iRhythm Holdings
IRTC on Nasdaq. iRhythm sells cardiac monitoring services to doctors and patients. Market value $3.6bn.
Price checks use the past 12 months to June 2026. Quality checks use five annual reports, the latest for the year to December 2025.
We can't read total debt from the filing, so debt is left out.
Should I look at this?
Not a fit for our list right now
Why it could be worth it
See Health care stocks that passed both tests
This is not advice. Check the numbers below.
For every $100 of what the whole company costs, it produced $1.10 of spare cash in the past 12 months. A savings account pays about $4.
The filings do not give us enough to work this out.
Each dollar kept in the business earns -46 cents a year. Above 10 is good.
Quality score: 34 of 100. Price score: 6 of 100. Our list needs 70 on quality and 60 on price.
$107.20 a share, 6% above its 1-year low
Over the past year the price has ranged from $100.85 to $212.00.
Pays no dividend
Prices from Tuesday’s close (6 October).
Five years of cash, in billions
| Revenue | |||||
| Revenue | $323m | $411m | $493m | $592m | $747m |
| Operating margin | |||||
| Operating margin | -31.0% | -27.7% | -25.4% | -19.5% | -7.7% |
| Debt to equity | |||||
| Debt to equity | 0.08 | 0.15 | 0.17 | n/a | n/a |
| Shares outstanding | |||||
| Shares outstanding | 0.03bn | 0.03bn | 0.03bn | 0.03bn | 0.03bn |
Health checks
- Free cash flow positive1 of 5 years
- Accounting looks honest (Beneish)Not enough data
- Financial strength (Piotroski)4 of 8 checks we could run
- Profit backed by cash (accruals)No
- DebtUnknown
- Revenue growth, five yearsStrong, 23.0% a year
- Buying back its own sharesNo, 9% more shares since 2021
The quarter to June 2026
How the business did, compared with the same quarter a year earlier.
- Sales: $224 million last quarter, up 20% on a year ago.
- A loss of $381,000, compared with a loss of $14 million a year ago.
- It loses 3 cents on each $1 of sales, compared with 16 cents a year earlier.
- Spare cash over the past 12 months: $39 million, up from $28 million.
- 3% more shares than a year ago. Each share owns a bit less of the company.
- Sales grew on a year ago in each of the last 4 quarters.
| Quarter to | Amount |
|---|---|
| September 2024 | $148m |
| December 2024 | $164m |
| March 2025 | $159m |
| June 2025 | $187m |
| September 2025 | $193m |
| December 2025 | $209m |
| March 2026 | $199m |
| June 2026 | $224m |
| Quarter to | Amount |
|---|---|
| September 2024 | -$46m |
| December 2024 | -$1m |
| March 2025 | -$31m |
| June 2025 | -$14m |
| September 2025 | -$5m |
| December 2025 | $6m |
| March 2026 | -$14m |
| June 2026 | -$381,000 |
From the company's quarterly reports to the SEC.
Dates
- Next results (estimated)
- n/a
- Last annual report (10-K)
- 19 February 2026
- Next quarterly (estimated, 10-Q)
- 5 November 2026
Who owns it
None of the long-term investors we follow own it. 304 funds in all.
Largest holders overall
- BlackRock$355mAdded
- RTW Investments, LP$260mAdded
- Vanguard Portfolio Management$228mAdded
- Artisan Partners Limited Partnership$197mAdded
- Vanguard Capital Management$174m
- Millennium Management$167mCut
- FMR$142mCut
- UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS$112mCut
- Geode Capital Management$105mAdded
- Eventide Asset Management$105mAdded
From 13F filings for the quarter ended 30 June 2026.
Big holders and activists
5 investors own more than 5%.
- RTW Investments, LPPassive investorat least 6.6%+1.4 pts(filed with 1 related holder)Since 30 June 2026
- Vanguard Portfolio ManagementPassive investor5.6%Since 31 March 2026
- Vanguard Capital ManagementPassive investor5.2%Since 31 March 2026
- Artisan Partners Limited PartnershipPassive investorat least 5.1%+0.4 pts(filed with 3 related holders)Since 30 June 2026
- Millennium Management LLCPassive investorat least 5.1%(filed with 2 related holders)Since 16 March 2026
- Capital Research Global InvestorsPassive investorSold down below 5%Since 30 June 2025
- SANDS CAPITAL MANAGEMENT, LLCPassive investorSold down below 5%Since 31 March 2026
- The Vanguard GroupPassive investorSold down below 5%Since 13 March 2026
| Holder | Stake | Since | |
|---|---|---|---|
RTW Investments, LP Passive investor | at least 6.6%+1.4 pts (filed with 1 related holder) | 30 June 2026 | |
Vanguard Portfolio Management Passive investor | 5.6% | 31 March 2026 | |
Vanguard Capital Management Passive investor | 5.2% | 31 March 2026 | |
Artisan Partners Limited Partnership Passive investor | at least 5.1%+0.4 pts (filed with 3 related holders) | 30 June 2026 | |
Millennium Management LLC Passive investor | at least 5.1% (filed with 2 related holders) | 16 March 2026 | |
Capital Research Global Investors Passive investor | Sold down below 5% | 30 June 2025 | |
SANDS CAPITAL MANAGEMENT, LLC Passive investor | Sold down below 5% | 31 March 2026 | |
The Vanguard Group Passive investor | Sold down below 5% | 13 March 2026 |
From Schedule 13D and 13G filings: anyone owning more than 5% must file one.
