iRhythm Holdings Valuation Multiples

Discover iRhythm Holdings' revenue and EBITDA valuation multiples and M&A history, alongside public comparables like Jiangsu Yuyue Medical, Amplifon, Mirion, Pulse Biosciences and more.

iRhythm Holdings Overview

About iRhythm Holdings

iRhythm Holdings Inc is a digital healthcare company that creates trusted solutions that detect, predict, and prevent disease. Its principal business is the design, development, and commercialization of device-based technology to provide ambulatory cardiac monitoring services that it believes allow clinicians to diagnose certain arrhythmias quicker and with greater efficiency than other services that rely on traditional technology. Each Zio System combines an FDA-cleared and CE-marked, wire-free, patch-based, 14-day wearable biosensor that continuously records electrocardiogram (ECG) data with a proprietary, FDA-cleared, CE-marked cloud-based data analytic software to help physicians monitor patients and diagnose arrhythmias.


Founded

2006

HQ

United States

Employees

2.4K

Financials (LTM)

Revenue: $839M
EBITDA: $103M

EV

$4B

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iRhythm Holdings Financials

iRhythm Holdings reported last 12-month revenue of $839M and EBITDA of $103M.

In the same LTM period, iRhythm Holdings generated $600M in gross profit, $103M in EBITDA, and had net loss of ($4M).

Revenue (LTM)


iRhythm Holdings P&L

In the most recent fiscal year, iRhythm Holdings reported revenue of $747M and EBITDA of ($25M).

iRhythm Holdings is unprofitable as of last fiscal year, with gross margin of 71%, EBITDA margin of (3%), and net margin of (6%).

See analyst estimates for iRhythm Holdings
LTMLast FY202320242025202620272028
Revenue$839M$747M$493M$592M$747M
Gross Profit$600M$527M$332M$408M$527M
Gross Margin72%71%67%69%71%
EBITDA$103M($25M)($97M)($74M)($25M)
EBITDA Margin12%(3%)(20%)(13%)(3%)
EBIT Margin(1%)(7%)(23%)(19%)(7%)
Net Profit($4M)($45M)($123M)($113M)($45M)
Net Margin(1%)(6%)(25%)(19%)(6%)
Net Debt-$430M---

Financial data powered by Morningstar, Inc.

iRhythm Holdings Stock Performance

iRhythm Holdings has current market cap of $3.8B, and enterprise value of $4B.

Market Cap Evolution


iRhythm Holdings' stock price is $116.22.

iRhythm Holdings share price decreased by 0.5% in the last 30 days, and by 31.6% in the last year.

iRhythm Holdings has an EPS (earnings per share) of $-1.35.

See more trading valuation data for iRhythm Holdings
EVMarket CapPrice 1DPrice 1MPrice 3MPrice 12MEPS
$4B$3.8B-2.4%-0.5%2.0%-31.6%$-1.35

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iRhythm Holdings Valuation Multiples

iRhythm Holdings trades at 4.8x EV/Revenue multiple, and 38.9x EV/EBITDA.

See NTM and 2027E valuation multiples for iRhythm Holdings

EV / Revenue (LTM)


iRhythm Holdings Financial Valuation Multiples

As of August 28, 2026, iRhythm Holdings has market cap of $3.8B and EV of $4B.

iRhythm Holdings has a P/E ratio of (898.3x).

LTMLast FY202320242025202620272028
EV/Revenue4.8x5.4x8.1x6.8x5.4x
EV/EBITDA38.9x(157.4x)(41.4x)(54.1x)(157.4x)
EV/EBITn/m(75.8x)(35.2x)(34.9x)(75.8x)
EV/Gross Profit6.7x7.6x12.1x9.8x7.6x
P/En/m(86.0x)(31.0x)(33.8x)(86.0x)
EV/FCF87.2x116.2x(44.3x)(88.1x)116.2x

Multiples above and below 250x are considered non-meaningful (n/m). Valuation data powered by FactSet, Inc. and Morningstar, Inc.

Verified iRhythm Holdings Valuation Multiples

Access all public comps and forward-looking valuation multiples like EV/Revenue in 2027, based on consensus analyst estimates. Powered by FactSet and Morningstar.

