Strong Revenue Growth and Upward Guidance
Revenue of $199.4 million in Q1 2026, up 25.7% year over year; company raised full-year 2026 revenue guidance to $875M–$885M, implying 17%–18% YoY growth. Q2 2026 revenue guide of $218M–$220M.
Material Profitability Improvement
Adjusted EBITDA of $14.1 million (7.1% of revenue) in Q1 2026, representing an 880 basis point improvement year over year; company raised full-year adjusted EBITDA margin guidance to 12%–13% (Q2 guide 11.5%–12.5%).
Gross Margin Expansion
Reported gross margin of 70.9% in Q1 2026, an increase of 210 basis points year over year driven by manufacturing automation, clinical operations efficiencies, and scale benefits.
Large Cash Balance Provides Flexibility
Ended Q1 with $549.6 million in cash, cash equivalents, and marketable securities, supporting investments in product innovation, commercial initiatives, and international expansion.
Broad Clinical Adoption and Evidence Base
Platform supported by over 140 publications and recent presentations (ACC, HRS) demonstrating high diagnostic yield; ongoing head-to-head and real-world studies that reinforce Zio’s superiority and potential downstream cost reduction.
Scale, Integration, and Channel Momentum
Approximately 53% of volume flows through EHR-integrated accounts; more than 75% of top 100 customers are integrated. New-store accounts (open <12 months) accounted for ~64% of year-over-year volume growth; U.S. home enrollment ~23% of volume.
AI and Product Roadmap Progress
Proprietary dataset exceeds 3 billion hours of curated ECG data; next-generation AI algorithm 510(k) submitted and expected approval later this year, projected to reduce technician review time by as much as half and materially improve efficiency and margins. Next-generation MCT reaffirmed for H1 2027 launch.
International and Adjacent Market Traction
U.K. delivered the company's best quarter in history; Japan received a modest supplemental reimbursement update for longer-duration monitoring — viewed as an encouraging early signal while premium reimbursement work continues.