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iRhythm Technologies Announces Second Quarter 2024 Financial Results

SAN FRANCISCO, Aug. 01, 2024 (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 months ended June 30, 2024.

Second Quarter 2024 Financial Highlights

  • Revenue of $148.0 million, a 19.3% increase compared to second quarter 2023
  • Gross margin of 69.9%, a 40-basis point increase compared to second quarter 2023
  • Unrestricted cash, cash equivalents and marketable securities of $561.5 million as of June 30, 2024
  • Increased fiscal year 2024 guidance for revenue, gross margin, and adjusted EBITDA

Recent Operational Highlights

  • Record quarterly demand driven by strong growth in existing accounts as well as accelerated expansion into primary care channels
  • Nearing operational readiness for four European country Zio launches with first patient patching anticipated before year-end and anticipate Japanese regulatory decision in late 2024
  • Achieved significant operational milestone in May 2024 with launch of initial phase of manufacturing automation to set the stage for future growth, innovation, and operational efficiency in 2H24 and beyond
  • Continued to make progress on remediation of the FDA warning letter and have submitted the first of our responses to the FDA's requests for additional information on two 510(k)s related to Zio AT
  • Upcoming data presentation at the HRX 2024 Conference in Atlanta, Georgia, from September 5-7, 2024

"The second quarter of 2024 was another quarter of continued traction in our core markets reflective of record demand for Zio products and services," said Quentin Blackford, president and chief executive officer of iRhythm. "Second quarter revenue growth of 19.3% year-over-year was driven by continued uptake from new accounts opened in the prior twelve months but also expansion of the ambulatory cardiac monitoring market by pushing deeper into primary care channels. Zio’s value proposition to address the quintuple aim of healthcare is clearly resonating with providers in integrated delivery networks as well as large, national primary care accounts. This strength in our core market has given us confidence to raise our revenue guidance and profitability targets for the full year."

"Additionally, we are thrilled with the progress we are making to expand and scale the Zio platform for global markets. We are excited about our upcoming commercial launches in four European countries and we continue to anticipate a Japanese regulatory decision on our submitted dossier in late 2024, both of which are demonstrative of iRhythm’s commitment to introducing a better way to monitor for arrhythmias to millions more patients globally. With strong momentum in our core business and multiple catalysts on the horizon, we could not be more excited about our position moving into the back half of 2024."

Second Quarter Financial Results
Revenue for the second quarter of 2024 was $148.0 million, up 19.3% from $124.1 million during the same period in 2023. The increase was driven by growth in demand for Zio services as well as a slight increase in average selling price.

Gross profit for the second quarter of 2024 was $103.5 million, up 20.0% from $86.2 million during the same period in 2023, while gross margin was 69.9%, up from 69.5% during the same period in 2023. The increase in gross profit was primarily due to increased volume of Zio services provided due to higher demand. The increase in gross margin was primarily due to the increase in selling price and manufacturing efficiencies, offset by accelerated recognition of the cost of our legacy Zio XT components associated with our ongoing Zio monitor commercial launch as well as costs related to scaling and training newly onboarded clinical cardiac technicians at our San Francisco IDTF center of excellence.

Operating expenses for the second quarter of 2024 were $126.5 million, compared to $105.1 million for the same period in 2023. Adjusted operating expenses for the second quarter of 2024 were $125.2 million, compared to $99.7 million during the same period in 2023. This increase in adjusted operating expenses resulted primarily from increased headcount-related and third-party costs to support growth in operations and the further development, enhancement, and functionality of our current and future product offerings.

Net loss for the second quarter of 2024 was $20.1 million, or a diluted loss of $0.65 per share, compared with net loss of $18.5 million, or a diluted loss of $0.61 per share, for the same period in 2023. Adjusted net loss for the second quarter of 2024 was $18.8 million, or a diluted loss of $0.61 per share, compared with an adjusted net loss of $13.1 million, or a diluted loss of $0.43 per share, for the same period in 2023.

Unrestricted cash, cash equivalents, and marketable securities were $561.5 million as of June 30, 2024.

2024 Annual Guidance
iRhythm projects revenue for the full year 2024 to grow approximately 18% to 20% compared to prior year results, ranging from approximately $580 million to $590 million. Gross margin for the full year 2024 is expected to range from 68.5% to 69% and adjusted EBITDA margin for the full year 2024 is expected to range from approximately 3.5% to 4% 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. Interested parties may access a live and archived webcast of the presentation on the “Events & Presentations” section of the company’s investor 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. We have not reconciled our adjusted operating expenses and adjusted EBITDA estimates for full year 2024 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 expense, impairment and restructuring charges, business transformation costs, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of 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 August 1, 2024. 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
investors@irhythmtech.com

Media Contact
Kassandra Perry
irhythm@highwirepr.com

IRHYTHM TECHNOLOGIES, INC.
Condensed Consolidated Balance Sheets
(unaudited)
(In thousands, except par value)

