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Side-by-side financial comparison of FIRST INTERSTATE BANCSYSTEM INC (FIBK) and iRhythm Holdings, Inc. (IRTC). Click either name above to swap in a different company.

FIRST INTERSTATE BANCSYSTEM INC is the larger business by last-quarter revenue ($313.0M vs $208.9M, roughly 1.5× iRhythm Holdings, Inc.). FIRST INTERSTATE BANCSYSTEM INC runs the higher net margin — 34.8% vs 2.7%, a 32.1% gap on every dollar of revenue. On growth, iRhythm Holdings, Inc. posted the faster year-over-year revenue change (27.1% vs 19.8%). Over the past eight quarters, iRhythm Holdings, Inc.'s revenue compounded faster (25.8% CAGR vs 13.7%).

First Interstate BancSystem, Inc. is a financial holding company headquartered in Billings, Montana. It is the parent company of First Interstate Bank, a community bank with locations throughout 14 states within the Western and Midwestern United States. It is the largest bank based in Montana, as measured by total assets.

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.

FIBK vs IRTC — Head-to-Head

Bigger by revenue
FIBK
FIBK
1.5× larger
FIBK
$313.0M
$208.9M
IRTC
Growing faster (revenue YoY)
IRTC
IRTC
+7.3% gap
IRTC
27.1%
19.8%
FIBK
Higher net margin
FIBK
FIBK
32.1% more per $
FIBK
34.8%
2.7%
IRTC
Faster 2-yr revenue CAGR
IRTC
IRTC
Annualised
IRTC
25.8%
13.7%
FIBK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FIBK
FIBK
IRTC
IRTC
Revenue
$313.0M
$208.9M
Net Profit
$108.8M
$5.6M
Gross Margin
70.9%
Operating Margin
44.5%
1.1%
Net Margin
34.8%
2.7%
Revenue YoY
19.8%
27.1%
Net Profit YoY
108.8%
518.5%
EPS (diluted)
$1.07
$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.

Revenue
FIBK
FIBK
IRTC
IRTC
Q4 25
$313.0M
$208.9M
Q3 25
$250.5M
$192.9M
Q2 25
$248.3M
$186.7M
Q1 25
$247.0M
$158.7M
Q4 24
$261.3M
$164.3M
Q3 24
$251.9M
$147.5M
Q2 24
$244.3M
$148.0M
Q1 24
$242.2M
$131.9M
Net Profit
FIBK
FIBK
IRTC
IRTC
Q4 25
$108.8M
$5.6M
Q3 25
$71.4M
$-5.2M
Q2 25
$71.7M
$-14.2M
Q1 25
$50.2M
$-30.7M
Q4 24
$52.1M
$-1.3M
Q3 24
$55.5M
$-46.2M
Q2 24
$60.0M
$-20.1M
Q1 24
$58.4M
$-45.7M
Gross Margin
FIBK
FIBK
IRTC
IRTC
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 24
66.3%
Operating Margin
FIBK
FIBK
IRTC
IRTC
Q4 25
44.5%
1.1%
Q3 25
37.0%
-4.4%
Q2 25
37.7%
-10.0%
Q1 25
26.9%
-20.5%
Q4 24
25.5%
-2.5%
Q3 24
28.9%
-34.1%
Q2 24
32.1%
-15.5%
Q1 24
31.7%
-28.9%
Net Margin
FIBK
FIBK
IRTC
IRTC
Q4 25
34.8%
2.7%
Q3 25
28.5%
-2.7%
Q2 25
28.9%
-7.6%
Q1 25
20.3%
-19.3%
Q4 24
19.9%
-0.8%
Q3 24
22.0%
-31.3%
Q2 24
24.6%
-13.6%
Q1 24
24.1%
-34.6%
EPS (diluted)
FIBK
FIBK
IRTC
IRTC
Q4 25
$1.07
$0.18
Q3 25
$0.69
$-0.16
Q2 25
$0.69
$-0.44
Q1 25
$0.49
$-0.97
Q4 24
$0.50
$-0.03
Q3 24
$0.54
$-1.48
Q2 24
$0.58
$-0.65
Q1 24
$0.57
$-1.47

