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Tactile Systems Technology, Inc. Reports Second Quarter 2025 Financial Results

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Tactile Systems Technology (NASDAQ: TCMD) reported Q2 2025 financial results with total revenue increasing 7.8% year-over-year to $78.9 million. The company achieved a gross margin of 75% and net income of $3.2 million, compared to $4.3 million in Q2 2024.

Key highlights include a 52% increase in airway clearance product sales and a 2% increase in lymphedema product line revenue. The company completed its $30 million share repurchase program, with $16.5 million repurchased in Q2. Management updated 2025 guidance, now expecting full-year revenue of $310-315 million and adjusted EBITDA of $33-35 million.

Tactile Systems Technology (NASDAQ: TCMD) ha riportato i risultati finanziari del secondo trimestre 2025 con un fatturato totale in aumento del 7,8% rispetto all'anno precedente, raggiungendo 78,9 milioni di dollari. L'azienda ha ottenuto un margine lordo del 75% e un utile netto di 3,2 milioni di dollari, rispetto ai 4,3 milioni di dollari del secondo trimestre 2024.

Tra i punti salienti si evidenzia un incremento del 52% nelle vendite dei prodotti per la clearance delle vie aeree e un aumento del 2% del fatturato della linea di prodotti per il linfedema. L'azienda ha completato il suo programma di riacquisto azionario da 30 milioni di dollari, con 16,5 milioni di dollari riacquistati nel secondo trimestre. La direzione ha aggiornato le previsioni per il 2025, prevedendo ora un fatturato annuo compreso tra 310 e 315 milioni di dollari e un EBITDA rettificato tra 33 e 35 milioni di dollari.

Tactile Systems Technology (NASDAQ: TCMD) informó los resultados financieros del segundo trimestre de 2025 con un ingreso total que aumentó un 7,8% interanual, alcanzando los 78,9 millones de dólares. La empresa logró un margen bruto del 75% y un ingreso neto de 3,2 millones de dólares, en comparación con 4,3 millones en el segundo trimestre de 2024.

Los aspectos destacados incluyen un aumento del 52% en las ventas de productos para la limpieza de las vías respiratorias y un incremento del 2% en los ingresos de la línea de productos para linfedema. La compañía completó su programa de recompra de acciones por 30 millones de dólares, con 16,5 millones recomprados en el segundo trimestre. La dirección actualizó las previsiones para 2025, esperando ahora ingresos anuales de 310-315 millones de dólares y un EBITDA ajustado de 33-35 millones de dólares.

Tactile Systems Technology (NASDAQ: TCMD)는 2025년 2분기 재무 실적을 발표하며 총 매출이 전년 동기 대비 7.8% 증가한 7,890만 달러를 기록했습니다. 회사는 매출총이익률 75%순이익 320만 달러를 달성했으며, 이는 2024년 2분기의 430만 달러와 비교됩니다.

주요 내용으로는 기도 청소 제품 매출이 52% 증가했고, 림프부종 제품 라인 매출이 2% 증가했습니다. 회사는 3,000만 달러 규모의 자사주 매입 프로그램을 완료했으며, 2분기에 1,650만 달러를 매입했습니다. 경영진은 2025년 가이던스를 업데이트하여 연간 매출을 3억 1,000만~3억 1,500만 달러, 조정 EBITDA를 3,300만~3,500만 달러로 예상하고 있습니다.

Tactile Systems Technology (NASDAQ : TCMD) a publié ses résultats financiers du deuxième trimestre 2025 avec un chiffre d'affaires total en hausse de 7,8 % en glissement annuel, atteignant 78,9 millions de dollars. La société a réalisé une marge brute de 75 % et un bénéfice net de 3,2 millions de dollars, contre 4,3 millions au deuxième trimestre 2024.

Les points clés incluent une augmentation de 52 % des ventes de produits pour le dégagement des voies respiratoires et une hausse de 2 % du chiffre d'affaires de la ligne de produits pour le lymphœdème. L'entreprise a achevé son programme de rachat d'actions de 30 millions de dollars, avec 16,5 millions rachetés au deuxième trimestre. La direction a mis à jour ses prévisions pour 2025, prévoyant désormais un chiffre d'affaires annuel de 310 à 315 millions de dollars et un EBITDA ajusté de 33 à 35 millions de dollars.

Tactile Systems Technology (NASDAQ: TCMD) meldete die Finanzergebnisse für das zweite Quartal 2025 mit einem Gesamtumsatzanstieg von 7,8 % im Jahresvergleich auf 78,9 Millionen US-Dollar. Das Unternehmen erzielte eine Bruttomarge von 75 % und einen Nettoertrag von 3,2 Millionen US-Dollar, verglichen mit 4,3 Millionen US-Dollar im zweiten Quartal 2024.

