Second Quarter 2026 Financial Highlights
- Revenue of
$224.2 million , a 20.1% increase compared to second quarter 2025 - Gross margin of 72.8%, a 160-basis point increase compared to second quarter 2025
- Net loss of
$0.4 million , a$13.8 million improvement compared to second quarter 2025 - Adjusted EBITDA and adjusted EBITDA margin of
$43.3 million and 19.3%, respectively, a$27.6 million and 1,090-basis point improvement, respectively, compared to second quarter 2025 - Unrestricted cash, cash equivalents, and marketable securities of
$591.3 million as ofJune 30, 2026 - Increased fiscal year 2026 revenue guidance to
$880 million to$890 million and adjusted EBITDA margin guidance to 13.0% to 14.0%
Recent Operational Highlights
- Delivered another strong quarter, demonstrated by robust volume led revenue growth and expanded margins, with continued momentum across cardiology, primary care, innovative channels, and international markets
- Entered into a definitive agreement to acquire
Vital Connect, Inc. ("VitalConnect"), a privately held company that offers complementary ambulatory cardiac monitoring technology, for total consideration of approximately$287.5 million . Upon closing, the transaction is expected to immediately expand iRhythm's addressable market and advance its evolution into a broader cardiac monitoring and intelligence platform - Achieved FDA clearance of our third-generation algorithm, which is expected to reduce clinician review time by approximately 50% over time and drive approximately
$100 million of cumulative cost savings over the next five years - Continued to scale our Predictive Arrhythmia Solutions™ footprint with Desert Oasis Health Care, an affiliate of
Heritage Provider Network , supporting earlier identification of patients who may benefit from cardiac evaluation and monitoring through AI-driven predictive analytics - Recognized by Newsweek in 2026 as one of America’s Greatest Workplaces for Leadership and among the World’s Greenest Companies, reflecting iRhythm’s continued commitment to strong leadership, workplace culture, and sustainability
“Our second quarter results reflect strong execution across the business, with broad-based growth, meaningful margin expansion, and continued progress against our strategic priorities,” said
Second Quarter 2026 Financial Results
Revenue for the second quarter of 2026 was
Gross profit for the second quarter of 2026 was
Operating expenses for the second quarter of 2026 were
GAAP net loss for the second quarter of 2026 was
Unrestricted cash, cash equivalents, and marketable securities were
2026 Annual Guidance
For the full year 2026, iRhythm expects revenue between
Webcast and Conference Call Information
iRhythm’s management team will host a conference call today beginning at
About
iRhythm is a leading digital health care company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all.
Use of Non-GAAP Financial Measures
We refer to certain financial measures that are not recognized under
Adjusted EBITDA is defined as net income (loss) before income tax provision, depreciation and amortization, interest expense, and interest income and as further adjusted for stock-based compensation expense, changes in fair value of strategic investments, impairment charges, business transformation costs, certain intellectual property litigation expenses, certain corporate litigation settlements (net of expected insurance recoveries), costs related to the cybersecurity incident (net of expected insurance recoveries), and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. An investor can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘intend’, ‘will’, ‘project’, ‘plan’, ‘believe’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future actions or operating or financial performance. In particular, these statements include statements regarding financial guidance, market opportunity, ability to penetrate the market, expansion into new health programs, international market expansion, anticipated productivity and quality improvements, anticipated demand for our products and expectations for growth, and statements regarding the expected timing and completion of the VitalConnect transaction; the anticipated strategic, commercial, operational and financial benefits of the transaction; the ability to expand into new markets, care settings, customer categories and commercial partnerships; the potential to take advantage of and accelerate VitalConnect's growth, deepen customer relationships and realize cross-selling opportunities; the anticipated effect on long-term value for clinicians and stockholders; our expectation of the transaction’s effect on our ability to serve more patients, future product development, regulatory approvals and commercialization; the success of integration and the retention of key employees; the anticipated growth of the mobile cardiac telemetry category; and the expected impact on revenue growth, adjusted EBITDA and adjusted EBITDA margin. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include risks described in the section entitled “Risk Factors” and elsewhere in our filings made with the Securities and Exchange Commission, including our Quarterly Report on Form 10-Q expected to be filed on or about
