iRhythm Technologies (NasdaqGS:IRTC) Q4 2025 Earnings call February 19, 2026 04:30 PM ET Company ParticipantsAllen Gong - VPDan Wilson - CFODavid Roman - Managing DirectorDavid Saxon - Managing DirectorJoanne Wuensch - Managing DirectorNathan Treybeck - Equity Research Vice PresidentQuentin Blackford - President and CEORichard Newitter - Managing DirectorStephanie Piazzola - VP of Equity Research Medical TechnologyStephanie Zhadkevich - Senior Director of Investor RelationsSuraj Kalia - Managing DirectorVij ...

iRhythm Technologies (NasdaqGS:IRTC) Q4 2025 Earnings call February 19, 2026 04:30 PM ET Company ParticipantsAllen Gong - VPDan Wilson - CFODavid Roman - Managing DirectorDavid Saxon - Managing DirectorJoanne Wuensch - Managing DirectorNathan Treybeck - Equity Research Vice PresidentQuentin Blackford - President and CEORichard Newitter - Managing DirectorStephanie Piazzola - VP of Equity Research Medical TechnologyStephanie Zhadkevich - Senior Director of Investor RelationsSuraj Kalia - Managing DirectorVij ...

iRhythm Technologies (NasdaqGS:IRTC) Q4 2025 Earnings call February 19, 2026 04:30 PM ET Speaker9Hello, everyone. Thank you for attending today's iRhythm Technologies, Inc. Q4 2025 Earnings Conference Call. My name is William, and I will be your moderator today. All lines will be muted during the presentation portion of the call, with an opportunity for questions and answers at the end. If you would like to ask a question, please press star one on your telephone keypad. At this time, I would now like to pas ...

iRhythm Technologies (NasdaqGS:IRTC) FY Conference Summary Company Overview - **Company**: iRhythm Technologies - **Industry**: MedTech, specifically in cardiac monitoring and arrhythmia detection - **Conference Date**: January 12, 2026 Key Points and Arguments Financial Performance - iRhythm achieved over **$740 million** in revenue for 2025, exceeding guidance and marking the first profitable year in the company's history [10][35] - The company expects **$870-$880 million** in revenue for 2026, representing a growth of **17%-18%** [35] - For the first time, iRhythm will be **free cash flow positive** in 2025, with an expected **11.5%-12.5%** adjusted EBITDA margin for 2026 [35][36] Market Opportunity - There are **27 million undiagnosed individuals** with cardiac arrhythmias in the U.S., representing a significant market opportunity [5][11] - iRhythm currently holds **72% market share** in long-term cardiac monitoring (LTCM) and aims to expand its presence in the **Mobile Cardiac Telemetry (MCT)** space, where it has only **15% market share** [13][24] - The company is targeting a **30 million test** market opportunity, including both undiagnosed patients and international markets [12][13] Product and Technology - iRhythm's **Zio** monitoring system allows patients to wear a device for **14 days**, capturing nearly **1.5 million heartbeats** [8] - The company is developing a **third-generation algorithm** for arrhythmia detection, which is currently with the FDA [9] - iRhythm is leveraging **AI** to analyze **3 billion hours** of heartbeat data, enhancing predictive capabilities for undiagnosed arrhythmias [22][27] Strategic Initiatives - The company is focusing on expanding into **primary care**, with over **20% of prescribing** now coming from this channel [17] - iRhythm is collaborating with **innovative channel partners** to target comorbid disease states, which overlap significantly with arrhythmias [20] - The company is also exploring opportunities in adjacent markets such as **sleep apnea**, where there is a high correlation with arrhythmias [32][33] Competitive Landscape - iRhythm has a competitive advantage due to its established product in LTCM, while competitors primarily focus on MCT, making it difficult for them to penetrate the primary care market [52][53] - The company has been successful in integrating with **EHR systems**, which has led to a **20%-25% increase** in volume post-integration [30] Research and Evidence Generation - iRhythm has published over **135 research manuscripts**, with nearly **40 peer-reviewed**, establishing a strong evidence base for its products [11][12] - The company emphasizes the cost savings associated with early arrhythmia detection, estimating **$15-$17 million** in savings for every **1,000 patients** identified [32] Future Outlook - iRhythm is optimistic about its growth trajectory, with plans to continue investing in technology and market expansion while maintaining profitability [36][59] - The company aims to achieve **15% adjusted EBITDA margins** as it approaches **$1 billion** in revenue [37] Additional Important Insights - The company is addressing **capacity constraints** in the healthcare system by moving monitoring to primary care, where there is a significant shortage of cardiologists [6][17] - iRhythm's proactive approach to identifying undiagnosed patients through AI and data analysis is seen as a game changer in the industry [23][27] - The company is currently working on enhancing its MCT product to meet market demands for longer monitoring durations [24][46] This summary encapsulates the key points discussed during the iRhythm Technologies FY Conference, highlighting the company's financial performance, market opportunities, product innovations, strategic initiatives, competitive landscape, and future outlook.

