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iRhythm Holdings (IRTC) Q3 2025 earnings results (third quarter 2025)

10-Q filed Oct 30, 2025

iRhythm Holdings (IRTC) reported revenue of $193M for the third quarter 2025 (Q3 2025), +31% from a year earlier and +3% from the quarter before. Operating margin was -4.4%, net loss $5.2M (2.7% of revenue).

Revenue$193M
Year over year+31%
Quarter over quarter+3%
Operating margin-4.4%
Net earnings−$5.2M

iRhythm Holdings, Q3 2025: revenue $193M (+31% year over year), operating margin -4.4%, net loss $5.2M, operating cash flow $34.9M. The chart follows the revenue to costs, profit and cash.

Q3 2025AmountQ/QY/Y
Revenue$193M+3%+31%
Operating profit−$8.4M——
Net earnings−$5.2M——
Operating cash flow$34.9M+26%+43%
Free cash flow$20.1M+16%+29%

What changed

Revenue was $192.9M in Q3 2025, up 31% year over year and up 3% from the previous quarter. Contracted third-party payors was the largest line at 51% of revenue. Contracted third-party payors added $21.8M year over year (up 28%), 48% of the total change.

Gross margin was 71.1%, up 2.3 points from a year earlier. Operating costs exceeded revenue by $8.4M, an operating margin of -4.4%. Operating expenses fell 4% while revenue rose 31%. The fastest-growing cost line was Research & development (+34%). The quarter ended with a net loss of $5.2M, narrower than the previous quarter's $14.2M loss. Non-operating items added $3.2M, -62% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $34.9M (up 43% year over year). Non-cash charges added back $5.2M of depreciation and amortization and $21.0M of share-based compensation. Working capital and other items added $13.9M. Capital expenditures of $14.8M left free cash flow of $20.1M.

Questions

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

iRhythm Holdings (IRTC) reported revenue of $193M for the third quarter 2025 (Q3 2025), +31% from a year earlier and +3% from the quarter before.

Was iRhythm Holdings profitable in the third quarter 2025?

Operating loss was $8.4M (-4.4% of revenue) and net loss $5.2M.

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Source: iRhythm Holdings 10-Q on SEC EDGAR.