Investor Contact
investors@irhythmtech.com
Media Contact
mediarelations@irhythmtech.com
Condensed Consolidated Balance Sheets (in thousands, except par value) (unaudited) | |||||||
| Assets | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 246,679 | $ | 236,012 | |||
| Marketable securities | 344,595 | 347,751 | |||||
| Accounts receivable, net | 84,274 | 75,706 | |||||
| Inventory | 22,513 | 21,634 | |||||
| Prepaid expenses and other current assets | 57,893 | 21,662 | |||||
| Total current assets | 755,954 | 702,765 | |||||
| Property and equipment, net | 165,308 | 151,599 | |||||
| Operating lease right-of-use assets | 38,794 | 41,827 | |||||
| Restricted cash | 8,358 | 8,358 | |||||
| 862 | 862 | ||||||
| Long-term strategic investments | 73,682 | 69,913 | |||||
| Other assets | 50,468 | 44,718 | |||||
| Total assets | $ | 1,093,426 | $ | 1,020,042 | |||
| Liabilities and Stockholders’ Equity | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 17,411 | $ | 2,256 | |||
| Accrued liabilities | 157,570 | 128,747 | |||||
| Deferred revenue | 4,205 | 4,201 | |||||
| Operating lease liabilities, current portion | 16,912 | 16,686 | |||||
| Total current liabilities | 196,098 | 151,890 | |||||
| Long-term senior convertible notes | 651,096 | 649,504 | |||||
| Other noncurrent liabilities | 908 | 908 | |||||
| Operating lease liabilities, noncurrent portion | 59,341 | 64,994 | |||||
| Total liabilities | 907,443 | 867,296 | |||||
| Stockholders’ equity: | |||||||
| Preferred stock, | — | — | |||||
| Common stock, | 33 | 32 | |||||
| Additional paid-in capital | 1,028,898 | 980,757 | |||||
| Accumulated other comprehensive (loss) income | (188 | ) | 403 | ||||
| Accumulated deficit | (817,760 | ) | (803,446 | ) | |||
| (25,000 | ) | (25,000 | ) | ||||
| Total stockholders’ equity | 185,983 | 152,746 | |||||
| Total liabilities and stockholders’ equity | $ | 1,093,426 | $ | 1,020,042 | |||
Condensed Consolidated Statements of Operations (in thousands, except per share data) (unaudited) | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| 2026 | 2025 | 2026 | 2025 | |||||||||||||
| Revenue, net | $ | 224,172 | $ | 186,687 | $ | 423,562 | $ | 345,364 | ||||||||
| Cost of revenue | 60,967 | 53,830 | 119,004 | 103,291 | ||||||||||||
| Gross profit | 163,205 | 132,857 | 304,558 | 242,073 | ||||||||||||
| Operating expenses: | ||||||||||||||||
| Research and development | 19,843 | 21,012 | 41,201 | 42,531 | ||||||||||||
| Acquired in-process research and development | 299 | 1,698 | 595 | 1,994 | ||||||||||||
| Selling, general and administrative | 131,655 | 126,376 | 267,539 | 246,333 | ||||||||||||
| Litigation settlements | 13,950 | — | 13,950 | — | ||||||||||||
| Impairment charges | — | 2,479 | — | 2,479 | ||||||||||||
| Total operating expenses | 165,747 | 151,565 | 323,285 | 293,337 | ||||||||||||
| Loss from operations | (2,542 | ) | (18,708 | ) | (18,727 | ) | (51,264 | ) | ||||||||
| Interest and other income, net: | ||||||||||||||||
| Interest income | 4,776 | 5,321 | 9,655 | 10,240 | ||||||||||||
| Interest expense | (3,294 | ) | (3,278 | ) | (6,584 | ) | (6,551 | ) | ||||||||
| Other income, net | 679 | 2,264 | 1,842 | 3,139 | ||||||||||||
| Total interest and other income, net | 2,161 | 4,307 | 4,913 | 6,828 | ||||||||||||
| Loss before income taxes | (381 | ) | (14,401 | ) | (13,814 | ) | (44,436 | ) | ||||||||
| Income tax provision (benefit) | — | (183 | ) | 500 | 482 | |||||||||||
| Net loss | $ | (381 | ) | $ | (14,218 | ) | $ | (14,314 | ) | $ | (44,918 | ) | ||||
| Net loss per common share, basic and diluted | $ | (0.01 | ) | $ | (0.44 | ) | $ | (0.44 | ) | $ | (1.41 | ) | ||||
| Weighted-average shares, basic and diluted | 32,895 | 31,990 | 32,702 | 31,791 | ||||||||||||
Reconciliation of GAAP to Non-GAAP Financial Information (in thousands, except per share data) (unaudited) | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| 2026 | 2025 | 2026 | 2025 | |||||||||||||
| Adjusted EBITDA reconciliation* | ||||||||||||||||
