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iRhythm Technologies Announces Third Quarter 2023 Financial Results

SAN FRANCISCO, Nov. 02, 2023 (GLOBE NEWSWIRE) — iRhythm Technologies, Inc. (NASDAQ: IRTC), a leading digital health care company focused on creating trusted solutions that detect, predict, and prevent disease, today reported financial results for the three and nine months ended September 30, 2023.

Third Quarter 2023 Financial Highlights

  • Revenue of $124.6 million, a 20.0% increase compared to third quarter 2022
  • Gross margin of 66.2%, a 210-basis point decline compared to third quarter 2022
  • Cash, cash equivalents and marketable securities of $158.5 million as of September 30, 2023
  • Increased fiscal year 2023 revenue guidance to a range of $487.5 million to $490 million

Recent Operational Highlights

  • Achieved record registration volumes during the quarter and launched next generation Zio monitor with enhanced Zio service that builds upon the strong historical performance of Zio XT
  • Opened iRhythm’s Global Business Services center in the Philippines, positioning the company to maintain patient satisfaction, scale globally, and perform more efficiently
  • mSToPs cost-effectiveness data published in Circulation: Cardiovascular Quality and Outcomes demonstrating that systematic screening for atrial fibrillation (AFib) with the iRhythm Zio XT patch provided high value from a health economic perspective
  • Upcoming data presentations at the American Heart Association (AHA) in Philadelphia from November 11-13, 2023

“Building on momentum from the first half of 2023, our teams achieved record registration volumes in the third quarter,” said Quentin Blackford, iRhythm’s President and CEO. “Revenue growth of 20% year-over-year was driven by strong volume contribution from accounts opened in the previous twelve months as well as sustained market penetration within our existing customer base. While we have been thrilled with the success that Zio XT has enjoyed in the marketplace, we are even more excited about the recent commercial launch of our next generation Zio monitor. With a smaller footprint, more breathable adhesive, and waterproof housing compared to Zio XT, the Zio monitor was designed with the patient in mind and embodies the next generation of ambulatory cardiac monitoring. We are also excited to have formally opened our Global Business Services center in the Philippines which will lead to meaningful operational efficiencies over time as we grow and scale our business.”

“In addition to solid execution in our core commercial business, we are also very excited about the continued recognition from the scientific community of the compelling and differentiated value proposition that Zio offers. We are very pleased recently to have had the mSToPs cost-effectiveness analysis published, demonstrating that screening for atrial fibrillation (AFib) in individuals prescribed Zio XT patch monitors was associated with high economic value. With such incredible accomplishments over the past few months, I am encouraged by the continued execution against our long-range plan to capture our share of the immense opportunity in front of us today while also laying a solid foundation for significant profitable growth in the years to come,” concluded Mr. Blackford.

Third Quarter Financial Results
Revenue for the third quarter of 2023 was $124.6 million, up 20.0% from $103.9 million during the same period in 2022. The increase was driven by growth in volume of Zio services, partially offset by a slight decline in average selling price.

Gross profit for the third quarter of 2023 was $82.5 million, up 16.3% from $70.9 million during the same period in 2022, while gross margin was 66.2%, down from 68.3% during the same period in 2022. The increase in gross profit was primarily due to increased volume of Zio services provided due to higher demand. The decrease in gross margin was primarily due to increased reserves for excess Zio XT printed circuit board assembly (PCBA) components recognized in the third quarter of 2023.

Operating expenses for the third quarter of 2023 were $110.1 million, compared to $92.0 million for the same period in 2022. Adjusted operating expenses for the third quarter of 2023 were $107.1 million, compared to $89.7 million during the same period in 2022. This increase in adjusted operating expenses resulted primarily from increased headcount-related costs to support growth in operations and to further development, enhancement, and functionality of our current and future product offerings as well as an increase in software and hardware costs to support growth in our infrastructure.

