iRhythm Technologies Announces Third Quarter 2022 Financial Results

Rhea-AI Summary

iRhythm Technologies (NASDAQ: IRTC) announced Q3 2022 financial results with revenues of $103.9 million, a 21.6% increase compared to Q3 2021. Gross margin improved to 68.3%. However, due to staffing challenges and device returns, the company updated its annual revenue guidance to between $407 million to $411 million, down from a prior estimate of $415 million to $420 million. Despite challenges, iRhythm reported a lower adjusted net loss of $19.1 million compared to $23.7 million in Q3 2021.

Positive

• Revenue increased by 21.6% year-over-year to $103.9 million.
• Gross margin improved to 68.3%, up from 65.7% year-over-year.
• Adjustments to operating expenses were down from prior guidance.
• Adjusted net loss reduced to $19.1 million from $23.7 million in Q3 2021.

Negative

• Updated revenue guidance for 2022 reduced to $407-$411 million, down from $415-$420 million.
• Operational challenges impacting device returns and revenue realization.
• Expected adjusted EBITDA remains negative, ranging from negative $10 to negative $12 million.

SAN FRANCISCO, Nov. 01, 2022 (GLOBE NEWSWIRE) -- iRhythm Technologies, Inc. (NASDAQ: IRTC), a leading digital health care company focused on creating trusted solutions that detect, prevent, and predict disease, today reported financial results for the three months ended September 30, 2022.

Third Quarter 2022 Financial Results

• Revenue of $103.9 million, a 21.6% increase compared to third quarter 2021
• Gross margin of 68.3%, a 2.6 percentage point improvement compared to third quarter 2021
• Cash, cash equivalents and short-term investments of $203.5 million as of September 30, 2022
• Updating fiscal year 2022 revenue guidance to a range of approximately $407 million to $411 million
• Improving profitability profile, including updated fiscal year 2022 adjusted EBITDA guidance of negative $10 to negative $12 million
  

Recent Operational Highlights

• Third quarter registration growth of 22% year-over-year
• Presentations at the European Society of Cardiology (ESC) in August highlighted Zio XT increased arrhythmia detection rates by 216% and reduced time to detection as compared to traditional Holter monitors¹
• Detailed refreshed vision and mission, long-term growth strategies, innovation pipeline and financial goals during analyst and investor day in September
• Upcoming data presentations at the American Heart Association (AHA) in Chicago, IL, from November 5-7, 2022

"Despite the ongoing staffing and capacity challenges, we grew registration volumes by more than 20% in the third quarter, achieving our highest daily registration volumes ever as we exited September," said iRhythm CEO and President, Quentin Blackford. "However, within the quarter, we also realized softness in returned devices - which impacted our ability to perform our services and realize revenue which muted our growth. We view this as persisting into the fourth quarter. These dynamics, as well as fourth quarter trends in account staffing and capacity challenges as well as Zio AT utilization, have led to us reducing our full year revenue guidance."

"While disappointing, we continue to be encouraged by the underlying momentum of the business as demonstrated by the accelerating daily registration growth in the third quarter. As we shared during our Investor and Analyst Day in September, we continue to believe iRhythm's innovative device with differentiated AI capabilities and clinically actionable data insights is the gold standard in the space and sets us apart in the marketplace. We remain confident in the strong fundamentals of our business and are dedicated to bringing our innovative solutions to the millions of patients who may benefit," concluded Mr. Blackford.

Third Quarter Financial Results
Revenue for the three months ended September 30, 2022 increased 21.6% to $103.9 million, from $85.4 million during the same period in 2021. The increase was primarily driven by Zio XT and AT volume growth as well as an increase in net average selling price.

Gross profit for the third quarter of 2022 was $70.9 million, up 26.4% from $56.1 million during the same period in 2021, while gross margins were 68.3%, up from 65.7% during the same period in 2021. The increase in gross profit was primarily due to increased volume and average selling price, partially offset by increases in cost per unit.

