Educational research only—not investment advice or a recommendation. Scores and estimates may use delayed, incomplete, restated, or corrected market and filing data. Independently verify information before making an investment decision.

Inspire Medical Systems, Inc.

INSPNYSE
Wall Street Score · overall investment64/100
$71.30USD+$0.29 (+0.41%)
Company website www.inspiresleep.com
Headquarters5500 Wayzata Boulevard, Golden Valley, MN, 55416, US
Financial statement currencyUSD · no FX conversion applied
Healthcare · Medical - Devices
Price updated todayFinancials updated Oct 1, 2026

INSP · Price history

Price at last available close

$71.30

+$1.30 (+1.86%) 1M

2026-10-27

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Company & revenue

About Inspire Medical Systems, Inc.

Primary reporting period: 2025-12-31 · Research updated Oct 12, 2026. A research update is not a new financial filing.

Who they are

Inspire Medical Systems, Inc. operates as a medical technology enterprise, concentrating on the development and commercialization of advanced, minimally intrusive therapies for patients diagnosed with obstructive sleep apnea (OSA) across both domestic U. S. and international markets.

How they make money

Inspire Medical Systems generates revenue by selling its proprietary neurostimulation system to hospitals and ambulatory surgery centers. The company utilizes a direct sales organization in the U.S. and Europe, while employing third-party distributors in Japan and Singapore to facilitate the adoption of its therapy for obstructive sleep apnea.

Products & services

The Inspire system is an FDA-approved, implantable neurostimulation technology designed to treat moderate to severe obstructive sleep apnea by providing a mask-free and hose-free alternative to traditional therapies.

Brands & revenue mix

Inspire

The primary brand for the company's proprietary neurostimulation therapy system.

Separate brand revenue is not available in this research.Source

Revenue share is not unit sales or a best-seller ranking. Parent brands and included sub-brands can overlap; do not add overlapping rows.

Product / operating segments

Operating SegmentUSD 911.98M100.0%

Period ended 2025-12-31Source

Calculated from reported segment revenue. Check the source period and revenue basis before comparing shares. Categories can overlap and may not add to 100%.

Geographic revenue

UNITED STATESUSD 872.09M95.6%

Period ended 2025-12-31Source

Non-USUSD 39.90M4.4%

Period ended 2025-12-31Source

Calculated from reported segment revenue. Check the source period and revenue basis before comparing shares. Categories can overlap and may not add to 100%.

Customer types

Customer concentration

The company does not disclose specific customer concentration figures, noting that it sells to a broad network of hospitals and ambulatory surgery centers.

Suppliers, materials & equipment

  • Contract Manufacturers — The company relies on third-party manufacturers for the production of its implantable devices and components; specific supplier names are not disclosed.Source

Strengths

  • Proprietary FDA-approved neurostimulation technologySource
  • Direct sales organization in key marketsSource

Risks

  • Dependence on third-party manufacturersSource
  • Regulatory approval and compliance requirementsSource
  • Reimbursement coverage by insurance providersSource

Wall Street Score

Overall investment score · Quality, value, risk and opportunity

64

Fair

PoorElite

View category scores →

Company Quality

How good is the actual business—regardless of today’s stock price?

69

Fair

Financial Strength

65

Business Quality / Moat

80

Management

94

Growth Quality

33

Risk / Durability

55

Cheap for a Reason · Review the Risks

Uses financial strength, moat, management, growth quality and durability. It excludes share price, P/E, market cap, intrinsic value and margin of safety.

Opportunity

Opportunity Score · How does the current price compare with estimated value?

61

Fully Valued

Based on current valuation, company quality, recent trends, and available market signals.

View score details →

Model Outlook

12-month model · What does the model think happens next?

57/100

Building Historical Record

Model Score 57/100 — estimates relative performance potential, distinct from the overall Wall Street Score and the separate Company Quality score.

