iRhythm Holdings Announces Fourth Quarter and Full Year 2025 Financial Results
Rhea-AI Summary
iRhythm (NASDAQ: IRTC) reported strong Q4 and full-year 2025 results with revenue growth, margin expansion, and improved profitability. Q4 revenue was $208.9M (+27.1% YoY); full-year revenue was $747.1M (+26.2% YoY). Q4 GAAP net income was $5.6M; FY adjusted EBITDA was $68.9M. Cash and marketable securities totaled $583.8M. The company provided 2026 guidance of $870M–$880M revenue and adjusted EBITDA margin of 11.5%–12.5%.
Management cited volume growth across US core, innovative channels, and international markets, plus first-year positive free cash flow of $34.5M.
Positive
- Full-year revenue +26.2% to $747.1M
- Quarterly revenue +27.1% to $208.9M
- First year of positive free cash flow of $34.5M
- Q4 GAAP net income of $5.6M (first positive GAAP quarter)
- Adjusted EBITDA of $68.9M and margin expansion
Negative
- Full-year net loss of $44.6M remains negative
- Operating expenses increased 11.8% year-over-year
Key Figures
Market Reality Check
Peers on Argus
IRTC was roughly flat (-0.03%) while key medical device peers like GKOS (+1.28%) and BIO (+0.64%) posted gains, pointing toward stock-specific dynamics rather than a sector-wide move.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Oct 30 | Q3 2025 earnings | Positive | -0.6% | Strong Q3 growth and raised 2025 guidance with narrowed net loss. |
| Jul 31 | Q2 2025 earnings | Positive | +17.7% | Q2 revenue up 26.1% YoY, margin expansion, and guidance increase. |
| May 01 | Q1 2025 earnings | Positive | +20.8% | Q1 revenue up 20.3% YoY with higher margins and raised 2025 outlook. |
| Feb 20 | Q4 2024 earnings | Positive | +6.0% | Q4 and 2024 results with 20%+ growth and improved net loss. |
| Jan 13 | Prelim Q4 2024 | Positive | -3.2% | Preliminary Q4 2024 update indicating revenue above prior guidance. |
Earnings announcements have often led to sizable moves (average ~8.13%), with mostly positive sentiment but mixed price direction, indicating that expectations and prior guidance play a large role.
Over the past year, iRhythm’s earnings reports have highlighted consistent revenue growth, expanding gross margins, and gradual narrowing of net losses, supported by strong cash balances and recurring guidance raises. Q1–Q3 2025 results each showed 20%+ revenue growth and improving profitability metrics, while the Q4 2024 release established a higher base with $591.8M full-year revenue. Today’s Q4 and full-year 2025 results, along with reiterated 2026 guidance, extend this trajectory of volume-led growth and margin expansion.
Historical Comparison
Earnings-related headlines for IRTC over the last year led to average moves of about 8.13%. Today’s near-flat -0.03% move is much smaller than typical earnings reactions for the stock.
Across five recent earnings updates, iRhythm has reported sustained 20%+ revenue growth, rising gross margins, improved adjusted EBITDA, and shrinking net losses, showing a steady march toward profitability and operating leverage.
Market Pulse Summary
This announcement details record Q4 and full-year 2025 performance, with $208.9M in quarterly revenue, $747.1M for the year, and the first positive GAAP net income quarter in company history. Margin expansion and positive free cash flow underscore improving operating leverage. Historically, earnings updates for iRhythm have driven notable stock moves, so investors may watch future revenue growth, adjusted EBITDA margins, and execution against 2026 guidance as key markers of momentum and sustainability.
Key Terms
adjusted ebitda financial
free cash flow financial
gaap financial
AI-generated analysis. Not financial advice.
SAN FRANCISCO, Feb. 19, 2026 (GLOBE NEWSWIRE) -- iRhythm Holdings, Inc. (NASDAQ: IRTC), a leading digital health care company focused on creating trusted solutions that detect, predict, and prevent disease, today reported financial results for the three months and full year ended December 31, 2025.
