Tactile Systems Technology, Inc. Reports Fourth Quarter and Full Year 2017 Financial Results; Introduces 2018 Outlook

Q4 Revenues Increased 23% Year-over-Year; 2017 Revenues Up 29%


MINNEAPOLIS, Feb. 26, 2018 (GLOBE NEWSWIRE) -- Tactile Systems Technology, Inc. (“Tactile Medical”) (Nasdaq:TCMD), a medical technology company focused on developing medical devices for the treatment of chronic diseases at home, today reported financial results for the fourth quarter and full year ended December 31, 2017.  

Full Year 2017 Summary:

  • Full year 2017 revenues increased 29% year-over-year, to $109.3 million, compared to $84.5 million in 2016.
  • Flexitouch revenues increased 37% year-over-year, to $100.3 million, compared to $73.4 million in 2016.
  • Operating income of $3.9 million, compared to operating income of $4.3 million in 2016.
  • Net income of $5.9 million, compared to net income of $2.9 million in 2016.
  • Adjusted EBITDA of $9.9 million compared to $7.0 million in 2016.

Fourth Quarter 2017 Summary:

  • Fourth quarter revenues increased 23% year-over-year, to $34.9 million, compared to $28.5 million in fourth quarter 2016.
  • Flexitouch revenues increased 28% year-over-year, to $32.4 million, compared to $25.4 million in fourth quarter 2016.
  • Operating income of $4.9 million, compared to operating income of $3.3 million in fourth quarter 2016.
  • Net income of $2.2 million, compared to net income of $2.4 million in fourth quarter 2016.
  • Adjusted EBITDA of $6.8 million compared to $4.4 million in fourth quarter 2016.
  • On December 7, 2017 the Company announced the publication of a functional use study in the medical journal “Head & Neck” that assessed the Company’s Flexitouch system for the treatment of lymphedema of the head and neck. Researchers concluded that Flexitouch is safe, easy to use, and well tolerated, while demonstrating edema reduction after a single 32 minute treatment session.

“2017 was a year of exceptional performance, driven by record sales of our Flexitouch system,” said Gerald R. Mattys, Chief Executive Officer of Tactile Medical. “Our Flexitouch sales throughout 2017 – and in the fourth quarter – reflected the Company’s strong execution on our primary growth drivers: field sales team expansion, focused account targeting and increased in-network coverage with payers. Our growth was also fueled by increased market awareness of chronic swelling conditions and how Tactile Medical’s innovative continuity of care, service and support can improve outcomes, reduce costs and significantly improve quality of life for patients.”

Mr. Mattys continued, “We expect continued progress in expanding our sales team and increasing awareness to result in strong growth and improving profitability in 2018. Specifically, our 2018 outlook calls for total revenue growth this year in a range of 20% - 22%. Additionally, we remain committed to leveraging the strong top-line growth into improved profitability again this year. The long-term growth opportunities for Tactile Medical remain very compelling, and our entire organization is focused on our mission to help people suffering from chronic diseases live better and care for themselves at home.”

Fourth Quarter 2017 Financial Results

Revenues for the fourth quarter of 2017 increased $6.4 million, or 23%, to $34.9 million, compared to $28.5 million for the quarter ended December 31, 2016. The increase in revenues was attributable to an increase of $7.0 million, or 28%, in sales of the Flexitouch system, which was partially offset by a decrease of approximately $0.6 million, or 19%, in sales of the Entre and Actitouch systems. The increase in Flexitouch system sales was largely driven by expansion of the Company’s sales force, increased physician and patient awareness of the treatment options for lymphedema, and increased contractual coverage with national and regional insurance payers.

Gross profit for the fourth quarter of 2017 increased $5.1 million, or 24%, to $26.1 million, compared to $21.0 million in the fourth quarter of 2016. Gross margin was 74.7% of sales in the fourth quarter of 2017, compared to 73.6% of sales in the fourth quarter of 2016.

