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Inspire Medical Systems

INSP NYSE Health Care Equipment Financials FY2016–FY2025

Inspire Medical Systems' revenue rose 13.6% to $912 million in fiscal 2025. Its operating margin was 5.6%, up from 4.5% a year earlier. Free cash flow was $78 million, down 13.9%. It paid out $175 million in dividends and buybacks, 223% of free cash flow. The diluted share count fell 2.6%.

Last close Β· Oct 23, 2026

$71.11

2.1%
Revenue Total sales reported in the income statement.
$912M
13.6% vs prior year
Operating margin Operating income as a share of revenue.
5.6%
1.1 pts
Net income Profit after all expenses, interest and tax.
$145M
171.8%
Free cash flow Cash from operations minus capital spending.
$78.5M
13.9%
Return on capital After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.
14.2%
4.3 pts
Market cap Last close times the latest diluted share count, so it is approximate.
$2.1B
Oct 23 close
P/E Last close divided by diluted earnings per share over the last four quarters.
15.7x
On $4.54 EPS (TTM)

What Inspire Medical Systems does

No business description yet.

Legal name
Inspire Medical Systems, Inc.
Fiscal year ends
December 31, 2025
Latest annual report
β€”
Accession Β· CIK
0001609550-26-000016
0001609550

Revenue and margins

Inspire Medical Systems had $912M of revenue in fiscal 2025, up 13.6% on the year before.

Revenue
Revenue
Margins, % of revenue
Gross Operating Net FCF
Margins, % of revenue
Gross Operating Net FCF

Net income and earnings per share

Loss periods are shown in red.

Net income
Net income
Diluted EPS
Diluted EPS

Returns on capital

After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.

Return on capital, equity and assets (annual)
Return on capital Return on equity Return on assets

Cash flow

Free cash flow was $78.5M in fiscal 2025, 8.6% of revenue. Cash from operations minus capital spending.

Free cash flow
Free cash flow
Cash from operations vs capital spending
Cash from operations Capital spending
Cash from operations vs capital spending
Cash from operations Capital spending

Dividends, buybacks and share count

Inspire Medical Systems returned $175M to shareholders in fiscal 2025, 223% of free cash flow. The diluted share count fell 2.6%.

Dividends and buybacks
Dividends Buybacks
Dividends and buybacks
Dividends Buybacks
Diluted shares outstanding (annual)

Value Inspire Medical Systems yourself

Change the assumptions and see what they imply per share. These are models, not forecasts or price targets β€” the answer depends entirely on what you put in.

Discounted cash flow

Value per share

β€”

Adds net cash of $308M and divides by 29.8M diluted shares. Ten years of cash flows plus a terminal value, discounted to today.

Earnings multiple

Value per share

β€”

Reference multiples: today 15.7x Β· peers 51.3x Β· sector 28.4x.

Balance sheet

Cash, debt and the ratios that show how comfortably Inspire Medical Systems can carry it.

Cash vs debt (incl. leases)
Cash Debt
Fiscal year endFY21FY22FY23FY24FY25
Cash and short-term investments $215M$451M$460M$446M$308M
Debt incl. finance leases $24.5M$0.0M$0.0M$0.0M$0.0M
Net debt / EBITDA β€”β€”β€”βˆ’10.5xβˆ’4.8x
Debt / equity 0.1x0.0x0.0x0.0x0.0x
Interest coverage βˆ’18.7xβˆ’28.4xβ€”1,640.1x371.9x
Current ratio 6.5x8.7x7.6x7.1x6.1x
Quick ratio 6.1x8.5x7.2x6.2x4.6x
Total assets $295M$565M$677M$808M$907M
Total liabilities $66.0M$68.9M$104M$119M$126M
Shareholders' equity $229M$496M$573M$690M$781M
Net debt (βˆ’ = net cash) βˆ’$190Mβˆ’$451Mβˆ’$460Mβˆ’$446Mβˆ’$308M

Insider trades

Open-market purchases and sales by officers, directors and 10% owners, from Form 4 filings. 'Plan' marks trades under a pre-arranged Rule 10b5-1 plan.

Bought, 12 months

$0.0M

0 insiders

Sold, 12 months

$0.7M

3 insiders

Of sales under plans

70%

$0.5M

DateInsiderTradeSharesPriceValueFiling
Aug 7, 2026 Jason P KellySee Remarks Sold 963 $59.55 $0.1M Form 4
May 15, 2026 John RondoniSee Remarks Sold 2,641 $43.28 $0.1M Form 4
May 14, 2026 John RondoniSee Remarks Sold 700 $43.01 $0.0M Form 4
May 8, 2026 Shawn mcCormickDirector Sold plan 696 $45.31 $0.0M Form 4
Jan 9, 2026 John RondoniSee Remarks Sold plan 109 $100.00 $0.0M Form 4
Dec 2, 2025 Shawn mcCormickDirector Sold plan 1,200 $139.00 $0.2M Form 4
Nov 28, 2025 Shawn mcCormickDirector Sold plan 2,000 $127.48 $0.3M Form 4

Piotroski F-score

Nine pass/fail tests of profitability, funding and efficiency. 8–9 is strong, 0–2 weak.

