Q2 2026 iRhythm Technologies Inc Earnings Call

August 6, 2026

Operator: Hello, everyone. Thank you for joining us, welcome to the iRhythm Holdings, Inc. Q2 2026 Earnings Conference Call. After today's prepared remarks, we will host a question and answer session. If you would like to ask a question, please press star one to raise your hand. To withdraw your question, press star one again. I will now hand the conference over to Lisa Pecora, Senior Vice President, Finance and Investor Relations. Lisa, please go ahead.

Speaker #1: Relations. Lisa, please go ahead.

Speaker #1: Relations. Lisa, please go ahead. session. If you would like to ask a Thank you, operator, and

Lisa Pecora: Thank you, operator, thank you all for joining iRhythm's Q2 2026 earnings call. With me today are Quentin Blackford, iRhythm's President and Chief Executive Officer, and Dan Wilson, our Chief Financial Officer. Before we begin, please note that management will make forward-looking statements within the meaning of federal securities laws under the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, but are not limited to, statements regarding our intentions, beliefs, and expectations about future events, strategy, competition, products, operating plans, and performance. Forward-looking statements on this call are based on current estimates and assumptions, involve risks and uncertainties, and actual results may differ materially. These statements are made as of today, 6 August 2026, and are time sensitive. We undertake no obligation to update or revise them except as required by law.

Speaker #2: iRhythm's second quarter 2026 earnings call. Thank you all for joining. With me today are Quentin Blackford, iRhythm's President and Chief Executive Officer, and Daniel Wilson, our Chief Financial Officer.

Speaker #2: Before we begin, please note that management will make forward-looking statements within the meaning of federal securities laws under the Safe Harbor Provisions of the Private Securities Litigation Reform Act of 1995.

Speaker #2: These forward-looking statements include but are not limited to statements regarding our intentions, beliefs, and expectations about future events, strategy, competition, products, operating plans, and performance.

Speaker #2: Forward-looking statements on this call are based on current estimates and assumptions, involve risks and uncertainties, and actual results may differ materially. These statements are made as of today, August 6, 2026, and are time-sensitive.

Speaker #2: We undertake no obligation to update or revise them, except as required by law. Accordingly, you should not place undue reliance on these statements. For a discussion of risks and uncertainties, please refer to our most recent annual report on Form 10-K, quarterly reports on Form 10-Q, and other filings with the SEC.

Lisa Pecora: Accordingly, you should not place undue reliance on these statements. For a discussion of risks and uncertainties, please refer to our most recent annual report on Form 10-K, quarterly reports on Form 10-Q, and other filings with the SEC. Additionally, during the call, we will discuss certain financial measures that have not been prepared in accordance with GAAP. Unless otherwise noted, all references to financial measures on this call are presented on a non-GAAP basis. These non-GAAP measures should not be considered in isolation or as a substitute for or superior to GAAP results. Reconciliations to the most directly comparable GAAP measures can be found in our earnings release and the slides accompanying today's call. With that, I'll turn the call over to Quentin.

Speaker #2: Additionally, during the call, we will discuss certain financial measures that have not been prepared in accordance with GAAP. Unless otherwise noted, all references to financial measures on this call are presented on a non-GAAP basis.

Speaker #2: These non-GAAP measures should not be substitute for or superior to GAAP results. Reconciliations to the most directly comparable GAAP measures can be found in our earnings release and the slides accompanying today's call.

Speaker #2: And with that, I'll turn the call over to Quentin.

Speaker #3: Good afternoon, everyone, and thank you for joining us. We had another very strong quarter, and I'm pleased to be here to discuss both our second quarter 2026 performance and the progress we are making against our long-term strategy.

Quentin Blackford: Good afternoon, everyone, thank you for joining us. We had another very strong quarter, and I'm pleased to be here to discuss both our Q2 2026 performance and the progress we are making against our long-term strategy. I will begin with a brief overview of the quarter, then discuss today's announced agreement to acquire VitalConnect, and finish with several key business updates. Dan will then talk about our financial performance and guidance in more detail. Q2 revenue was $224.2 million, up 20.1% year over year. This marks our seventh consecutive quarter of growth above 20%, a meaningful accomplishment and a reflection of the durability of demand for Zio, the strength of our commercial execution, and breadth of our growth drivers. Momentum remains strong across cardiology, primary care, innovative channels, and international markets.

Speaker #3: I would begin with a brief overview of the quarter, then discuss today's announced agreement to acquire Vital Connect. And finish with several key business updates, then we'll then talk about our financial performance and guidance in more detail.

Speaker #3: Second quarter revenue was $224.2 million, up 20.1% year over year. This marks our seventh consecutive quarter of growth above 20%—a meaningful accomplishment and a reflection of the durability of demand for Zio, the strength of our commercial execution, and the breadth of our growth drivers.

Speaker #3: Momentum remains strong across cardiology, primary care, innovative channels, and international markets. We are particularly pleased to see that growth translate into exceptional margin expansion, demonstrating both the strength of our platform and the operating leverage inherent in our model.

Quentin Blackford: We are particularly pleased to see that growth translate into exceptional margin expansion, demonstrating both the strength of our platform and the operating leverage inherent in our model. The combination of sustained top-line performance and increasing operating leverage gives us continued confidence in our strategy and the substantial opportunity ahead. Let me turn to our agreement to acquire VitalConnect, which we announced today. We have followed VitalConnect for some time and developed a great deal of respect for its technology, its people, and the platform the team has built. We are enthusiastic about bringing our organizations together because the combination meaningfully expands the ways we serve physicians, health systems, and patients while remaining closely aligned with our mission to improve diagnosis, prevent disease, and ultimately enhance patient care.

Speaker #3: The combination of sustained top-line performance and increasing operating leverage gives us continued confidence in our strategy and a substantial opportunity ahead. Let me turn to our agreement to acquire Vital Connect, which we announced today.

Speaker #3: We have followed Vital Connect for some time and developed a great deal of respect for its technology, its people, and the platform the team has built.

Speaker #3: We are enthusiastic about bringing our organizations together because the combination meaningfully expands the ways we serve physicians, health systems, and patients, while remaining closely aligned with our mission to improve diagnosis, prevent disease, and ultimately enhance patient care.

Speaker #3: Vital Connect brings a complementary and comprehensive platform that supports four cardiac monitoring modalities, mobile cardiac telemetry or MCT, event monitoring, long-term continuous monitoring, and short-term Holter.

Quentin Blackford: VitalConnect brings a complementary and comprehensive platform that supports four cardiac monitoring modalities: mobile cardiac telemetry or MCT, event monitoring, long-term continuous monitoring, and short-term Holter. Its technology is also FDA-cleared for continuous patient monitoring in the hospital, further expanding our capabilities beyond ambulatory cardiac monitoring and across the continuum of care. The strategic fit is compelling. VitalConnect reinforces our commitment to innovation in ambulatory cardiac monitoring and adds an FDA-cleared platform with a patient monitoring service up to 30 days, four-in-one device functionality, flexible service models, live looking capabilities, and multi-vital monitoring. These features complement our existing portfolio and give us additional tools to meet different clinical, operational, and economic needs of customers and patients. This acquisition also expands our ability to participate in the MCT segment. This is a large market segment, and customer needs vary considerably by workflow, site of care, and patient population.

Speaker #3: Its technology is also FDA-cleared for continuous patient monitoring in the hospital, further expanding our capabilities beyond ambulatory cardiac monitoring and across the continuum of care.

Speaker #3: The strategic fit is compelling. Vital Connect reinforces our commitment to innovation in ambulatory cardiac monitoring and adds an FDA-cleared platform with a patient monitoring service up to 30 days, four-in-one device functionality, flexible service models, live-looking capabilities, and multi-vital monitoring.

Speaker #3: These features complement our existing portfolio and give us additional tools to meet different clinical, operational, and economic needs of customers and patients. This acquisition also expands our ability to participate in the MCT segment.

Speaker #3: This is a large market segment, and customer needs vary considerably by workflow, site of care, and patient population. Adding Vital Connect's proven platform to our national sales force will give physicians and health systems on a nationwide basis greater choice and flexibility.

Quentin Blackford: Adding VitalConnect's proven platform to our national sales force will give physicians and health systems on a nationwide basis greater choice and flexibility. Together with Zio AT and Zio MCT, the acquisition of VitalConnect creates a complementary set of solutions to serve different MCT customers and patients. VitalConnect is also important to the broader evolution of our platform. Its biosensor can monitor up to 11 physiological parameters, including ECG, heart rate, respiratory rate, and body temperature, providing a robust foundation for our multi-vital strategy. Over time, these capabilities allow us to address a wider range of clinical needs and care settings, including inpatient monitoring and hospital-to-home programs, creating additional avenues for sustainable long-term growth. Financially, we expect the transaction to strengthen our long-term growth profile. We anticipate a positive contribution to revenue growth beginning in 2027 and thereafter.

Speaker #3: Together with ZOAT and ZOMCT, the acquisition of Vital Connect creates a complementary set of solutions to serve different MCT customers and patients. Vital Connect is also important to the broader evolution of our platform.

Speaker #3: Its biosensor can monitor up to 11 physiological parameters, including ECG, heart rate, respiratory rate, and body temperature, providing a robust foundation for our multi-vital strategy.

Speaker #3: Over time, these capabilities allow us to address a wider range of clinical needs and care settings. Including inpatient monitoring and hospital-to-home programs. Creating additional avenues for sustainable, long-term growth.

Speaker #3: Financially, we expect the transaction to strengthen our long-term growth profile. We anticipate a positive contribution to revenue growth beginning in 2027 and thereafter. Combining VitalConnect's business with the meaningful progress we continue to make in our base business, we remain confident in the combined company achieving our previously communicated adjusted EBITDA margin target of 15% next year.

Quentin Blackford: Combining VitalConnect's business with the meaningful progress we continue to make in our base business, we remain confident in the combined company achieving our previously communicated adjusted EBITDA margin target of 15% next year. I also want to be clear about what this means to our current MCT strategy. We remain committed to both Zio AT and Zio MCT. Because the MCT market serves diverse physician workflows, sites of care, and patient preferences, we do not believe a single solution will address every need. Therefore, our objective is to provide a portfolio of complementary options. To that point, we continue to work towards a clearance for Zio MCT in H1 of 2027.

Speaker #3: I also want to be clear about what this means to our current MCT strategy. We remain committed to both ZOAT and ZOMCT. Because the MCT market serves diverse physician workflows, sites of care, and patient preferences, we do not believe a single solution will address every need.

Speaker #3: Therefore, our objective is to provide a portfolio of complementary options. To that point, we continue to work towards a clearance for ZOMCT in the first half of 2027.

Speaker #3: In parallel, we will allocate resources towards understanding and accelerating performance with Vital Connect to ensure a rapid and successful integration of Vital Connect's products into our commercial force, as well as evaluate and define a product roadmap that combines the best of both product platforms and brings continued innovation to the market that serves the needs of our customers and patients.

Quentin Blackford: In parallel, we will allocate resources towards understanding and accelerating performance with VitalConnect to ensure a rapid and successful integration of VitalConnect's products into our commercial force, as well as evaluate and define a product roadmap that combines the best of both product platforms and brings continued innovation to the market that serves the needs of our customers and patients. Turning to another central element of our strategy, reaching patients earlier in their care journey. We believe that at least 27 million people in the US are at risk for arrhythmias, and many of these individuals first engage with the healthcare system through primary care, value-based care, and population health settings. This creates a significant opportunity to expand access to Zio by embedding long-duration cardiac monitoring more directly into the clinical workflows where patients are first identified, evaluated, and referred.

Speaker #3: Turning to another central element of our strategy, reaching patients earlier in their care journey. We believe that at least 27 million people in the US are at risk for arrhythmias, and many of these individuals first engage with the healthcare system through primary care, value-based care, and population health settings.

Speaker #3: This creates a significant opportunity to expand access to Zio by embedding long-duration cardiac monitoring more directly into the clinical workflows where patients are first identified, evaluated, and referred.

