Inspire Medical Systems, Inc.
$1.63B- Market cap
- $1.82B
- Debt
- +$112.36M
- Cash
- −$308.27M
Capital structure 94% equity / 6% debt · EV / Revenue 1.78x · EV / EBITDA 24.73x
Compare price, profitability, solvency, and SEC-reported financials side by side—before deciding which assumptions deserve a closer look.
FY 2026 ·
Decision snapshot: INSP stock price vs PAYX: inconclusive Relative valuation is incomplete for this pair. Review the available filing metrics before drawing a conclusion.
Quick read
Each company valued on the other's multiple, then compared with the market price.
Implied fair value · at PAYX's multiple
Needs PAYX P/E.
Implied fair value · at INSP's multiple
Needs INSP P/E.
Snapshot Sep 4, 4:00 PM ET
Metric by metric
Where each company leads, and how wide the gap is.
Growth lag
Pricing power
Operating leverage
Multiple discount
Not comparable
Lower leverage
Statements
Core statements aligned to each company's latest fiscal year.
SEC periods: INSP FY 2025 (ended Dec 31, 2025) · PAYX FY 2026 (ended May 31, 2026). Fiscal years are not aligned.
Trendline
Eight fiscal years of revenue, earnings, and margins before underwriting a re-rating.
Price framework
Market cap plus debt, less cash.
Capital structure 94% equity / 6% debt · EV / Revenue 1.78x · EV / EBITDA 24.73x
Capital structure 90% equity / 10% debt · EV / Revenue 7.17x · EV / EBITDA 15.38x
PAYX carries the larger enterprise value at $46.72B against $1.63B; INSP trades on the lower EV / Revenue multiple (1.78x vs 7.17x); PAYX on the lower EV / EBITDA (15.38x vs 24.73x).
Price framework
The same filing-backed model used on each company's valuation page, with company-specific inputs and calculated scenarios.
Inspire Medical Systems, Inc. · implied price per share
Debt and bridge-cash inputs are required to translate enterprise value into equity value.
Paychex, Inc. · implied price per share
Bear
$70.62
Base
$86.28
Bull
$107.40
Balance sheet health
Financial health checks to separate durable balance sheets from potential value traps.
Financial strength on a 0–9 scale.
Bankruptcy-risk signal from balance sheet and earnings power.
Debt / equity
Total debt against shareholders' equity
0.14x
1.22x
Net debt / EBITDA
Leverage against operating earnings
-2.98x
1.13x
Cash and equivalents
Liquid reserves on the balance sheet
$308.27M
$1.12B
Total debt
Interest-bearing obligations outstanding
Comparable set
Where the pair sits against the wider comparable set.
Keep comparing
Open adjacent comparisons from the same industry to pressure-test the read across multiple pairs.
$112.36M
$4.56B
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