Inspire Medical Systems, Inc. (INSP) vs TransMedics Group, Inc. (TMDX)
A side-by-side comparison of Inspire Medical Systems, Inc. and TransMedics Group, Inc. across valuation, profitability, dividends, and growth — built entirely from reported fundamentals, as of October 4, 2026. Differences are shown without an overall score or investment verdict.
INSP
Inspire Medical Systems, Inc.
$69.97HealthcareDelayed quote: Oct 2, 2026, 4:00 PM EDT
TMDX
TransMedics Group, Inc.
$79.80HealthcareDelayed quote: Oct 2, 2026, 4:00 PM EDT
Total return — INSP vs TMDX
growth of $100 · dividends reinvested · last 7yINSP +39.7% (+4.9%/yr)TMDX +256.9% (+19.9%/yr)TMDX compounded faster over this window
INSP TMDX
INSP vs TMDX: by the numbers
- •TMDX is the larger company ($2.76B vs $2.02B market cap).
- •INSP trades at the lower trailing earnings multiple (15.14 vs 20.67 P/E), one valuation lens rather than an overall verdict.
- •TMDX converts more revenue to profit (22.69% vs 15.03% net margin).
- •TMDX grew revenue faster over the past five years (86.12% vs 38.69% CAGR).
Metrics side by side
Valuation
| Metric | INSP | TMDX |
|---|---|---|
| P/E ratio | 15.14 | 20.67 |
| Forward P/E | 58.58 | 54.40 |
| P/S ratio | 2.25 | 4.13 |
| P/B ratio | 2.45 | 5.32 |
| EV / EBITDA | 26.98 | 26.71 |
| FCF yield | 5.79% | 2.87% |
Profitability
| Metric | INSP | TMDX |
|---|---|---|
| Gross margin | 86.13% | 58.69% |
| Operating margin | 6.02% | 12.21% |
| Net margin | 15.03% | 22.69% |
| ROE | 16.36% | 29.28% |
| ROIC | 6.33% | 5.87% |
Growth (annualized)
| Metric | INSP | TMDX |
|---|---|---|
| Revenue CAGR (5Y) | 38.69% | 86.12% |
| Total return CAGR (5Y) | -21.78% | 19.54% |
Frequently asked
- Which has the lower trailing P/E, INSP or TMDX?
- INSP has the lower trailing P/E: INSP trades at 15.14 and TMDX at 20.67. P/E is one valuation measure and does not by itself establish which business is cheaper.
- Which has grown faster, INSP or TMDX?
- Over the past five years, TMDX grew revenue faster — INSP at a 38.69% CAGR versus TMDX at 86.12%.
- Is INSP or TMDX more profitable?
- TMDX runs the higher net margin — INSP at 15.03% versus TMDX at 22.69%.
- How have INSP and TMDX total returns compared?
- Over the past 5 years, INSP delivered -21.78% and TMDX delivered 19.54% annualized total return. Past performance doesn't predict future results.
Go deeper
Dig into the metrics
Inspire Medical Systems P/E ratioTransMedics P/E ratioInspire Medical Systems ROETransMedics ROEInspire Medical Systems operating marginTransMedics operating marginInspire Medical Systems revenue growthTransMedics revenue growthInspire Medical Systems free cash flowTransMedics free cash flow
Inspire Medical Systems & TransMedics appear in these rankings
Figures are sourced from reported fundamentals and the latest end-of-day price. This comparison is informational only and is not investment advice. Past performance does not predict future results. See our methodology. Compiled by TGMCharts Research · data verified October 4, 2026.