Wichtige Highlights sind ein 52%iger Anstieg der Umsätze mit Produkten zur Atemwegsreinigung sowie ein 2%iger Umsatzanstieg in der Produktlinie für Lymphödem. Das Unternehmen schloss sein 30-Millionen-Dollar-Aktienrückkaufprogramm ab, wobei im zweiten Quartal Aktien im Wert von 16,5 Millionen US-Dollar zurückgekauft wurden. Das Management aktualisierte die Prognose für 2025 und erwartet nun einen Jahresumsatz von 310 bis 315 Millionen US-Dollar und ein bereinigtes EBITDA von 33 bis 35 Millionen US-Dollar.

Positive
  • Revenue growth of 7.8% year-over-year to $78.9 million
  • Airway clearance product line sales increased 52%
  • Gross margin improved to 75% from 74% year-over-year
  • Completed $30 million share repurchase program
  • Increased revolving credit facility capacity from $25M to $40M
Negative
  • Net income decreased to $3.2M from $4.3M year-over-year
  • Adjusted EBITDA declined to $7.7M from $9.1M year-over-year
  • Operating expenses increased 13% to $54.7M
  • Cash position decreased to $81.5M from $94.4M at year-end 2024
  • 2025 adjusted EBITDA guidance of $33-35M below 2024's $37.1M

Insights

Tactile Medical reports 7.8% revenue growth but declining profits amid strategic investments; guidance raised slightly despite margin pressure.

Tactile Medical delivered $78.9 million in Q2 2025 revenue, representing 7.8% year-over-year growth that exceeded management's previous guidance. This performance was driven by impressive 52% growth in their airway clearance product line (primarily AffloVest) and modest 2% growth in their core lymphedema business.

Despite the revenue beat, profitability metrics showed concerning declines. Net income fell to $3.2 million ($0.14 per share) from $4.3 million ($0.18 per share) in Q2 2024, while adjusted EBITDA decreased to $7.7 million from $9.1 million. The 13% increase in operating expenses to $54.7 million was the primary factor behind this profit compression, which management attributed to "planned strategic investments."

Gross margin improved slightly to 75% from 74%, driven by lower manufacturing and warranty costs. This margin improvement partially offset the significant operating expense growth but wasn't enough to prevent profit declines.

The company's balance sheet remains solid with $81.5 million in cash, though this represents a decrease from $94.4 million at year-end 2024. Notably, Tactile completed its $30 million share repurchase program during the quarter and subsequently refinanced its debt structure, increasing its revolving credit facility capacity from $25 million to $40 million.

Management raised the lower end of their 2025 revenue guidance slightly to $310-$315 million (previously $309-$315 million) and increased adjusted EBITDA guidance to $33-$35 million (from $32-$34 million). This modest guidance raise, combined with management's comments about "favorable near-term payer policy environment," suggests confidence in continued growth momentum through year-end despite the higher spending levels.

MINNEAPOLIS, Aug. 04, 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 second quarter ended June 30, 2025.

Second Quarter 2025 Summary & Recent Business Highlights:

  • Total revenue increased 7.8% year-over-year to $78.9 million
  • Gross margin of 75% versus 74% in Q2 2024
  • Net income of $3.2 million versus $4.3 million in Q2 2024
  • Adjusted EBITDA of $7.7 million versus $9.1 million in Q2 2024
  • Announced the presentation of new data demonstrating significant benefits associated with use of Flexitouch Plus in treating patients with head and neck cancer-related lymphedema
  • Repurchased $16.5 million of stock to complete the Company’s share repurchase program

“We delivered strong financial performance in the second quarter, marked by total revenue growth of nearly 8% year-over-year and ahead of our previously stated expectations,” said Sheri Dodd, Chief Executive Officer of Tactile Medical. “Supported by a favorable near-term payer policy environment and healthy channel call points, we are confident this momentum will continue through the second half of the year as we deploy our go-to-market strategies and commercial action plan.”

“We also remain highly focused on our three strategic priorities for 2025 to improve access to care, expand treatment options for lymphedema patients, and enhance the lifetime patient value. Our key technology and people-related investments are continuing to progress, including strategically expanding our sales force, presenting new clinical data from our head and neck lymphedema trial, growing adoption of Nimbl, and launching pilot programs aimed at simplifying the workflow process of patient identification, referral, and order processing. These priorities are designed to unlock our market opportunity and enable scalable, profitable growth, and we expect to begin benefiting more meaningfully from them in 2026.”

