Filing Flows › iRhythm Holdings (IRTC) › Q1 2026
iRhythm Holdings (IRTC) Q1 2026 earnings results (first quarter 2026)
10-Q filed Apr 30, 2026
iRhythm Holdings (IRTC) reported revenue of $199M for the first quarter 2026 (Q1 2026), +26% from a year earlier and -5% from the quarter before. Operating margin was -8.1%, net loss $13.9M (7.0% of revenue).
iRhythm Holdings, Q1 2026: revenue $199M (+26% year over year), operating margin -8.1%, net loss $13.9M, operating cash flow −$26.2M. The chart follows the revenue to costs, profit and cash.
| Q1 2026 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $199M | -5% | +26% |
| Operating profit | −$16.2M | -808% | — |
| Net earnings | −$13.9M | -350% | — |
| Operating cash flow | −$26.2M | -200% | — |
What changed
Revenue was $199.4M in Q1 2026, up 26% year over year and down 5% from the previous quarter. Contracted third-party payors was the largest line at 54% of revenue. Contracted third-party payors added $23.0M year over year (up 27%), 56% of the total change.
Gross margin was 70.9%, up 2.1 points from Q1 2025. Operating costs exceeded revenue by $16.2M, an operating margin of -8.1%. Operating expenses grew 11% against revenue growth of 26%. The fastest-growing cost line was SG&A (+13%). The quarter ended with a net loss of $13.9M, after a profit of $5.6M the previous quarter. Non-operating items added $2.8M, -20% of pre-tax earnings, so the bottom line overstates operating performance.
Operating cash flow was −$26.2M. Non-cash charges added back $5.0M of depreciation and amortization and $21.5M of share-based compensation. Working capital and other items used $38.7M. Capital expenditures of $6.9M exceeded it, leaving free cash flow of −$33.1M.
Questions
What was iRhythm Holdings' revenue in the first quarter 2026?
iRhythm Holdings (IRTC) reported revenue of $199M for the first quarter 2026 (Q1 2026), +26% from a year earlier and -5% from the quarter before.
Was iRhythm Holdings profitable in the first quarter 2026?
Operating loss was $16.2M (-8.1% of revenue) and net loss $13.9M.
Source: iRhythm Holdings 10-Q on SEC EDGAR.