Stock Ratings / Health Care / TCMD / financials

SGHT (39) ANGO (36) SENS (40) DCTH (59) ⌘ Pro Terminal →

Tactile Systems Technology Inc. (TCMD) Revenue-to-Profit Sankey Flow & SEC XBRL Financials

$23.04 -5.22% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $22.78

Tactile Systems Technology Inc. (TCMD) carries a Roarable Rating of C+ (Hold) with 67/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.

📊 Historical Track Record: Scores of 67/100 (C+) historically posted market-perform odds over rolling 90-day windows (+1.6% avg 90D alpha vs SPY) →

ROARABLE C+ • HOLD / WATCH Cap $521.9M

📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card

⚡ INSTANT AI QUANT PREVIEW • $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on TCMD Below — or Connect Your Own ChatGPT / Claude

🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief) Is TCMD stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

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As of 2026-11-03, Tactile Systems Technology Inc. (NASDAQ: TCMD) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 67/100 at a spot price of $23.04 (-5.22% 1D, market cap $521.9M). Pillar breakdown: Fundamental Cash Engine 16/20, Institutional 13F & Options Flow 7/20, Executive Insider Alignment 18/20, FRED Macro Regime Fit 10/20, and SEC Balance-Sheet Forensics 16/20. Across 1016 tracked Health Care issuers, TCMD ranks #110 in composite RQD confidence.

✓ Pre-computed one-to-many AI Quant brief

🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief) How does TCMD compare to SGHT and ANGO in the Health Care sector?

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Within the Health Care sector (Medical/Dental Instruments), TCMD carries a Roarable C+ (67/100 RQD), trailing P/E of 28.9x, gross margin of 75.9%, and ROIC of 17.1%. By comparison, SGHT (Sight Sciences Inc.) holds a D- grade (39/100 RQD, P/E N/A, ROIC -35.0%, cap $513.4M) and ANGO (AngioDynamics Inc.) posts a D- grade (36/100 RQD, P/E N/A, ROIC -23.4%, cap $504.2M). Among the 5-stock peer group, TCMD leads on earnings multiple (28.9x) while TCMD leads on capital efficiency (17.1% ROIC).

✓ Pre-computed one-to-many AI Quant brief

🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for TCMD?

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Per TCMD's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001027838), Tactile Systems Technology Inc. generated $329.5M in revenue (+12.5% YoY), $19.1M in net income, and $40.4M in free cash flow against $273.9M in total assets and $0 in total debt. Key quantitative strengths: Strong cash generator (76% profit margin)—profits are backed by real money, not accounting tricks.. Primary risk factors monitored: Sensitive to high interest rates and tighter Federal Reserve market liquidity.. Institutional options positioning shows a 50% call / 50% put premium split.

✓ Pre-computed one-to-many AI Quant brief

🤖 AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists — not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).

INTERACTIVE SCENARIO DECK:

🛡️ Portfolio Crash X-Ray

EXT / AFTER-HRS: $22.78 (-1.13%)🧬 Cannibal Buyback (-2.36% YoY Shares)⚙️ Cash Engine: 16/20 (B+) • 12.3% FCF Margin

Verify 90D Bucket Audit →

📊 Historical Track Record: Scores of 67/100 (C+) historically posted market-perform odds over rolling 90-day windows (+1.6% avg 90D alpha vs SPY • 56.4% hit rate — wait for RQD ≥ 70 breakout).

Audit Bucket Track Record →

RQD QUANT TACHOMETERHOLD / WATCH • C+

2-of-3 JEV AI Jury Bullish

Cash

SEC

Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw C · Rk B-

Each axis scored 0–20

12M PRICE TARGET CONE+4% Base Target

WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for TCMD)Realized 20D OHLCV Swing Band: ±6.3%

Deterministic 5-Pillar Attribution (67/100 Composite)

🔍 WHY TCMD SCORES 67/100 (C+) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag

▲ #1 Bullish Driver: SEC 10-K Forensic Risk+18/20 pts (27% of score)

Altman Z-Score 8.38 (FORTRESS SAFE (>3.0)) • Piotroski F-Score 8/9

▲ #2 Bullish Driver: Cash Engine Quality+16/20 pts (24% of score)

SEC XBRL FY 2025 (10-K): 12.3% FCF Margin ($40.4M FCF) & 75.9% Gross Margin

▼ #1 Drag / Risk Factor: Whale & Options Positioning7/20 pts (-13 pt drag)

Put hedging (50% put share) caps near-term gamma upside (-13 pts vs max)

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current

Q1 (-3Q)

Grade C$22.31+5.4% Next Q

Q2 (-2Q)

Grade C+$23.52-0.3% Next Q

Q3 (-1Q)

Grade C+$23.46-1.8% Next Q

Current

Grade C+$23.04+1.6% Hist 90D α

Trajectory: C (59) → C+ (67)Full Audit →

⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)GIDEON ASHMERE // FORENSIC SHORT & KILL-SWITCH DOSSIER

⚔️ Adversarial Opposing Case: Why the TCMD Bull Thesis Could Fail

Gideon Ashmere Forensic Desk →

Even with a 67/100 (C+) score, TCMD faces multiple-compression risk if 28.9x trailing P/E re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.

