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iRhythm Technologies Announces Fourth Quarter and Full Year 2024 Financial Results

1. Q4 revenue rose 24% to $164.3M with gross margins improving to 70%. Operational efficiencies drove significant cost reductions. 2. Full year revenue increased 20.1% to $591.8M while net loss narrowed by $10.1M. Efficiency gains and volume growth were key. 3. 2025 guidance projects revenue between $675M and $685M and improved EBITDA margins. Strategic international expansion and licensing drive this outlook.

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FAQ

Why Bullish?

The strong revenue growth and margin improvements in Q4 indicate efficient operations and positive turnaround efforts. Historically, companies showing similar financial transformations have experienced upward price adjustments.

How important is it?

The robust quarterly improvements, future guidance, and strategic initiatives make this earnings release highly impactful for IRTC’s long-term valuation.

Why Long Term?

Expansion into international markets and strategic licensing agreements point to sustainable, long-term growth rather than a transient boost.

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February 20, 2025 16:05 ET  | Source: iRhythm SAN FRANCISCO, Feb. 20, 2025 (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 and full year ended December 31, 2024. Fourth Quarter 2024 Financial Highlights Revenue of $164.3 million, a 24.0% increase compared to fourth quarter 2023Gross margin of 70.0%, a 410-basis point increase compared to fourth quarter 2023Net loss of $1.3 million, a $37.4 million improvement compared to fourth quarter 2023Adjusted EBITDA of $19.3 million, a $16.9 million improvement compared to fourth quarter 2023Cash, cash equivalents and marketable securities of $535.6 million at December 31, 2024, a $13.6 million increase from September 30, 2024 Full Year 2024 Financial Highlights Revenue of $591.8 million, a 20.1% increase compared to full year 2023Gross margin of 68.9%, a 160-basis point increase compared to full year 2023Net loss of $113.3 million, a $10.1 million improvement compared to full year 2023Adjusted EBITDA of $(7.7) million, a decline of $2.9 million compared to full year 2023 Recent Operational Highlights Fourth quarter 2024 capped a year of progressively accelerating year-over-year volume growth every quarter, with full year 2024 revenue driven by sustained volume demand across all customer channelsAnalysis of real-world claims data conducted by Eversana and presented at AHA in November 2024 suggested that early detection with arrhythmia monitoring devices could have the combined potential to help prevent serious outcomes like stroke and heart failure while also significantly reducing acute care utilization and related costs in patients with type 2 diabetes and chronic obstructive pulmonary diseaseUpcoming data presentations at the American College of Cardiology's Annual Scientific Session & Expo in Chicago, IL, from March 29 – 31, 2025 "Our fourth quarter capped a transformative year for iRhythm, marked by 24% revenue growth and significant operational achievements," said Quentin Blackford, President and CEO of iRhythm. "We achieved record new account onboarding, with balanced volume contributions across multiple channels, particularly in risk-bearing, primary care settings where Zio's value as a population health management tool has resonated strongly. Throughout 2024, we enhanced our quality systems, improved customer experience through EHR integration and innovative product launches, expanded into multiple international markets, and secured strategic technology licensing agreements to advance connected patient care. Our commitment to operational discipline has yielded positive cash flow for three consecutive quarters, while our extensive scientific publications have further validated our approach. Looking ahead, we remain focused on delivering a best-in-class quality system while creating shareholder value through our strategies of expanding our core U.S. market presence, accelerating international growth, advancing product innovation, and further advancing operational efficiencies. As we scale the Zio platform globally, we're uniquely positioned to shape the future of healthcare while driving value for patients, physicians, health systems, and shareholders." Fourth Quarter 2024 Financial ResultsRevenue for the three months ended December 31, 2024, increased 24.0% to $164.3 million, from $132.5 million during the same period in 2023. The increase was primarily attributable to increases in the volume of Zio Services resulting from increased demand, partially offset by a slight decline in average selling price. Gross profit for the