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Side-by-side financial comparison of iRhythm Holdings, Inc. (IRTC) and Ramaco Resources, Inc. (METC). Click either name above to swap in a different company.

iRhythm Holdings, Inc. is the larger business by last-quarter revenue ($208.9M vs $121.0M, roughly 1.7× Ramaco Resources, Inc.). iRhythm Holdings, Inc. runs the higher net margin — 2.7% vs -11.0%, a 13.7% gap on every dollar of revenue. On growth, iRhythm Holdings, Inc. posted the faster year-over-year revenue change (27.1% vs -27.7%). iRhythm Holdings, Inc. produced more free cash flow last quarter ($14.5M vs $-17.5M). Over the past eight quarters, iRhythm Holdings, Inc.'s revenue compounded faster (25.8% CAGR vs -22.7%).

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.

Ramaco Resources, Inc. is a U.S.-based mining company focused on high-grade metallurgical coal production. It operates mining assets across the Appalachian region, supplying products to global steel manufacturing and industrial clients, with core operations centered on sustainable low-cost metallurgical coal extraction and distribution.

IRTC vs METC — Head-to-Head

Bigger by revenue
IRTC
IRTC
1.7× larger
IRTC
$208.9M
$121.0M
METC
Growing faster (revenue YoY)
IRTC
IRTC
+54.8% gap
IRTC
27.1%
-27.7%
METC
Higher net margin
IRTC
IRTC
13.7% more per $
IRTC
2.7%
-11.0%
METC
More free cash flow
IRTC
IRTC
$32.0M more FCF
IRTC
$14.5M
$-17.5M
METC
Faster 2-yr revenue CAGR
IRTC
IRTC
Annualised
IRTC
25.8%
-22.7%
METC

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
IRTC
IRTC
METC
METC
Revenue
$208.9M
$121.0M
Net Profit
$5.6M
$-13.3M
Gross Margin
70.9%
15.8%
Operating Margin
1.1%
-12.0%
Net Margin
2.7%
-11.0%
Revenue YoY
27.1%
-27.7%
Net Profit YoY
518.5%
-5468.2%
EPS (diluted)
$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
IRTC
IRTC
METC
METC
Q4 25
$208.9M
Q3 25
$192.9M
$121.0M
Q2 25
$186.7M
$153.0M
Q1 25
$158.7M
$134.7M
Q4 24
$164.3M
$170.9M
Q3 24
$147.5M
$167.4M
Q2 24
$148.0M
$155.3M
Q1 24
$131.9M
$172.7M
Net Profit
IRTC
IRTC
METC
METC
Q4 25
$5.6M
Q3 25
$-5.2M
$-13.3M
Q2 25
$-14.2M
$-14.0M
Q1 25
$-30.7M
$-9.5M
Q4 24
$-1.3M
$3.9M
Q3 24
$-46.2M
$-239.0K
Q2 24
$-20.1M
$5.5M
Q1 24
$-45.7M
$2.0M
Gross Margin
IRTC
IRTC
METC
METC
Q4 25
70.9%
Q3 25
71.1%
15.8%
Q2 25
71.2%
12.3%
Q1 25
68.8%
15.2%
Q4 24
70.0%
20.4%
Q3 24
68.8%
19.5%
Q2 24
69.9%
21.0%
Q1 24
66.3%
19.1%
Operating Margin
IRTC
IRTC
METC
METC
Q4 25
1.1%
Q3 25
-4.4%
-12.0%
Q2 25
-10.0%
-9.1%
Q1 25
-20.5%
-8.9%
Q4 24
-2.5%
3.7%
Q3 24
-34.1%
1.0%
Q2 24
-15.5%
3.5%
Q1 24
-28.9%
1.9%
Net Margin
IRTC
IRTC
METC
METC
Q4 25
2.7%
Q3 25
-2.7%
-11.0%
Q2 25
-7.6%
-9.1%
Q1 25
-19.3%
-7.0%
Q4 24
-0.8%
2.3%
Q3 24
-31.3%
-0.1%
Q2 24
-13.6%
3.6%
Q1 24
-34.6%
1.2%
EPS (diluted)
IRTC
IRTC
METC
METC
Q4 25
$0.18
Q3 25
$-0.16
Q2 25
$-0.44
Q1 25
$-0.97
Q4 24
$-0.03
$0.06
Q3 24
$-1.48
$-0.03
Q2 24
$-0.65
$0.08
Q1 24
$-1.47
$0.00