Speaker #3: During the quarter, we advanced our predictive arrhythmia solution strategy with the signing of two commercial agreements through our partnership with Lucem that combine predictive identification workflows with iRhythm monitoring solutions.

Quentin Blackford: During the quarter, we advanced our predictive arrhythmia solution strategy with the signing of two commercial agreements through our partnership with Lucem that combine predictive identification workflows with iRhythm monitoring solutions. These partnerships are intended to support earlier diagnosis and intervention. Our pipeline of additional opportunities continues to develop. We are also expanding our predictive arrhythmia solutions work with Desert Oasis Healthcare using AI-driven analytics to identify patients who may benefit from cardiac evaluation and monitoring. We continue to see strong momentum in the innovative channels, which was our fastest-growing channel in the quarter. Demand remains robust across a growing network of value-based care, primary care, and population health partners. As these programs scale, utilization is expanding in both symptomatic and asymptomatic patient populations. Early pilot programs have demonstrated more than 85% accuracy in identifying patients with clinically relevant arrhythmias before they enter the diagnostic process.

Speaker #3: These partnerships are intended to support earlier diagnosis and intervention, and our pipeline of additional opportunities continues to develop. We are also expanding our predictive arrhythmia solutions work with Desert Oasis Healthcare, using AI-driven analytics to identify patients who may benefit from cardiac evaluation and monitoring.

Speaker #3: We continue to see strong momentum in the innovative channels, which was our fastest-growing channel in the quarter. Demand remains robust across a growing network of value-based care, primary care, and population health partners.

Speaker #3: As these programs scale, utilization is expanding in both symptomatic and asymptomatic patient populations. Early pilot programs have demonstrated more than 85% accuracy in identifying patients with clinically relevant arrhythmias before they enter the diagnostic process.

Speaker #3: The early results of these programs are encouraging and support our conviction that early identification can improve outcomes and reduce total healthcare costs. Primary care is an important part of our upstream strategy, with the majority of the 27 million people in the US at risk for arrhythmias entering the healthcare system through this pathway.

Quentin Blackford: The early results of these programs are encouraging and support our conviction that earlier identification can improve outcomes and reduce total healthcare cost. Primary care is an important part of our upstream strategy, with the majority of the 27 million people in the US at risk for arrhythmias entering the healthcare system through this pathway. To support that care journey, we recently launched our first-ever targeted direct-to-patient initiatives through the PatientPoint network, providing coordinated arrhythmia education for patients, physicians, and office staff. The goal is straightforward: increase awareness of symptoms and risk factors, help patients seek evaluation sooner, and make the connection between primary care and cardiology more efficient. A key enabler of our growth strategy in verticals such as primary care is our strong commitment to technology integration. Approximately 60% of our volume now comes from EHR-integrated accounts. Nearly 80 of our top 100 customers are integrated today.

Speaker #3: To support that care journey, we recently launched our first-ever targeted direct-to-patient initiatives through the patient point network, providing coordinated arrhythmia education for patients, physicians, and office staff.

Speaker #3: The goal is straightforward: increase awareness of symptoms and risk factors, help patients seek evaluation sooner, and make the connection between primary care and cardiology more efficient.

Speaker #3: A key enabler of our growth strategy in verticals such as primary care is our strong commitment to technology 60% of our volume now comes from EHR-integrated accounts, and nearly 80% of our top 100 customers are integrated today.

Speaker #3: By embedding cardiac monitoring more directly within provider workflows, these integrations reduce friction, improve efficiency, and help support early identification of patients who may benefit from monitoring.

Quentin Blackford: By embedding cardiac monitoring more directly within provider workflows, these integrations reduce friction, improve efficiency, and help support early identification of patients who may benefit from monitoring. We believe this positions us well as cardiac care increasingly shifts upstream and towards earlier detection. International remains another emerging growth opportunity, supported by continued commercialization progress and clinical evidence generation during the quarter. For example, in the UK, we are building momentum with the NHS, supported by award-winning Zio integration and expanding interest in primary care cardiac monitoring. In the Netherlands, we are deepening relationships with key opinion leaders as we position the business for future market expansion. In Japan, the higher reimbursement rate we discussed last quarter became effective on 1 June. In each of these markets, we are staying disciplined in how we execute, investing to generate clinical evidence, advance reimbursement, and build scalable commercial capabilities.

Speaker #3: We believe this positions us well as cardiac care increasingly shifts upstream and towards earlier detection. International remains another emerging growth opportunity. Supported by continued commercialization progress in clinical evidence generation during the quarter, for example, in the UK, we are building momentum with the NHS, supported by award-winning Xio integration and expanding interest in primary care, cardiac monitoring.

Speaker #3: In the Netherlands, we are deepening relationships with key opinion leaders as we position the business for future market expansion. In Japan, the higher reimbursement rate we discussed last quarter became effective on June 1.

Speaker #3: In each of these markets, we are staying disciplined in how we execute—investing to generate clinical evidence, advance reimbursement, and build scalable commercial capabilities.

Speaker #3: Globally, we also continue to expand the body of evidence supporting the clinical and economic value of our platform. Data presented at the European Heart Rhythm Association, the American Diabetes Association, and the International Society for Pharmaeconomics and Outcomes Research add to our body of clinical evidence on outcomes and economic benefits of early detection and disease management with long-term continuous monitoring.

Quentin Blackford: Globally, we also continue to expand the body of evidence supporting the clinical and economic value of our platform. Data presented at the European Heart Rhythm Association, the American Diabetes Association, and the International Society for Pharmacoeconomics and Outcomes Research add to our body of clinical evidence on outcomes and economic benefits of early detection and disease management with long-term continuous monitoring. Turning to adjacent markets, sleep remains a large and under-penetrated opportunity with approximately 40 million sleep apnea patients in the US, many of whom overlap with arrhythmia populations. We continue to execute pilot programs and refine our strategy with a focus on simplifying fragmented workflows across the sleep ecosystem through a more integrated approach. Similar to cardiac monitoring, we believe streamlining these workflows can create meaningful value for patients, providers, and the broader healthcare system.

Speaker #3: Turning to adjacent markets, sleep remains a large and underpenetrated opportunity with approximately 40 million sleep apnea patients in the US, many of whom overlap with arrhythmia populations.

Speaker #3: We continue to execute pilot programs and refine our strategy, with a focus on simplifying fragmented workflows across the sleep ecosystem through a more integrated approach.

Speaker #3: Similar to cardiac monitoring, we believe streamlining these workflows can create meaningful value for patients, providers, and the broader healthcare system. We are encouraged by the potential while remaining measured in how we invest and scale.

Quentin Blackford: We are encouraged by the potential while remaining measured in how we invest and scale. Before turning it over to Dan, I'd like to address several business and regulatory updates. First, a positive development during the period on reimbursement were the final LCDs issued by Noridian, CGS, and Palmetto, which addressed key areas of ambiguity in the initial drafts and delivered a constructive outcome. Importantly, these LCDs clarify appropriate modality-specific coverage without introducing additional access restrictions. Overall, the final policy removes a source of uncertainty for the market. Second, we achieved an important milestone this quarter with FDA clearance of our third-generation algorithm, which will be used across our entire platform.

Speaker #3: Before turning it over to Dan, I'd like to address several business and regulatory updates. First, a positive development during the period on reimbursement were the final LCDs issued by Noridian, CGS, and Palmetto.

Speaker #3: These address key areas of ambiguity in the initial drafts and delivered a constructive outcome. Importantly, these LCDs clarify appropriate modality-specific coverage without introducing additional access restrictions.

Speaker #3: Overall, the final policy removes a source of uncertainty for the market. Second, we achieved an important milestone this quarter with FDA clearance of our third-generation algorithm, which will be used across our entire platform.

Speaker #3: Once launched in the first half of 2027, we expect it to reduce clinical technician review time by as much as 50%, driving meaningful productivity gains and approximately $100 million of cumulative cost savings over five years, while supporting continued margin expansion.

Quentin Blackford: Once launched in H1 2027, we expect it to reduce clinical technician review time by as much as 50%, driving meaningful productivity gains and approximately $100 million of cumulative cost savings over five years while supporting continued margin expansion. We're also excited by the incremental opportunity to leverage this capability on the VitalConnect platform over time. This is a strong example of how our investments in data and AI can improve both the customer experience and the efficiency of our operating model. Third, as you know, we remain subject to an FDA warning letter and continue to work through the agency's review process. We have updated the agency on the completion of our remediation activities and our self-initiated third-party audit and look forward to their return in anticipation of closing out the warning letter.

Speaker #3: We're also excited by the incremental opportunity to leverage its capability on the Vital Connect platform over time. This is a strong example of how our investments in data and AI can improve both the customer experience and the efficiency of our operating model.

Speaker #3: Third, as you know, we remain subject to an FDA warning letter and continue to work through the agency's review process. We have updated the agency on the completion of our remediation activities and our self-initiated third-party audit and look forward to their return and anticipation of closing out the warning letter.

Speaker #3: While the timing of any action remains with the agency, we remain focused on supporting the process and responding to any requests from the FDA.

Quentin Blackford: While the timing of any action remains with the agency, we remain focused on supporting the process and responding to any requests from the FDA. Fourth, I'd like to acknowledge that on 31 July, we agreed to settle our outstanding litigation with Baxter and its subsidiaries, Welch Allyn and Bardy Diagnostics, for a settlement payment of $50 million. With this matter now resolved, we can move forward with greater clarity and focus, directing our attention and resources towards the strategic initiatives, innovation, and execution that drive long-term value creation. Finally, I'd like to provide a brief update on the recent cybersecurity incident we announced in June. On 8 June, we identified unauthorized activity in certain third-party-hosted business applications. We promptly activated our response plan, engaging external experts and notifying law enforcement. The incident has been contained and the root cause identified.

Speaker #3: Fourth, I'd like to acknowledge that on July 31, we agreed to settle our outstanding litigation with Baxter, and its subsidiaries, Welch Allen, and Bardi Diagnostics, for a settlement payment of 50 million dollars.

Speaker #3: With this matter now resolved, we can move forward with greater clarity and focus directing our attention and resources towards a strategic initiatives innovation and execution that drive long-term value creation.

Speaker #3: Finally, I'd like to provide a brief update on the recent cybersecurity incident we announced in June. On June 8, we identified unauthorized activity in certain third-party hosted business applications.

Speaker #3: We promptly activated our response plan, engaging external experts, and notifying law enforcement. The incident has been contained, and the root cause identified. While certain data was exfiltrated, our investigation and remediation actions resulted in no material impacts to our products, patient care, business operations, or financial results.

Quentin Blackford: While certain data was exfiltrated, our investigation and remediation actions resulted in no material impacts to our products, patient care, business operations, or financial results. Looking forward, our priorities are clear. Sustained volume-led growth across cardiology, primary care, and innovative channels, continuing to improve profitability through scale, productivity, and disciplined execution, advancing key innovation initiatives, including next generation MCT and predictive AI, thoughtfully expanding into international and adjacent market opportunities, and maintaining the strong operational and compliance foundation that supports long-term success in a rapidly evolving landscape. With that, I'll turn the call over to Dan.

Speaker #3: Looking forward, our priorities are clear: sustained volume-led growth across cardiology, primary care, and innovative channels, continuing to improve profitability through scaled productivity and disciplined execution, advancing key innovation initiatives, including next-generation MCT and predictive AI, thoughtfully expanding into international and adjacent market opportunities, and maintaining the strong operational and compliance foundation that supports long-term success in a rapidly evolving landscape.

Speaker #3: With that, I'll turn the call over to Dan.

Speaker #1: Thank you, Quentin. We delivered another quarter of strong financial performance, supported by sustained demand for our ambulatory cardiac monitoring services and continued operational discipline across the business.