Adjusted operating expenses for the third quarter of 2022 were $89.7 million, compared to $79.4 million during the same period in 2021. This increase in adjusted operating expenses resulted primarily from increased resources to scale and higher bad debt expense as a result of incremental volumes. Operating expenses for the third quarter of 2022 were $92.0 million, compared to $79.4 million for the same period in 2021.

Adjusted net loss for the third quarter of 2022 was $19.1 million, or a loss of $0.63 per share, compared with an adjusted net loss of $23.7 million, or a loss of $0.81 per share, for the same period in 2021. Net loss for the third quarter of 2022 was $21.5 million, or a loss of $0.71 per share, compared with net loss of $23.7 million, or a loss of $0.81 per share, for the same period in 2021.

Cash, cash equivalents and short-term investments were $203.5 million as of September 30, 2022.

Updated 2022 Annual Guidance
Given volume trends in the third quarter and anticipated volume contributions in the fourth quarter, iRhythm is updating its fiscal year 2022 revenue guidance to range from approximately $407 to $411 million, which represents approximately 26% to 27% growth over the prior year results. This compares to prior fiscal year 2022 revenue guidance of $415 to $420 million.

Gross margin for the fiscal year 2022 is expected to range from approximately 68% to 69% and adjusted operating expenses are expected to range between approximately $360 and $365 million. Adjusted EBITDA for the full year 2022 is expected to range from negative $10 to negative $12 million. This compares to prior fiscal year 2022 adjusted operating expense guidance of $375 and $385 million and prior fiscal year 2022 adjusted EBITDA guidance of negative $12.5 to negative $17.5 million.

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.

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, impairment and restructuring charges, and 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
• transformation costs to scale the organization.

Forward-Looking Statements
This news release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act of 1995. These statements include statements regarding financial guidance, market opportunity, the potential impact of Medicare reimbursement rates for the CPT codes primarily relied upon for the Company’s Zio XT services, 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 filing made with the Securities and Exchange Commission, including those on the Form 10-Q expected to be filed on or about November 3, 2022. 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:	Media Contact:
Stephanie Zhadkevich	Morgan Mathis
(919) 452-5430	(310) 528-6306
investors@irhythmtech.com	irhythm@highwirepr.com

1. Ameenathul M. Fawzy MB, Jade Edmonds, Anthony Shannon, David J. Wright MD. A Service Evaluation of Zio XT: The Liverpool Experience. In: ESC Congress 2022, August 26 - 29, 2022 Barcelona, Spain.

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

	September 30,				December 31,
		2022				2021
Assets
Current assets:
Cash and cash equivalents	$	71,222			$	127,562
Short-term investments		132,316				111,569
Accounts receivable, net		60,534				46,430
Inventory		14,452				10,268
Prepaid expenses and other current assets		7,326				9,693
Total current assets		285,850				305,522
Property and equipment, net		71,515				55,944
Operating lease right-of-use assets		62,010				84,587
Goodwill		862				862
Other assets		20,153				16,052
Total assets	$	440,390			$	462,967
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	7,404			$	10,509
Accrued liabilities		60,264				51,486
Deferred revenue		3,003				3,049
Debt, current portion		—				11,667
Operating lease liabilities, current portion		12,920				11,142
Total current liabilities		83,591				87,853
Debt, noncurrent portion		34,931				9,690
Other noncurrent liabilities		1,163				697
Operating lease liabilities, noncurrent portion		81,481				85,212
Total liabilities		201,166				183,452
Stockholders’ equity:
Preferred Stock		—				—
Common stock		28				27
Additional paid-in capital		741,879				685,594
Accumulated other comprehensive loss		(681	)			(61	)
Accumulated deficit		(502,002	)			(406,045	)
Total stockholders’ equity		239,224				279,515
Total liabilities and stockholders’ equity	$	440,390			$	462,967