TestFY23FY24FY25
Net income is positive βœ• βœ“ βœ“
Cash from operations is positive βœ“ βœ“ βœ“
Return on assets rose βœ“ βœ“ βœ“
Cash from operations exceeds net income βœ“ βœ“ βœ•
Debt fell relative to assets βœ• βœ• βœ•
Current ratio rose βœ• βœ• βœ•
Share count didn't rise βœ• βœ• βœ“
Gross margin rose βœ“ βœ“ βœ“
Revenue rose relative to assets βœ• βœ“ βœ•
F-score 4 / 96 / 95 / 9
Accruals ratio βˆ’7.4%βˆ’10.3%3.3%
Altman Z'' 8.709.639.88

Similar companies

Each company's latest fiscal year. Fiscal years end in different months, so periods don't line up exactly.

CompanyMarket capGrowthOp. marginFCF marginROICP/EF-score
Inspire Medical Systems INSP $2.1B 13.6% 5.6% 8.6% 14.2% 15.7x 5
CONMED CNMD $1.5B 5.2% 7.5% 11.0% 3.7% 32.6x 6 Compare β†’
LivaNova LIVN $4.6B 10.7% 14.4% 12.5% 12.8% 23.9x 5 Compare β†’
Penumbra PEN $12.8B 17.5% 13.5% 12.5% 18.8% 79.7x 7 Compare β†’
Integra Lifesciences IART $936M 1.5% βˆ’30.2% βˆ’1.9% βˆ’22.0% 70.1x 5 Compare β†’

10 years of figures

US$ millions unless stated. Hover a ratio's name for its definition.