Probability unavailable — the model has not produced a calibrated probability yet.

Click for full breakdown →

WSS View

The quick read

The overall Wall Street Score is mixed across its combined quality, valuation and risk inputs. Review the category scores to identify what is helping or hurting the result.

At today’s price, the WSS valuation framework currently reads as moderate rather than unusually attractive.

The model outlook is currently moderate.

What we like
  • •Valuation scores attractively
  • •Recent buyback activity is present
What to watch
  • •Revenue fundamentals are weak

Company-specific research

Questions worth answering for INSP

Research inputs 100% complete

These questions are generated from this company's current financial and score data so the page adds context instead of treating the headline score as a stand-alone conclusion.

  • •What is driving INSP's revenue decline, and does the latest company filing suggest the weakness is temporary or structural?
  • •Is INSP's positive free cash flow repeatable, or is the current level being helped by temporary working-capital or spending changes?
  • •How is INSP likely to use its cash advantage: reinvestment, acquisitions, debt reduction, dividends or buybacks?
  • •Is INSP's valuation discount tied to a temporary concern or to a longer-term business risk?
Business analysis: 15 days ago · Fresh

Essential Investment Snapshot

Wall Street Score

64

0–100 · Fair

Opportunity Score

61

0–100 · Fair

Market Cap

$2.06B

P/E Ratio

14.9

EPS

$4.66

52-Week High

$147.03

52-Week Low

$38.91

Beta

0.70

Intrinsic Value

$179.44

Analyst Target

$60.00

Shares Outstanding

29.8M

Total Revenue

$898.7M

Total Debt

$29.1M

Dividend

No current dividend

View dividend history

Liquidation Value / Share

$27.74

Estimated net asset value per share

Momentum & Volatility Signals

Two different market-behavior signals. Momentum measures direction and trend strength. Volatility measures how large and unstable the price moves are, regardless of direction.

0–100 market signals
Momentum
63/ 100
-5 pts / 5d

Neutral / mixed momentum

5D -0.1% · 20D -2.6% · RSI 60 · Price vs 20D avg +2.0%
Volatility
31/ 100
-3 pts / 5d

Low movement

20D realized vol 39.8% · 60D 61.5% · Acceleration 0.65x
Momentum = Where is it going?

A high momentum score means price has been trending upward with confirming short- and medium-term strength. A low score means downward or weakening momentum.

Volatility = How violently is it moving?

A high volatility score means larger, less stable price swings. It can happen while a stock is rising or falling, so high volatility is not automatically bullish or bearish.

Important: the volatility score above is based on realized price volatility. Implied volatility (IV) comes from options prices and represents the market's expected future movement. Wall Street Score will keep IV separate and will only display it when a verified options-chain feed is available.

Notices for INSP

Detected from reported data — verify before acting.

Dividend history reported

Dividend payments are recorded. Review the dates and regular/special classification below; past payments do not guarantee future dividends.

Historical repurchase activity

Reported cash flows or share-count measures indicate past repurchase activity. This does not verify an active buyback authorization or future purchases.

Community Sentiment

0 active · 0 total calls
0% Bullish (0) 0% Bearish (0)

No personal call yet on INSP.

Potential upside factors

  • +Growth opportunities may come from revenue expansion, margin improvement, new products, market-share gains, and stronger cash flow.
  • +Proprietary FDA-approved neurostimulation technology.
  • +Direct sales organization in key markets.
  • +Positive free cash flow may provide capacity to invest in growth.

Potential downside factors

  • −Key risks may include competition, margin pressure, debt levels, valuation risk, and changes in demand within the Medical - Devices industry.
  • −Dependence on third-party manufacturers.
  • −Regulatory approval and compliance requirements.
  • −Reimbursement coverage by insurance providers.

These research factors come from saved company research and financial data, not community votes. They are starting points to verify against filings, not buy or sell recommendations.

Create a free account to make a call.