Operating expenses for the fourth quarter of 2017 increased $3.5 million, or 20%, to $21.1 million, compared to $17.7 million in the fourth quarter of 2016. The increase in operating expenses in the fourth quarter was primarily driven by an increase of $2.7 million, or 28% year-over-year, in sales and marketing expenses due to continued investment in field sales team expansion. The year-over-year increase in operating expenses was also impacted by a $0.5 million, or 8% year-over-year, increase in reimbursement, general and administrative expenses and a $0.2 million, or 17% year-over-year, increase in research and development expenses.

Operating income for the fourth quarter of 2017 increased $1.6 million, or 50%, to $4.9 million, compared to $3.3 million in the fourth quarter of 2016.

Pre-tax income for the fourth quarter of 2017 increased $1.7 million, or 52%, to $5.0 million, compared to $3.3 million in the fourth quarter of 2016. Income tax expense for the fourth quarter of 2017 was $2.8 million, compared to income tax expense of $0.9 million in the fourth quarter of 2016. Fourth quarter 2017 income tax expense included approximately $1.2 million of incremental expense associated with revaluation of deferred tax assets and liabilities resulting from the enactment of the Tax Cuts and Jobs Act in December 2017.

Net income for the fourth quarter of 2017 decreased $0.1 million, or 6%, to $2.2 million, or $0.12 per diluted share, compared to $2.4 million, or $0.13 per diluted share, in the fourth quarter of 2016. Weighted average shares used to compute diluted net income per share were 19.1 million and 18.7 million for the fourth quarters of 2017 and 2016, respectively. 

Adjusted EBITDA for the fourth quarter of 2017 increased approximately $2.4 million, or 53%, to $6.8 million, compared to $4.4 million in the fourth quarter of 2016.

Full Year 2017 Financial Results

Revenues for the full year 2017 increased $24.7 million, or 29%, to $109.3 million, compared to $84.5 million for the twelve months ended December 31, 2016. The increase in revenues was driven by an increase of approximately $26.9 million, or 37%, year-over-year in sales of the Flexitouch system, which was partially offset by a decrease of approximately $2.2 million, or 20%, year-over-year in sales of the Entre and Actitouch systems, compared to 2016.

Net income for 2017 increased $3.0 million, to $5.9 million, compared to net income of approximately $2.9 million for 2016. Net income attributable to common stockholders for 2017 was $5.9 million, or $0.31 per diluted share, compared to a net income attributable to common stockholders of $1.6 million, or $0.15 per diluted share, for 2016. Net income attributable to common stockholders for 2016 included the accrual of convertible preferred stock dividends of $1.2 million, which did not occur in 2017. Weighted average shares used to compute diluted net income per share were 18.9 million and 10.8 million for 2017 and 2016, respectively.

Adjusted EBITDA for 2017 increased approximately $2.9 million, or 42%, to $9.9 million, compared to $7.0 million for 2016.

Cash Position

At December 31, 2017, cash, cash equivalents and marketable securities were $43.9 million, compared to $41.7 million at December 31, 2016. The Company had no debt outstanding at December 31, 2017.

2018 Financial Outlook

For 2018, the Company expects revenues in the range of $131 million to $133 million, representing growth of 20% to 22% year-over-year, compared to revenues of $109.3 million in 2017.

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time on February 26 to discuss the results of the quarter and the year with a question and answer session. Those who would like to participate may dial 833-286-5804 (647-689-4449 for international callers) and provide access code 1687067. 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 800-585-8367 (416-621-4642 for international callers); access code 1687067. 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 therapy devices that treat chronic swelling conditions such as lymphedema and chronic venous insufficiency. Our mission is to help people suffering from chronic diseases live better and care for themselves at home. Our unique offering includes advanced, clinically proven pneumatic compression devices, as well as continuity of care services provided by a national network of product specialists and trainers, reimbursement experts, patient advocates and clinicians. This combination of products and services ensures that tens of thousands of patients annually receive the at-home treatment necessary to better manage their chronic conditions. Tactile Medical takes pride in the fact that our solutions help increase clinical efficacy, reduce overall healthcare costs and improve the quality of life for patients with chronic conditions.

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,” “confident,” “outlook” or “project” 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 adequacy of the Company’s liquidity to pursue its complete business objectives; the Company’s ability to obtain reimbursement from third party payers for its products; loss or retirement of key executives; adverse economic conditions or intense competition; loss of a key supplier; entry of new competitors and products; adverse federal, state and local government regulation; 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; price increases for supplies and components; 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.

