Loading...
Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings call presents a positive outlook with raised revenue and EBITDA margin guidance, improved adjusted net loss, and significant year-over-year revenue growth. Despite challenges like regulatory issues and competition, the company is addressing these proactively. The Q&A reveals confidence in sustaining growth, especially in Zio AT, and potential market share gains. However, lack of shareholder return plans and ongoing legal expenses slightly temper enthusiasm. Given the market cap, the stock is likely to experience a positive movement of 2% to 8% over the next two weeks.
Revenue $158.7 million, representing 20.3% year-over-year growth, driven by robust volume growth across both product lines, especially from Zio AT and new account launches.
Gross Margin 68.8%, slightly ahead of expectations, improved due to volume leverage and operational efficiencies, partially offset by higher blended cost per unit from increased Zio AT product mix.
Adjusted Operating Expenses $140.4 million, an 11.8% increase year-over-year, primarily driven by ongoing remediation activities and funding of innovation and commercial growth initiatives.
Adjusted Net Loss $30.3 million or $0.95 per share, improved from an adjusted net loss of $38.1 million or $1.23 per share in Q1 2024.
Adjusted EBITDA Negative $2.6 million or negative 1.7% of revenue, improved from negative 9.2% in Q1 2024, due to initiatives driving sustainable efficiency at scale.
Unrestricted Cash $520.6 million on hand at the end of Q1 2025.
Zio Monitor and Zio AT Demand: Significant volume demand for both Zio Monitor and Zio AT, with new account onboarding contributing to growth.
Zio MCT Submission: Plans to submit new Zio MCT with the FDA in Q3 2025.
Zio Launch in Japan: Commercial launch in Japan as the first ambulatory cardiac monitoring solution utilizing AI for arrhythmia detection.
Market Penetration: Continued market penetration in the U.S. and expansion into the undiagnosed arrhythmia market segment.
International Expansion: Record volume in the UK and progress in Switzerland, Austria, Netherlands, and Spain.
Operational Efficiencies: Achieved 750 basis points improvement in adjusted EBITDA margin and 68.8% gross margin.
Inventory Strategy: Investing to build up inventory of raw materials to mitigate supply chain disruptions.
Upstream Care Pathways: Strategic expansion into upstream care pathways to enhance early diagnosis and reduce unnecessary referrals.
Partnerships: Advancement of Epic Aura partnership to improve IT and operational efficiencies.
Regulatory Issues: iRhythm is focused on addressing regulatory and quality matters as a top corporate priority, particularly in relation to FDA remediation efforts and compliance activities. The company is committed to completing these efforts by the end of 2025.
Supply Chain Challenges: The company is navigating uncertainties related to tariffs and has implemented mitigation strategies to address potential supply chain concerns and cost implications. iRhythm is investing in inventory buildup to ensure uninterrupted access to products.
Economic Factors: The company acknowledges the economic uncertainty impacting the healthcare market, which could affect demand and operational strategies.
Competitive Pressures: iRhythm faces competition in the ambulatory cardiac monitoring market, particularly from traditional Holter monitors, and must demonstrate the superiority of its Zio technology to secure market share and reimbursement.
Legal and Consulting Expenses: The company continues to incur incremental legal and consulting fees related to FDA remediation and ongoing patent litigation, which could impact financial performance.
Revenue Growth: iRhythm reported Q1 2025 revenue of $158.7 million, representing over 20% growth compared to Q1 2024.
Market Penetration: Continued market penetration in the U.S. and expansion into the undiagnosed arrhythmia market segment.
Zio Monitor Demand: Significant volume demand for Zio Monitor and Zio AT, with new account onboarding contributing to growth.
International Expansion: Commercial launch in Japan and record volume in the UK, with ongoing progress in Europe.
Partnerships: Advancement of Epic Aura partnership and collaborations with value-based innovative channel partners.
Quality Commitment: Focus on quality systems and compliance with FDA regulations, aiming for completion by end of 2025.
2025 Revenue Guidance: Raised full year 2025 revenue guidance to $690 million to $700 million.
Adjusted EBITDA Margin Guidance: Adjusted EBITDA margin guidance raised to between 7.5% and 8.5% of full year revenues.
Free Cash Flow Outlook: Anticipate being slightly free cash flow negative for 2025, with expectations to become free cash flow positive in 2026.
Tariff Impact: Expected negative impact from tariffs to be within 50 to 75 basis points.
Q2 2025 Revenue Expectation: Revenue for Q2 2025 expected to be consistent with historical averages, approximately 25% of full year revenue.
Shareholder Return Plan: iRhythm Technologies has not announced any share buyback program or dividend program during the Q1 2025 earnings call.
The earnings call reflects strong financial performance with improved operational efficiency and positive free cash flow, despite minor uncertainties in FDA timelines. Raised revenue guidance and optimistic growth in core and innovative channels, combined with strategic investments in innovation and market expansion, indicate a positive outlook. However, management's lack of clarity on some future plans tempers the sentiment slightly, but overall, positive elements outweigh the negatives, suggesting a positive stock price reaction.
The earnings call indicates strong revenue growth, increased market penetration, and raised guidance for 2025. Despite some concerns about seasonality and cautious guidance, the company's strategic partnerships and product integration with Epic are driving significant growth. The Q&A reveals optimism about sustainable reorder rates and market share expansion. The positive revenue outlook and strategic developments suggest a positive stock price movement, especially given the company's market cap, which allows for a more pronounced reaction.
All transcripts are sourced directly from the official live webcast or the company’s official investor relations website. We use the exact words spoken during the call with no paraphrasing of the core discussion.
Full verbatim transcripts are typically published within 4–12 hours after the call ends. Same-day availability is guaranteed for all S&P 500 and most mid-cap companies.
No material content is ever changed or summarized in the “Full Transcript” section. We only correct obvious spoken typos (e.g., “um”, “ah”, repeated 10 times”, or clear misspoken ticker symbols) and add speaker names/titles for readability. Every substantive sentence remains 100% as spoken.
When audio quality is poor or multiple speakers talk over each other, we mark the section instead of guessing. This ensures complete accuracy rather than introducing potential errors.
They are generated by a specialized financial-language model trained exclusively on 15+ years of earnings transcripts. The model extracts financial figures, guidance, and tone with 97%+ accuracy and is regularly validated against human analysts. The full raw transcript always remains available for verification.