⚠️ Forensic Kill-Switch #1

Sensitive to high interest rates and tighter Federal Reserve market liquidity.

⚠️ Forensic Kill-Switch #2

Dilution & Margin Drag: Cannibal Buyback (-2.36% YoY Shares) — any gross margin slip below 73.4% triggers an automatic RQD downgrade.

⚠️ Forensic Kill-Switch #3

Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($22.74) or 200D SMA ($25.80) invalidates the momentum regime and cuts Target Base ($23.97) toward Bear Floor ($18.70).

🎲 LIVE PREDICTION MARKET ODDS TIED TO $TCMD• $2.4M Crowd Pool • Kalshi / Polymarket Composite

Contract: “TCMD Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”

YES 67%NO 33%Trade / Inspect Odds →

VISUAL REVENUE-TO-PROFIT SANKEY WATERFALL • FY 2025 (10-K)

How TCMD Turns Every Dollar of Sales Into Real Bottom-Line Profit

Free Cash Flow:$40.4M (12.3% FCF Margin)

Multi-Year SEC EDGAR XBRL Revenue, Net Profit & Free Cash Flow Trajectory

■ Revenue■ Net Profit■ Free Cash Flow

FY23

Rev $274.4M

FY24

Rev $293.0M

FY25

Rev $329.5M

Fiscal Year	Revenue	Gross Margin	Op Margin	Net Profit	Free Cash Flow	ROIC %
FY 2025	$329.5M	75.9%	8.9%	$19.1M	$40.4M	17.1%
FY 2024	$293.0M	74%	7.6%	$17.0M	$38.3M	14.3%
FY 2023	$274.4M	75.9%	6.6%	$28.5M	$35.9M	17.1%

ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring TCMD)

✓Walkthrough of TCMD's RQD Radar, SEC cash-conversion gap & downside invalidation levels
✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks

RQD INSIDER CLUB WAITLIST$49/YR PLANNED

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TCMD // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +2.72%▼ DESCENDING CHANNEL

2026-11-03O $24.31H $24.31L $23.04C $23.04VOL 210.7K

RES: $24.29SUP: $18.25SMA50: $22.74SMA200: $25.80

PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

TCMD Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

🦋 TCMD Butterfly Map → + Track TCMD →

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)

22.2%/yr Implied 5Y Growth

vs. +12.5% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on TCMD today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for TCMD. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video

🎬 No recent verified company-specific video clip queued for TCMD today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →

DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (TCMD)

Health Care Rank #110 of 1016 ⚔️ SGHT vs TCMD Full Matrix →

1. Head-to-Head Health Care Peer Comparison (TCMD vs. SGHT, ANGO, SENS, DCTH)

Industry: Medical/Dental Instruments (120 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Tactile Systems Technology Inc. (TCMD) ranks #110 by composite RQD confidence (67/100, grade C+) and #432 by equity capitalization ($521.9M). Within this direct 5-issuer industry benchmark cohort, TCMD leads on earnings valuation at 28.9x trailing P/E, while TCMD leads on capital efficiency and profitability with 17.1% ROIC and 75.9% gross margin. TCMD currently leads its immediate peer cohort in composite quantitative strength at 67/100 (C+).

Ticker / Company	Roarable Grade	RQD Score	Trailing P/E	Gross Margin	ROIC	1D Change	Market Cap	Head-to-Head
TCMD ACTIVE Tactile Systems Technology Inc.	C+	67/100	28.9x	75.9%	17.1%	-5.22%	$521.9M	Benchmark Subject
SGHT Sight Sciences Inc.	D-	39/100	—	86.2%	-35.0%	-2.61%	$513.4M	/sght-vs-tcmd →
ANGO AngioDynamics Inc.	D-	36/100	—	54.6%	-23.4%	-2.91%	$504.2M	/ango-vs-tcmd →
SENS Senseonics Holdings Inc.	D-	40/100	—	44.7%	-35.0%	-2.46%	$502.8M	/sens-vs-tcmd →
DCTH Delcath Systems Inc.	C-	59/100	—	86.2%	0.8%	-4.10%	$487.2M	/dcth-vs-tcmd →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001027838

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Tactile Systems Technology Inc. (TCMD) reported GAAP revenue of $329.5M (+12.5% vs. FY2024 revenue of $293.0M , and +20.1% cumulative change since FY2023) , GAAP net income of $19.1M, operating cash flow of $42.8M, and free cash flow of $40.4M (+5.7% YoY). On the balance sheet, TCMD closed FY2025 with $273.9M in total assets against $0 in total debt (Altman Z-Score: 8.38, Piotroski F-Score: 8/9).