Scores

Click any score for full breakdown
Wall Street Score
Fair64/ 100
Weak (0–50)Fair (51–71)Strong (72+)

Fair

64

Tap for breakdown →

Fair

68

Debt Cost0.4%
Debt Reduction YoY-1.1%
Debt / Equity0.04x

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Poor

34

Revenue YoY-1.5%
Revenue CAGR20.8%
Net Margin15.0%

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Fair

52

Asset Growth YoY12.2%
Liquidation/Share$27.74
Net Assets/MCap0.45x

Tap for breakdown →

Strong

75

Earnings Yield6.7%
Buyback Yield3.1%
Debt Cost0.4%

Tap for breakdown →

Elite

94

ROIC7.0%
ROE16.4%
ROA14.6%

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Strong

80

EPS Growth175.0%
FCF/Share Growth99.4%
Rev/Share Growth35.2%

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Elite

97

Intrinsic Value$179.44
Value Reference$107.67
MOS60.2%

Tap for breakdown →

Fair

67

Revenue34
Moat80
Valuation97

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Elite

100

MOS %60.2%
Value Reference$107.67
Deep Discount Reference$71.78

Tap for breakdown →

Poor

27

Interest Coverage371.9x
ROIC7.0%
FCF Yield3.9%

Tap for breakdown →

Fair

52

Financial27
Valuation97
Debt68

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Strong

76

Survival Years0.5 yrs
Current Ratio6.08x
FCF Margin8.6%

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Score Changes

3 historical score records available

Previous Score

68

Aug 14, 2026

Change

-4.1

points

Current Score

64

Oct 1, 2026

Category Changes

Revenue-2.1
Debt0
Assets-2.7
Capital-15.0
Management0
Moat0
Valuation+14.6
Buffett+0.7

INSP decreased 4.1 points because Revenue declined by 2.1 points, Asset declined by 2.7 points, Capital declined by 15 points.

Positive Contributors

  • + Valuation improved by 14.6 points

Negative Contributors

  • − Revenue declined by 2.1 points
  • − Asset declined by 2.7 points
  • − Capital declined by 15 points

Projected Score

Projected Score

59

Projected Change

-4.8 points

Preliminary comparable-period financial changes suggest decline of approximately 4.8 points. This is a projected estimate, not the official WallStreetScore.

Price vs. Value

Undervalued

Current Price

$71.30

Model Intrinsic Value

$179.44

Difference

−$108.14

-60.3% vs IV

Margin of Safety

60.3%

UndervaluedFair ValueOvervalued
Value Reference: $107.67
Deep Discount Reference: $71.78

Financial Charts

Revenue

20152016201720182019202020212022202320242025$0$250M$500M$750M$1.0B

Additional Metrics

Operating Cash Flow

201520172019202120232025-$55M$0$55M$110M$165M

Total Debt

201620172019202120232025$0$9M$18M$27M$36M

Total Assets

201620172019202120232025$0$250M$500M$750M$1.0B

Net Margin %

No data
Monetary values in USD. Share counts in raw units.

Free includes 3 annual periods plus available TTM; Premium includes up to 10 annual periods. History depends on available company filings. Swipe the table horizontally to see older periods. A dash means unavailable, not zero.

Line ItemTTM2025202420232022202120202019201820172016
Revenue$898.7M$912.0M$802.8M$624.8M····························
Cost of Revenue$124.6M$133.2M$123.0M$96.6M····························
Gross Profit$774.1M$778.8M$679.8M$528.2M····························
Research & Development$99.7M$103.2M$114.1M$116.5M····························
SG&A Expenses$620.3M$624.6M$529.6M$452.0M····························
Operating Expenses$720.0M$727.8M$643.7M$568.5M····························
EBITDA$83.1M$79.8M$65.0M-$17.1M····························
Operating Income$54.1M$51.0M$36.1M-$40.3M····························
Interest Expense$133K$137K$22K$0.00····························
Income Before Tax$69.4M$65.7M$58.5M-$19.9M····························
Income Tax Expense-$65.7M-$79.7M$4.9M$1.2M····························
Net Income$135.0M$145.4M$53.5M-$21.2M····························
Basic EPS$4.66$4.95$1.80$-0.72····························
Basic Shares28.84M29.37M29.76M29.30M····························
Diluted Shares28.94M29.76M30.54M29.30M····························
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Earnings Summary

