iRhythm Technologies, Inc. (IRTC) Cash Flow Statement
Where IRTC’s cash came from and went, 2025
December 31, 2025 · U.S. dollars- Cash from operations
- $80.9M +2,285.3% vs 2024
- Capital expenditures
- $46.3M 6.2% of revenue
- Free cash flow
- $34.5M 4.6% margin
- Returned to shareholders
- —
- Change in cash
- −$183.6M cash at year-end $236.0M
Cash from operations
$80.9M
Capital expenditures
−$46.3M
Investments (net)
−$230.7M
Other financing
+$12.6M
Change in cash
−$183.6M
Drawn to scale: where the cash came from and how it was used. Hover for values.
IRTC operating cash flow, capex and free cash flow
Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)
IRTC cash flow trends, 2016–2025
| Metric | Trend | Then | Latest | Change |
|---|---|---|---|---|
| Operating cash flow | −$16.7M2016 | $80.9M2025 | — | |
| Capital expenditures | $2.8M2016 | $46.3M2025 | +36.8%/yr | |
| Free cash flow | −$19.4M2016 | $34.5M2025 | — | |
| Free cash flow margin | −30.3%2016 | 4.6%2025 | +34.9 pts | |
| Stock-based compensation | $1.9M2016 | $88.3M2025 | +53.5%/yr | |
| Dividends paid | $02016 | $25.9M2021 | — | |
| Share buybacks (net) | $02016 | $02025 | — | |
| Capex / revenue | 4.3%2016 | 6.2%2025 | +1.9 pts |
Change is the average annual growth (CAGR) or the difference between the first and latest year.
IRTC cash flow by activity
OperatingInvestingFinancingChange in cash
IRTC net income vs operating cash flow
Net incomeOperating cash flow
Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).
IRTC cash flow statement
| 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Operating activities | ||||||||||
| Net income | −$44.6M | −$113.3M | −$123.4M | −$116.2M | −$101.4M | −$43.8M | −$54.6M | −$48.3M | −$29.4M | −$20.9M |
| Depreciation & amortization | $26.5M | $25.8M | $22.1M | $19.6M | $16.6M | $12.9M | $3.4M | $2.3M | $1.6M | $568,000 |
| Stock-based compensation | $88.3M | $76.0M | $77.2M | $57.7M | $54.5M | $41.5M | $26.2M | $16.3M | $10.1M | $1.9M |
| Change in working capital | −$91.7M | −$99.1M | −$102.0M | −$65.5M | −$46.2M | −$56.2M | −$29.7M | −$13.9M | −$8.1M | −$6.7M |
| Other non-cash items | $102.3M | $114.0M | $76.0M | $81.3M | $38.7M | $31.9M | $32.8M | $14.5M | $10.9M | $8.5M |
| Cash from operating activities | $80.9M | $3.4M | −$50.1M | −$23.0M | −$37.8M | −$13.8M | −$21.9M | −$29.1M | −$14.9M | −$16.7M |
| Investing activities | ||||||||||
| Capital expenditures | −$46.3M | −$48.9M | −$40.4M | −$29.8M | −$28.1M | −$13.6M | −$20.5M | −$5.2M | −$3.6M | −$2.8M |
| Investments (net) | −$230.7M | −$123.0M | −$10.7M | −$22.6M | $133.3M | −$118.8M | −$68.8M | $39.3M | −$34.6M | −$68.2M |
| Acquisitions & other investing | $0 | $48.9M | $49.9M | $0 | −$1 | $0 | $0 | $0 | $3.6M | $2.8M |
| Cash from investing activities | −$277.1M | −$123.0M | −$1.2M | −$52.4M | $105.3M | −$132.4M | −$89.3M | $34.1M | −$34.6M | −$68.2M |
| Financing activities | ||||||||||
| Dividends paid | — | — | — | — | −$25.9M | −$10.0M | — | — | $0 | $0 |
| Share repurchases & issuance (net) | $0 | −$25.0M | $0 | $13.2M | −$25.9M | −$10.0M | −$5.3M | −$3.9M | $6.4M | $114.8M |
| Net borrowing (repayment) | $0 | $619.8M | $0 | $13.5M | −$11.7M | −$1.9M | −$1.9M | $861,000 | $3.5M | $3.5M |
| Shares issued | $0 | $0 | $0 | $0 | $0 | $206.0M | $116.9M | $0 | $0 | $0 |
| Other financing | $12.6M | −$83.5M | $8.8M | $0 | $34.8M | $30.3M | $1.9M | $9.3M | −$3.4M | −$7.0M |
| Cash from financing activities | $12.6M | $511.4M | $8.8M | $26.7M | −$28.6M | $214.3M | $111.6M | $6.3M | $6.5M | $111.3M |
| Summary | ||||||||||
| Net change in cash | −$183.6M | $391.8M | −$42.7M | −$48.7M | $38.9M | $68.2M | $439,000 | $11.4M | −$43.0M | $26.4M |
| Cash at end of period | $236.0M | $428.0M | $36.2M | $78.8M | $127.6M | $88.6M | $20.5M | $20.0M | $8.7M | $51.6M |
| Free cash flow | $34.5M | −$45.6M | −$90.5M | −$52.8M | −$65.8M | −$27.3M | −$42.3M | −$34.2M | −$18.5M | −$19.4M |
| Free cash flow margin | 4.6% | −7.7% | −18.4% | −12.9% | −20.4% | −10.3% | −19.7% | −23.3% | −18.6% | −30.3% |