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iRhythm Holdings Margins & Growth Rates

iRhythm Holdings grew revenue by 19% but EBITDA decreased by 575% in the last fiscal year.

In the most recent fiscal year, iRhythm Holdings reported gross margin of 71%, EBITDA margin of (3%), and net margin of (6%).

See estimated margins and future growth rates for iRhythm Holdings

iRhythm Holdings Margins

Last FY202420252026202720282029
Gross Margin71%69%71%72%
EBITDA Margin(3%)(13%)(3%)14%
EBIT Margin(7%)(19%)(7%)2%
Net Margin(6%)(19%)(6%)2%
FCF Margin5%(8%)5%6%

iRhythm Holdings Growth Rates

FY+1/FY23/2424/2525/2626/2727/2828/29
Revenue Growth19%20%26%19%
Gross Profit Growth21%23%29%21%
EBITDA Growth(575%)(23%)(66%)(575%)
EBIT Growth(132%)1%(54%)(132%)
Net Profit Growth(138%)(8%)(61%)(138%)
FCF Growth62%(50%)(176%)62%

Data powered by FactSet, Inc. and Morningstar, Inc.

iRhythm Holdings Operational KPIs

iRhythm Holdings' revenue per employee in the last FY averaged $0.3M, while opex per employee averaged $0.2M for the same period.

iRhythm Holdings' Rule of 40 is 32% (metric relevant for SaaS companies only, counted as combined revenue growth rate and EBITDA margin).

iRhythm Holdings' Rule of X is 60% (created by Bessemer, Rule of X is another metric to measure SaaS companies, ~1.5x stronger vs. the traditional Rule of 40, counted as revenue growth rate multiplied by 2.5 plus EBITDA margin).

Access forward-looking KPIs for iRhythm Holdings
LTMLast FY202320242025202620272028
Rule of 4030%32%---
Bessemer Rule of X57%60%---
Revenue per Employee-$0.3M---
Opex per Employee-$0.2M---
R&D Expenses to Revenue10%12%12%18%12%
Opex to Revenue-78%91%88%78%

Data powered by FactSet, Inc. and Morningstar, Inc.

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iRhythm Holdings Competitors

iRhythm Holdings competitors include Jiangsu Yuyue Medical, Amplifon, Mirion, Pulse Biosciences, Imeik Technology Development, Integer Holdings, Hamamatsu Photonics, MGI Tech, Lepu Medical Technology and ICU Medical.

Most iRhythm Holdings public comparables operate across Medical Devices, DeepTech and HealthTech.

EV/RevenueEV/EBITDA
Last FYLTM2027ELast FYLTM2027E
Jiangsu Yuyue Medical3.2x3.1x14.8x15.6x
Amplifon1.8x1.8x8.6x7.6x
Mirion4.9x4.3x22.7x17.0x
Pulse Biosciences9636.7x1992.0x(44.4x)(52.8x)
Imeik Technology Development10.3x10.1x16.3x17.3x
Integer Holdings3.0x3.1x19.2x14.3x
Hamamatsu Photonics3.2x2.9x16.0x15.2x
MGI Tech9.6x8.7x205.1x89.3x

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iRhythm Holdings VC Funding History

Before going public, iRhythm Holdings raised $43M in total equity funding, across 2 rounds.


iRhythm Holdings Funding Rounds

DateStageInvestorsRaisedValuationRev. MultipleDeal Summary
May-14Series ENovo Holdings; Norwest$27M-iRhythm Technologies, a healthcare information services company founded in 2006, specializes in cardiac monitoring solutions through its flagship ZIO Service for long-term continuous cardiac monitoring of patients with suspected arrhythmia. The ZIO Service had been used with nearly 250,000 patients across over 800 institutions by May 2014, with coverage from leading public and private insurers since its 2011 launch. In May 2014, iRhythm closed a $17 million Series E financing round led by Novo A/S, with participation from Norwest Venture Partners, which had led the company's Series D round. The company planned to use the proceeds to accelerate market growth for the ZIO Service, expand technology development, and establish additional clinical evidence supporting its solution. By October 2016, iRhythm completed its initial public offering at $107 million, having raised a total of $99.03 million across 12 funding rounds prior to going public. The company had grown to over 1,000 employees by the time of its later funding activities.
Apr-13Series DKaiser Permanente Ventures; Stanford University; Norwest; New Leaf Venture Partners; Synergy Life Science Partner$16M-iRhythm Technologies, a Stanford University spin-out medical device firm, raised $16 million in a Series D round on April 13, 2013, led by Norwest Venture Partners with participation from Kaiser Permanente Ventures, New Leaf Venture Partners, Synergy Life Science Partners, and Stanford University. The funding supports expansion of commercial efforts and acceleration of new product development for its flagship Zio System, which diagnoses and monitors cardiac arrhythmias and has reported over 20 million hours of patient data since its 2011 introduction. Casper de Clercq from Norwest joined the board. The company, founded in 2006 and based in San Francisco, had previously raised a total of $52 million, including a $6.5 million Series B in 2009.

