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Dec 31, 2025
iRhythm Q4 2025 Earnings Report
iRhythm Holdings reported strong financial results for the fourth quarter and full year ended December 31, 2025, with significant revenue growth, expanded gross margins, and positive GAAP net income for the first time in company history.
Key Takeaways
iRhythm Holdings achieved record quarterly revenue of $208.9 million, a 27.1% increase year-over-year, and reported its first-ever positive GAAP net income of $5.6 million. The company also saw a 90-basis point increase in gross margin to 70.9% and a substantial improvement in adjusted EBITDA, reflecting strong execution and business model durability.
Record quarterly revenue of $208.9 million, up 27.1% from Q4 2024.
First quarter of positive GAAP net income in company history, reaching $5.6 million.
Gross margin improved to 70.9%, a 90-basis point increase compared to Q4 2024.
Adjusted EBITDA increased significantly to $34.3 million, with a 470-basis point improvement in margin.
Forward Guidance
For the full year 2026, iRhythm expects revenue between $870 million and $880 million and an adjusted EBITDA margin of 11.5% to 12.5%.
Positive Outlook
- Continued volume-led growth is anticipated.
- Gross margin expansion is expected.
- Operating leverage will be maintained.
- Disciplined investment in innovation will continue.
- Market expansion efforts will be sustained.
Historical Earnings Impact
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Avg. Return Before/After Earnings
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