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

	Three Months Ended September 30,								Nine Months Ended September 30,
		2022				2021				2022				2021
Revenue, net	$	103,875			$	85,432			$	298,304			$	241,021
Cost of revenue		32,954				29,284				95,379				78,737
Gross profit		70,921				56,148				202,925				162,284
Operating expenses:
Research and development		11,448				8,685				33,935				26,801
Selling, general and administrative		80,559				70,745				235,468				203,227
Impairment and restructuring charges		—				—				26,608				—
Total operating expenses		92,007				79,430				296,011				230,028
Loss from operations		(21,086	)			(23,282	)			(93,086	)			(67,744	)
Interest expense		(614	)			(279	)			(3,125	)			(921	)
Other income (expense), net		365				(76	)			450				103
Loss before income taxes		(21,335	)			(23,637	)			(95,761	)			(68,562	)
Income tax provision		116				94				196				308
Net loss	$	(21,451	)		$	(23,731	)		$	(95,957	)		$	(68,870	)
Net loss per common share, basic and diluted	$	(0.71	)		$	(0.81	)		$	(3.22	)		$	(2.35	)
Weighted-average shares, basic and diluted		30,055,166				29,397,845				29,836,601				29,294,559

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,
Adjusted EBITDA reconciliation		2022				2021				2022				2021
Net loss	$	(21,451	)		$	(23,731	)		$	(95,957	)		$	(68,870	)
Income tax provision		116				94				196				308
Depreciation and amortization		3,436				2,549				9,930				6,738
Interest expense, net		15				223				2,198				717
Stock-based compensation		12,945				12,160				41,946				42,651
Impairment and restructuring charges		—				—				26,608				—
Transformation costs		2,315				—				2,748				—
Adjusted EBITDA	$	(2,624	)		$	(8,705	)		$	(12,331	)		$	(18,456	)

	Three Months Ended September 30,								Nine Months Ended September 30,
		2022				2021				2022				2021
Adjusted net loss reconciliation
Net loss, as reported	$	(21,451	)		$	(23,731	)		$	(95,957	)		$	(68,870	)
Impairment and restructuring charges		—				—				26,608				—
Transformation costs		2,315				—				2,748				—
Adjusted net loss	$	(19,136	)		$	(23,731	)		$	(66,601	)		$	(68,870	)
Adjusted net loss per share reconciliation
Net loss per share, as reported	$	(0.71	)		$	(0.81	)		$	(3.22	)		$	(2.35	)
Impairment and restructuring charges per share		—				—				0.89				—
Transformation costs per share		0.08				—				0.09				—
Adjusted net loss per share	$	(0.63	)		$	(0.81	)		$	(2.24	)		$	(2.35	)
Adjusted operating expense reconciliation
Operating expense, as reported	$	92,007			$	79,430			$	296,011			$	230,028
Impairment and restructuring charges		—				—				(26,608	)			—
Transformation costs		(2,315	)			—				(2,748	)			—
Adjusted operating expense	$	89,692			$	79,430			$	266,655			$	230,028

FAQ

What were iRhythm's Q3 2022 financial results?

iRhythm reported Q3 2022 revenues of $103.9 million, a 21.6% increase from Q3 2021, with a gross margin of 68.3%.

How did iRhythm's adjusted net loss change in Q3 2022?

iRhythm's adjusted net loss for Q3 2022 was $19.1 million, an improvement from a loss of $23.7 million in Q3 2021.

What is the updated revenue guidance for iRhythm in 2022?

iRhythm updated its fiscal year 2022 revenue guidance to approximately $407 million to $411 million.

What were the operational challenges faced by iRhythm in Q3 2022?

The company faced staffing issues and softness in returned devices, impacting revenue realization.

What is the expected adjusted EBITDA for iRhythm in 2022?

iRhythm expects adjusted EBITDA for 2022 to range from negative $10 million to negative $12 million.