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Tactile Systems Technology, Inc. Reports Second Quarter 2026 Financial Results

(Positive)
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Tactile Systems Technology (Nasdaq: TCMD) reported second quarter 2026 revenue of $85.7 million, up 9% year-over-year, driven by a 12% increase in lymphedema product sales and rentals, partially offset by a 7% decline in airway clearance revenue tied to AffloVest launch-related inventory dynamics.

Gross margin rose to 76% from 75%, and net income more than doubled to $7.8 million ($0.34 per diluted share). Adjusted EBITDA increased to $11.4 million from $7.7 million. For the first six months, revenue grew 15% to $161.0 million and adjusted EBITDA reached $15.1 million. The company ended June 30, 2026 with $69.9 million in cash and no debt, repurchasing $5.3 million of stock in Q2.

Tactile Systems updated 2026 revenue guidance to $360–$366 million (9–11% growth), narrowing the prior $360–$368 million range, while maintaining adjusted EBITDA guidance of $49–$51 million. Strategic highlights included an exclusive U.S. distribution agreement for ElastiMed’s MyoSleeve device for VA and DoD patients, commercial launch of the next-generation AffloVest airway clearance system, and publication of six-month clinical results from a Flexitouch Plus trial in head and neck cancer-related lymphedema.

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Positive

  • Q2 2026 revenue $85.7 million, up 9% year-over-year
  • Lymphedema line revenue +$7.7 million, up 12% year-over-year in Q2
  • Q2 net income $7.8 million vs. $3.2 million in Q2 2025
  • Q2 adjusted EBITDA $11.4 million vs. $7.7 million in Q2 2025
  • First-half 2026 revenue $161.0 million, up 15% year-over-year
  • 2026 adjusted EBITDA guidance $49–$51 million vs. $44.8 million in 2025

Negative

  • Q2 airway clearance revenue declined $0.9 million, down 7% year-over-year
  • 2026 revenue guidance narrowed to $360–$366 million from $360–$368 million
  • Cash balance decreased to $69.9 million from $83.4 million at December 31, 2025
  • Operating expenses rose to $58.5 million in Q2 2026 from $54.7 million in Q2 2025

Market Reaction – TCMD

-9.48% $26.38 3.1x vol
15m delay
-9.48% Vs previous close
-6.4% Trough Tracked
$26.38 Last Price
$22.00 $30.20 Day Range
$594.96M Market Cap
3.1x Rel. Volume

Following this news, TCMD has declined 9.48%, reflecting a notable negative market reaction. Argus tracked a trough of -6.4% from its starting point during tracking. Our momentum scanner has triggered 4 alerts so far, indicating moderate trading interest and price volatility. The stock is currently trading at $26.38. Trading volume is very high at 3.1x the average, suggesting heavy selling pressure.

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Market Context

Tag-specific history recorded a 12.7% average move across five earnings events. That benchmark frame...
Analysis

Tag-specific history recorded a 12.7% average move across five earnings events. That benchmark frames the current report’s stronger quarterly profitability against a narrower revenue outlook; monitoring airway-clearance ordering patterns and elevated inventory remains relevant.

Key Figures

Q2 Revenue: $85.7 million Gross Margin: 76% Net Income: $7.8 million +5 more
8 metrics
Q2 Revenue $85.7 million Second quarter 2026; up 9% year-over-year
Gross Margin 76% Q2 2026 versus 75% in Q2 2025
Net Income $7.8 million Q2 2026 versus $3.2 million in Q2 2025
Adjusted EBITDA $11.4 million Q2 2026 versus $7.7 million in Q2 2025
Cash $69.9 million As of June 30, 2026; no outstanding borrowings
Stock Repurchase $5.3 million Repurchased during Q2 2026
2026 Revenue Outlook $360 million to $366 million Full-year 2026; prior range was $360 million to $368 million
2026 Adjusted EBITDA Outlook $49 million to $51 million Full-year 2026; guidance maintained