Estimated earnings date:Nov 2, 2026
Estimated EPS: $0.10Estimated revenue: $204.2M
Jun 30, 2026Q2FY2026

Revenue

$200.6M

Estimate unavailable.

Revenue Beat/Miss

Not available (no estimate stored)

EPS

$0.01

Estimate unavailable.

EPS Beat/Miss

Not available (no estimate stored)

Debt Change

-12.0%

Cash Change

+19.5%

Margin Change

+1.8 pp

Debt and cash show percentage changes versus the comparison period; margin shows the change in percentage points (pp). These are company-wide changes, not per-share amounts.

Financial Changes Since Prior Period

What Improved

  • Margins expanded
  • Cash position grew
  • Debt reduced

Potential Score Impact

Positive indicators included cash levels, debt levels, net income margin. Pressure indicators included revenue growth, EPS growth. These factors may support or pressure the Revenue, Management, Financial, and Debt categories; this summary does not claim that the stored scores changed.

Stored Earnings Analysis

Revenue declined 7.6%. EPS declined 109.0%. Cash increased 19.5%. Total debt declined 12.0%. Net income margin improved by 1.8 percentage points.

Earnings-Call Transcript

Earnings-call transcript analysis is not currently available.

These results may influence future scores when the next evaluation is completed.

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Earnings data: 120 days ago · Stale

Insider Activity

Guru / Smart Money

Guru Score

Smart Money

Number of Gurus

Total Guru Value

Avg Portfolio Weight

Largest Holder

Largest Holder %

New Positions

Increased Positions

Reduced Positions

Exited Positions

Net Guru Sentiment

Loading data...

Short Interest

Government disclosed trading activity is available on the Smart Money directory. Filings may be delayed and may not represent complete current holdings.

Dividend History

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Conservative Projected Values

3 Years

$———.——

Premium

5 Years

$———.——

Premium

10 Years

$———.——

Premium

Conservative Projection Rate

——%

Premium

Conservative Projected Values — price projections derived from actual 10-year adjusted historical returns, conservatively adjusted and capped at 8% annually. These are distinct from the Outperformance Model Score and WallStreetScore.

Conservative Projected Values

Premium unlocks the 3-year, 5-year, and 10-year conservative projected values with full calculation breakdowns based on actual historical returns.

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Historical Outperformance Record

Premium includes stored forecasts and any available evaluated results. Completed results, win rates and calibrated probabilities are shown only when supported records exist; access does not create historical outcomes.

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Historical Trends

3 historical records
Jul 24, 26Aug 14, 26Oct 1, 260255075100

Historical Score Chart

3 of 3 records shown

Wall Street Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Debt Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Revenue Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Asset Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Capital Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Management Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Moat Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Valuation Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Buffett Score

Jul 24, 26Aug 14, 26Oct 1, 260255075100

Intrinsic Value

Jul 24, 26Aug 14, 26Oct 1, 26$176.00$180.00$184.00$188.00$192.00

Value Reference

Jul 24, 26Aug 14, 26Oct 1, 26$105.00$108.00$111.00$114.00$117.00

Margin of Safety %

Jul 24, 26Aug 14, 26Oct 1, 260.6%0.6%0.7%0.7%0.7%

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News

Rumor Mill · INSP

Corporate developments & opportunities

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No reviewed developments match this filter.

Evidence credibility is not a forecast of stock performance. Rumor Mill is separate from the WSS score.

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