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INSPInspire Medical Systems, Inc.
$50.08$1.4B
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INSP logoInspire Medical Systems, Inc.(INSP)Earnings, Financials & Key Ratios

INSP•NYSE
$50.08
10.2× P/E·Price updated Jul 7, 2026
SectorHealthcareIndustryMedical DevicesSub-IndustryRespiratory and sleep therapy devices
AboutInspire Medical Systems, Inc., a medical technology company, focuses on the development and commercialization of minimally invasive solutions for patients with obstructive sleep apnea (OSA) in the United States and internationally. The company offers Inspire system, a neurostimulation technology that provides a safe and effective treatment for moderate to severe OSA. It also develops a novel, a closed-loop solution that continuously monitors a patient's breathing and delivers mild hypoglossal nerve stimulation to maintain an open airway. The company was incorporated in 2007 and is headquartered in Golden Valley, Minnesota.Show more
  • Revenue$912M+13.6%
  • EBITDA$65M+52.3%
  • Net Income$145M+171.8%
  • EPS (Diluted)4.89+179.4%
  • Gross Margin85.39%+0.8%
  • EBITDA Margin7.12%+34.0%
  • Operating Margin5.59%+24.3%
  • Net Margin15.95%+139.2%
  • ROE19.77%+133.2%

INSP Price & Volume

Inspire Medical Systems, Inc. (INSP) stock price & volume — 10-year historical chart

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Decelerating Growth Challenges Inspire Medical Systems Valuation

Investment Thesis • Updated 2026Q1

VerdictNeutral
Growth:Decelerating
Profitability:Moderate
Financial:Healthy
Cash Flow:Mixed
Primary Risk:Elective procedure demand sensitivity

Key Thesis Takeaways

  • Inspire Medical Systems faces a critical transition as revenue growth has sharply decelerated to 1.6% in 2026Q1, raising concerns regarding market saturation for its sleep apnea therapy.
  • While the company maintains a robust 86.5% gross margin, the inability to achieve consistent operating leverage—evidenced by a -$1.1M operating loss in 2026Q1—suggests that aggressive SG&A spending may no longer yield proportional top-line expansion.
  • Investors should monitor the impact of emerging weight-loss therapies and the company's reliance on high stock-based compensation, which totaled $30.7M in the most recent quarter, as these factors continue to obscure underlying profitability.

Verdict Logic

while the balance sheet remains healthy with a 0.04 debt-to-equity ratio, the sharp deceleration in revenue growth to 1.6% and persistent operating losses suggest that the current 51.04 forward P/E valuation may be difficult to justify.

INSP Growth Metrics

Inspire Medical Systems, Inc. (INSP) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years51.21%
3 Years30.77%
TTM8.94%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM97.18%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM107.04%

Return on Capital

10 Years-51.99%
5 Years-4.65%
3 Years1.61%
Last Year6.66%

INSP Recent Earnings

Inspire Medical Systems, Inc. (INSP) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 12/12 qtrs (100%)●Beat Revenue 8/12 qtrs (67%)
Q2 2026Latest
May 4, 2026
Metric
Actual
Est
EPS
$0.10+136.3%
$0.28
Rev
$205M+2.3%
$200M
Q1 2026
Feb 11, 2026
Metric
Actual
Est
EPS
$1.65+139.1%
$0.69
Rev
$269M+1.3%
$266M
Q4 2025
Nov 3, 2025
Metric
Actual
Est
EPS
$0.38+353.3%
$0.15
Rev
$225M-14.4%
$262M
Q3 2025
Aug 4, 2025
Metric
Actual
Est
EPS
$0.45+104.5%
$0.22
Rev
$217M+1.2%
$214M
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 4, 2026
$0.10vs $0.28+136.3%
$205Mvs $200M+2.3%
Q1 2026Feb 11, 2026
$1.65vs $0.69+139.1%
$269Mvs $266M+1.3%
Q4 2025Nov 3, 2025
$0.38vs $0.15+353.3%
$225Mvs $262M-14.4%
Q3 2025Aug 4, 2025
$0.45vs $0.22+104.5%
$217Mvs $214M+1.2%
Based on last 12 quarters of dataView full earnings history →

Latest INSP News

Recent stock market news and headlines for Inspire Medical Systems, Inc. (INSP)

GlobeNewsWire·1 day ago
Correction: Inspire Medical Systems, Inc. to Report Second Quarter 2026 Financial Results on August 3, 2026

MINNEAPOLIS, July 06, 2026 (GLOBE NEWSWIRE) -- This press release corrects the earnings release date included in the earlier version issued on July 6, 2026. No other information has changed.