Previous Earnings Reports

5 past events · Latest: May 04 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 04 Q1 earnings report Positive +7.2% Revenue growth, acquisition, clearance and raised 2026 revenue guidance
Feb 17 Q4 earnings report Positive +17.8% Record quarterly revenue, margin expansion, debt repayment and 2026 guidance
Nov 03 Q3 earnings report Positive +40.6% Revenue growth, higher profitability, debt repayment and increased full-year guidance
Aug 04 Q2 earnings report Neutral +26.8% Revenue growth and margin improvement offset by lower net income and revised guidance
May 05 Q1 earnings report Negative -29.0% Net loss and downward revised outlook accompanied by weaker lymphedema sales

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Earnings-tagged events were aligned in 4 of 5 cases; the Q2 2025 release was the lone positive-reaction divergence amid mixed results.

Key Terms

adjusted ebitda, non-gaap financial measure, randomized controlled trial, lymphedema
4 terms
adjusted ebitda financial
"Adjusted EBITDA was $11.4 million in the second quarter of 2026"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
non-gaap financial measure financial
"This press release includes the non-GAAP financial measure of Adjusted EBITDA"
A non-GAAP financial measure is a way companies present their financial results that excludes certain expenses or income to show how they believe their core business is performing. It matters because it can give a clearer picture of how the company is really doing, but it can also be used to make results look better than they actually are.
randomized controlled trial medical
"publication of six-month clinical results from the Company's randomized controlled trial"
A randomized controlled trial is a research method that tests the effects of a new idea or treatment by randomly dividing participants into two groups: one that receives the treatment and one that does not. This approach helps ensure that the results are fair and unbiased, providing clear evidence about whether the treatment actually works. Investors value such trials because they offer reliable information that can influence decision-making and reduce uncertainty.
lymphedema medical
"sales and rentals of the lymphedema product line"
Lymphedema is a chronic swelling that happens when the body’s fluid-draining network can’t move fluid away from tissues, causing persistent puffiness, heaviness and sometimes skin changes. Investors pay attention because it represents a steady demand for diagnostics, drugs, devices and long-term care—think of it like a clogged drain that creates ongoing repair and maintenance needs, so new treatments or devices can shift patient outcomes and company revenue for years.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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MINNEAPOLIS, Aug. 10, 2026 (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, 2026.

Second Quarter 2026 Summary and Recent Business Highlights:

  • Total revenue increased 9% year-over-year to $85.7 million
  • Gross margin expanded to 76% from 75% in Q2 2025
  • Net income increased to $7.8 million from $3.2 million in Q2 2025
  • Adjusted EBITDA increased to $11.4 million from $7.7 million in Q2 2025
  • Entered into an exclusive U.S. distribution agreement with ElastiMed, Inc. to distribute the MyoSleeve™ Wearable Compression Device to Veterans and active-duty service members and their dependents
  • Commercially launched the next-generation AffloVest Airway Clearance Therapy system
  • Repurchased $5.3 million of stock under the Company’s share repurchase program
  • Publication of six-month clinical results from the Company's randomized controlled trial evaluating Flexitouch® Plus for the treatment of head and neck cancer-related lymphedema

“We are encouraged by our strong momentum in the second quarter. We delivered solid revenue growth, expanded gross margin, and generated meaningful adjusted EBITDA, underscoring the strength of our business model and our team’s disciplined execution,” said Sheri Dodd, Chief Executive Officer of Tactile Medical. “Our core lymphedema business remains healthy and our view of the long-term opportunity for AffloVest to be a leading high frequency chest wall oscillation technology therapy is unchanged despite the impact of a temporary inventory management dynamic related to the launch of our next-generation AffloVest system during the quarter.”