Second Quarter 2025 Financial Results

Total revenue in the second quarter of 2025 increased $5.7 million, or 7.8%, to $78.9 million, compared to $73.2 million in the second quarter of 2024. The increase in total revenue was attributable to an increase of $4.4 million, or 52%, in sales of the airway clearance product line and an increase of $1.3 million, or 2%, in sales and rentals of the lymphedema product line in the quarter ended June 30, 2025, compared to the second quarter of 2024. The increase in airway clearance product line revenue was primarily attributable to increased placements of AffloVest among the Company’s durable medical equipment (DME) partners, and the increase in lymphedema product line revenue was primarily attributable to increased headcount and improved productivity within the Company’s field sales team.

Gross profit in the second quarter of 2025 increased $4.7 million, or 9%, to $58.8 million, compared to $54.1 million in the second quarter of 2024. Gross margin was 75% of revenue, compared to 74% of revenue in the second quarter of 2024. The increase in gross profit was primarily attributable to lower manufacturing and warranty costs.

Operating expenses in the second quarter of 2025 increased $6.5 million, or 13%, to $54.7 million, compared to $48.3 million in the second quarter of 2024. The increase in operating expenses was primarily attributable to planned strategic investments.

Operating income was $4.1 million in the second quarter of 2025, compared to $5.8 million in the second quarter of 2024.

Other income was $0.4 million in the second quarter of 2025, compared to $0.2 million in the second quarter of 2024, and consisted primarily of interest income, net.

Income tax expense was $1.3 million in the second quarter of 2025, compared to $1.8 million in the second quarter of 2024.

Net income in the second quarter of 2025 was $3.2 million, or $0.14 per diluted share, compared to $4.3 million, or $0.18 per diluted share, in the second quarter of 2024.

Weighted average shares used to compute diluted net income per share were 23.2 million and 24.1 million for the second quarters of 2025 and 2024, respectively.

Adjusted EBITDA was $7.7 million in the second quarter of 2025, compared to $9.1 million in the second quarter of 2024.

First Six Months 2025 Financial Results

Total revenue for the six months ended June 30, 2025, increased $5.9 million, or 4%, to $140.2 million, compared to $134.3 million for the six months ended June 30, 2024. The increase in total revenue was attributable to an increase of $6.3 million, or 37%, in sales of the airway clearance product line, partially offset by a decrease of $0.5 million, in sales and rentals of the lymphedema product line for the six months ended June 30, 2025, compared to the six months ended June 30, 2024.

Net income for the six months ended June 30, 2025, was $0.2 million, or $0.01 per diluted share, compared to $2.1 million, or $0.09 per diluted share, for the six months ended June 30, 2024.

Weighted average shares used to compute diluted net income per share were 23.7 million and 24.1 million for the six months ended June 30, 2025 and 2024, respectively.

Adjusted EBITDA was $7.4 million in the six months ended June 30, 2025, compared to $10.1 million in the six months ended June 30, 2024.

Balance Sheet Summary

As of June 30, 2025, the Company had $81.5 million in cash and cash equivalents and $24.8 million of outstanding borrowings under its credit agreement, compared to $94.4 million in cash and $26.3 million of outstanding borrowings under its credit agreement as of December 31, 2024. The Company repurchased $26.6 million of its stock during the six months ended June 30, 2025, to complete its $30.0 million share repurchase program.

On July 31, 2025, the Company paid the full outstanding principal balance of $24.0 million under, and retired, its term loan, and refinanced its revolving credit facility, increasing the capacity from $25.0 million to $40.0 million.

2025 Financial Outlook

The Company is updating its 2025 financial outlook and now expects full year 2025 total revenue in the range of $310 million to $315 million, representing growth of approximately 6% to 8% year-over-year, compared to total revenue of $293.0 million in 2024. The Company’s prior 2025 guidance expectation was total revenue in the range of $309 million to $315 million, representing growth of approximately 5% to 8% year-over-year.

The Company now also expects full year 2025 adjusted EBITDA in the range of $33 million to $35 million, compared to adjusted EBITDA of $37.1 million in 2024. The Company’s prior 2025 guidance expectation was adjusted EBITDA in the range of $32 million to $34 million.

