Medical - Instruments & Supplies
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RMD vs INSP
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
RMD vs INSP — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Instruments & Supplies | Medical - Devices |
| Market Cap | $30.15B | $1.31B |
| Revenue (TTM) | $5.54B | $915M |
| Net Income (TTM) | $1.52B | $131M |
| Gross Margin | 61.7% | 85.8% |
| Operating Margin | 34.3% | 5.6% |
| Forward P/E | 18.8x | 24.5x |
| Total Debt | $852M | $32M |
| Cash & Equiv. | $1.21B | $105M |
RMD vs INSP — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| ResMed Inc. (RMD) | 100 | 128.7 | +28.7% |
| Inspire Medical Sys… (INSP) | 100 | 55.9 | -44.1% |
Price return only. Dividends and distributions are not included.
Quick Verdict: RMD vs INSP
Each card shows where this stock fits in a portfolio — not just who wins on paper.
RMD carries the broadest edge in this set and is the clearest fit for income & stability and long-term compounding.
- Dividend streak 14 yrs, beta 0.66, yield 1.0%
- 293.8% 10Y total return vs INSP's 82.4%
- Lower volatility, beta 0.66, Low D/E 14.3%, current ratio 3.44x
INSP is the clearest fit if your priority is growth exposure.
- Rev growth 13.6%, EPS growth 179.4%, 3Y rev CAGR 30.8%
- 13.6% revenue growth vs RMD's 9.8%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 13.6% revenue growth vs RMD's 9.8% | |
| Value | Lower P/E (18.8x vs 24.5x) | |
| Quality / Margins | 27.4% margin vs INSP's 14.3% | |
| Stability / Safety | Beta 0.66 vs INSP's 1.27 | |
| Dividends | 1.0% yield; 14-year raise streak; the other pay no meaningful dividend | |
| Momentum (1Y) | -14.5% vs INSP's -70.9% | |
| Efficiency (ROA) | 18.0% ROA vs INSP's 15.2%, ROIC 22.8% vs 6.0% |
RMD vs INSP — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
RMD vs INSP — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
RMD leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
RMD is the larger business by revenue, generating $5.5B annually — 6.1x INSP's $915M. RMD is the more profitable business, keeping 27.4% of every revenue dollar as net income compared to INSP's 14.3%. On growth, RMD holds the edge at +10.8% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $5.5B | $915M |
| EBITDAEarnings before interest/tax | $2.1B | $62M |
| Net IncomeAfter-tax profit | $1.5B | $131M |
| Free Cash FlowCash after capex | $1.8B | $97M |
| Gross MarginGross profit ÷ Revenue | +61.7% | +85.8% |
| Operating MarginEBIT ÷ Revenue | +34.3% | +5.6% |
| Net MarginNet income ÷ Revenue | +27.4% | +14.3% |
| FCF MarginFCF ÷ Revenue | +31.7% | +10.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +10.8% | +1.6% |
| EPS Growth (YoY)Latest quarter vs prior year | +9.3% | -5.0% |
Valuation Metrics
INSP leads this category, winning 4 of 6 comparable metrics.
Valuation Metrics
At 9.3x trailing earnings, INSP trades at a 57% valuation discount to RMD's 21.8x P/E. On an enterprise value basis, RMD's 15.5x EV/EBITDA is more attractive than INSP's 19.1x.
| Metric | ||
|---|---|---|
| Market CapShares × price | $30.1B | $1.3B |
| Enterprise ValueMkt cap + debt − cash | $29.8B | $1.2B |
| Trailing P/EPrice ÷ TTM EPS | 21.76x | 9.32x |
| Forward P/EPrice ÷ next-FY EPS est. | 18.78x | 24.46x |
| PEG RatioP/E ÷ EPS growth rate | 1.25x | — |
| EV / EBITDAEnterprise value multiple | 15.51x | 19.11x |
| Price / SalesMarket cap ÷ Revenue | 5.86x | 1.44x |
| Price / BookPrice ÷ Book value/share | 5.11x | 1.74x |
| Price / FCFMarket cap ÷ FCF | 18.14x | 16.73x |
Profitability & Efficiency
RMD leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
RMD delivers a 24.4% return on equity — every $100 of shareholder capital generates $24 in annual profit, vs $18 for INSP. INSP carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to RMD's 0.14x. On the Piotroski fundamental quality scale (0–9), RMD scores 8/9 vs INSP's 7/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | +24.4% | +18.0% |
| ROA (TTM)Return on assets | +18.0% | +15.2% |
| ROICReturn on invested capital | +22.8% | +6.0% |
| ROCEReturn on capital employed | +25.7% | +6.7% |
| Piotroski ScoreFundamental quality 0–9 | 8 | 7 |
| Debt / EquityFinancial leverage | 0.14x | 0.04x |
| Net DebtTotal debt minus cash | -$358M | -$73M |
| Cash & Equiv.Liquid assets | $1.2B | $105M |
| Total DebtShort + long-term debt | $852M | $32M |
| Interest CoverageEBIT ÷ Interest expense | 66.06x | 418.58x |
Total Returns (Dividends Reinvested)
RMD leads this category, winning 6 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in RMD five years ago would be worth $11,100 today (with dividends reinvested), compared to $2,342 for INSP. Over the past 12 months, RMD leads with a -14.5% total return vs INSP's -70.9%. The 3-year compound annual growth rate (CAGR) favors RMD at -2.9% vs INSP's -45.6% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -15.2% | -50.6% |
| 1-Year ReturnPast 12 months | -14.5% | -70.9% |
| 3-Year ReturnCumulative with dividends | -8.4% | -83.9% |
| 5-Year ReturnCumulative with dividends | +11.0% | -76.6% |
| 10-Year ReturnCumulative with dividends | +293.8% | +82.4% |
| CAGR (3Y)Annualised 3-year return | -2.9% | -45.6% |
Risk & Volatility
RMD leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
RMD is the less volatile stock with a 0.66 beta — it tends to amplify market swings less than INSP's 1.27 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. RMD currently trades 70.4% from its 52-week high vs INSP's 27.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.66x | 1.27x |
| 52-Week HighHighest price in past year | $293.81 | $163.35 |
| 52-Week LowLowest price in past year | $198.64 | $44.41 |
| % of 52W HighCurrent price vs 52-week peak | +70.4% | +27.9% |
| RSI (14)Momentum oscillator 0–100 | 35.6 | 31.6 |
| Avg Volume (50D)Average daily shares traded | 1.1M | 1.1M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates RMD as "Buy" and INSP as "Hold". Consensus price targets imply 100.4% upside for INSP (target: $91) vs 35.9% for RMD (target: $281). RMD is the only dividend payer here at 1.02% yield — a key consideration for income-focused portfolios.