Ms. Dodd continued, “Operationally, we made tangible progress furthering our broader strategy. We advanced integration activities for LymphaTech, which expands our portfolio across the lymphedema care continuum, launched our next-generation AffloVest system, and secured exclusive Department of Veterans Affairs and Department of Defense distribution rights for MyoSleeve. These product and capability investments strengthen and broaden our patient reach and market expansion, enabling diagnostic and therapy options for patients and providers. With a clear growth and leverage strategy and a differentiated portfolio, we believe Tactile Medical is well-positioned for sustainable, profitable growth in the years ahead.”

Second Quarter 2026 Financial Results

Total revenue in the second quarter of 2026 increased $6.8 million, or 9%, to $85.7 million, compared to $78.9 million in the second quarter of 2025. The increase in total revenue was attributable to an increase of $7.7 million, or 12%, in sales and rentals of the lymphedema product line, partially offset by a decrease of $0.9 million, or 7%, in sales of the airway clearance product line, due to temporary inventory management dynamics associated with the launch of the Company’s next-generation AffloVest system among a few large DME providers during the quarter.

Gross profit in the second quarter of 2026 increased $6.6 million, or 11%, to $65.3 million, compared to $58.8 million in the second quarter of 2025. Gross margin was 76% of revenue, compared to 75% of revenue in the second quarter of 2025. Gross margin improvement reflected continued operating execution and product cost discipline.

Operating expenses in the second quarter of 2026 increased $3.8 million, or 7%, to $58.5 million, compared to $54.7 million in the second quarter of 2025. The increase primarily reflected continued investments to support long-term growth initiatives.

Operating income was $6.8 million in the second quarter of 2026, compared to $4.1 million in the second quarter of 2025.

Income tax benefit was $0.4 million in the second quarter of 2026, compared to an income tax expense of $1.3 million in the second quarter of 2025.

Net income in the second quarter of 2026 was $7.8 million, or $0.34 per diluted share, compared to $3.2 million, or $0.14 per diluted share, in the second quarter of 2025.

Weighted average shares used to compute diluted net income per share were 23.1 million and 23.2 million for the second quarters of 2026 and 2025, respectively.

Adjusted EBITDA was $11.4 million in the second quarter of 2026, compared to $7.7 million in the second quarter of 2025, reflecting revenue growth, gross margin expansion and disciplined expense management.

First Six Months 2026 Financial Results

Total revenue for the six months ended June 30, 2026, increased $20.8 million, or 15%, to $161.0 million, compared to $140.2 million for the six months ended June 30, 2025. The increase in total revenue was attributable to an increase of $19.3 million, or 17%, in sales and rentals of the lymphedema product line and an increase of $1.5 million, or 6%, in sales of the airway clearance product line for the six months ended June 30, 2026, compared to the six months ended June 30, 2025.

Net income for the six months ended June 30, 2026, was $6.0 million, or $0.26 per diluted share, compared to $0.2 million, or $0.01 per diluted share, for the six months ended June 30, 2025.

Weighted average shares used to compute diluted net income per share were 23.1 million and 23.7 million for the six months ended June 30, 2026 and 2025, respectively.

Adjusted EBITDA was $15.1 million in the six months ended June 30, 2026, compared to $7.4 million in the six months ended June 30, 2025.

Balance Sheet Summary

As of June 30, 2026, the Company had $69.9 million in cash and no outstanding borrowings under its credit agreement, compared to $83.4 million in cash and no outstanding borrowings under its credit agreement as of December 31, 2025. The Company repurchased $5.3 million of its stock during the second quarter under its repurchase program. As of June 30, 2026, $18.7 million remained available under the Company’s $25.0 million share repurchase program, which expires November 3, 2027.

2026 Financial Outlook

The Company is updating its 2026 financial outlook and now expects full year 2026 total revenue in the range of $360 million to $366 million, representing growth of approximately 9% to 11% year-over-year, compared to total revenue of $329.5 million in 2025. The Company’s prior 2026 guidance expectation was total revenue in the range of $360 million to $368 million, representing growth of approximately 9% to 12% year-over-year.

The Company continues to expect full year 2026 adjusted EBITDA in the range of $49 million to $51 million, compared to adjusted EBITDA of $44.8 million in 2025.

