SAN FRANCISCO, Feb. 25, 2021 () — 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 and full year ended December 31, 2020.
Fourth Quarter 2020 Financial Highlights
- Revenue of $78.8 million
- 33.3% increase compared to fourth quarter 2019
- 9.5% increase compared to third quarter 2020
- Gross margin was 74%
- 2.5% decline compared to fourth quarter 2019
- 0.7% decline compared to third quarter 2020
- Adjusted EBITDA (defined as EBITDA less stock compensation) was $6.5 million
- $15.7 million increase compared to fourth quarter 2019
- $8.3 million decline compared to third quarter 2020
- Cash and Short-Term Investments were $335 million at December 31, 2020, an $8 million increase from September 30, 2020
Full Year 2020 Financial Highlights
- Revenue of $265.2 million
- 23.6% increase compared to full year 2019
- Gross margin was 73.5%
- 2% decrease compared to full year 2019
- Adjusted EBITDA (defined as EBITDA less stock compensation) was $5.1 million
- $34.4 million increase compared to full year 2019
- Zio XT received recommendation for adoption from the National Institute for Health and Care Excellence (NICE) in the U.K. following success in a new digital health tech pilot
- 3-year mSToPS study results determined that active screening for atrial fibrillation (AF) was associated with a significant improvement in clinical outcomes and safety
- Publication of SCREEN-AF six-month clinical trial results in JAMA Cardiology highlighted that the use of Zio XT allowed physicians to diagnose arrhythmias more quickly and efficiently than traditional technologies, noting a tenfold increase in the detection of AF
“The iRhythm team finished the year strong, continuing to deliver on priorities of increased market penetration with our Zio platform, increased operating leverage through continued productivity and automation improvements, and expanding the addressable market into new indications and geographies. Once again, fourth quarter results were driven by further penetration of Zio XT in both existing and new accounts, continued ramp of Zio AT and continued utilization of our Home Enrollment service in telemedicine settings,” said Mike Coyle, CEO.
“Looking forward, we plan to make additional investments across our technology stack and expect continued strong volume growth in 2021. With less than 20% penetration in our core market, we expect to see continued strong growth from Zio XT in new and existing accounts and proportionately greater growth from Zio AT and from the U.K. Demand for our Zio service remains strong and our physician customers are expanding their utilization of the service, driving Zio as the new standard of care in ambulatory cardiac monitoring,” concluded Coyle.
Fourth Quarter Financial ResultsRevenue for the three months ended December 31, 2020 increased 33.3% to $78.8 million, from $59.1 million during the same period in 2019. The increase was primarily driven by Zio XT volume and continued Zio AT expansion.
Gross profit for the fourth quarter of 2020 was $58.3 million, up from $45.2 million during the same period in 2019, while gross margins were 74.0%, down from 76.5% during the same period in 2019. The decrease in gross margin was due to costs related to Home Enrollment, higher shipping costs to mitigate USPS delays, and testing and overtime costs related to COVID.
Operating expenses for the fourth quarter of 2020 were $67.9 million, compared to $62.9 million for the same period in 2019 and $58.5 million in Q3 2020. The sequential increase in operating expenses was due to costs related to Verily milestones of $4 million, restoration of COVID compensation reductions of $1.5 million, restoration of bad debt expense to normal levels resulting in an increase of $2 million and hiring and restoration of programs resulting in an increase of approximately $3 million, offset by reductions in stock compensation.
Net loss for the fourth quarter of 2020 was $9.7 million, or a loss of $0.33 per share, compared with net loss of $17.3 million, or a loss of $0.65 per share, for the same period in 2019.
Full Year 2020 Financial ResultsRevenue for the year ended December 31, 2020 increased 23.6% to $265.2 million, from $214.6 million in 2019. The increase in revenue was primarily due to higher Zio XT volume and the continued Zio AT expansion.
Gross profit for the year was $194.9 million, up from $162.1 million in 2019, while gross margins were 73.5%, down from 75.5% in 2019.
Operating expenses inclusive of Verily development for the year were $238.6 million, an increase of 10% compared to 2019. The increase in operating expenses was driven primarily by increases in stock-based compensation, and headcount offset by reductions to travel expenses.
Net loss for 2020 was $43.8 million, or a loss of $1.58 per share, compared with net loss of $54.6 million, or a loss of $2.16 per share in 2019.
Cash, cash equivalents, short-term investments and long-term investments were $335.2 million as of December 31, 2020.
Guidance Due to continuing uncertainties in reimbursement, the company is unable to provide revenue or margin guidance, and unable to provide full year OPEX guidance.
For the first quarter of 2021, the company expects volume growth of 5% over the fourth quarter of 2020 and operating expenses to range from $77 million to $79 million.
For the full year, stock-based compensation is expected to increase by $20 million roughly evenly throughout the year due to the CEO transition and retention of key executives during the transition.
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 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.
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 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 filing made with the Securities and Exchange Commission on the Form 10-K. 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:|
|Leigh Salvo||Saige Smith|
|(415) 937-5404||(262) 289-7065|
IRHYTHM TECHNOLOGIES, INC.Condensed Consolidated Balance Sheets(In thousands, except share and per share data)
|Cash and cash equivalents||$||88,628||$||20,462|
|Accounts receivable, net||29,932||23,867|
|Prepaid expenses and other current assets||7,363||4,337|
|Total current assets||377,825||172,792|
|Property and equipment, net||34,247||26,464|
|Operating lease right-of-use assets||84,714||90,124|
|Liabilities and Stockholders’ Equity|
|Debt, current portion||11,667||1,944|
|Operating lease liabilities, current portion||8,171||7,914|
|Total current liabilities||65,665||52,066|
|Debt, noncurrent portion||21,339||32,989|
|Other noncurrent liabilities||1,830||—|
|Operating lease liabilities, noncurrent portion||81,293||85,748|
|Additional paid-in capital||646,258||395,695|
|Accumulated other comprehensive income||11||82|
|Total stockholders’ equity||341,612||135,409|
|Total liabilities and stockholders’ equity||$||511,739||$||306,212|
IRHYTHM TECHNOLOGIES, INC.Condensed Consolidated Statements of Operations(In thousands, except share and per share data)
|Three months ended December 31,||Year ended December 31,|
|Cost of revenue||20,498||13,915||70,277||52,485|
|Research and development||11,604||9,268||41,329||37,299|
|Selling, general and administrative||56,288||53,647||197,233||179,523|
|Total operating expenses||67,892||62,915||238,562||216,822|
|Loss from operations||(9,581||)||(17,726||)||(43,673||)||(54,755||)|
|Other income, net||280||829||1,591||1,895|
|Loss before income taxes||(9,675||)||(17,282||)||(43,601||)||(54,503||)|
|Income tax provision||(24||)||18||229||65|
|Net loss per common share, basic and diluted||$||(0.33||)||$||(0.65||)||$||(1.58||)||$||(2.16||)|
|Weighted-average shares, basic and diluted||28,934,713||26,593,636||27,754,404||25,265,918|
IRHYTHM TECHNOLOGIES, INC.Reconciliation of Net Loss to Adjusted EBITDA(Unaudited)(In thousands)
|Three Months EndedDecember 31,2020||Year EndedDecember 31,2020|
|Income tax provision||(24||)||229|
|Depreciation and Amortization||1,978||6,853|
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