program and strong cash position of $82.1 million signal management's confidence and financial stability.

The revised guidance reduction, though modest, indicates some near-term headwinds from Medicare policy changes. However, improved operating cash flow of $24.3 million year-to-date and expanding Adjusted EBITDA margins demonstrate strengthening operational efficiency and cash generation capabilities.

The launch of Nimbl, their next-generation lymphedema therapy platform, represents a strategic expansion in the upper extremity treatment market. The positive clinical trial results from VA patients using Flexitouch therapy strengthen their market position and could support broader adoption. The company's dual growth in both lymphedema (4%) and airway clearance (10%) product lines demonstrates portfolio diversification, though Medicare administrative changes are creating near-term challenges. The anticipated improvement in CMS coverage conditions could provide a catalyst for future growth.

Authorizes Share Repurchase Program

MINNEAPOLIS, Nov. 04, 2024 (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 third quarter ended September 30, 2024 and announced the adoption of a share repurchase program.

Third Quarter 2024 Summary & Recent Business Highlights:

  • Total revenue increased 5% year-over-year to $73.1 million
    • Lymphedema product revenue increased 4% over Q3 2023
    • Airway clearance product revenue increased 10% over Q3 2023
  • Net income of $5.2 million versus $22.3 million in Q3 2023
  • Adjusted EBITDA of $10.7 million versus $7.7 million in Q3 2023
  • Operating cashflow of $24.3 million year-to-date, compared to $17.5 million in the prior year period
  • Ended Q3 2024 with $82.1 million in cash and cash equivalents
  • Launched Nimbl, our next-generation lymphedema therapy platform for upper extremity conditions
  • Announced publication of positive clinical trial results in VA lymphedema patients using Flexitouch therapy
  • Authorized a program to repurchase up to $30.0 million of the Company’s common stock

“In the third quarter, we delivered solid gross margin expansion, drove continued improvements in profitability, and achieved double-digit growth in both our commercial and VA lymphedema channels,” said Sheri Dodd, President and Chief Executive Officer of Tactile Medical. “Operationally, we advanced key pillars of our commercial strategy, including launching our next-generation lymphedema therapy platform and announcing the publication of a positive new data set among Veterans.”

Ms. Dodd continued, “While pleased with this performance, our revenue was impacted by changes in policy interpretation from Medicare administrators and DME buying patterns within our airway clearance business. However, we continue to see strong patient and clinician demand for our products, aided by improving CMS coverage conditions on the near horizon. We are taking a concerted approach to fortify our sales channels, simplify our front and back-office work through technology modernization, and amplify the voice of our patients and providers through product and service innovation.”

Ms. Dodd concluded, “Finally, we are increasingly benefiting from generating free cash flow, a trend we expect to continue. This provides us the luxury of continuing to evaluate various investment opportunities to drive growth and increase shareholder value, while also initiating a share repurchase program. We believe this strategic near-term use of cash aligns with our conviction in the trajectory of our business and our ability to execute our financial and operational initiatives.”

Share Repurchase Program

The Company also announced today that the Board of Directors of the Company authorized a program to repurchase up to $30.0 million of common stock. Under the program, purchases may be made from time to time in the open market, in privately negotiated purchases, or both. The timing and number of shares to be purchased will be based on the price of the Company's common stock, general business and market conditions and other investment considerations and factors. The share repurchase program expires on October 31, 2026. The program does not obligate the Company to repurchase any specific number of shares and may be suspended or discontinued at any time without prior notice. The Company intends to finance the share repurchase program with cash on hand.

Third Quarter 2024 Financial Results

Total revenue in the third quarter of 2024 increased $3.5 million, or 5%, to $73.1 million, compared to $69.6 million in the third quarter of 2023. The increase in total revenue was attributable to an increase of $2.8 million, or 4%, in sales and rentals of the lymphedema product line and an increase of $0.7 million, or 10%, in sales of the airway clearance product line in the quarter ended September 30, 2024, compared to the third quarter of 2023.