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
FIBK
FIBK
IRTC
IRTC
Cash + ST InvestmentsLiquidity on hand
$583.8M
Total DebtLower is stronger
$146.3M
Stockholders' EquityBook value
$3.4B
$152.7M
Total Assets
$26.6B
$1.0B
Debt / EquityLower = less leverage
0.04×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FIBK
FIBK
IRTC
IRTC
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 24
$569.1M
Total Debt
FIBK
FIBK
IRTC
IRTC
Q4 25
$146.3M
Q3 25
$146.2M
Q2 25
$252.0M
Q1 25
Q4 24
$132.2M
Q3 24
$137.3M
Q2 24
$383.4M
Q1 24
$370.8M
Stockholders' Equity
FIBK
FIBK
IRTC
IRTC
Q4 25
$3.4B
$152.7M
Q3 25
$3.4B
$121.9M
Q2 25
$3.4B
$103.7M
Q1 25
$3.4B
$86.7M
Q4 24
$3.3B
$90.9M
Q3 24
$3.4B
$71.8M
Q2 24
$3.2B
$99.2M
Q1 24
$3.2B
$90.3M
Total Assets
FIBK
FIBK
IRTC
IRTC
Q4 25
$26.6B
$1.0B
Q3 25
$27.3B
$995.2M
Q2 25
$27.6B
$964.0M
Q1 25
$28.3B
$926.1M
Q4 24
$29.1B
$931.4M
Q3 24
$29.6B
$909.7M
Q2 24
$30.3B
$919.2M
Q1 24
$30.1B
$909.8M
Debt / Equity
FIBK
FIBK
IRTC
IRTC
Q4 25
0.04×
Q3 25
0.04×
Q2 25
0.07×
Q1 25
Q4 24
0.04×
Q3 24
0.04×
Q2 24
0.12×
Q1 24
0.12×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
FIBK
FIBK
IRTC
IRTC
Operating Cash FlowLast quarter
$305.6M
$26.2M
Free Cash FlowOCF − Capex
$14.5M
FCF MarginFCF / Revenue
6.9%
Capex IntensityCapex / Revenue
5.6%
Cash ConversionOCF / Net Profit
2.81×
4.70×
TTM Free Cash FlowTrailing 4 quarters
$34.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FIBK
FIBK
IRTC
IRTC
Q4 25
$305.6M
$26.2M
Q3 25
$91.7M
$34.9M
Q2 25
$68.1M
$27.7M
Q1 25
$78.5M
$-7.9M
Q4 24
$355.0M
$19.2M
Q3 24
$89.9M
$24.3M
Q2 24
$82.3M
$11.8M
Q1 24
$87.6M
$-52.0M
Free Cash Flow
FIBK
FIBK
IRTC
IRTC
Q4 25
$14.5M
Q3 25
$20.1M
Q2 25
$17.3M
Q1 25
$-17.3M
Q4 24
$12.4M
Q3 24
$15.5M
Q2 24
$3.4M
Q1 24
$-61.8M
FCF Margin
FIBK
FIBK
IRTC
IRTC
Q4 25
6.9%
Q3 25
10.4%
Q2 25
9.3%
Q1 25
-10.9%
Q4 24
7.5%
Q3 24
10.5%
Q2 24
2.3%
Q1 24
-46.8%
Capex Intensity
FIBK
FIBK
IRTC
IRTC
Q4 25
5.6%
Q3 25
7.7%
Q2 25
5.6%
Q1 25
5.9%
Q4 24
4.2%
Q3 24
6.0%
Q2 24
5.7%
Q1 24
7.4%
Cash Conversion
FIBK
FIBK
IRTC
IRTC
Q4 25
2.81×
4.70×
Q3 25
1.28×
Q2 25
0.95×
Q1 25
1.56×
Q4 24
6.81×
Q3 24
1.62×
Q2 24
1.37×
Q1 24
1.50×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

FIBK
FIBK

Segment breakdown not available.

IRTC
IRTC

Commercial Payors$111.7M53%
Centers For Medicare And Medicaid$49.2M24%
Healthcare Institutions$34.3M16%
Non Contracted Third Party Payors$13.7M7%

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