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Side-by-side financial comparison of Healthcare Realty Trust Inc (HR) and Inspire Medical Systems, Inc. (INSP). Click either name above to swap in a different company.

Healthcare Realty Trust Inc is the larger business by last-quarter revenue ($286.3M vs $269.1M, roughly 1.1× Inspire Medical Systems, Inc.). Healthcare Realty Trust Inc runs the higher net margin — 183.4% vs 50.6%, a 132.8% gap on every dollar of revenue. On growth, Inspire Medical Systems, Inc. posted the faster year-over-year revenue change (12.2% vs -7.6%). Over the past eight quarters, Inspire Medical Systems, Inc.'s revenue compounded faster (28.1% CAGR vs -6.4%).

Duke Realty was a real estate investment trust (REIT) based in Indianapolis, Indiana, that invested in industrial properties. As of December 31, 2021, it owned or jointly controlled 548 primarily industrial properties containing 162.7 million rentable square feet. In October 2022, it was acquired by Prologis.

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.

HR vs INSP — Head-to-Head

Bigger by revenue
HR
HR
1.1× larger
HR
$286.3M
$269.1M
INSP
Growing faster (revenue YoY)
INSP
INSP
+19.8% gap
INSP
12.2%
-7.6%
HR
Higher net margin
HR
HR
132.8% more per $
HR
183.4%
50.6%
INSP
Faster 2-yr revenue CAGR
INSP
INSP
Annualised
INSP
28.1%
-6.4%
HR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HR
HR
INSP
INSP
Revenue
$286.3M
$269.1M
Net Profit
$14.6M
$136.1M
Gross Margin
86.6%
Operating Margin
17.1%
Net Margin
183.4%
50.6%
Revenue YoY
-7.6%
12.2%
Net Profit YoY
113.5%
286.4%
EPS (diluted)
$0.04
$4.57

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
HR
HR
INSP
INSP
Q4 25
$286.3M
$269.1M
Q3 25
$297.8M
$224.5M
Q2 25
$297.5M
$217.1M
Q1 25
$299.0M
$201.3M
Q4 24
$309.8M
$239.7M
Q3 24
$315.4M
$203.2M
Q2 24
$316.3M
$195.9M
Q1 24
$326.8M
$164.0M
Net Profit
HR
HR
INSP
INSP
Q4 25
$14.6M
$136.1M
Q3 25
$-57.7M
$9.9M
Q2 25
$-157.9M
$-3.6M
Q1 25
$-44.9M
$3.0M
Q4 24
$-108.2M
$35.2M
Q3 24
$-93.0M
$18.5M
Q2 24
$-143.8M
$9.8M
Q1 24
$-310.8M
$-10.0M
Gross Margin
HR
HR
INSP
INSP
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 24
84.9%
Operating Margin
HR
HR
INSP
INSP
Q4 25
17.1%
Q3 25
4.3%
Q2 25
-1.5%
Q1 25
-0.7%
Q4 24
13.3%
Q3 24
7.0%
Q2 24
2.6%
Q1 24
-9.3%
Net Margin
HR
HR
INSP
INSP
Q4 25
183.4%
50.6%
Q3 25
-19.4%
4.4%
Q2 25
-53.1%
-1.7%
Q1 25
-15.0%
1.5%
Q4 24
-1924.1%
14.7%
Q3 24
-29.5%
9.1%
Q2 24
-45.5%
5.0%
Q1 24
-95.1%
-6.1%
EPS (diluted)
HR
HR
INSP
INSP
Q4 25
$0.04
$4.57
Q3 25
$-0.17
$0.34
Q2 25
$-0.45
$-0.12
Q1 25
$-0.13
$0.10
Q4 24
$-0.34
$1.17
Q3 24
$-0.26
$0.60
Q2 24
$-0.39
$0.32
Q1 24
$-0.82
$-0.34