Fourth Quarter 2025 Financial Highlights
- Revenue of
$208.9 million , a27.1% increase compared to fourth quarter 2024 - Gross margin of
70.9% , a 90-basis point increase compared to fourth quarter 2024 - Net income of
$5.6 million , a$6.9 million improvement compared to fourth quarter 2024 and the first quarter of positive GAAP net income in Company history - Adjusted EBITDA and adjusted EBITDA margin of
$34.3 million and16.4% , respectively, a$15.0 million and 470-basis point improvement, respectively, compared to fourth quarter 2024 - Unrestricted cash, cash equivalents and marketable securities of
$583.8 million at December 31, 2025, a$18.6 million increase from September 30, 2025
Full Year 2025 Financial Highlights
- Revenue of
$747.1 million , a26.2% increase compared to full year 2024 - Gross margin of
70.6% , a 170-basis point increase compared to full year 2024 - Net loss of
$44.6 million , a$68.7 million improvement compared to full year 2024 - Adjusted EBITDA and adjusted EBITDA margin of
$68.9 million and9.2% , respectively, a$76.7 million and 1,050-basis point improvement, respectively compared to full year 2024 - Free cash flow of
$34.5 million , the first year of positive free cash flow in Company history
Recent Operational Highlights
- Record quarterly revenue and fifth consecutive quarterly revenue above
20% year-over-year growth, driven by volume across our US core business, innovative health channels, and international markets - Upcoming data presentations at the American College of Cardiology's Annual Scientific Session & Expo in New Orleans, Louisiana, from March 28 – 30, 2026
“The fourth quarter capped a transformational year for iRhythm,” said Quentin Blackford, President and Chief Executive Officer of iRhythm. “In 2025, we delivered strong revenue growth, meaningfully expanded margins, and achieved positive quarterly GAAP net income for the first time in our history — milestones that reflect both the strength of our execution and the durability of our business model. Demand for Zio continues to broaden across cardiology, primary care, and innovative channel partnerships as health systems and payers increasingly recognize the value of proactive, data-driven arrhythmia detection. As health systems and payers increasingly focus on reducing avoidable acute care utilization, the growing body of real-world evidence supporting Zio’s ability to enable earlier diagnosis and more efficient care delivery continues to differentiate our platform. As we enter 2026, our priorities remain consistent: scale our platform globally, advance our next-generation product roadmap, deepen our predictive AI capabilities, and execute with financial discipline to drive sustained, long-term value for patients, physicians, providers, and shareholders.”
Fourth Quarter 2025 Financial Results
Revenue for the three months ended December 31, 2025, increased
Gross profit for the fourth quarter of 2025 was
Operating expenses for the fourth quarter of 2025 were
Net income for the fourth quarter of 2025 was
Full Year 2025 Financial Results
Revenue for the year ended December 31, 2025, increased
Gross profit for the year was
Operating expenses for the year were
Net loss for 2025 was
Unrestricted cash, cash equivalents and marketable securities were
2026 Guidance
For the full year 2026, iRhythm expects revenue of
Webcast and Conference Call Information
iRhythm’s management team will host a conference call today beginning at 1:30 p.m. PT/4:30 p.m. ET. Investors interested in listening to the conference call may do so by accessing the live and archived webcast of the event, which will be available on the investors section of the Company’s website at investors.irhythmtech.com.
About iRhythm Holdings, Inc.
iRhythm is a leading digital health care company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all.
As reported in the Form 8-K of iRhythm filed on January 12, 2026, the Company is the successor registrant pursuant to Rule 12g-3(a) under the Securities Exchange Act of 1934, as amended, to iRhythm Technologies, Inc., a Delaware corporation (“iRhythm Technologies”), as a result of the completion of a holding company reorganization on January 12, 2026. As a result, the unaudited and audited financial results of the Company for all periods prior to January 12, 2026, are the unaudited and audited financial results of iRhythm Technologies and are being provided for the Company on a consolidated basis.
