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iRhythm Technologies (IRTC) investor relations material
iRhythm Technologies Q3 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q3 revenue was $221.6M, up 14.9% YoY; Zio Monitor demand exceeded expectations, while Zio AT revenue was flat YoY.
Gross margin reached 74.2% and adjusted EBITDA margin 23.1%; results included tariff refunds and litigation-related costs.
VitalConnect acquisition closed Oct. 5, broadening monitoring capabilities across ambulatory and other care settings.
Financial highlights
Q3 revenue was $221.6M versus $192.9M in Q3 2025; gross profit was $164.5M, up 20.0% YoY.
Adjusted EBITDA was $51.184M versus $21.559M; adjusted EBITDA margin was 23.1%, up 1,190 bps YoY.
GAAP net loss was $29.851M, or $0.90 per diluted share; adjusted net income was $27.815M, or $0.82 per share.
Adjusted operating expenses were $138.6M, down 2% YoY; reported operating expenses were $197.0M and included $49.8M of litigation settlements.
Q3 free cash flow was -$11.545M; excluding the $50.0M Baxter settlement payment, it was +$38.5M.
Outlook and guidance
FY2026 revenue guidance increased to $890M–$895M, from prior guidance of $880M–$890M; adjusted EBITDA margin guidance rose to 15.5%–16.0%.
Guidance includes ~$16M of VitalConnect revenue from the Oct. 5 close through year-end.
Q4 Zio AT volume is expected flat YoY and revenue down ~10%; Zio Monitor growth is expected in the mid-teens.
Organic revenue is expected to track toward ~$1B in 2027; VitalConnect is expected to grow slightly above organic growth, with an adjusted EBITDA margin target of at least 15%.
Positive Q4 free cash flow and FY2026 YoY free cash flow growth are expected excluding specified one-time items.
- VitalConnect acquisition positions for full MCT market access and accelerated nationwide growth.IRTC
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Truist Securities MedTech Conference 2026 - AI innovation, global expansion, and FDA-cleared algorithm drive strong growth and outlook.IRTC
46th Annual William Blair Growth Stock Conference - Q3 2025 revenue up 31% to $192.9M, margin and EBITDA improved, and guidance raised.IRTC
Q3 2025 - Record new account growth, strong LTCM share, and Zio MCT launch drive future expansion.IRTC
Wells Fargo 20th Annual Healthcare Conference 2025 - Q1 2025 revenue up 20.3%, net loss narrowed, and FY2025 guidance raised amid strong demand.IRTC
Q1 2025 - AI-driven monitoring, new sensing tech, and global expansion fuel robust growth prospects.IRTC
43rd Annual J.P. Morgan Healthcare Conference 2025 - Q4 revenue up 24% to $164.3M, gross margin at 70%, and 2025 growth guidance reaffirmed.IRTC
Q4 2024
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Next iRhythm Technologies earnings date
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