Elaine M. Birkemeyer - 20 Feb 2026 Form 4 Insider Report for TACTILE SYSTEMS TECHNOLOGY INC (TCMD)

Signature
/s/ Jonathan Zimmerman, Attorney-in-Fact
Issuer symbol
TCMD
Transactions as of
20 Feb 2026
Net transactions value
-$156,144
Form type
4
Filing time
24 Feb 2026, 17:33:23 UTC
Previous filing
23 Feb 2026
Next filing
26 Feb 2026

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Birkemeyer Elaine M. CHIEF FINANCIAL OFFICER 3701 WAYZATA BLVD., STE 300, MINNEAPOLIS /s/ Jonathan Zimmerman, Attorney-in-Fact 24 Feb 2026 0001968559

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TCMD Common Stock Award $0 +3,579 +2.9% $0.000000 125,698 20 Feb 2026 Direct F1
transaction TCMD Common Stock Award $0 +6,765 +5.4% $0.000000 132,463 20 Feb 2026 Direct F2
transaction TCMD Common Stock Award $0 +15,575 +12% $0.000000 148,038 20 Feb 2026 Direct F3
transaction TCMD Common Stock Sale $150,521 -5,322 -3.6% $28.28 142,716 23 Feb 2026 Direct F4, F5
transaction TCMD Common Stock Sale $5,623 -196 -0.14% $28.69 142,520 23 Feb 2026 Direct F4, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On February 22, 2023, the reporting person was granted performance stock units ("PSUs"), with one-third of such PSUs to be earned based on the extent to which certain performance conditions were met for a performance period of 2025. As determined on February 20, 2026, based on actual performance for 2025, the reporting person earned 3,579 PSUs. Those earned PSUs vested on February 20, 2026.
F2 On February 21, 2024, the reporting person was granted PSUs, with one-third of such PSUs to be earned based on the extent to which certain performance conditions were met for a performance period of 2025. As determined on February 20, 2026, based on actual performance for 2025, the reporting person earned 6,765 PSUs. Those earned PSUs vested on February 20, 2026.
F3 On February 20, 2025, the reporting person was granted PSUs, with one-third of such PSUs to be earned based on the extent to which certain performance conditions were met for a performance period of 2025. As determined on February 20, 2026, based on actual performance for 2025, the reporting person earned 15,575 PSUs. Those PSUs are scheduled to vest on the date in 2027 that the Compensation and Organization Committee determines the number of PSUs earned with respect to the 2026 performance year.
F4 These shares were sold to cover taxes associated with the settlement of stock units.
F5 Reflects the weighted average price of 5,322 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on February 23, 2026 with sale prices ranging from $27.63 to $28.625 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
F6 Reflects the weighted average price of 196 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on February 23, 2026 with sale prices ranging from $28.64 to $28.72 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.