The Filing Desk

Glaukos vs Inspire Medical Systems

Glaukos GKOS · Inspire Medical Systems INSP · Health Care Equipment

Inspire Medical Systems reported revenue of $912 million in fiscal 2025, 1.8 times Glaukos' $507 million in fiscal 2025. Glaukos' revenue grew 32.3% in its latest year, and Inspire Medical Systems' grew 13.6%. Glaukos had an operating margin of -39.3%, against 5.6% at Inspire Medical Systems. Free cash flow was −$22 million at Glaukos and $78 million at Inspire Medical Systems.

Side by side

GlaukosInspire Medical Systems
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$507M$912M
Revenue growth32.3%13.6%
Revenue growth a year, last 5 years17.7%51.2%
Gross margin55.7%85.4%
Operating margin−39.3%5.6%
Net margin−37.0%15.9%
Free cash flow−$22M$78M
Free cash flow margin−4.4%8.6%
Return on capital—14.2%
Net debt to EBITDA—−4.8x
Dividends and buybacks$0M$175M
Change in diluted share count8.4%−2.6%
Last close$178.27$71.01
P/E at the last close—15.6×
Insider trades, last 12 monthssold $69.1 millionsold $665,952
Piotroski F-score—5 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
GlaukosInspire Medical Systems
Operating margin
Percent of revenue
GlaukosInspire Medical Systems
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
GlaukosInspire Medical Systems

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Glaukos and Inspire Medical Systems pages.