Tactile Systems Technology Inc (NASDAQ: TCMD)

Sector: Healthcare Industry: Medical Devices CIK: 0001027838
Market Cap 645.01 Mn
P/B 2.95
P/E 33.80
P/S 1.96
ROIC (Qtr) 7.01
Div Yield % 0.00
Rev 1y % (Qtr) 21.04
Total Debt (Qtr) 15.96 Mn
Debt/Equity (Qtr) 0.07
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About

Tactile Systems Technology, Inc., often referred to as Tactile Medical, operates in the medical technology industry, focusing on the development and provision of innovative medical devices for the treatment of underserved chronic diseases. The company's mission is to improve the lives of those suffering from chronic conditions, enabling them to manage their health from the comfort of their homes. Tactile Medical's primary business activities revolve around advancing the standard of care for treating underserved chronic diseases, with a particular...

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Investment thesis

Bull case

  • Strong operating cash flow of 42.81M provides robust 2.68x coverage of total debt 15.96M, indicating excellent debt servicing capability and financial flexibility.
  • Healthy cash reserves of 83.45M provide 26.12x coverage of short-term debt 3.19M, demonstrating strong liquidity position and minimal refinancing risk.
  • Strong tangible asset base of 203.71M provides 12.77x coverage of total debt 15.96M, indicating robust asset backing and low credit risk.
  • Operating cash flow of 42.81M provides exceptional 41.24x coverage of interest expenses 1.04M, showing strong debt service capability.
  • Robust free cash flow of 40.43M exceeds capital expenditure of 2.38M by 16.99x, indicating strong organic growth funding capability.

Bear case

  • Operating cash flow of 42.81M barely covers its investment activities of (2.54M), with a coverage ratio of -16.89, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (2.54M) provide weak support for R&D spending of 8.48M, which is -0.30x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • High receivables of 43.88M relative to inventory of 14.03M (3.13 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • Free cash flow of 40.43M represents just -1.54x of debt issuance (26.25M), suggesting concerning reliance on leverage rather than internal cash generation for growth.
  • R&D investment of 8.48M represents just 0.04x of SG&A expenses of 209.94M, indicating potential underinvestment in innovation relative to administrative overhead.

Products and Services Breakdown of Revenue (2025)

Customer Breakdown of Revenue (2025)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 2.17 2.13
EV to Cash from Ops. EV/CFO 13.92 2.75
EV to Debt EV to Debt 37.33 17.25
EV to EBIT EV/EBIT 18.40 2.89
EV to EBITDA EV/EBITDA 16.59 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 14.74 29.36
EV to Market Cap EV to Market Cap 0.92 25.09
EV to Revenue EV/Rev 1.81 32.80
Price to Book Value [P/B] P/B 2.95 4.73
Price to Earnings [P/E] P/E 33.80 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Div Coverage (Qtr) 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) 31.19 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 0.00 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -11.57 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 6.78 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 23.98 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) 26.60 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) 33.42 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 16.90 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) 5.63 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 15.44 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 1.20 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 2.04 1.80
Current Ratio Curr Ratio (Qtr) 4.03 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 0.07 1.20
Interest Cover Ratio Int Coverage (Qtr) 31.19 196.93
Times Interest Earned Times Interest Earned (Qtr) 31.19 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 11.80 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) 9.83 -2,478.60
EBT Margin % EBT Margin % (Qtr) 9.51 -2,690.42
Gross Margin % Gross Margin % (Qtr) 75.90 30.80
Net Profit Margin % Net Margin % (Qtr) 5.80 -2,821.53