The revised revenue outlook reflects continued confidence in the Company's lymphedema product line, partially offset by a more conservative view of airway clearance product line ordering patterns as certain DME providers work through near-term elevated inventory levels related to the launch of the Company’s next-generation AffloVest system.

Conference Call

Management will host a conference call with a question-and-answer session at 5:00 p.m. Eastern Time on August 10, 2026, 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 13761142. 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 13761142. 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 respiratory conditions 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 2026. 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, 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 litigation-related costs, plus executive transition costs, and plus acquisition and integration 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.

Investor Inquiries:

Sam Bentzinger
Gilmartin Group
investorrelations@tactilemedical.com 

       
Tactile Systems Technology, Inc.
Condensed Consolidated Balance Sheets
(Unaudited)
     June 30,    December 31,
(In thousands, except share and per share data)    2026    2025
Assets     
Current assets      
Cash $69,853 $83,446
Accounts receivable, net  43,140  43,876
Net investment in leases  14,927  15,754
Inventories  16,845  14,025
Income taxes receivable  912  
Prepaid expenses and other current assets  11,925  8,066
Total current assets  157,602  165,167
Non-current assets      
Property and equipment, net  5,849  5,117
Right of use operating lease assets  12,553  13,798
Intangible assets, net  44,747  39,167
Goodwill  39,554  31,063
Deferred income taxes  8,703  9,783
Other non-current assets  10,660  9,847
Total non-current assets  122,066  108,775
   Total assets $279,668 $273,942
Liabilities and Stockholders' Equity      
Current liabilities      
Accounts payable $7,923 $4,968
Accrued payroll and related taxes  15,615  19,378
Accrued expenses  8,423  8,531
Income taxes payable    1,428
Operating lease liabilities  3,095  3,195
Other current liabilities  3,197  3,457
Total current liabilities  38,253  40,957
Non-current liabilities      
Accrued warranty reserve, non-current  1,079  1,045
Income taxes payable, non-current  370  275
Operating lease liabilities, non-current  11,267  12,763
Other non-current liabilities  4,863  
Total non-current liabilities  17,579  14,083
   Total liabilities  55,832  55,040
Stockholders’ equity:      
Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of June 30, 2026 and December 31, 2025    
Common stock, $0.001 par value, 300,000,000 shares authorized; 22,701,241 shares issued and outstanding as of June 30, 2026; 22,438,926 shares issued and outstanding as of December 31, 2025  23  22
Additional paid-in capital  162,851  163,940
Retained earnings  60,962  54,940
Total stockholders’ equity  223,836  218,902
   Total liabilities and stockholders’ equity $279,668 $273,942


             
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)    2026
    2025
    2026
    2025
Revenue            
Sales revenue $76,489  $70,531  $143,455  $123,000 
Rental revenue  9,209   8,374   17,510   17,173 
Total revenue  85,698   78,905   160,965   140,173 
Cost of revenue            
Cost of sales revenue  17,628   17,483   32,887   31,374 
Cost of rental revenue  2,721   2,629   5,115   4,660 
Total cost of revenue  20,349   20,112   38,002   36,034 
Gross profit            
Gross profit - sales revenue  58,861   53,048   110,568   91,626 
Gross profit - rental revenue  6,488   5,745   12,395   12,513 
Gross profit  65,349   58,793   122,963   104,139 
Operating expenses            
Sales and marketing  32,012   30,039   64,744   57,555 
Research and development  2,501   2,018   5,277   3,759 
Reimbursement, general and administrative  23,360   22,034   46,404   42,032 
Intangible asset amortization and earn-out  650   619   1,246   1,252 
Total operating expenses  58,523   54,710   117,671   104,598 
Income (loss) from operations  6,826   4,083   5,292   (459)
Interest income  561   850   1,227   1,745 
Interest expense  (19)  (410)  (47)  (834)
Other income     1      1 
Income before income taxes  7,368   4,524   6,472   453 
Income tax (benefit) expense  (417)  1,307   450   210 
Net income $7,785  $3,217  $6,022  $243 
Net income per common share            
Basic $0.34  $0.14  $0.27  $0.01 
Diluted $0.34  $0.14  $0.26  $0.01 
Weighted-average common shares used to compute net income per common share            
Basic  22,676,673   23,092,469   22,620,546   23,399,848 
Diluted  23,058,902   23,237,671   23,135,040   23,679,220 


