Tactile Systems Technology, Inc. Reports Second Quarter 2023 Financial Results; Updates Full Year 2023 Outlook
Tactile Medical reports Q2 2023 financial results, with revenue increasing 15% YoY to $68.3M. Operating income of $2.1M compared to operating loss of $4.1M. Net loss of $0.1M compared to net loss of $4.6M. Adjusted EBITDA of $6.1M, up from $1.7M. Cash balance of $63.1M on June 30, 2023, compared to $55M on March 31, 2023. Raised full year 2023 financial guidance.
Positive
Revenue increased 15% YoY to $68.3M
Operating income of $2.1M
Net loss of $0.1M
Adjusted EBITDA of $6.1M
Cash balance of $63.1M
08/07/2023 - 04:05 PM
MINNEAPOLIS, Aug. 07, 2023 (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 second quarter ended June 30, 2023.
Second Quarter 2023 Highlights:
Revenue increased 15% year-over-year to $68.3M Lymphedema revenue increased 16% Airway Clearance revenue increased 4% Operating income of $2.1M , compared to operating loss of $4.1M Net loss of $0.1M , compared to a net loss of $4.6M Adjusted EBITDA of $6.1M , up from $1.7M Cash Balance of $63.1M on June 30, 2023, compared to $55M on March 31, 2023 Raised full year 2023 financial guidance Highlights Subsequent to Quarter End:
Sherri Ferstler appointed to the position of Senior Vice President of Sales, effective July 31, 2023 The Company’s existing credit agreement was amended on August 1, 2023 to extend the maturity date and improve terms “We delivered total revenue growth of 15% year-over-year, significant improvements in both our GAAP and non-GAAP profitability and cash flow from operations of more than $13 million in the second quarter,” said Dan Reuvers, President and Chief Executive Officer of Tactile Medical. “Our revenue results were driven primarily by stronger-than-anticipated performance in our lymphedema product line – where we saw improvements in sales team productivity and strong customer adoption following the launch of our Entre® Plus system – with modest contributions from sales of our airway clearance products. In addition to our strong operating performance in the second quarter, we continued to make meaningful progress in strengthening our balance sheet.”
Mr. Reuvers continued: “We are raising our total revenue guidance today based on our strong performance over the first half of 2023. We look forward to driving continued progress with respect to our stated strategic objectives over the balance of 2023 as we position Tactile Medical for future growth and value creation.”
Second Quarter 2023 Financial Results
Total revenue in the second quarter of 2023 increased $8.7 million , or 14.6% , to $68.3 million , compared to $59.6 million in the second quarter of 2022. The increase in total revenue was attributable to an increase of $8.4 million , or 16.2% , in sales and rentals of the lymphedema product line, and an increase of $0.3 million , or 4.1% , in sales of the airway clearance product line, compared to the second quarter of 2022.
Gross profit in the second quarter of 2023 increased $5.1 million , or 11.7% , to $48.3 million , compared to $43.2 million in the second quarter of 2022. Gross margin was 70.7% of revenue, compared to 72.5% of revenue in the second quarter of 2022. Non-GAAP gross margin was 71.1% of revenue, compared to 73.0% of revenue in the second quarter of 2022.
Operating expenses in the second quarter of 2023 decreased $1.1 million , or 2.3% , to $46.2 million , compared to $47.3 million in the second quarter of 2022.
Operating income was $2.1 million in the second quarter of 2023, compared to an operating loss of $4.1 million in the second quarter of 2022. Non-GAAP operating income in the second quarter of 2023 was $3.6 million , compared to a non-GAAP operating loss of $1.8 million in the second quarter of 2022.
Other expense was $0.8 million in the second quarter of 2023, compared to $0.6 million in the second quarter of 2022.
Income tax expense was $1.3 million in the second quarter of 2023, compared to an income tax benefit of $20,000 in the second quarter of 2022.
Net loss in the second quarter of 2023 was $0.1 million , or $0.00 per diluted share, compared to $4.6 million , or $0.23 per diluted share, in the second quarter of 2022. Non-GAAP net income in the second quarter of 2023 was $1.0 million , compared to a non-GAAP net loss of $2.9 million in the second quarter of 2022.
Weighted average shares used to compute diluted net loss per share were 23.4 million and 20.0 million for the second quarters of 2023 and 2022, respectively.
Adjusted EBITDA was $6.1 million in the second quarter of 2023, compared to $1.7 million in the second quarter of 2022.
