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iRhythm Technologies (IRTC) investor relations material

iRhythm Technologies Evercore ISI 8th Annual HealthCONx Conference summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Evercore ISI 8th Annual HealthCONx Conference summary4 Dec, 2025

Market overview and product differentiation

  • Zio Monitor enables 14-day continuous cardiac monitoring, collecting 1.5 million heartbeats per patient, offering deeper clinical insights compared to traditional Holter monitors.

  • Zio AT, launched in 2019, provides near real-time mobile cardiac telemetry, with a 15% market share in MCT and over 70% in long-term continuous monitoring.

  • The U.S. ambulatory cardiac monitoring market sees 6.7 million tests annually, with long-term continuous monitoring as the fastest-growing segment.

  • AI-driven analysis and high physician agreement (99%) on reports differentiate the offering, streamlining clinician workflows.

  • EHR integration and improved device form factors enhance patient and provider experience, supporting market leadership.

Regulatory and reimbursement landscape

  • Recent draft LCDs from three MACs could impact service requirements, but industry and physician society feedback supports differentiation between LTCM and MCT.

  • Medicare rates for long-term continuous monitoring are set to increase by 8% next year, while MCT rates will decrease slightly but remain stable.

  • Commercial reimbursement, representing 50% of revenue, remains stable and is set independently from Medicare.

  • No formal 2026 guidance yet, but positive reimbursement trends are expected to support growth.

Growth drivers and business momentum

  • Fiscal 2025 saw revenue acceleration above 25%, driven by AT growth, innovative channels, and EHR integration.

  • Competitive disruption in Q4 2024 and Big Bang account launches contributed to strong performance, with 85% retention of disrupted business.

  • EHR integration now accounts for over 50% of volume, with a consistent 25% volume uplift post-integration.

  • Innovative channels target high-risk, undiagnosed arrhythmia populations, with 18 partners and a pipeline of 40 more.

  • 80% of monitored patients in innovative channels show arrhythmias, validating the proactive monitoring approach.

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Frequently asked questions

iRhythm Technologies, Inc., a digital healthcare company, provides ambulatory electrocardiogram (ECG) monitoring products for patients at risk for arrhythmias in the United States. Its primary product includes Zio XT service, which offers a wire-free patch that is worn for up to 14 continuous days; and Zio AT service that provides ambulatory monitoring over one to thirty days through a wire-connected patch worn by the patient. The company was incorporated in 2006 and is headquartered in San Francisco, California.

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