Balance Sheet & Financial Strength

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

Metric
IRTC
IRTC
METC
METC
Cash + ST InvestmentsLiquidity on hand
$583.8M
$193.8M
Total DebtLower is stronger
$116.3M
Stockholders' EquityBook value
$152.7M
$526.9M
Total Assets
$1.0B
$849.7M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
IRTC
IRTC
METC
METC
Q4 25
$583.8M
Q3 25
$565.2M
$193.8M
Q2 25
$545.5M
$28.1M
Q1 25
$520.6M
$43.5M
Q4 24
$535.6M
$33.0M
Q3 24
$522.0M
$22.9M
Q2 24
$561.5M
$27.6M
Q1 24
$569.1M
$30.5M
Total Debt
IRTC
IRTC
METC
METC
Q4 25
Q3 25
$116.3M
Q2 25
Q1 25
Q4 24
$88.2M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
IRTC
IRTC
METC
METC
Q4 25
$152.7M
Q3 25
$121.9M
$526.9M
Q2 25
$103.7M
$347.4M
Q1 25
$86.7M
$355.2M
Q4 24
$90.9M
$362.8M
Q3 24
$71.8M
$361.8M
Q2 24
$99.2M
$366.1M
Q1 24
$90.3M
$372.3M
Total Assets
IRTC
IRTC
METC
METC
Q4 25
$1.0B
Q3 25
$995.2M
$849.7M
Q2 25
$964.0M
$674.6M
Q1 25
$926.1M
$685.7M
Q4 24
$931.4M
$674.7M
Q3 24
$909.7M
$645.4M
Q2 24
$919.2M
$659.2M
Q1 24
$909.8M
$674.0M
Debt / Equity
IRTC
IRTC
METC
METC
Q4 25
Q3 25
0.22×
Q2 25
Q1 25
Q4 24
0.24×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

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

Metric
IRTC
IRTC
METC
METC
Operating Cash FlowLast quarter
$26.2M
$-1.4M
Free Cash FlowOCF − Capex
$14.5M
$-17.5M
FCF MarginFCF / Revenue
6.9%
-14.5%
Capex IntensityCapex / Revenue
5.6%
13.3%
Cash ConversionOCF / Net Profit
4.70×
TTM Free Cash FlowTrailing 4 quarters
$34.5M
$-24.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
IRTC
IRTC
METC
METC
Q4 25
$26.2M
Q3 25
$34.9M
$-1.4M
Q2 25
$27.7M
$-4.3M
Q1 25
$-7.9M
$26.0M
Q4 24
$19.2M
$15.7M
Q3 24
$24.3M
$37.4M
Q2 24
$11.8M
$34.4M
Q1 24
$-52.0M
$25.2M
Free Cash Flow
IRTC
IRTC
METC
METC
Q4 25
$14.5M
Q3 25
$20.1M
$-17.5M
Q2 25
$17.3M
$-19.8M
Q1 25
$-17.3M
$7.6M
Q4 24
$12.4M
$5.1M
Q3 24
$15.5M
$25.6M
Q2 24
$3.4M
$20.3M
Q1 24
$-61.8M
$6.5M
FCF Margin
IRTC
IRTC
METC
METC
Q4 25
6.9%
Q3 25
10.4%
-14.5%
Q2 25
9.3%
-13.0%
Q1 25
-10.9%
5.6%
Q4 24
7.5%
3.0%
Q3 24
10.5%
15.3%
Q2 24
2.3%
13.1%
Q1 24
-46.8%
3.7%
Capex Intensity
IRTC
IRTC
METC
METC
Q4 25
5.6%
Q3 25
7.7%
13.3%
Q2 25
5.6%
10.2%
Q1 25
5.9%
13.7%
Q4 24
4.2%
6.2%
Q3 24
6.0%
7.0%
Q2 24
5.7%
9.1%
Q1 24
7.4%
10.8%
Cash Conversion
IRTC
IRTC
METC
METC
Q4 25
4.70×
Q3 25
Q2 25
Q1 25
Q4 24
4.06×
Q3 24
Q2 24
6.21×
Q1 24
12.40×

Financial Flow Comparison

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

Revenue Breakdown by Segment

IRTC
IRTC

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

METC
METC

Export Coal Revenues$73.0M60%
Domestic Coal Revenues$48.0M40%

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