Dan Wilson: Thank you, Quentin. We delivered another Q2 of strong financial performance, supported by sustained demand for our ambulatory cardiac monitoring services and continued operational discipline across the business. We generated robust year-over-year revenue growth while delivering record profitability, demonstrating our ability to scale efficiently and translate growth into significant operating leverage. We remain encouraged by the momentum across the business and the consistency of our execution. Revenue for Q2 was $224.2 million, up 20.1% year over year, reflecting healthy demand across our customer base and continued momentum in newer growth channels. Volume remained the primary driver of growth, complemented by modest pricing gains and continued strong execution in collections. Our broad and expanding prescriber base continues to underscore the strength and durability of demand, while new stores contributed approximately 45% of year-over-year volume growth.

Speaker #1: We generated robust year-over-year revenue growth while delivering record profitability, demonstrating our ability to scale efficiently and translate growth into significant operating leverage. We remain encouraged by the momentum across the business and the consistency of our execution.

Speaker #1: Revenue for the second quarter was 224.2 million, up 20.1% year over year, reflecting healthy demand across our customer base and continued momentum in newer growth channels.

Speaker #1: Volume remained the primary driver of growth, complemented by modest pricing gains and continued strong execution in collections. Our broad and expanding prescriber base continues to underscore the strength and durability of demand, while new stores contributed approximately 45% of year-over-year volume growth.

Speaker #1: Moving down the P&L, gross margin in the second quarter was 72.8%, an increase of 160 basis points year over year. This sustainable improvement was driven by targeted operational efficiencies, including manufacturing automation and workflow optimization, as well as product mix and scale benefits from higher volumes.

Dan Wilson: Moving down the P&L, gross margin in Q2 was 72.8%, an increase of 160 basis points year over year. This sustainable improvement was driven by targeted operational efficiencies, including manufacturing automation and workflow optimization, as well as product mix and scale benefits from higher volumes. Q2 2026 adjusted operating expenses were $145 million compared to $145.2 million in the prior year period, a decrease of 0.1%. Our expense performance also reflects a focused approach to investment as we funded key growth initiatives while thoughtfully managing costs across the broader organization. As a result, we kept operating expenses essentially flat while delivering strong revenue growth and operating leverage.

Speaker #1: Second quarter 2026 adjusted operating expenses were 145 million, compared to 145.2 million in the prior year period, a decrease of 0.1%. Our expense performance also reflects a focused approach to investment as we funded key growth initiatives while thoughtfully managing costs across the broader organization.

Speaker #1: As a result, we kept operating expenses essentially flat while delivering strong revenue growth and operating leverage. On the bottom line, GAAP net loss for the second quarter was 0.4 million, or net loss per diluted share of 1 cent, compared to a GAAP net loss of 14.2 million, or net loss per diluted share of 44 cents in the second quarter of 2025.

Dan Wilson: On the bottom line, GAAP net loss for Q2 was $0.4 million, or net loss per diluted share of $0.01, compared to a GAAP net loss of $14.2 million, or net loss per diluted share of $0.44 in Q2 2025. Adjusted net income for Q2 was $19.3 million, or net income per diluted share of $0.58, compared to an adjusted net loss of $10.2 million, or net loss per diluted share of $0.32 in Q2 2025. These results highlight the progress we've made in building a more profitable business as operating leverage across the organization contributed to significant year-over-year improvement in earnings. Adjusted EBITDA for Q2 was $43.3 million or 19.3% of revenue, representing an improvement of more than 1,000 basis points compared to the prior year.

Speaker #1: Adjusted net income for the second quarter was $19.3 million, or net income per diluted share of $0.58, compared to an adjusted net loss of $10.2 million, or net loss per diluted share of $0.32 in the second quarter of 2025.

Speaker #1: These results highlight the progress we've made in building a more profitable business, as operating leverage across the organization contributed to significant year-over-year improvement in earnings.

Speaker #1: Adjusted EBITDA for the second quarter was $43.3 million, or 19.3% of revenue, representing an improvement of more than 1,000 basis points compared to the prior year.

Speaker #1: The year-over-year improvement reflects our disciplined spend management, moderating FDA remediation expenses, and timing of innovation and growth-related investments. This performance underscores the operating leverage we are building in our business model and our confidence in delivering against our longer-term target of 15% adjusted EBITDA margin in 2027.

Dan Wilson: The year-over-year improvement reflects our disciplined spend management, moderating FDA remediation expenses, and timing of innovation and growth-related investments. This performance underscores the operating leverage we are building in our business model and our confidence in delivering against our longer-term target of 15% adjusted EBITDA margin in 2027. Free cash flow during Q2 was +$37.5 million, a record for the company and reflective of the inherent operating leverage in the business and disciplined working capital management. We ended the quarter with $591.3 million in cash equivalents, and marketable securities, a strong cash position that provides us with substantial flexibility to fund future growth initiatives. Before turning to our guidance for the remainder of this year, I wanted to give a few comments on the financial aspects of the Vital Connect transaction. We expect the acquisition to positively contribute to revenue growth beginning in 2027 and thereafter.

Speaker #1: Free cash flow during the second quarter was positive 37.5 million, a record for the company, and reflective of the inherent operating leverage in the business and disciplined working capital management.

Speaker #1: We ended the quarter with 591.3 million in cash, cash equivalents, and marketable securities, a strong cash position that provides us with substantial flexibility to fund future growth initiatives.

Speaker #1: Before turning to our guidance for the remainder of this year, I wanted to give a few comments on the financial aspects of the vital connect transaction.

Speaker #1: We expect the acquisition to positively contribute to revenue growth beginning in 2027 and thereafter, with VitalConnect currently at an approximately $65 million annual revenue run rate.

Dan Wilson: With Vital Connect currently at an approximately $65 million annual revenue run rate. For gross margin, we expect that the combined company will remain above 70% gross margin by leveraging the scale, operational infrastructure, and AI capabilities we have built. Finally, as previously noted, we remain confident in the combined company achieving our previously communicated adjusted EBITDA margin of 15% in 2027. We look forward to providing more detailed guidance following the closing of the transaction. Now turning to our updated financial outlook for Q3 and full year 2026, which does not include any contribution related to our pending acquisition of Vital Connect. We are raising full year 2026 revenue guidance to $880 million to $890 million, representing 18% to 19% year-over-year growth. This outlook reflects sustained demand across our core business while maintaining the same disciplined approach to forecasting newer and emerging channels.

Speaker #1: For gross margin, we expect that the combined company will remain above 70% gross margin by leveraging the scale, operational infrastructure, and AI capabilities we have built, and finally, as previously noted, we remain confident in the combined company achieving our previously communicated adjusted EBITDA margin of 15% in 2027.

Speaker #1: We look forward to providing more detailed guidance following the closing of the transaction. Now, turning to our updated financial outlook for Q3 and full year 2026, which does not include any contribution related to our pending acquisition of VitalConnect.

Speaker #1: We are raising full year 2026 revenue guidance to 880 million, to 890 million, representing 18% to 19% year-over-year growth. This outlook reflects sustained demand across our core business while maintaining the same disciplined approach to forecasting newer and emerging channels.

Speaker #1: On a full year basis, we now expect a modest positive contribution from pricing relative to 2025, attributable to the price benefit we realized in the first half, with revenue growth continuing to be driven primarily by volume growth across ZioMonitor, innovative channel ZioAT, and International.

Dan Wilson: On a full year basis, we now expect a modest positive contribution from pricing relative to 2025, attributable to the price benefit we realized in H1, with revenue growth continuing to be driven primarily by volume growth across Zio Monitor, Innovative Channel, Zio AT, and International. In Q3 2026, we anticipate revenue to be in the range of $221 million to $223 million, consistent with typical revenue seasonality. For gross margin, we remain confident in our ability to sustain the strong margin performance we've delivered year to date, while continuing to drive meaningful improvement relative to 2025. The efficiencies we've created across clinical operations and manufacturing, combined with increasing scale and the adoption of AI-driven workflow tools, support further reductions in our cost to serve over time.

Speaker #1: In the third quarter of 2026, we anticipate revenue to be in the range of 221 million, to 223 million, consistent with typical revenue seasonality.

Speaker #1: For gross margin, we remain confident in our ability to sustain the strong margin performance we've delivered year to date, while continuing to drive meaningful improvement relative to 2025.

Speaker #1: The efficiencies we've created across clinical operations and manufacturing, combined with increasing scale and the adoption of AI-driven workflow tools, support further reductions in our cost to serve over time.

Speaker #1: With respect to the broader macro and geopolitical environment, we've taken proactive steps to manage potential cost pressures and do not currently expect a material impact on our gross margin outlook.

Dan Wilson: With respect to the broader macro and geopolitical environment, we've taken proactive steps to manage potential cost pressures and do not currently expect a material impact on our gross margin outlook. Based on our performance year to date and outlook for the remainder of 2026, we are raising our full-year adjusted EBITDA margin guidance to 13% to 14%. This reflects the benefits of continued scale, disciplined expense management, and a balanced investment approach across our key growth initiatives. We anticipate certain investments in growth initiatives, including targeted investments in primary care expansion, to ramp in H2. For Q3, we expect adjusted EBITDA margin of 12% to 13%.

Speaker #1: Based on our performance year to date and outlook for the remainder of 2026, we are raising our full year adjusted EBITDA margin guidance to 13% to 14%.

Speaker #1: This reflects the benefits of continued scale, disciplined expense management, and a balanced investment approach across our key growth initiatives. We anticipate certain investments in growth initiatives, including targeted investments in primary care expansion, to ramp in the second half of the year.

Speaker #1: For the third quarter, we expect adjusted EBITDA margin of 12% to 13%. Excluding certain unique items, such as litigation settlement payments and transaction costs, we continue to expect free cash flow to increase year-over-year in 2026, with stronger cash generation in the back half of the year, driven by the normal operating cadence of the business.

Dan Wilson: Excluding certain unique items such as litigation settlement payments and transaction costs, we continue to expect free cash flow to increase year over year in 2026, with stronger cash generation in the back half of the year, driven by the normal operating cadence of the business. Before closing, I'd like to briefly address the preliminary physician fee schedule proposed by the Centers for Medicare & Medicaid Services, or CMS. We view the proposed reimbursement rates up low single digits across both long-term continuous monitoring and mobile cardiac telemetry as further validation of the healthcare industry's continued focus on earlier disease detection, preventative care, and evidence-based clinical decision-making. These trends align closely with Zio's strengths in delivering objective diagnostic insights through extended, uninterrupted cardiac monitoring. We look forward to reviewing the final rule, which is expected later this year, and will provide additional commentary at that time.

Speaker #1: Before closing, I'd like to briefly address the preliminary Physician Fee Schedule proposed by the Centers for Medicare & Medicaid Services, or CMS. We view the proposed reimbursement rates—up low single digits across both long-term continuous monitoring and mobile cardiac telemetry—as further validation of the healthcare industry's continued focus on earlier disease detection, preventative care, and evidence-based clinical decision-making.

Speaker #1: These trends align closely with Zio's strengths in delivering objective diagnostic insights, through extended uninterrupted cardiac monitoring. We look forward to reviewing the final rule, which is expected later this year, and will provide additional commentary at that time.

Dan Wilson: In closing, our Q2 results reflect the strength of our execution and the increasing profitability of our business model. Moving forward, we remain focused on expanding patient access, operating efficiently, and investing thoughtfully in the opportunities that position us for long-term success. With the addition of VitalConnect, we look forward to delivering profitable growth where we will continue to balance profitability expansion with disciplined investments towards growth. I will now turn the call back to Quentin for closing remarks.

Speaker #1: In closing, our second quarter results reflect the strengths of our execution and the increasing profitability of our business model. Moving forward, we remain focused on expanding patient access, operating efficiently, and investing thoughtfully in the opportunities that position us for long-term success.

Speaker #1: With the addition of vital connect, we look forward to delivering profitable growth where we will continue to balance profitability expansion with disciplined investments towards growth.

Speaker #1: I will now turn the call back to Quentin for closing remarks.