Summary of iRhythm Technologies FY Conference Call (December 04, 2025) Company Overview - **Company**: iRhythm Technologies (NasdaqGS: IRTC) - **Industry**: Life Science Diagnostics and Medical Devices - **Key Products**: - **Zio Monitor**: Long-term continuous cardiac monitoring device, capable of monitoring for 14 days and collecting an average of 1.5 million heartbeats [3][4] - **Zio AT**: Mobile cardiac telemetry product launched in 2019, providing near real-time monitoring [5] Market Insights - **Market Size**: 6.7 million ambulatory cardiac monitoring tests in the U.S. annually, with long-term continuous monitoring being the largest and fastest-growing segment [6] - **Market Growth**: Long-term continuous monitoring is growing at a high teens percentage year-over-year [6] - **Market Share**: iRhythm holds over 70% market share in long-term continuous monitoring and approximately 15% in mobile cardiac telemetry [5][30] Competitive Landscape - **Key Competitors**: Traditional Holter monitors and event monitors, which still account for 2 million tests annually [6] - **Differentiation**: iRhythm emphasizes clinical and operational superiority, with a focus on AI tools for data analysis and high physician agreement rates (99%) on reports generated [8][9] Regulatory Environment - **NCD and LCD**: iRhythm has a National Coverage Determination (NCD) that is 20 years old, with recent concerns regarding proposed Local Coverage Determinations (LCDs) that may affect service level requirements [10][11] - **Industry Support**: The Heart Rhythm Society and other industry partners have provided feedback supporting iRhythm's position on the differentiation between long-term continuous monitoring and mobile cardiac telemetry [14] Financial Performance - **Revenue Growth**: Fiscal 2025 saw a revenue acceleration of 500 basis points over fiscal 2024, with growth attributed to the success of Zio AT, innovative channels, and EHR integration [18][19] - **Future Guidance**: Preliminary outlook for fiscal 2026 is 16%-18% growth, reflecting a step down from the previous year's performance due to difficult comparisons [65][66] Product Development - **Next-Gen MCT**: A new mobile cardiac telemetry product is in development, expected to extend monitoring to 21 days, which is anticipated to enhance market share [30][32] - **FDA Submission**: A traditional 510(k) submission was made for the new product, with ongoing discussions with the FDA regarding cybersecurity [32][34] Innovative Channels - **Strategy**: Focus on proactive monitoring for patients at risk of undiagnosed arrhythmias, with a target market of 27 million patients [46] - **Partnerships**: Currently working with 18 partners, with plans to expand to 40, emphasizing the importance of data-driven decision-making in identifying at-risk patients [45][51] EHR Integration - **Volume Uplift**: Accounts with EHR integration have seen a 25% increase in volume, with over 50% of orders now processed through EHR systems [58][61] - **Integration Benefits**: Streamlined workflows for clinicians, allowing for more efficient patient monitoring and report generation [58][60] Margin and Profitability - **Gross Margin Targets**: Long-term gross margin target of 72%-73% by 2027, with expectations for initial neutrality in margins from the new MCT product [40][41] - **EBITDA Expansion**: Aiming for 300-400 basis points of EBITDA expansion annually, with a target of 15% adjusted EBITDA by 2027 [68] Conclusion - **Overall Outlook**: iRhythm Technologies is positioned for continued growth in the cardiac monitoring market, with strong product offerings, a focus on innovation, and strategic partnerships aimed at capturing a larger share of the market while maintaining profitability [19][68]

