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Side-by-side financial comparison of Inspire Medical Systems, Inc. (INSP) and Natural Grocers by Vitamin Cottage, Inc. (NGVC). Click either name above to swap in a different company.

Natural Grocers by Vitamin Cottage, Inc. is the larger business by last-quarter revenue ($335.6M vs $269.1M, roughly 1.2× Inspire Medical Systems, Inc.). Inspire Medical Systems, Inc. runs the higher net margin — 50.6% vs 3.4%, a 47.2% gap on every dollar of revenue. On growth, Inspire Medical Systems, Inc. posted the faster year-over-year revenue change (12.2% vs 1.6%). Inspire Medical Systems, Inc. produced more free cash flow last quarter ($41.8M vs $11.6M). Over the past eight quarters, Inspire Medical Systems, Inc.'s revenue compounded faster (28.1% CAGR vs 4.4%).

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.

Natural Grocers by Vitamin Cottage, Inc. is a U.S.-based specialty retail chain that offers certified organic groceries, dietary supplements, natural personal care items, and eco-friendly household products. It serves health-conscious consumers across multiple U.S. states, following strict quality standards that exclude artificial preservatives, colors, flavors and harmful additives.

INSP vs NGVC — Head-to-Head

Bigger by revenue
NGVC
NGVC
1.2× larger
NGVC
$335.6M
$269.1M
INSP
Growing faster (revenue YoY)
INSP
INSP
+10.6% gap
INSP
12.2%
1.6%
NGVC
Higher net margin
INSP
INSP
47.2% more per $
INSP
50.6%
3.4%
NGVC
More free cash flow
INSP
INSP
$30.3M more FCF
INSP
$41.8M
$11.6M
NGVC
Faster 2-yr revenue CAGR
INSP
INSP
Annualised
INSP
28.1%
4.4%
NGVC

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
INSP
INSP
NGVC
NGVC
Revenue
$269.1M
$335.6M
Net Profit
$136.1M
$11.3M
Gross Margin
86.6%
29.5%
Operating Margin
17.1%
4.4%
Net Margin
50.6%
3.4%
Revenue YoY
12.2%
1.6%
Net Profit YoY
286.4%
14.0%
EPS (diluted)
$4.57
$0.49

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
NGVC
NGVC
Q4 25
$269.1M
$335.6M
Q3 25
$224.5M
$336.1M
Q2 25
$217.1M
$328.7M
Q1 25
$201.3M
$335.8M
Q4 24
$239.7M
$330.2M
Q3 24
$203.2M
$322.7M
Q2 24
$195.9M
$309.1M
Q1 24
$164.0M
$308.1M
Net Profit
INSP
INSP
NGVC
NGVC
Q4 25
$136.1M
$11.3M
Q3 25
$9.9M
$11.8M
Q2 25
$-3.6M
$11.6M
Q1 25
$3.0M
$13.1M
Q4 24
$35.2M
$9.9M
Q3 24
$18.5M
$9.0M
Q2 24
$9.8M
$9.2M
Q1 24
$-10.0M
$8.0M
Gross Margin
INSP
INSP
NGVC
NGVC
Q4 25
86.6%
29.5%
Q3 25
85.8%
29.5%
Q2 25
84.0%
29.9%
Q1 25
84.7%
30.3%
Q4 24
85.0%
29.9%
Q3 24
84.1%
29.6%
Q2 24
84.8%
29.2%
Q1 24
84.9%
29.3%
Operating Margin
INSP
INSP
NGVC
NGVC
Q4 25
17.1%
4.4%
Q3 25
4.3%
4.6%
Q2 25
-1.5%
4.7%
Q1 25
-0.7%
5.2%
Q4 24
13.3%
4.0%
Q3 24
7.0%
3.7%
Q2 24
2.6%
4.2%
Q1 24
-9.3%
3.7%
Net Margin
INSP
INSP
NGVC
NGVC
Q4 25
50.6%
3.4%
Q3 25
4.4%
3.5%
Q2 25
-1.7%
3.5%
Q1 25
1.5%
3.9%
Q4 24
14.7%
3.0%
Q3 24
9.1%
2.8%
Q2 24
5.0%
3.0%
Q1 24
-6.1%
2.6%
EPS (diluted)
INSP
INSP
NGVC
NGVC
Q4 25
$4.57
$0.49
Q3 25
$0.34
$0.51
Q2 25
$-0.12
$0.50
Q1 25
$0.10
$0.56
Q4 24
$1.17
$0.43
Q3 24
$0.60
$0.38
Q2 24
$0.32
$0.40
Q1 24
$-0.34
$0.35

