NASDAQ$IRTC

IRhythm Holdings Inc · Q1 2021 earnings

Q1 2021 earnings · · Investor relations

Briefing

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

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.

Headline financials

Total Revenue

$74.3M

Previous: $63.5M+17.0%
EPS (adj)

-$0.95

Previous: -$0.34-179.4%
Gross Margin

68.4%

Previous: 74.7%-8.4%
Adjusted EBITDA

-$5.17M

No prior period
Capital Expenditures

-$4.21M

Previous: -$3.41M-23.7%
Free Cash Flow

-$32M

Previous: -$12.5M-156.5%
Net Income

-$27.8M

Previous: -$9.07M-206.4%
Operating Income

-$27.5M

Previous: -$9.17M-199.5%
Gross Profit

$50.9M

Previous: $47.5M+7.1%
Cash & Equivalents

$137M

Previous: $56.5M+143.1%
Total Assets

$478M

Previous: $283M+69.1%
R&D Expense

$8.51M

Previous: $8.42M+1.1%

Revenue & EPS history

iRhythm · Revenue · Quarterly

$74.3M

Q1 2021+17%vs Q1 2020
Beat estimate in 10 of 16 quarters(63%)
ActualEstimate

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.

Tailwinds

  • 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.

Headwinds

  • 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).

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q1 2021

Historical avgQ1 2021

+1.6%

Avg return

Earnings day

-0.4%

Avg return

5 days after

-0.7%

Avg return

30 days after

50%

19 / 38 earnings

Positive

+20.4%

Q1 2025

Best reaction

-14.3%

Q2 2024

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026-6.9%-8.9%-11.8%
Q4 2025-4.6%-14.5%-26.8%
Q3 2025+0.6%-2.0%+2.1%
Q1 2025+20.4%+25.4%+29.4%
Q4 2024+6.0%-2.9%-7.3%
Q3 2024-1.8%-13.9%+4.0%
Q2 2024-14.3%-15.6%-17.8%
Q1 2024-0.4%-3.7%-5.5%
Q4 2023-5.3%-1.7%+10.2%
Q3 2023-2.3%-11.1%-18.5%
Q2 2023+13.9%+10.7%+1.2%
Q1 2023-6.2%-6.4%-20.6%
Q4 2022+8.2%+9.2%+12.5%
Q3 2022-5.0%-19.3%-15.0%
Q2 2022-3.3%-8.4%-1.1%
Q1 2022-3.7%+2.5%+10.6%
Q4 2021+13.2%+16.1%+29.1%
Q3 2021-14.1%-15.6%-19.7%
Q2 2021+0.7%-3.6%-4.7%
Q1 2021+6.9%+2.8%-17.0%
Q4 2020+5.2%-2.7%-10.9%
Q3 2020+13.1%+11.1%-20.0%
Q2 2020+6.3%-4.4%+11.8%
Q1 2020+13.3%+14.8%+9.3%
Q4 2019+9.7%+10.1%-13.8%
Q3 2019+11.5%+8.3%+41.1%
Q2 2019+3.4%+7.8%+1.2%
Q1 2019-5.0%-1.6%+1.6%
Q4 2018-2.2%-9.4%-25.7%
Q3 2018+1.0%+7.6%-3.0%
Q2 2018-1.8%-3.8%+9.5%
Q1 2018-0.9%-1.3%+15.7%
Q4 2017+3.3%+4.1%+1.3%
Q3 2017+5.8%+11.7%+6.6%
Q2 2017-0.1%+0.4%+9.3%
Q1 2017-0.5%-0.1%+7.4%
Q4 2016+2.0%+1.9%-3.0%
Q3 2016-5.1%-7.7%+2.5%
Q2 2016
Q1 2016
Q4 2015
Q3 2015
Q2 2015
Q1 2015
Q4 2014

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