       
Tactile Systems Technology, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
   
  Six Months Ended June 30, 
(In thousands)    2026
    2025
Cash flows from operating activities      
Net income $6,022  $243 
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization  3,450   3,385 
Deferred income taxes  42   (22)
Stock-based compensation expense  4,040   4,005 
Loss on disposal of property and equipment and intangibles  73   68 
Changes in assets and liabilities, net of acquisition:      
   Accounts receivable, net  755   11,851 
   Net investment in leases  827   83 
   Inventories  (2,820)  1,555 
   Income taxes payable  (2,245)  (611)
   Prepaid expenses and other assets  (5,174)  (4,735)
   Right of use operating lease assets  (351)  (289)
   Accounts payable  2,886   2,319 
   Accrued payroll and related taxes  (3,763)  (5,245)
   Accrued expenses and other liabilities  (827)  2,567 
      Net cash provided by operating activities  2,915   15,174 
Cash flows from investing activities      
Payments related to acquisition, net of cash acquired  (6,226)   
Purchases of property and equipment  (2,102)  (748)
Intangible assets expenditures  (52)  (56)
Payment for exclusive distribution agreement  (3,000)   
      Net cash used in investing activities  (11,380)  (804)
Cash flows from financing activities      
Payments on note payable     (1,500)
Proceeds from exercise of common stock options  197   10 
Proceeds from the issuance of common stock from the employee stock purchase plan  1,032   843 
Payments for repurchases of common stock  (6,357)  (26,562)
      Net cash used in financing activities  (5,128)  (27,209)
Net decrease in cash  (13,593)  (12,839)
Cash – beginning of period  83,446   94,367 
Cash – end of period $69,853  $81,528 
       
Supplemental cash flow disclosure      
Cash paid for interest $34  $828 
Cash paid for taxes $2,645  $892 
Accrued excise tax on stock repurchases $  $210 
Capital expenditures incurred but not yet paid $147  $58 


The following table summarizes revenue by product line for the three and six months ended June 30, 2026 and 2025:

             
  Three Months Ended Six Months Ended
  June 30, June 30,
(In thousands)    2026
 2025
 2026
 2025
Revenue            
Lymphedema products $73,630  $65,969  $135,851  $116,524 
Airway clearance products  12,068   12,936   25,114   23,649 
Total $85,698  $78,905  $160,965  $140,173 
             
Percentage of total revenue            
Lymphedema products  86%  84%  84%  83%
Airway clearance products  14%  16%  16%  17%
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, 2026 and 2025, 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 Six Months Ended Increase
  June 30, (Decrease) June 30, (Decrease)
(Dollars in thousands)    2026
    2025
    $    %    2026
    2025
 $    %
Net income $7,785  $3,217  $4,568  142 % $6,022  $243  $5,779  N.M.%
Interest (income) expense, net  (542)  (440)  (102) 23 %  (1,180)  (911)  (269) 30 %
Income tax (benefit) expense  (417)  1,307   (1,724) (132)%  450   210   240  114 %
Depreciation and amortization  1,811   1,659   152  9 %  3,450   3,385   65  2 %
Stock-based compensation  2,260   1,939   321  17 %  4,040   4,005   35  1 %
Acquisition & integration costs  156      156   %  973      973   %
Litigation-related costs           %  1,000      1,000   %
Executive transition costs  360      360   %  360   491   (131) (27)%
Adjusted EBITDA $11,413  $7,682  $3,731  49 % $15,115  $7,423  $7,692  104 %

