Inspire Medical Systems
INSP NYSE Health Care Equipment Financials FY2016βFY2025
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%.
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.
Net income and earnings per share
Loss periods are shown in red.
Returns on capital
After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.
Cash flow
Free cash flow was $78.5M in fiscal 2025, 8.6% of revenue. Cash from operations minus 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%.
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.
| Fiscal year end | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| 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 | β10.5x | β4.8x |
| Debt / equity | 0.1x | 0.0x | 0.0x | 0.0x | 0.0x |
| Interest coverage | β18.7x | β28.4x | β | 1,640.1x | 371.9x |
| Current ratio | 6.5x | 8.7x | 7.6x | 7.1x | 6.1x |
| Quick ratio | 6.1x | 8.5x | 7.2x | 6.2x | 4.6x |
| 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 (β = net cash) | β$190M | β$451M | β$460M | β$446M | β$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
| Date | Insider | Trade | Shares | Price | Value | Filing |
|---|---|---|---|---|---|---|
| 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. 8β9 is strong, 0β2 weak.
| Test | FY23 | FY24 | FY25 |
|---|---|---|---|
| Net income is positive | β | β | β |
| Cash from operations is positive | β | β | β |
| Return on assets rose | β | β | β |
| Cash from operations exceeds net income | β | β | β |
| Debt fell relative to assets | β | β | β |
| Current ratio rose | β | β | β |
| Share count didn't rise | β | β | β |
| Gross margin rose | β | β | β |
| Revenue rose relative to assets | β | β | β |
| F-score | 4 / 9 | 6 / 9 | 5 / 9 |
| Accruals ratio | β7.4% | β10.3% | 3.3% |
| Altman Z'' | 8.70 | 9.63 | 9.88 |
Similar companies
Each company's latest fiscal year. Fiscal years end in different months, so periods don't line up exactly.
| Company | Market cap | Growth | Op. margin | FCF margin | ROIC | P/E | F-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 | $936M | 1.5% | β30.2% | β1.9% | β22.0% | 70.1x | 5 | Compare β |
10 years of figures
US$ millions unless stated. Hover a ratio's name for its definition.
| Fiscal year | FY16 | FY17 | FY18 | FY19 | FY20 | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | β$17.3M | β$16.0M | β$20.4M | β$34.9M | β$56.2M | β$39.9M | β$47.6M | β$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 | β$18.5M | β$17.5M | β$21.8M | β$33.2M | β$57.1M | β$42.0M | β$44.3M | β$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 | β$79.7M |
| Net income | β$18.5M | β$17.5M | β$21.8M | β$33.2M | β$57.2M | β$42.0M | β$44.9M | β$21.2M | $53.5M | $145M |
| Diluted EPS | β$16.90 | β$14.88 | β$1.50 | β$1.40 | β$2.19 | β$1.54 | β$1.60 | β$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 | β$17.9M | β$15.8M | β$18.7M | β$32.8M | β$53.0M | β$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 | β$18.3M | β$16.2M | β$18.9M | β$35.6M | β$55.5M | β$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 | β$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 | β105.0% | β56.0% | β40.3% | β42.5% | β48.7% | β17.1% | β11.7% | β6.5% | 4.5% | 5.6% |
| EBITDA margin | β104.4% | β55.0% | β39.5% | β41.9% | β48.0% | β16.6% | β11.2% | β6.0% | 5.3% | 7.1% |
| Net margin | β112.8% | β61.3% | β43.1% | β40.5% | β49.6% | β18.0% | β11.0% | β3.4% | 6.7% | 16.0% |
| FCF margin | β111.1% | β56.7% | β37.4% | β43.4% | β48.1% | β10.6% | 0.6% | 0.2% | 11.4% | 8.6% |
| Returns | ||||||||||
| Return on capital | β | β | β | β | β | β106.8% | β | β40.6% | 18.5% | 14.2% |
| Return on capital employed | β | β | β19.7% | β19.8% | β26.5% | β15.5% | β12.6% | β7.3% | 5.5% | 6.7% |
| Return on equity | β | β | β26.4% | β21.9% | β31.0% | β18.3% | β12.4% | β4.0% | 8.5% | 19.8% |
| Return on assets | β | β | β19.4% | β17.4% | β24.7% | β14.6% | β10.4% | β3.4% | 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 | β58.6% | 8,798.7% | β13.9% |
| Share count change | β | 7.4% | 1,139.1% | 63.3% | 9.5% | 4.6% | 3.0% | 4.4% | 4.2% | β2.6% |
| Financial health | ||||||||||
| Net debt / EBITDA | β | β | β | β | β | β | β | β | β10.5x | β4.8x |
| Debt / equity | β | 12.4x | 0.2x | 0.2x | 0.1x | 0.1x | 0.0x | 0.0x | 0.0x | 0.0x |
| Interest coverage | β13.2x | β9.1x | β6.2x | β16.5x | β26.6x | β18.7x | β28.4x | 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 | β16.1 | 7.9 | 4.6 | 6.4 | 4.7 | 10.6 | 8.7 | 9.6 | 9.9 |
| Accruals ratio | β | β | β2.8% | β0.2% | β1.8% | β7.6% | β13.1% | β7.4% | β10.3% | 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.