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold |
| Price TargetConsensus 12-month target | $281.29 | $91.33 |
| # AnalystsCovering analysts | 35 | 27 |
| Dividend YieldAnnual dividend ÷ price | +1.0% | — |
| Dividend StreakConsecutive years of raises | 14 | — |
| Dividend / ShareAnnual DPS | $2.11 | — |
| Buyback YieldShare repurchases ÷ mkt cap | +1.0% | +13.3% |
RMD leads in 4 of 6 categories (Income & Cash Flow, Profitability & Efficiency). INSP leads in 1 (Valuation Metrics).
RMD vs INSP: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is RMD or INSP a better buy right now?
For growth investors, Inspire Medical Systems, Inc.
(INSP) is the stronger pick with 13. 6% revenue growth year-over-year, versus 9. 8% for ResMed Inc. (RMD). Inspire Medical Systems, Inc. (INSP) offers the better valuation at 9. 3x trailing P/E (24. 5x forward), making it the more compelling value choice. Analysts rate ResMed Inc. (RMD) a "Buy" — based on 35 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — RMD or INSP?
On trailing P/E, Inspire Medical Systems, Inc.
(INSP) is the cheapest at 9. 3x versus ResMed Inc. at 21. 8x. On forward P/E, ResMed Inc. is actually cheaper at 18. 8x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — RMD or INSP?
Over the past 5 years, ResMed Inc.
(RMD) delivered a total return of +11. 0%, compared to -76. 6% for Inspire Medical Systems, Inc. (INSP). Over 10 years, the gap is even starker: RMD returned +293. 8% versus INSP's +82. 4%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — RMD or INSP?
By beta (market sensitivity over 5 years), ResMed Inc.
(RMD) is the lower-risk stock at 0. 66β versus Inspire Medical Systems, Inc. 's 1. 27β — meaning INSP is approximately 93% more volatile than RMD relative to the S&P 500. On balance sheet safety, Inspire Medical Systems, Inc. (INSP) carries a lower debt/equity ratio of 4% versus 14% for ResMed Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — RMD or INSP?
By revenue growth (latest reported year), Inspire Medical Systems, Inc.
(INSP) is pulling ahead at 13. 6% versus 9. 8% for ResMed Inc. (RMD). On earnings-per-share growth, the picture is similar: Inspire Medical Systems, Inc. grew EPS 179. 4% year-over-year, compared to 37. 4% for ResMed Inc.. Over a 3-year CAGR, INSP leads at 30. 8% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — RMD or INSP?
ResMed Inc.
(RMD) is the more profitable company, earning 27. 2% net margin versus 15. 9% for Inspire Medical Systems, Inc. — meaning it keeps 27. 2% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: RMD leads at 32. 7% versus 5. 6% for INSP. At the gross margin level — before operating expenses — INSP leads at 85. 4%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is RMD or INSP more undervalued right now?
On forward earnings alone, ResMed Inc.
(RMD) trades at 18. 8x forward P/E versus 24. 5x for Inspire Medical Systems, Inc. — 5. 7x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for INSP: 100. 4% to $91. 33.
08Which pays a better dividend — RMD or INSP?
In this comparison, RMD (1.
0% yield) pays a dividend. INSP does not pay a meaningful dividend and should not be held primarily for income.
09Is RMD or INSP better for a retirement portfolio?
For long-horizon retirement investors, ResMed Inc.
(RMD) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 66), 1. 0% yield, +293. 8% 10Y return). Both have compounded well over 10 years (RMD: +293. 8%, INSP: +82. 4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between RMD and INSP?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: RMD is a mid-cap quality compounder stock; INSP is a small-cap deep-value stock. RMD pays a dividend while INSP does not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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