Irhythm Technologies (IRTC)
NASDAQ:IRTC
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Irhythm Technologies (IRTC) AI Stock Analysis

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IRTC

Irhythm Technologies

(NASDAQ:IRTC)

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Underperform 40 (OpenAI - 4o)
Rating:40Underperform
Price Target:
$160.00
▼(-4.48% Downside)
Irhythm Technologies faces significant challenges with profitability and high leverage, reflected in a low valuation score. Technical indicators suggest bearish momentum, further impacting the stock's attractiveness. While the earnings call showed positive growth and strategic initiatives, regulatory challenges remain a concern.
Positive Factors
Revenue Growth
The strong revenue growth of 31% YoY indicates robust demand for iRhythm's products and services, enhancing its market position and supporting long-term business expansion.
EHR Integration
EHR integration with major customers boosts operational efficiency and customer retention, driving sustained growth in monitoring volumes and revenue.
Positive Free Cash Flow
Achieving positive free cash flow signifies improved financial health, providing the company with greater flexibility to invest in growth initiatives and reduce debt.
Negative Factors
High Leverage
High leverage increases financial risk, potentially limiting the company's ability to invest in growth opportunities and affecting long-term stability.
Negative Profitability
Ongoing profitability challenges could hinder the company's ability to reinvest in its business and achieve sustainable growth over time.
Regulatory Challenges
Regulatory challenges can delay product approvals and market entry, impacting the company's ability to capitalize on new opportunities and maintain competitive advantage.

Irhythm Technologies (IRTC) vs. SPDR S&P 500 ETF (SPY)

Irhythm Technologies Business Overview & Revenue Model

Company DescriptioniRhythm Technologies, Inc., a digital healthcare company, provides ambulatory electrocardiogram (ECG) monitoring products for patients at risk for arrhythmias in the United States. It offers Zio service, an ambulatory cardiac monitoring solution that combines a wire-free, patch-based, and wearable biosensor with a cloud-based data analytic platform to help physicians to monitor patients and diagnose arrhythmias. The company's Zio XT and AT monitors, a single-use, wire-free, and wearable patch-based biosensors, records patient's heartbeats and ECG data. It has a development collaboration agreement with Verily Life Sciences LLC to develop various next-generation atrial fibrillation screening, detection, or monitoring products. The company was incorporated in 2006 and is headquartered in San Francisco, California.
How the Company Makes MoneyiRhythm Technologies generates revenue primarily through its subscription-based Zio service, which includes the sale of its Zio XT and Zio AT monitoring devices, along with the associated data analysis and reporting services. The company charges healthcare providers for the use of its monitoring devices and the interpretation of the collected data, creating a recurring revenue model. Key revenue streams include direct sales to hospitals and clinics, as well as partnerships with healthcare systems and insurers that facilitate access to its technology. Additionally, iRhythm benefits from collaborations with various healthcare organizations to enhance its product offerings and expand its market presence, further contributing to its earnings.

Irhythm Technologies Earnings Call Summary

Earnings Call Date:Oct 30, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Positive
The earnings call demonstrated strong financial performance and strategic growth through revenue increase, successful product expansion, and positive cash flow. However, there are challenges regarding regulatory interactions due to external factors.
Q3-2025 Updates
Positive Updates
Record Revenue Growth
iRhythm reported a revenue of $192.9 million for Q3 2025, representing a year-over-year growth of 31%.
Strong Zio AT Unit Growth
Zio AT showed year-over-year unit growth more than double the corporate average, contributing significantly to the company's performance.
Positive Free Cash Flow
iRhythm achieved positive free cash flow earlier than anticipated and expects to be free cash flow positive on an annual basis for the first time in company history.
EHR Integration Benefits
76 of the top 100 customers are now EHR integrated, with an average increase of nearly 25% in monitoring volume within the first 6 months of going live.
Innovative Channel Partnerships
The company expanded its innovative channel partnerships to 18 active partners, showing strong progress in population health programs.
Negative Updates
Regulatory Challenges
There has been limited communication with the FDA due to the shutdown, impacting the remediation efforts for the warning letter and 483s.
Company Guidance
During the Q3 2025 earnings call, iRhythm Technologies provided several key metrics and forward-looking guidance. The company reported a revenue of $192.9 million for the third quarter, marking a 31% year-over-year growth. This was largely driven by record performances from Zio Monitor and Zio AT, as well as increased adoption due to EHR integrations, with 76 of their top 100 customers now integrated. The company highlighted a 25% average increase in monitoring volume within six months for Epic Aura integrated customers. Additionally, iRhythm raised its full-year 2025 revenue guidance to $735-$740 million, indicating a 24-25% growth. The adjusted EBITDA margin for Q3 was 11.2%, and the company anticipates being free cash flow positive for the full year. In terms of strategic initiatives, iRhythm is advancing the development of Zio MCT and exploring opportunities in sleep apnea diagnostics, leveraging AI for proactive cardiac arrhythmia detection.