fourth quarter of 2024 was $115.1 million, up from $87.4 million during the same period in 2023, while gross margins were 70.0% as compared to 66.0% during the same period in 2023. The improvement in gross margin was primarily driven by operational efficiencies leading to lower costs per unit to serve a higher volume of patients compared to the prior year. Operating expenses for the fourth quarter of 2024 were $119.2 million, compared to $126.6 million for the same period in 2023 and $151.8 million in the third quarter of 2024. The fourth quarter of 2023 included $11.1 million of higher operating expenses due to an impairment charge for our right-of-use capitalized leased asset value of our San Francisco office. The decrease in operating expenses compared to the third quarter 2024 was due primarily to a $32.1 million charge in the third quarter of 2024 for in-process research and development charges related to technology license consideration. Net loss for the fourth quarter of 2024 was $1.3 million, or a diluted loss of $0.04 per share, compared with net loss of $38.7 million, or a diluted loss of $1.26 per share, for the same period in 2023. Full Year 2024 Financial ResultsRevenue for the year ended December 31, 2024, increased 20.1% to $591.8 million, from $492.7 million in 2023. The increase in revenue was primarily due to increased volume of Zio services provided as a result of increased demand. Gross profit for the year was $407.5 million, up from $331.8 million in 2023, while gross margin was 68.9%, an improvement from 67.3% in 2023. The improvement in gross margin was primarily driven by operational efficiencies leading to lower costs per unit to serve a higher volume of patients compared to the prior year. Operating expenses for the year were $523.0 million, an increase of 14.5% compared to 2023. The increase was mainly due to acquired IPR&D expenses related to license consideration, along with an increase in headcount-related costs and professional fees to support the growth in our business. Net loss for 2024 was $113.3 million, or a diluted loss of $3.63 per share, compared with net loss of $123.4 million, or a diluted loss of $4.04 per share in 2023. Cash, cash equivalents and marketable securities were $535.6 million as of December 31, 2024. 2025 Guidance iRhythm projects revenue for the full year 2025 between $675 million to $685 million. Adjusted EBITDA margin for the full year 2025 is expected to range from approximately 7.0% to 8.0% of revenues. Webcast and Conference Call InformationiRhythm’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 MeasuresWe 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 2025 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, changes in fair value of strategic investments, 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 StatementsThis 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, as amended, and the Private Securities Litigation Reform Act of 1995. An investor can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘intend’, ‘will’, ‘project’, ‘plan’, ‘believe’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future actions or operating or financial performance. In particular these statements include statements regarding financial guidance, market opportunity, ability to penetrate the market, international market expansion, anticipated productivity and quality 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-K expected to be filed on or about February 20, 2025. 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 ContactStephanie Zhadkevichinvestors@irhythmtech.com Media ContactKassandra Perryirhythm@highwirepr.com IRHYTHM TECHNOLOGIES, INC.Consolidated Balance Sheets(In thousands, except par value)  December 31,  2024   2023 Assets   Current assets:   Cash and cash equivalents$419,597  $36,173 Marketable securities 115,956   97,591 Accounts receivable, net 79,941   61,484 Inventory 14,039   13,973 Prepaid expenses and other current assets 16,286   21,591 Total current assets 645,819   230,812 Property and equipment, net 125,092   104,114 Operating lease right-of-use assets 47,564   49,317 Restricted cash 8,358   — Goodwill 862   862 Long-term strategic investments 61,902   3,000 Other assets 41,852   45,039 Total assets$931,449  $433,144 Liabilities and Stockholders’ Equity   Current liabilities:   Accounts payable$7,221  $5,543 Accrued liabilities 84,900   83,362 Deferred revenue 2,932   3,306 Operating lease liabilities, current portion 15,867   15,159 Total current liabilities 110,920   107,370 Long-term senior convertible notes 646,443   — Debt, noncurrent portion —   34,950 Other noncurrent liabilities 8,579   1,012 Operating lease liabilities, noncurrent portion 74,599   79,715 Total liabilities 840,541   223,047 