iRhythm Holdings, Inc.IRTCEarnings & Financial Report
iRhythm Holdings is a digital healthcare company focused on cardiac care, developing and commercializing wearable ambulatory heart monitoring devices paired with AI-powered analytical tools. It primarily serves healthcare providers and patients across the United States, helping to detect undiagnosed arrhythmias such as atrial fibrillation through convenient long-term heart rhythm tracking that delivers actionable clinical insights.
IRTC Q4 2025 Key Financial Metrics
Revenue
$208.9M
Gross Profit
$148.1M
Operating Profit
$2.3M
Net Profit
$5.6M
Gross Margin
70.9%
Operating Margin
1.1%
Net Margin
2.7%
YoY Growth
27.1%
EPS
$0.18
Financial Flow
iRhythm Holdings, Inc. Q4 2025 Financial Summary
iRhythm Holdings, Inc. reported revenue of $208.9M (up 27.1% YoY) for Q4 2025, with a net profit of $5.6M (up 518.5% YoY) (2.7% margin). Cost of goods sold was $60.8M, operating expenses totaled $145.8M.
Key Financial Metrics
| Total Revenue | $208.9M |
|---|---|
| Net Profit | $5.6M |
| Gross Margin | 70.9% |
| Operating Margin | 1.1% |
| Report Period | Q4 2025 |
Revenue Breakdown
iRhythm Holdings, Inc. Q4 2025 revenue of $208.9M breaks down across 4 segments, led by Commercial Payors at $111.7M (53.5% of total).
| Segment | Revenue | % of Total |
|---|---|---|
| Commercial Payors | $111.7M | 53.5% |
| Centers For Medicare And Medicaid | $49.2M | 23.5% |
| Healthcare Institutions | $34.3M | 16.4% |
| Non Contracted Third Party Payors | $13.7M | 6.5% |
iRhythm Holdings, Inc. Revenue by Segment — Quarterly Trend
iRhythm Holdings, Inc. revenue by segment across the last 4 reported quarters, showing how each business line (such as Commercial Payors and Centers For Medicare And Medicaid) has evolved quarter over quarter.
| Segment | Q4 2025 | Q3 2025 | Q2 2025 | Q1 2025 |
|---|---|---|---|---|
| Commercial Payors | $111.7M | $99.0M | $97.7M | $83.8M |
| Centers For Medicare And Medicaid | $49.2M | $47.6M | $44.5M | $38.1M |
| Healthcare Institutions | $34.3M | $32.8M | $31.8M | $26.7M |
| Non Contracted Third Party Payors | $13.7M | $13.5M | $12.7M | $10.1M |
iRhythm Holdings, Inc. Annual Revenue by Year
iRhythm Holdings, Inc. annual revenue history includes year-by-year totals (for example, 2025 revenue was $747.1M). Click any linked year to see what changed vs the prior annual report.
iRhythm Holdings, Inc. Quarterly Revenue & Net Profit History
iRhythm Holdings, Inc. results over the last 8 reported quarters, including revenue, net profit and year-over-year growth.
| Quarter | Revenue | Revenue YoY | Net Profit | Net Margin |
|---|---|---|---|---|
| Q4 2025 | $208.9M | +27.1% | $5.6M | 2.7% |
| Q3 2025 | $192.9M | +30.7% | $-5.2M | -2.7% |
| Q2 2025 | $186.7M | +26.1% | $-14.2M | -7.6% |
| Q1 2025 | $158.7M | +20.3% | $-30.7M | -19.3% |
| Q4 2024 | $164.3M | +24.0% | $-1.3M | -0.8% |
| Q3 2024 | $147.5M | +18.4% | $-46.2M | -31.3% |
| Q2 2024 | $148.0M | +19.3% | $-20.1M | -13.6% |
| Q1 2024 | $131.9M | +18.4% | $-45.7M | -34.6% |
Income Statement
| Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | |
|---|---|---|---|---|---|---|---|---|
| Revenue | $131.9M | $148.0M | $147.5M | $164.3M | $158.7M | $186.7M | $192.9M | $208.9M |
| YoY Growth | 18.4% | 19.3% | 18.4% | 24.0% | 20.3% | 26.1% | 30.7% | 27.1% |
Balance Sheet
| Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | |
|---|---|---|---|---|---|---|---|---|
| Assets | $909.8M | $919.2M | $909.7M | $931.4M | $926.1M | $964.0M | $995.2M | $1.02B |
| Liabilities | $819.5M | $820.0M | $837.9M | $840.5M | $839.4M | $860.4M | $873.3M | $867.3M |
| Equity | $90.3M | $99.2M | $71.8M | $90.9M | $86.7M | $103.7M | $121.9M | $152.7M |
Cash Flow
| Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | |
|---|---|---|---|---|---|---|---|---|
| Operating CF | $-52.0M | $11.8M | $24.3M | $19.2M | $-7.9M | $27.7M | $34.9M | $26.2M |