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Side-by-side financial comparison of FIRST COMMONWEALTH FINANCIAL CORP (FCF) and iRhythm Holdings, Inc. (IRTC). Click either name above to swap in a different company.
iRhythm Holdings, Inc. is the larger business by last-quarter revenue ($208.9M vs $133.7M, roughly 1.6× FIRST COMMONWEALTH FINANCIAL CORP). FIRST COMMONWEALTH FINANCIAL CORP runs the higher net margin — 28.1% vs 2.7%, a 25.4% gap on every dollar of revenue. On growth, iRhythm Holdings, Inc. posted the faster year-over-year revenue change (27.1% vs 13.0%). Over the past eight quarters, iRhythm Holdings, Inc.'s revenue compounded faster (25.8% CAGR vs 5.5%).
First Commonwealth Financial Corp is a Pennsylvania-based regional financial services holding company. It offers consumer and commercial banking products, loans, wealth management, and insurance services for individuals, small and mid-sized enterprises across central and western Pennsylvania and Ohio.
iRhythm Holdings is a digital healthcare company focused on cardiac care, developing and commercializing wearable ambulatory heart monitoring devices paired with AI-powered analytical tools. It primarily serves healthcare providers and patients across the United States, helping to detect undiagnosed arrhythmias such as atrial fibrillation through convenient long-term heart rhythm tracking that delivers actionable clinical insights.
FCF vs IRTC — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | ||
|---|---|---|
| Revenue | $133.7M | $208.9M |
| Net Profit | $37.5M | $5.6M |
| Gross Margin | — | 70.9% |
| Operating Margin | — | 1.1% |
| Net Margin | 28.1% | 2.7% |
| Revenue YoY | 13.0% | 27.1% |
| Net Profit YoY | 14.8% | 518.5% |
| EPS (diluted) | $0.37 | $0.18 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | $133.7M | — | ||
| Q4 25 | $137.9M | $208.9M | ||
| Q3 25 | $136.0M | $192.9M | ||
| Q2 25 | $131.0M | $186.7M | ||
| Q1 25 | $118.0M | $158.7M | ||
| Q4 24 | $120.4M | $164.3M | ||
| Q3 24 | $121.2M | $147.5M | ||
| Q2 24 | $120.2M | $148.0M |
| Q1 26 | $37.5M | — | ||
| Q4 25 | $44.9M | $5.6M | ||
| Q3 25 | $41.3M | $-5.2M | ||
| Q2 25 | $33.4M | $-14.2M | ||
| Q1 25 | $32.7M | $-30.7M | ||
| Q4 24 | $35.8M | $-1.3M | ||
| Q3 24 | $32.1M | $-46.2M | ||
| Q2 24 | $37.1M | $-20.1M |
| Q1 26 | — | — | ||
| Q4 25 | — | 70.9% | ||
| Q3 25 | — | 71.1% | ||
| Q2 25 | — | 71.2% | ||
| Q1 25 | — | 68.8% | ||
| Q4 24 | — | 70.0% | ||
| Q3 24 | — | 68.8% | ||
| Q2 24 | — | 69.9% |
| Q1 26 | — | — | ||
| Q4 25 | 40.9% | 1.1% | ||
| Q3 25 | 38.1% | -4.4% | ||
| Q2 25 | 32.1% | -10.0% | ||
| Q1 25 | 34.8% | -20.5% | ||
| Q4 24 | 37.1% | -2.5% | ||
| Q3 24 | 33.4% | -34.1% | ||
| Q2 24 | 38.7% | -15.5% |
| Q1 26 | 28.1% | — | ||
| Q4 25 | 32.5% | 2.7% | ||
| Q3 25 | 30.4% | -2.7% | ||
| Q2 25 | 25.5% | -7.6% | ||
| Q1 25 | 27.7% | -19.3% | ||
| Q4 24 | 29.8% | -0.8% | ||
| Q3 24 | 26.5% | -31.3% | ||
| Q2 24 | 30.9% | -13.6% |
| Q1 26 | $0.37 | — | ||
| Q4 25 | $0.44 | $0.18 | ||
| Q3 25 | $0.39 | $-0.16 | ||
| Q2 25 | $0.32 | $-0.44 | ||
| Q1 25 | $0.32 | $-0.97 | ||
| Q4 24 | $0.35 | $-0.03 | ||
| Q3 24 | $0.31 | $-1.48 | ||
