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iRhythm
🇺🇸 NASDAQ:IRTC
•
Dec 31, 2024

iRhythm Q4 2024 Earnings Report

iRhythm Technologies reported a 24% increase in Q4 2024 revenue with significant improvements in profitability metrics.

Key Takeaways

iRhythm Technologies reported Q4 2024 revenue of $164.3 million, a 24% increase year-over-year. The company improved its gross margin to 70.0%, and net loss narrowed significantly to $1.3 million from $38.7 million in Q4 2023. Adjusted EBITDA rose to $19.3 million, reflecting strong demand for Zio services. Cash and cash equivalents increased to $535.6 million, supporting continued investments in growth and technology.

Q4 2024 revenue increased 24% YoY to $164.3 million.

Gross margin improved to 70.0%, up from 66.0% in Q4 2023.

Net loss narrowed to $1.3 million, a $37.4 million improvement YoY.

Adjusted EBITDA reached $19.3 million, reflecting improved efficiency and demand.

Total Revenue
$164M
Previous year: $133M
+24.0%
EPS
$0.01
Previous year: -$1.26
-100.8%
Gross Margin
70%
Adjusted EBITDA
$19.3M
Gross Profit
$115M
Previous year: $87.4M
+31.6%
Cash and Equivalents
$536M
Previous year: $134M
+300.4%
Free Cash Flow
-$61.8M
Previous year: -$29.5M
+109.6%
Total Assets
$931M
Previous year: $433M
+115.0%

iRhythm Revenue

iRhythm EPS

iRhythm Revenue by Segment

Forward Guidance

iRhythm projects full-year 2025 revenue between $675 million and $685 million, with an adjusted EBITDA margin of 7% to 8%. The company aims to expand market presence and improve operational efficiencies.

Positive Outlook

  • Strong revenue growth expected to continue in 2025.
  • Expansion into new international markets planned.
  • Operational efficiencies expected to improve gross margins further.
  • New product innovations and strategic licensing agreements support long-term growth.
  • Increased demand for Zio Services across multiple customer segments.

Challenges Ahead

  • Potential pricing pressures in the competitive healthcare technology market.
  • Higher research and development expenses may impact near-term profitability.
  • Macroeconomic uncertainty could affect customer spending in healthcare.
  • Operational challenges in scaling global expansion.
  • Continued regulatory risks associated with medical device approvals and compliance.