Quentin Blackford: Thank you, Dan. This was an excellent quarter for iRhythm. We are encouraged by the momentum in our business and the opportunities we see to further expand our impact. We delivered our seventh consecutive Q of revenue growth above 20%, expanded margins significantly, generated strong free cash flow, and raised our full-year outlook. Our results reflect the strength of the Zio platform, the consistency of our execution, and most importantly, the work of our people. At the same time, today's agreement to acquire VitalConnect represents an important next step in the evolution of iRhythm. It adds complementary monitoring capabilities, expands our presence in MCT, and provides a foundation for multi-vital monitoring in additional care settings that will meaningfully benefit patients and customers over time.

Speaker #2: Thank you, Dan. This was an excellent quarter for iRhythm. We are encouraged by the momentum in our business and the opportunities we see to further expand our impact.

Speaker #2: We delivered our seventh consecutive quarter of revenue growth above 20%, expanded margins significantly, generated strong free cash flow, and raised our full-year outlook.

Speaker #2: Our results reflect the strength of the Zio platform, the consistency of our execution, and most importantly, the work of our people. At the same time, today's agreement to acquire vital connect represents an important next step in the evolution of iRhythm.

Speaker #2: It adds complementary monitoring capabilities, expands our presence in MCT, and provides a foundation for multivital monitoring and additional care settings that will meaningfully benefit patients and customers over time.

Quentin Blackford: We're enthusiastic about the strategic potential of the combination, we will remain disciplined in how we integrate the business, prioritize investments, and pursue the opportunities ahead. Our strategy is clear: expand access, advance innovation, and execute with discipline. Before we move to Q&A, I want to thank the entire iRhythm team. Over the past month, Newsweek recognized iRhythm as both one of America's greatest workplaces and one of the world's greenest companies. Those recognitions belong to our employees. Their talent, dedication, and commitment to our mission are what make our performance possible, and our culture remains one of the most important competitive advantages we have. With that, we're now happy to take your questions.

Speaker #2: Where enthusiastic about the strategic potential of the combination, but we will remain disciplined in how we integrate the business, prioritize investments, and pursue the opportunities ahead.

Speaker #2: Our strategy is clear: expand access, advance innovation, and execute with discipline. Before we move to Q&A, I want to thank the entire iRhythm team.

Speaker #2: Over the past month, Newsweek recognized iRhythm as both one of America's greatest workplaces and one of the world's greenest companies. Those recognitions belong to our employees.

Speaker #2: Their talent, dedication, and commitment to our mission are what make our performance possible. And our culture remains one of the most important competitive advantages we have.

Speaker #2: With that, we're now happy to take your questions.

Operator: We will now begin the question and answer session. Please limit yourself to one question. If you would like to ask a question, please press star one to raise your hand. To withdraw your question, press star one again. We ask that you pick up your handset when asking a question to allow for optimum sound quality. If you are muted locally, please remember to unmute your device. Please stand by while we compile the Q&A roster. Your first question comes from the line of John Young with Canaccord. John, your line is open. Please go ahead.

Operator: We will now begin the question and answer session. Please limit yourself to one question. If you would like to ask a question, please press star one to raise your hand. To withdraw your question, press star one again. We ask that you pick up your handset when asking a question to allow for optimum sound quality. If you are muted locally, please remember to unmute your device. Please stand by while we compile the Q&A roster. Your first question comes from the line of Jon Young with Canaccord. Jon, your line is open. Please go ahead.

Speaker #3: We will now begin the question-and-answer session. Please limit yourself to one question. If you would like to ask a question, please press star 1 to raise your hand.

Speaker #3: To withdraw your question, press star 1 again. We ask that you pick up your handset when asking a question to allow for optimum sound quality.

Speaker #3: If you are muted locally, please remember to unmute your device. Please stand by while we compile the Q&A roster. Your first question comes from the line of John Young, with Canaccord.

Speaker #3: John, your line is open. Please go ahead.

Jonathan Young: Great. Thanks. Congratulations on the strong quarter, and congratulations on the VitalConnect acquisition. I know it's a high-quality company that we've known for several years. Could you walk through the synergies you expect with the MCT business specifically? How will you position their existing MCT offering versus upcoming Zio MCT? How do you expect this will accelerate the MCT category overall for iRhythm? Thanks.

Jon Young: Great. Thanks. Congratulations on the strong quarter, and congratulations on the VitalConnect acquisition. I know it's a high-quality company that we've known for several years. Could you walk through the synergies you expect with the MCT business specifically? How will you position their existing MCT offering versus upcoming Zio MCT? How do you expect this will accelerate the MCT category overall for iRhythm? Thanks.

Speaker #1: Great. Thanks. Congratulations on the strong quarter, and congratulations on the vital connect acquisition. I know it's high-quality company that we've known for several years.

Speaker #1: Could you walk through the synergies you expect with the MCT business specifically? How will you position their existing MCT offering versus upcoming Zio MCT?

Speaker #1: How do you expect this will accelerate the MCT category overall for iRhythm? Thanks.

Quentin Blackford: Yeah. Thanks, John. Appreciate that question. Look, we've followed VitalConnect for quite some time at this point and understand their technology really well, and I think we understand the MCT category really well as well. I think what we've come to realize is that there's going to have to be multiple product offerings in that category to ultimately succeed. We remain committed to AT, to MCT, and now the VitalPatch. If you look at it, Zio AT for us was a product that could really serve about 50% of that MCT market, just given the short duration, 14 days, not being able to get out to 30 days, not having the live looking capability, the downgradable four-in-one capability.

Quentin Blackford: Yeah. Thanks, Jon. Appreciate that question. Look, we've followed VitalConnect for quite some time at this point and understand their technology really well, and I think we understand the MCT category really well as well. I think what we've come to realize is that there's going to have to be multiple product offerings in that category to ultimately succeed. We remain committed to AT, to MCT, and now the VitalPatch. If you look at it, Zio AT for us was a product that could really serve about 50% of that MCT market, just given the short duration, 14 days, not being able to get out to 30 days, not having the live looking capability, the downgradable four-in-one capability.

Speaker #4: Yeah, thanks, John. I appreciate that question. Look, we've followed VitalConnect for quite some time at this point and understand their technology really well.

Speaker #4: And I think we understand the MCT category really well as well. I think what we've come to realize is that there's going to have to be multiple product offerings in that category to ultimately succeed.

Speaker #4: And so we remain committed to AT, to MCT, and now the vital patch. If you look at it, Zio AT for us was a product that could really serve about 50% of that MCT market, just given the short duration, 14 days, not being able to get out to 30 days.

Speaker #4: Not having the live-looking capability, the downgradable 4-in-1 capability, those were all things that were sort of shortcomings with AT, yet it still served a good part of the market.

Quentin Blackford: Those were all things that were shortcomings with AT, yet it still served a good part of the market. VitalPatch opens up the remaining 50% of that market. Even our own Zio MCT product would only open up probably another 20% to 30%. Having VitalPatch in there gives us access to the entire market, which is probably a billion-dollar market growing in the high single digits. It's probably an incremental $500 million market opportunity for us. We're excited with it. We're excited to get this through HSR review. We expect that to close by the end of the year, and our focus is going to be integrating this into the commercial team in the very first part of next year.

Speaker #4: Vital patch opens up the remaining 50% of that market. Even our own Zio MCT product would only open up probably another 20 to 30 percent.

Speaker #4: So, having Vital Patch in there gives us access to the entire market, which is probably a billion-dollar market, growing in the high single digits.

Speaker #4: It's a probably incremental $500 million market opportunity for us, so we're excited about it. We're also excited to get this through HSR review, which we expect to close by the end of the year.

Speaker #4: And our focus is going to be integrating this into the commercial team in the very first part of next year.

Operator: Your next question comes from the line of Joanne Wuensch with Citi. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Joanne Wunch. With Citi, your line is open. Please go ahead.

[Analyst] (Citi): Hi. Good afternoon. This is Anthony on for Joanne. Thanks for taking our question. This was a pretty impressive quarter on EBITDA margins, keeping OpEx essentially flat. Any reason not to maybe raise EBITDA a bit more? Also just a quick follow-up, was there any tariff refund benefit this quarter? Thank you.

Anthony Occhiogrosso: Hi. Good afternoon. This is Anthony on for Joanne. Thanks for taking our question. This was a pretty impressive quarter on EBITDA margins, keeping OpEx essentially flat. Any reason not to maybe raise EBITDA a bit more? Also just a quick follow-up, was there any tariff refund benefit this quarter? Thank you.

Speaker #5: Good afternoon. This is Anthony Office, Joanne. Thanks for taking our question. This is a pretty impressive quarter on EBITDA margins. Keeping OpEx essentially flat, any reason not to maybe raise EBITDA a bit more and then also just a quick follow-up.

Speaker #5: Was there any tariff refund benefit this quarter? Thank you.

Dan Wilson: Yeah. Thanks, Anthony. Appreciate the question. Maybe hitting the second part of your question there first. No, there was not a tariff benefit realized in the quarter. That was not part of the 19% adjusted EBITDA margin that we delivered in the quarter. You heard in my prepared remarks, there are some investments that we intend to make in the back part of the year. We are raising full-year adjusted EBITDA guidance, are ready to deliver, call it over 400 basis points of improvement versus 2025. We're really excited about that leverage that's coming through in the business. At the same time, we see a lot of opportunities ahead of us to continue to grow the business, talked about primary care, continuing to open that up, innovative channel, sleep, other initiatives like that.

Speaker #1: Yeah. Thanks. Anthony, I appreciate the question. Maybe hitting the second part of your question there first. No, there was not a tariff benefit realized in the quarter.

Speaker #1: So, that was not part of the 19% adjusted EBITDA margin that we delivered in the quarter. You heard in my prepared remarks, there are some investments that we intend to make in the back part of the year.

Speaker #1: We are raising full-year adjusted EBITDA guidance and are ready to deliver—call it—over 400 basis points of improvement versus 2025. So, we're really excited about that leverage that's coming through in the business.

Speaker #1: At the same time, we see a lot of opportunities ahead of us to continue to grow the business. And talked about primary care, continuing to open that up, innovative channel, sleep, other initiatives like that.

Dan Wilson: We always want to be thoughtful, drive towards profitable growth, also deliver profitability expansion. Excited about what is showing through in the business, excited about the setup for the rest of the year, really excited about what the investments can mean for future growth of the business.

Speaker #1: So we always want to be thoughtful and drive towards profitable growth and really balance those investments in the business to drive growth, but also deliver profitability expansion.

Speaker #1: I'm so excited about what is showing through in the business, excited about the setup for the rest of the year, and really excited about what these investments can mean for the future growth of the business.

Operator: Your next question comes from the line of Allen Gong with JPMorgan. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Alan Gong, with JPMorgan. Your line is open. Please go ahead.

Allen Gong: Hi. Thanks for the quarter and congrats on the good quarter end deal. I guess I want to dive a little bit deeper into a question I was like just to ask. I understand that VitalConnect helps expand the remaining 50% of the market, but arguably it could also handle the 50% of the market that is currently addressed with AT. With VitalConnect, a big value of the technology is the additional markets that it seems to open. I think we've talked to them, they've valued the transition care and patient monitoring hospital at home as markets in the $ billions as well. I guess just again on the positioning, should we think of this as more of a new product to target those opportunities and unlock the remaining 20% to 30%?

Speaker #6: Hi. Thanks for the quarter. And congrats on the good quarter and deal. I guess I want to dive a little bit deeper into a question I was just asked.

Speaker #6: So, I understand that Vital Connect helps expand the remaining 50% of the market, but arguably, it could also handle the 50% of the market that is currently addressed with AT.

Speaker #6: And with vital connect, a big value of the technology is the additional market that it seems to open, I think, we've talked to them.

Speaker #6: They've valued the transition care and patient monitoring, hospital-at-home, as markets in the billions of dollars as well. So, I guess just again on the positioning, should we think of this as more of a new product to target those opportunities and unlock the remaining 20 to 30 percent?