Gross profit in the third quarter of 2024 increased $5.4 million, or 11%, to $54.8 million, compared to $49.4 million in the third quarter of 2023. Gross margin was 75.0% of revenue, compared to 70.9% of revenue in the third quarter of 2023. Non-GAAP gross margin was 75.4% of revenue, compared to 71.4% of revenue in the third quarter of 2023.

Operating expenses in the third quarter of 2024 increased $6.6 million, or 16%, to $48.0 million, compared to $41.4 million in the third quarter of 2023.

Operating income was $6.8 million in the third quarter of 2024, compared to $8.0 million in the third quarter of 2023. Non-GAAP operating income in the third quarter of 2024 was $7.9 million, compared to $5.2 million in the third quarter of 2023.

Other income was $0.5 million in the third quarter of 2024, compared to other expense of $0.4 million in the third quarter of 2023.

Income tax expense was $2.1 million in the third quarter of 2024, compared to an income tax benefit of $14.7 million in the third quarter of 2023.

Net income in the third quarter of 2024 was $5.2 million, or $0.21 per diluted share, compared to $22.3 million, or $0.94 per diluted share, in the third quarter of 2023. Non-GAAP net income in the third quarter of 2024 was $6.0 million, compared to $20.2 million in the third quarter of 2023. The change in both net income and non-GAAP net income was driven by the impact last year’s valuation allowance release had on prior-year income tax.

Weighted average shares used to compute diluted net income per share were 24.3 million and 23.8 million for the third quarters of 2024 and 2023, respectively.

Adjusted EBITDA was $10.7 million in the third quarter of 2024, compared to $7.7 million in the third quarter of 2023.

First Nine Months 2024 Financial Results

Total revenue for the nine months ended September 30, 2024, increased $10.6 million, or 5%, to $207.4 million, compared to $196.8 million for the nine months ended September 30, 2023. The increase in total revenue was attributable to an increase of $10.0 million, or 6%, in sales and rentals of the lymphedema product line and an increase of $0.6 million, or 2%, in sales of the airway clearance product line for the nine months ended September 30, 2024, compared to the nine months ended September 30, 2023.

Net income for the nine months ended September 30, 2024, was $7.2 million, or $0.30 per diluted share, compared to $20.3 million, or $0.88 per diluted share, for the nine months ended September 30, 2023. Non-GAAP net income for the nine months ended September 30, 2024, was $9.5 million, compared to $20.6 million for the nine months ended September 30, 2023.

Weighted average shares used to compute diluted net income per share were 24.1 million and 23.0 million for the nine months ended September 30, 2024 and 2023, respectively.

Adjusted EBITDA was $20.8 million in the nine months ended September 30, 2024, compared to $14.3 million in the nine months ended September 30, 2023.

Balance Sheet Summary

As of September 30, 2024, the Company had $82.1 million in cash and cash equivalents and $27.0 million of outstanding borrowings under its credit agreement, compared to $61.0 million in cash and cash equivalents and $29.3 million of outstanding borrowings under its credit agreement as of December 31, 2023.

2024 Financial Outlook

The Company is updating its 2024 financial outlook and now expects full year 2024 total revenue in the range of $292 million to $295 million, representing growth of approximately 6% to 8% year-over-year, compared to total revenue of $274.4 million in 2023. The Company’s prior 2024 guidance expectation was total revenue in the range of $293 million to $298 million, representing growth of approximately 7% to 9%.

Conference Call

Management will host a conference call with a question-and-answer session at 5:00 p.m. Eastern Time on November 4, 2024, to discuss the results of the quarter. Those who would like to participate may dial 877-407-3088 (201-389-0927 for international callers) and provide access code 13748661. 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 13748661. 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. 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 transition matters related to the Company’s recent Chief Executive Officer change; 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 measures of Adjusted EBITDA, non-GAAP gross profit, non-GAAP gross margin, non-GAAP operating income, and non-GAAP net income, which differ from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”).

