TACTILE SYSTEMS TECHNOLOGY INC
Business
Tactile Systems Technology Inc is a medical technology company that develops and provides at-home medical devices for the treatment of underserved chronic diseases. It offers advanced pneumatic compression systems (Flexitouch Plus, Entre Plus, Nimbl) for lymphedema and chronic venous insufficiency and the AffloVest wearable high-frequency chest wall oscillation vest for airway clearance. Its operations include direct-to-patient and direct-to-provider lymphedema sales, a DME distribution channel for respiratory products, and supporting functions for reimbursement, clinical evidence and patient training. The company markets and distributes its products nationally across the United States through a combination of direct sales, DME partners and payer networks.
Summary from filing dated 2025-02-18
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Total revenue | 330 | 293 | 274 | 247 | 208 | |
| Total cost of revenue | 79 | 76 | 79 | 71 | 60 | |
| Gross profit | 250 | 217 | 195 | 176 | 148 | |
| Sales and marketing | 121 | 112 | 107 | 106 | 87 | |
| Research and development | 8 | 9 | 8 | 7 | 6 | |
| Reimbursement, general and administrative | 89 | 71 | 62 | 61 | 57 | |
| Intangible asset amortization and earn-out | 2 | 3 | 76,000 | 14 | 739,000 | |
| Total operating expenses | 221 | 195 | 177 | 189 | 150 | |
| Income from operations | 29 | 22 | 18 | −13 | −2 | |
| Interest income | 3 | 3 | 2 | 60,000 | — | |
| Interest expense | −1 | −2 | −4 | −3 | — | |
| Other income | 1,000 | 9,000 | 2,000 | 13,000 | — | |
| Income before income taxes | 31 | 23 | 16 | −15 | −2 | |
| Income tax expense (benefit) | 12 | 7 | −13 | 2 | 10 | |
| Net income | 19 | 17 | 29 | −18 | −12 | |
| Basic (in dollars per share) | 0.83 | 0.71 | 1.24 | −0.89 | −0.6 | |
| Diluted (in dollars per share) | 0.82 | 0.7 | 1.23 | −0.89 | −0.6 | |
| Basic (in shares) | 23 | 24 | 23 | 20 | 20 | |
| Diluted (in shares) | 23 | 24 | 23 | 20 | 20 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash | 83 | 94 | 61 | 22 | 28 | |
| Accounts receivable, net | 44 | 45 | 43 | 55 | 49 | |
| Net investment in leases | 16 | 15 | 14 | 16 | 12 | |
| Inventories | 14 | 19 | 23 | 23 | 19 | |
| Prepaid expenses and other current assets | 8 | 5 | 4 | 4 | 4 | |
| Total current assets | 165 | 178 | 145 | 120 | 114 | |
| Property and equipment, net | 5 | 6 | 6 | 6 | 7 | |
| Right of use operating lease assets | 14 | 17 | 19 | 21 | 24 | |
| Intangible assets, net | 39 | 43 | 47 | 50 | 54 | |
| Goodwill | 31 | 31 | 31 | 31 | 31 | |
| Deferred income taxes | 10 | 18 | 19 | — | — | |
| Other non-current assets | 10 | 6 | 3 | 3 | 2 | |
| Total non-current assets | 109 | 120 | 136 | 135 | 131 | |
| Total assets | 274 | 298 | 281 | 255 | 244 | |
| Accounts payable | 5 | 6 | 7 | 10 | 5 | |
| Note payable | — | 3 | 3 | 3 | 3 | |
| Accrued payroll and related taxes | 19 | 18 | 17 | 17 | 12 | |
| Accrued expenses | 9 | 8 | 6 | 9 | 5 | |
| Income taxes payable | 1 | 270,000 | 1 | 2 | 16,000 | |
| Operating lease liabilities | 3 | 3 | 3 | 3 | 3 | |
| Other current liabilities | 3 | 3 | 4 | 7 | 3 | |
| Total current liabilities | 41 | 41 | 41 | 64 | 34 | |
| Note payable, non-current | — | 23 | 26 | 21 | 27 | |
| Accrued warranty reserve, non-current | 1 | 1 | 2 | 2 | 3 | |
| Income taxes payable, non-current | 275,000 | 239,000 | 446,000 | 298,000 | 348,000 | |
