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Tactile Systems Technology, Inc. Reports Fourth Quarter and Full Year 2016 Financial Results; Provides 2017 Outlook
Q4 Revenue Increased 35% Year-over-Year; Full Year 2016 Revenue Up 34%

MINNEAPOLIS, Feb. 27, 2017 (GLOBE NEWSWIRE) -- Tactile Systems Technology, Inc. (“Tactile Medical”) (Nasdaq:TCMD), a medical technology company that develops and provides innovative medical devices for the treatment of chronic diseases at home, today reported financial results for the fourth quarter and year ended December 31, 2016.  

Fourth Quarter 2016 Highlights

  • Revenue of $28.5 million increased 35% over revenue of $21.2 million in fourth quarter 2015.
    • Flexitouch® revenue increased 36% year-over-year to $25.4 million, from $18.7 million.
    • Revenue from sales of the Company’s Entré™ and ACTitouch® Systems increased 21% year-over-year, to $3.1 million, from $2.5 million.
  • Operating income of $3.3 million, or 11.6% of revenue, compared to $3.2 million, or 15.3% of revenue, in the fourth quarter of 2015.
  • Net income of $2.4 million, or 8.4% of revenue, compared to net income of $1.3 million, or 5.9% of revenue, in the fourth quarter of 2015.
  • Adjusted EBITDA of $4.4 million, or 15.6% of revenue, compared to $3.5 million, or 16.7% of revenue, in the fourth quarter of 2015.

Full Year 2016 Highlights

  • Revenue of $84.5 million increased 34% over revenue of $62.9 million in 2015.
    • Flexitouch® revenue increased 34% year-over-year to $73.4 million, from $54.7 million.
    • Revenue from sales of the Company’s Entré™ and ACTitouch® Systems increased 37% year-over-year, to $11.1 million, from $8.1 million.
  • Operating income of $4.3 million, or 5.1% of total revenue, compared to $3.5 million, or 5.5% of revenue, in 2015.
  • Net income of $2.9 million, or 3.4% of total revenue, compared to net income of $1.4 million, or 2.2% of revenue, in 2015.
  • Adjusted EBITDA of $7.0 million, or 8.2% of total revenue, compared to $4.6 million, or 7.3% of revenue, in 2015.
  • Field team deployment increased approximately 37%, to over 125 salespeople, from 91 salespeople at the end of 2015.

“We were excited to bring the year to a close with another quarter of strong top-line growth enabling us to achieve a 34% revenue increase in 2016,” said Gerald R. Mattys, Chief Executive Officer. “Our performance during the fourth quarter, which exceeded our expectations, was driven primarily by outstanding execution in sales of our flagship product, Flexitouch, and benefited from a continuation of the strong tailwinds that we experienced throughout 2016 from our field sales team expansion, increased awareness of the clinical and economic benefits of Flexitouch in the marketplace, and expanded patient access to our products as a result of new payer contracts.”

Mr. Mattys continued: “As we move into 2017, the team at Tactile Medical is focused on expanding our domestic sales coverage, increasing clinical awareness of and reimbursement access for our products, and expanding our product portfolio through the continued design, clearance and launch of new products and new clinical indications.”

The following table summarizes revenues by product for the three and twelve months ended December 31, 2016 and 2015:

  Three Months Ended
December 31,
Increase Twelve Months Ended
December 31,
Increase
($,thousands) 2016 2015 $ Change % Change 2016 2015 $ Change % Change
Flexitouch System $ 25,425 $ 18,647 $ 6,778 36.3 % $ 73,413 $ 54,745 $ 18,668 34.1 %
ACTitouch & Entré Systems   3,053   2,513   540 21.5 %   11,129   8,127   3,002 36.9 %
Total Revenue: $ 28,478 $ 21,160 $ 7,318 34.6 % $ 84,542 $ 62,872 $ 21,670 34.5 %
                                 

Fourth Quarter 2016 Financial Results

Revenue for the fourth quarter of 2016 increased $7.3 million, or 35%, to $28.5 million, compared to $21.2 million for the quarter ended December 31, 2015. The increase in revenue was driven by an increase of $6.8 million, or 36% year-over-year, in sales of the Flexitouch System and an increase of $0.5 million, or 21% year-over-year, in sales of the Entré and ACTitouch Systems. The increase in Flexitouch sales was primarily driven by sales team focus and the expansion of the Company’s sales force, increased physician and patient awareness of the lymphedema condition, and increased contractual coverage with national and regional insurance payers.

Gross profit for the fourth quarter of 2016 increased $4.9 million, or 30%, to $21.0 million, compared to $16.1 million for the fourth quarter of 2015. Gross margin was 73.6% of sales in the fourth quarter of 2016 compared to 76.0% of sales for the fourth quarter of 2015. The year-over-year change in the gross margin rate was driven primarily by payer mix and related contract pricing.