Core Insights - iRhythm Technologies Inc. reported a third-quarter loss of 6 cents per share, significantly better than the analysts' expectation of a 31-cent loss [1] - The company achieved sales of $192.88 million, representing a 30.7% year-over-year increase, surpassing the consensus estimate of $184.74 million [1] Financial Performance - The third quarter of 2025 saw record quarterly revenue driven by strong performance in the core long-term continuous monitoring business, sustained demand for Zio AT, and contributions from international markets [2] - Gross profit reached $137.1 million, up 35.1%, with a gross margin of 71.1%, reflecting a 230-basis point improvement [2] Demand and Operational Efficiency - The increase in gross profit was primarily due to higher demand for Zio services, leading to greater volume [3] - The improvement in gross margin was attributed to volume leverage and operational efficiencies, although partially offset by higher blended costs per unit from a greater Zio AT product mix [3] Guidance and Future Outlook - iRhythm raised its fiscal 2025 sales guidance from a range of $720 million-$730 million to $735 million-$740 million, compared to the consensus of $726.42 million [4] - The adjusted EBITDA margin for the full year 2025 is expected to be approximately 8.25% to 8.75% of revenues [4] Analyst Sentiment - William Blair noted that the company is demonstrating strong growth and has a durable growth outlook, with positive expectations for future integrations and product launches [5] - BTIG and Needham analysts maintained a Buy rating on iRhythm, with price forecasts raised to $215 and $244, respectively [6] - Following these developments, IRTC stock increased by 3.19% to $190 [6]

Financial Data and Key Metrics Changes - For Q3 2025, revenue was $192.9 million, reflecting a year-over-year growth of 31% [5][19] - Adjusted EBITDA margin was 11.2%, compared to a negative 13.5% in Q3 2024 [22][24] - Adjusted net loss decreased to $2 million, or $0.06 per share, from an adjusted net loss of $39.2 million, or $1.26 per share in Q3 2024 [22][24] - Gross margin improved to 71.1%, an increase of 230 basis points year-over-year [20][24] Business Line Data and Key Metrics Changes - Record performance was noted in both Zio Monitor and Zio AT, contributing to overall revenue growth [5][13] - New store growth accounted for approximately 60% of year-over-year volume growth, with home enrollment for Zio services steady at around 23% [19][20] - The Zio AT business saw year-over-year unit growth more than double the corporate average [13] Market Data and Key Metrics Changes - The U.S. market continues to show strong adoption in both hospital and ambulatory settings, with 76 of the top 100 customers now EHR integrated [6][7] - In Japan, 13 systems are live, with positive feedback from physicians regarding Zio's capabilities [16] - The UK private market is experiencing strong growth, supported by clinical evidence and key opinion leader engagement [17] Company Strategy and Development Direction - The company is focusing on expanding into primary care and innovative health channels, leveraging EHR integrations to enhance clinician efficiency [6][8] - A partnership with Lusum Health aims to enhance clinical AI capabilities for identifying undiagnosed patients at risk of cardiac arrhythmias [12] - The company is transitioning from a device-enabled service to a comprehensive digital health platform powered by data and AI [12][13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to generate positive free cash flow for the first time in its history, expecting to be free cash flow positive for the full year 2025 [24][25] - The outlook for full-year 2025 revenue has been raised to $735 to $740 million, indicating continued strong volume growth [23][24] - Management highlighted the importance of proactive monitoring and AI-driven risk stratification in reducing healthcare costs and improving patient outcomes [10][11] Other Important Information - The company is advancing development in sleep diagnostics, recognizing the overlap between cardiac arrhythmias and sleep apnea [15][49] - The FDA has requested to pause remediation efforts until after the government shutdown, which management views as a positive sign [38][40] Q&A Session Summary Question: What is driving the new account openings and volume growth? - Management noted that the ability to scale and absorb entire networks of new customers from day one has been a significant factor in growth [28] Question: What is driving the outperformance expected in Q4? - The outperformance is primarily attributed to the core monitor business, with healthy contributions from AT and innovative channels [31] Question: How should growth cadence for MCT be considered? - Management indicated that while they are optimistic about the AT business, they are cautious about forecasting MCT contributions until FDA approval is secured [33] Question: What is the sales cycle for innovative channel partners? - The sales cycle varies significantly by customer, with some partners scaling quickly while others take longer [36] Question: Any updates on FDA remediation efforts? - There has been limited communication from the FDA, but management is optimistic about resuming discussions post-shutdown [38][40] Question: What is the incremental patient pool in the innovative channel? - The focus is on monitoring asymptomatic, undiagnosed populations, with a significant opportunity identified among patients with comorbid conditions [41][43]

