Inspire Medical [INSP] vs Establishment Labs [ESTA] Detailed Stock Comparison

Inspire Medical Systems, Inc.

NYSE
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Establishment Labs Holdings Inc.

NASDAQ
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TLDR: Quick Comparison Summary

Based on 20 vital metrics comparison: Inspire Medical Systems, Inc. wins in 17 metrics, Establishment Labs Holdings Inc. wins in 2 metrics, with 0 ties. Inspire Medical Systems, Inc. appears stronger overall.

View Metrics Details

Vital Metrics Comparison

Metric Inspire Medical Systems, Inc. Establishment Labs Holdings Inc. Better
P/E Ratio (TTM) 10.64 -37.89 Inspire Medical Systems, Inc.
Price-to-Book Ratio 1.90 79.68 Inspire Medical Systems, Inc.
Debt-to-Equity Ratio 4.12 1,123.15 Inspire Medical Systems, Inc.
PEG Ratio 0.04 0.41 Inspire Medical Systems, Inc.
EV/EBITDA 18.66 -70.21 Inspire Medical Systems, Inc.
Profit Margin (TTM) 15.95% -24.19% Inspire Medical Systems, Inc.
Operating Margin (TTM) 17.14% -6.08% Inspire Medical Systems, Inc.
EBITDA Margin (TTM) 17.14% N/A N/A
Return on Equity 19.77% -133.25% Inspire Medical Systems, Inc.
Return on Assets (TTM) 3.71% -6.93% Inspire Medical Systems, Inc.
Free Cash Flow (TTM) $78.48M $-57.61M Inspire Medical Systems, Inc.
1-Year Return -70.07% 105.37% Establishment Labs Holdings Inc.
Price-to-Sales Ratio (TTM) 1.64 8.92 Inspire Medical Systems, Inc.
Enterprise Value $1.21B $2.07B Establishment Labs Holdings Inc.
EV/Revenue Ratio 1.33 9.79 Inspire Medical Systems, Inc.
Gross Profit Margin (TTM) 86.59% 70.46% Inspire Medical Systems, Inc.
Revenue per Share (TTM) $31 $7 Inspire Medical Systems, Inc.
Earnings per Share (Diluted) $4.89 $-1.72 Inspire Medical Systems, Inc.
Beta (Stock Volatility) 0.86 1.08 Inspire Medical Systems, Inc.
Short % of Float 14.57% 22.26% Inspire Medical Systems, Inc.

Inspire Medical Systems, Inc. vs Establishment Labs Holdings Inc. Stock Performance Analysis

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INSP
ESTA

Performance Comparison

Short-term Returns

Stock1D1W1M3M6MYTD
Inspire Medical Systems, Inc.-0.35%-4.22%-26.26%-38.54%-69.99%-56.17%
Establishment Labs Holdings Inc.2.84%1.53%3.09%1.83%6.86%5.19%

Long-term Returns

Stock1Y3Y5Y10Y15Y20Y
Inspire Medical Systems, Inc.-70.07%-86.64%-74.92%69.02%69.02%69.02%
Establishment Labs Holdings Inc.105.37%6.40%-6.53%167.87%167.87%167.87%

Performance & Financial Health Analysis: Inspire Medical Systems, Inc. vs Establishment Labs Holdings Inc.

MetricINSPESTA
Market Information
Market Cap i$1.62B$1.91B
Market Cap CategorySmall capSmall cap
10 Day Avg. Volume i951,377451,437
90 Day Avg. Volume i976,586478,309
Last Close$40.44$72.41
52 Week Range$38.91 - $147.03$33.35 - $83.31
% from 52W High-72.50%-13.08%
All-Time High$330.00 (Jul 10, 2023)$93.80 (Apr 18, 2022)
% from All-Time High-87.75%-22.80%
Growth Metrics
Quarterly Revenue Growth0.12%0.45%
Quarterly Earnings Growth2.86%0.45%
Financial Health
Profit Margin (TTM) i0.16%-0.24%
Operating Margin (TTM) i0.17%-0.06%
Return on Equity (TTM) i0.20%-1.33%
Debt to Equity (MRQ) i4.121,123.15
Cash & Liquidity
Book Value per Share (MRQ)$27.33$0.80
Cash per Share (MRQ)$10.78$2.58
Operating Cash Flow (TTM) i$116.98M$-50,890,000
Levered Free Cash Flow (TTM) i$54.50M$-41,574,000
Dividends
Last 12-Month Dividend Yield iN/AN/A
Last 12-Month Dividend iN/AN/A

Valuation & Enterprise Metrics Analysis: Inspire Medical Systems, Inc. vs Establishment Labs Holdings Inc.