Allen Gong: When we think about technologies that you've talked about maybe being a stepping stone into other modalities like sleep apnea, is this the deal that we should have been looking for?

Speaker #6: And then when we think about technologies that you've talked about, maybe being a stepping stone into other modalities like sleep apnea, is this the deal that we should have been looking for?

Dan Wilson: Hey, Allen, thanks for the question. I think you go back to my prepared remarks, we certainly hit on those exciting new opportunities that come via the VitalConnect transaction. They are exciting to us, and honestly, they're part of sort of the roadmap that we've been focused on for some time now. In-hospital monitoring is certainly interesting to us. They've done a nice job of entering into that space already and beginning to make inroads there. The hospital-to-home segment is something that we've talked about in the past, particularly as we build out our own multi-vital product capability. Now VitalConnect accelerates that capability, having multi-vital capabilities already on their platform. Those are nice synergies in the transaction and very synergistic relative to the overall strategy of our company. I wouldn't leave out RPM as well.

Speaker #4: Hey, Alan. Thanks for the question. And I think you go back to my prepared remarks. We certainly hit on those exciting new opportunities that come via the vital connect.

Speaker #4: Transactions are exciting to us, and honestly, they're part of the roadmap that we've been focused on for some time now. In-hospital monitoring is certainly interesting to us as well.

Speaker #4: They've done a nice job of entering into that space already and beginning to make inroads there. The hospital-to-home segment is something that we've talked about in the past, particularly as we build out our own multi-vital product capability now, vital connect accelerates that capability, having multi-vital capabilities already on their platform.

Speaker #4: So those are nice synergies in the transaction and very synergistic relative to the overall strategy of our company. I wouldn't leave out RPM as well.

Dan Wilson: Remote patient monitoring is another area of focus that they've built out a capability very nicely around. That's something that we've also had on our roadmap as well. This certainly goes well beyond just the MCT market. It absolutely opens up incremental opportunity within MCT, and I think we're going to be able to benefit patients and customers meaningfully more as a result of it. MCT alone is not the only reason that we're interested and excited about VitalConnect. You hit the nail on the head with respect to those incremental ancillary market opportunities that I do think can be valued in the billions of USD in terms of market potential. We're in the early stages.

Speaker #4: Remote patient monitoring is another area of focus that they've built out a capability very nicely around. That's something that we've also had on our roadmap as well.

Speaker #4: So this certainly goes well beyond just the MCT market. It absolutely opens up incremental opportunity within MCT, and I think we're going to be able to benefit patients and customers meaningfully more as a result of it.

Speaker #4: But MCT alone is not the only reason that we're interested and excited about vital connect. So you hit the nail on the head with respect to those incremental ancillary market opportunities that I do think can be valued in the billions of dollars in terms of market potential.

Speaker #4: We're in the early stages we're going to be thoughtful and measured in how we continue to lean into those, but we certainly want to lean into the experience of vital connect and what they've learned there and capitalize on the inroads that they've already made.

Dan Wilson: We're going to be thoughtful and measured in how we continue to lean into those. We certainly want to lean into the experience of VitalConnect and what they've learned there and capitalize on the inroads that they've already made.

Operator: Your next question comes from the line of Marie Thibault of US Bancorp BTIG. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Marie Thibault, of US Bancorp, BTIG. Your line is open. Please go ahead.

Marie Thibault: Hi. Thanks for taking the question. I just wanted a quick check-in on the direct-to-patient marketing that you've started, I think in some select zip codes. Can you give us an early read on what you're learning from those efforts? Should we expect that you'll plan to expand that program here in the quarter to come? Thanks for taking the question.

Speaker #7: Hi. Thanks for taking the question. I just wanted a quick check-in. On the direct-to-patient marketing that you've started, I think in some select zip codes, can you give us an early read on what you're learning from those efforts?

Speaker #7: And should we expect that you'll plan to expand that program here in the quarters to come? Thanks for taking the question.

Quentin Blackford: You certainly, Marie, should expect that we're going to continue to lean into and expand it. That's part of the incremental spend in the back part of the year that Dan was alluding to. We know that direct-to-patient

Speaker #4: You certainly Marie should expect that we're going to continue to lean into and expand it. And that's part of the incremental spend in the back part of the year that Dan was alluding to.

Speaker #4: We know that direct-to-patient and direct-to-consumer primary care these are all areas that have real potential behind them in early indicators are that they are real opportunities.

Quentin Blackford: Direct-to-consumer, primary care, these are all areas that have real potential behind them. Early indicators are that they are real opportunities. We will continue to invest in those. They'll be measured as we go to make sure that we're seeing the sort of returns that we expect to around them before we just lean into them even harder. We're excited by those. We are in the very early stages of the initial DTP efforts and the in-clinic, in-physician office marketing that we're doing with patients. It's a little bit early to measure those results, but I will tell you that the confidence is high enough right now that we're going to continue to lean into it and excited by what we're going to see out of it. We're a little early, but we're excited by it.

Speaker #4: So we will continue to invest in those. They'll be measured as we go to make sure that we're seeing the sort of returns that we expect to around them before we just lean into them even harder.

Speaker #4: But we're excited by those. We are in the very early stages of the initial DTP efforts and the in-clinic in-physician office marketing that we're doing with patients.

Speaker #4: So it's a little bit early to measure those results, but I will tell you that the confidence is high enough right now that we're going to continue to lean into it and excited by what we're going to see out of it.

Speaker #4: So we're a little early, but we're excited by it.

Operator: Your next question comes from the line of Stephanie Ascher with BofA. Your line is open. Please go ahead.

Operator: Your next question comes from the line of Stephanie Elghazi with BofA. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Stephanie Algazi, with B of A. Your line is open. Please go ahead.

Stephanie Ascher: Hi. Thanks for taking the question. Congrats on a good quarter and the deal. I just wanted to check on Zio MCT and how that's tracking relative to previous expectations for the launch in H1 of next year. Any progress you would share on the mobile gateway data submission to the FDA. Thank you.

Stephanie Elghazi: Hi. Thanks for taking the question. Congrats on a good quarter and the deal. I just wanted to check on Zio MCT and how that's tracking relative to previous expectations for the launch in H1 of next year. Any progress you would share on the mobile gateway data submission to the FDA. Thank you.

Speaker #5: Hi. Thanks for taking the question. And congrats on a good quarter and the deal. I just wanted to check on ZOMCT and how that's tracking relative to previous expectations for the launch and the first half of next year.

Speaker #5: And is there any progress you could share on the mobile gateway data submission to the FDA? Thank you.

Quentin Blackford: Yeah. Thanks, Stephanie. We continue to make progress on Zio MCT. It continues to be a priority for us and an area that our teams are focused on. As you will note, in my prepared remarks, I commented on the fact that we remain focused on getting clearance on that product in H1 of next year. I think it is important for you to realize, though, that we expect VitalConnect will close before the end of the year, which means we are going to be focused on integrating that VitalPatch into our commercial team's hands right around the turn of the year, at the very early part of next year, which requires training and launching across a nationwide platform. That will be our number one focus as we enter into this deal and transaction and look to close it here in the near term.

Speaker #4: Yeah, thanks, Stephanie. So we continue to make progress on ZOMCT. It continues to be a priority for us and an area that our teams are focused on. As you'll note in my prepared remarks, I commented on the fact that we remain focused on getting clearance on that product in the first half of next year.

Speaker #4: I think it's important for you to realize, though, that we expect vital connect will close before the end of the year, which means we are going to be focused on integrating that vital patch into our commercial team's hands right around the turn of the year, the very early part of next year, which requires training and launching across a nationwide platform.

Speaker #4: So that will be our number one focus as we enter into this deal and transaction and look to close it here in the near term.

Quentin Blackford: At the same time, we are going to continue to focus on the submission of MCT and getting that clearance so that we do have optionality as we go into the future. I think it is important for folks to realize VitalConnect is the primary focus here in the near term as we look to launch a new product into the MCT space, which will be that VitalPatch.

Speaker #4: At the same time, we're going to continue to focus on the submission of MCT and getting that clearance so that we do have optionality as we go into the future.

Speaker #4: But I think it's important for folks to realize VitalConnect is the primary focus here in the near term, as we look to launch a new product into the MCT space, which will be that VitalPatch.

Operator: Your next question comes from the line of David Saxon with Needham. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of David Saxon with Needham. Your line is open. Please go ahead.

David Saxon: Great. Good afternoon, Quentin and Dan. Thanks for taking my questions, and I will echo the congrats on the quarter and the deal. Yeah, I just have a multi-porter on the VitalConnect deal. You talked in the script, $65 million run rate. I think that reflects a slowdown they saw in Q1 due to a transition. My understanding is they recovered from that and are kind of ramping and targeting about $100 million next year. Is that a fair way to think about what they could do from a revenue contribution perspective in 2027? The second part of the question is just, in my math, you are the leader in the extended Holter category, obviously. You will probably get a couple points there from their platform. I would guess your MCT share is going to have a 2 handle in front of it.

Speaker #6: Great. Good afternoon, Quentin and Dan. Thanks for taking my questions, and I'll echo the congrats on the quarter and the deal. So, yeah, I just have a multi-parter on the VitalConnect deal.

Speaker #6: So you talked in the script, 65 million dollar run rate. I think that reflects a slowdown they saw in the first quarter due to a transition.

Speaker #6: And my understanding is they recovered from that and are kind of ramping and targeting about 100 million next year. So is that a fair way to think about what they could do from a revenue contribution perspective in '27?

Speaker #6: And then the second part of the question is just I mean, my math you're the leader in the extended Holter category, obviously. You'll probably get a couple of points there from their platform.

Speaker #6: And I mean, I would guess your MCT share is going to have a two-handle in front of it. So just talk about your confidence in getting it through kind of the regulators and whatnot.

David Saxon: Just talk about your confidence in getting it through the regulators and whatnot. Thanks so much.

Speaker #6: Thanks so much.

Quentin Blackford: Yeah, there's a lot in there, and I'll ask Dan to jump in and help if I miss on anything or just remind me of what we've missed because I want to try to hit all of it for you. I'll come back to. This is a company that we've spent a lot of time getting to know over the years and certainly have really come to appreciate their technology and frankly, the teams behind the company that have been building it. There have been some structural considerations over the years that made it very difficult to step in and acquire the company.

Speaker #4: Yeah. There's a lot in there. And I'll ask Dan to jump in and help if I miss on anything or just remind me of what we've missed because I want to try to hit all of it for you.

Speaker #4: I'll come back to this is a company that we've spent a lot of time getting to know over the years and certainly have really come to appreciate their technology and frankly, the teams behind the company that have been building it.

Speaker #4: But there have been some structural considerations over the years that made it very difficult to step in and acquire the company. And we've had those conversations with the teams over the years and Peter and that team did a nice job of addressing those right towards the end of last year and into the beginning of this year, which did create a little bit of a hiccup in that business.

Quentin Blackford: We've had those conversations with the teams over the years, and Peter and that team did a nice job of addressing those right towards the end of last year and into the beginning of this year, which did create a little bit of a hiccup in that business. They've come out of it really nicely. They're growing quite nicely now, and we're excited by what we're seeing in that business. They have addressed that, and I see that as temporal, and the recent business trends would certainly indicate that was the case as well. Having addressed that particular issue now opened up the opportunity, together with nice gross margin improvements that we were seeing in that business, to step in and acquire the company. We're excited to be at the point now to be able to do that.

Speaker #4: They've come out of it really nicely. They're growing quite nicely now. And we're excited by what we're seeing in that business. So they have addressed that.

Speaker #4: And I see that as temporal and the recent business trends would certainly indicate that was the case. As well. But having addressed that, particular issue, now opened up the opportunity together with nice gross margin improvements that we were seeing in that business to step in and acquire the company.

Speaker #4: And so, we're excited to be at the point now to be able to do that. In terms of run-rate revenue and what that looks like for next year, we're not going to get out and guide to 2027 at this point in time.

