MINNEAPOLIS, Minn., Feb. 28, 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 fourth quarter and full year ended December 31, 2018.
Full Year 2018 Summary:
- Full year 2018 revenue increased 32% year-over-year, to $143.8 million, compared to $109.3 million in 2017.
- Flexitouch revenue increased 31% year-over-year, to $131.9 million, compared to $100.3 million in 2017.
- Operating income decreased 23% year-over-year to $3.0 million, compared to operating income of $3.9 million in 2017. Excluding the non-cash impairment charge and inventory write-off related to our Actitouch assets, 2018 adjusted operating income was $5.5 million.
- Net income increased 13% year-over-year to $6.6 million, compared to $5.9 million in 2017.
- Adjusted EBITDA increased 74% year-over-year to $17.2 million, compared to $9.9 million in 2017.
Fourth Quarter 2018 Summary:
- Fourth quarter revenue increased 33% year-over-year, to $46.4 million, compared to $34.9 million in fourth quarter 2017.
- Flexitouch revenue increased 32% year-over-year, to $42.7 million, compared to $32.4 million in fourth quarter 2017.
- Operating income decreased 57% year-over-year to $2.1 million, compared to operating income of $4.9 million in fourth quarter 2017. Excluding the non-cash impairment charge and inventory write-off related to our Actitouch assets, fourth quarter 2018 adjusted operating income was $4.6 million.
- Net income increased 6% year-over-year to $2.4 million, compared to $2.2 million in fourth quarter 2017.
- Adjusted EBITDA increased 21% year-over-year to $8.2 million, compared to $6.8 million in fourth quarter 2017.
- On October 17, 2018, the Company announced an exclusive license agreement with Sun Scientific, Inc. for the intellectual property of the Aero-WrapTM compression therapy products in the United States and Canada. The wearable Aero-Wrap products provide static (continuous) compression for patients with swelling in their legs. Pursuant to the license agreement, the Company paid Sun Scientific an initiation fee of $4.0 million and will pay royalties based on future sales.
“We delivered strong operating and financial results in 2018 with full year revenue growth of 32%, well ahead of our expectations,” said Gerald R. Mattys, Chief Executive Officer of Tactile Medical. “The top-line growth was driven by the successful launch of our Flexitouch Plus system, continuation of our targeted sales strategy focused on high-volume accounts and strong growth in the Veterans Administration channel. We also made further progress toward expanding our portfolio of clinical evidence and increasing awareness among clinicians, payers and patients of the benefits of our clinically proven, cost-effective, at-home treatments for chronic conditions.”
Mr. Mattys continued, “Looking ahead to 2019, we remain confident in our ability to deliver 20%+ revenue growth and improved profitability, as we continue to expand our share of the $4+ billion U.S. market in lymphedema and chronic venous insufficiency.”
Fourth Quarter 2018 Financial Results
Revenue for the fourth quarter of 2018 increased $11.6 million, or 33%, to $46.4 million, compared to $34.9 million for the quarter ended December 31, 2017. The increase in revenue was primarily attributable to an increase of $10.3 million, or 32%, in sales of the Flexitouch system. The increase in Flexitouch system sales was driven by continued expansion of our salesforce, the successful roll-out of our new Flexitouch Plus system, growth in the Veterans Administration channel, increased physician and patient awareness of the treatment options for lymphedema, and expanded contractual coverage with national and regional insurance payers.
Gross profit for the fourth quarter of 2018 increased $6.0 million, or 23%, to $32.0 million, compared to $26.1 million in the fourth quarter of 2017. Gross margin was 68.9% of sales in the fourth quarter of 2018, compared to 74.7% of sales in the fourth quarter of 2017. The current period gross margin was impacted by a $0.7 million non-cash write-off of our Actitouch inventory, pricing effects of a new commercial payer contract in the period and amortization expense related to the newly licensed assets from Sun Scientific, Inc. Excluding the impact of the non-cash inventory write-off in the period, non-GAAP adjusted gross margin was 70.5% of sales, compared to GAAP gross margin of 74.7% of sales in the fourth quarter of 2017.
Operating expenses for the fourth quarter of 2018 increased $8.8 million, or 41%, to $29.9 million, compared to $21.1 million in the fourth quarter of 2017. The increase in operating expenses was primarily driven by an increase of $5.1 million, or 40% year-over-year, in sales and marketing expenses due to continued investment in field and inside sales team expansion, increased commissions on higher revenue, and marketing initiatives. Fourth quarter 2018 operating expenses included a $1.8 million non-cash impairment charge related to our Actitouch system intangible assets.
