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Irhythm Technologies (IRTC)
NASDAQ:IRTC

Irhythm Technologies (IRTC) AI Stock Analysis

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IRIrhythm Technologies
(NASDAQ:IRTC)
61Neutral
iRhythm Technologies shows strong revenue growth and positive technical indicators, suggesting a bullish outlook. However, financial stability concerns, negative profitability, and high valuation limit the overall attractiveness of the stock. The favorable earnings call provides a positive outlook, but ongoing regulatory challenges and pricing pressures remain risks. Overall, the stock is moderately attractive with potential for growth, tempered by financial and valuation concerns.
Positive Factors
Financial Performance
Irhythm Technologies posted strong quarterly financial results, surpassing both earnings and revenue expectations, which supports a positive outlook for the stock.
Market Expansion
Management remains focused on expanding its total addressable market from 6.5M ACMs to 27M patients presenting to their primary care physicians or unaware of an arrhythmia.
Negative Factors
Regulatory Challenges
There is some uncertainty around regulatory remediation efforts, which could impact growth, with 2025 possibly being a year of growth deceleration before re-acceleration in 2026.

Irhythm Technologies (IRTC) vs. S&P 500 (SPY)

Irhythm Technologies Business Overview & Revenue Model

Company DescriptioniRhythm Technologies, Inc. is a healthcare technology company that specializes in the development of innovative solutions for cardiac care. The company operates primarily in the digital health sector and is known for its flagship product, the Zio service, which is a comprehensive platform for monitoring and diagnosing cardiac arrhythmias. iRhythm's cutting-edge technology combines wearable biosensor devices with powerful data analytics to provide healthcare providers with actionable insights, enabling more accurate diagnosis and improved patient outcomes.
How the Company Makes MoneyiRhythm Technologies generates revenue through the sale and reimbursement of its Zio service, which includes wearable devices and data analytics services. The company primarily earns money by billing healthcare providers, hospitals, and insurance companies for the use of its Zio monitors and the subsequent analysis of the data collected. Revenue is largely driven by the volume of Zio monitors prescribed and the number of analyses performed. iRhythm has established partnerships with various health systems and insurance companies, which are instrumental in facilitating the adoption and reimbursement of its services. The company's business model relies heavily on the successful integration of its technology into clinical workflows and securing coverage agreements with payers to ensure steady demand and reimbursement for its diagnostic services.

Irhythm Technologies Financial Statement Overview

Summary
iRhythm Technologies exhibits strong revenue growth but struggles with profitability and financial stability. High leverage and negative equity trends highlight balance sheet vulnerabilities. The company shows some improvement in cash flow management but faces challenges in maintaining sustainable cash generation. Overall, while the company is growing its top line, operational efficiency and financial stability need significant improvement to enhance its financial health.
Income Statement
55
Neutral
The company has shown consistent revenue growth over the years, with a notable increase from 2023 to 2024. However, profitability is a significant concern as the company has consistently posted net losses. The net profit margin remains negative, and the EBIT and EBITDA margins highlight ongoing operational challenges. The gross profit margin is relatively stable, indicating the ability to maintain cost of goods sold, but overall profitability needs improvement.
Balance Sheet
45
Neutral
The company's debt-to-equity ratio has increased significantly, reflecting higher leverage, which poses a risk in times of financial instability. The equity ratio is declining, indicating reduced shareholder equity relative to total assets. Return on equity remains negative due to ongoing net losses. Although the company holds a substantial amount of cash and short-term investments, the overall balance sheet health is weakened by high liabilities and low equity.
Cash Flow
60
Neutral
The company has managed to improve its free cash flow from 2023 to 2024, moving from negative to positive territory, indicating better cash management. However, overall free cash flow remains weak compared to net income, and the operating cash flow to net income ratio indicates challenges in converting sales into cash. Despite improved financing activities, the cash flow stability remains a concern due to high operating and investing cash outflows.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
591.84M492.68M410.92M322.82M265.17M
Gross Profit
407.53M331.81M281.63M213.57M194.89M
EBIT
-115.50M-125.16M-87.18M-99.94M-43.67M
EBITDA
-74.13M-96.86M-92.14M-83.23M-29.15M
Net Income Common Stockholders
-113.29M-123.41M-116.16M-101.36M-43.83M
Balance SheetCash, Cash Equivalents and Short-Term Investments
535.55M133.76M213.14M239.13M335.22M
Total Assets
931.45M433.14M448.22M462.97M511.74M
Total Debt
736.91M129.82M131.04M117.71M122.47M
Net Debt
317.31M93.65M52.21M-9.85M33.84M
Total Liabilities
840.54M223.05M208.41M183.45M170.13M
Stockholders Equity
90.91M210.10M239.81M279.51M341.61M
Cash FlowFree Cash Flow
3.39M-90.53M-52.84M-65.82M-27.31M
Operating Cash Flow
3.39M-50.10M-23.01M-37.75M-13.76M
Investing Cash Flow
-122.98M-1.21M-52.43M105.26M-132.39M
Financing Cash Flow
511.38M8.82M26.72M-28.58M214.32M

Irhythm Technologies Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price101.75
Price Trends
50DMA
104.72
Negative
100DMA
92.23
Positive
200DMA
87.36
Positive
Market Momentum
MACD
-0.34
Positive
RSI
39.23
Neutral
STOCH
12.83
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For IRTC, the sentiment is Neutral. The current price of 101.75 is below the 20-day moving average (MA) of 110.28, below the 50-day MA of 104.72, and above the 200-day MA of 87.36, indicating a neutral trend. The MACD of -0.34 indicates Positive momentum. The RSI at 39.23 is Neutral, neither overbought nor oversold. The STOCH value of 12.83 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for IRTC.

