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Side-by-side financial comparison of Inspire Medical Systems, Inc. (INSP) and MACOM Technology Solutions Holdings, Inc. (MTSI). Click either name above to swap in a different company.

MACOM Technology Solutions Holdings, Inc. is the larger business by last-quarter revenue ($271.6M vs $269.1M, roughly 1.0× Inspire Medical Systems, Inc.). Inspire Medical Systems, Inc. runs the higher net margin — 50.6% vs 18.0%, a 32.6% gap on every dollar of revenue. On growth, MACOM Technology Solutions Holdings, Inc. posted the faster year-over-year revenue change (24.5% vs 12.2%). Inspire Medical Systems, Inc. produced more free cash flow last quarter ($41.8M vs $30.0M). Over the past eight quarters, Inspire Medical Systems, Inc.'s revenue compounded faster (28.1% CAGR vs 22.4%).

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.

MACOM Technology Solutions, Inc. is an American developer and producer of radio, microwave, and millimeter wave semiconductor devices and components. The company is headquartered in Lowell, Massachusetts, and in 2005 was Lowell's largest private employer. MACOM is certified to the ISO 9001 international quality standard and ISO 14001 environmental standard. The company has design centers and sales offices in North America, Europe, Asia and Australia.

INSP vs MTSI — Head-to-Head

Bigger by revenue
MTSI
MTSI
1.0× larger
MTSI
$271.6M
$269.1M
INSP
Growing faster (revenue YoY)
MTSI
MTSI
+12.3% gap
MTSI
24.5%
12.2%
INSP
Higher net margin
INSP
INSP
32.6% more per $
INSP
50.6%
18.0%
MTSI
More free cash flow
INSP
INSP
$11.8M more FCF
INSP
$41.8M
$30.0M
MTSI
Faster 2-yr revenue CAGR
INSP
INSP
Annualised
INSP
28.1%
22.4%
MTSI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
INSP
INSP
MTSI
MTSI
Revenue
$269.1M
$271.6M
Net Profit
$136.1M
$48.8M
Gross Margin
86.6%
55.9%
Operating Margin
17.1%
15.9%
Net Margin
50.6%
18.0%
Revenue YoY
12.2%
24.5%
Net Profit YoY
286.4%
129.1%
EPS (diluted)
$4.57
$0.64

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
INSP
INSP
MTSI
MTSI
Q1 26
$271.6M
Q4 25
$269.1M
$261.2M
Q3 25
$224.5M
$252.1M
Q2 25
$217.1M
$235.9M
Q1 25
$201.3M
$218.1M
Q4 24
$239.7M
Q3 24
$203.2M
$200.7M
Q2 24
$195.9M
$190.5M
Net Profit
INSP
INSP
MTSI
MTSI
Q1 26
$48.8M
Q4 25
$136.1M
$45.1M
Q3 25
$9.9M
$36.5M
Q2 25
$-3.6M
$31.7M
Q1 25
$3.0M
$-167.5M
Q4 24
$35.2M
Q3 24
$18.5M
$29.4M
Q2 24
$9.8M
$19.9M
Gross Margin
INSP
INSP
MTSI
MTSI
Q1 26
55.9%
Q4 25
86.6%
54.5%
Q3 25
85.8%
55.3%
Q2 25
84.0%
55.2%
Q1 25
84.7%
53.7%
Q4 24
85.0%
Q3 24
84.1%
54.7%
Q2 24
84.8%
53.2%
Operating Margin
INSP
INSP
MTSI
MTSI
Q1 26
15.9%
Q4 25
17.1%
15.2%
Q3 25
4.3%
14.9%
Q2 25
-1.5%
14.8%
Q1 25
-0.7%
8.0%
Q4 24
13.3%
Q3 24
7.0%
13.7%
Q2 24
2.6%
10.4%
Net Margin
INSP
INSP
MTSI
MTSI
Q1 26
18.0%
Q4 25
50.6%
17.3%
Q3 25
4.4%
14.5%
Q2 25
-1.7%
13.4%
Q1 25
1.5%
-76.8%
Q4 24
14.7%
Q3 24
9.1%
14.7%
Q2 24
5.0%
10.5%
EPS (diluted)
INSP
INSP
MTSI
MTSI
Q1 26
$0.64
Q4 25
$4.57
$0.67
Q3 25
$0.34
$0.48
Q2 25
$-0.12
$0.42
Q1 25
$0.10
$-2.30
Q4 24
$1.17
Q3 24
$0.60
$0.40
Q2 24
$0.32
$0.27