MetricINSP (Apr 24, 2026)ESTA (Apr 24, 2026)
Price Ratios
P/E Ratio (TTM) i10.64-37.89
Forward P/E i20.13316.35
PEG Ratio i0.040.41
Price to Sales (TTM) i1.648.92
Price to Book (MRQ) i1.9079.68
Market Capitalization
Market Capitalization i$1.62B$1.91B
Enterprise Value i$1.21B$2.07B
Enterprise Value Metrics
Enterprise to Revenue i1.339.79
Enterprise to EBITDA i18.66-70.21
Risk & Other Metrics
Beta i0.861.08
Book Value per Share (MRQ) i$27.33$0.80

Financial Statements Comparison: Inspire Medical Systems, Inc. vs Establishment Labs Holdings Inc.

Financial Metrics

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Revenue

Operating Margin

Profit Margin

Long Term Debt

Income Flow Analysis

Financial Statements Comparison

Income Statement

MetricINSP (2025)ESTA (2025)
Revenue/Sales i911.98M211.08M
Cost of Goods Sold i133.23M64.77M
COGS % of Revenue i14.6%30.7%
Gross Profit i778.76M146.31M
Gross Margin i85.4%69.3%
Research & Development i103.17M20.25M
Operating Income (EBIT) i50.95M-39.01M
Operating Margin i5.6%-18.5%
EBITDA i79.79M-22.29M
EBITDA Margin i8.7%-10.6%
Pre-Tax Income i65.70M-58.02M
Pre-Tax Income % of Revenue i7.2%-27.5%
Income Tax i-79.73M-6.96M
Income Tax % of Revenue i-8.7%-3.3%
Net Income (Profit) i145.42M-51.06M
Profit Margin i15.9%-24.2%

Balance Sheet & Liquidity Metrics

MetricINSP (2025)ESTA (2025)
Cash & Equivalents i104.81M75.57M
Total Current Assets i583.65M249.94M
Total Current Assets % of Revenue i64.0%118.4%
Total Current Liabilities i96.06M82.14M
Total Current Liabilities % of Revenue i10.5%38.9%
Long-Term Debt i30.00M250.34M
Long-Term Debt % of Revenue i3.3%118.6%
Total Shareholders Equity i781.16M23.55M
Retained Earnings i-146.49M-495.76M
Retained Earnings % of Revenue i-16.1%-234.9%
Property, Plant & Equipment i54.21M4.34M

Cash Flow Statement Comparison

MetricINSP (2025)ESTA (2025)
Operating Cash Flow i107.85M-50.78M
Operating Cash Flow % of Revenue i11.8%-24.1%
Capital Expenditures i-38.50M-6.05M
Free Cash Flow i78.48M-57.61M
FCF Margin i8.6%-27.3%
Debt Repayment iN/A-1.02M
Common Stock Repurchase i-175.02MN/A

Short Interest & Institutional Ownership Analysis

MetricINSPESTA
Shares Short i3.20M5.22M
Short Ratio i3.379.90
Short % of Float i14.57%22.26%
Shares Outstanding i28.58M29.30M
Float Shares i26.71M19.22M
% Held by Insiders i1.17%10.16%
% Held by Institutions i121.08%102.08%
% Held by Public i-22.25%-12.24%

Dividend Analysis & Yield Comparison: Inspire Medical Systems, Inc. vs Establishment Labs Holdings Inc.

MetricINSPESTA
Last 12-Month Dividend iN/AN/A
Last 12-Month Dividend Yield iN/AN/A
3-Year Avg Annual Dividend iN/AN/A
3-Year Avg Dividend Yield iN/AN/A
3-Year Total Dividends iN/AN/A
Ex-Dividend DateN/AN/A