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Tactile Systems Technology, Inc. Reports Second Quarter 2019 Financial Results; Updates 2019 Outlook

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MINNEAPOLIS, Aug. 05, 2019 (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 second quarter ended June 30, 2019.

Second Quarter 2019 Summary:

  • Second quarter total revenue increased 32% year-over-year, to $45.2 million, compared to $34.1 million in second quarter 2018; the adoption of new lease accounting rules contributed five percentage points of the year-over-year increase in total revenue.
  • Flexitouch revenue increased 31% year-over-year, to $41.0 million, compared to $31.4 million in second quarter 2018.
  • Operating income of $3.0 million, compared to $1.3 million in second quarter 2018.
  • Net income of $2.8 million, compared to $2.6 million in second quarter 2018.
  • Adjusted EBITDA of $6.2 million, compared to $4.3 million in second quarter 2018.

Highlights Subsequent to Quarter End:

  • On July 22, 2019, the Company announced the appointment of Jay Stracke to the position of Vice President of Reimbursement and Payer Relations, effective July 15, 2019. Mr. Stracke succeeded Tactile Medical's Senior Vice President of Reimbursement and Payer Relations, Mary (Maggie) Thompson, RN, who retired from her full-time role and transitioned into a part-time role as Vice President, Payer Initiatives.

"The second quarter of 2019 was marked by exceptional company performance as evidenced by our 32% revenue growth year-over-year and improved profitability," said Gerald R. Mattys, Chief Executive Officer of Tactile Medical. "Our sales performance benefited from the continuing adoption of our Flexitouch Plus system in the market and the impact of several important growth drivers, including the continued expansion of our field sales team, our success in focusing on the most productive accounts and strong sales volumes due to a contract with a large commercial payer."

Mr. Mattys continued, "We are raising our 2019 revenue guidance today based on our stronger than anticipated performance in the second quarter and look forward to delivering continued growth and improved profitability as we enter the second half of 2019. We now expect total revenue to increase 26.5% to 28% year-over-year in 2019. We remain focused on executing against our strategy to penetrate the more than $4 billion U.S. lymphedema and chronic venous insufficiency market by helping people with chronic diseases live better and care for themselves at home."

Second Quarter 2019 Financial Results

Revenue for the second quarter of 2019 increased $11.1 million, or 32%, to $45.2 million, compared to $34.1 million for the quarter ended June 30, 2018. The increase in revenue was attributable to an increase of $9.6 million, or 31%, in sales and rentals of the Flexitouch system and an increase of $1.5 million, or 53%, in sales and rentals of our Entre systems in the quarter ended June 30, 2019. The increase in Flexitouch system sales and rentals was largely driven by expansion of our salesforce, increased physician and patient awareness of the treatment options for lymphedema, expanded contractual coverage with national and regional insurance payers and growth in the Medicare channel.

Effective January 1, 2019, the Company adopted ASU No. 2016-02, "Leases" (Topic 842) ("ASC 842") which superseded the then-existing guidance for lease accounting, "Leases" (Topic 840) ("ASC 840"). Our rental revenue is derived from rent-to-purchase arrangements that typically range from three to ten months. Under ASC 840, our rental revenue was recognized as month-to-month cancelable leases, however, under ASC 842, these are recognized as sales-type leases.

In accordance with applicable guidance, we will continue to recognize rental agreements commencing prior to December 31, 2018, on a month-to-month basis as an operating lease until they are completed, which we anticipate to be in the fourth quarter of this fiscal year. Rental agreements initiated subsequent to January 1, 2019, are recorded as sales-type leases in accordance with ASC 842 whereby rental revenue and cost of rental revenue are recognized upon the lease commencement date. Total rental revenue for the first and second quarters of 2019 includes both operating and sales-type lease revenue. The impact of the Company's adoption of ASC 842 contributed five percentage points of the year-over-year increase in total revenue in the second quarter of 2019.

Gross profit for the second quarter of 2019 increased $7.0 million, or 28%, to $31.5 million, compared to $24.5 million in the second quarter of 2018. Gross margin was 69.7% of revenue in the second quarter of 2019, compared to 71.8% of revenue in the second quarter of 2018. The decrease in gross margin was primarily attributable to negative pricing effects of a new contract with a large commercial payer that became effective in July 2018, sales mix by product and by payer, and amortization expense related to the assets licensed from Sun Scientific, Inc. in October 2018.