Balance Sheet & Financial Strength

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

Metric
INSP
INSP
NGVC
NGVC
Cash + ST InvestmentsLiquidity on hand
$308.3M
$23.2M
Total DebtLower is stronger
Stockholders' EquityBook value
$781.2M
$220.0M
Total Assets
$907.3M
$668.6M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
INSP
INSP
NGVC
NGVC
Q4 25
$308.3M
$23.2M
Q3 25
$322.6M
$17.1M
Q2 25
$300.9M
$13.2M
Q1 25
$369.2M
$21.2M
Q4 24
$445.5M
$6.3M
Q3 24
$411.0M
$8.9M
Q2 24
$439.7M
$13.9M
Q1 24
$441.4M
$11.0M
Stockholders' Equity
INSP
INSP
NGVC
NGVC
Q4 25
$781.2M
$220.0M
Q3 25
$666.5M
$212.4M
Q2 25
$677.8M
$202.5M
Q1 25
$635.7M
$193.0M
Q4 24
$689.7M
$181.9M
Q3 24
$696.6M
$174.3M
Q2 24
$638.1M
$167.8M
Q1 24
$589.0M
$160.0M
Total Assets
INSP
INSP
NGVC
NGVC
Q4 25
$907.3M
$668.6M
Q3 25
$807.7M
$670.5M
Q2 25
$802.2M
$659.0M
Q1 25
$730.8M
$664.6M
Q4 24
$808.4M
$648.9M
Q3 24
$796.2M
$655.5M
Q2 24
$728.4M
$654.4M
Q1 24
$685.8M
$656.6M

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
NGVC
NGVC
Operating Cash FlowLast quarter
$52.5M
$21.1M
Free Cash FlowOCF − Capex
$41.8M
$11.6M
FCF MarginFCF / Revenue
15.5%
3.4%
Capex IntensityCapex / Revenue
4.0%
2.9%
Cash ConversionOCF / Net Profit
0.39×
1.86×
TTM Free Cash FlowTrailing 4 quarters
$78.5M
$42.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
INSP
INSP
NGVC
NGVC
Q4 25
$52.5M
$21.1M
Q3 25
$68.5M
$15.6M
Q2 25
$2.7M
$2.9M
Q1 25
$-6.7M
$34.1M
Q4 24
$69.2M
$2.7M
Q3 24
$52.3M
$24.5M
Q2 24
$-78.0K
$12.4M
Q1 24
$8.9M
$20.2M
Free Cash Flow
INSP
INSP
NGVC
NGVC
Q4 25
$41.8M
$11.6M
Q3 25
$58.1M
$7.5M
Q2 25
$-6.3M
$-4.2M
Q1 25
$-15.1M
$27.6M
Q4 24
$62.2M
$-6.9M
Q3 24
$44.3M
$18.0M
Q2 24
$-12.5M
$3.6M
Q1 24
$-2.8M
$9.8M
FCF Margin
INSP
INSP
NGVC
NGVC
Q4 25
15.5%
3.4%
Q3 25
25.9%
2.2%
Q2 25
-2.9%
-1.3%
Q1 25
-7.5%
8.2%
Q4 24
25.9%
-2.1%
Q3 24
21.8%
5.6%
Q2 24
-6.4%
1.2%
Q1 24
-1.7%
3.2%
Capex Intensity
INSP
INSP
NGVC
NGVC
Q4 25
4.0%
2.9%
Q3 25
4.6%
2.4%
Q2 25
4.1%
2.2%
Q1 25
4.2%
1.9%
Q4 24
2.9%
2.9%
Q3 24
3.9%
2.0%
Q2 24
6.3%
2.9%
Q1 24
7.1%
3.4%
Cash Conversion
INSP
INSP
NGVC
NGVC
Q4 25
0.39×
1.86×
Q3 25
6.90×
1.32×
Q2 25
0.25×
Q1 25
-2.24×
2.60×
Q4 24
1.96×
0.27×
Q3 24
2.83×
2.72×
Q2 24
-0.01×
1.35×
Q1 24
2.54×

Financial Flow Comparison

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

Revenue Breakdown by Segment

INSP
INSP

Segment breakdown not available.

NGVC
NGVC

Grocery$243.8M73%
Dietary Supplements$60.7M18%
Manufactured Product Other$31.0M9%

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