“N.M.” Not Meaningful

The following table contains a reconciliation of net income to Adjusted EBITDA for the year ended December 31, 2025:

    
Tactile Systems Technology, Inc.
Reconciliation of Net Income to Non-GAAP Adjusted EBITDA
(Unaudited)
    
  Year Ended
(Dollars in thousands)    December 31, 2025
Net income $19,086 
Interest (income) expense, net  (2,059)
Income tax expense  12,253 
Depreciation and amortization  6,644 
Stock-based compensation  8,357 
Executive transition costs  491 
Adjusted EBITDA $44,772 


The following table contains a reconciliation of GAAP net income guidance range to the Adjusted EBITDA guidance range for the twelve months ending December 31, 2026:

       
Tactile Systems Technology, Inc.
Reconciliation of FY 2026 GAAP Net Income to Adjusted EBITDA Guidance
(Unaudited)
       
  Year Ended
  December 31, 2026
(Dollars in thousands)    Low    High
Net income $23,230  $24,670 
Interest (income) expense, net  (2,380)  (2,380)
Income tax expense  9,420   9,980 
Depreciation and amortization  7,510   7,510 
Stock-based compensation  8,550   8,550 
Acquisition & integration costs  1,310   1,310 
Executive transition costs  360   360 
Litigation-related costs  1,000   1,000 
Adjusted EBITDA $49,000  $51,000 


Investor Inquiries:

Sam Bentzinger
Gilmartin Group
investorrelations@tactilemedical.com 


FAQ

How did Tactile Systems Technology (TCMD) perform in Q2 2026?

Tactile Systems reported Q2 2026 revenue of $85.7 million, up 9% year-over-year, and net income of $7.8 million. According to the company, growth was led by lymphedema products, with higher gross margin of 76% and adjusted EBITDA increasing to $11.4 million.

What drove revenue growth for Tactile Systems Technology (TCMD) in Q2 2026?

Revenue growth was primarily driven by a 12% increase in lymphedema product sales and rentals, adding $7.7 million. According to Tactile Systems, this was partly offset by a 7% decline in airway clearance revenue, linked to temporary inventory management dynamics during the next-generation AffloVest launch.

What is Tactile Systems Technology’s 2026 revenue and EBITDA guidance for TCMD?

For 2026, Tactile Systems expects total revenue of $360–$366 million, representing 9–11% year-over-year growth. According to the company, adjusted EBITDA guidance remains $49–$51 million, compared with $44.8 million in 2025, reflecting anticipated operating leverage despite a more conservative airway clearance outlook.

How profitable was Tactile Systems Technology (TCMD) in the first half of 2026?

In the first six months of 2026, Tactile Systems generated net income of $6.0 million, or $0.26 per diluted share, versus $0.2 million a year earlier. According to the company, revenue rose 15% to $161.0 million and adjusted EBITDA doubled to $15.1 million.

What is the status of Tactile Systems Technology’s balance sheet and share repurchases as of June 30, 2026?

As of June 30, 2026, Tactile Systems held $69.9 million in cash and had no outstanding borrowings. According to the company, it repurchased $5.3 million of stock in Q2, with $18.7 million remaining under its $25 million share repurchase program expiring November 3, 2027.

What new products and agreements did Tactile Systems Technology (TCMD) announce in Q2 2026?

Tactile Systems launched its next-generation AffloVest airway clearance system and entered an exclusive U.S. distribution agreement for ElastiMed’s MyoSleeve for VA and DoD populations. According to the company, it also reported six-month clinical results for Flexitouch Plus in head and neck cancer-related lymphedema.

How did margins and operating expenses change for Tactile Systems Technology (TCMD) in Q2 2026?

Gross margin improved to 76% from 75% in Q2 2025, reflecting execution and cost discipline. According to Tactile Systems, operating expenses increased to $58.5 million from $54.7 million, primarily due to continued investments supporting long-term growth initiatives and strategic priorities.