X0508 4 2026-02-24 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001968559 Birkemeyer Elaine M. 3701 WAYZATA BLVD. STE 300 MINNEAPOLIS MN 55416 false true false false CHIEF FINANCIAL OFFICER 0 Common Stock 2026-02-24 4 S 0 7701 28.9417 D 134819 D These shares were sold to cover taxes associated with the settlement of stock units. Reflects the weighted average price of 7,701 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on February 24, 2026 with sale prices ranging from $28.50 to $29.45 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. /s/ Jonathan Zimmerman, Attorney-in-Fact 2026-02-26