First Six Months 2023 Financial Results:
Total revenue for the six months ended June 30, 2023, increased $19.6 million , or 18.2% , to $127.2 million , compared to $107.6 million for the six months ended June 30, 2022. The increase in revenue was attributable to an increase of $17.5 million , or 18.9% , in sales and rentals of the lymphedema product line and an increase of $2.1 million , or 13.7% , in sales and rentals of the airway clearance product line.
Net loss for the six months ended June 30, 2023, was $2.0 million , or $0.09 per diluted share, compared to $20.2 million , or $1.01 per diluted share, for the six months ended June 30, 2022. Non-GAAP net income for the six months ended June 30, 2023, was $0.4 million , compared to a non-GAAP net loss of $11.4 million for the six months ended June 30, 2022.
Weighted average shares used to compute diluted net loss per share were 22.3 million and 20.0 million for the six months ended June 30, 2023 and 2022, respectively.
Adjusted EBITDA was $6.6 million in the six months ended June 30, 2023, compared to adjusted EBITDA loss of $0.9 million in the six months ended June 30, 2022.
Balance Sheet Summary
As of June 30, 2023, the Company had $63.2 million in cash and cash equivalents and $47.5 million of outstanding borrowings under its credit agreement, compared to $21.9 million in cash and cash equivalents and $49.0 million of outstanding borrowings under its credit agreement as of December 31, 2022.
2023 Financial Outlook
The Company now expects full year 2023 total revenue in the range of $274 million to $278 million , representing growth of approximately 11% to 13% year-over-year. The Company’s prior 2023 revenue guidance expectations called for total revenue in the range of $271 million to $275 million , representing growth of approximately 10% to 11.5% year-over-year.
Conference Call
Management will host a conference call at 5:00 p.m. Eastern Time on August 7th, 2023, to discuss the results of the quarter with a question-and-answer session. Those who would like to participate may dial 877-407-3088 (201-389-0927 for international callers) and provide access code 13739727. 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 13739727. 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 impact of inflation, rising interest rates or a recession; the adequacy of the Company’s liquidity to pursue its business objectives; the Company’s ability to obtain reimbursement from third-party payers for its products; 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 impacts of the COVID-19 pandemic on the Company’s business, financial condition and results of operations, and the Company’s inability to mitigate such impacts; 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 (loss), and non-GAAP net income (loss), 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 litigation defense costs. Non-GAAP gross profit in this release represents gross profit plus non-cash intangible amortization expense. Non-GAAP gross margin in this release represents non-GAAP gross profit divided by revenue. Non-GAAP operating income (loss) in this release represents operating income (loss) adjusted for non-cash intangible amortization expense, change in fair value of earn-out and litigation defense costs. Non-GAAP net income (loss) represents net income (loss) adjusted for non-cash intangible amortization expense, change in fair value of earn-out and litigation defense costs, 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) June 30, December 31, (In thousands, except share and per share data) 2023 2022 Assets Current assets Cash and cash equivalents $ 63,212 $ 21,929 Accounts receivable 46,553 54,826 Net investment in leases 13,219 16,130 Inventories 20,315 23,124 Income taxes receivable 1,779 — Prepaid expenses and other current assets 4,480 3,754 Total current assets 149,558 119,763 Non-current assets Property and equipment, net 5,771 6,077 Right of use operating lease assets 20,041 21,322 Intangible assets, net 48,559 50,375 Goodwill 31,063 31,063 Accounts receivable, non-current 15,430 23,061 Other non-current assets 3,306 3,335 Total non-current assets 124,170 135,233 Total assets $ 273,728 $ 254,996 