Quentin Blackford: In terms of run rate revenue, what that looks like for next year, we're not going to get out and guide to 2027 at this point in time. Some of that's going to be contingent upon exactly when the deal does close, and we're going to wait till that happens to give you sort of a forward look and a guidance of the combined companies. Again, our idea is that this thing will close by the end of the year, but until it does close, we're going to hold back on providing combined company guidance. The last point on HSR review or getting through the FTC, this is very much about the MCT product category. It's a very competitive transaction. There's a tremendous amount of competition that remains in the MCT category. The largest players in this space really focus in MCT between BioTel and Preventice and others.

Speaker #4: Some of that's going to be contingent upon exactly when the deal does close and we're going to wait till that happens to give you sort of a forward look and a guidance of the combined companies.

Speaker #4: Again, our idea is that this thing will close by the end of the year. But until it does close, we're going to hold back on providing combined company guidance.

Speaker #4: The last point on HSR review or getting through the FTC, this is very much about the MTC or MCT product category. It's a very pro-competitive transaction.

Speaker #4: I mean, there's a tremendous amount of competition that remains in the MCT category. The largest players in this space really focus in MCT between BioTel and Preventis and others.

Quentin Blackford: I think that the combination of our company and VitalConnect doesn't change that competitive dynamic within the MCT category. We're excited by the opportunity, feel very good about the ability to get through the FTC and the HSR review, and we'll keep you updated on how we progress through that.

Speaker #4: And I think that the combination of our company and Vital Connect doesn't change that competitive dynamic within the MCT category. So we're excited by the opportunity.

Speaker #4: Feel very good about the HSR review. And we'll keep you updated on how we progress through that.

Dan Wilson: David, I'll just add on the revenue. I can't necessarily speak to what they've quoted historically. The $65 million run rate that I had in my prepared remarks, that does contemplate our revenue accounting, which, as you know, we essentially report a net revenue that follows a contractual allowance. That is our revenue recognition. That's how we derived that $65 million. Hopefully, that's helpful.

Speaker #1: And David, I'll just add on the revenue I can't necessarily speak to what they've quoted historically. The 65 million dollar run rate that I had in my prepared remarks, that does contemplate our revenue accounting.

Speaker #1: Which, as you know, we essentially report a net revenue that is follows a contractual allowance. And so that is our revenue recognition. That's how we derived that 65 million hopefully, that's helpful.

Operator: Your next question comes from the line of Nathan Treybeck with Wells Fargo. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Nathan Trabeck, with Wells Fargo, your line is open. Please go ahead.

Nathan Treybeck: Great. Good evening. Congrats on a strong quarter and on the deal. Quentin, are you seeing any sign that the very strong growth you've seen in innovative channels is beginning to normalize, or do you still believe those channels are still in early innings? If you could just talk about the cadence of new partner adds in the quarter, and I guess what's implied in the H2 relative to the H1.

Speaker #6: Great. Good evening. Congrats on a strong quarter and on the deal. Quentin, are you seeing any sign that the very strong growth you've seen in innovative channels is beginning to normalize or do you still believe those channels are still in early innings?

Speaker #6: And then if you could just talk about the cadence of new partner ads in the quarter and I guess what's implied in the second half relative to the first half.

Quentin Blackford: Yeah, we continue to be excited with the innovative channel opportunity. I just think whether it's primary care, whether it's value-based care, population health, there's so many different angles in that innovative channel business that has us excited. The teams continue to add new partners as we go. We saw another healthy quarter of new partners coming on board. I think that the reality is they all come on board at different paces and in different ways, and that gets a little bit hard to forecast and predict. We've not changed our way of thinking about how we look at innovative channels into the back half of the year and in our guidance. It's more of a wait and see approach with that business. It has been encouraging. It continued to grow incredibly well in Q2.

Speaker #4: Yeah. We continue to be excited with the innovative channel. Opportunity. And I just think whether it's primary care, whether it's value-based care, population health, there's so many different angles in that innovative channel business that has us excited.

Speaker #4: And the teams continue to add new partners as we go. We saw another healthy quarter of new partners coming on board. I think that the reality is they all come on board at different paces and in different ways.

Speaker #4: And that gets a little bit hard to forecast and predict. And so we've not changed our way of thinking about how we look at innovative channels into the back half of the year and in our guidance.

Speaker #4: It's more of a wait and see approach with that business. But it has been encouraging. It continued to grow incredibly well in the second quarter.

Quentin Blackford: It was exciting to see our very first employer-sponsored plan sign up within the innovative channel business. I continue to think that employer-sponsored plans remains a meaningful opportunity in the self-insured population. I'm excited to see that door begin to open. I think we're still in the very early innings here, and we'll continue to lean into it, focus on it, but we're also going to be measured in how we think about it in our guidance, and we'll let those results play through before we get ahead of ourselves.

Speaker #4: It was exciting to see our very first employer-sponsored plan sign up within the innovative channel. Business. I continue to think that employer-sponsored plans remains a meaningful opportunity in these self-insured population.

Speaker #4: So I'm excited to see that door begin to open. I think we're still in the very early innings here. And we'll continue to lean into it, focus on it.

Speaker #4: But we're also going to be measured in how we think about it in our guidance. And we'll let those results play through before we get ahead of ourselves.

Operator: Your next question comes from the line of Vijay Kumar of Evercore ISI. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Vijay Kumar, of Evercore ISI, your line is open. Please go ahead.

Vijay Kumar: Hi, guys. Thank you for taking my question. Quentin, I want to go back on the deal. Just want to make sure we understand the deal rationale. This feels like a dual product strategy, right, within MCT. I know you have a 2.0 product that's going to address the other part of the market. It just feels like, is this going to be cannibalistic? How is VitalConnect going to fit in? Does this reduce your enthusiasm for 2.0? I know there's been some questions about delays on 2.0 submission to the FDA. Has that been submitted to the FDA? I think on the stock issuance, do we know the number of shares that are expected to be issued to fund the deal?

Speaker #7: Hi guys. Thank you for taking my question. Quentin, I want to go back on the deal. I just want to make sure we understand the deal rationale.

Speaker #7: This feels like a dual product strategy, right, with an MCT? And I know you have a 2.0 product that's going to address the other part of the market.

Speaker #7: So it just feels like is this going to be cannibalistic? How is Vital Connect going to fit in? Does this reduce your enthusiasm for 2.0?

Speaker #7: I know there have been some questions about delays on the 2.0 submission to the FDA. Has that been submitted to the FDA? And regarding the stock issuance, do we know the number of shares that are expected to be issued to fund the deal?

Quentin Blackford: Yeah. I'll let Dan hit on the stock issuance piece. It very much is a dual product strategy within the MCT category. Back to my prior comments, I think it's going to take multiple products to really serve that MCT category as effectively as possible. There are just so many different preferences when it comes to physician needs and expectations in that category, patient needs and expectations. There's some that like the longer wear duration that can get out to what will be 21 days in our MCT product as a single wearable patch. There's others that don't mind replacing a patch every 7 days or so, and getting up to 30 days of monitoring is more important to them.

Speaker #4: Yeah. I'll let Dan hit on the stock issuance piece. It very much is a dual product strategy within the MCT category. Back to my prior comments.

Speaker #4: I think it's going to take multiple products to really serve that MCT category as effectively as possible. There are just so many different preferences when it comes to physician needs and expectations in that category, patient needs and expectations.

Speaker #4: There's some that like the longer wear duration that can get out to what will be 21 days in our MCT product as a single wearable patch.

Speaker #4: There's others that don't mind replacing a patch every seven days or so. And getting up to 30 days. Of monitoring is more important to them.

Quentin Blackford: Sometimes the downgradable aspect is more important to physicians or to patients, or having the live look in as they're wearing the device, being able to peek in and see what's going on. Those are all different requirements that our customers, physicians, and patients ultimately have in this category. I do think a dual product strategy is the right one. You mentioned Zio MCT 2.0. I think maybe you're referring to MCT 1.0, which is what we're working to get clearance with the FDA. That continues to progress, and we continue to seek that. There ultimately would have been a pathway in our own product roadmap that would have taken MCT 1.0 onto MCT 2.0 that would have introduced many of the features that you're seeing in the VitalPatch as well.

Speaker #4: Sometimes the downgradable aspect is more important to physicians or to patients. Or having the live look-in. As they're wearing the device, being able to peek in and see what's going on.

Speaker #4: Those are all different requirements that our customers, physicians, and patients ultimately have in this category. So I do think a dual product strategy is the right one.

Speaker #4: You mentioned Zio MCT 2.0. I think maybe you're referring to MCT 1.0, which is what we're working to get clearance with the FDA. That continues to progress.

Speaker #4: And we continue to seek that. But there ultimately would have been a pathway in our own product roadmap that would have taken MCT 1.0 onto MCT 2.0.

Speaker #4: That would have introduced many of the features that you're seeing in the vital patch as well. So now we've accelerated that into our product portfolio and frankly, we'll have multiple product offerings to serve this segment sooner than what we had ever anticipated in the organic roadmap pathway that we had.

Quentin Blackford: Now we've accelerated that into our product portfolio, and frankly, we'll have multiple product offerings to serve this segment sooner than what we had ever anticipated in the organic roadmap pathway that we had.

Dan Wilson: Vijay, on your question on number of shares issued, just as a reminder, $50 million in equity, and calculated with a 30-day volume weighted average price. That equates to just a little more than 420,000 shares, which is less than 1.5% dilution.

Speaker #1: And Vijay, on your question on number of shares issued, just as a reminder, 50 million in equity and calculated with a 30-day volume-weighted average price.

Speaker #1: That equates to just a little more than 420,000 shares. Which is less than one and a half percent dilution.

Operator: Your next question comes from the line of David Rescott with Baird. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of David Rescott, with Baird, your line is open. Please go ahead.

David Rescott: Oh, great. Thanks for taking the question, and congrats on the quarter and the deal. I wanted to ask maybe a two-parter on the deal itself. I totally appreciate the MCT angle, but you called out some of these multi-parameter sensing capabilities that can open the door to some additional markets longer term. I recall, two years ago or so, you did this licensing agreement with BioIntelliSense for some of their sensor capabilities. Curious if you could paint us maybe a picture around what these additional parameters get you beyond what you've been working on so far today. Maybe not necessarily timelines, but how we should think about some of these additional opportunities to break into multi-parameter monitoring could come about.

Speaker #6: So great. Thanks for taking the question. Congrats on the quarter and the deal. I wanted to ask maybe a two-parter on the deal itself.

Speaker #6: I totally appreciate the MCT angle. But you called out some of these multi-parameter sensing capabilities that can open the door to some additional markets longer term.

Speaker #6: I recall two years ago or so, you did this licensing agreement with Biointellisense for some of their sensor capabilities. So curious if you could paint us maybe a picture around what these additional parameters get you beyond what you've been working on so far today.

Speaker #6: And maybe not necessarily the timeline, but how we should think about some of these additional opportunities to break into multi-parameter monitoring could come about.

David Rescott: When you think about the either cost synergies or investments that you've made, that VitalConnect has made, is there anything in particular that you can call out there when you think about more of the cost synergy side of it? Thank you.

Speaker #6: And then when you think about the either cost synergies or investments that you've made that Vital Connect has made, is there anything in particular that you could call out there when you think about more of the cost synergy side of it?

Speaker #6: Thank you.

Quentin Blackford: Sure. Let me hit on the first one, and then Dan can take the second part of that. When you think about the multi-Vital opportunity or the incremental sensing parameters that are out there is some overlap in what VitalConnect has already been able to achieve on their VitalPatch along with what we were looking to do in our own efforts internally. It does speed us up in terms of bringing some of those incremental sensing capabilities onto an iRhythm platform or a combination of iRhythm and VitalConnect's platform now. There are also some incremental capabilities that we were focused on, and that we acquired through that IP license with BioIntelliSense, and those are important. As an example, we really like the PPG capability that BioIntelliSense has. We find it to be very differentiated, unique, like our freedom to operate in and around that.

