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iRhythm Holdings (IRTC)

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Earnings summaries and quarterly performance for iRhythm Holdings.

Research analysts who have asked questions during iRhythm Holdings earnings calls.

DR

David Rescott

Baird

6 questions for IRTC

Also covers: HAE, INSP, LIVN +7 more
SK

Suraj Kalia

Oppenheimer & Co. Inc.

6 questions for IRTC

Also covers: ABT, AORT, ATRC +14 more
AG

Allen Gong

JPMorgan Chase & Co.

5 questions for IRTC

Also covers: ESTA, GEHC, GKOS +3 more
DR

David Roman

Goldman Sachs Group Inc.

5 questions for IRTC

Also covers: ABT, BAX, BBNX +21 more
NT

Nathan Treybeck

Wells Fargo Securities

5 questions for IRTC

Also covers: ITGR, LMAT, NVRO +2 more
RN

Richard Newitter

Truist Securities

5 questions for IRTC

Also covers: AXNX, BBNX, DXCM +19 more
JY

John Young

Canaccord Genuity - Global Capital Markets

4 questions for IRTC

Also covers: ANGO, CVRX, LUNG +2 more
Marie Thibault

Marie Thibault

BTIG

4 questions for IRTC

Also covers: ABT, ARAY, ATRC +15 more
BV

Brandon Vazquez

William Blair & Company, L.L.C.

3 questions for IRTC

Also covers: ALGN, CBLL, CVRX +17 more
Kallum Titchmarsh

Kallum Titchmarsh

Morgan Stanley

3 questions for IRTC

Also covers: ATEC, AXNX, EMBC +7 more
MK

Macauley Kilbane

William Blair & Company

3 questions for IRTC

Also covers: CBLL, CVRX, GKOS +4 more
DS

David Saxon

Needham & Company

2 questions for IRTC

Also covers: ALC, ALGN, ATEC +11 more
Joanne Wuensch

Joanne Wuensch

Citigroup Inc.

2 questions for IRTC

Also covers: ABT, BAX, BDX +19 more
Michael Polark

Michael Polark

Wolfe Research

2 questions for IRTC

Also covers: BBNX, BSX, DXCM +13 more
Stephanie Piazzola

Stephanie Piazzola

Bank of America

2 questions for IRTC

Also covers: BBNX, CBLL, KMTS +3 more
Vijay Kumar

Vijay Kumar

Evercore ISI

2 questions for IRTC

Also covers: A, ABT, AVTR +23 more
Anthony Occhiogrosso

Anthony Occhiogrosso

Citigroup Inc.

1 question for IRTC

Also covers: HAE
Bill Plovanic

Bill Plovanic

Canaccord Genuity

1 question for IRTC

Also covers: ANGO, AORT, CBLL +7 more
DS

David Saxon

Needham & Company LLC

1 question for IRTC

Also covers: RXST
DS

David Saxon

Needham

1 question for IRTC

Also covers: AZTA, GKOS
LL

Lilia-Celine Lozada

JPMorgan Chase & Co.

1 question for IRTC

Also covers: ATRC, BVS, CBLL +4 more
PB

Philippe Belamant

Truist Securities

1 question for IRTC

Sam Eiber

Sam Eiber

BTIG, LLC

1 question for IRTC

Also covers: AIRS, APYX, EMBC +8 more
William Plovanic

William Plovanic

Canaccord Genuity

1 question for IRTC

Also covers: ATRC, CBLL, CVRX +9 more

Recent press releases and 8-K filings for IRTC.

