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Rhythm iRhythm Technologies Announces Third Quarter 2021 Financial Results November 4 , 2021 SAN FRANCISCO , Nov. 04 , 2021 ( GLOBE NEWSWIRE ) -- iRhythm Technologies , Inc. ( NASDAQ : IRTC ) , a leading digital health care solutions company focused on the advancement of cardiac care , today reported financial results for the three months ended September 30 , 2021 . Third Quarter 2021 Financial Highlights • Revenue was $ 85.4 million , a 18.7 % increase compared to third quarter 2020 • Gross margin was 65.7 % , a 8.9 % decrease compared to third quarter 2020 ● Adjusted EBITDA ( defined as EBITDA less stock compensation ) was negative $ 8.7 million ™ M • Cash and Short - Term Investments were $ 256.8 million as of September 30 , 2021 , a $ 1.1 million increase from June 30 , 2021 " Our third quarter results reflect the continued strength of our Zio platform with further market penetration of Zio XT in the U.S. complemented by strong growth from Zio AT and in the U.K. , " commented Quentin Blackford , iRhythm's President and CEO . " Once again , strong volume growth offset Medicare pricing headwinds . Further , despite the impact of staffing shortages which reduced volumes and impacted iRhythm's ability to onboard new accounts , the company achieved 19 % year - over - year growth and made tremendous progress working through clinical backlog to bring turnaround times back to normal levels . While staffing shortages remain a headwind , we have now resumed full sales activities and are encouraged by our registration trends as we have entered the fourth quarter . " Operational Highlights • Appointed Quentin Blackford President and CEO ● Appointed Karen Ling to Board of Directors , replacing Raymond Scott , who retired ● 3 - year results from the mHealth Screening to Prevent Strokes ( mSTOPS ) clinical trial published in PLOS One Surpassed two significant service delivery milestones that included serving four million patients in our history and amassing over one billion hours of curated ECG data • Received a UCSF Health Award in the Remote Diagnostic Tool category ● " In just the few short weeks that I have been a part of the iRhythm team , I've gained an even deeper appreciation of the value that the Zio platform can bring to patients , physicians , and the healthcare system . It is clear to me that our clinical and competitive differentiation is widely recognized , and the Zio service is seen as best in class , " added Blackford . " Looking ahead , I see significant opportunity for continued growth in the U.S. , expansion into the Silent AF market and international development . To capture our full potential , we must also transform the way that we operate so we can scale our business effectively and efficiently . I am very excited to be a part of this dedicated team of professionals as we further build on our world - class commercial and innovation capabilities while achieving new levels of operational excellence . " Medicare Reimbursement Update On November 2 , 2021 , the Centers for Medicare and Medicaid Services ( CMS ) released the Calendar Year 2022 Medicare Physician Fee Schedule ( MPFS ) Final Rule and accompanying Addenda , along with updated payment policies , payment rates , and other provisions for services furnished under MPFS on or after January 1 , 2022. In the Final Rule , CMS did not issue national pricing and continued carrier pricing for calendar year 2022 on Category I CPT codes 93241 , 93243 , 93245 and 93247 for extended external ECG monitoring , the relevant codes for the Zio XT service . iRhythm and other industry participants have been working with Medicare Administrative Contractors ( MACs ) to establish pricing for these codes . iRhythm remains engaged with all of the MACs and is working with other industry participants to submit additional cost data on long - term continuous ECG monitoring for consideration to establish fair and appropriate local rates . iRhythm is evaluating the new information included in the Final Rule and its potential implications on discussions with the MACs . iRhythm cannot provide certainty at this time on the potential outcome of the discussions with the MACS or on the timing of any action to be taken . Third Quarter Financial Results Revenue for the three months ended September 30 , 2021 increased 18.7 % to $ 85.4 million , from $ 71.9 million during the same period in 2020. The increase was driven by an increase in volume partially offset by a decrease in Zio XT Medicare reimbursement rates . Gross profit for the third quarter of 2021 was $ 56.1 million , up from $ 53.7 million during the same period in 2020 , while gross margins were 65.7 % , down from 74.7 % during the same period in 2020. The decrease in gross margin was primarily due to a decrease in Zio XT Medicare reimbursement rates , and higher costs related to ensuring clinical capacity . Operating expenses for the third quarter of 2021 were $ 79.4 million , compared to $ 58.5 million for the same period in 2020. The increase in operating expenses was primarily due to increases in compensation and legal spending . Net loss for the third quarter of 2021 was $ 23.7 million , or a loss of $ 0.81 per share , compared with net loss of $ 4.7 million , or a loss of $ 0.17 per share , for the same period in 2020 . Financial Guidance Based on unforeseen ongoing impacts from the COVID - 19 Delta variant , customer staffing challenges and delayed new account launches and