Speaker #4: Sure. So let me hit on the first one and then Dan can take the second part of that. When you think about the multi-vital opportunity or the incremental sensing parameters that are out there, there is some overlap in what Vital Connect has already been able to achieve on their vital patch.

Speaker #4: Along with what we were looking to do in our own efforts internally. So it does speed us up in terms of bringing some of those incremental sensing capabilities onto an iRhythm platform or a combination of iRhythm and Vital Connect's platform now.

Speaker #4: But there are also some incremental capabilities that we were focused on and that we acquired through that IP license with Biointellisense. And those are important.

Speaker #4: As an example, we really liked the PPG capability that Biointellisense has. We find it to be very differentiated, unique. Like our Freedom to Operate in and around that, you would ultimately see that come together in our platform, including the vital patch.

Quentin Blackford: You would ultimately see that come together in our platform, including the VitalPatch. Those are important and complementary to each other as we think about the future. They don't obsolete each other, they just help build an even stronger product into the future that we think can serve many more patients, obviously open up new markets. I think multi-Vital monitoring is going to be very important in the whole hospital into the home segment. It's going to be important with RPM capabilities. These are all new markets that aren't contributing to our revenue or growth profile today, but in the future, I believe have the potential to do that. We're excited by it. There's still work to be done, to be honest with you, on the whole product roadmap. You'll hear more from us into the future. Early thoughts around it are exciting.

Speaker #4: And so, those are important and complementary to each other as we think about the future. They don't obsolete each other; they just help build an even stronger product for the future that we think can serve many more patients and obviously open up new markets. I think multi-vital monitoring is going to be very important in the whole hospital-into-the-home segment.

Speaker #4: It's going to be important with RPM capabilities. These are all new markets that aren't contributing to our revenue or growth profile today. But in the future, I believe, have the potential to do that.

Speaker #4: So we're excited by it. They're still work to be done, to be honest with you, on the whole product roadmap. And so you'll hear more from that from us into the future.

Speaker #4: But early thoughts around it are exciting.

Dan Wilson: David, on the second part of your question there, I will say, growth really is the primary focus of the acquisition. We see a real opportunity there to leverage the commercial engine that we've built and the reach that we have there, the clinical service capabilities we've built, and I'm excited about seeing that come to life as we bring VitalConnect into the combined company. On the cost side, I would say we've built kind of operational capabilities and scale that we really believe will allow the two companies to operate more efficiently than they would kind of independently. Much like our core business, our focus is on profitable growth as we think about this deal.

Speaker #1: And David, on the second part of your question there, I will say growth really is the primary focus of the acquisition. We see a real opportunity there to leverage the commercial engine that we've built and the reach that we have there, the clinical service capabilities we've built.

Speaker #1: And I'm excited about seeing that come to life as we bring Vital Connect into the combined company. On the cost side, I would say we've built kind of operational capabilities and scale that we really believe will allow the two companies to operate more efficiently than they would kind of independently.

Speaker #1: Much like our core business, our focus is on profitable growth as we think about this deal. So a lot to leverage there in terms of the capabilities that we've built and if you think about it, they're really call it kind of 10 years behind us in terms of the build-out of capabilities and operational infrastructure.

Dan Wilson: A lot to leverage there in terms of the capabilities that we've built, and if you think about it, they're really, call it kind of 10 years behind us in terms of the build-out of capabilities and operational infrastructure. That's exactly what we're going to bring to bear as we welcome them to iRhythm.

Speaker #1: And that's exactly what we're going to bring to bear as we welcome them to iRhythm.

Operator: Your next question comes from the line of Mike Polark with Wolfe Research. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Mike Pollock, with Wolf Research, your line is open. Please go ahead.

[Analyst] (TD Securities): Hey, this is Jeroen for Mike. Thanks for taking the question. I think if I heard correctly, you mentioned that new stores contributed 45% to volume growth, which is down from previous quarters. Maybe what's driving that decel, and how should we think about that, and the cadence in the coming quarters? Thanks.

[Analyst] (Wolfe Research): Hey, this is Jeroen for Mike. Thanks for taking the question. I think if I heard correctly, you mentioned that new stores contributed 45% to volume growth, which is down from previous quarters. Maybe what's driving that decel, and how should we think about that, and the cadence in the coming quarters? Thanks.

Speaker #6: Hey, this is Jeron from Mike. Thanks for taking the question. I think if I heard correctly, you mentioned that new stores contributed 45% to volume growth, which is down from previous quarters.

Speaker #6: So maybe what's driving that decel and how should we think about that in the cadence in the coming quarters? Thanks.

Dan Wilson: Yeah. Appreciate the question there. We have commented previously that that number can kind of fluctuate and vary quarter to quarter. You have heard us speak to a number of the large accounts that we opened up in 2025, and if you recall, that was in the early part of 2025. Those accounts and in addition to those, a few innovative channel partners kind of rotated out of new store into same stores, as we define it there. We saw that flip a little bit to the same-store side. I would say importantly, still seeing solid growth from both sides of the business and would likely expect that to stay a little more weighted towards same store, given the dynamics that I just mentioned.

Speaker #4: Yeah. Appreciate the question there. We have commented previously that that number can kind of fluctuate in varying quarter to quarter. You have heard us speak to a number of the large accounts that we opened up in 2025.

Speaker #4: And if you recall, that was in the early part of 2025. So those accounts and in addition to those, a few innovative channel partners kind of rotated out of new store into same stores as we define it there.

Speaker #4: And so we saw that flip a little bit to the same store side I would say importantly still seeing solid growth from both sides of the business.

Speaker #4: And would likely expect that to stay a little more weighted towards same-store, given the dynamics that I just mentioned.

Operator: Your next question comes from the line of Richard Newitter of Truist Securities. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Richard Neweter, of Truist Securities, your line is open. Please go ahead.

Richard Newitter: Hi. Thanks for taking the questions, guys. Great quarter. Congrats on the deal. I actually have two questions on the deal. I'll ask them both up front. First one is, Quentin, what exactly is the top priority or the biggest thing you need to do or entailed in integrating Vital into your infrastructure? Is there anything that's kind of, you got to get this right, or this is kind of the heaviest lift? If you just answer that and where the biggest kind of focus is there. The second question is, you mentioned earlier, you said heading into 2027, Vital is your key priority, and it sounds like you were talking about that relative to Zio MCT. I just want to clarify if that's the case. If in any way is this a signal that you're deprioritizing Zio MCT in favor of Vital? Thank you.

Speaker #6: Hi. Thanks for taking the questions, guys. Great quarter. Congrats on the deal. I actually have two questions on the deal—I’ll ask them both up front.

Speaker #6: First one, is Quentin, what exactly is the top priority or the biggest thing you need to do or entailed in integrating Vital into your infrastructure?

Speaker #6: And are there is there anything that kind of you got to get this right or this is kind of the heaviest lift? So if you just answer that and where the biggest kind of focus is there.

Speaker #6: And then the second question is, you mentioned earlier—you said heading into '27, Vital is your key priority. And it sounds like you were talking about that relative to VOMCT.

Speaker #6: I just want to clarify if that's the case, because in any way, is this a signal that you're deprioritizing VOMCT in favor of Vital?

Speaker #6: Thank you.

Quentin Blackford: Thanks, Richard. Let me hit the first one. In terms of what needs to happen to make sure this is successful right out of the gate, I think there's really two things that I'm most focused on and we'll be driving as an organization, the team. One is introducing the VitalPatch across the nationwide commercial team, increasing access of this product for patients and physicians alike across the entire country. This is a company that began, grew, scaled sort of in the Northeast, North Central, the Southeast, taking it from, call it, 30 reps under their control to a commercial force of 200-plus on our side. We're going to make sure that that goes off well, that we're trained up well, that our customers have a great experience with this as it makes its way into the market.

Speaker #4: Thanks, Richard. So let me hit the first one. In terms of what needs to happen to make sure this is successful right out of the gate, I think there's really two things that I'm most focused on and will be driving as an organization, the team.

Speaker #4: One is introducing the Vital patch across a nationwide commercial team. Increasing access of this product for patients and physicians alike across the entire country.

Speaker #4: This is a company that began grew, scaled sort of in the Northeast, North Central, bit of Southeast, taking it from call it 30 reps under their control to a commercial force of 200 plus on our side.

Speaker #4: We're going to make sure that that goes off well, that we're trained up well, and that our customers have a great experience with this as it makes its way into the market.

Quentin Blackford: Along with that, from an operational perspective, that means we need to be able to scale the volumes quite quickly to support what we think will come with a nationwide launch. Think about that from an inventory, supply chain, distribution, logistics, intake capability. Those are all things that we're very much focused on and will be spending time really ensuring that we're able to meet that demand as the two companies come together. With respect to prioritization and MCT, it's important to realize we are continuing our efforts on MCT. We're not backing away from MCT. I do believe that you need a multi-product strategy in this MCT category to ultimately be able to go after the entire marketplace. Zio MCT will be a superior product to Zio AT. Over time, we need to move away from Zio AT and onto a Zio MCT platform.

Speaker #4: Along with that, from an operational perspective, that means we need to be able to scale the volumes quite quickly to support what we think will come with a nationwide launch.

Speaker #4: And so think about that from an inventory supply chain distribution, logistics, intake capability, those are all things that we're very much focused on. And we'll be spending time really ensuring that we're able to meet that demand as the two companies come together.

Speaker #4: With respect to prioritization and MCT, it's important to realize we are continuing our efforts on MCT. We're not backing away from MCT. I do believe that you need a multi-product strategy in this MCT category to ultimately be able to go after the entire marketplace.

Speaker #4: VOMCT will be a superior product to VOAT, and over time, we need to move away from VOAT and onto a VOMCT platform. We know it has a better cost profile.

Quentin Blackford: We know it has a better cost profile. There's more automation that we can put to it in our manufacturing centers. It has a longer wear profile. These are all very important things to us. I think if you go back to my prepared remarks, you see our focus is on continuing to be on getting that product cleared with the FDA and ensuring we have optionality in that MCT product space or market space. However, just given where we think that we're going to close with VitalConnect, we're going to be in a situation where that product is going to be available to our commercial team ahead of clearance with MCT. Or at least that's our belief, because we think that we'll get through the FTC by the end of the year.

Speaker #4: There's more automation that we can put to it in our manufacturing centers. It has a longer wear profile. These are all very important things to us.

Speaker #4: And so I think if you go back to my prepared remarks, you see our focus is on continuing to be on getting that product cleared with the FDA.

Speaker #4: And ensuring we have optionality in that MCT product space or market space. However, just given where we think that we're going to close with Vital Connect, we're going to be in a situation where that product is going to be available to our commercial team ahead of clearance with MCT, or at least that's our belief because we think that we'll get through the FTC by the end of the year.

Quentin Blackford: That means we need to be prepared for an integration of VitalPatch onto our commercial course as quickly as possible. I'm just trying to lay out for you sort of how when we think about things coming together, I think VitalPatch and VitalConnect gets closed earlier, and we're not going to wait around for an MCT clearance to then figure out, do we introduce one product versus the other? We're going to lean right into VitalPatch, get that out there, and get going with it.

Speaker #4: That means we need to be prepared for an integration of Vital patch onto our commercial force as quickly as possible. So I'm just trying to lay out for you sort of how we think about things coming together.

Speaker #4: I think Vital Patch and VitalConnect get closed earlier, and we're not going to wait around for an MCT clearance to then figure out: do you introduce one product versus the other?

Speaker #4: We're going to lean right into Vital patch, get that out there and get going with it.

Operator: Your next question comes from the line of Suraj Kalia with Oppenheimer. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Suraj Kalia, with Oppenheimer, your line is open. Please go ahead.

Suraj Kalia: Hi, Quentin. Can you hear me all right?

Speaker #6: Hi, Quentin. Can you hear me all right?

Quentin Blackford: We got you.

Speaker #4: We got you.

