iRhythm Holdings, Inc.
Business
iRhythm Technologies, Inc. designs, develops, and commercializes device-based technology to provide ambulatory cardiac monitoring services that enable clinicians to detect and diagnose arrhythmias. It offers Zio Systems and Zio Services, including wire-free, patch-based 14-day wearable ECG biosensors, the ZEUS cloud-based analytic platform, Zio long-term continuous monitoring (LTCM), mobile cardiac telemetry (MCT), and related reporting and clinical workflows, plus a clinically integrated Zio Watch platform. Key business areas include device and system manufacturing, diagnostic monitoring services delivered through Medicare-enrolled IDTFs, and research and development. The company primarily serves the U.S. market via direct sales to healthcare professionals and EHR integrations, with selective international commercialization and distributor channels in Europe and Japan.
Summary from filing dated 2025-02-20
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue, net | 747 | 592 | 493 | 411 | 323 | |
| Cost of revenue | 220 | 184 | 161 | 129 | 109 | |
| Gross profit | 527 | 408 | 332 | 282 | 214 | |
| Research and development | 85 | 71 | 60 | 47 | — | |
| Acquired in-process research and development | 3 | 32 | 0 | 0 | — | |
| Selling, general and administrative | 493 | 419 | 386 | 322 | 275 | |
| Impairment charges | 5 | 600,000 | 11 | — | — | |
| Total operating expenses | 585 | 523 | 457 | 395 | 314 | |
| Loss from operations | −57 | −116 | −125 | −114 | −100 | |
| Interest income | 22 | 22 | 6 | 2 | — | |
| Interest expense | −13 | −13 | −4 | −4 | — | |
| Loss on extinguishment of debt | 0 | −8 | 0 | 0 | — | |
| Other income (expense), net | 5 | 1 | −198,000 | −314,000 | 118,000 | |
| Total interest and other income (expense), net | 14 | 3 | 3 | −2 | — | |
| Loss before income taxes | −44 | −113 | −123 | −116 | −101 | |
| Income tax provision | 953,000 | 565,000 | 750,000 | 269,000 | 367,000 | |
| Net loss | −45 | −113 | −123 | −116 | −101 | |
| Net loss per common share, basic (in USD per share) | −1.39 | −3.63 | −4.04 | −3.88 | −3.46 | |
| Net loss per common share, diluted (in USD per share) | −1.39 | −3.63 | −4.04 | −3.88 | −3.46 | |
| Weighted-average shares, basic (in shares) | 32 | 31 | 31 | 30 | 29 | |
| Weighted-average shares, diluted (in shares) | 32 | 31 | 31 | 30 | 29 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2023 2023-07-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 236 | 420 | 36 | — | 79 | |
| Marketable securities | 348 | 116 | 98 | — | 134 | |
| Accounts receivable, net | 76 | 80 | 61 | — | 50 | |
| Inventory | 22 | 14 | 14 | — | 15 | |
| Prepaid expenses and other current assets | 22 | 16 | 22 | — | 11 | |
| Total current assets | 703 | 646 | 231 | — | 289 | |
| Property and equipment, net | 152 | 125 | 104 | — | 76 | |
| Operating lease right-of-use assets | 42 | 48 | 49 | 4 | 61 | |
| Restricted cash | 8 | 8 | 0 | — | 0 | |
| Goodwill | 862,000 | 862,000 | 862,000 | — | 862,000 | |
| Long-term strategic investments | 70 | 62 | 3 | — | — | |
| Other assets | 45 | 42 | 45 | — | 22 | |
| Total assets | 1,020 | 931 | 433 | — | 448 | |
| Accounts payable | 2 | 7 | 6 | — | 8 | |
| Accrued liabilities | 129 | 85 | 83 | — | 65 | |
| Deferred revenue | 4 | 3 | 3 | — | 3 | |
| Operating lease liabilities, current portion | 17 | 16 | 15 | — | 13 | |
| Total current liabilities | 152 | 111 | 107 | — | 89 | |
| Long-term senior convertible notes | 650 | 646 | 0 | — | — | |
| Other noncurrent liabilities | 908,000 | 9 | 1 | — | 1 | |
| Operating lease liabilities, noncurrent portion | 65 | 75 | 80 | 4 | 83 | |
| Total liabilities | 867 | 841 | 223 | — | 208 | |