Operating expenses for the fourth quarter of 2016 increased $4.8 million, or 37%, to $17.7 million, compared to $12.8 million for the fourth quarter of 2015. The increase in total operating expenses in the fourth quarter was primarily driven by an increase of $2.7 million, or 38%, in sales and marketing expenses due to continued investment in field sales team expansion and increased variable sales expense on higher revenues, and a $2.3 million, or 54%, increase in reimbursement, general and administrative expenses due to increased personnel, stock compensation expense and public company costs.

Operating income for the fourth quarter of 2016 increased approximately $47,000, or 1%, to $3.3 million, compared to $3.2 million for the fourth quarter of 2015. Operating margin decreased to 11.6% of sales in the fourth quarter of 2016, compared to 15.3% of sales for the fourth quarter of 2015, when the Company was privately held.

Net income for the fourth quarter of 2016 increased $1.1 million, or 89%, to $2.4 million, compared to $1.3 million for the fourth quarter of 2015. Net margin was 8.4% of sales for the fourth quarter of 2016, compared to 5.9% of sales for the fourth quarter of 2015. Net income attributable to common stockholders increased to $2.4 million, or $0.13 per diluted share, compared to net income attributable to common stockholders of $0.3 million, or $0.06 per diluted share, last year. Net income attributable to common stockholders in the fourth quarter of 2015 reflected the accrual of convertible preferred dividends of $0.4 million. Weighted average shares used to compute diluted net income per share were 18.7 million and 4.9 million for the fourth quarter of 2016 and 2015, respectively. 

Adjusted EBITDA increased $0.9 million, or 26%, to $4.4 million, compared to $3.5 million for the fourth quarter of 2015. Adjusted EBITDA margin was 15.6% of sales for the fourth quarter of 2016, compared to 16.7% of sales for the fourth quarter of 2015.

Full Year 2016 Financial Results

Revenue for the full year 2016 increased $21.7 million, or 34%, to $84.5 million, compared to revenue of $62.9 million in 2015. The increase in revenue was driven by an increase of approximately $18.7 million, or 34% year-over-year, in sales of the Flexitouch System and an increase of approximately $3.0 million, or 37%, in sales of the Entré and ACTitouch Systems, compared to 2015.

Net income for 2016 increased approximately $1.5 million, or 107%, to $2.9 million, compared to net income of $1.4 million for 2015. Net margin was 3.4% of sales for 2016, compared to 2.2% of sales for 2015. Net income attributable to common stockholders for 2016 was $1.6 million, or $0.15 per diluted share, compared to a net loss of ($0.5) million, or ($0.15) per diluted share for 2015. Net income attributable to common stockholders for 2016 included the accrual of convertible preferred dividends of $1.2 million, compared to $1.8 million for 2015. Weighted average shares used to compute diluted net income (loss) per share were 10.8 million and 2.9 million for 2016 and 2015, respectively. 

Adjusted EBITDA increased $2.4 million, or 51%, to $7.0 million, compared to $4.6 million for 2015. Adjusted EBITDA margin was 8.2% of sales for 2016, compared to 7.3% of sales for 2015.

Cash Position

At December 31, 2016, cash, cash equivalents and marketable securities were $41.7 million, compared to $7.1 million of cash and cash equivalents at December 31, 2015. On August 2, 2016, the Company completed its initial public offering (IPO), raising net proceeds of approximately $35.4 million, after deducting underwriting discounts and offering expenses of approximately $5.8 million. The Company paid $8.2 million in cumulative accrued dividends to its Series A preferred stockholders from its IPO proceeds. Additionally, the Company generated $7.0 million in cash flow from operations in the twelve months ended December 31, 2016. The Company had no debt outstanding at December 31, 2016 or December 31, 2015.

2017 Financial Outlook

For 2017, the Company expects revenue in the range of $101 million to $103 million, representing growth of 20% to 22% year-over-year, compared to revenue of $84.5 million in 2016.

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time on February 27th to discuss the results of the quarter and host a question and answer session. Those who would like to participate may dial 866-393-4306 (734-385-2616 for international callers) and provide access code 61792798. A live webcast of the call will also be available 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 855-859-2056 (404-537-3406 for international callers); access code 61792798. The webcast will be archived on the investor relations section of the Company's website.

About Tactile Systems Technology, Inc.