Use of Non-GAAP Financial Measures
We refer to certain financial measures that are not recognized under U.S. generally accepted accounting principles (GAAP) in this press release, including adjusted EBITDA, adjusted EBITDA margin, adjusted net income (loss), adjusted net income (loss) per share, adjusted operating expenses, and free cash flow. We use these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. See the schedules attached to this press release for additional information and reconciliations of such non-GAAP financial measures. We have not reconciled our adjusted operating expenses and adjusted EBITDA margin estimates for full year 2026 because certain items that impact these figures are uncertain or out of our control and cannot be reasonably predicted. Accordingly, a reconciliation of adjusted operating expenses and adjusted EBITDA estimates is not available without unreasonable effort.
Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses and settlements, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources.
Forward-Looking Statements
This news release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. An investor can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘intend’, ‘will’, ‘project’, ‘plan’, ‘believe’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future actions or operating or financial performance. In particular these statements include statements regarding financial guidance, market opportunity, ability to penetrate the market, international market expansion, anticipated productivity and quality improvements, and expectations for growth. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include risks described in the section entitled “Risk Factors” and elsewhere in our filings made with the Securities and Exchange Commission, including those on the Form 10-K expected to be filed on or about February 19, 2026. These forward-looking statements speak only as of the date hereof and should not be unduly relied upon. iRhythm disclaims any obligation to update these forward-looking statements.
Investor Contact
Stephanie Zhadkevich
investors@irhythmtech.com
Media Contact
Kassandra Perry
mediarelations@irhythmtech.com
| IRHYTHM TECHNOLOGIES, INC. Consolidated Balance Sheets (In thousands, except par value) | |||||||
| December 31, | |||||||
| 2025 | 2024 | ||||||
| Assets | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 236,012 | $ | 419,597 | |||
| Marketable securities | 347,751 | 115,956 | |||||
| Accounts receivable, net | 75,706 | 79,941 | |||||
| Inventory | 21,634 | 14,039 | |||||
| Prepaid expenses and other current assets | 21,662 | 16,286 | |||||
| Total current assets | 702,765 | 645,819 | |||||
| Property and equipment, net | 151,599 | 125,092 | |||||
| Operating lease right-of-use assets | 41,827 | 47,564 | |||||
| Restricted cash | 8,358 | 8,358 | |||||
| Goodwill | 862 | 862 | |||||
| Long-term strategic investments | 69,913 | 61,902 | |||||
| Other assets | 44,718 | 41,852 | |||||
| Total assets | $ | 1,020,042 | $ | 931,449 | |||
| Liabilities and Stockholders’ Equity | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 2,256 | $ | 7,221 | |||
| Accrued liabilities | 128,747 | 84,900 | |||||
| Deferred revenue | 4,201 | 2,932 | |||||
| Operating lease liabilities, current portion | 16,686 | 15,867 | |||||
| Total current liabilities | 151,890 | 110,920 | |||||
| Long-term senior convertible notes | 649,504 | 646,443 | |||||
| Other noncurrent liabilities | 908 | 8,579 | |||||
| Operating lease liabilities, noncurrent portion | 64,994 | 74,599 | |||||
| Total liabilities | 867,296 | 840,541 | |||||
| Stockholders’ equity: | |||||||
