The strong beat and raised guidance signal accelerating volume adoption and operating leverage. Monitor upcoming 10-Q for cash flow trajectory and litigation expense trends; the stock may gap up on the guidance raise and margin inflection.
Price Chart
Executive Summary
iRhythm reported Q1 2026 revenue of $199.4M (+25.7% YoY) and GAAP EPS of -$0.43, beating consensus estimates of $194.1M and -$0.64. The company raised full-year 2026 revenue guidance to $875M-$885M and adjusted EBITDA margin to 12-13%, driven by volume growth and margin expansion across cardiology and primary care channels.
Key Financial Metrics
Key Facts
- Q1 2026 revenue $199.4M vs consensus $194.1M (+2.7% beat)
- GAAP EPS -$0.43 vs consensus -$0.64 (32.8% beat on a loss basis)
- Revenue grew 25.7% YoY from $158.7M
- Gross margin expanded 210 bps to 70.9%
- Net loss improved to $13.9M from $30.7M YoY
- Adjusted EBITDA turned positive to $14.1M from -$2.6M YoY
- Raised FY2026 revenue guidance to $875M-$885M (prior undisclosed)
- Raised FY2026 adjusted EBITDA margin guidance to 12-13%
- Unrestricted cash and marketable securities $549.6M
Financial Impact
Revenue beat by ~$5.3M; EPS beat by $0.21 vs consensus; guidance raised by undisclosed amount
Risk Factors
- Patent litigation costs ($3.7M in Q1) remain an overhang
- Still GAAP-unprofitable with net loss of $13.9M
- Operating cash flow negative at -$26.2M in Q1
Market Snapshot
Investment Themes
Documents Analyzed
This report is based on 1 press release from GlobeNewswire.
| Document | Accession Number |
|---|---|
| PRESS-RELEASE Data (Synthetic) | press-3285439 |
Filters
| Type | Now | ||||
|---|---|---|---|---|---|
Aug 11, 2026 7w ago | Insider Cluster | $125.35 $112.88 | ▲ +9.95% | ▲ +8.05% | $110.37 (+11.95%) |
Aug 11, 2026 7w ago | Insider Cluster | $125.35 $112.88 | ▼ −9.95% | ▼ −8.05% | $110.37 (−11.95%) |
Aug 4, 2026 8w ago | Insider Cluster | $127.13 $122.35 | ▼ −3.76% | ▼ −2.52% | $110.37 (−13.18%) |
Jul 6, 2026 12w ago | Insider Cluster | $126.03 $117.17 | ▼ −7.03% | ▼ −6.46% | $110.37 (−12.43%) |
Jun 15, 2026 15w ago | 8-K | $108.84 $112.55 | ▼ −3.41% | ▼ −3.21% | $110.37 (−1.41%) |
Jun 5, 2026 17w ago | 8-K | $108.11 $126.03 | ▲ +16.58% | ▲ +14.72% | $110.37 (+2.10%) |
May 28, 2026 18w ago | 8-K | $115.61 $118.89 | ▲ +2.84% | ▲ +5.98% | $110.37 (−4.53%) |
May 11, 2026 20w ago | 144 | $118.31 $113.94 | ▼ −3.69% | ▼ −1.97% | $110.37 (−6.71%) |
May 4, 2026 21w ago | Insider Cluster | $119.18 $109.17 | ▼ −8.40% | ▼ −14.04% | $110.37 (−7.39%) |
Apr 30, 2026 22w ago | Press Release | $120.80 $109.17 | ▼ −9.63% | ▼ −14.91% | $110.37 (−8.63%) |
US Market Status
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