What insiders did
In the last 12 months, 1 insider bought $56,892 of shares on the open market. 12 sold $30m, $4m of it under preset trading plans.
- Wilson Daniel G.Chief Financial OfficerSold
- Date
- 2 September 2026
- Shares
- 773
- Price
- $121.83
- Value
- $94,175
- Turakhia MinangCHIEF MED/SCI OFCR EVP ADVTECHSold
- Date
- 10 August 2026
- Shares
- 7,093
- Price
- $124.65
- Value
- $884,151
- Shrishrimal SumiEVP, Chief Risk OfficerSold
- Date
- 10 August 2026
- Shares
- 5,372
- Price
- $124.65
- Value
- $669,641
- Patterson ChadCHIEF COMM & PRODUCT OFFICERSold
- Date
- 10 August 2026
- Shares
- 7,093
- Price
- $124.65
- Value
- $884,170
- Murphy Patrick MichaelCBO and CLOSold
- Date
- 10 August 2026
- Shares
- 7,093
- Price
- $124.65
- Value
- $884,156
- Blackford Quentin S.President and CEO, DirectorSold
- Date
- 10 August 2026
- Shares
- 26,859
- Price
- $124.65
- Value
- $3m
- Rodda JulianneEVP, CHIEF PEOPLE OFFICERSold
- Date
- 3 August 2026
- Shares
- 2,112
- Price
- $122.12
- Value
- $257,919
- Smith MervinEVP Strategic Business OpsSold
- Date
- 3 August 2026
- Shares
- 617
- Price
- $122.12
- Value
- $75,349
- Patterson ChadCHIEF COMM & PRODUCT OFFICERSold
- Date
- 3 August 2026
- Shares
- 2,712
- Price
- $122.12
- Value
- $331,192
- Freeman Sean ClintonEVP, Strategy & Corp DevtSold
- Date
- 2 July 2026
- Shares
- 918
- Price
- $124.71
- Value
- $114,484
| Date | Who | Did | Shares | Price | Value |
|---|---|---|---|---|---|
| 2 September 2026 | Wilson Daniel G. Chief Financial Officer | Sold | 773 | $121.83 | $94,175 |
| 10 August 2026 | Turakhia Minang CHIEF MED/SCI OFCR EVP ADVTECH | Sold | 7,093 | $124.65 | $884,151 |
| 10 August 2026 | Shrishrimal Sumi EVP, Chief Risk Officer | Sold | 5,372 | $124.65 | $669,641 |
| 10 August 2026 | Patterson Chad CHIEF COMM & PRODUCT OFFICER | Sold | 7,093 | $124.65 | $884,170 |
| 10 August 2026 | Murphy Patrick Michael CBO and CLO | Sold | 7,093 | $124.65 | $884,156 |
| 10 August 2026 | Blackford Quentin S. President and CEO, Director | Sold | 26,859 | $124.65 | $3m |
| 3 August 2026 | Rodda Julianne EVP, CHIEF PEOPLE OFFICER | Sold | 2,112 | $122.12 | $257,919 |
| 3 August 2026 | Smith Mervin EVP Strategic Business Ops | Sold | 617 | $122.12 | $75,349 |
| 3 August 2026 | Patterson Chad CHIEF COMM & PRODUCT OFFICER | Sold | 2,712 | $122.12 | $331,192 |
| 2 July 2026 | Freeman Sean Clinton EVP, Strategy & Corp Devt | Sold | 918 | $124.71 | $114,484 |
From Form 4 filings: insiders must report trades in their own company's shares within two days.
Warning signs in its filings
Problems the company itself reported to the SEC, in its own words.
None of the serious warning signs we check for were found. 1 thing worth knowing.
We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.
We checked the auditor's report, internal controls, restatement notices, auditor changes and big customers in the 10-K filed 19 Feb 2026, plus the 10-Q filed 6 Aug 2026 and 10 later 8-Ks.
Changed auditor
Worth knowingThe company changed its auditor (the firm that checks its books) in the last two years.
“On March 30, 2026, the Audit Committee of the Board of Directors (the “Audit Committee”) of iRhythm Holdings, Inc. (the “Company”) dismissed PricewaterhouseCoopers LLP (“PwC”) as the Company’s independent registered public accounting firm.”
From an 8-K filed 1 April 2026: Change of auditor. Read it in the filing
A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.
What could go wrong
Cheap for a reason is the question the numbers cannot answer.
Whether the price already reflects the risks is what the deep dive is for.
The deep dive
Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.
- What the business is worth, as a range, and the margin of safety at today’s price
- Prices to start buying, buy, and buy hard
- The three things that would make this a mistake
- Every number footnoted to the filing it came from
Your first deep dive is free.
Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.