Net loss for the third quarter of 2023 was $27.1 million, or a diluted loss of $0.89 per share, compared with net loss of $21.5 million, or a diluted loss of $0.71 per share, for the same period in 2022. Adjusted net loss for the third quarter of 2023 was $24.1 million, or a diluted loss of $0.79 per share, compared with an adjusted net loss of $19.1 million, or a diluted loss of $0.63 per share, for the same period in 2022.

Cash, cash equivalents, and marketable securities were $158.5 million as of September 30, 2023.

2023 Annual Guidance
iRhythm projects revenue for the full year 2023 to grow approximately 19% compared to prior year results, ranging from approximately $487.5 million to $490 million. Gross margin for the full year 2023 is expected to range from 68% to 69% and adjusted operating expenses are expected to range between $425 million and $429 million. Adjusted EBITDA margin for the full year 2023 is expected to range from approximately 0% to 0.5% of revenues.

Webcast and Conference Call Information
iRhythm’s management team will host a conference call today beginning at 1:30 p.m. PT/4:30 p.m. ET. Investors interested in listening to the conference call may do so by accessing the live and archived webcast of the event, which will be available on the investors section of the Company’s website at investors.irhythmtech.com.

About iRhythm Technologies, Inc.
iRhythm is a leading digital health care company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all.

Use of Non-GAAP Financial Measures
We refer to certain financial measures that are not recognized under U.S. generally accepted accounting principles (GAAP) in this press release, including adjusted EBITDA, adjusted net loss, adjusted net loss per share, and adjusted operating expenses. We use these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. See the schedules attached to this press release for additional information and reconciliations of such non-GAAP financial measures to their most directly comparable GAAP measures. We have not reconciled our adjusted operating expenses and adjusted EBITDA estimates for full year 2023 because certain items that impact these figures are uncertain or out of our control and cannot be reasonably predicted. Accordingly, a reconciliation of adjusted operating expenses and adjusted EBITDA estimates is not available without unreasonable effort.

Adjusted EBITDA excludes non-cash operating charges for stock-based compensation, depreciation and amortization as well as non-operating items such as interest income, interest expense, income tax provision, impairment and restructuring charges, and business transformation costs.

We exclude the following items from non-GAAP financial measures for adjusted net loss, adjusted net loss per share and adjusted operating expenses:

  • impairment and restructuring charges, and
  • business transformation costs, which include one-time professional services and severance costs to augment and restructure the organization to use both outsourced and offshore resources.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. These statements include statements regarding financial guidance, market opportunity, ability to penetrate the market, anticipated productivity improvements and expectations for growth. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include risks described in the section entitled “Risk Factors” and elsewhere in our filings made with the Securities and Exchange Commission, including those on the Form 10-Q expected to be filed on or about November 2, 2023. These forward-looking statements speak only as of the date hereof and should not be unduly relied upon. iRhythm disclaims any obligation to update these forward-looking statements.

Investor Relations Contact
Stephanie Zhadkevich
(919) 452-5430
[email protected]

iRhythm Media Contact
Saige Smith
(262) 289-7065
[email protected]

IRHYTHM TECHNOLOGIES, INC.
Condensed Consolidated Balance Sheets
(unaudited)
(in thousands)

  September 30, 2023   December 31, 2022
       
Assets      
Current assets:      
Cash and cash equivalents $ 47,478     $ 78,832  
Marketable securities   110,995       134,312  
Accounts receivable, net   50,067       49,918  
Inventory   13,648       15,155  
Prepaid expenses and other current assets   12,104       10,555  
Total current assets   234,292       288,772  
Property and equipment, net   96,668       75,670  
Operating lease right-of-use assets   60,899       60,666  
Goodwill   862       862  
Other assets   47,048       22,252  
Total assets $ 439,769     $ 448,222  
Liabilities and Stockholders’ Equity      
Current liabilities:      
Accounts payable $ 7,212     $ 7,517  
Accrued liabilities   76,631       65,497  
Deferred revenue   3,383       3,051  
Operating lease liabilities, current portion   15,065       13,031  
Total current liabilities   102,291       89,096  
Debt, noncurrent portion   34,946       34,935  
Other noncurrent liabilities   1,013       1,307  
Operating lease liabilities, noncurrent portion   81,724       83,072  
Total liabilities   219,974       208,410  
Stockholders’ equity:      
Preferred stock          
Common stock   31       28  
Additional paid-in capital   826,686       762,380  
Accumulated other comprehensive loss   (15 )     (396 )
Accumulated deficit   (606,907 )     (522,200 )
Total stockholders’ equity   219,795       239,812  
Total liabilities and stockholders’ equity $ 439,769     $ 448,222  
 