 June 30, 2024 December 31, 2023
    
Assets   
Current assets:   
Cash and cash equivalents$550,552  $36,173 
Marketable securities 10,905   97,591 
Accounts receivable, net 85,513   61,484 
Inventory 15,425   13,973 
Prepaid expenses and other current assets 15,113   21,591 
Total current assets 677,508   230,812 
Property and equipment, net 117,572   104,114 
Operating lease right-of-use assets 46,833   49,317 
Restricted cash, long-term 8,358    
Goodwill 862   862 
Other assets 68,052   48,039 
Total assets$919,185  $433,144 
Liabilities and Stockholders’ Equity   
Current liabilities:   
Accounts payable$13,425  $5,543 
Accrued liabilities 65,940   83,362 
Deferred revenue 3,146   3,306 
Operating lease liabilities, current portion 15,384   15,159 
Total current liabilities 97,895   107,370 
Long-term senior convertible notes 644,977    
Debt, noncurrent portion    34,950 
Other noncurrent liabilities 940   1,012 
Operating lease liabilities, noncurrent portion 76,184   79,715 
Total liabilities 819,996   223,047 
Stockholders’ equity:   
Preferred stock, $0.001 par value – 5,000 shares authorized; none issued and outstanding at June 30, 2024 and December 31, 2023     
Common stock, $0.001 par value – 100,000 shares authorized; 31,439 shares issued and 31,210 shares outstanding at June 30, 2024, respectively; and 30,954 shares issued and outstanding at December 31, 2023 31   31 
Additional paid-in capital 835,356   855,784 
Accumulated other comprehensive income (loss) 182   (112)
Accumulated deficit (711,380)  (645,606)
Treasury stock, at cost; 229 and 0 shares at June 30, 2024 and December 31, 2023, respectively (25,000)   
Total stockholders’ equity 99,189   210,097 
Total liabilities and stockholders’ equity$919,185  $433,144 
        

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

  Three Months Ended June 30, Six Months Ended June 30,
   2024   2023   2024   2023 
Revenue, net $148,047  $124,130  $279,976  $235,566 
Cost of revenue  44,576   37,905   88,989   73,660 
Gross profit  103,471   86,225   190,987   161,906 
Operating expenses:        
Research and development  19,690   13,677   36,684   28,519 
Selling, general and administrative  106,762   91,420   215,422   191,763 
Total operating expenses  126,452   105,097   252,106   220,282 
Loss from operations  (22,981)  (18,872)  (61,119)  (58,376)
Interest expense  (3,312)  (832)  (6,172)  (1,782)
Interest and other income, net  6,380   1,435   9,332   2,867 
Loss on extinguishment of debt        (7,589)   
Loss before income taxes  (19,913)  (18,269)  (65,548)  (57,291)
Income tax provision  194   213   226   300 
Net loss $(20,107) $(18,482) $(65,774) $(57,591)
Net loss per common share, basic and diluted $(0.65) $(0.61) $(2.12) $(1.89)
Weighted-average shares, basic and diluted  31,145   30,502   31,089   30,400 
                 

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

  Three Months Ended June 30, Six Months Ended June 30,
   2024   2023   2024   2023 
Adjusted EBITDA reconciliation        
Net loss $(20,107) $(18,482) $(65,774) $(57,591)
Interest expense  3,312   832   6,172   1,782 
Interest income  (6,685)  (1,468)  (9,742)  (2,902)
Income tax provision  194   213   226   300 
Depreciation and amortization  5,160   3,791   10,291   7,367 
Stock-based compensation  21,821   14,099   42,812   32,350 
Business transformation costs  1,296   5,409   1,296   11,095 
Loss on extinguishment of debt        7,589    
Adjusted EBITDA $4,991  $4,394  $(7,130) $(7,599)
                 


  Three Months Ended June 30, Six Months Ended June 30,
   2024   2023   2024   2023 
Adjusted net loss reconciliation        
Net loss, as reported $(20,107) $(18,482) $(65,774) $(57,591)
Business transformation costs  1,296   5,409   1,296   11,095 
Loss on extinguishment of debt        7,589    
Adjusted net loss $(18,811) $(13,073) $(56,889) $(46,496)
         
Adjusted net loss per share reconciliation        
Net loss per share, as reported $(0.65) $(0.61) $(2.12) $(1.89)
Business transformation costs per share  0.04   0.18   0.04   0.36 
Loss on extinguishment of debt per share        0.24    
Adjusted net loss per share $(0.61) $(0.43) $(1.84) $(1.53)
Weighted-average shares, basic and diluted  31,145   30,502   31,089   30,400 
         
Adjusted operating expense reconciliation        
Operating expense, as reported $126,452  $105,097  $252,106  $220,282 
Business transformation costs  (1,296)  (5,409)  (1,296)  (11,095)
Adjusted operating expense $125,156  $99,688  $250,810  $209,187 
         

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