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iRhythm Holdings (IRTC) Q2 2025 earnings results (second quarter 2025)

10-Q filed Jul 31, 2025

iRhythm Holdings (IRTC) reported revenue of $187M for the second quarter 2025 (Q2 2025), +26% from a year earlier and +18% from the quarter before. Operating margin was -10.0%, net loss $14.2M (7.6% of revenue).

Revenue$187M
Year over year+26%
Quarter over quarter+18%
Operating margin-10.0%
Net earnings−$14.2M

iRhythm Holdings, Q2 2025: revenue $187M (+26% year over year), operating margin -10.0%, net loss $14.2M, operating cash flow $27.7M. The chart follows the revenue to costs, profit and cash.

Q2 2025AmountQ/QY/Y
Revenue$187M+18%+26%
Operating profit−$18.7M——
Net earnings−$14.2M——
Operating cash flow$27.7M—+134%
Free cash flow$17.3M—+416%

What changed

Revenue was $186.7M in Q2 2025, up 26% year over year and up 18% from the previous quarter. Contracted third-party payors was the largest line at 52% of revenue. Contracted third-party payors added $18.5M year over year (up 23%), 48% of the total change.

Gross margin was 71.2%, up 1.3 points from a year earlier. Operating costs exceeded revenue by $18.7M, an operating margin of -10.0%. Operating expenses grew 20% against revenue growth of 26%. The fastest-growing cost line was SG&A (+18%). The quarter ended with a net loss of $14.2M, narrower than the previous quarter's $30.7M loss. Non-operating items added $4.3M, -30% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $27.7M (up 134% year over year). Non-cash charges added back $5.1M of depreciation and amortization and $22.8M of share-based compensation. Working capital and other items added $13.9M. Capital expenditures of $10.4M left free cash flow of $17.3M.

Questions

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

iRhythm Holdings (IRTC) reported revenue of $187M for the second quarter 2025 (Q2 2025), +26% from a year earlier and +18% from the quarter before.

Was iRhythm Holdings profitable in the second quarter 2025?

Operating loss was $18.7M (-10.0% of revenue) and net loss $14.2M.

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Source: iRhythm Holdings 10-Q on SEC EDGAR.