Adjusted EBITDA in this release represents net income or loss, 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. Non-GAAP gross profit in this release represents gross profit plus non-cash intangible asset amortization expense. Non-GAAP gross margin in this release represents non-GAAP gross profit divided by revenue. Non-GAAP operating income in this release represents operating income adjusted for non-cash intangible asset amortization expense, change in fair value of earn-out and executive transition expenses. Non-GAAP net income represents net income adjusted for non-cash intangible asset amortization expense, change in fair value of earn-out and executive transition expenses, and adjusted for the income tax effect on reconciling items. Reconciliations of these non-GAAP financial measures to their most directly comparable GAAP measures are included in this press release.

These non-GAAP financial measures are presented because the Company believes they are useful indicators of its operating performance. Management uses these measures principally as measures 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 these measures are useful to investors as supplemental information and because they are frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company also believes these non-GAAP financial measures are 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 measures presented in this release should not be considered as an alternative to, or superior to, their respective GAAP financial measures, as measures of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP, and they 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.
Condensed Consolidated Balance Sheets
(Unaudited)
  September 30, December 31,
(In thousands, except share and per share data) 2024 2023
Assets      
Current assets        
Cash and cash equivalents $82,146  $61,033 
Accounts receivable  39,970   43,173 
Net investment in leases  13,953   14,195 
Inventories  21,176   22,527 
Prepaid expenses and other current assets  5,127   4,366 
Total current assets  162,372   145,294 
Non-current assets        
Property and equipment, net  5,878   6,195 
Right of use operating lease assets  17,553   19,128 
Intangible assets, net  43,708   46,724 
Goodwill  31,063   31,063 
Accounts receivable, non-current  3,628   10,936 
Deferred income taxes  19,719   19,378 
Other non-current assets  3,803   2,720 
Total non-current assets  125,352   136,144 
Total assets $287,724  $281,438 
Liabilities and Stockholders' Equity        
Current liabilities        
Accounts payable $7,290  $6,659 
Note payable  2,956   2,956 
Accrued payroll and related taxes  13,086   16,789 
Accrued expenses  7,088   5,904 
Income taxes payable  611   1,467 
Operating lease liabilities  2,883   2,807 
Other current liabilities  3,240   4,475 
Total current liabilities  37,154   41,057 
Non-current liabilities        
Note payable, non-current  23,959   26,176 
Accrued warranty reserve, non-current  1,448   1,681 
Income taxes payable, non-current  495   446 
Operating lease liabilities, non-current  16,767   18,436 
Total non-current liabilities  42,669   46,739 
Total liabilities  79,823   87,796 
         
Stockholders’ equity:        
Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of September 30, 2024 and December 31, 2023      
Common stock, $0.001 par value, 300,000,000 shares authorized; 23,997,089 shares issued and outstanding as of September 30, 2024; 23,600,584 shares issued and outstanding as of December 31, 2023  24   24 
Additional paid-in capital  181,739   174,724 
Retained earnings  26,138   18,894 
Total stockholders’ equity  207,901   193,642 
Total liabilities and stockholders’ equity $287,724  $281,438 
         


               
Tactile Systems Technology, Inc.
Condensed Consolidated Statements of Operations
(Unaudited)
               