Liabilities and Stockholders' Equity Current liabilities Accounts payable $ 9,296 $ 9,984 Note payable 2,968 2,968 Earn-out, current 9,280 13,050 Accrued payroll and related taxes 13,800 17,100 Accrued expenses 5,166 9,240 Income taxes payable — 2,336 Operating lease liabilities 2,529 2,500 Other current liabilities 5,481 7,152 Total current liabilities 48,520 64,330 Non-current liabilities Revolving line of credit, non-current 24,941 24,916 Note payable, non-current 19,495 20,979 Accrued warranty reserve, non-current 1,957 2,207 Income taxes payable, non-current 446 298 Operating lease liabilities, non-current 19,606 20,866 Total non-current liabilities 66,445 69,266 Total liabilities 114,965 133,596 Stockholders’ equity: Preferred stock, $0.00 1 par value, 50,000,000 shares authorized; none issued and outstanding as of June 30, 2023 and December 31, 2022 — — Common stock, $0.00 1 par value, 300,000,000 shares authorized; 23,458,302 shares issued and outstanding as of June 30, 2023; 20,252,677 shares issued and outstanding as of December 31, 2022 23 20 Additional paid-in capital 170,347 131,001 Accumulated deficit (11,607 ) (9,621 ) Total stockholders’ equity 158,763 121,400 Total liabilities and stockholders’ equity $ 273,728 $ 254,996
Tactile Systems Technology, Inc. Condensed Consolidated Statements of Operations (Unaudited) Three Months Ended Six Months Ended June 30, June 30, (In thousands, except share and per share data) 2023 2022 2023 2022 Revenue Sales revenue $ 59,802 $ 51,265 $ 112,593 $ 92,435 Rental revenue 8,537 8,380 14,592 15,188 Total revenue 68,339 59,645 127,185 107,623 Cost of revenue Cost of sales revenue 16,865 13,810 31,507 25,890 Cost of rental revenue 3,175 2,612 5,911 4,648 Total cost of revenue 20,040 16,422 37,418 30,538 Gross profit Gross profit - sales revenue 42,937 37,455 81,086 66,545 Gross profit - rental revenue 5,362 5,768 8,681 10,540 Gross profit 48,299 43,223 89,767 77,085 Operating expenses Sales and marketing 28,206 28,822 54,508 52,752 Research and development 1,833 1,849 4,066 3,369 Reimbursement, general and administrative 14,991 14,894 30,425 31,111 Intangible asset amortization and earn-out 1,211 1,745 2,516 8,841 Total operating expenses 46,241 47,310 91,515 96,073 Income (loss) from operations 2,058 (4,087 ) (1,748 ) (18,988 ) Other expense (838 ) (573 ) (1,831 ) (1,029 ) Income (loss) before income taxes 1,220 (4,660 ) (3,579 ) (20,017 ) Income tax expense (benefit) 1,320 (20 ) (1,593 ) 191 Net loss $ (100 ) $ (4,640 ) $ (1,986 ) $ (20,208 ) Net loss per common share Basic $ 0.00 $ (0.23 ) $ (0.09 ) $ (1.01 ) Diluted $ 0.00 $ (0.23 ) $ (0.09 ) $ (1.01 ) Weighted-average common shares used to compute net loss per common share Basic 23,352,530 20,024,798 22,323,856 19,961,999 Diluted 23,352,530 20,024,798 22,323,856 19,961,999
Tactile Systems Technology, Inc. Condensed Consolidated Statements of Cash Flows (Unaudited) Six Months Ended June 30, (In thousands) 2023 2022 Cash flows from operating activities Net loss $ (1,986 ) $ (20,208 ) Adjustments to reconcile net loss to net cash provided by (used in) operating activities: Depreciation and amortization 3,269 3,015 Deferred income taxes — 94 Stock-based compensation expense 3,831 5,121 Loss on disposal of property and equipment and intangibles 3 — Change in fair value of earn-out liability 1,230 7,550 Changes in assets and liabilities, net of acquisition: Accounts receivable 8,273 321 Net investment in leases 2,911 (864 ) Inventories 2,809 (753 ) Income taxes (3,967 ) (55 ) Prepaid expenses and other assets (697 ) 1,925 Right of use operating lease assets 50 106 Accounts receivable, non-current 7,631 (2,496 ) Accounts payable (696 ) 4,087 Accrued payroll and related taxes (3,300 ) 5 Accrued expenses and other liabilities (5,954 ) 1,252 Net cash provided by (used in) operating activities 13,407 (900 ) Cash flows from investing activities Purchases of property and equipment (1,043 ) (331 ) Intangible assets expenditures (99 ) (85 ) Net cash used in investing activities (1,142 ) (416 ) Cash flows from financing activities Payment on earn-out (5,000 ) — Payments on note payable (1,500 ) (4,500 ) Payments of deferred debt issuance costs — (39 ) Proceeds from exercise of common stock options 11 152 Proceeds from the issuance of common stock from the employee stock purchase plan 882 824 Proceeds from issuance of common stock at market 34,625 — Net cash provided by (used in) financing activities 29,018 (3,563 ) Net increase (decrease) in cash and cash equivalents 41,283 (4,879 ) Cash and cash equivalents – beginning of period 21,929 28,229 Cash and cash equivalents – end of period $ 63,212 $ 23,350 Supplemental cash flow disclosure Cash paid for interest $ 1,925 $ 448 Cash paid for taxes $ 2,415 $ 28 Capital expenditures incurred but not yet paid $ 8 $ —