Suraj Kalia: Perfect. Gentlemen, congrats on the quarter. Quentin, forgive me, many calls going on at the same time, so I must have probably missed this. Is the value proposition for VitalConnect really about their VitalConnect MCT product? Partly within the question is, the algorithm is going to be different for VitalConnect versus the Zio MCT, even if we keep the bridge devices and everything aside for now, I'm just talking about the software component. Maybe if you can help us understand that, is the logic here to push VitalConnect initially till Zio MCT comes online? I'm just trying to understand the need for VitalConnect at this time, especially on the MCT side. Apologies again if you've already talked about this.

Speaker #6: Perfect. All right, gentlemen. Congrats on the quarter. So Quentin, forgive me many calls going on at the same time, so I must have probably missed this.

Speaker #6: Is the value proposition for Vital Connect really about their Vital Connect MCT product and partly the question within the question is the algorithm is going to be different for Vital Connect versus the VOMCT, even if we keep the bridge devices and everything aside for now.

Speaker #6: I'm just talking about the software component. So maybe if you can help us understand, is the logic here to keep pushing Vital Connect initially?

Speaker #6: Because VOMCT comes online, I'm just trying to understand the need for Vital Connect at this time, especially on the MCT side. And apologies again if you've already talked about this.

Quentin Blackford: Well, I think VitalConnect and the VitalPatch in particular brings incremental features beyond Zio MCT that are very interesting to us and are important to be able to compete in the entire MCT category. Again, the four-in-one capability, the live looking capability, getting out to 30 days, as an example, opens up a remaining part of the market that Zio MCT can't get to. That's a meaningful market opportunity. That's another $200 to 300 million market opportunity that frankly, Zio MCT just could never have gotten to. Back to my point of needing to have various products and feature sets, I think that's very important to be able to compete in the entire MCT category. Yes, we do like what VitalPatch brings to us within MCT, the MCT market. I do think it opens up incremental opportunity on our own Zio MCT product.

Speaker #4: Yeah. Well, I think Vital Connect brings and the Vital patch in particular brings incremental features beyond VOMCT that are very interesting to us and are important to be able to compete in the entire MCT category.

Speaker #4: Again, the four-in-one capability, the live looking capability, getting out to 30 days as an example opens up a remaining part of the market that VOMCT can't get to.

Speaker #4: That's a meaningful market opportunity. That's another $200 to $300 million market opportunity that, frankly, VOMCT just could never have gotten to. So, back to my point of needing to have various products and feature sets—I think that's very important to be able to compete in the entire MCT category.

Speaker #4: So yes, we do like what Vital patch brings to us with an MCT. And I do the MCT product or sorry, the MCT market.

Speaker #4: I do think it opens up incremental opportunity on our own VOMCT product. But beyond that, it also opens up things like inpatient monitoring— in-hospital monitoring— that they have clearance for.

Quentin Blackford: Beyond that, it also opens up things like inpatient monitoring, in-hospital monitoring that they have clearance for. It opens up opportunities like hospital into the home, RPM capabilities. Those are all unique capabilities of their product and their platform that we're excited about and believe open up new revenue opportunities into the future.

Speaker #4: It opens up opportunities like hospital into the home. RPM capabilities—those are all unique capabilities of their product and their platform that we're excited about, and believe open up new revenue opportunities in the future.

Operator: Your final.

Quentin Blackford: I'm sorry, yeah, one last point on the software algorithms. Look, we're going to be able to bring the best of both companies together in this respect. We've done a good amount of work around the clinical side of it. We feel good about their product. Obviously, we as iRhythm have invested tremendously over the years in clinical data. We'll continue to do that in the future on the combined platform, and I think leverage our learnings and put the best product into the market.

Speaker #3: Your final.

Speaker #4: I'm sorry, but you had one last point on the software algorithms. Look, we're going to be able to bring the best of both companies together in this respect.

Speaker #4: We've done a good amount of work around the clinical side of it. We feel good about their product. Obviously, we as iRhythm have invested tremendously over the years, in clinical data.

Speaker #4: We'll continue to do that in the future on the combined platform. And I think leverage our learnings and put the best products into the market.

Operator: Thank you. Your final question comes from the line of Mason Carrico with Stephens Inc. Your line is open. Please go ahead.

Speaker #3: Thank you. Your final question comes from the line of Mason Carico, with Stephen's, Inc. Your line is open. Please go ahead.

Mason Carrico: Hey, guys. Thanks for fitting me in here. A lot's been asked, but I guess, I think you guys have mentioned the potential for a publication or some data later this year showcasing real-world economics within the innovative channel partner or innovative partner channel. Is that still on track? What other initiatives are you deploying to help potentially accelerate these partners moving from pilot to more enterprise-wide deployment?

Speaker #5: Hey, guys. Thanks for fitting me in here. A lot's been asked, but I guess I think you guys have mentioned the potential for a publication or some data later this year, showcasing real-world economics within the innovative channel partner or innovative partner channel.

Speaker #5: Is that still on track? What other initiatives are you deploying to help potentially accelerate these partners moving from pilot to more enterprise-wide deployment?

Quentin Blackford: That's a great question, and you're exactly right. We commented on that in the past. We do continue to expect to see some of that real-world data make its way into the marketplace in the back half of this year. We expect one of our innovative channel partners to continue to work to publish information. We've had one that has begun to speak about it from the podium. We expect more to come, but we also have some work that we're doing with one of these innovative channel partners too that we'll likely publish. I do expect you're going to see some real-world data, cost benefit data, cost savings data, make its way into the market.

Speaker #4: That's a great question. And you're exactly right. We commented on that in the past. We do continue to expect to see some of that real-world data make its way into the marketplace in the back half of this year.

Speaker #4: We expect one of our innovative channel partners to continue to work to publish information. We've had one that has begun to speak about it from the podium.

Speaker #4: We expect more to come, but we also have some work that we're doing with one of these innovative channel partners too that we'll likely publish.

Speaker #4: So I do expect you're going to see some real-world data cost-benefit data cost savings data make its way into the market.

Operator: Your next question comes from the line of Brandon Vazquez with William Blair. Your line is open. Please go ahead.

Speaker #3: Your next question comes from the line of Brandon Vasquez, with William Blair, your line is open. Please go ahead.

Brandon Vazquez: Hey, everyone. Thanks for the question and congrats on the quarter and on the deal. I'll just leave it to one question, maybe a big picture question. As you bring in this complementary technology from VitalConnect, do you think as you look down in the future, sleep or maybe even we've had discussions in the past about diagnosing bowel disease, et cetera, does this expedite or make a clearer line of pathway to some of the future TAN expansion opportunities? If so, does that look like a commingling of the two products, maybe on the back end at least? Does the hardware eventually merge? Do you always keep two pathways? Just talk a little bit about that, what this deal might look like in three to five years instead of just in the next couple of years. Thanks.

Speaker #6: Hey, everyone. Thanks for the question. And congrats on the quarter and on the deal. I'll just leave it to one question, maybe a big picture question.

Speaker #6: As you bring in kind of this complementary technology from Vital Connect, do you think as you look down in the future, sleep or maybe even we've had discussions in the past about diagnosing valve disease, etc., does this expedite or make a clearer line of pathway to some of the future TAM expansion opportunities?

Speaker #6: And if so, does that look like a co-mingling of the two products, maybe on the back end at least, or does the hardware eventually merge?

Speaker #6: Do you always keep two pathways? Just talk a little bit about that—what this deal might look like in three to five years, instead of just in the next couple of years.

Speaker #6: Thanks.

Quentin Blackford: Yeah, it's a great question, and that's part of what really excites us about the opportunity. When you start to look out three, four, five years, you think about the new markets that are starting to come into reality at that point in time, whether it is you're in-hospital monitoring in the med surg ward within the hospitals, as an example. You can start to see the whole hospital into the home monitoring, really trying to bend the cost curve of readmission back into the hospital. I think we're going to be able to monitor all the appropriate modalities off of this sensor that are important. Importantly, we have an IDTF capability in the background that is providing monitoring for a lot of these health systems that just don't have the capacity to do it.

Speaker #4: Yeah, it's a great question, and that's part of what really excites us about the opportunity. When you start to look out three, four, five years, you think about the new markets that are starting to come into reality at that point in time—whether it is your in-hospital monitoring or monitoring in the med-surg ward within hospitals, as an example.

Speaker #4: You can start to see the whole hospital into the home, monitoring really trying to bend the cost curve of readmission back into the hospital.

Speaker #4: I think we're going to be able to monitor all the appropriate modalities off of this sensor that are important. And importantly, we have an IDTF capability in the background that is providing monitoring for a lot of these health systems that just don't have the capacity to do it.

Quentin Blackford: I love the way we're positioned to be able to get after some of those new market opportunities out into the future. I do think other disease states are going to continue to grow and become more prevalent. You've heard us talk about sleep. Sleep continues to be important to us. We'll continue to lean into it. I like what we're learning there. It's going to be a real opportunity for us. Heart failure is another one that I think has a real opportunity to be impacted. I think the combination of our two companies gives us a platform with a lot of flexibility on it, where we can take the best from both sides over time and really improve what is available to patients and physicians in the marketplace.

Speaker #4: And so, I love the way we're positioned to be able to get after some of those new market opportunities out into the future. I do think other disease states are going to continue to grow and become more prevalent.

Speaker #4: You've heard us talk about sleep, sleep continues to be important to us. We'll continue to lean into it. I like what we're learning there.

Speaker #4: It's going to be a real opportunity for us. Heart failure is another one that I think has a real opportunity to be impacted. And I think the combination of our two companies gives us a platform with a lot of flexibility on it where we can take the best from both sides over time and really improve what is available to patients and physicians in the marketplace.

Quentin Blackford: A lot yet to come, but there's a lot of capabilities on our own platform that I think would be terrific on their platform, and I think there's a lot of things in their platform that can be terrific on ours. That's what we'll be focused on bringing together over time. We're excited by the combination, and we think it opens up a lot of incremental market opportunities and a lot of incremental product features that ultimately millions and millions of patients are going to get the benefit of.

Speaker #4: So a lot yet to come, but there's a lot of capabilities on our own platform that I think would be terrific on their platform.

Speaker #4: And I think there's a lot of things in their platform that could be terrific on ours. And that's what we'll be focused on bringing together over time.

Speaker #4: So we're excited by the combination and we think it opens up a lot of incremental market opportunities and a lot of incremental product features that ultimately millions and millions of patients are going to get the benefit of.

Operator: There are no further questions at this time. I will now turn the call back to Quentin for closing remarks.

Speaker #3: There are no further questions at this time. I will now turn the call back to Quentin for closing remarks.

Quentin Blackford: Well, in closing, I'd like just to take an opportunity to recognize our employees on a terrific quarter. In many respects, a record quarter across so many measures for us, and it's really their commitment and execution that has made this possible for the company. We continue to deliver strong results while continuing to invest in the opportunities that are going to drive the growth of the company into the future. With a differentiated market position, expanding capabilities, the strategic addition of VitalConnect, we believe we're well positioned to extend our leadership and create long-term value. As we celebrate our 20th anniversary, I couldn't be more proud of the team, more optimistic of the future, and I thank all of you guys for joining us today. See you soon.

Speaker #4: Well, in closing, I'd like just to take an opportunity to recognize our employees on a terrific quarter. In many respects, a record quarter across so many measures for us.

Speaker #4: And it's really their commitment and execution that has made this possible for the company. We continue to deliver strong results while continuing to invest in the opportunities that are going to drive the growth of the company into the future.

Speaker #4: And with a differentiated market position, expanding capabilities, the strategic addition of Vital Connect, we believe we're well positioned to extend our leadership and create long-term value.

Speaker #4: So, as we celebrate our 20th anniversary, I couldn't be more proud of the team, or more optimistic about the future. And I thank all of you for joining us today.

Speaker #4: We'll see you soon.

Operator: This concludes today's call. Thank you for attending. You may now disconnect.

Q2 2026 iRhythm Technologies Inc Earnings Call

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