Filing Flows › iRhythm Holdings (IRTC) › Q4 2025
iRhythm Holdings (IRTC) Q4 2025 earnings results (fourth quarter 2025)
10-K filed Feb 19, 2026
iRhythm Holdings (IRTC) reported revenue of $209M for the fourth quarter 2025 (Q4 2025), +27% from a year earlier and +8% from the quarter before. Operating margin was 1.1%, net earnings $5.6M (2.7% of revenue).
iRhythm Holdings, Q4 2025: revenue $209M (+27% year over year), operating margin 1.1%, net earnings $5.6M, operating cash flow $26.2M. The chart follows the revenue to costs, profit and cash.
| Q4 2025 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $209M | +8% | +27% |
| Gross profit | $148M | +8% | +29% |
| Operating profit | $2.3M | — | — |
| Net earnings | $5.6M | — | — |
| Operating cash flow | $26.2M | -25% | +36% |
| Free cash flow | $14.5M | — | +17% |
What changed
Revenue was $208.9M in Q4 2025, up 27% year over year and up 8% from the previous quarter. Contracted third-party payors was the largest line at 53% of revenue.
Gross margin was 70.9%, up 0.9 points from a year earlier. Operating profit was $2.3M, a 1.1% margin (up 3.6 points year over year). Operating expenses grew 22% against revenue growth of 27%. The fastest-growing cost line was SG&A (+22%). Net earnings were $5.6M. The effective tax rate was 7.4%. Non-operating items added $3.7M, 62% of pre-tax earnings, so the bottom line overstates operating performance.
Operating cash flow was $26.2M (up 36% year over year), 470% of net earnings. Non-cash charges added back $5.2M of depreciation and amortization and $21.1M of share-based compensation. Working capital and other items used $5.7M. After purchases of property and equipment ($11.7M), free cash flow as the company reports it was $14.5M.
Questions
What was iRhythm Holdings' revenue in the fourth quarter 2025?
iRhythm Holdings (IRTC) reported revenue of $209M for the fourth quarter 2025 (Q4 2025), +27% from a year earlier and +8% from the quarter before.
Was iRhythm Holdings profitable in the fourth quarter 2025?
Operating profit was $2.3M (1.1% of revenue) and net earnings $5.6M.
Source: iRhythm Holdings 10-K on SEC EDGAR.