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Tactile Systems Technology(TCMD) - 2024 Q4 - Annual Report

Employee and Talent Management - As of December 31, 2024, the company had 1,037 employees, with 613 based in the United States and 424 in the Minneapolis metropolitan area[167]. - The company has focused on recruitment and retention strategies to ensure high-quality talent, including new learning and development options introduced in 2023[172]. - The company is committed to employee engagement and has implemented strategies such as exit interview analyses and periodic employee engagement surveys[173]. - The company recorded discretionary contributions to its 401(k) retirement plan of 2.2millionin2024,upfrom2.2 million in 2024, up from 1.5 million in both 2023 and 2022[592]. - The Employee Stock Purchase Plan (ESPP) allows employees to purchase shares at a 15% discount, with purchase periods every six months[617]. - As of December 31, 2024, the company had 1,444,905 shares available for future issuance under the Employee Stock Purchase Plan (ESPP)[618]. Financial Performance - Total revenue for 2024 reached 292,984,000,anincreaseof6.3292,984,000, an increase of 6.3% from 274,423,000 in 2023[504]. - Sales revenue increased to 256,012,000in2024,upfrom256,012,000 in 2024, up from 239,493,000 in 2023, reflecting a growth of 6.9%[504]. - Gross profit for 2024 was 216,688,000,comparedto216,688,000, compared to 195,133,000 in 2023, marking an increase of 11.1%[504]. - Net income for 2024 was 16,960,000,adecreaseof40.516,960,000, a decrease of 40.5% from 28,515,000 in 2023[504]. - Operating expenses rose to 194,507,000in2024,upfrom194,507,000 in 2024, up from 177,092,000 in 2023, representing a 9.8% increase[504]. - Cash and cash equivalents increased to 94,367,000in2024,comparedto94,367,000 in 2024, compared to 61,033,000 in 2023, a growth of 54.5%[499]. - Total assets as of December 31, 2024, were 297,924,000,upfrom297,924,000, up from 281,438,000 in 2023, indicating a growth of 5.9%[499]. - Total liabilities decreased to 81,327,000in2024from81,327,000 in 2024 from 87,796,000 in 2023, a reduction of 7.4%[499]. - The company reported a basic net income per share of 0.71for2024,downfrom0.71 for 2024, down from 1.24 in 2023[504]. - Net cash provided by operating activities increased to 40,655,000in2024from40,655,000 in 2024 from 35,855,000 in 2023, representing a growth of 5.5%[510]. Revenue Recognition and Accounts Receivable - Revenue from products sold to Medicare patients is recognized upon shipment, with claims for the Flexitouch Plus system often entering a lengthy appeals process[534]. - The company recognizes revenue from sales to the Veterans Administration upon delivery, with payments typically made within 2-3 days of shipment[535]. - A portion of revenue comes from patients under multiple-month rental arrangements, with transaction prices recognized upon transfer of control[538]. - The AffloVest device revenue is recognized at shipment, with no post-shipment obligations other than warranty[539]. - As of December 31, 2024, accounts receivable from two insurers represented approximately 23% and 12% of total accounts receivable, with revenue from these insurers accounting for 18% and 2% of total revenue for the year[563]. - Approximately 90% of Medicare claims submitted are approved after the appeals process, indicating a strong recovery rate for accounts receivable[524]. - The company experienced a significant change in accounts receivable, with a decrease of 1,764,000in2024comparedtoanincreaseof1,764,000 in 2024 compared to an increase of 11,653,000 in 2023[510]. Research and Development - Research and development expenses increased to 8,832,000in2024,comparedto8,832,000 in 2024, compared to 7,823,000 in 2023, reflecting a growth of 12.9%[504]. - Research and development costs are expensed as incurred, including clinical research studies[545]. Legal and Compliance - The company faced two qui tam complaints alleging false claims related to Medicare programs, with ongoing legal proceedings expected[597]. - The company has implemented a Human Rights Policy and Supplier Code of Conduct to ensure fair labor practices throughout its operations and with its partners[170]. Taxation - The company recognized an income tax expense of 6,529thousandfortheyearendedDecember31,2024,comparedtoanincometaxbenefitof6,529 thousand for the year ended December 31, 2024, compared to an income tax benefit