Tactile Systems Technology, Inc. (“Tactile Medical”) is a leader in developing and marketing at-home therapy devices that treat chronic diseases such as lymphedema and venous ulcers. 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 clinical staff. 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 efforts 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," 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
               
    As of
December 31,
 
(In thousands, except share and per share data)   2016     2015    
Assets              
Current assets              
Cash and cash equivalents   $  30,701     $  7,060    
Marketable securities      10,994        —    
Accounts receivable, net      15,003        14,151    
Inventories      6,554        5,781    
Deferred income taxes      —        1,766    
Prepaid expenses      981        602    
Total current assets      64,233        29,360    
Property and equipment, net      1,563        1,346    
Other assets              
Patent costs, net      2,394        2,489    
Medicare accounts receivable, long-term      2,823        2,039    
Deferred income taxes      2,785        402    
Other non-current assets      137        1,337    
Total other assets      8,139        6,267    
  Total assets   $  73,935     $  36,973    
               
Liabilities and Stockholders’ Equity (Deficit)              
Current liabilities              
Accounts payable   $  5,018     $  3,336    
Accrued payroll and related taxes      6,692        3,355    
Accrued expenses      1,193        916    
Future product royalties      67        991    
Income taxes payable      823        904    
Total current liabilities      13,793        9,502    
Long-term liabilities              
Deferred compensation      —        193    
Accrued warranty reserve, long-term      503        —    
Total liabilities      14,296        9,695    
Convertible preferred stock              
Series B convertible preferred stock; $0.001 par value, no shares authorized, issued or outstanding as of December 31, 2016 and 5,319,066 shares authorized and 2,733,468 shares issued and outstanding as of December 31, 2015      —        12,599    
Series A convertible preferred stock; $0.001 par value, no shares authorized, issued or outstanding as of December 31, 2016 and 3,112,153 shares authorized and 3,108,589 shares issued and 3,061,488 shares outstanding as of December 31, 2015      —        20,328    
Stockholders’ equity (deficit)              
Preferred stock; $0.001 par value, 50,000,000 shares authorized and no shares issued and outstanding as of December 31, 2016      —        —    
Common stock; $0.001 par value, 300,000,000 shares authorized, 16,833,737 shares issued and outstanding as of December 31, 2016, and 14,184,175 shares authorized and 3,222,902 shares issued and outstanding as of December 31, 2015      17        3    
Additional paid-in capital      62,406        —    
Accumulated deficit      (2,773 )      (5,652 )  
Accumulated other comprehensive loss      (11 )      —    
Total stockholders’ equity (deficit)      59,639        (5,649 )  
Total liabilities and stockholders’ equity (deficit)   $  73,935     $  36,973    
                   


Tactile Systems Technology, Inc.
 Consolidated Statements of Operations
                           
    Three Months Ended   Year Ended  
    December 31,   December 31,  
(In thousands, except share and per share data)   2016   2015     2016   2015    
Revenues, net   $  28,478   $  21,160     $  84,542   $  62,872    
Cost of goods sold      7,523      5,069        22,940      16,908    
Gross profit      20,955      16,091        61,602      45,964    
Operating expenses                          
Sales and marketing      9,936      7,188        33,794      24,485    
Research and development      1,162      1,390        4,476      4,312    
Reimbursement, general and administrative      6,565      4,268        19,060      13,716    
Total operating expenses      17,663      12,846        57,330      42,513    
  Income from operations      3,292      3,245        4,272      3,451    
Other income (expense)      18      (212 )      38      (194 )  
Income before income taxes      3,310      3,033        4,310      3,257    
Income tax expense      931      1,774        1,431      1,864    
Net income      2,379      1,259        2,879      1,393    
Convertible preferred stock dividends      —      449        1,247      1,845    
Allocation of undistributed earnings to preferred stockholders      —      521        —      —    
Net income (loss) attributable to common stockholders   $  2,379   $  289     $  1,632   $  (452 )  
Net income (loss) per common share attributable to common stockholders                          
Basic   $  0.14   $  0.09     $  0.18   $  (0.15 )  
Diluted   $  0.13   $  0.06     $  0.15   $  (0.15 )  
Weighted-average common shares used to compute net income (loss) per common share attributable to common stockholders                          
Basic      16,819,933      3,282,597        8,913,042      2,929,438    
Diluted      18,651,916      4,931,474        10,758,684      2,929,438    
                               