| Commitments and contingencies (Note 8) | — | — | — | — | — | |
| Preferred stock, $0.001 par value 5,000 shares authorized; none issued and outstanding at December 31, 2025 and 2024 | 0 | 0 | 0 | — | 0 | |
| Common stock, $0.001 par value 100,000 shares authorized; 32,526 shares issued and 32,297 shares outstanding at December 31, 2025, respectively; and 31,621 shares issued and 31,392 shares outstanding at December 31, 2024, respectively | 32,000 | 31,000 | 31,000 | — | 28,000 | |
| Additional paid-in capital | 981 | 875 | 856 | — | 762 | |
| Accumulated other comprehensive income | 403,000 | 165,000 | −112,000 | — | −396,000 | |
| Accumulated deficit | −803 | −759 | −646 | — | −522 | |
| Treasury stock, at cost; 229252 shares at December 31, 2025 and 2024, respectively | −25 | −25 | 0 | — | — | |
| Total stockholders equity | 153 | 91 | 210 | — | 240 | |
| Total liabilities and stockholders equity | 1,020 | 931 | 433 | — | 448 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net loss | −45 | −113 | −123 | −116 | −101 | |
| Depreciation and amortization | 21 | 21 | 16 | 13 | 10 | |
| Stock-based compensation | 88 | 76 | 77 | 58 | 55 | |
| Amortization of premium and accretion of discounts, net | −3 | −1 | −5 | −474,000 | 2 | |
| Amortization of operating lease right-of-use assets | 6 | 5 | 6 | 6 | 7 | |
| Amortization of debt discount | 3 | 3 | 15,000 | 44,000 | — | |
| Change in fair value of strategic investments | −6 | −2 | 0 | 0 | — | |
| Provision for credit losses and contractual allowances | 100 | 73 | 70 | — | — | |
| Other | 967,000 | 432,000 | 322,000 | 220,000 | 0 | |
| Accounts receivable | −95 | −92 | −81 | −62 | −54 | |
| Inventory | −9 | −224,000 | 979,000 | −5 | −5 | |
| Prepaid expenses and other current assets | −5 | 5 | −11 | −862,000 | −2 | |
| Other assets | −3 | 3 | −23 | −6 | −2 | |
| Accounts payable and accrued liabilities | 28 | −7 | 17 | 11 | 6 | |
| Deferred revenue | 1 | −374,000 | 255,000 | 2,000 | 2 | |
| Operating lease liabilities | −9 | −8 | −6 | −3 | 264,000 | |
| Net cash provided by (used in) operating activities | 81 | 3 | −50 | −23 | −38 | |
| Purchases of property and equipment | −46 | −34 | −40 | −30 | −28 | |
| Purchases of marketable securities | −466 | −118 | −164 | −189 | −122 | |
| Maturities of marketable securities | 238 | 101 | 207 | 131 | 256 | |
| Purchases of strategic investments | −2 | −57 | −3 | 0 | 0 | |
| Purchase of acquired in-process research and development | 0 | −15 | 0 | 0 | — | |
| Net cash used in investing activities | −277 | −123 | −1 | −52 | 105 | |
| Proceeds from issuance of 2029 notes | 0 | 661 | 0 | 0 | — | |
| Purchases of capped call transactions | 0 | −72 | 0 | 0 | — | |
| Purchase of treasury stock | 0 | −25 | 0 | 0 | — | |
| Proceeds from issuance of common stock in connection with employee equity incentive plans | 13 | 8 | 9 | 13 | 9 | |
| Net cash provided by financing activities | 13 | 511 | 9 | 27 | −29 | |
| Effect of exchange rate changes | 1,000 | −6,000 | −169,000 | 0 | 0 | |
| Net increase (decrease) in cash and cash equivalents | −184 | 392 | −43 | −49 | 39 | |
| Interest paid | 10 | 6 | 3 | 3 | 1 | |
| Cash taxes paid | 1 | 923,000 | 1 | 287,000 | 0 | |
| Cash paid for operating lease liabilities | 16 | 15 | 14 | 14 | — | |
| Cash received from tenant improvement allowances | 745,000 | 736,000 | 2 | 3 | 3 | |
| Property and equipment costs included in accounts payable and accrued liabilities | 407,000 | 275,000 | 2 | 160,000 | 9,000 | |
| Right-of-use assets obtained in exchange for operating lease liabilities | 0 | 4 | 4 | 8 | 7 | |
| Capitalized stock-based compensation in property and equipment | 5 | 7 | 7 | 6 | 4 |