iRhythm Holdings Reports Strong Q4 and Full Year 2025 Results, Provides 2026 Guidance
IRTC
Earnings
Guidance Update
Revenue Acceleration/Inflection
  • iRhythm Holdings reported Q4 2025 revenue of $208.9 million, a 27.1% year-over-year increase, contributing to a full year 2025 revenue of $747.1 million, up 26.2% from 2024.
  • The company achieved significant financial milestones in 2025, including its first positive quarterly net income of $5.6 million in Q4 and its first year of positive adjusted EBITDA ($68.9 million) and free cash flow ($34.5 million) for the full year.
  • For full year 2026, iRhythm projects revenue between $870 million and $880 million, representing 16%-18% year-over-year growth, and expects adjusted EBITDA margin to expand to 11.5%-12.5% of revenue.
  • Strategic growth drivers include expanding primary care penetration, EHR integration (with 75 of its top 100 customers fully integrated), and the anticipated H1 2027 launch of a next-generation MCT device.
Feb 19, 2026, 9:30 PM
iRhythm Holdings Announces Strong Q4 and Full Year 2025 Results with Positive 2026 Outlook
IRTC
Earnings
Guidance Update
Revenue Acceleration/Inflection
  • iRhythm Holdings reported full year 2025 revenue of $747.1 million, representing a 26.2% increase year-over-year, and achieved positive free cash flow for the first time in company history.
  • For Q4 2025, the company posted global net revenue of $208.9 million and an adjusted EBITDA margin of 16.4%.
  • The company provided 2026 revenue guidance of $870-$880 million and adjusted EBITDA margin guidance of 11.5%-12.5%.
  • Key operational milestones in 2025 included submitting a 510(k) for Zio® MCT and completing its 12-month FDA remediation plan commitments on time.
Feb 19, 2026, 9:30 PM
iRhythm Technologies Reports Strong Q4 and Full-Year 2025 Results, Issues 2026 Guidance
IRTC
Earnings
Guidance Update
Revenue Acceleration/Inflection
  • iRhythm Technologies reported Q4 2025 revenue of $208.9 million, representing 27.1% year-over-year growth, and full-year 2025 revenue of $747.1 million, an increase of 26.2% compared to 2024.
  • The company achieved its first positive quarterly net income of $5.6 million in Q4 2025 and recorded positive free cash flow of $34.5 million and adjusted EBITDA of $68.9 million (9.2% of revenue) for the full year, marking the first time in company history for both metrics.
  • For full-year 2026, iRhythm expects revenue in the range of $870 million to $880 million, representing 16%-18% year-over-year growth, with adjusted EBITDA margin projected to expand to 11.5%-12.5% of revenue.
  • iRhythm maintains a 72% market share in long-term continuous monitoring and is progressing with its next-generation MCT device, which is under FDA review for an expected release in the first half of 2027.
Feb 19, 2026, 9:30 PM
iRhythm Holdings Reports Strong Q4 and Full Year 2025 Results, Provides 2026 Guidance
IRTC
Earnings
Guidance Update
Revenue Acceleration/Inflection
  • iRhythm Holdings reported a breakout year in 2025, achieving its first positive quarterly net income of $5.6 million in Q4 2025 and generating $34.5 million in free cash flow for the full year, marking the first time in the company's history for both.
  • Full year 2025 revenue reached $747.1 million, representing 26.2% growth over 2024, with Q4 revenue at $208.9 million (27.1% year-over-year growth). Adjusted EBITDA for Q4 2025 was $34.3 million (16.4% of revenue), significantly exceeding the 15% goal.
  • For full year 2026, the company projects revenue to be between $870 million and $880 million (16%-18% year-over-year growth) and anticipates adjusted EBITDA margin to expand to 11.5%-12.5% of revenue. Gross margin is expected to incrementally improve by 80-100 basis points relative to 2025.
  • Strategic highlights include over one-third of 2025 volume originating in primary care settings, and the next-gen MCT device, featuring a 21-day wear time and enhanced algorithms, is currently under FDA review with an expected release in the first half of 2027. The company aims to become a billion-dollar company in 2027.
Feb 19, 2026, 9:30 PM
iRhythm Holdings Announces Fourth Quarter and Full Year 2025 Financial Results
IRTC
Earnings
Guidance Update
Revenue Acceleration/Inflection
  • iRhythm Holdings, Inc. reported fourth quarter 2025 revenue of $208.9 million, a 27.1% increase compared to the fourth quarter of 2024, and achieved net income of $5.6 million, marking the first quarter of positive GAAP net income in Company history.
  • For the full year 2025, revenue reached $747.1 million, a 26.2% increase over full year 2024, with a net loss of $44.6 million, representing a $68.7 million improvement compared to full year 2024.
  • The company also achieved positive free cash flow of $34.5 million for the full year 2025, the first time in its history.
  • iRhythm Holdings provided 2026 guidance, expecting revenue between $870 million and $880 million and an adjusted EBITDA margin of 11.5% to 12.5%.
Feb 19, 2026, 9:14 PM
iRhythm Holdings Announces Fourth Quarter and Full Year 2025 Financial Results and 2026 Guidance
IRTC
Earnings
Guidance Update