Download CSV
Fiscal yearFY16FY17FY18FY19FY20FY21FY22FY23FY24FY25
Income statement
Revenue $16.4M $28.6M $50.6M $82.0M $115M $233M $408M $625M $803M $912M
Gross profit $12.5M $22.5M $40.5M $68.4M $97.8M $200M $342M $528M $680M $779M
Research and development $7.1M $6.2M $7.4M $12.8M $26.1M $37.4M $68.6M $117M $114M $103M
Operating income βˆ’$17.3M βˆ’$16.0M βˆ’$20.4M βˆ’$34.9M βˆ’$56.2M βˆ’$39.9M βˆ’$47.6M βˆ’$40.3M $36.1M $51.0M
Interest expense $1.3M $1.8M $3.3M $2.1M $2.1M $2.1M $1.7M $0.0M $0.0M $0.1M
Pretax income βˆ’$18.5M βˆ’$17.5M βˆ’$21.8M βˆ’$33.2M βˆ’$57.1M βˆ’$42.0M βˆ’$44.3M βˆ’$19.9M $58.5M $65.7M
Income tax $0.0M $0.0M $0.0M $0.0M $0.1M $0.1M $0.6M $1.2M $4.9M βˆ’$79.7M
Net income βˆ’$18.5M βˆ’$17.5M βˆ’$21.8M βˆ’$33.2M βˆ’$57.2M βˆ’$42.0M βˆ’$44.9M βˆ’$21.2M $53.5M $145M
Diluted EPS βˆ’$16.90 βˆ’$14.88 βˆ’$1.50 βˆ’$1.40 βˆ’$2.19 βˆ’$1.54 βˆ’$1.60 βˆ’$0.72 $1.75 $4.89
Diluted shares 0.00B 0.00B 0.01B 0.02B 0.03B 0.03B 0.03B 0.03B 0.03B 0.03B
Cash flow
Cash from operations βˆ’$17.9M βˆ’$15.8M βˆ’$18.7M βˆ’$32.8M βˆ’$53.0M βˆ’$20.1M $11.6M $24.7M $130M $117M
Capital expenditure $0.3M $0.4M $0.2M $2.7M $2.5M $4.7M $9.1M $23.6M $39.1M $38.5M
Free cash flow βˆ’$18.3M βˆ’$16.2M βˆ’$18.9M βˆ’$35.6M βˆ’$55.5M βˆ’$24.8M $2.5M $1.0M $91.1M $78.5M
Depreciation and amortization $0.1M $0.3M $0.4M $0.5M $0.8M $1.2M $1.9M $2.8M $6.5M $14.0M
Stock-based compensation $0.2M $0.2M $1.2M $6.2M $12.8M $26.2M $52.0M $82.5M $116M $130M
Acquisitions $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M
Share buybacks $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $175M
Dividends paid $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M
Dividends and buybacks $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $175M
Balance sheet
Cash and short-term investments $6.7M $16.1M $188M $150M $234M $215M $451M $460M $446M $308M
Total debt β€” $16.5M $24.5M $24.5M $24.5M $24.5M $0.0M $0.0M $0.0M $0.0M
Finance lease liabilities $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M $0.0M
Current assets β€” $24.1M $199M $171M $270M $269M $530M $594M $631M $584M
Current liabilities β€” $7.1M $11.2M $16.9M $20.7M $41.3M $61.2M $78.1M $88.5M $96.1M
Inventory $0.0M $3.7M $2.7M $5.8M $8.5M $17.2M $11.9M $33.9M $80.1M $145M
Property and equipment, net β€” $1.0M $0.8M $3.0M $5.3M $8.5M $17.2M $40.0M $71.9M $97.9M
Total assets β€” $25.1M $200M $181M $281M $295M $565M $677M $808M $907M
Total liabilities β€” $23.8M $36.1M $41.4M $51.4M $66.0M $68.9M $104M $119M $126M
Shareholders' equity βˆ’$6.6M $1.3M $164M $140M $230M $229M $496M $573M $690M $781M
Margins
Gross margin 76.2% 78.9% 80.1% 83.4% 84.7% 85.7% 83.8% 84.5% 84.7% 85.4%
Operating margin βˆ’105.0% βˆ’56.0% βˆ’40.3% βˆ’42.5% βˆ’48.7% βˆ’17.1% βˆ’11.7% βˆ’6.5% 4.5% 5.6%
EBITDA margin βˆ’104.4% βˆ’55.0% βˆ’39.5% βˆ’41.9% βˆ’48.0% βˆ’16.6% βˆ’11.2% βˆ’6.0% 5.3% 7.1%
Net margin βˆ’112.8% βˆ’61.3% βˆ’43.1% βˆ’40.5% βˆ’49.6% βˆ’18.0% βˆ’11.0% βˆ’3.4% 6.7% 16.0%
FCF margin βˆ’111.1% βˆ’56.7% βˆ’37.4% βˆ’43.4% βˆ’48.1% βˆ’10.6% 0.6% 0.2% 11.4% 8.6%
Returns
Return on capital β€” β€” β€” β€” β€” βˆ’106.8% β€” βˆ’40.6% 18.5% 14.2%
Return on capital employed β€” β€” βˆ’19.7% βˆ’19.8% βˆ’26.5% βˆ’15.5% βˆ’12.6% βˆ’7.3% 5.5% 6.7%
Return on equity β€” β€” βˆ’26.4% βˆ’21.9% βˆ’31.0% βˆ’18.3% βˆ’12.4% βˆ’4.0% 8.5% 19.8%
Return on assets β€” β€” βˆ’19.4% βˆ’17.4% βˆ’24.7% βˆ’14.6% βˆ’10.4% βˆ’3.4% 7.2% 17.0%
Growth
Revenue growth β€” 73.9% 77.1% 62.2% 40.6% 102.3% 74.8% 53.2% 28.5% 13.6%
Net income growth β€” β€” β€” β€” β€” β€” β€” β€” β€” 171.8%
EPS growth β€” β€” β€” β€” β€” β€” β€” β€” β€” 179.4%
FCF growth β€” β€” β€” β€” β€” β€” β€” βˆ’58.6% 8,798.7% βˆ’13.9%
Share count change β€” 7.4% 1,139.1% 63.3% 9.5% 4.6% 3.0% 4.4% 4.2% βˆ’2.6%
Financial health
Net debt / EBITDA β€” β€” β€” β€” β€” β€” β€” β€” βˆ’10.5x βˆ’4.8x
Debt / equity β€” 12.4x 0.2x 0.2x 0.1x 0.1x 0.0x 0.0x 0.0x 0.0x
Interest coverage βˆ’13.2x βˆ’9.1x βˆ’6.2x βˆ’16.5x βˆ’26.6x βˆ’18.7x βˆ’28.4x β€” 1,640.1x 371.9x
Current ratio β€” 3.4x 17.9x 10.1x 13.0x 6.5x 8.7x 7.6x 7.1x 6.1x
Quick ratio β€” 2.9x 17.6x 9.8x 12.6x 6.1x 8.5x 7.2x 6.2x 4.6x
Capital allocation
Capex / revenue 1.9% 1.4% 0.5% 3.3% 2.1% 2.0% 2.2% 3.8% 4.9% 4.2%
Stock comp / revenue 1.5% 0.9% 2.4% 7.6% 11.1% 11.2% 12.7% 13.2% 14.5% 14.3%
Payouts / FCF β€” β€” β€” β€” β€” β€” 0.0% 0.0% 0.0% 223.0%
Quality scores
Piotroski F-score β€” β€” β€” 4.0 5.0 5.0 5.0 4.0 6.0 5.0
Altman Z'' β€” βˆ’16.1 7.9 4.6 6.4 4.7 10.6 8.7 9.6 9.9
Accruals ratio β€” β€” βˆ’2.8% βˆ’0.2% βˆ’1.8% βˆ’7.6% βˆ’13.1% βˆ’7.4% βˆ’10.3% 3.3%

Source: SEC EDGAR XBRL filings (CIK 0001609550). Data updated October 22, 2026. Quarterly fourth quarters are the full year minus the first nine months. For information only β€” not investment advice. Check the original filings before relying on any figure.

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