Conference Call

Management will host a conference call with a question-and-answer session at 5:00 p.m. Eastern Time on August 4, 2025, 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 13754589. 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 13754589. 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; adverse economic conditions, including inflation, rising interest rates or a recession; the adequacy of the Company’s liquidity to pursue its business objectives; price increases for supplies and components; wage and component price inflation; loss of a key supplier or other supply chain disruptions; entry of new competitors and/or competitive products; compliance with and changes in federal, state and local government laws and regulations; technological obsolescence of, or quality issues with, the Company’s 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 (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 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.
Condensed Consolidated Balance Sheets
(Unaudited)
  June 30, December 31,
(In thousands, except share and per share data) 2025 2024
Assets     
Current assets      
Cash $81,528 $94,367
Accounts receivable, net  33,086  44,937
Net investment in leases  14,457  14,540
Inventories  17,111  18,666
Income taxes receivable  457  
Prepaid expenses and other current assets  6,348  5,053
Total current assets  152,987  177,563
Non-current assets      
Property and equipment, net  4,897  5,603
Right of use operating lease assets  15,462  16,633
Intangible assets, net  40,904  42,789
Goodwill  31,063  31,063
Deferred income taxes  18,333  18,311
Other non-current assets  9,402  5,962
Total non-current assets  120,061  120,361
Total assets $273,048 $297,924
Liabilities and Stockholders' Equity      
Current liabilities      
Accounts payable $8,025 $5,648
Note payable  2,956  2,956
Accrued payroll and related taxes  12,678  17,923
Accrued expenses  8,180  7,780
Income taxes payable    270
Operating lease liabilities  3,095  2,980
Other current liabilities  5,469  3,147
Total current liabilities  40,403  40,704
Non-current liabilities      
Note payable, non-current  21,743  23,220
Accrued warranty reserve, non-current  1,241  1,209
Income taxes payable, non-current  355  239
Operating lease liabilities, non-current  14,380  15,955
Total non-current liabilities  37,719  40,623
Total liabilities  78,122  81,327
       
Stockholders’ equity:      
Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of June 30, 2025 and December 31, 2024    
Common stock, $0.001 par value, 300,000,000 shares authorized; 22,292,145 shares issued and outstanding as of June 30, 2025; 23,883,475 shares issued and outstanding as of December 31, 2024  22  24
Additional paid-in capital  158,807  180,719
Retained earnings  36,097  35,854
Total stockholders’ equity  194,926  216,597
Total liabilities and stockholders’ equity $273,048 $297,924
       


             
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) 2025
 2024
 2025
 2024
Revenue            
Sales revenue $70,531  $64,267  $123,000  $117,574 
Rental revenue  8,374   8,951   17,173   16,732 
Total revenue  78,905   73,218   140,173   134,306 
Cost of revenue            
Cost of sales revenue  17,483   16,263   31,374   31,207 
Cost of rental revenue  2,629   2,852   4,660   5,567 
Total cost of revenue  20,112   19,115   36,034   36,774 
Gross profit            
Gross profit - sales revenue  53,048   48,004   91,626   86,367 
Gross profit - rental revenue  5,745   6,099   12,513   11,165 
Gross profit  58,793   54,103   104,139   97,532 
Operating expenses            
Sales and marketing  30,039   28,608   57,555   55,965 
Research and development  2,018   2,234   3,759   4,377 
Reimbursement, general and administrative  22,034   16,779   42,032   33,040 
Intangible asset amortization  619   633   1,252   1,265 
Total operating expenses  54,710   48,254   104,598   94,647 
Income (loss) from operations  4,083   5,849   (459)  2,885 
Interest income  850   754   1,745   1,467 
Interest expense  (410)  (529)  (834)  (1,096)
Other income  1      1   9 
Income before income taxes  4,524   6,074   453   3,265 
Income tax expense  1,307   1,776   210   1,176 
Net income $3,217  $4,298  $243  $2,089 
Net income per common share            
Basic $0.14  $0.18  $0.01  $0.09 
Diluted $0.14  $0.18  $0.01  $0.09 
Weighted-average common shares used to compute net income per common share            
Basic  23,092,469   23,873,379   23,399,848   23,769,604 
Diluted  23,237,671   24,099,047   23,679,220   24,073,986 
                 


