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iRhythm Holdings (IRTC) Q1 2025 earnings results (first quarter 2025)

10-Q filed May 1, 2025

iRhythm Holdings (IRTC) reported revenue of $159M for the first quarter 2025 (Q1 2025), +20% from a year earlier and -3% from the quarter before. Operating margin was -20.5%, net loss $30.7M (19.3% of revenue).

Revenue$159M
Year over year+20%
Quarter over quarter-3%
Operating margin-20.5%
Net earnings−$30.7M

iRhythm Holdings, Q1 2025: revenue $159M (+20% year over year), operating margin -20.5%, net loss $30.7M, operating cash flow −$7.9M. The chart follows the revenue to costs, profit and cash.

Q1 2025AmountQ/QY/Y
Revenue$159M-3%+20%
Operating profit−$32.6M——
Net earnings−$30.7M——
Operating cash flow−$7.9M——

What changed

Revenue was $158.7M in Q1 2025, up 20% year over year and down 3% from the previous quarter. Contracted third-party payors was the largest line at 53% of revenue. Contracted third-party payors added $12.0M year over year (up 17%), 45% of the total change.

Gross margin was 68.8%, up 2.5 points from a year earlier. Operating costs exceeded revenue by $32.6M, an operating margin of -20.5%. Operating expenses grew 13% against revenue growth of 20%. The fastest-growing cost line was Research & development (+27%). The quarter ended with a net loss of $30.7M, wider than the previous quarter's $1.3M loss.

Operating cash flow was −$7.9M. Non-cash charges added back $5.2M of depreciation and amortization and $23.3M of share-based compensation. Working capital and other items used $5.7M. Capital expenditures of $9.4M exceeded it, leaving free cash flow of −$17.3M.

Questions

What was iRhythm Holdings' revenue in the first quarter 2025?

iRhythm Holdings (IRTC) reported revenue of $159M for the first quarter 2025 (Q1 2025), +20% from a year earlier and -3% from the quarter before.

Was iRhythm Holdings profitable in the first quarter 2025?

Operating loss was $32.6M (-20.5% of revenue) and net loss $30.7M.

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Source: iRhythm Holdings 10-Q on SEC EDGAR.