| Net loss, as reported1 | $ | (381 | ) | $ | (14,218 | ) | $ | (14,314 | ) | $ | (44,918 | ) | ||||
| Interest expense | 3,294 | 3,278 | 6,584 | 6,551 | ||||||||||||
| Interest income | (4,776 | ) | (5,321 | ) | (9,655 | ) | (10,240 | ) | ||||||||
| Changes in fair value of strategic investments | (822 | ) | (2,152 | ) | (2,269 | ) | (2,995 | ) | ||||||||
| Income tax provision (benefit) | — | (183 | ) | 500 | 482 | |||||||||||
| Depreciation and amortization | 5,222 | 5,105 | 10,264 | 10,315 | ||||||||||||
| Stock-based compensation | 20,039 | 22,827 | 41,530 | 46,171 | ||||||||||||
| Impairment charges | — | 2,479 | — | 2,479 | ||||||||||||
| Business transformation costs | 1,158 | 925 | 1,504 | 1,428 | ||||||||||||
| Intellectual property litigation expenses2 | 4,928 | 2,956 | 8,617 | 3,788 | ||||||||||||
| Litigation settlements3 | 13,950 | — | 13,950 | — | ||||||||||||
| Cybersecurity incident4 | 686 | — | 686 | — | ||||||||||||
| Adjusted EBITDA | $ | 43,298 | $ | 15,696 | $ | 57,397 | $ | 13,061 | ||||||||
| Adjusted net income (loss) reconciliation* | ||||||||||||||||
| Net loss, as reported1 | $ | (381 | ) | $ | (14,218 | ) | $ | (14,314 | ) | $ | (44,918 | ) | ||||
| Impairment charges | — | 2,479 | — | 2,479 | ||||||||||||
| Business transformation costs | 1,158 | 925 | 1,504 | 1,428 | ||||||||||||
| Intellectual property litigation expenses2 | 4,928 | 2,956 | 8,617 | 3,788 | ||||||||||||
| Changes in fair value of strategic investments | (822 | ) | (2,152 | ) | (2,269 | ) | (2,995 | ) | ||||||||
| Litigation settlements3 | 13,950 | — | 13,950 | — | ||||||||||||
| Cybersecurity incident4 | 686 | — | 686 | — | ||||||||||||
| Tax effect of adjustments5 | (197 | ) | (214 | ) | (197 | ) | (305 | ) | ||||||||
| Adjusted net income (loss) | $ | 19,322 | $ | (10,224 | ) | $ | 7,977 | $ | (40,523 | ) | ||||||
Reconciliation of GAAP to Non-GAAP Financial Information (continued) (in thousands, except per share data) (unaudited) | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| 2026 | 2025 | 2026 | 2025 | |||||||||||||
| Adjusted diluted net income (loss) per share reconciliation* | ||||||||||||||||
| Net loss, as reported1 | $ | (0.01 | ) | $ | (0.44 | ) | $ | (0.44 | ) | $ | (1.41 | ) | ||||
| Impairment charges | — | 0.08 | — | 0.08 | ||||||||||||
| Business transformation costs | 0.03 | 0.03 | 0.05 | 0.04 | ||||||||||||
| Intellectual property litigation expenses2 | 0.15 | 0.09 | 0.26 | 0.12 | ||||||||||||
| Changes in fair value of strategic investments | (0.02 | ) | (0.07 | ) | (0.07 | ) | (0.09 | ) | ||||||||
| Litigation settlements3 | 0.42 | — | 0.42 | — | ||||||||||||
| Cybersecurity incident4 | 0.02 | — | 0.02 | — | ||||||||||||
| Tax effect of adjustments5 | (0.01 | ) | (0.01 | ) | (0.01 | ) | (0.01 | ) | ||||||||
| Adjusted diluted net income (loss) per share | $ | 0.58 | $ | (0.32 | ) | $ | 0.23 | $ | (1.27 | ) | ||||||
| Weighted-average shares, basic | 32,895 | 31,990 | 32,702 | 31,791 | ||||||||||||
| Weighted-average shares, diluted | 33,286 | 31,990 | 33,370 | 31,791 | ||||||||||||
| Adjusted operating expenses reconciliation* | ||||||||||||||||
| Operating expenses, as reported | $ | 165,747 | $ | 151,565 | $ | 323,285 | $ | 293,337 | ||||||||
| Impairment charges | — | (2,479 | ) | — | (2,479 | ) | ||||||||||
| Business transformation costs | (1,158 | ) | (925 | ) | (1,504 | ) | (1,428 | ) | ||||||||
| Intellectual property litigation expenses2 | (4,928 | ) | (2,956 | ) | (8,617 | ) | (3,788 | ) | ||||||||
| Litigation settlements3 | (13,950 | ) | — | (13,950 | ) | — | ||||||||||
| Cybersecurity incident4 | (686 | ) | — | (686 | ) | — | ||||||||||
| Adjusted operating expenses | $ | 145,025 | $ | 145,205 | $ | 298,528 | $ | 285,642 | ||||||||
| Free cash flow reconciliation* | ||||||||||||||||
| Net cash provided by operating activities | $ | 51,080 | $ | 27,659 | $ | 24,907 | $ | 19,768 | ||||||||
| Less: Purchases of property and equipment | (13,565 | ) | (10,369 | ) | (20,470 | ) | (19,788 | ) | ||||||||
| Free cash flow | $ | 37,515 | $ | 17,290 | $ | 4,437 | $ | (20 | ) | |||||||
*Certain numbers expressed may not sum due to rounding.
1 Net loss for the three and six months ended
2 Excludes third-party attorneys' fees and expenses associated with patent litigation brought against the Company by
3 Excludes charges for securities class action litigation settlement, net of expected insurance recoveries.
4 Represents expenses directly related to the Cybersecurity Incident, net of expected insurance recoveries, including investigation and remediation, customer notifications, and professional and consultancy expenses.
5 Income tax impact of Non-GAAP adjustments listed.
Source: iRhythm