Fiscal Period	Filing Date	Revenue	Net Income	Operating Cash Flow	Free Cash Flow	Total Assets	Total Debt
FY2025 (FY)	2025-12-31	$329.5M	$19.1M	$42.8M	$40.4M	$273.9M	—
FY2024 (FY)	2024-12-31	$293.0M	$17.0M	$40.7M	$38.3M	$297.9M	—
FY2023 (FY)	2023-12-31	$274.4M	$28.5M	$35.9M	$35.9M	—	—

3. TCMD Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is TCMD stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

How does TCMD compare to SGHT and ANGO in the Health Care sector?

What are the biggest fundamental strengths and SEC risk factors for TCMD?

Where is TCMD trading relative to its 50-day, 200-day, and 52-week technical levels?

TCMD last traded at $23.04 (-5.22% on volume of 210,733 shares), positioning the stock +1.32% above its 50-day simple moving average ($22.74) and -10.70% below its 200-day simple moving average ($25.80). Across its 52-week range of $15.32 to $37.77, TCMD sits at the 34.4% percentile with a 14-day RSI of 48.9 (NEUTRAL RANGE) and an implied next-earnings move of ±6.3% ($21.59 to $24.49).

TCMD Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

How profitable is Tactile Systems Technology Inc. (TCMD)?

In FY 2025 (10-K), TCMD converted $329.5M of revenue into a 75.9% gross margin, 8.9% operating margin, and $40.4M in free cash flow (12.3% FCF margin).

Direct Sub-Reports: TCMD RQD Cockpit TCMD 12M Forecast TCMD Earnings & Move TCMD Dividends & DRIP TCMD Insiders & 13F TCMD Whale Options TCMD Profit Sankey TCMD News & Why

ROARABLE RATING BRIEF • RQD 67/100 (C+) ✓ STAGE-C NUMBER FIREWALL VERIFIED

TCMD — Tactile Systems Technology Inc.: What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5

As of: 2026-11-02T15:35:06Z

Roarable Rating Brief: What This Means to a Prospective Investor

Per the Roarable RQD rating, TCMD scores 70 out of 100 (letter grade B-; verdict "Roarable Buy — Sound Institutional Accumulation"). The five pillars are:

Fundamental Cash Engine: 16 / 20. Per the RQD rating, this pillar reflects ROIC of 17.1% and an FCF yield of 7.34%. For a prospective investor, this suggests the business converts capital into returns at a rate the rating considers strong, and that free cash generation is meaningful relative to the current market value.
Whale 13F Flow: 10 / 20. Per the RQD rating, this pillar captures institutional accumulation and options positioning. The score is moderate, indicating institutional interest exists but is not scored as dominant. Investors should not assume institutional support alone drives the thesis.
Insider Conviction: 16 / 20. Per the RQD rating, this pillar reflects SEC Form 4 and Congressional PTR cluster flow. The score indicates a relatively supportive insider signal, though the underlying transaction detail is not provided in the source data.
Macro Regime Fit: 10 / 20. Per the RQD rating, this pillar reflects beta of 1.0 and sector sensitivity. A beta of 1.0 implies market-level sensitivity to broad moves; the moderate score signals limited macro tailwind in the rating's framework.
Forensic Balance Sheet: 18 / 20. Per the RQD rating, this pillar reflects Altman Z-Score 8.38, Piotroski F-Score 8/9, and Debt/Equity 0.5. This is the strongest pillar and suggests low distress risk on the rating's measures.

Taken together, the rating points to a financially sound company with strong cash economics and balance-sheet quality, paired with only moderate macro and institutional-flow support. Valuation tradeoffs are visible in the market data: trailing P/E of 28.9 versus forward P/E of 24.3 implies expected earnings growth in the source's framing, while EV/EBITDA of 14.9 is a premium-style multiple to weigh against the cash-yield metrics. The 52-week range of $14.84 – $37.77 shows the stock has moved widely, so the current price of 24.31 sits in the middle of that span. This brief is analytical and educational, not personalized advice.