| Capex / revenue | 6.2% | 8.3% | 8.2% | 7.3% | 8.7% | 5.1% | 9.5% | 3.5% | 3.6% | 4.3% |
| Jun '26 | Mar '26 | Dec '25 | Sep '25 | Jun '25 | Mar '25 | Dec '24 | Sep '24 | Jun '24 | Mar '24 | Dec '23 | Sep '23 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating activities | ||||||||||||
| Net income | −$381,000 | −$13.9M | $5.6M | −$5.2M | −$14.2M | −$30.7M | −$1.3M | −$46.2M | −$20.1M | −$45.7M | −$38.7M | −$27.1M |
| Depreciation & amortization | $6.8M | $6.5M | $6.7M | $6.6M | $6.5M | $6.6M | $6.6M | $6.4M | $6.4M | $6.4M | $6.5M | $5.6M |
| Stock-based compensation | $20.0M | $21.5M | $21.1M | $21.0M | $22.8M | $23.3M | $16.0M | $17.2M | $21.8M | $21.0M | $23.8M | $21.0M |
| Change in working capital | −$4.2M | −$67.4M | −$27.4M | −$13.0M | −$15.0M | −$36.5M | −$23.0M | $73.7M | −$16.3M | −$57.4M | −$35.9M | −$10.5M |
| Other non-cash items | $28.9M | $27.1M | $20.2M | $25.5M | $27.5M | $29.4M | $20.9M | −$26.7M | $20.0M | $23.7M | $28.3M | $12.2M |
| Cash from operating activities | $51.1M | −$26.2M | $26.2M | $34.9M | $27.7M | −$7.9M | $19.2M | $24.3M | $11.8M | −$52.0M | −$16.0M | $1.2M |
| Investing activities | ||||||||||||
| Capital expenditures | −$13.6M | −$6.9M | −$11.7M | −$14.8M | −$10.4M | −$9.4M | −$6.8M | −$8.8M | −$8.5M | −$9.8M | −$13.5M | −$9.1M |
| Investments (net) | −$35.1M | $37.1M | −$37.1M | −$89.2M | −$100.9M | −$38.1M | −$122.2M | −$55.3M | $14.5M | $40.0M | $1.4M | −$15.4M |
| Acquisitions & other investing | $0 | $0 | $0 | $14.8M | $10.4M | $9.4M | $6.8M | $8.8M | $8.5M | $9.8M | $13.5M | $9.1M |
| Cash from investing activities | −$48.6M | $30.2M | −$48.8M | −$89.2M | −$100.9M | −$38.1M | −$122.2M | −$55.3M | $14.5M | $40.0M | $1.4M | −$15.4M |
| Financing activities | ||||||||||||
| Share repurchases & issuance (net) | — | — | $0 | $0 | $0 | $0 | $0 | $25.0M | $0 | −$25.0M | — | $0 |
| Net borrowing (repayment) | — | — | $0 | $0 | $0 | $0 | $0 | $0 | — | — | — | — |
| Shares issued | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Other financing | $4.1M | $149,000 | $3.0M | $825,000 | $7.1M | $1.7M | $3.0M | −$25.0M | $3.8M | $529.6M | $3.5M | $66,000 |
| Cash from financing activities | $4.1M | $149,000 | $3.0M | $825,000 | $7.1M | $1.7M | $3.0M | −$35,000 | $3.8M | $504.6M | $3.5M | $66,000 |
| Summary | ||||||||||||
| Net change in cash | $6.5M | $4.1M | −$19.6M | −$53.5M | −$66.2M | −$44.3M | −$99.9M | −$31.0M | $30.1M | $492.6M | −$11.3M | −$14.1M |
| Cash at end of period | $255.0M | $248.5M | $244.4M | $264.0M | $317.5M | $383.6M | $419.6M | $527.9M | $550.6M | $528.8M | $36.2M | $47.5M |
| Free cash flow | $37.5M | −$33.1M | $14.5M | $20.1M | $17.3M | −$17.3M | $12.4M | $15.5M | $3.4M | −$61.8M | −$29.5M | −$7.9M |
| Free cash flow margin | 16.7% | −16.6% | 6.9% | 10.4% | 9.3% | −10.9% | 7.5% | 10.5% | 2.3% | −46.8% | −22.3% | −6.3% |
| Capex / revenue | 6.1% | 3.5% | 5.6% | 7.7% | 5.6% | 5.9% | 4.2% | 6.0% | 5.7% | 7.4% | 10.2% | 7.3% |
| Operating cash flow / net income | — | — | 4.70 | — | — | — | — | — | — | — | — | — |
Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.
IRTC cash generation
In fiscal 2025 (ended December 31, 2025), iRhythm generated $80.9 million of cash from operations (up 2,285.3%) and spent $46.3 million on capital expenditures, leaving free cash flow of $34.5 million, 4.6% of revenue. Cash and equivalents fell by $183.6 million over the year.
Related: IRTC income statement, IRTC balance sheet. See the IRTC stock overview for the latest quote and news.
IRTC cash flow FAQ
What is iRhythm's free cash flow?
iRhythm's free cash flow was $34.5 million in fiscal 2025: $80.9 million of operating cash flow minus $46.3 million of capital expenditures It was -$45.6 million a year earlier..
How much cash does iRhythm generate from operations?
iRhythm generated $80.9 million of cash from operating activities in fiscal 2025.
How much does iRhythm spend on capital expenditures?
iRhythm spent $46.3 million on capital expenditures in fiscal 2025, 6.2% of revenue, compared with $48.9 million the year before.