Operating expenses for the second quarter of 2019 increased $5.2 million, or 23%, to $28.5 million, compared to $23.2 million in the second quarter of 2018. The increase in operating expenses was primarily driven by an increase of $4.0 million, or 27% year-over-year, in sales and marketing expenses due to continued investment in field sales team expansion, patient training, and marketing initiatives to increase clinician awareness.  Reimbursement, general and administrative expenses increased $1.3 million, or 18%, to $8.8 million in the quarter ended June 30, 2019, compared to $7.5 million in the quarter ended June 30, 2018. This increase was primarily attributable to increased personnel-related compensation expense in our reimbursement operations, payer development and corporate functions, as well as increased legal fees.

Operating income for the second quarter of 2019 increased $1.7 million, or 132%, to $3.0 million, compared to $1.3 million in the second quarter of 2018.

Income tax expense for the second quarter of 2019 was $0.4 million, compared to an income tax benefit of $1.1 million in the second quarter of 2018. The change in income tax expense/benefit was primarily driven by decreased tax benefits related to share-based compensation, compared to the prior year period.

Net income for the second quarter of 2019 increased $0.2 million, or 8%, to $2.8 million, or $0.14 per diluted share, compared to $2.6 million, or $0.13 per share, in the second quarter of 2018. Weighted average shares used to compute diluted net income per share were 19.6 million and 19.3 million for the second quarters of 2019 and 2018, respectively.  Adjusted EBITDA increased $1.9 million or 45% to $6.2 million for the second quarter of 2019, compared to $4.3 million in the second quarter of 2018.

First Six Months 2019 Financial Results:

Total revenue for the six months ended June 30, 2019 increased $21.8 million, or 36%, to $82.8 million, compared to $61.0 million for the six months ended June 30, 2018. The increase in revenue was primarily driven by an increase of approximately $19.2 million, or 34%, year-over-year in sales of the Flexitouch system. The impact of the Company's adoption of ASC 842 contributed seven percentage points of the year-over-year increase in total revenue in the six months ended June 30, 2019.

Net income for the six months ended June 30, 2019 increased $1.7 million, or 69%, to $4.3 million, or $0.22 per diluted share, compared to $2.5 million, or $0.13 per diluted share, for the six months ended June 30, 2018. Weighted average shares used to compute diluted net income per share were 19.6 million and 19.2 million for the six months ended June 30, 2019 and 2018, respectively.

Adjusted EBITDA for the six months ended June 30, 2019, increased approximately $3.9 million, or 88%, to $8.3 million, compared to $4.4 million for the six months ended June 30, 2018.

Cash Position

At June 30, 2019, cash, cash equivalents and marketable securities were $45.5 million, compared to $45.9 million at December 31, 2018. The Company had no outstanding borrowings on its $10.0 million revolving credit facility at June 30, 2019.

2019 Financial Outlook

The Company now expects full year 2019 total revenue in the range of $182.0 million to $184.0 million, representing growth of 26.5% to 28% year-over-year, compared to total revenue of $143.8 million in 2018. The Company's prior 2019 revenue guidance expectations called for total revenue in the range of $180.0 million to $182.5 million, representing growth of 25% to 27% year-over-year.

2019 total revenue guidance includes the impact of the Company's adoption of ASC 842 which is estimated to increase revenue by approximately $6.0 million for the full year.

  • The updated guidance for total revenue growth of 26.5% to 28% year-over-year is expected to be driven by the following:
    • Sales revenue for 2019 is expected to be in the range of $157.0 million to $158.5 million, compared to sales revenue of $130.2 million in 2018. This compares to the Company's prior guidance range of $155.0 million to $157.0 million.
    • Rental revenue for 2019 is expected to be in the range of $25.0 million to $25.5 million, compared to rental revenue of $13.6 million in 2018, unchanged from the Company's prior guidance range. The projected year-over-year increase in rental revenue for 2019 is expected to be driven by:
      • the impact of the adoption of ASC 842 – representing approximately half of the expected increase in rental revenue for 2019;
      • the reclassification of garment revenue to rental revenue that was previously reported in sales revenue – representing approximately one quarter of the expected increase in rental revenue for 2019; and
      • operational growth of 20% to 22% over 2018 rental revenue – representing approximately one quarter of the expected increase in rental revenue for 2019.