Stockholders’ equity:   Preferred stock, $0.001 par value – 5,000 shares authorized; none issued and outstanding at December 31, 2024 and 2023 —   — Common stock, $0.001 par value – 100,000 shares authorized; 31,621 shares issued and 31,392 shares outstanding at December 31, 2024, respectively; and 30,954 shares issued and outstanding at December 31, 2023 31   31 Additional paid-in capital 874,607   855,784 Accumulated other comprehensive income (loss) 165   (112)Accumulated deficit (758,895)  (645,606)Treasury stock, at cost; 229 and 0 shares at December 31, 2024 and 2023, respectively (25,000)  — Total stockholders’ equity 90,908   210,097 Total liabilities and stockholders’ equity$931,449  $433,144      IRHYTHM TECHNOLOGIES, INC.Consolidated Statements of Operations(In thousands, except per share data)  (Unaudited)Three Months Ended December 31, Year Ended December 31,  2024   2023   2024   2023 Revenue, net$164,325  $132,511  $591,839  $492,681 Cost of revenue 49,257   45,085   184,308   160,875 Gross profit 115,068   87,426   407,531   331,806 Operating expenses:       Research and development 19,081   15,416   71,459   60,244 Acquired in-process research and development 302   —   32,371   — Selling, general and administrative 99,768   100,114   418,565   385,645 Impairment and restructuring charges —   11,078   641   11,078 Total operating expenses 119,151   126,608   523,036   456,967 Loss from operations (4,083)  (39,182)  (115,505)  (125,161)Interest and other income (expense), net:       Interest income 5,740   1,734   21,938   6,353 Interest expense (3,320)  (941)  (12,821)  (3,650)Loss on extinguishment of debt —   —   (7,589)  — Other income (expense), net 481   (55)  1,253   (198)Total interest and other income (expense), net 2,901   738   2,781   2,505 Loss before income taxes (1,182)  (38,444)  (112,724)  (122,656)Income tax provision 151   255   565   750 Net loss$(1,333) $(38,699) $(113,289) $(123,406)Net loss per common share, basic and diluted$(0.04) $(1.26) $(3.63) $(4.04)Weighted-average shares, basic and diluted 31,343   30,702   31,196   30,528  IRHYTHM TECHNOLOGIES, INC.Reconciliation of GAAP to Non-GAAP Financial Information(In thousands, except per share data)(Unaudited)  Three Months Ended December 31, Year Ended December 31,  2024   2023   2024   2023 Adjusted EBITDA reconciliation*       Net loss1$(1,333) $(38,699) $(113,289) $(123,406)Interest expense 3,320   941   12,821   3,650 Interest income (5,740)  (1,734)  (21,938)  (6,353)Changes in fair value of strategic investments (843)  —   (1,902)  — Income tax provision 151   255   565   750 Depreciation and amortization 5,289   4,914   20,715   16,348 Stock-based compensation 16,008   23,846   75,978   77,204 Impairment charges —   11,078   641   11,078 Business transformation costs 2,416   1,772   11,072   15,866 Loss on extinguishment of debt —   —   7,589   — Adjusted EBITDA$19,268  $2,373  $(7,748) $(4,863)        *Certain numbers expressed may not sum due to rounding.1Net loss for the three and twelve months ended December 31, 2024, includes acquired in-process research and development expense of $0.3 million and $32.4 million, respectively. Adjusted net income (loss) reconciliation*       Net loss, as reported1$(1,333) $(38,699) $(113,289) $(123,406)Impairment charges —   11,078   641   11,078 Business transformation costs 2,416   1,772   11,072   15,866 Changes in fair value of strategic investments (843)  —   (1,902)  — Loss on extinguishment of debt —   —   7,589   — Adjusted net income (loss)$240  $(25,849) $(95,889) $(96,462)        Adjusted net income (loss) per share reconciliation:*       Diluted net loss per share, as reported1$(0.04) $(1.26) $(3.63) $(4.04)Impairment charges per share —   0.36   0.02   0.36 Business transformation costs per share 0.08   0.06   0.35   0.52 Changes in fair value of strategic investments per share (0.03)  —   (0.06)  — Loss on extinguishment of debt per share —   —   0.24   — Adjusted diluted net income (loss) per share$0.01  $(0.84) $(3.08) $(3.16)        Weighted-average shares, basic 31,343   30,702   31,196   30,528 Weighted-average shares, diluted 31,710   30,702   31,196   30,528         Adjusted operating expenses reconciliation*       Operating expenses, as reported$119,151  $126,608  $523,036  $456,967 Impairment charges —   (11,078)  (641)  (11,078)Business transformation costs (2,416)  (1,772)  (11,072)  (15,866)Adjusted operating expenses$116,735  $113,758  $511,323  $430,023  *Certain numbers expressed may not sum due to rounding.1Net loss for the three and twelve months ended December 31, 2024, includes acquired in-process research and development expense of $0.3 million and $32.4 million, respectively.

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