Acquisitions by iRhythm Holdings

iRhythm Holdings has acquired 1 company to date.

Last acquisition by iRhythm Holdings was on August 6th 2026. iRhythm Holdings acquired VitalConnect for $288M (EV/Revenue multiple available to Pro users).

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Latest Acquisitions by iRhythm Holdings

VitalConnect
Description
VitalConnect is a Campbell-headquartered company developing wearable biosensors like the VitalPatch for wireless patient monitoring. Its devices capture continuous ECG, heart rate, respiration, and activity data for inpatient hospital use, post-discharge remote monitoring, and cardiac rehabilitation programs. VitalConnect supplies technology to healthcare providers and pharmaceutical firms for clinical trials and telehealth applications worldwide.
HQ CountryUnited States
HQ City
San Jose, CA
Deal Date6 Aug 2026
Valuation$288M
EV/Revenue
EV/EBITDA

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About iRhythm Holdings

When was iRhythm Holdings founded?iRhythm Holdings was founded in 2006.
Where is iRhythm Holdings headquartered?iRhythm Holdings is headquartered in United States.
How many employees does iRhythm Holdings have?As of today, iRhythm Holdings has over 2K employees.
Is iRhythm Holdings publicly listed?Yes, iRhythm Holdings is a public company listed on Nasdaq.
What is the stock symbol of iRhythm Holdings?iRhythm Holdings trades under IRTC ticker.
When did iRhythm Holdings go public?iRhythm Holdings went public in 2016.
Who are competitors of iRhythm Holdings?iRhythm Holdings main competitors include Jiangsu Yuyue Medical, Amplifon, Mirion, Pulse Biosciences, Imeik Technology Development, Integer Holdings, Hamamatsu Photonics, MGI Tech, Lepu Medical Technology, ICU Medical.
What is the current market cap of iRhythm Holdings?iRhythm Holdings' current market cap is $3.8B.
What is the current revenue of iRhythm Holdings?iRhythm Holdings' last 12 months revenue is $839M.
What is the current revenue growth of iRhythm Holdings?iRhythm Holdings revenue growth (NTM/LTM) is 18%.
What is the current EV/Revenue multiple of iRhythm Holdings?Current revenue multiple of iRhythm Holdings is 4.8x.
What is the current EBITDA of iRhythm Holdings?iRhythm Holdings' last 12 months EBITDA is $103M.
What is iRhythm Holdings' EBITDA margin?iRhythm Holdings' last 12 months EBITDA margin is 12%.
What is the current EV/EBITDA multiple of iRhythm Holdings?Current EBITDA multiple of iRhythm Holdings is 38.9x.
What is the current FCF of iRhythm Holdings?iRhythm Holdings' last 12 months FCF is $46M.
What is iRhythm Holdings' FCF margin?iRhythm Holdings' last 12 months FCF margin is 5%.
What is the current EV/FCF multiple of iRhythm Holdings?Current FCF multiple of iRhythm Holdings is 87.2x.
How many companies iRhythm Holdings has acquired to date?As of August 2026, iRhythm Holdings has acquired 1 company.
What was the largest acquisition by iRhythm Holdings?$288M acquisition of VitalConnect on 6th August 2026 was the largest M&A iRhythm Holdings has done to date.
What companies iRhythm Holdings acquired?iRhythm Holdings acquired VitalConnect.
In how many companies iRhythm Holdings has invested to date?iRhythm Holdings hasn't invested in any companies yet (or none have been disclosed publicly).

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