Snapshot

Price	Market Cap	P/E (TTM)	Forward P/E	EV/EBITDA	EPS (TTM)	Dividend Yield	Beta	52-Wk Range	ROIC %
24.31	$550.7M	28.9	24.3	14.9	0.84	0%	1.0	$14.84 - $37.77	17.1%

Financial Trend

Period	Revenue	Operating Income	Net Income	EPS	FCF	Cash	Debt
FY 2025	$329.5M	$29.3M	$19.1M	N/A	$40.4M	$83.4M	N/A
FY 2024	$293.0M	$22.2M	$17.0M	N/A	$38.3M	$94.4M	N/A
FY 2023	$274.4M	$18.0M	$28.5M	N/A	$35.9M	N/A	N/A

Per the SEC financials, revenue rose from $274.4M (FY 2023) to $293.0M (FY 2024) to $329.5M (FY 2025). Operating income moved from $18.0M to $22.2M to $29.3M over the same span. The market data reports gross margin of 75.9%, operating margin of 8.9%, and net margin of 5.8%, with ROIC of 17.1%. Per the Roarable RQD rating, the Altman Z-Score is 8.38 and the Piotroski F-Score is 8/9, with Debt/Equity of 0.5. Cash declined from $94.4M to $83.4M across FY 2024–FY 2025 per the SEC financials.

Open Questions

What are the specific transaction details behind the Insider Conviction and Whale 13F Flow pillar scores?
What is the reported EPS and debt figure for each fiscal period, given EPS and Debt are N/A in the financials?
Why did cash decline from $94.4M to $83.4M while FCF was positive?
What does the upcoming earnings report on Monday contain, and how do the conflicting rating moves reconcile?
What product, customer, and competitive detail supports the 75.9% gross margin?

TCMD Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Tactile Systems Technology Inc. (TCMD) • Click "Debate This Headline" to argue it in the Roar Pit below

💬 Jump to TCMD Debate Forum (3) ↓

🟡 MARKET WIRE MarketBeat • 18h ago

Tactile Systems Technology (NASDAQ:TCMD) Stock Gets Price Target Trim from BTIG Research

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🟡 MARKET WIRE MarketBeat • 21h ago

Tactile Systems Technology, Inc. (NASDAQ:TCMD) Stock Now Rated "Moderate Buy" by Wall Street Brokerages

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🔴 RISK WATCH ad-hoc-news.de • 1d ago

BTIG cuts target for Tactile Systems Technology stock to USD 35.00

ad-hoc-news.de report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🔴 RISK WATCH MarketBeat • 1d ago

Tactile Systems Technology (NASDAQ:TCMD) Cut to Buy at Wall Street Zen

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🟡 MARKET WIRE MarketBeat • 1d ago

Tactile Systems Technology (NASDAQ:TCMD) Stock Moved Up to "Strong-Buy" by Wall Street Zen

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🟡 MARKET WIRE MarketBeat • 1d ago

Tactile Systems Technology (TCMD) Expected to Post Earnings on Monday

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🟡 MARKET WIRE MarketBeat • 1d ago

Tactile Systems Technology, Inc. (NASDAQ:TCMD) Stock Rated "Moderate Buy" by Wall Street Analysts

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

Read Full Source ↗

🟡 MARKET WIRE MarketBeat • 1d ago

110,205 Shares of Tactile Systems Technology, Inc. $TCMD Acquired by Inspire Investing LLC

MarketBeat report covering Tactile Systems Technology Inc. (TCMD) market action, institutional positioning, and fundamental catalysts.

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🔥 THE ROAR PIT • LIVE COMMUNITY DEBATE 3 Active Posts & Replies

TCMD Bull vs. Bear Conversation Board — What's Your Call at $23.04?

🐂 67% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON TCMD 🐻 33% BEARISH CONVICTION

RO RoarDesk_Moderator Roarable Research Desk 🐂 BULLISH 🎯 Target: $28.69 (+18.0%)

📌 Pinned Debate

🔥 Official Bull vs. Bear Debate: Is TCMD (B- • RQD 70/100) a Buy at $24.31?

Welcome to the TCMD (Tactile Systems Technology Inc.) Roar Pit. Current RQD Composite is 70/100 (Roarable Buy — Sound Institutional Accumulation) in Medical/Dental Instruments. Bulls point to capital efficiency (17.1% ROIC), while bears focus on macro rate sensitivity and margin execution. Pick your side (🐂 Bull or 🐻 Bear) and drop your price target below.

VA ValDiscipline Forensic Accounting Watch 🐻 BEARISH 🎯 Target: $20.42 (-16.0%)

Spot @ $24.31

Pump the brakes on TCMD — check the valuation vs. margin headwinds

Everyone in here is repeating the bull case on TCMD, but look at what you are paying: 28.9x trailing P/E with 75.9% gross margins. Unless Tactile Systems Technology Inc. expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.

DE DeltaGamma_99 Verified K Arena Trader 🐂 BULLISH 🎯 Target: $30.14 (+24.0%)

Spot @ $24.31

TCMD cash flow & RQD setup is being underpriced by the Street here

Looking at the 5-pillar RQD breakdown on TCMD, the market is fixating on short-term headline noise in Medical/Dental Instruments and ignoring the balance sheet and cash flow trajectory. At $24.31 (52-wk range $14.84 - $37.77), any beat on forward guidance forces shorts and underweight funds to chase.