X0508 4 2025-02-20 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001857721 Burns Kristie 3701 WAYZATA BLVD. SUITE 300 MINNEAPOLIS MN 55416 1 Sr. VP Mktg & Clinical Affairs 0 Common Stock 2025-02-20 4 A 0 3359 0 A 68128 D Common Stock 2025-02-20 4 A 0 4131 0 A 72259 D Common Stock 2025-02-20 4 A 0 16579 0 A 88838 D Common Stock 2025-02-24 4 S 0 4830 14.6486 D 84008 D 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 2024. As determined on February 20, 2025, based on actual performance for 2024, the reporting person earned 3,359 PSUs. Those earned PSUs vested on February 20, 2025. Includes 2,195 shares acquired on May 15, 2024 pursuant to the issuer's employee stock purchase plan. 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 2024. As determined on February 20, 2025, based on actual performance for 2024, the reporting person earned 4,131 PSUs. Those PSUs are scheduled to vest on the date in 2026 that the Compensation and Organization Committee determines the number of PSUs earned with respect to the 2025 performance year. Represents restricted stock units ("RSUs") that vest as follows: one-third of the RSUs vest on each of the first three anniversaries of the grant date. Consists of shares sold to cover taxes associated with the settlement of stock units. Reflects the weighted average price of 4,830 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on February 24, 2025 with sale prices ranging from $14.4301 to $14.82 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 2025-02-24