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time on August 5 to discuss the results of the quarter 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 8428379. 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 8428379. 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. Tactile Medical's Mission is to help people suffering from chronic diseases live better and care for themselves at home. The Company's 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," "guidance," "project," "goals" or "look forward" 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; 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 less interest income, net, less income tax benefit or plus income tax expense, plus depreciation and amortization, and stock-based compensation expense. A reconciliation of Adjusted EBITDA to net income is included in this press release.

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 and 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. In addition, Adjusted EBITDA is used as a performance metric in the Company's compensation program.

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, 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 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 non-GAAP financial measures on a supplemental basis. The Company's definition of Adjusted EBITDA 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)   2019   2018
Assets          
Current assets            
Cash and cash equivalents   $ 25,040   $ 20,099  
Marketable securities     20,424     25,786  
Accounts receivable, net     24,758     24,332  
Net investment in leases     5,869      
Inventories     13,165     11,189  
Income taxes receivable     3,253     1,793  
Prepaid expenses and other current assets     1,570     1,762  
Total current assets     94,079     84,961  
Non-current assets            
Property and equipment, net     4,978     4,810  
Right of use operating lease assets     3,298      
Intangible assets, net     5,157     5,339  
Medicare accounts receivable, non-current     2,609     1,884  
Deferred income taxes     10,357     8,820  
Other non-current assets     1,358     1,257  
Total non-current assets     27,757     22,110  
Total assets   $ 121,836   $ 107,071  
Liabilities and Stockholders' Equity            
Current liabilities            
Accounts payable   $ 6,855   $ 5,110  
Accrued payroll and related taxes     7,006     7,421  
Accrued expenses     2,696     2,785  
Operating lease liabilities     1,291      
Other current liabilities     810     760  
Total current liabilities     18,658     16,076  
Non-current liabilities            
Accrued warranty reserve, non-current     2,044     1,725  
Income taxes, non-current     53      
Operating lease liabilities, non-current     2,073      
Total non-current liabilities     4,170     1,725  
Total liabilities     22,828     17,801  
Stockholders' equity:            
Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of June 30, 2019 and December 31, 2018          
Common stock, $0.001 par value, 300,000,000 shares authorized; 18,956,912 shares issued and outstanding as of June 30, 2019; 18,631,125 shares issued and outstanding as of December 31, 2018     19     19  
Additional paid-in capital     84,987     79,554  
Retained earnings     13,962     9,705  
Accumulated other comprehensive income (loss)     40     (8 )
Total stockholders' equity     99,008     89,270  
Total liabilities and stockholders' equity   $ 121,836   $ 107,071  


                         
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)   2019   2018   2019   2018
Revenue                        
Sales revenue   $ 38,790   $ 30,572     $ 69,621     $ 54,219  
Rental revenue     6,410     3,561       13,196       6,762  
Total revenue     45,200     34,133       82,817       60,981  
Cost of revenue                        
Cost of sales revenue     11,586     8,557       20,998       14,966  
Cost of rental revenue     2,109     1,053       4,056       1,953  
Total cost of revenue     13,695     9,610       25,054       16,919  
Gross profit                        
Gross profit - sales revenue     27,204     22,015       48,623       39,253  
Gross profit - rental revenue     4,301     2,508       9,140       4,809  
Gross profit     31,505     24,523       57,763       44,062  
Operating expenses                        
Sales and marketing     18,418     14,452       35,809       27,009  
Research and development     1,234     1,289       2,515       2,726  
Reimbursement, general and administrative     8,805     7,471       18,193       14,843  
Total operating expenses     28,457     23,212       56,517       44,578  
Income (loss) from operations     3,048     1,311       1,246       (516 )
Other income     159     132       320       223  
Income (loss) before income taxes     3,207     1,443       1,566       (293 )
Income tax expense (benefit)     422     (1,129 )     (2,691 )     (2,815 )
Net income   $ 2,785   $ 2,572     $ 4,257     $ 2,522  
Net income per common share                        
Basic   $ 0.15   $ 0.14     $ 0.23     $ 0.14  
Diluted   $ 0.14   $ 0.13     $ 0.22     $ 0.13  
Weighted-average common shares used to compute net income per common share                        
Basic     18,881,526     18,155,543       18,814,511       18,076,546  
Diluted     19,591,129     19,313,156       19,619,213       19,204,100  