Balance Sheet & Financial Strength

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

Metric
HR
HR
INSP
INSP
Cash + ST InvestmentsLiquidity on hand
$26.2M
$308.3M
Total DebtLower is stronger
$3.9B
Stockholders' EquityBook value
$4.6B
$781.2M
Total Assets
$9.2B
$907.3M
Debt / EquityLower = less leverage
0.85×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HR
HR
INSP
INSP
Q4 25
$26.2M
$308.3M
Q3 25
$43.3M
$322.6M
Q2 25
$25.5M
$300.9M
Q1 25
$25.7M
$369.2M
Q4 24
$68.9M
$445.5M
Q3 24
$22.8M
$411.0M
Q2 24
$41.8M
$439.7M
Q1 24
$26.2M
$441.4M
Total Debt
HR
HR
INSP
INSP
Q4 25
$3.9B
Q3 25
$4.5B
Q2 25
$4.7B
Q1 25
$4.7B
Q4 24
$4.7B
Q3 24
$5.0B
Q2 24
$5.1B
Q1 24
$5.1B
Stockholders' Equity
HR
HR
INSP
INSP
Q4 25
$4.6B
$781.2M
Q3 25
$4.7B
$666.5M
Q2 25
$4.8B
$677.8M
Q1 25
$5.1B
$635.7M
Q4 24
$5.2B
$689.7M
Q3 24
$5.5B
$696.6M
Q2 24
$5.9B
$638.1M
Q1 24
$6.4B
$589.0M
Total Assets
HR
HR
INSP
INSP
Q4 25
$9.2B
$907.3M
Q3 25
$9.9B
$807.7M
Q2 25
$10.2B
$802.2M
Q1 25
$10.5B
$730.8M
Q4 24
$10.7B
$808.4M
Q3 24
$11.2B
$796.2M
Q2 24
$11.8B
$728.4M
Q1 24
$12.3B
$685.8M
Debt / Equity
HR
HR
INSP
INSP
Q4 25
0.85×
Q3 25
0.96×
Q2 25
0.97×
Q1 25
0.93×
Q4 24
0.89×
Q3 24
0.90×
Q2 24
0.87×
Q1 24
0.80×

Cash Flow & Capital Efficiency

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

Metric
HR
HR
INSP
INSP
Operating Cash FlowLast quarter
$457.1M
$52.5M
Free Cash FlowOCF − Capex
$41.8M
FCF MarginFCF / Revenue
15.5%
Capex IntensityCapex / Revenue
4.0%
Cash ConversionOCF / Net Profit
31.33×
0.39×
TTM Free Cash FlowTrailing 4 quarters
$78.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HR
HR
INSP
INSP
Q4 25
$457.1M
$52.5M
Q3 25
$113.8M
$68.5M
Q2 25
$163.2M
$2.7M
Q1 25
$47.8M
$-6.7M
Q4 24
$501.6M
$69.2M
Q3 24
$119.3M
$52.3M
Q2 24
$168.2M
$-78.0K
Q1 24
$76.2M
$8.9M
Free Cash Flow
HR
HR
INSP
INSP
Q4 25
$41.8M
Q3 25
$58.1M
Q2 25
$-6.3M
Q1 25
$-15.1M
Q4 24
$62.2M
Q3 24
$44.3M
Q2 24
$-12.5M
Q1 24
$-2.8M
FCF Margin
HR
HR
INSP
INSP
Q4 25
15.5%
Q3 25
25.9%
Q2 25
-2.9%
Q1 25
-7.5%
Q4 24
25.9%
Q3 24
21.8%
Q2 24
-6.4%
Q1 24
-1.7%
Capex Intensity
HR
HR
INSP
INSP
Q4 25
4.0%
Q3 25
4.6%
Q2 25
4.1%
Q1 25
4.2%
Q4 24
2.9%
Q3 24
3.9%
Q2 24
6.3%
Q1 24
7.1%
Cash Conversion
HR
HR
INSP
INSP
Q4 25
31.33×
0.39×
Q3 25
6.90×
Q2 25
Q1 25
-2.24×
Q4 24
1.96×
Q3 24
2.83×
Q2 24
-0.01×
Q1 24

Financial Flow Comparison

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

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