               
  Three Months Ended Nine Months Ended
  September 30, September 30,
(In thousands, except share and per share data) 2024 2023 2024 2023
Revenue              
Sales revenue $63,168  $58,866  $180,742  $171,459 
Rental revenue  9,925   10,720   26,657   25,312 
Total revenue  73,093   69,586   207,399   196,771 
Cost of revenue              
Cost of sales revenue  15,603   17,016   46,810   48,523 
Cost of rental revenue  2,703   3,211   8,270   9,122 
Total cost of revenue  18,306   20,227   55,080   57,645 
Gross profit              
Gross profit - sales revenue  47,565   41,850   133,932   122,936 
Gross profit - rental revenue  7,222   7,509   18,387   16,190 
Gross profit  54,787   49,359   152,319   139,126 
Operating expenses              
Sales and marketing  26,838   26,030   82,803   80,538 
Research and development  2,417   1,964   6,794   6,030 
Reimbursement, general and administrative  18,118   16,449   51,158   46,874 
Intangible asset amortization and earn-out  633   (3,073)  1,898   (557)
Total operating expenses  48,006   41,370   142,653   132,885 
Income from operations  6,781   7,989   9,666   6,241 
Other income (expense)  452   (404)  832   (2,235)
Income before income taxes  7,233   7,585   10,498   4,006 
Income tax expense (benefit)  2,078   (14,714)  3,254   (16,307)
Net income $5,155  $22,299  $7,244  $20,313 
Net income per common share              
Basic $0.21  $0.95  $0.30  $0.89 
Diluted $0.21  $0.94  $0.30  $0.88 
Weighted-average common shares used to compute net income per common share              
Basic  23,985,364   23,483,269   23,842,049   22,714,574 
Diluted  24,254,176   23,848,729   24,070,084   22,987,667 
                 


       
Tactile Systems Technology, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
   
  Nine Months Ended September 30,
(In thousands) 2024 2023
Cash flows from operating activities      
Net income $7,244  $20,313 
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization  5,079   4,916 
Deferred income taxes  (341)  (20,717)
Stock-based compensation expense  5,969   5,597 
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  3,203   10,947 
Net investment in leases  242   2,527 
Inventories  1,351   (374)
Income taxes  (807)  (99)
Prepaid expenses and other assets  (1,844)  (369)
Right of use operating lease assets  (18)  292 
Accounts receivable, non-current  7,308   8,425 
Accounts payable  582   (3,622)
Accrued payroll and related taxes  (3,703)  (2,316)
Accrued expenses and other liabilities  (251)  (5,545)
Net cash provided by operating activities  24,322   17,503 
Cash flows from investing activities      
Purchases of property and equipment  (1,932)  (1,424)
Proceeds from sale of property and equipment  12    
Intangible assets expenditures  (85)  (117)
Net cash used in investing activities  (2,005)  (1,541)
Cash flows from financing activities      
Proceeds from issuance of note payable     8,250 
Payments on earn-out     (5,000)
Payments on note payable  (2,250)  (2,250)
Payments on revolving line of credit     (8,250)
Payments of deferred debt issuance costs     (125)
Proceeds from exercise of common stock options  2   13 
Proceeds from the issuance of common stock from the employee stock purchase plan  1,044   882 
Proceeds from issuance of common stock at market     34,625 
Net cash (used in) provided by financing activities  (1,204)  28,145 
Net increase in cash and cash equivalents  21,113   44,107 
Cash and cash equivalents – beginning of period  61,033   21,929 
Cash and cash equivalents – end of period $82,146  $66,036 
       
Supplemental cash flow disclosure      
Cash paid for interest $1,612  $2,810 
Cash paid for taxes $4,428  $3,006 
Capital expenditures incurred but not yet paid $49  $40 
         

The following table summarizes revenue by product line for the three and nine months ended September 30, 2024 and 2023:

  Three Months Ended Nine Months Ended
  September 30, September 30,
(In thousands) 2024 2023 2024 2023
Revenue            
Lymphedema products $65,282  $62,506  $182,278  $172,257 
Airway clearance products  7,811   7,080   25,121   24,514 
Total $73,093  $69,586  $207,399  $196,771 
             
Percentage of total revenue            
Lymphedema products  89%  90%  88%  88%
Airway clearance products  11%  10%  12%  12%
Total  100%  100%  100%  100%
                 

The following table contains a reconciliation of GAAP gross profit and margin to non-GAAP gross profit and margin:

Tactile Systems Technology, Inc.
Reconciliation of Gross Profit and Margin to Non-GAAP Gross Profit and Margin
(Unaudited)
                 