IRHYTHM TECHNOLOGIES, INC.
Condensed Consolidated Statements of Operations
(unaudited)
(in thousands, except per share data)

  Three Months Ended September 30,   Nine Months Ended September 30,
  2023   2022   2023   2022
Revenue, net $ 124,604     $ 103,875     $ 360,170     $ 298,304  
Cost of revenue   42,130       32,954       115,790       95,379  
Gross profit   82,474       70,921       244,380       202,925  
Operating expenses:              
Research and development   16,309       11,448       44,828       33,935  
Selling, general and administrative   93,768       80,559       285,531       235,468  
Impairment and restructuring charges                     26,608  
Total operating expenses   110,077       92,007       330,359       296,011  
Loss from operations   (27,603 )     (21,086 )     (85,979 )     (93,086 )
Interest expense   (927 )     (614 )     (2,709 )     (3,125 )
Interest and other income, net   1,609       365       4,476       450  
Loss before income taxes   (26,921 )     (21,335 )     (84,212 )     (95,761 )
Income tax provision   195       116       495       196  
Net loss $ (27,116 )   $ (21,451 )   $ (84,707 )   $ (95,957 )
Net loss per common share, basic and diluted $ (0.89 )   $ (0.71 )   $ (2.78 )   $ (3.22 )
Weighted-average shares, basic and diluted   30,607       30,055       30,470       29,837  
               

IRHYTHM TECHNOLOGIES, INC.
Reconciliation of GAAP to Non-GAAP Financial Information
(unaudited)
(in thousands, except per share data)

  Three Months Ended September 30,   Nine Months Ended September 30,
  2023   2022   2023   2022
Adjusted EBITDA reconciliation              
Net loss $ (27,116 )   $ (21,451 )   $ (84,707 )   $ (95,957 )
Interest expense   927       614       2,709       3,125  
Interest income   (1,717 )     (599 )     (4,619 )     (927 )
Income tax provision   195       116       495       196  
Depreciation and amortization   4,067       3,436       11,434       9,930  
Stock-based compensation   21,008       12,945       53,358       41,946  
Impairment and restructuring charges                     26,608  
Business transformation costs   2,999       2,315       14,094       2,748  
Adjusted EBITDA $ 363     $ (2,624 )   $ (7,236 )   $ (12,331 )
 

  Three Months Ended September 30,   Nine Months Ended September 30,
  2023   2022   2023   2022
Adjusted net loss reconciliation              
Net loss, as reported $ (27,116 )   $ (21,451 )   $ (84,707 )   $ (95,957 )
Impairment and restructuring charges                     26,608  
Business transformation costs   2,999       2,315       14,094       2,748  
Adjusted net loss $ (24,117 )   $ (19,136 )   $ (70,613 )   $ (66,601 )
               
Adjusted net loss per share reconciliation              
Net loss per share, as reported $ (0.89 )   $ (0.71 )   $ (2.78 )   $ (3.22 )
Impairment and restructuring charges per share                     0.89  
Business transformation costs per share   0.10       0.08       0.46       0.09  
Adjusted net loss per share $ (0.79 )   $ (0.63 )   $ (2.32 )   $ (2.24 )
Weighted-average shares, basic and diluted   30,607       30,055       30,470       29,837  
               
Adjusted operating expense reconciliation              
Operating expense, as reported $ 110,077     $ 92,007     $ 330,359     $ 296,011  
Impairment and restructuring charges                     (26,608 )
Business transformation costs   (2,999 )     (2,315 )     (14,094 )     (2,748 )
Adjusted operating expense $ 107,078     $ 89,692     $ 316,265     $ 266,655  

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