GlobeNewsWire·1 day ago
Inspire Medical Systems, Inc. to Report Second Quarter 2026 Financial Results on July 6, 2026

MINNEAPOLIS, July 06, 2026 (GLOBE NEWSWIRE) -- Inspire Medical Systems, Inc. (NYSE: INSP) (Inspire) will release financial results for the second quarter 2026 after the close of trading on Monday, August 3. Inspire's management team will host a corresponding conference call beginning at 5:00 p.m. Eastern Time to discuss the financial results and recent business developments.

Seeking Alpha·Jun 26, 2026
Inspire Medical Systems, Inc. (INSP) Presents at Wells Fargo 2026 MedTech Innovation Spotlight Transcript

Inspire Medical Systems, Inc. (INSP) Presents at Wells Fargo 2026 MedTech Innovation Spotlight Transcript

Zacks Investment Research·Jun 22, 2026
INSP Highlights New OSA Data and PREDICTOR Study at SLEEP 2026

Inspire Medical's SLEEP 2026 updates spotlight new Inspire V data, remote patient tools and research supporting wider OSA therapy adoption.

GlobeNewsWire·Jun 16, 2026
Inspire Medical Systems, Inc. Announces Presence at SLEEP 2026 and Publication of PREDICTOR Study

Highlights New Clinical Data, Technology Advancements, and Cardiovascular Outcomes Research Highlights New Clinical Data, Technology Advancements, and Cardiovascular Outcomes Research

Peers Comparison

Key metrics vs top competitors for Inspire Medical Systems, Inc. (INSP)

Full Screener →
CompanyPriceMarket CapP/E RatioRev Growth (1Y)Net MarginROEDiv Yield
INSP logoINSPInspire Medical Systems, Inc.Current
$50.08$1.44B10.2413.6%15.95%19.77%—
NVCR logoNVCRNovoCure Limited
$17.72$2.02B-14.528.28%-25.66%-50.82%—
TNDM logoTNDMTandem Diabetes Care, Inc.
$15.43$1.06B-5.087.93%-9.2%-68.29%—
IRTC logoIRTCiRhythm Technologies, Inc.
$125.09$4.11B-89.9926.24%-3.53%-20.6%—
MDT logoMDTMedtronic plc
$83.83$107.63B22.478.43%13.2%9.78%—
ABT logoABTAbbott Laboratories
$95.84$166.94B25.765.67%13.91%12.09%—

Compare INSP vs Peers

Inspire Medical Systems, Inc. (INSP) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs NVCR

Most directly comparable listed peer for INSP.

Scale Benchmark

vs ABT

Larger-name benchmark to compare INSP against a more recognizable public peer.

Peer Set

Compare Top 5

vs NVCR, TNDM, IRTC, MDT

INSP SEC Filings & Documents

Inspire Medical Systems, Inc. (INSP) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

May 5, 2026·SEC

Material company update

May 4, 2026·SEC

Material company update

Feb 11, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 13, 2026·SEC

FY 2025

Feb 10, 2025·SEC

FY 2024

Feb 9, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

May 4, 2026·SEC

FY 2025

Nov 3, 2025·SEC

FY 2025

Aug 4, 2025·SEC

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INSP Frequently Asked Questions

Inspire Medical Systems, Inc. (INSP) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials
What is Inspire Medical Systems, Inc.'s revenue?

Inspire Medical Systems, Inc. (INSP) reported $915.2M in revenue for fiscal year 2025. This represents a 5472% increase from $16.4M in 2016.

How fast is Inspire Medical Systems, Inc. growing?

Inspire Medical Systems, Inc. (INSP) grew revenue by 13.6% over the past year. This is steady growth.

Is INSP profitable?

Yes, Inspire Medical Systems, Inc. (INSP) is profitable, generating $131.1M in net income for fiscal year 2025 (15.9% net margin).

Dividend & Returns
What is INSP's return on equity?

Inspire Medical Systems, Inc. (INSP) has a return on equity (ROE) of 19.8%. This is reasonable for most industries.

What is Inspire Medical Systems, Inc.'s free cash flow?

Inspire Medical Systems, Inc. (INSP) generated $96.7M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

What if you invested $1,000 in INSP back in 2016?

Total return calculator · dividends reinvested · 10+ years of data

See returns →