The following table summarizes revenue by product line for the three and six months ended June 30, 2023 and 2022:
Three Months Ended Six Months Ended June 30, June 30, (In thousands) 2023 2022 2023 2022 Revenue Lymphedema products $ 59,999 $ 51,634 $ 109,751 $ 92,288 Airway clearance products 8,340 8,011 17,434 15,335 Total $ 68,339 $ 59,645 $ 127,185 $ 107,623 Percentage of total revenue Lymphedema products 88 % 87 % 86 % 86 % Airway clearance products 12 % 13 % 14 % 14 % 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 Six Months Ended June 30, June 30, (Dollars in thousands) 2023 2022 2023 2022 Gross profit, as reported $ 48,299 $ 43,223 $ 89,767 $ 77,085 Gross margin, as reported 70.7 % 72.5 % 70.6 % 71.6 % Reconciling items: Non-cash intangible amortization expense $ 315 $ 311 $ 629 $ 621 Non-GAAP gross profit $ 48,614 $ 43,534 $ 90,396 $ 77,706 Non-GAAP gross margin 71.1 % 73.0 % 71.1 % 72.2 %
The following table contains a reconciliation of GAAP operating income (loss) to non-GAAP operating income (loss):
Tactile Systems Technology, Inc. Reconciliation of GAAP Operating Income (Loss) to Non-GAAP Operating Income (Loss) (Unaudited) Three Months Ended Six Months Ended June 30, June 30, (Dollars in thousands) 2023 2022 2023 2022 GAAP operating income (loss) $ 2,058 $ (4,087 ) $ (1,748 ) $ (18,988 ) Reconciling items: Non-cash intangible amortization expense impacting gross profit $ 315 $ 311 $ 629 $ 621 Non-cash intangible amortization expense impacting operating expenses 641 645 1,286 1,291 Change in fair value of earn-out 570 1,100 1,230 7,550 Litigation defense costs — 245 — 2,349 Non-GAAP operating income (loss): $ 3,584 $ (1,786 ) $ 1,397 $ (7,177 ) Non-GAAP operating margin 5.2 % (3.0 )% 1.1 % (6.7 )%
The following table contains a reconciliation of GAAP net loss to non-GAAP net income (loss):
Tactile Systems Technology, Inc. Reconciliation of GAAP Net Loss to Non-GAAP Net Income (Loss) (Unaudited) Three Months Ended Six Months Ended June 30, June 30, (Dollars in thousands) 2023 2022 2023 2022 GAAP net loss $ (100 ) $ (4,640 ) $ (1,986 ) $ (20,208 ) Reconciling items: Non-cash intangible amortization expense impacting gross profit $ 315 $ 311 $ 629 $ 621 Non-cash intangible amortization expense impacting operating expenses 641 645 1,286 1,291 Change in fair value of earn-out 570 1,100 1,230 7,550 Litigation defense costs — 245 — 2,349 Income tax expense on reconciling items* (382 ) (575 ) (786 ) (2,953 ) Non-GAAP net income (loss) $ 1,044 $ (2,914 ) $ 373 $ (11,350 ) * 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 loss to Adjusted EBITDA for the three and six months ended June 30, 2023 and 2022, as well as the dollar and percentage change between the comparable periods:
Tactile Systems Technology, Inc. Reconciliation of Net Loss to Non-GAAP Adjusted EBITDA (Unaudited) Three Months Ended Increase Six Months Ended Increase June 30, (Decrease) June 30, (Decrease) (Dollars in thousands) 2023 2022 $ % 2023 2022 $ % Net loss $ (100 ) $ (4,640 ) $ 4,540 (98 )% $ (1,986 ) $ (20,208 ) $ 18,222 (90 )% Interest expense, net 838 584 254 43 % 1,831 1,040 791 76 Income tax (benefit) expense 1,320 (20 ) 1,340 N.M. % (1,593 ) 191 (1,784 ) N.M. % Depreciation and amortization 1,640 1,508 132 9 % 3,269 3,015 254 8 % Stock-based compensation 1,808 2,892 (1,084 ) (37 )% 3,831 5,121 (1,290 ) (25 )% Change in fair value of earn-out 570 1,100 (530 ) (48 ) 1,230 7,550 (6,320 ) (84 ) Litigation defense costs — 245 (245 ) (100 )% — 2,349 (2,349 ) (100 )% Adjusted EBITDA $ 6,076 $ 1,669 $ 4,407 N.M. % $ 6,582 $ (942 ) $ 7,524 N.M. %