of 12,745 thousand in 2023[628]. - The effective tax rate for 2024 was 27.8%, a significant change from a benefit of 80.8% in 2023, primarily due to the absence of a release of a valuation allowance on deferred tax assets[628]. - The total provision for income taxes included current income taxes of 5,669thousandfor2024,comparedto5,669 thousand for 2024, compared to 6,485 thousand in 2023[623]. Assets and Liabilities - Property and equipment net value decreased from 6,195,000in2023to6,195,000 in 2023 to 5,603,000 in 2024, reflecting a depreciation expense of 3.0million[565].Totalintangibleassetsincreasedslightlyfrom3.0 million[565]. - Total intangible assets increased slightly from 56,259,000 in 2023 to 56,121,000in2024,withnetdefinitelivedintangibleassetsat56,121,000 in 2024, with net definite-lived intangible assets at 33,066,000[567]. - Warranty reserves decreased from 4,038,000in2023to4,038,000 in 2023 to 2,993,000 in 2024, with warranty provision for 2024 at 2,677,000[570].AsofDecember31,2024,outstandingborrowingsundertheCreditAgreementtotaled2,677,000[570]. - As of December 31, 2024, outstanding borrowings under the Credit Agreement totaled 26,300,000, entirely from the term loan[580]. - The company made a payment of 16,800,000tofullyrepaytheoutstandingbalanceontherevolvingcreditfacilityonDecember21,2023[579].ThecompanyhasamaximumconsolidatedtotalleverageratioandaminimumfixedchargecoverageratiocovenantundertheCreditAgreement,andwasincomplianceasofDecember31,2024[580].StockBasedCompensationTotalstockbasedcompensationexpensefortheyearendedDecember31,2024,was16,800,000 to fully repay the outstanding balance on the revolving credit facility on December 21, 2023[579]. - The company has a maximum consolidated total leverage ratio and a minimum fixed charge coverage ratio covenant under the Credit Agreement, and was in compliance as of December 31, 2024[580]. Stock-Based Compensation - Total stock-based compensation expense for the year ended December 31, 2024, was 7.8 million, a slight increase from 7.5millionin2023andadecreasefrom7.5 million in 2023 and a decrease from 9.6 million in 2022[603]. - Stock-based compensation expense for stock options was 0.2millionin2024,downfrom0.2 million in 2024, down from 0.9 million in 2023 and 2.5millionin2022[604].Timebasedrestrictedstockunits(RSUs)expensewas2.5 million in 2022[604]. - Time-based restricted stock units (RSUs) expense was 5.9 million in 2024, compared to 5.1millionin2023and5.1 million in 2023 and 5.8 million in 2022[612]. - The balance of outstanding time-based RSUs increased to 728,426 units by December 31, 2024, from 589,142 units in 2023[613]. - Performance-based restricted stock units (PSUs) expense was 1.2millionin2024,upfrom1.2 million in 2024, up from 0.9 million in 2023 and 0.5millionin2022[615].ThebalanceofoutstandingPSUsincreasedto272,919unitsbyDecember31,2024,from198,232unitsin2023[616].Thetotalgrantdatefairvalueofoptionsvestedduringtheyearwas0.5 million in 2022[615]. - The balance of outstanding PSUs increased to 272,919 units by December 31, 2024, from 198,232 units in 2023[616]. - The total grant date fair value of options vested during the year was 0.6 million in 2024, compared to 1.9millionin2023and1.9 million in 2023 and 3.3 million in 2022[604]. - The aggregate intrinsic value of options outstanding as of December 31, 2024, was 309thousand,reflectingadecreasefrom309 thousand, reflecting a decrease from 223 thousand in 2023[608]. Inventory and Capital Expenditures - Total inventories decreased from 22.5millionasofDecember31,2023,to22.5 million as of December 31, 2023, to 18.7 million as of December 31, 2024[564]. - The company reported capital expenditures of 2,392,000in2024,slightlyhigherthan2,392,000 in 2024, slightly higher than 2,324,000 in 2023[510]. Interest Rate and Financial Risk - The company is exposed to interest rate risk, with an immediate 100 basis point change in interest rates expected to have no material effect on the fair market value of its short-term investments[481]. - The company’s interest income is sensitive to changes in interest rates, particularly as its investments are generally short-term in nature[481]. - The company has not experienced any losses on its cash to date, which is maintained with one financial institution in the United States[483]. - Inflationary factors may adversely affect the company's operating results, particularly if product prices do not increase in line with rising costs[482].