Tactile Systems Technology, Inc.
Consolidated Statements of Cash Flows
                     
    Year Ended  
    December 31,  
(In thousands)   2016     2015     2014    
Cash flows from operating activities                    
Net income   $  2,879     $  1,393     $  2,070    
Adjustments to reconcile net income to net cash provided by (used in) operating activities:                    
Depreciation and amortization      799        827        706    
Deferred income taxes      (611 )      852        1,558    
Stock-based compensation expense      1,889        316        148    
Deferred compensation      —        (6 )      —    
Change in allowance for doubtful accounts      568        100        500    
Changes in assets and liabilities                    
Accounts receivable      (1,420 )      (509 )      (4,671 )  
Inventories      (773 )      (2,260 )      (608 )  
Prepaid expenses and other non-current assets      (407 )      (452 )      (142 )  
Medicare accounts receivable – long-term      (784 )      (737 )      (381 )  
Accounts payable      1,737        829        547    
Accrued payroll and related taxes      3,337        1,352        (601 )  
Accrued expenses and income taxes payable      743        1,073        44    
Future product royalties      (924 )      (379 )      (161 )  
Net cash provided by (used in) operating activities      7,033        2,399        (991 )  
Cash flows from investing activities                    
Purchases of marketable securities      (11,011 )      —        —    
Purchases of property and equipment      (775 )      (592 )      (353 )  
Patent costs      (58 )      (23 )      —    
Net cash used in investing activities      (11,844 )      (615 )      (353 )  
Cash flows from financing activities                    
Payments on notes payable      —        (13 )      (9 )  
Proceeds from exercise of common stock options and warrants      236        914        230    
Dividends paid on preferred stock      (8,207 )      —        —    
Fees paid for IPO      (4,777 )      (1,041 )      —    
Proceeds from IPO      41,200        —        —    
Net cash provided by (used in) financing activities      28,452        (140 )      221    
Net change in cash and cash equivalents      23,641        1,644        (1,123 )  
Cash and cash equivalents – beginning of period      7,060        5,416        6,539    
Cash and cash equivalents – end of period   $  30,701     $  7,060     $  5,416    
Supplemental cash flow disclosure                    
Cash paid for interest   $  —     $  1     $  1    
Cash paid for taxes   $  2,158     $  240     $  238    
Non-cash investing activities                    
Acquisition of assets included in accounts payable   $  174     $  —     $  —    
                           

Use of Non-GAAP Financial Measures

This press release includes the non-GAAP financial measures of Adjusted EBITDA and Adjusted EBITDA margin, which differ from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). Adjusted EBITDA represents net income less interest income, net, plus income tax expense, depreciation and amortization and stock-based compensation expense. Adjusted EBITDA and Adjusted EBITDA margin are presented because the Company believes they are useful indicators of its operating performance. Management uses the measures principally as measures 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 these measures are useful to investors as supplemental information because they are frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company believes Adjusted EBITDA and Adjusted EBITDA margin are useful to its management and investors as measures of comparative operating performance from period to period.

Adjusted EBITDA and Adjusted EBITDA margin are non-GAAP financial measures and should not be considered as alternatives to, or superior to, net income or loss or net margin 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 they should not be construed to imply that the Company's future results will be unaffected by unusual or non-recurring items. In addition, the measures are not intended to be measures of free cash flow for management’s discretionary use, as they do 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 and Adjusted EBITDA margin contain 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 and Adjusted EBITDA margin, 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 and Adjusted EBITDA margin 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 and Adjusted EBITDA margin on a supplemental basis. The Company's definition of these measures is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

The following tables contain a reconciliation of Adjusted EBITDA to Net Income and Adjusted EBITDA margin to Net margin.

Tactile Systems Technology, Inc.
Reconciliation of Net Income to Non-GAAP Adjusted EBITDA
(Unaudited)
           
($, thousands)   Three Months Ended December 31,     Twelve Months Ended December 31,
    2016   2015     2016   2015
                                   
Net Income   $   2,379       $    1,259         $   2,879       $   1,393    
Interest (income)/expense, net     (22 )       212           (38 )       194    
Income tax expense     931         1,774           1,431         1,864    
Depreciation and amortization     124         205           799         827    
Stock-based compensation     1,030         84           1,889         316    
Adjusted EBITDA   $ 4,442       $   3,534         $   6,960       $   4,594    
                                   
                                   
(As a percentage of revenue)   Three Months Ended December 31,     Twelve Months Ended December 31,
    2016   2015     2016   2015
                                   
Net Margin     8.4 %       5.9 %         3.4 %       2.2 %  
Interest (income)/expense, net     -0.1 %       1.0 %         0.0 %       0.3 %  
Income tax expense     3.3 %       8.4 %         1.7 %       3.0 %  
Depreciation and amortization     0.4 %       1.0 %         0.9 %       1.3 %  
Stock-based compensation     3.6 %       0.4 %         2.2 %       0.5 %  
Adjusted EBITDA Margin     15.6 %       16.7 %         8.2 %       7.3 %  
                                           

 

Investor Inquiries:

Mike Piccinino, CFA
Managing Director Westwicke Partners
433-213-0500
investorrelations@tactilemedical.com

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