Balance Sheet & Financial Strength

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

Metric
INSP
INSP
MTSI
MTSI
Cash + ST InvestmentsLiquidity on hand
$308.3M
$768.5M
Total DebtLower is stronger
Stockholders' EquityBook value
$781.2M
$1.4B
Total Assets
$907.3M
$2.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
INSP
INSP
MTSI
MTSI
Q1 26
$768.5M
Q4 25
$308.3M
$786.0M
Q3 25
$322.6M
$735.2M
Q2 25
$300.9M
$681.5M
Q1 25
$369.2M
$656.5M
Q4 24
$445.5M
Q3 24
$411.0M
$581.9M
Q2 24
$439.7M
$521.5M
Stockholders' Equity
INSP
INSP
MTSI
MTSI
Q1 26
$1.4B
Q4 25
$781.2M
$1.3B
Q3 25
$666.5M
$1.3B
Q2 25
$677.8M
$1.2B
Q1 25
$635.7M
$1.2B
Q4 24
$689.7M
Q3 24
$696.6M
$1.1B
Q2 24
$638.1M
$1.1B
Total Assets
INSP
INSP
MTSI
MTSI
Q1 26
$2.1B
Q4 25
$907.3M
$2.1B
Q3 25
$807.7M
$2.0B
Q2 25
$802.2M
$1.9B
Q1 25
$730.8M
$1.8B
Q4 24
$808.4M
Q3 24
$796.2M
$1.8B
Q2 24
$728.4M
$1.7B

Cash Flow & Capital Efficiency

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

Metric
INSP
INSP
MTSI
MTSI
Operating Cash FlowLast quarter
$52.5M
$42.9M
Free Cash FlowOCF − Capex
$41.8M
$30.0M
FCF MarginFCF / Revenue
15.5%
11.0%
Capex IntensityCapex / Revenue
4.0%
4.8%
Cash ConversionOCF / Net Profit
0.39×
0.88×
TTM Free Cash FlowTrailing 4 quarters
$78.5M
$161.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
INSP
INSP
MTSI
MTSI
Q1 26
$42.9M
Q4 25
$52.5M
$69.6M
Q3 25
$68.5M
$60.4M
Q2 25
$2.7M
$38.7M
Q1 25
$-6.7M
$66.7M
Q4 24
$69.2M
Q3 24
$52.3M
$62.3M
Q2 24
$-78.0K
$49.0M
Free Cash Flow
INSP
INSP
MTSI
MTSI
Q1 26
$30.0M
Q4 25
$41.8M
$49.4M
Q3 25
$58.1M
$51.6M
Q2 25
$-6.3M
$30.5M
Q1 25
$-15.1M
$61.3M
Q4 24
$62.2M
Q3 24
$44.3M
$57.1M
Q2 24
$-12.5M
$41.5M
FCF Margin
INSP
INSP
MTSI
MTSI
Q1 26
11.0%
Q4 25
15.5%
18.9%
Q3 25
25.9%
20.5%
Q2 25
-2.9%
12.9%
Q1 25
-7.5%
28.1%
Q4 24
25.9%
Q3 24
21.8%
28.5%
Q2 24
-6.4%
21.8%
Capex Intensity
INSP
INSP
MTSI
MTSI
Q1 26
4.8%
Q4 25
4.0%
7.7%
Q3 25
4.6%
3.5%
Q2 25
4.1%
3.5%
Q1 25
4.2%
2.4%
Q4 24
2.9%
Q3 24
3.9%
2.6%
Q2 24
6.3%
3.9%
Cash Conversion
INSP
INSP
MTSI
MTSI
Q1 26
0.88×
Q4 25
0.39×
1.54×
Q3 25
6.90×
1.65×
Q2 25
1.22×
Q1 25
-2.24×
Q4 24
1.96×
Q3 24
2.83×
2.12×
Q2 24
-0.01×
2.46×

Financial Flow Comparison

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

Revenue Breakdown by Segment

INSP
INSP

Segment breakdown not available.

MTSI
MTSI

Industrial Defense$117.7M43%
Data Center$85.8M32%
Telecom$68.1M25%

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