Irhythm Technologies Risk Analysis

Irhythm Technologies disclosed 57 risk factors in its most recent earnings report. Irhythm Technologies reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Irhythm Technologies Peers Comparison

Overall Rating
UnderperformOutperform
Sector (49)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$17.68B43.5043.03%22.07%101.95%
68
Neutral
$1.05B18.6019.46%19.07%
66
Neutral
$30.42B54.6427.63%11.34%4.24%
61
Neutral
$3.20B-75.27%20.13%10.05%
49
Neutral
$7.05B0.34-55.09%2.46%25.27%-3.43%
46
Neutral
$2.75B-50.74%-7.03%-20233.78%
46
Neutral
$692.33M-37.28%24.51%47.32%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
IRTC
Irhythm Technologies
101.75
-5.53
-5.15%
DXCM
Dexcom
77.84
-55.20
-41.49%
PODD
Insulet
251.81
70.67
39.01%
QDEL
QuidelOrtho
40.80
-5.99
-12.80%
CDNA
CareDx
18.92
7.61
67.29%
BFLY
Butterfly Network
2.85
1.74
156.76%

Irhythm Technologies Earnings Call Summary

Earnings Call Date: Feb 20, 2025 | % Change Since: -9.69% | Next Earnings Date: May 1, 2025
Earnings Call Sentiment Positive
The earnings call reflects a strong performance for iRhythm in 2024, with significant revenue growth, international expansion, and margin improvements. Despite ongoing regulatory challenges and pricing pressures, the company is positioned for continued growth with strategic initiatives in place. The positive aspects of the call outweigh the challenges, indicating a favorable outlook.
Highlights
Record Revenue Growth
iRhythm achieved a full-year 2024 revenue growth of over 20%, driven by sustained volume demand across all customer channels and a 24% year-over-year growth in Q4 2024, reaching $164.3 million.
Significant Account Openings
Record new account openings within long-term continuous monitoring and mobile cardiac telemetry, supported by strong demand from national value-based care entities.
International Expansion
Commercial launch of Zio services in Austria, the Netherlands, Switzerland, and Spain, with Japanese PMDA regulatory approval for Zio monitor achieved in 2024.
Gross Margin Improvement
Improved gross margin profile from 66% at the beginning of the year to 70% by Q4 2024.
Adjusted EBITDA Improvement
Adjusted EBITDA in Q4 2024 was $19.3 million or 11.7% of revenue, marking a significant improvement from a margin of 1.8% in Q4 2023.
Cash Flow Generation
iRhythm generated over $30 million in free cash flow during the last three quarters of 2024.
Lowlights
Regulatory and Quality Challenges
Continued focus on remediation and compliance activities related to the FDA warning letter and 483 observations, with $11 million spent on related activities in 2024 and expected $15 million in 2025.
Pricing Pressure
Low single-digit percentage pricing headwind anticipated in 2025, including an 8% Medicare price decline for Zio AT.
Potential Tariff Impact
Proposed tariffs on Mexico, Canada, and China imports could negatively impact gross margin by 50 to 75 basis points.
Company Guidance
In the iRhythm Technologies Q4 2024 earnings call, the company provided guidance for 2025, projecting a revenue range of $675 million to $685 million, reflecting significant U.S. volume growth and a low-single digit percentage pricing headwind. They expect international operations to contribute approximately one point of growth, including a $2 million contribution from Japan. Gross margin improvements are anticipated, though potential tariffs could impact margins by 50 to 75 basis points. For adjusted EBITDA margin, iRhythm expects a range between 7% and 8% of revenue, excluding potential acquired IPR&D expenses. The company ended 2024 with $535.6 million in unrestricted cash and short-term investments and expects to be slightly free cash flow negative in 2025, turning positive by 2026. The focus remains on profitable growth, leveraging primary care channels, and expanding market share in mobile cardiac telemetry.

Irhythm Technologies Corporate Events

Executive/Board Changes
iRhythm Technologies Board Member Steps Down for New Role
Neutral
Jan 27, 2025

On January 23, 2025, iRhythm Technologies announced that Mojdeh Poul will not seek re-election to its Board of Directors following her recent appointment as President and CEO of Integra LifeSciences Holdings Corporation. Poul’s decision is not due to any disagreement with iRhythm, and this change is part of her transition to her new leadership role, which may influence iRhythm’s future board dynamics.

Business Operations and StrategyFinancial Disclosures
iRhythm Technologies Reports Strong Growth and Innovation
Positive
Jan 13, 2025

iRhythm Technologies announced its preliminary fourth quarter 2024 highlights and business updates at the J.P. Morgan Healthcare Conference, indicating a strong year with revenues expected to exceed their guidance. The company achieved record account openings and expanded globally, securing FDA clearance for Zio device advancements, and initiated manufacturing automation, reflecting a commitment to growth and innovation. Looking forward, iRhythm plans to enhance its quality systems and further penetrate both domestic and international markets, focusing on sustainable value creation for stakeholders.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.