Operating income for the fourth quarter of 2018 decreased $2.8 million, or 57%, to $2.1 million, compared to operating income of $4.9 million in the fourth quarter of 2017. Excluding the $2.5 million non-cash inventory write-off and impairment charge, non-GAAP adjusted operating income decreased $0.3 million, or 5%, to $4.7 million in the fourth quarter of 2018, compared to GAAP operating income of $4.9 million in the fourth quarter of 2017.
Income tax benefit for the fourth quarter of 2018 was $0.1 million, compared to income tax expense of $2.8 million in the fourth quarter of 2017. The tax benefit recognized in the fourth quarter of 2018 primarily related to tax-deductible stock-based compensation activity in the period. 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 2018 increased approximately $0.1 million, or 6%, to $2.4 million, or $0.12 per diluted share, compared to net income of $2.2 million, or $0.12 per diluted share, in the fourth quarter of 2017. Weighted average shares used to compute diluted net income per share were 19.5 million and 19.1 million for the fourth quarters of 2018 and 2017, respectively. Adjusted EBITDA increased $1.4 million, or 21%, to $8.2 million for the fourth quarter of 2018, compared to Adjusted EBITDA of $6.8 million in the fourth quarter of 2017.
Full Year 2018 Financial Results:
Revenue for the full year 2018 increased $34.5 million, or 32%, to $143.8 million, compared to $109.3 million for the year ended December 31, 2017. The increase in revenue was primarily driven by an increase of approximately $31.6 million, or 31%, year-over-year in sales of the Flexitouch system.
Net income for 2018 increased $0.8 million, or 13%, to $6.6 million, or $0.34 per diluted share, compared to net income of approximately $5.9 million, or $0.31 per diluted share, for the twelve months ended December 31, 2017. Weighted average shares used to compute diluted net income per share were 19.3 million and 18.9 million for the twelve months ended December 31, 2018 and 2017, respectively. Net income as a percentage of revenue for 2018 decreased 80 basis points to 4.6%, compared to 5.4% for 2017. Adjusted EBITDA for 2018 increased $7.3 million, or 74%, to $17.2 million, compared to Adjusted EBITDA of $9.9 million for the year ended December 31, 2017. Adjusted EBITDA margin for 2018 increased 290 basis points, to 12.0%, compared to 9.1% for 2017.
Cash Position
At December 31, 2018, cash, cash equivalents and marketable securities were $45.9 million, compared to $43.9 million at December 31, 2017. The Company had no outstanding borrowings on its $10.0 million revolving credit facility at December 31, 2018.
2019 Financial Outlook
For 2019, the Company expects revenue in the range of $173.0 million to $175.5 million, representing growth of 20% to 22% year-over-year, compared to revenue of $143.8 million in 2018.
Conference Call
Management will host a conference call at 5:00 p.m. Eastern Time on February 28 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 9881939. 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 9881939. 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” 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; 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.
| Tactile Systems Technology, Inc. | ||||||||
| Consolidated Balance Sheets | ||||||||
| (Unaudited) | ||||||||
| At December 31, | ||||||||
| (In thousands, except share and per share data) | 2018 | 2017 | ||||||
| Assets | ||||||||
| Current assets | ||||||||
| Cash and cash equivalents | $ | 20,099 | $ | 23,968 | ||||
| Marketable securities | 25,786 | 19,944 | ||||||
| Accounts receivable, net | 24,332 | 17,623 | ||||||
| Inventories | 11,189 | 11,040 | ||||||
| Income taxes receivable | 1,793 | 2,119 | ||||||
| Prepaid expenses and other current assets | 1,762 | 2,178 | ||||||
| Total current assets | 84,961 | 76,872 | ||||||
