One-glance verdict
$24.75 our estimate vs market $127.80
Wall Street consensus: $171.33 (592.2% higher than our fair-value estimate)
416% above our estimate, beyond the bull case
Fundamentals snapshot
IRTC · NMS · Healthcare · Medical Devices
Current price
$127.80
52-week range
$100.70 - $212.00
Market cap
$4.21B
One-glance verdict
Wall Street consensus: $171.33 (592.2% higher than our fair-value estimate)
416% above our estimate, beyond the bull case
Balance sheet
Net debt $136.08M. Interest coverage shows how many times profit covers the interest bill.
What stands out
What this company does
iRhythm Holdings sells a special heart monitor patch and software that helps doctors figure out if patients have irregular heartbeats, like an aunt might use a thermometer to check a fever. The money it makes mainly comes from doctors prescribing and using these monitoring services for their patients, and this matters because it's how the company makes a profit to keep growing and improving its technology.
1. "How the company got here" iRhythm Holdings, Inc. was founded in 2006 with the goal of improving cardiac monitoring. The company's journey began with the idea of creating a more patient-friendly and clinically useful way to monitor heart rhythms compared to existing methods. A key development was the creation of the Zio platform, which positioned iRhythm as a company offering an integrated diagnostic service rather than just a device manufacturer. This approach helped it stand out from traditional methods of monitoring heart rhythms. Over the years, iRhythm has expanded its offerings and is now a digital healthcare company focused on detecting, predicting, and preventing disease through its technology. 2. "What it actually does" iRhythm Holdings, Inc. is a digital healthcare company that develops and sells technology for monitoring heart rhythms. Their main product is the Zio system, which includes a small, wearable patch that continuously records a person's electrocardiogram (ECG) – the electrical signals of the heart – for up to 14 days. This data is then analyzed using proprietary software and artificial intelligence (AI) to help doctors diagnose heart rhythm problems, also known as arrhythmias. Essentially, iRhythm provides a service that combines a wearable device with advanced data analysis to give doctors clearer insights into a patient's heart health. 3. "Zio ambulatory cardiac monitoring services" This is iRhythm's primary business line and makes up the majority of its revenue. The company offers services like long-term and short-term continuous monitoring, as well as mobile cardiac telemetry. Doctors prescribe these services when they need to understand a patient's heart rhythm over an extended period, which can help diagnose conditions like arrhythmias that might not show up during a quick check-up. The Zio patch is worn by the patient, collects data, and is then sent back to iRhythm for analysis. The company then provides a detailed report to the physician. 4. "Zio Monitor System, Zio XT System, and Zio AT System" These are specific product offerings within iRhythm's cardiac monitoring services. The Zio Monitor System and Zio XT System are designed for continuous ECG monitoring for up to 14 days, using a patch worn by the patient. The Zio AT System also offers continuous monitoring but includes mobile cardiac telemetry, which allows for real-time data transmission and reporting. These systems are prescription-only and are used by healthcare providers to gather detailed heart rhythm data for diagnostic purposes. 5. "Zio ECG Utilization Software System (ZEUS)" This is a software component that supports the Zio monitoring services. It's used for capturing and analyzing the ECG data collected by the wearable patches. This system helps in processing the large amounts of data generated during monitoring, making it easier for clinicians to review and interpret the results. The software is a crucial part of iRhythm's end-to-end solution, turning raw heart rhythm data into clinically useful reports. 6. "What management is betting on now" iRhythm's current strategy focuses on expanding its market share and improving operational efficiency to drive profitability. A significant move is the acquisition of VitalConnect, which broadens iRhythm's capabilities beyond just ambulatory monitoring to include inpatient and hospital-to-home care. This acquisition aims to create a more comprehensive cardiac intelligence platform and accelerate revenue growth. Management is also investing in AI and data analytics to enhance their diagnostic tools and provide better insights for healthcare providers. The company is committed to delivering better data, better insights, and ultimately, better health outcomes for patients.
Price history
Earnings history
Click any quarter to read the call summary and what the numbers say.
Is it cheap or expensive?
Wall Street consensus is the average analyst price target: $171.33 (592.2% higher than our fair-value estimate).
Our most-likely fair value is $24.75 a share — about 80.6% below today's price of $127.80, so the stock currently looks expensive (overvalued).
Is it drowning in debt?
Net debt $136.1M. Interest coverage -4.0x.
iRhythm Holdings, Inc.'s profit covers its interest bill about 0.0 times over. which is weaker than most peers shown here.
Total debt $727.35M Interest coverage -4.03x This is the baseline the peer rows are being compared against.
Total debt $112.30M Interest coverage 36.48x This peer still has a real interest-payment cushion, while IRTC does not.
Total debt $1.40B Interest coverage 49.83x This peer still has a real interest-payment cushion, while IRTC does not.
Total debt $1.02B Interest coverage 7.98x This peer still has a real interest-payment cushion, while IRTC does not.
What you should know
The numbers
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What you should know