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.

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Total return — INSP vs TMDX

growth of $100 · dividends reinvested · last 7y
INSP +39.7% (+4.9%/yr)TMDX +256.9% (+19.9%/yr)TMDX compounded faster over this window
0200400600800Start $100202120232025$140$357
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

MetricINSPTMDX
P/E ratio15.1420.67
Forward P/E58.5854.40
P/S ratio2.254.13
P/B ratio2.455.32
EV / EBITDA26.9826.71
FCF yield5.79%2.87%

Profitability

MetricINSPTMDX
Gross margin86.13%58.69%
Operating margin6.02%12.21%
Net margin15.03%22.69%
ROE16.36%29.28%
ROIC6.33%5.87%

Growth (annualized)

MetricINSPTMDX
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.

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.