| Property and equipment, net | 4,810 | 3,776 | ||||||
| Other assets | ||||||||
| Intangible assets, net | 5,339 | 2,218 | ||||||
| Medicare accounts receivable, long-term | 1,884 | 2,718 | ||||||
| Deferred income taxes | 8,820 | 2,662 | ||||||
| Other non-current assets | 1,257 | 201 | ||||||
| Total other assets | 17,300 | 7,799 | ||||||
| Total assets | $ | 107,071 | $ | 88,447 | ||||
| Liabilities and Stockholders’ Equity | ||||||||
| Current liabilities | ||||||||
| Accounts payable | $ | 5,110 | $ | 4,253 | ||||
| Accrued payroll and related taxes | 7,421 | 6,706 | ||||||
| Accrued expenses | 2,780 | 2,598 | ||||||
| Future product royalties | 5 | 17 | ||||||
| Income taxes | 51 | 212 | ||||||
| Other current liabilities | 709 | 733 | ||||||
| Total current liabilities | 16,076 | 14,519 | ||||||
| Long-term liabilities | ||||||||
| Accrued warranty reserve, long-term | 1,725 | 1,141 | ||||||
| Total liabilities | 17,801 | 15,660 | ||||||
| Stockholders’ equity | ||||||||
| Preferred stock, $0.001 par value, 50,000,000 shares authorized; none issued and outstanding as of December 31, 2018 and 2017 | — | — | ||||||
| Common stock, $0.001 par value, 300,000,000 shares authorized; 18,631,127 shares issued and outstanding as of December 31, 2018; 17,872,465 shares issued and 17,846,379 shares outstanding as of December 31, 2017 | 19 | 18 | ||||||
| Additional paid-in capital | 79,554 | 70,224 | ||||||
| Retained earnings | 9,705 | 3,082 | ||||||
| Accumulated other comprehensive loss | (8 | ) | (44 | ) | ||||
| Less: treasury stock, at cost — none as of December 31, 2018 and 26,086 shares as of December 31, 2017 | — | (493 | ) | |||||
| Total stockholders’ equity | 89,270 | 72,787 | ||||||
| Total liabilities and stockholders’ equity | $ | 107,071 | $ | 88,447 | ||||
| Tactile Systems Technology, Inc. | ||||||||||||||||
| Consolidated Statements of Operations | ||||||||||||||||
| (Unaudited) | ||||||||||||||||
| Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
| (In thousands, except share and per share data) | 2018 | 2017 | 2018 | 2017 | ||||||||||||
| Revenues, net | $ | 46,448 | $ | 34,886 | $ | 143,751 | $ | 109,283 | ||||||||
| Cost of goods sold | 14,433 | 8,829 | 41,493 | 29,015 | ||||||||||||
| Gross profit | 32,015 | 26,057 | 102,258 | 80,268 | ||||||||||||
| Operating expenses | ||||||||||||||||
| Sales and marketing | 17,730 | 12,670 | 60,371 | 44,396 | ||||||||||||
| Research and development | 1,340 | 1,361 | 5,289 | 5,060 | ||||||||||||
| Reimbursement, general and administrative | 10,809 | 7,099 | 33,608 | 26,914 | ||||||||||||
| Total operating expenses | 29,879 | 21,130 | 99,268 | 76,370 | ||||||||||||
| Income from operations | 2,136 | 4,927 | 2,990 | 3,898 | ||||||||||||
| Other income | 135 | 88 | 486 | 292 | ||||||||||||
| Income before income taxes | 2,271 | 5,015 | 3,476 | 4,190 | ||||||||||||
| Income tax (benefit) expense | (84 | ) | 2,785 | (3,147 | ) | (1,665 | ) | |||||||||
| Net income | $ | 2,355 | $ | 2,230 | $ | 6,623 | $ | 5,855 | ||||||||
| Net income per common share | ||||||||||||||||
| Basic | $ | 0.13 | $ | 0.13 | $ | 0.36 | $ | 0.34 | ||||||||
| Diluted | $ | 0.12 | $ | 0.12 | $ | 0.34 | $ | 0.31 | ||||||||
| Weighted-average common shares used to compute net income per common share | ||||||||||||||||
| Basic | 18,506,964 | 17,750,144 | 18,252,689 | 17,355,175 | ||||||||||||
| Diluted | 19,531,087 | 19,073,080 | 19,347,632 | 18,877,863 | ||||||||||||
| Tactile Systems Technology, Inc. | ||||||||
| Consolidated Statements of Cash Flows | ||||||||
| (Unaudited) | ||||||||
| Year Ended December 31, | ||||||||
| (In thousands) | 2018 | 2017 | ||||||
| Cash flows from operating activities | ||||||||
| Net income | $ | 6,623 | $ | 5,855 | ||||
| Adjustments to reconcile net income to net cash provided by operating activities | ||||||||
| Depreciation and amortization | 3,635 | 1,849 | ||||||
