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Side-by-side financial comparison of Inspire Medical Systems, Inc. (INSP) and FreightCar America, Inc. (RAIL). 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 $125.5M, roughly 1.6× FreightCar America, Inc.). On growth, Inspire Medical Systems, Inc. posted the faster year-over-year revenue change (1.6% vs -8.8%). Over the past eight quarters, Inspire Medical Systems, Inc.'s revenue compounded faster (2.2% CAGR vs -11.7%).

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.

FreightCar America, Inc. is a manufacturer of freight cars for the railway industry. The company employs around 2,000 people, most of them at its 700,000 square foot manufacturing facility in Castaños, Mexico. In addition to the manufacturing facility, the company maintains a headquarters in Chicago and an engineering and parts facility in Johnstown, Pennsylvania.

INSP vs RAIL — Head-to-Head

Bigger by revenue
INSP
INSP
1.6× larger
INSP
$204.6M
$125.5M
RAIL
Growing faster (revenue YoY)
INSP
INSP
+10.5% gap
INSP
1.6%
-8.8%
RAIL
Faster 2-yr revenue CAGR
INSP
INSP
Annualised
INSP
2.2%
-11.7%
RAIL

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
INSP
INSP
RAIL
RAIL
Revenue
$204.6M
$125.5M
Net Profit
$-16.6M
Gross Margin
86.5%
13.4%
Operating Margin
13.0%
6.2%
Net Margin
-13.2%
Revenue YoY
1.6%
-8.8%
Net Profit YoY
-147.9%
EPS (diluted)
$-0.39
$-0.54

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
RAIL
RAIL
Q1 26
$204.6M
Q4 25
$269.1M
$125.5M
Q3 25
$224.5M
$160.4M
Q2 25
$217.1M
$118.5M
Q1 25
$201.3M
$96.2M
Q4 24
$239.7M
$137.6M
Q3 24
$203.2M
$113.2M
Q2 24
$195.9M
$146.0M
Net Profit
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
$136.1M
$-16.6M
Q3 25
$9.9M
$-7.4M
Q2 25
$-3.6M
$11.7M
Q1 25
$3.0M
$50.4M
Q4 24
$35.2M
$34.6M
Q3 24
$18.5M
$-107.0M
Q2 24
$9.8M
$8.2M
Gross Margin
INSP
INSP
RAIL
RAIL
Q1 26
86.5%
Q4 25
86.6%
13.4%
Q3 25
85.8%
15.1%
Q2 25
84.0%
15.0%
Q1 25
84.7%
15.0%
Q4 24
85.0%
15.3%
Q3 24
84.1%
14.3%
Q2 24
84.8%
12.6%
Operating Margin
INSP
INSP
RAIL
RAIL
Q1 26
13.0%
Q4 25
17.1%
6.2%
Q3 25
4.3%
9.1%
Q2 25
-1.5%
6.5%
Q1 25
-0.7%
4.0%
Q4 24
13.3%
8.5%
Q3 24
7.0%
7.6%
Q2 24
2.6%
9.0%
Net Margin
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
50.6%
-13.2%
Q3 25
4.4%
-4.6%
Q2 25
-1.7%
9.9%
Q1 25
1.5%
52.4%
Q4 24
14.7%
25.2%
Q3 24
9.1%
-94.6%
Q2 24
5.0%
5.6%
EPS (diluted)
INSP
INSP
RAIL
RAIL
Q1 26
$-0.39
Q4 25
$4.57
$-0.54
Q3 25
$0.34
$-0.23
Q2 25
$-0.12
$0.34
Q1 25
$0.10
$1.52
Q4 24
$1.17
$0.88
Q3 24
$0.60
$-3.57
Q2 24
$0.32
$0.11

Balance Sheet & Financial Strength

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

Metric
INSP
INSP
RAIL
RAIL
Cash + ST InvestmentsLiquidity on hand
$98.9M
Total DebtLower is stronger
$107.2M
Stockholders' EquityBook value
$792.3M
$-107.4M
Total Assets
$911.4M
$290.0M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
INSP
INSP
RAIL
RAIL
Q1 26
$98.9M
Q4 25
$308.3M
Q3 25
$322.6M
Q2 25
$300.9M
Q1 25
$369.2M
Q4 24
$445.5M
Q3 24
$411.0M
Q2 24
$439.7M
Total Debt
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
$107.2M
Q3 25
$107.6M
Q2 25
$107.9M
Q1 25
$108.2M
Q4 24
$108.4M
Q3 24
Q2 24
Stockholders' Equity
INSP
INSP
RAIL
RAIL
Q1 26
$792.3M
Q4 25
$781.2M
$-107.4M
Q3 25
$666.5M
$-90.9M
Q2 25
$677.8M
$-83.5M
Q1 25
$635.7M
$-97.4M
Q4 24
$689.7M
$-150.3M
Q3 24
$696.6M
$-156.3M
Q2 24
$638.1M
$-48.8M
Total Assets
INSP
INSP
RAIL
RAIL
Q1 26
$911.4M
Q4 25
$907.3M
$290.0M
Q3 25
$807.7M
$340.8M
Q2 25
$802.2M
$328.1M
Q1 25
$730.8M
$250.5M
Q4 24
$808.4M
$224.2M
Q3 24
$796.2M
$245.9M
Q2 24
$728.4M
$207.2M

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
RAIL
RAIL
Operating Cash FlowLast quarter
$10.0M
Free Cash FlowOCF − Capex
$8.8M
FCF MarginFCF / Revenue
7.0%
Capex IntensityCapex / Revenue
1.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$31.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
$52.5M
$10.0M
Q3 25
$68.5M
$3.4M
Q2 25
$2.7M
$8.5M
Q1 25
$-6.7M
$12.8M
Q4 24
$69.2M
$5.9M
Q3 24
$52.3M
$7.2M
Q2 24
$-78.0K
$57.2M
Free Cash Flow
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
$41.8M
$8.8M
Q3 25
$58.1M
$2.2M
Q2 25
$-6.3M
$7.9M
Q1 25
$-15.1M
$12.5M
Q4 24
$62.2M
$4.6M
Q3 24
$44.3M
$5.7M
Q2 24
$-12.5M
$55.9M
FCF Margin
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
15.5%
7.0%
Q3 25
25.9%
1.4%
Q2 25
-2.9%
6.7%
Q1 25
-7.5%
13.0%
Q4 24
25.9%
3.3%
Q3 24
21.8%
5.0%
Q2 24
-6.4%
38.3%
Capex Intensity
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
4.0%
1.0%
Q3 25
4.6%
0.7%
Q2 25
4.1%
0.5%
Q1 25
4.2%
0.3%
Q4 24
2.9%
0.9%
Q3 24
3.9%
1.3%
Q2 24
6.3%
0.9%
Cash Conversion
INSP
INSP
RAIL
RAIL
Q1 26
Q4 25
0.39×
Q3 25
6.90×
Q2 25
0.73×
Q1 25
-2.24×
0.25×
Q4 24
1.96×
0.17×
Q3 24
2.83×
Q2 24
-0.01×
6.99×

Financial Flow Comparison

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

Revenue Breakdown by Segment

INSP
INSP

Segment breakdown not available.

RAIL
RAIL

Railcar Sales$118.9M95%
Aftermarket Sales$6.6M5%

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