Irhythm Technologies Financial Statement Overview

Summary
Irhythm Technologies shows moderate revenue growth and a strong gross profit margin, but struggles with profitability and high leverage. The balance sheet's high debt levels and negative return on equity are concerning, while cash flow improvements offer some optimism.
Income Statement
45
Neutral
Irhythm Technologies shows a moderate revenue growth rate of 6.9% in the TTM, indicating some positive momentum. However, the company struggles with profitability, as evidenced by negative net profit and EBIT margins. The gross profit margin is relatively strong at 70.35%, but the persistent net losses highlight ongoing challenges in achieving operational efficiency.
Balance Sheet
35
Negative
The company's balance sheet reveals high leverage with a debt-to-equity ratio of 6.01, which poses a significant risk. The return on equity is negative, reflecting the company's inability to generate profit from shareholders' equity. The equity ratio is low, indicating a heavy reliance on debt financing, which could impact financial stability.
Cash Flow
50
Neutral
Cash flow analysis shows improvement with a 16.28% growth in free cash flow, suggesting better cash management. However, the operating cash flow to net income ratio is low, indicating challenges in converting earnings into cash. The free cash flow to net income ratio is positive, reflecting some ability to generate cash relative to net losses.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue702.57M591.84M492.68M410.92M322.82M265.17M
Gross Profit494.26M407.53M331.81M281.63M213.57M194.89M
EBITDA-15.20M-74.13M-96.86M-92.14M-83.23M-29.15M
Net Income-51.46M-113.29M-123.41M-116.16M-101.36M-43.83M
Balance Sheet
Total Assets995.21M931.45M433.14M448.22M462.97M511.74M
Cash, Cash Equivalents and Short-Term Investments565.21M535.55M133.76M213.14M239.13M335.22M
Total Debt733.01M736.91M129.82M131.04M117.71M122.47M
Total Liabilities873.32M840.54M223.05M208.41M183.45M170.13M
Stockholders Equity121.89M90.91M210.10M239.81M279.51M341.61M
Cash Flow
Free Cash Flow32.42M-30.55M-90.53M-52.84M-65.82M-27.31M
Operating Cash Flow73.88M3.39M-50.10M-23.01M-37.75M-13.76M
Investing Cash Flow-350.42M-122.98M-1.21M-52.43M105.26M-132.39M
Financing Cash Flow12.63M511.38M8.82M26.72M-28.58M214.32M

Irhythm Technologies Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price167.51
Price Trends
50DMA
177.51
Negative
100DMA
165.35
Positive
200DMA
142.68
Positive
Market Momentum
MACD
-1.75
Positive
RSI
37.17
Neutral
STOCH
26.58
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For IRTC, the sentiment is Neutral. The current price of 167.51 is below the 20-day moving average (MA) of 178.86, below the 50-day MA of 177.51, and above the 200-day MA of 142.68, indicating a neutral trend. The MACD of -1.75 indicates Positive momentum. The RSI at 37.17 is Neutral, neither overbought nor oversold. The STOCH value of 26.58 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for IRTC.