Revenue Acceleration/Inflection
  • iRhythm Holdings reported strong financial performance for Q4 2025, with revenue of $208.9 million (up 27.1% year-over-year) and full-year 2025 revenue of $747.1 million (up 26.2% year-over-year).
  • The company achieved significant milestones, including its first quarter of positive GAAP net income at $5.6 million for Q4 2025 and its first year of positive free cash flow at $34.5 million for full-year 2025.
  • Adjusted EBITDA reached $34.3 million (16.4% margin) in Q4 2025 and $68.9 million (9.2% margin) for full-year 2025.
  • As of December 31, 2025, unrestricted cash, cash equivalents, and marketable securities stood at $583.8 million.
  • For full-year 2026, iRhythm expects revenue between $870 million and $880 million and an adjusted EBITDA margin of 11.5% to 12.5%.
Feb 19, 2026, 9:05 PM
iRhythm Technologies Provides 2026 Financial Guidance and Strategic Updates
IRTC
Guidance Update
New Projects/Investments
Revenue Acceleration/Inflection
  • iRhythm Technologies expects revenue of $870-$880 million in 2026, representing 17%-18% growth over the anticipated $740 million+ revenue for 2025, and projects Adjusted EBITDA of 11.5%-12.5% for 2026. The company achieved profitability from an adjusted EBITDA perspective and became free cash flow positive for the first time in 2025.
  • The company holds 72% market share in the long-term cardiac monitoring (LTCM) space and 15% market share in the mobile cardiac telemetry (MCT) market, which represents a $500 million market opportunity. A new MCT product launch is anticipated in 2027 to enhance competitiveness.
  • iRhythm is expanding into the undiagnosed, asymptomatic population, identifying a near-term opportunity of 30 million tests globally, including 27 million undiagnosed individuals in the U.S.. Over one-third of their business now comes through the primary care channel.
  • The company leverages AI, including an investment in Lucem, to proactively identify patients with arrhythmias with over 85% accuracy. They are also expanding internationally, currently operating in six countries with less than 1% market share.
Jan 12, 2026, 4:15 PM
IRTC Provides 2025 and 2026 Financial Guidance and Strategic Updates
IRTC
Guidance Update
Revenue Acceleration/Inflection
New Projects/Investments
  • iRhythm Technologies anticipates full year 2025 revenue of $740+ million and projects 2026 revenue between $870 million and $880 million.
  • The company expects to achieve an Adjusted EBITDA margin of 8.25% - 8.75% for 2025 and 11.5% - 12.5% for 2026.
  • iRhythm holds a 72% market share in U.S. Long-Term Continuous Monitoring (LTCM) and 15% in Mobile Cardiac Telemetry (MCT), addressing 27+ million potential patients in the U.S..
  • Strategic growth initiatives include international expansion into the UK, prioritized EU countries, and Japan, along with the development of a next-gen Zio MCT (510(k) submitted 3Q25) and initial commercial pilots in obstructive sleep apnea.
  • 2025 is anticipated to be free cash flow positive for the first time in the company's history.
Jan 12, 2026, 4:15 PM
iRhythm Technologies Provides 2025 Financial Highlights and 2026 Guidance
IRTC
Guidance Update
Revenue Acceleration/Inflection
New Projects/Investments
  • iRhythm Technologies expects to deliver more than $740 million in revenue for 2025, marking the first time the company will be profitable (adjusted EBITDA positive) and free cash flow positive in its history.
  • For 2026, the company forecasts revenue between $870 million and $880 million, representing 17%-18% growth, and anticipates an adjusted EBITDA margin of approximately 11.5%-12.5%.
  • The company is expanding into new markets, with over 1/3 of its business now coming through the primary care channel , and is developing a new MCT product expected to launch in 2027 that will monitor for up to 21 days.
  • iRhythm sees significant growth opportunities in the undiagnosed population (an estimated 27 million people in the U.S. alone) and international markets where it currently holds less than 1% market share.
Jan 12, 2026, 4:15 PM
iRhythm Reports Strong 2025 Financial Performance and Provides 2026 Guidance
IRTC
Guidance Update
Revenue Acceleration/Inflection
Product Launch
  • iRhythm expects to deliver over $740 million in revenue for 2025, exceeding its high-end guidance, and projects $870-$880 million in revenue for 2026, representing 17%-18% growth.
  • The company anticipates achieving profitability (adjusted EBITDA) and positive free cash flow for the first time in its history in 2025, with an expected adjusted EBITDA margin of 11.5%-12.5% in 2026.
  • iRhythm is expanding its market reach by moving into primary care, which now accounts for over one-third of its business, and is leveraging AI with partners to proactively identify undiagnosed arrhythmia patients with over 85% accuracy.
  • A new Zio AT product for the Mobile Cardiac Telemetry (MCT) market, offering 21 days of monitoring, is on file with the FDA and is expected to launch in 2027, a timeline influenced by FDA cybersecurity questions and the success of the current AT product.
Jan 12, 2026, 4:15 PM