             
Tactile Systems Technology, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
    Six Months Ended
    June 30,
(In thousands)   2019   2018
Cash flows from operating activities            
Net income   $ 4,257     $ 2,522  
Adjustments to reconcile net income to net cash provided by (used in) operating activities:            
Depreciation and amortization     1,833       1,687  
Deferred income taxes     (1,552 )      
Stock-based compensation expense     5,057       3,258  
Loss on disposal of equipment           3  
Changes in assets and liabilities:            
Accounts receivable     (426 )     94  
Net investment in leases     (5,869 )      
Inventories     (1,976 )     (5,397 )
Income taxes     (1,458 )     (3,241 )
Prepaid expenses and other assets     15       231  
Right of use operating lease assets     (12 )      
Medicare accounts receivable, non-current     (725 )     1,070  
Accounts payable     1,637       309  
Accrued payroll and related taxes     (415 )     (1,186 )
Accrued expenses and other liabilities     485       (749 )
Net cash provided by (used in) operating activities     851       (1,399 )
Cash flows from investing activities            
Proceeds from sales of securities available-for-sale           1,000  
Proceeds from maturities of securities available-for-sale     11,500       8,000  
Purchases of securities available-for-sale     (5,929 )     (11,844 )
Purchases of property and equipment     (1,760 )     (1,700 )
Intangible assets costs     (97 )     (901 )
Net cash provided by (used in) investing activities     3,714       (5,445 )
Cash flows from financing activities            
Taxes paid for net share settlement of restricted stock units     (3,018 )     (1,791 )
Proceeds from exercise of common stock options     1,542       571  
Proceeds from the issuance of common stock from the employee stock purchase plan     1,852       1,416  
Net cash provided by financing activities     376       196  
Net increase (decrease) in cash and cash equivalents     4,941       (6,648 )
Cash and cash equivalents – beginning of period     20,099       23,968  
Cash and cash equivalents – end of period   $ 25,040     $ 17,320  
             
Supplemental cash flow disclosure            
Cash paid for taxes   $ 322     $ 436  
Capital expenditures incurred but not yet paid   $ 136     $ 87  


                                                 
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)   2019   2018   $   %     2019   2018   $   %  
Net income   $ 2,785     $ 2,572     $ 213     8 %   $ 4,257     $ 2,522     $ 1,735   69 %
Interest income, net     (78 )     (136 )     58     (43 )%     (176 )     (244 )     68   (28 )%
Income tax expense (benefit)     422       (1,129 )     1,551     (137 )%     (2,691 )     (2,815 )     124   (4 )%
Depreciation and amortization     837       1,224       (387 )   (32 )%     1,833       1,687       146   9 %
Stock-based compensation     2,274       1,777       497     28 %     5,057       3,258       1,799   55 %
Adjusted EBITDA   $ 6,240     $ 4,308     $ 1,932     45 %   $ 8,280     $ 4,408     $ 3,872   88 %


                                             
Tactile Systems Technology, Inc.
Supplemental Financial Information
(Unaudited)
                                             
    Three Months Ended       Six Months Ended    
    June 30,   Increase   June 30,   Increase
(Dollars in thousands)   2019   2018   $   %     2019     2018   $   %
Flexitouch System   $ 40,959   $ 31,356   $ 9,603   31%   $ 75,068   $ 55,886   $ 19,182   34%
Entre / Actitouch Systems     4,241     2,777     1,464   53%     7,749     5,095     2,654   52%
Total Revenue   $ 45,200   $ 34,133   $ 11,067   32%   $ 82,817   $ 60,981   $ 21,836   36%


Investor Inquiries:
Mike Piccinino, CFA
Managing Director
Westwicke Partners
443-213-0500
investorrelations@tactilemedical.com

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