iRhythm Technologies Announces Second Quarter 2022 Financial Results


SAN FRANCISCO, Aug. 04, 2022 (GLOBE NEWSWIRE) -- iRhythm Technologies, Inc. (NASDAQ: IRTC), a leading digital healthcare solutions company focused on the advancement of cardiac care, today reported financial results for the three months ended June 30, 2022.

Second Quarter 2022 Financial Highlights

  • Revenue of $102.1 million, a 25.6% increase compared to second quarter 2021
  • Gross margin of 68.8%, a 0.8 percentage point improvement compared to second quarter 2021
  • Cash and short-term investments of $204.5 million at June 30, 2022
  • Raised full year 2022 revenue guidance to range from $415 million to $420 million

Recent Operational Highlights

  • Reimbursement rates proposed by the Centers for Medicare and Medicaid Services (“CMS”) as part of the Proposed Medicare Physician Fee Schedule for Calendar Year 2023 that impact Zio XT for CPT codes 93247 and 93243
  • 510(k) FDA clearance granted for clinically integrated ZEUS system for the Zio® Watch, developed in partnership with Verily as clinical grade watch to detect and characterize atrial fibrillation and integrate with clinician workflow
  • Recent additions to the executive leadership team reflective of company's commitment to driving sustainable value and significant growth across multiple pillars
  • iRhythm to hold investor day on September 21, 2022, in New York City, with content to incorporate key elements of long-term business strategy, details of stated growth vectors and long-range financial targets

"We made steady progress in the second quarter, out-performing revenue expectations and delivering another quarter of record registrations in our core U.S. business, fueled by an all-time high number of new accounts doing business with us," said iRhythm CEO and President, Quentin Blackford. "New account openings were up 22% quarter-over-quarter and revenue volumes increased 10% sequentially, underscoring our solid performance amidst a difficult market environment. With business highlights regarding reimbursement and our Zio Watch clearance already announced in July, we are pleased with the way that the second half of 2022 has begun."

“We also rounded out our executive leadership team with recent additions that position us well to advance our long-term strategies for sustainable growth in our core U.S. market, expand into greater international geographies and enter adjacent markets. The sizable opportunity ahead of us to bring our innovative technology platform powered by data-driven artificial intelligence to patients, clinicians, healthcare systems and payers gets us excited every day. We look forward to sharing more details on this vision at an investor day during the third quarter," concluded Mr. Blackford.

Second Quarter Financial Results
Revenue for the three months ended June 30, 2022 increased 25.6% to $102.1 million, from $81.3 million during the same period in 2021. The increase was primarily driven by Zio XT and AT volume growth and increases in Medicare pricing.

Gross profit for the second quarter of 2022 was $70.2 million, up 26.9% from $55.3 million during the same period in 2021, while gross margins were 68.8%, up from 68.0% 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.

Operating expenses for the second quarter of 2022 were $93.7 million, compared to $72.3 million for the same period in 2021 and $110.3 million in the first quarter 2022. The sequential decrease in operating expenses was due to the absence of one-time impairment and restructuring charges incurred in the first quarter 2022, associated primarily with a reduction in size of our San Francisco facility and severance and other employee exit related costs.

Net loss for the second quarter of 2022 was $23.9 million, or a loss of $0.80 per share, compared with net loss of $17.4 million, or a loss of $0.59 per share, for the same period in 2021.

Cash, cash equivalents and short-term investments were $204.5 million as of June 30, 2022.

Guidance
iRhythm projects revenue for the full year 2022 to range from $415 million to $420 million, which represents 29% to 30% growth over prior year results. Gross margin for the full year 2022 is expected to range from 68% to 69% and adjusted operating expenses are expected to range between $375 million and $385 million. Adjusted EBITDA for the full year 2022 is expected to range from negative $12.5 million 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: www.irhythmtech.com

About iRhythm Technologies, Inc.
iRhythm is a leading digital health care company redefining the way cardiac arrhythmias are clinically diagnosed. The company combines wearable biosensor devices worn for up to 14 days and cloud-based data analytics with powerful proprietary algorithms that distill data from millions of heartbeats into clinically actionable information. The company believes improvements in arrhythmia detection and characterization have the potential to change clinical management of patients.

Use of Non-GAAP Financial Measures and Other Operating Metrics
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 operating expenses and adjusted net loss. See the schedules attached to this press release for additional information and reconciliations of such non-GAAP financial measures.