 
Tactile Systems Technology, Inc.
Consolidated Balance Sheets
(unaudited)
       
  As of
  December 31,
(In thousands, except share and per share data) 2017  2016 
Assets     
Current assets      
Cash and cash equivalents $ 23,968  $ 30,701 
Marketable securities   19,944    10,994 
Accounts receivable, net   17,623    15,003 
Inventories   11,040    6,554 
Income taxes receivable   2,119    — 
Prepaid expenses and other current assets   2,178    981 
Total current assets   76,872    64,233 
Property and equipment, net   3,776    1,563 
Other assets      
Patent costs, net   2,218    2,394 
Medicare accounts receivable, long-term   2,718    2,823 
Deferred income taxes   2,662    2,785 
Other non-current assets   201    137 
Total other assets   7,799    8,139 
Total assets $ 88,447  $ 73,935 
       
Liabilities and Stockholders’ Equity      
Current liabilities      
Accounts payable $ 4,253  $ 3,776 
Accrued payroll and related taxes   6,706    6,692 
Accrued expenses   2,598    1,193 
Future product royalties   17    67 
Income taxes payable   —    823 
Other current liabilities   945    1,242 
Total current liabilities   14,519    13,793 
Long-term liabilities      
Accrued warranty reserve, long-term   1,141    503 
Total liabilities   15,660    14,296 
       
Stockholders’ equity      
Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of December 31, 2017 and December 31, 2016   —    — 
Common stock, $0.001 par value, 300,000,000 shares authorized; 17,872,465 shares issued and 17,846,379 shares outstanding as of December 31, 2017; 16,833,737 shares issued and outstanding as of December 31, 2016   18    17 
Additional paid-in capital   70,224    62,406 
Retained earnings (accumulated deficit)   3,082    (2,773)
Accumulated other comprehensive loss   (44)   (11)
Less: treasury stock, at cost — 26,086 shares as of December 31, 2017   (493)   — 
Total stockholders’ equity   72,787    59,639 
Total liabilities and stockholders’ equity $ 88,447  $ 73,935 
         


 
Tactile Systems Technology, Inc. 
Consolidated Statements of Operations
(unaudited)
             
  Three Months Ended Year Ended
  December 31, December 31,
(In thousands, except share and per share data) 2017 2016 2017  2016
Revenues, net $ 34,886 $ 28,478 $ 109,283  $ 84,542
Cost of goods sold   8,829   7,523   29,015    22,940
Gross profit   26,057   20,955   80,268    61,602
Operating expenses            
Sales and marketing   12,670   9,936   44,396    33,794
Research and development   1,361   1,162   5,060    4,476
Reimbursement, general and administrative   7,099   6,565   26,914    19,060
Total operating expenses   21,130   17,663   76,370    57,330
Income from operations   4,927   3,292   3,898    4,272
Other income   88   18   292    38
Income before income taxes   5,015   3,310   4,190    4,310
Income tax expense (benefit)   2,785   931   (1,665)   1,431
Net income   2,230   2,379   5,855    2,879
Convertible preferred stock dividends   —   —   —    1,247
Net income attributable to common stockholders $ 2,230 $ 2,379 $ 5,855  $ 1,632
Net income per common share attributable to common stockholders            
Basic $ 0.13 $ 0.14 $ 0.34  $ 0.18
Diluted $ 0.12 $ 0.13 $ 0.31  $ 0.15
Weighted-average common shares used to compute net income per common share attributable to common stockholders            
Basic   17,750,144   16,819,933   17,355,175    8,913,042
Diluted   19,073,080   18,651,916   18,877,863    10,758,684
              


 
Tactile Systems Technology, Inc.
Consolidated Statements of Cash Flows
(unaudited)
       