Irhythm Technologies Risk Analysis

Irhythm Technologies disclosed 59 risk factors in its most recent earnings report. Irhythm Technologies reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Irhythm Technologies Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
$2.51B58.216.54%16.81%34.90%
66
Neutral
$608.31M65.454.97%1.58%
61
Neutral
$2.43B28.095.18%7.81%-26.32%
61
Neutral
$1.09B-1.90%18.72%85.77%
58
Neutral
$3.02B-17.63%8.97%-1024.86%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
40
Underperform
$5.50B-53.15%25.45%66.62%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
IRTC
Irhythm Technologies
167.51
92.04
121.96%
ITGR
Integer Holdings
67.75
-65.77
-49.26%
AXGN
AxoGen
24.01
11.26
88.31%
LIVN
LivaNova
53.64
2.28
4.44%
INSP
Inspire Medical Systems
83.57
-92.48
-52.53%
BVS
Bioventus
7.06
-4.53
-39.09%

Irhythm Technologies Corporate Events

Business Operations and StrategyFinancial DisclosuresProduct-Related AnnouncementsRegulatory Filings and Compliance
iRhythm Technologies Highlights Revenue Growth and Expansion
Positive
Nov 12, 2025

On November 12, 2025, iRhythm Technologies issued an investor presentation highlighting a 26% year-to-date revenue increase compared to 2024, driven by significant commercial adoption and market expansion. The company is advancing its international reach and product offerings, including a new 510(k) submission for the Zio MCT with extended wear and AI capabilities. Despite facing challenges such as an FDA warning letter and a DOJ investigation, iRhythm is on track to achieve free cash flow positivity for the first time in its history, indicating strong operational and financial progress.

The most recent analyst rating on (IRTC) stock is a Buy with a $215.00 price target. To see the full list of analyst forecasts on Irhythm Technologies stock, see the IRTC Stock Forecast page.

iRhythm Technologies Reports Strong Q3 2025 Earnings
Nov 1, 2025

The recent earnings call for iRhythm Technologies showcased a generally positive sentiment, highlighting the company’s strong financial performance and strategic growth. The call emphasized a significant increase in revenue, successful product expansion, and positive cash flow. However, it also acknowledged challenges related to regulatory interactions due to external factors.

iRhythm Technologies Reports Strong Q3 2025 Growth
Oct 31, 2025

iRhythm Technologies, Inc. is a digital healthcare company specializing in wearable biosensors and data analytics to provide actionable insights for cardiac care. In its third-quarter 2025 financial results, iRhythm reported a significant revenue increase of 30.7% year-over-year, reaching $192.9 million, driven by strong demand for its Zio services and expansion into international markets. The company also achieved a gross margin of 71.1%, reflecting operational efficiencies and increased service volumes.

Business Operations and StrategyExecutive/Board ChangesFinancial Disclosures
iRhythm Enhances Executive Severance Policy Amid Growth
Positive
Oct 30, 2025

On October 29, 2025, iRhythm Technologies’ Board of Directors approved an amended Executive Change in Control and Severance Policy to enhance severance benefits for executives in certain termination scenarios, aligning with market practices and retaining talent. Additionally, iRhythm reported a strong financial performance for Q3 2025, with a 30.7% revenue increase driven by demand for its Zio services and operational efficiencies, positioning the company for continued growth and leadership in cardiac monitoring.

The most recent analyst rating on (IRTC) stock is a Hold with a $187.00 price target. To see the full list of analyst forecasts on Irhythm Technologies stock, see the IRTC Stock Forecast page.

iRhythm Technologies’ PANDA Study: Expanding Pediatric Use of Zio® Monitor
Oct 27, 2025

iRhythm Technologies is conducting the Pediatric Adhesion and New Dermal Approach Study (PANDA) to evaluate the feasibility of using the Zio® monitor in children. The study aims to determine if the device can be worn for up to 14 days while maintaining good skin adherence and clear signal quality. This research is significant as it could expand the use of the Zio® monitor to pediatric patients, potentially improving diagnostic capabilities for conditions like arrhythmia in children.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 14, 2025