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 those 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 filing made with the Securities and Exchange Commission, including those on the Form 10-Q expected to be filed on or about August 5, 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 

IRHYTHM TECHNOLOGIES, INC.
Condensed Consolidated Balance Sheets
(Unaudited)
(In thousands, except share and per share data)

 June 30, December 31,
  2022   2021 
Assets   
Current assets:   
Cash and cash equivalents$101,253  $127,562 
Short-term investments 103,238   111,569 
Accounts receivable, net 57,380   46,430 
Inventory 14,422   10,268 
Prepaid expenses and other current assets 8,526   9,693 
Total current assets 284,819   305,522 
Property and equipment, net 65,923   55,944 
Operating lease right-of-use assets 63,940   84,587 
Goodwill 862   862 
Other assets 20,142   16,052 
Total assets$435,686  $462,967 
Liabilities and Stockholders’ Equity   
Current liabilities:   
Accounts payable$5,987  $10,509 
Accrued liabilities 49,954   51,486 
Deferred revenue 2,977   3,049 
Debt, current portion    11,667 
Operating lease liabilities, current portion 11,498   11,142 
Total current liabilities 70,416   87,853 
Debt, noncurrent portion 34,927   9,690 
Other noncurrent liabilities 952   697 
Operating lease liabilities, noncurrent portion 84,749   85,212 
Total liabilities 191,044   183,452 
Stockholders’ equity:   
Preferred Stock     
Common stock 28   27 
Additional paid-in capital 725,748   685,594 
Accumulated other comprehensive loss (583)  (61)
Accumulated deficit (480,551)  (406,045)
Total stockholders’ equity 244,642   279,515 
Total liabilities and stockholders’ equity$435,686  $462,967 
    

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

 Three Months Ended June 30, Six Months Ended June 30,
  2022   2021   2022   2021 
Revenue, net$102,051  $81,278  $194,429  $155,589 
Cost of revenue 31,806   25,995   62,425   49,453 
Gross profit 70,245   55,283   132,004   106,136 
Operating expenses:       
Research and development 11,945   9,606   22,487   18,116 
Selling, general and administrative 81,751   62,669   154,909   132,482 
Impairment and restructuring charges       26,608    
Total operating expenses 93,696   72,275   204,004   150,598 
Loss from operations (23,451)  (16,992)  (72,000)  (44,462)
Interest expense (482)  (307)  (2,511)  (642)
Other income, net 69   55   85   179 
Loss before income taxes (23,864)  (17,244)  (74,426)  (44,925)
Income tax provision 33   116   80   214 
Net loss$(23,897) $(17,360) $(74,506) $(45,139)
Net loss per common share, basic and diluted$(0.80) $(0.59) $(2.51) $(1.54)
Weighted-average shares, basic and diluted 29,843,141   29,318,894   29,720,415   29,242,089 
        

IRHYTHM TECHNOLOGIES, INC.
Reconciliation of GAAP to Non-GAAP Financial Information
(Unaudited)
(In thousands)

 Three Months Ended
June 30,
 Six Months Ended
June 30,
Adjusted EBITDA reconciliation 2022   2021   2022   2021 
Net loss$(23,897) $(17,360) $(74,506) $(45,139)
Income tax provision 33   116   80   214 
Depreciation and Amortization 3,351   2,153   6,494   4,189 
Interest expense, net 286   247   2,183   494 
Stock-based compensation 15,098   10,260   29,001   30,490 
Impairment and restructuring charges 175      27,041    
Adjusted EBITDA$(4,954) $(4,584) $(9,707) $(9,752)


 Three Months Ended
June 30,
 Six Months Ended
June 30,
Non-GAAP restructuring and impairment reconciliation 2022   2021   2022   2021 
Impairment and restructuring charges, as reported$  $  $26,608  $ 
Restructuring related consulting fees 175      433    
Non-GAAP restructuring and impairment$175  $  $27,041  $ 
        
Adjusted net loss reconciliation       
Net loss, as reported$(23,897) $(17,360) $(74,506) $(45,139)
Impairment and restructuring charges, as reported       26,608    
Restructuring related consulting fees 175      433    
Adjusted net loss$(23,722) $(17,360) $(47,465) $(45,139)
        
Adjusted net loss per share reconciliation       
Net loss per share, as reported$(0.80) $(0.59) $(2.51) $(1.54)
Impairment and restructuring charges per share       0.90    
Restructuring related consulting fees per share 0.01      0.01    
Adjusted net loss per share$(0.79) $(0.59) $(1.60) $(1.54)
        
Adjusted operating expense reconciliation       
Operating expense, as reported$93,696  $72,275  $204,004  $150,598 
Impairment and restructuring charges, as reported       26,608    
Adjusted operating expense$93,696  $72,275  $230,612  $150,598