| Q2 24 | $0.36 | $-0.65 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | ||
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | — | $583.8M |
| Total DebtLower is stronger | $154.9M | — |
| Stockholders' EquityBook value | $1.6B | $152.7M |
| Total Assets | $12.3B | $1.0B |
| Debt / EquityLower = less leverage | 0.10× | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | — | $583.8M | ||
| Q3 25 | — | $565.2M | ||
| Q2 25 | — | $545.5M | ||
| Q1 25 | — | $520.6M | ||
| Q4 24 | — | $535.6M | ||
| Q3 24 | — | $522.0M | ||
| Q2 24 | — | $561.5M |
| Q1 26 | $154.9M | — | ||
| Q4 25 | $261.7M | — | ||
| Q3 25 | $262.1M | — | ||
| Q2 25 | $262.4M | — | ||
| Q1 25 | $262.7M | — | ||
| Q4 24 | $263.0M | — | ||
| Q3 24 | $136.3M | — | ||
| Q2 24 | $136.6M | — |
| Q1 26 | $1.6B | — | ||
| Q4 25 | $1.6B | $152.7M | ||
| Q3 25 | $1.5B | $121.9M | ||
| Q2 25 | $1.5B | $103.7M | ||
| Q1 25 | $1.4B | $86.7M | ||
| Q4 24 | $1.4B | $90.9M | ||
| Q3 24 | $1.4B | $71.8M | ||
| Q2 24 | $1.4B | $99.2M |
| Q1 26 | $12.3B | — | ||
| Q4 25 | $12.3B | $1.0B | ||
| Q3 25 | $12.3B | $995.2M | ||
| Q2 25 | $12.2B | $964.0M | ||
| Q1 25 | $11.8B | $926.1M | ||
| Q4 24 | $11.6B | $931.4M | ||
| Q3 24 | $12.0B | $909.7M | ||
| Q2 24 | $11.6B | $919.2M |
| Q1 26 | 0.10× | — | ||
| Q4 25 | 0.17× | — | ||
| Q3 25 | 0.17× | — | ||
| Q2 25 | 0.17× | — | ||
| Q1 25 | 0.18× | — | ||
| Q4 24 | 0.19× | — | ||
| Q3 24 | 0.10× | — | ||
| Q2 24 | 0.10× | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | ||
|---|---|---|
| Operating Cash FlowLast quarter | — | $26.2M |
| Free Cash FlowOCF − Capex | — | $14.5M |
| FCF MarginFCF / Revenue | — | 6.9% |
| Capex IntensityCapex / Revenue | — | 5.6% |
| Cash ConversionOCF / Net Profit | — | 4.70× |
| TTM Free Cash FlowTrailing 4 quarters | — | $34.5M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $187.5M | $26.2M | ||
| Q3 25 | $49.5M | $34.9M | ||
| Q2 25 | $30.4M | $27.7M | ||
| Q1 25 | $55.9M | $-7.9M | ||
| Q4 24 | $129.5M | $19.2M | ||
| Q3 24 | $53.6M | $24.3M | ||
| Q2 24 | $22.7M | $11.8M |
| Q1 26 | — | — | ||
| Q4 25 | $171.5M | $14.5M | ||
| Q3 25 | — | $20.1M | ||
| Q2 25 | — | $17.3M | ||
| Q1 25 | — | $-17.3M | ||
| Q4 24 | $113.9M | $12.4M | ||
| Q3 24 | — | $15.5M | ||
| Q2 24 | — | $3.4M |
| Q1 26 | — | — | ||
| Q4 25 | 124.3% | 6.9% | ||
| Q3 25 | — | 10.4% | ||
| Q2 25 | — | 9.3% | ||
| Q1 25 | — | -10.9% | ||
| Q4 24 | 94.6% | 7.5% | ||
| Q3 24 | — | 10.5% | ||
| Q2 24 | — | 2.3% |
| Q1 26 | — | — | ||
| Q4 25 | 11.7% | 5.6% | ||
| Q3 25 | — | 7.7% | ||
| Q2 25 | — | 5.6% | ||
| Q1 25 | — | 5.9% | ||
| Q4 24 | 12.9% | 4.2% | ||
| Q3 24 | — | 6.0% | ||
| Q2 24 | — | 5.7% |
| Q1 26 | — | — | ||
| Q4 25 | 4.18× | 4.70× | ||
| Q3 25 | 1.20× | — | ||
| Q2 25 | 0.91× | — | ||
| Q1 25 | 1.71× | — | ||
| Q4 24 | 3.61× | — | ||
| Q3 24 | 1.67× | — | ||
| Q2 24 | 0.61× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
FCF
Segment breakdown not available.
IRTC
| Commercial Payors | $111.7M | 53% |
| Centers For Medicare And Medicaid | $49.2M | 24% |
| Healthcare Institutions | $34.3M | 16% |
| Non Contracted Third Party Payors | $13.7M | 7% |