| Operating lease liabilities, non-current | 13 | 16 | 18 | 21 | 23 | |
| Total non-current liabilities | 14 | 41 | 47 | 69 | 82 | |
| Total liabilities | 55 | 81 | 88 | 134 | 116 | |
| Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of December 31, 2025 and December 31, 2024 | — | — | — | — | — | |
| Common stock, $0.001 par value, 300,000,000 shares authorized; 22,438,926 shares issued and outstanding as of December 31, 2025; 23,883,475 shares issued and outstanding as of December 31, 2024 | 22,000 | 24,000 | 24,000 | 20,000 | 20,000 | |
| Additional paid-in capital | 164 | 181 | 175 | 131 | 120 | |
| Retained earnings | 55 | 36 | 19 | −10 | 8 | |
| Total stockholders' equity | 219 | 217 | 194 | 121 | 128 | |
| Total liabilities and stockholders' equity | 274 | 298 | 281 | 255 | 244 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net income | 19 | 17 | 29 | −18 | −12 | |
| Depreciation and amortization | 7 | 7 | 7 | 6 | 4 | |
| Deferred income taxes | 9 | 1 | −19 | −32,000 | — | |
| Stock-based compensation expense | 8 | 8 | 8 | 10 | 10 | |
| Loss on disposal of property and equipment and intangibles | 78,000 | 308,000 | 3,000 | 20,000 | 20,000 | |
| Change in fair value of earn-out liability | — | — | −2 | 12 | −200,000 | |
| Accounts receivable, net | 1 | −2 | 12 | −5 | −6 | |
| Net investment in leases | −1 | −345,000 | 2 | −4 | −2 | |
| Inventories | 5 | 4 | 597,000 | −4 | 972,000 | |
| Income taxes payable | 1 | −1 | −721,000 | 2 | −2 | |
| Prepaid expenses and other assets | −7 | −4 | 72,000 | −950,000 | −1 | |
| Right of use operating lease assets | −142,000 | 187,000 | 71,000 | 168,000 | 614,000 | |
| Accounts receivable, non-current | — | 11 | 12 | −10 | −3 | |
| Accounts payable | −758,000 | −1 | −4 | 5 | 826,000 | |
| Accrued payroll and related taxes | 1 | 1 | −311,000 | 5 | 551,000 | |
| Accrued expenses and other liabilities | 780,000 | 120,000 | −6 | 7 | 2 | |
| Net cash provided by operating activities | 43 | 41 | 36 | 5 | 3 | |
| Purchases of property and equipment | −2 | −2 | −2 | −2 | −2 | |
| Proceeds from sale of property and equipment | — | 12,000 | — | 11,000 | — | |
| Intangible assets expenditures | −155,000 | −117,000 | −157,000 | −140,000 | −252,000 | |
| Net cash used in investing activities | −3 | −2 | −2 | −2 | −82 | |
| Proceeds from issuance of note payable | — | — | 8 | — | 30 | |
| Payments on earn-out | — | — | −11 | −5 | — | |
| Payments on note payable | −26 | −3 | −3 | −6 | — | |
| Payments on revolving line of credit | — | — | −25 | — | — | |
| Payments of deferred debt issuance costs | — | — | −125,000 | −39,000 | −188,000 | |
| Proceeds from exercise of common stock options | 222,000 | 24,000 | 14,000 | 153,000 | 4 | |
| Proceeds from the issuance of common stock from the employee stock purchase plan | 1 | 2 | 2 | 1 | 2 | |
| Payments for repurchases of common stock | −27 | −4 | — | — | — | |
| Proceeds from issuance of common stock at market | — | — | 35 | 1 | 2 | |
| Net cash (used in) provided by financing activities | −51 | −5 | 6 | −10 | 60 | |
| Net (decrease) increase in cash | −11 | 33 | 39 | −6 | −20 | |
| Cash paid for interest | 1 | 2 | 5 | 2 | 130,000 | |
| Cash paid for taxes | 3 | 7 | 7 | 44,000 | 2 | |
| Accrued excise tax on stock repurchases | 191,000 | — | — | — | — | |
| Capital expenditures incurred but not yet paid | 78,000 | 76,000 | 528,000 | 38,000 | 23,000 |