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Mar 31, 2021

iRhythm Q1 2021 Earnings Report

iRhythm's financial performance increased in revenue but faced challenges with gross margin due to reimbursement rate reductions and COVID-19 impacts.

Key Takeaways

iRhythm Technologies reported a 17% increase in revenue to $74.3 million for the first quarter of 2021, driven by Zio XT volume and Zio AT expansion. However, the gross margin decreased to 68.4% due to reduced Medicare reimbursement rates and COVID-19 pandemic related costs. The company is actively pursuing multiple paths to achieve better reimbursement rates and focusing on efficiency improvements.

Revenue increased by 17% to $74.3 million compared to Q1 2020.

Gross margin decreased to 68.4% from 74.7% in the same period last year.

Adjusted EBITDA was negative $5.2 million, an increase of $2.2 million compared to Q1 2020.

Cash and Short-Term Investments were $262 million as of March 31, 2021.

Total Revenue
$74.3M
Previous year: $63.5M
+17.0%
EPS
-$0.95
Previous year: -$0.34
+179.4%
Gross Margin
68.4%
Previous year: 74.7%
-8.4%
Gross Profit
$50.9M
Previous year: $47.5M
+7.1%
Cash and Equivalents
$137M
Previous year: $56.5M
+143.1%
Total Assets
$478M
Previous year: $283M
+69.1%

iRhythm

iRhythm

Forward Guidance

For the second quarter 2021, iRhythm expects sequential volume growth of approximately 4% over the first quarter of 2021 and OPEX to be approximately flat to first quarter 2021 with reductions in stock-based compensation and payroll taxes offset by increases in legal and consulting spending and hiring to support investments.

Positive Outlook

  • Expects sequential volume growth of approximately 4% over the first quarter of 2021
  • OPEX to be approximately flat to first quarter 2021
  • Reductions in stock-based compensation
  • Reductions in payroll taxes
  • Hiring to support investments.

Challenges Ahead

  • Increases in legal and consulting spending.
  • Pursuing multiple paths to achieve pricing that is more in line with the benefits of its technology.
  • Engaging with Novitas to better understand their valuation methodology
  • Having discussions with other Medicare Administrative Contractors (MACs)
  • Continuing to pursue national pricing with the Centers for Medicare and Medicaid Services (CMS).