Financial Performance - iRhythm's revenue for Q3 2025 reached $192.9 million, a 30.7% increase compared to $147.5 million in Q3 2024[3, 5] - Gross profit for Q3 2025 was $137.1 million, up 35.1% from $101.5 million in Q3 2024, with a gross margin of 71.1%, a 230-basis point increase[6] - Net loss for Q3 2025 was $5.2 million, or a diluted loss of $0.16 per share, compared to a net loss of $46.2 million, or a diluted loss of $1.48 per share, in Q3 2024[8] - Adjusted EBITDA for Q3 2025 was $21.559 million, compared to $(19.886) million for Q3 2024[25] - Unrestricted cash, cash equivalents, and marketable securities totaled $565.2 million as of September 30, 2025[3, 9] Future Outlook - iRhythm projects full-year 2025 revenue between $735 million and $740 million[11] - The company anticipates an adjusted EBITDA margin for full-year 2025 ranging from approximately 8.25% to 8.75% of revenues[3, 11]

Core Insights - iRhythm Technologies reported a strong performance in Q3 2025, with revenue increasing by 30.7% year-over-year, reflecting the scalability of its platform and growing adoption of its technology across the healthcare ecosystem [3][4]. Financial Performance - Revenue for Q3 2025 was $192.9 million, up from $147.5 million in Q3 2024, driven by increased demand for Zio services [4]. - Gross profit for Q3 2025 was $137.1 million, a 35.1% increase from $101.5 million in Q3 2024, with a gross margin of 71.1%, improving by 230 basis points year-over-year [5]. - Operating expenses for Q3 2025 were $145.6 million, down from $151.8 million in Q3 2024, with adjusted operating expenses at $141.4 million compared to $143.8 million in the prior year [6]. - The net loss for Q3 2025 was $5.2 million, or a diluted loss of $0.16 per share, significantly improved from a net loss of $46.2 million, or a diluted loss of $1.48 per share, in Q3 2024 [7][8]. Cash Flow and Guidance - iRhythm achieved record free cash flow generation in Q3 2025 and anticipates being free cash flow positive for the entire year for the first time in its history [3]. - The company projects full-year 2025 revenue between $735 million to $740 million, with an expected adjusted EBITDA margin of approximately 8.25% to 8.75% [9]. Market Position and Innovations - The company continues to expand into primary care and population health programs, with progress in EHR integration and new clinical evidence supporting its leadership in proactive cardiac monitoring [3]. - iRhythm is advancing its innovation pipeline, including the submission of its next-generation Zio MCT solution to the FDA and early work in sleep diagnostics [3]. Research and Clinical Evidence - Recent publications, including the AVALON real-world evidence and AMALFI randomized clinical trial, reinforce the clinical value proposition of iRhythm's Zio long-term continuous monitoring service [7].

Core Insights - iRhythm Technologies, Inc. (NASDAQ:IRTC) is recognized as one of the top medical device stocks, with Freedom Capital Markets initiating coverage with a Buy rating and a price target of $205 [1] Market Position - iRhythm holds a 70% market share in long-term cardiac monitoring, with its Zio Monitor being described as a "category killer" that has disrupted traditional 48-hour Holter monitors [2] - The company has a 12% market share in continuous monitoring through its Zio AT product, which can be worn for up to 14 days, and is expected to increase its market share with the upcoming release of a 21-day device [2] Sales Growth and Strategy - iRhythm has expanded its sales channels into the primary care market and has secured larger accounts, exceeding expectations and increasing projections over the last two quarters [3] - The company specializes in the design and commercialization of device-based technologies for ambulatory cardiac monitoring [3]