| Preferred stock, | — | — | |||||
| Common stock, | 32 | 31 | |||||
| Additional paid-in capital | 980,757 | 874,607 | |||||
| Accumulated other comprehensive income | 403 | 165 | |||||
| Accumulated deficit | (803,446 | ) | (758,895 | ) | |||
| Treasury stock, at cost; 229 shares at December 31, 2025 and 2024, respectively | (25,000 | ) | (25,000 | ) | |||
| Total stockholders’ equity | 152,746 | 90,908 | |||||
| Total liabilities and stockholders’ equity | $ | 1,020,042 | $ | 931,449 | |||
| IRHYTHM TECHNOLOGIES, INC. Consolidated Statements of Operations (In thousands, except per share data) | |||||||||||||||
| (Unaudited) Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Revenue, net | $ | 208,890 | $ | 164,325 | $ | 747,138 | $ | 591,839 | |||||||
| Cost of revenue | 60,835 | 49,257 | 219,888 | 184,308 | |||||||||||
| Gross profit | 148,055 | 115,068 | 527,250 | 407,531 | |||||||||||
| Operating expenses: | |||||||||||||||
| Research and development | 21,046 | 19,081 | 84,610 | 71,459 | |||||||||||
| Acquired in-process research and development | 740 | 302 | 3,036 | 32,371 | |||||||||||
| Selling, general and administrative | 122,004 | 99,768 | 492,553 | 418,565 | |||||||||||
| Impairment charges | 1,979 | — | 4,458 | 641 | |||||||||||
| Total operating expenses | 145,769 | 119,151 | 584,657 | 523,036 | |||||||||||
| Income (loss) from operations | 2,286 | (4,083 | ) | (57,407 | ) | (115,505 | ) | ||||||||
| Interest and other income, net: | |||||||||||||||
| Interest income | 5,337 | 5,740 | 21,521 | 21,938 | |||||||||||
| Interest expense | (3,322 | ) | (3,320 | ) | (13,154 | ) | (12,821 | ) | |||||||
| Loss on extinguishment of debt | — | — | — | (7,589 | ) | ||||||||||
| Other income, net | 1,725 | 481 | 5,442 | 1,253 | |||||||||||
| Total interest and other income, net | 3,740 | 2,901 | 13,809 | 2,781 | |||||||||||
| Income (loss) before income taxes | 6,026 | (1,182 | ) | (43,598 | ) | (112,724 | ) | ||||||||
| Income tax provision | 447 | 151 | 953 | 565 | |||||||||||
| Net income (loss) | $ | 5,579 | $ | (1,333 | ) | $ | (44,551 | ) | $ | (113,289 | ) | ||||
| Net income (loss) per share: | |||||||||||||||
| Basic | $ | 0.17 | $ | (0.04 | ) | $ | (1.39 | ) | $ | (3.63 | ) | ||||
| Diluted | $ | 0.17 | $ | (0.04 | ) | $ | (1.39 | ) | $ | (3.63 | ) | ||||
| Weighted-average shares outstanding: | |||||||||||||||
| Basic | 32,258 | 31,343 | 32,004 | 31,196 | |||||||||||
| Diluted | 33,332 | 31,343 | 32,004 | 31,196 | |||||||||||
| IRHYTHM TECHNOLOGIES, INC. Reconciliation of GAAP to Non-GAAP Financial Information (In thousands, except per share data) (Unaudited) | |||||||||||||||
| Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Adjusted EBITDA reconciliation* | |||||||||||||||
| Net income (loss)1 | $ | 5,579 | $ | (1,333 | ) | $ | (44,551 | ) | $ | (113,289 | ) | ||||
| Interest expense | 3,322 | 3,320 | 13,154 | 12,821 | |||||||||||
| Interest income | (5,337 | ) | (5,740 | ) | (21,521 | ) | (21,938 | ) | |||||||
| Changes in fair value of strategic investments | (1,822 | ) | (843 | ) | (5,711 | ) | (1,902 | ) | |||||||
| Income tax provision | 447 | 151 | 953 | 565 | |||||||||||
| Depreciation and amortization | 5,254 | 5,289 | 20,742 | 20,715 | |||||||||||
| Stock-based compensation | 21,106 | 16,008 | 88,283 | 75,978 | |||||||||||
| Impairment charges | 1,979 | — | 4,458 | 641 | |||||||||||
| Business transformation costs | 692 | 2,416 | 3,033 | 11,072 | |||||||||||
| Intellectual property litigation costs2 | 3,070 | — | 10,070 | — | |||||||||||
| Loss on extinguishment of debt | — | — | — | 7,589 | |||||||||||
| Adjusted EBITDA | $ | 34,290 | $ | 19,268 | $ | 68,910 | $ | (7,748 | ) | ||||||