  Year Ended
  December 31,
(In thousands) 2017  2016 
Cash flows from operating activities      
Net income $ 5,855  $ 2,879 
Adjustments to reconcile net income to net cash provided by operating activities      
Depreciation and amortization   1,849    799 
Deferred income taxes   143    (611)
Stock-based compensation expense   4,235    1,889 
Change in allowance for doubtful accounts   301    568 
Changes in assets and liabilities:      
Accounts receivable   (3,692)   (1,090)
Inventories   (4,486)   (773)
Income taxes   (2,942)   (81)
Prepaid expenses and other assets   146    (407)
Medicare accounts receivable – long-term   105    (784)
Accounts payable   462    1,407 
Accrued payroll and related taxes   14    3,337 
Accrued expenses and other liabilities   2,252    824 
Future product royalties   (50)   (924)
Net cash provided by operating activities   4,192    7,033 
Cash flows from investing activities      
Proceeds from sales and maturities of marketable securities   2,000    — 
Purchases of marketable securities   (12,051)   (11,011)
Purchases of property and equipment   (3,746)   (775)
Patent costs   (74)   (58)
Other investments   (145)   — 
Net cash used in investing activities   (14,016)   (11,844)
Cash flows from financing activities      
Taxes paid for net share settlement of restricted stock units   (387)   — 
Proceeds from exercise of common stock options and warrants   834    236 
Proceeds from the issuance of common stock from the employee stock purchase plan   3,137    — 
Shares repurchased to cover taxes from restricted stock award vesting   (493)   — 
Dividends paid on preferred stock   —    (8,207)
Proceeds from IPO   —    41,200 
Fees paid for IPO   —    (4,777)
Net cash provided by financing activities   3,091    28,452 
Net change in cash and cash equivalents   (6,733)   23,641 
Cash and cash equivalents – beginning of period   30,701    7,060 
Cash and cash equivalents – end of period $ 23,968  $ 30,701 
Supplemental cash flow disclosure      
Cash paid for interest $ —  $ — 
Cash paid for taxes $ 923  $ 2,158 
Non-cash investing activities:      
Acquisition of assets included in accounts payable $ 15  $ 174 
         

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 less interest income, net, and income tax expense, plus income tax benefit, depreciation and amortization and stock-based compensation expense. Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance. Management uses the measure principally as a measure of the Company’s operating performance and for planning purposes, including the preparation of the Company’s annual operating budget and financial projections. The Company believes this measure is useful to investors as supplemental information because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company believes Adjusted EBITDA is useful to its management and investors as a measure of comparative operating performance from period to period.

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to, or superior to, net income or loss 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, the measure 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 Adjusted EBITDA, 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 Adjusted EBITDA 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 Adjusted EBITDA on a supplemental basis. The Company’s definition of this measure is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

The following table contains a reconciliation of Adjusted EBITDA to Net Income.

 
Tactile Systems Technology, Inc.
Reconciliation of Net Income to Non-GAAP Adjusted EBITDA
(Unaudited)
             
  Three Months Ended December 31, Twelve Months Ended December 31,
(In thousands) 2017  2016  2017  2016 
Net Income $ 2,230  $ 2,379  $ 5,855  $ 2,879 
Interest income, net   (112)   (22)   (367)   (38)
Income tax expense (benefit)   2,785    931    (1,665)   1,431 
Depreciation and amortization   776    124    1,849    799 
Stock-based compensation expense   1,131    1,030    4,235    1,889 
Adjusted EBITDA $ 6,810  $ 4,442  $ 9,907  $ 6,960 
                 


 
Tactile Systems Technology, Inc.
Supplemental Financial Information
(Unaudited)
 
The following table summarizes revenues by product for the three and twelve months ended December 31, 2017 and 2016:
                         
($ In thousands) Three Months Ended December 31, Increase / Decrease Twelve Months Ended December 31, Increase / Decrease
  2017 2016 $ Change % Change 2017 2016 $ Change % Change
Flexitouch System $ 32,408 $ 25,425 $ 6,983   27.5 % $ 100,344 $ 73,413 $ 26,931   36.7 %
Entre/Actitouch systems   2,478   3,053   (575)  (18.8)%   8,939   11,129   (2,190)  (19.7)%
Total Revenues $ 34,886 $ 28,478 $ 6,408   22.5 % $ 109,283 $ 84,542 $ 24,741   29.3 %
                             


            

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