iRhythm Holdings, Inc. (NASDAQ: IRTC)

Sector: Healthcare Industry: Medical Devices CIK: 0001388658
Market Cap 4.74 Bn
P/B 38.89
P/E -92.12
P/S 6.75
ROIC (Qtr) -7.57
Div Yield % 0.00
Rev 1y % (Qtr) 30.74
Total Debt (Qtr) 733.01 Mn
Debt/Equity (Qtr) 6.01
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About

iRhythm Technologies, Inc. (IRTC), a leading digital healthcare company, operates in the development of device-based technology for ambulatory cardiac monitoring services. The company's main business activities involve the design, development, and commercialization of these services, which are aimed at detecting, predicting, and preventing disease, particularly cardiac arrhythmias. iRhythm's principal product is the Zio System, a non-invasive, wire-free, patch-based, 14-day wearable biosensor that continuously records electrocardiogram (ECG) data....

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Investment thesis

Bull case

  • Healthy cash reserves of 263.96M provide 15.97x coverage of short-term debt 16.53M, demonstrating strong liquidity position and minimal refinancing risk.
  • Tangible assets of 994.35M provide exceptional 235.41x coverage of deferred revenue 4.22M, showing strong service capability backing.
  • Short-term investments of 309.61M provide solid 2.54x coverage of other current liabilities 122.11M, indicating strong liquidity.
  • Operating cash flow of 73.88M provides strong 17.49x coverage of deferred revenue 4.22M, indicating service delivery capability.
  • Tangible assets of 994.35M provide robust 8.14x coverage of other current liabilities 122.11M, indicating strong asset backing.

Bear case

  • Operating cash flow of 73.88M barely covers its investment activities of (350.42M), with a coverage ratio of -0.21, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (350.42M) provide weak support for R&D spending of 82.64M, which is -4.24x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • High receivables of 76.16M relative to inventory of 19.56M (3.89 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • The company's operating cash flow of 73.88M shows concerning coverage of stock compensation expenses of 83.19M, with a 0.89 ratio indicating potential earnings quality issues.
  • Operating earnings of (37.65M) show weak coverage of depreciation charges of 26.36M, with a -1.43 ratio indicating high capital intensity and potential reinvestment needs.

Product and Service Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 5.18 2.13
EV to Cash from Ops. EV/CFO 69.82 2.75
EV to Debt EV to Debt 7.04 17.25
EV to EBIT EV/EBIT -136.99 2.89
EV to EBITDA EV/EBITDA -137.85 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 159.11 29.36
EV to Market Cap EV to Market Cap 1.09 25.09
EV to Revenue EV/Rev 7.34 32.80
Price to Book Value [P/B] P/B 38.89 4.73
Price to Earnings [P/E] P/E -92.12 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) -2.86 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -2.09 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -49.19 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 72.79 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 70.06 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) 73.02 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) 66.13 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 66.87 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) 144.76 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 30.11 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.71 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 1.80 1.80
Current Ratio Curr Ratio (Qtr) 4.63 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 6.01 1.20
Interest Cover Ratio Int Coverage (Qtr) -2.86 196.93
Times Interest Earned Times Interest Earned (Qtr) -2.86 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -1.60 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) -5.36 -2,478.60
EBT Margin % EBT Margin % (Qtr) -7.23 -2,690.42
Gross Margin % Gross Margin % (Qtr) 70.40 30.80
Net Profit Margin % Net Margin % (Qtr) -7.30 -2,821.53