| Deferred income taxes | (6,182 | ) | 143 | |||||
| Stock-based compensation expense | 7,974 | 4,235 | ||||||
| Loss on disposal of equipment | 3 | — | ||||||
| Loss on sales of marketable securities | 1 | — | ||||||
| Impairment losses | 2,534 | — | ||||||
| Changes in assets and liabilities: | ||||||||
| Accounts receivable | (6,709 | ) | (3,391 | ) | ||||
| Inventories | (870 | ) | (4,486 | ) | ||||
| Income taxes | 165 | (2,942 | ) | |||||
| Prepaid expenses and other assets | (1,140 | ) | 146 | |||||
| Medicare accounts receivable – long-term | 834 | 105 | ||||||
| Accounts payable | 690 | 462 | ||||||
| Accrued payroll and related taxes | 715 | 14 | ||||||
| Accrued expenses and other liabilities | 746 | 2,252 | ||||||
| Future product royalties | (12 | ) | (50 | ) | ||||
| Net cash provided by operating activities | 9,007 | 4,192 | ||||||
| Cash flows from investing activities | ||||||||
| Proceeds from sales of securities available-for-sale | 2,000 | 1,000 | ||||||
| Proceeds from maturities of securities available-for-sale | 15,000 | 1,000 | ||||||
| Purchases of securities available-for-sale | (21,680 | ) | (12,051 | ) | ||||
| Purchases of property and equipment | (4,196 | ) | (3,746 | ) | ||||
| Acquisition of intangible assets | (5,350 | ) | (74 | ) | ||||
| Other investments | (500 | ) | (145 | ) | ||||
| Net cash used in investing activities | (14,726 | ) | (14,016 | ) | ||||
| Cash flows from financing activities | ||||||||
| Taxes paid for net share settlement of restricted stock units | (2,379 | ) | (387 | ) | ||||
| Proceeds from exercise of common stock options and warrants | 1,515 | 834 | ||||||
| Proceeds from the issuance of common stock from the employee stock purchase plan | 2,714 | 3,137 | ||||||
| Shares repurchased to cover taxes from restricted stock award vesting | — | (493 | ) | |||||
| Net cash provided by financing activities | 1,850 | 3,091 | ||||||
| Net change in cash and cash equivalents | (3,869 | ) | (6,733 | ) | ||||
| Cash and cash equivalents – beginning of period | 23,968 | 30,701 | ||||||
| Cash and cash equivalents – end of period | $ | 20,099 | $ | 23,968 | ||||
| Supplemental cash flow disclosure | ||||||||
| Cash paid for interest | $ | 9 | $ | — | ||||
| Cash paid for taxes | $ | 2,883 | $ | 923 | ||||
| Capital expenditures incurred but not yet paid | $ | 167 | $ | 15 | ||||
Use of Non-GAAP Financial Measures
This press release includes the non-GAAP financial measures of Adjusted EBITDA, Adjusted EBITDA margin, adjusted gross margin and adjusted operating income, which differ 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, plus stock-based compensation expense and plus impairment charges and inventory write-offs. Adjusted EBITDA margin represents net income as a percentage of revenue (net margin), with the same adjustments as Adjusted EBITDA. Adjusted gross margin represents gross margin plus inventory write-offs. Adjusted operating income represents operating income plus impairment charges and inventory write-offs.
These non-GAAP financial measures 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 and because they are frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company believes these non-GAAP financial measures are 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.
These non-GAAP financial measures should not be considered as an alternative to, or superior to, net income, net margin, gross margin or operating income as measures 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, 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. These non-GAAP financial measures 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 these non-GAAP financial measures, 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 these non-GAAP financial measures 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 these non-GAAP financial measures are not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.