       
Tactile Systems Technology, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
   
  Six Months Ended June 30,
(In thousands) 2025
 2024
Cash flows from operating activities      
Net income $243  $2,089 
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization  3,385   3,345 
Deferred income taxes  (22)  (30)
Stock-based compensation expense  4,005   3,899 
Loss on disposal of property and equipment and intangibles  68   54 
Changes in assets and liabilities, net of acquisition:      
Accounts receivable, net  11,851   1,238 
Net investment in leases  83   644 
Inventories  1,555   3,681 
Income taxes  (611)  (922)
Prepaid expenses and other assets  (4,735)  (364)
Right of use operating lease assets  (289)  (2)
Accounts receivable, non-current     6,425 
Accounts payable  2,319   (1,592)
Accrued payroll and related taxes  (5,245)  (4,699)
Accrued expenses and other liabilities  2,567   300 
Net cash provided by operating activities  15,174   14,066 
Cash flows from investing activities      
Purchases of property and equipment  (748)  (982)
Proceeds from sale of property and equipment     12 
Intangible assets expenditures  (56)  (57)
Net cash used in investing activities  (804)  (1,027)
Cash flows from financing activities      
Payments on note payable  (1,500)  (1,500)
Proceeds from exercise of common stock options  10   2 
Proceeds from the issuance of common stock from the employee stock purchase plan  843   1,044 
Payments for repurchases of common stock  (26,562)   
Net cash used in financing activities  (27,209)  (454)
Net (decrease) increase in cash  (12,839)  12,585 
Cash – beginning of period  94,367   61,033 
Cash – end of period $81,528  $73,618 
       
Supplemental cash flow disclosure      
Cash paid for interest $828  $1,099 
Cash paid for taxes $892  $2,177 
Accrued excise tax on stock repurchases $210  $ 
Capital expenditures incurred but not yet paid $58  $27 
         

The following table summarizes revenue by product line for the three and six months ended June 30, 2025 and 2024:

             
  Three Months Ended Six Months Ended
  June 30, June 30,
(In thousands) 2025
 2024
 2025
 2024
Revenue            
Lymphedema products $65,969  $64,683  $116,524  $116,996 
Airway clearance products  12,936   8,535   23,649   17,310 
Total $78,905  $73,218  $140,173  $134,306 
             
Percentage of total revenue            
Lymphedema products  84%  88%  83%  87%
Airway clearance products  16%  12%  17%  13%
Total  100%  100%  100%  100%
                 

The following table contains a reconciliation of net income to Adjusted EBITDA for the three and six months ended June 30, 2025 and 2024, 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) 2025
 2024
 $ % 2025 2024
 $ %
Net Income $3,217  $4,298  $(1,081) (25)% $243  $2,089  $(1,846) 88 %
Interest (income) expense, net  (440)  (225)  (215) 96 %  (911)  (371)  (540) 146 %
Income tax expense  1,307   1,776   (469) (26)%  210   1,176   (966) (82) 
Depreciation and amortization  1,659   1,711   (52) (3)%  3,385   3,345   40  1 %
Stock-based compensation  1,939   1,860   79  4 %  4,005   3,899   106  3 %
Executive transition costs     (340)  340  (100)%  491   (25)  516  N.M. %
Adjusted EBITDA $7,682  $9,080  $(1,398) (15)% $7,423  $10,113  $(2,690) (27)%
                                 

The following table contains a reconciliation of net income to Adjusted EBITDA for the year ended December 31, 2024:

    
Tactile Systems Technology, Inc.
Reconciliation of Net income to Non-GAAP Adjusted EBITDA
(Unaudited)
    
  Year Ended
(Dollars in thousands) December 31, 2024
Net income $16,960 
Interest (income) expense, net  (1,299)
Income tax expense  6,529 
Depreciation and amortization  6,793 
Stock-based compensation  7,819 
Executive transition costs  248 
Adjusted EBITDA $37,050 
     

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)
       
  Twelve Months Ended
  December 31, 2025
(Dollars in thousands) Low High
Net income $14,200  $15,600 
Interest income, net  (1,800)  (1,800)
Income tax expense  5,400   6,000 
Depreciation and amortization  6,600   6,600 
Stock-based compensation  8,100   8,100 
Executive transition costs  500   500 
Adjusted EBITDA $33,000  $35,000 
         

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


FAQ

What were TCMD's Q2 2025 earnings results?

TCMD reported Q2 2025 revenue of $78.9 million (up 7.8% YoY), net income of $3.2 million ($0.14 per share), and adjusted EBITDA of $7.7 million.

What is Tactile Systems' revenue guidance for 2025?

The company expects full year 2025 revenue between $310-315 million, representing growth of 6-8% year-over-year.

How much did TCMD's airway clearance product sales grow in Q2 2025?

Airway clearance product line sales increased 52% year-over-year, primarily due to increased AffloVest placements among DME partners.

How much stock did TCMD repurchase in Q2 2025?

TCMD repurchased $16.5 million of stock in Q2 2025, completing their $30 million share repurchase program.

What was TCMD's cash position as of June 30, 2025?

TCMD had $81.5 million in cash and cash equivalents, with $24.8 million in outstanding borrowings under its credit agreement.
Tactile Systems

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Medical Devices
Surgical & Medical Instruments & Apparatus
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