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Side-by-side financial comparison of Bowhead Specialty Holdings Inc. (BOW) and Inspire Medical Systems, Inc. (INSP). Click either name above to swap in a different company.
Inspire Medical Systems, Inc. is the larger business by last-quarter revenue ($204.6M vs $155.7M, roughly 1.3× Bowhead Specialty Holdings Inc.). On growth, Bowhead Specialty Holdings Inc. posted the faster year-over-year revenue change (26.9% vs 1.6%).
Bowhead Specialty Holdings Inc. is a specialty insurance holding company that offers a diversified portfolio of property and casualty insurance products, focusing on underserved niche market segments primarily across North America. It provides tailored risk management solutions and specialized coverage options for both commercial and individual clients.
Inspire Medical Systems, Inc. is a medical technology firm that develops, manufactures and commercializes implantable neurostimulation solutions for obstructive sleep apnea. Its core product serves patients intolerant to CPAP therapy, with main markets across North America, Europe, and select Asia-Pacific regions, operating in sleep medicine and otolaryngology segments.
BOW vs INSP — Head-to-Head
Income Statement — Q1 FY2026 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $155.7M | $204.6M |
| Net Profit | $16.0M | — |
| Gross Margin | — | 86.5% |
| Operating Margin | — | 13.0% |
| Net Margin | 10.3% | — |
| Revenue YoY | 26.9% | 1.6% |
| Net Profit YoY | — | — |
| EPS (diluted) | $0.48 | $-0.39 |
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 | $155.7M | $204.6M | ||
| Q4 25 | $151.7M | $269.1M | ||
| Q3 25 | $143.9M | $224.5M | ||
| Q2 25 | $133.3M | $217.1M | ||
| Q1 25 | $122.7M | $201.3M | ||
| Q4 24 | — | $239.7M | ||
| Q3 24 | $116.8M | $203.2M | ||
| Q2 24 | $98.9M | $195.9M |
| Q1 26 | $16.0M | — | ||
| Q4 25 | $14.8M | $136.1M | ||
| Q3 25 | $15.2M | $9.9M | ||
| Q2 25 | $12.3M | $-3.6M | ||
| Q1 25 | $11.4M | $3.0M | ||
| Q4 24 | — | $35.2M | ||
| Q3 24 | $12.1M | $18.5M | ||
| Q2 24 | $5.5M | $9.8M |
| Q1 26 | — | 86.5% | ||
| Q4 25 | — | 86.6% | ||
| Q3 25 | — | 85.8% | ||
| Q2 25 | — | 84.0% | ||
| Q1 25 | — | 84.7% | ||
| Q4 24 | — | 85.0% | ||
| Q3 24 | — | 84.1% | ||
| Q2 24 | — | 84.8% |
| Q1 26 | — | 13.0% | ||
| Q4 25 | 11.7% | 17.1% | ||
| Q3 25 | 13.3% | 4.3% | ||
| Q2 25 | 11.9% | -1.5% | ||
| Q1 25 | 11.8% | -0.7% | ||
| Q4 24 | — | 13.3% | ||
| Q3 24 | 13.5% | 7.0% | ||
| Q2 24 | 7.5% | 2.6% |
| Q1 26 | 10.3% | — | ||
| Q4 25 | 9.8% | 50.6% | ||
| Q3 25 | 10.5% | 4.4% | ||
| Q2 25 | 9.3% | -1.7% | ||
| Q1 25 | 9.3% | 1.5% | ||
| Q4 24 | — | 14.7% | ||
| Q3 24 | 10.4% | 9.1% | ||
| Q2 24 | 5.6% | 5.0% |
| Q1 26 | $0.48 | $-0.39 | ||
| Q4 25 | $0.44 | $4.57 | ||
| Q3 25 | $0.45 | $0.34 | ||
| Q2 25 | $0.36 | $-0.12 | ||
| Q1 25 | $0.34 | $0.10 | ||
| Q4 24 | — | $1.17 | ||
| Q3 24 | $0.36 | $0.60 | ||
| Q2 24 | $0.20 | $0.32 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $97.2M | $98.9M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $457.9M | $792.3M |
| Total Assets | $2.5B | $911.4M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $97.2M | $98.9M | ||
| Q4 25 | $193.5M | $308.3M | ||
| Q3 25 | $197.9M | $322.6M | ||
| Q2 25 | $114.8M | $300.9M | ||
| Q1 25 | $88.0M | $369.2M | ||
| Q4 24 | — | $445.5M | ||
| Q3 24 | $132.9M | $411.0M | ||
| Q2 24 | $180.3M | $439.7M |
| Q1 26 | — | — | ||
| Q4 25 | $146.4M | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — |
| Q1 26 | $457.9M | $792.3M | ||
| Q4 25 | $448.3M | $781.2M | ||
| Q3 25 | $430.2M | $666.5M | ||
| Q2 25 | $407.2M | $677.8M | ||
| Q1 25 | $391.0M | $635.7M | ||
| Q4 24 | — | $689.7M | ||
| Q3 24 | $364.7M | $696.6M | ||
| Q2 24 | $339.9M | $638.1M |
| Q1 26 | $2.5B | $911.4M | ||
| Q4 25 | $2.4B | $907.3M | ||
| Q3 25 | $2.1B | $807.7M | ||
| Q2 25 | $1.9B | $802.2M | ||
| Q1 25 | $1.8B | $730.8M | ||
| Q4 24 | — | $808.4M | ||
| Q3 24 | $1.5B | $796.2M | ||
| Q2 24 | $1.4B | $728.4M |
| Q1 26 | — | — | ||
| Q4 25 | 0.33× | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