| Adjusted net income (loss) reconciliation* | |||||||||||||||
| Net income (loss), as reported1 | $ | 5,579 | $ | (1,333 | ) | $ | (44,551 | ) | $ | (113,289 | ) | ||||
| Impairment charges | 1,979 | — | 4,458 | 641 | |||||||||||
| Business transformation costs | 692 | 2,416 | 3,033 | 11,072 | |||||||||||
| Intellectual property litigation costs2 | 3,070 | — | 10,070 | — | |||||||||||
| Changes in fair value of strategic investments | (1,822 | ) | (843 | ) | (5,711 | ) | (1,902 | ) | |||||||
| Loss on extinguishment of debt | — | — | — | 7,589 | |||||||||||
| Tax effect of adjustments3 | 211 | — | (89 | ) | — | ||||||||||
| Adjusted net income (loss) | $ | 9,709 | $ | 240 | $ | (32,790 | ) | $ | (95,889 | ) | |||||
| Adjusted net income (loss) per share reconciliation* | |||||||||||||||
| Net income (loss) per share, as reported1 | $ | 0.17 | $ | (0.04 | ) | $ | (1.39 | ) | $ | (3.63 | ) | ||||
| Impairment charges per share | 0.06 | — | 0.14 | 0.02 | |||||||||||
| Business transformation costs per share | 0.02 | 0.08 | 0.09 | 0.35 | |||||||||||
| Intellectual property litigation costs per share2 | 0.09 | — | 0.31 | — | |||||||||||
| Changes in fair value of strategic investments per share | (0.05 | ) | (0.03 | ) | (0.18 | ) | (0.06 | ) | |||||||
| Loss on extinguishment of debt per share | — | — | — | 0.24 | |||||||||||
| Tax effect of adjustments per share3 | 0.01 | — | — | — | |||||||||||
| Adjusted diluted net income (loss) per share | $ | 0.29 | $ | 0.01 | $ | (1.03 | ) | $ | (3.08 | ) | |||||
| Weighted-average shares, basic | 32,258 | 31,343 | 32,004 | 31,196 | |||||||||||
| Weighted-average shares, diluted | 33,332 | 31,710 | 32,004 | 31,196 | |||||||||||
| IRHYTHM TECHNOLOGIES, INC. Reconciliation of GAAP to Non-GAAP Financial Information (continued) (In thousands) (Unaudited) | |||||||||||||||
| Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||
| Adjusted operating expenses reconciliation* | 2025 | 2024 | 2025 | 2024 | |||||||||||
| Operating expenses, as reported | $ | 145,769 | $ | 119,151 | $ | 584,657 | $ | 523,036 | |||||||
| Impairment charges | (1,979 | ) | — | (4,458 | ) | (641 | ) | ||||||||
| Business transformation costs | (692 | ) | (2,416 | ) | (3,033 | ) | (11,072 | ) | |||||||
| Intellectual property litigation costs2 | (3,070 | ) | — | (10,070 | ) | — | |||||||||
| Adjusted operating expenses | $ | 140,028 | $ | 116,735 | $ | 567,096 | $ | 511,323 | |||||||
| Free cash flow reconciliation* | |||||||||||||||
| Net cash provided by operating activities | $ | 26,212 | $ | 19,232 | $ | 80,863 | $ | 3,390 | |||||||
| Purchases of property and equipment | (11,723 | ) | (6,844 | ) | (46,342 | ) | (33,942 | ) | |||||||
| Free cash flow | $ | 14,489 | $ | 12,388 | $ | 34,521 | $ | (30,552 | ) | ||||||
*Certain numbers expressed may not sum due to rounding.
1Net income (loss) for the three and twelve months ended December 31, 2025, includes acquired in-process research and development expense of
2 Excludes third-party attorneys' fees and expenses associated with patent litigation brought against the Company by Welch Allyn, Inc. and Bardy Diagnostics, Inc., subsidiaries of Baxter International, Inc.
3 Income tax impact of Non-GAAP adjustments listed.
FAQ
What were iRhythm's Q4 2025 results and revenue (IRTC)?
Did iRhythm (IRTC) turn profitable in 4Q 2025 and what was net income?
What is iRhythm's full-year 2025 revenue and adjusted EBITDA (IRTC)?
How much cash did iRhythm (IRTC) hold at year-end 2025?
What guidance did iRhythm (IRTC) give for full-year 2026?
What operational milestones did iRhythm highlight for 2025 (IRTC)?