  Three Months Ended Nine Months Ended
  September 30,September 30,
(Dollars in thousands) 2024 2023 2024 2023
Gross profit, as reported $54,787  $49,359  $152,319  $139,126 
Gross margin, as reported  75.0%  70.9%  73.4%  70.7%
Reconciling items:                
Non-cash intangible asset amortization expense $317  $316  $950  $945 
Non-GAAP gross profit $55,104  $49,675  $153,269  $140,071 
Non-GAAP gross margin  75.4%  71.4%  73.9%  71.2%
                 

The following table contains a reconciliation of GAAP operating income to non-GAAP operating income:

Tactile Systems Technology, Inc.
Reconciliation of GAAP Operating Income to Non-GAAP Operating Income
(Unaudited)
               
  Three Months Ended Nine Months Ended
  September 30,September 30,
(Dollars in thousands) 2024 2023 2024 2023
GAAP operating income $6,781  $7,989  $9,666  $6,241 
Reconciling items:              
Non-cash intangible asset amortization expense impacting gross profit $317  $316  $950  $945 
Non-cash intangible asset amortization expense impacting operating expenses  633   633   1,898   1,919 
Change in fair value of earn-out     (3,705)     (2,475)
Executive transition expenses  136      111    
Non-GAAP operating income: $7,867  $5,233  $12,625  $6,630 
                 

The following table contains a reconciliation of GAAP net income to non-GAAP net income:

Tactile Systems Technology, Inc.
Reconciliation of GAAP Net Income to Non-GAAP Net Income
(Unaudited)
             
  Three Months Ended Nine Months Ended
  September 30,September 30,
(Dollars in thousands) 2024 2023 2024 2023
GAAP net income $5,155  $22,299  $7,244  $20,313 
Reconciling items:            
Non-cash intangible asset amortization expense impacting gross profit $317  $316  $950  $945 
Non-cash intangible asset amortization expense impacting operating expenses  633   633   1,898   1,919 
Change in fair value of earn-out     (3,705)     (2,475)
Executive transition expenses  136      111    
Income tax expense on reconciling items*  (272)  689   (740)  (97)
Non-GAAP net income $5,969  $20,232  $9,463  $20,605 
* The effect of income tax on the reconciling items is estimated using the Company's effective statutory tax rate.
 

The following table contains a reconciliation of net income to Adjusted EBITDA for the three and nine months ended September 30, 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 Nine Months Ended Increase
  September 30, (Decrease) September 30, (Decrease)
(Dollars in thousands) 2024 2023 $ % 2024 2023 $ %
Net income $5,155  $22,299  $(17,144) (77)% $7,244  $20,313  $(13,069) 64 %
Interest (income) expense, net  (452)  404   (856) N.M.%  (823)  2,235   (3,058) (137)%
Income tax expense (benefit)  2,078   (14,714)  16,792  (114)%  3,254   (16,307)  19,561  (120) 
Depreciation and amortization  1,734   1,646   88  5 %  5,079   4,915   164  3 %
Stock-based compensation  2,070   1,766   304  17 %  5,969   5,597   372  7 %
Change in fair value of earn-out     (3,705)  3,705  (100)%     (2,475)  2,475  (100)%
Executive transition costs  136      136   %  111      111   %
Adjusted EBITDA $10,721  $7,696  $3,025  39 % $20,834  $14,278  $6,556  46 %
                                 

Investor Inquiries:
Sam Bentzinger
Gilmartin Group
investorrelations@tactilemedical.com


FAQ

What was Tactile Medical's (TCMD) revenue growth in Q3 2024?

Tactile Medical's total revenue increased 5% year-over-year to $73.1 million in Q3 2024.

How much is TCMD's share repurchase program worth?

Tactile Medical authorized a $30.0 million share repurchase program, expiring on October 31, 2026.

What is Tactile Medical's (TCMD) updated revenue guidance for 2024?

TCMD updated its 2024 revenue guidance to $292-295 million, representing 6-8% year-over-year growth.

What was TCMD's Q3 2024 net income?

Tactile Medical reported net income of $5.2 million in Q3 2024, compared to $22.3 million in Q3 2023.

Tactile Systems Technology, Inc.

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Surgical & Medical Instruments & Apparatus
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