The following table contains a reconciliation of net income to Adjusted EBITDA:
| Tactile Systems Technology, Inc. | |||||||||||||||||||||||||||||||
| Reconciliation of Net Income to Non-GAAP Adjusted EBITDA | |||||||||||||||||||||||||||||||
| (Unaudited) | |||||||||||||||||||||||||||||||
| Three Months Ended | Increase | Year Ended | Increase | ||||||||||||||||||||||||||||
| December 31, | (Decrease) | December 31, | (Decrease) | ||||||||||||||||||||||||||||
| (Dollars in thousands) | 2018 | 2017 | $ | % | 2018 | 2017 | $ | % | |||||||||||||||||||||||
| Net income | $ | 2,355 | $ | 2,230 | $ | 125 | 6 | % | $ | 6,623 | $ | 5,855 | $ | 768 | 13 | % | |||||||||||||||
| Interest income, net | (74 | ) | (112 | ) | 38 | (34 | ) | % | (413 | ) | (367 | ) | (46 | ) | 13 | % | |||||||||||||||
| Income tax (benefit) expense | (84 | ) | 2,785 | (2,869 | ) | (103 | ) | % | (3,147 | ) | (1,665 | ) | (1,482 | ) | 89 | % | |||||||||||||||
| Depreciation and amortization | 1,161 | 776 | 385 | 50 | % | 3,635 | 1,849 | 1,786 | 97 | % | |||||||||||||||||||||
| Stock-based compensation | 2,336 | 1,131 | 1,205 | 107 | % | 7,974 | 4,235 | 3,739 | 88 | % | |||||||||||||||||||||
| Impairment charges and inventory write-offs | 2,534 | — | 2,534 | — | % | 2,534 | — | 2,534 | — | % | |||||||||||||||||||||
| Adjusted EBITDA | $ | 8,228 | $ | 6,810 | $ | 1,418 | 21 | % | $ | 17,206 | $ | 9,907 | $ | 7,299 | 74 | % | |||||||||||||||
The following table contains a reconciliation of net margin to Adjusted EBITDA margin:
| Tactile Systems Technology, Inc. | ||||||||||||
| Reconciliation of Net Margin to Non-GAAP Adjusted EBITDA Margin | ||||||||||||
| (Unaudited) | ||||||||||||
| Year Ended | ||||||||||||
| December 31, | Increase | |||||||||||
| (As a percentage of revenue) | 2018 | 2017 | (Decrease) | |||||||||
| Net margin | 4.6 | % | 5.4 | % | (80 | ) | bps | |||||
| Interest income, net | (0.3 | ) | % | (0.3 | ) | % | — | bps | ||||
| Income tax benefit | (2.2 | ) | % | (1.5 | ) | % | (70 | ) | bps | |||
| Depreciation and amortization | 2.5 | % | 1.7 | % | 80 | bps | ||||||
| Stock-based compensation | 5.6 | % | 3.8 | % | 180 | bps | ||||||
| Impairment charges and inventory write-offs | 1.8 | % | — | % | 180 | bps | ||||||
| Adjusted EBITDA margin | 12.0 | % | 9.1 | % | 290 | bps | ||||||
The following table contains a reconciliation of gross margin to adjusted gross margin:
| Tactile Systems Technology, Inc. | ||||
| Reconciliation of Gross Margin to Non-GAAP Adjusted Gross Margin | ||||
| (Unaudited) | ||||
| Three Months Ended | ||||
| (Dollars in thousands) | December 31, 2018 | |||
| Gross profit, as reported | $ | 32,015 | ||
| Gross margin, as reported | 68.9 | % | ||
| Reconciling item affecting gross margin: | ||||
| Inventory write-offs | 721 | |||
| Non-GAAP adjusted gross profit | $ | 32,736 | ||
| Non-GAAP adjusted gross margin | 70.5 | % | ||
The following table contains a reconciliation of operating income to adjusted operating income:
| Tactile Systems Technology, Inc. | ||||||||
| Reconciliation of Operating Income to Non-GAAP Adjusted Operating Income | ||||||||
| (Unaudited) | ||||||||
| Three Months Ended | Year Ended | |||||||
| (Dollars in thousands) | December 31, 2018 | December 31, 2018 | ||||||
| Operating income, as reported | $ | 2,136 | $ | 2,990 | ||||
| Reconciling item affecting operating income: | ||||||||
| Impairment charges and inventory write-offs | 2,534 | 2,534 | ||||||
| Non-GAAP adjusted operating income | $ | 4,670 | $ | 5,524 | ||||
The following table summarizes revenues by product for the three and twelve months ended December 31, 2018 and 2017:
| Tactile Systems Technology, Inc. | ||||||||||||||||||||||||||||||
| Supplemental Financial Information | ||||||||||||||||||||||||||||||
| (Unaudited) | ||||||||||||||||||||||||||||||
| Three Months Ended | Increase | Year Ended | Increase | |||||||||||||||||||||||||||
| December 31, | (Decrease) | December 31, | (Decrease) | |||||||||||||||||||||||||||
| (Dollars in thousands) | 2018 | 2017 | $ | % | 2018 | 2017 | $ | % | ||||||||||||||||||||||
| Flexitouch System | $ | 42,719 | $ | 32,408 | $ | 10,311 | 31.8 | % | $ | 131,935 | $ | 100,344 | $ | 31,591 | 31.5 | % | ||||||||||||||
| Entre / Actitouch Systems | 3,729 | 2,478 | 1,251 | 50.5 | % | 11,816 | 8,939 | 2,877 | 32.2 | % | ||||||||||||||||||||
| Total Revenue | $ | 46,448 | $ | 34,886 | $ | 11,562 | 33.1 | % | $ | 143,751 | $ | 109,283 | $ | 34,468 | 31.5 | % | ||||||||||||||