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    Inspire Medical Systems Inc (INSP)

    Official site

    HEALTHCARE • MEDICAL DEVICES • NYSE

    $70.17
    +2.10 (+3.09%)

    Market Cap: $1.97B

    Last updated: Oct 16, 2026 at 1:55 PM ET

    Earnings

    Performance (10Y)

    Beat Rate
    94%(32/34)
    Avg Surprise
    +101.89%
    Streak
    25 Q

    Upcoming Estimates

    Period ending Sep 30, 2026
    EPS Consensus$0.09
    Range$-0.13 - $0.17
    14 analysts
    EPS Revisions
    2
    0
    7d
    2
    8
    30d
    EPS Estimate DriftChange to current
    90d ago$0.15-39.7%
    60d ago$0.09+4.5%
    30d ago$0.09+4.5%
    7d ago$0.09+4.5%
    Current$0.09
    Revenue Consensus
    $204M
    Range$203M - $207M
    17 analysts
    Period ending Dec 31, 2026
    EPS Consensus$1.66
    Range$1.58 - $1.75
    14 analysts
    Revenue Consensus
    $255M
    Range$241M - $263M
    17 analysts
    PeriodReportedEst.SurpriseB/MYoY
    Dec 26EST
    -$1.66---
    Sep 26EST
    -$0.09---
    Jun 26
    Reported Aug 3
    $0.14$-0.22+163.64%Beat-68.9%
    Mar 26
    Reported May 4
    $0.10N/A+138.46%Beat+0.0%
    Dec 25
    Reported Feb 11
    $1.65$0.68+142.65%Beat+43.5%
    Sep 25
    Reported Nov 3
    $0.38$-0.17+323.53%Beat-36.7%
    Jun 25
    Reported Aug 4
    $0.45$0.20+125.00%Beat+40.6%
    Mar 25
    Reported May 5
    $0.10N/A+143.48%Beat+129.4%
    Dec 24
    Reported Feb 10
    $1.15$0.72+59.72%Beat+134.7%
    Sep 24
    Reported Nov 4
    $0.60$0.08+650.00%Beat+306.9%
    Jun 24
    Reported Aug 6
    $0.32$-0.11+390.91%Beat+178.0%
    Mar 24
    Reported May 7
    $-0.34$-0.67+49.25%Beat+35.8%
    Dec 23
    Reported Feb 6
    $0.49$-0.09+644.44%Beat+390.0%
    Sep 23
    Reported Nov 7
    $-0.29$-0.57+49.12%Beat+51.7%
    Jun 23
    Reported Aug 1
    $-0.41$-0.58+29.31%Beat+22.6%
    Mar 23
    Reported May 2
    $-0.53$-0.70+24.29%Beat+13.1%
    Dec 22
    Reported Feb 7
    $0.10N/A+118.52%Beat+211.1%
    Sep 22
    Reported Nov 1
    $-0.60$-0.79+24.05%Beat-57.9%
    Jun 22
    Reported Aug 2
    $-0.53$-0.63+15.87%Beat-10.4%
    Mar 22
    Reported May 3
    $-0.61$-0.83+26.51%Beat-1.7%
    Dec 21
    Reported Feb 8
    $-0.09N/A+80.43%Beat+67.9%
    Sep 21
    Reported Nov 2
    $-0.38$-0.64+40.63%Beat+2.6%
    Jun 21
    Reported Aug 3
    $-0.48$-0.66+27.27%Beat+45.5%
    Mar 21
    Reported May 4
    $-0.60$-0.64+6.25%Beat+10.4%
    Dec 20
    Reported Feb 23
    $-0.28$-0.48+41.67%Beat+26.3%
    Sep 20
    Reported Nov 2
    $-0.39$-0.73+46.58%Beat-14.7%
    Jun 20
    Reported Aug 4
    $-0.88$-1.14+22.81%Beat-175.0%
    Mar 20
    Reported May 5
    $-0.67$-0.60-11.67%Miss-91.4%
    Dec 19
    Reported Feb 25
    $-0.38$-0.40+5.00%Beat-72.7%
    Sep 19
    Reported Nov 5
    $-0.34$-0.41+17.07%Beat-54.5%
    Jun 19
    Reported Aug 6
    $-0.32$-0.43+25.58%Beat+25.6%
    Mar 19
    Reported May 7
    $-0.35$-0.38+7.89%Beat+93.1%
    Dec 18
    Reported Feb 26
    $-0.22$-0.31+29.03%Beat+93.6%
    Sep 18
    Reported Nov 6
    $-0.22$-0.34+35.29%Beat+94.4%
    Jun 18
    Reported Aug 7
    $-0.43$-0.48+10.42%Beat-
    Mar 18
    Reported May 4
    $-5.05$-3.64-38.74%Miss-
    Dec 17
    Reported Feb 28
    $-3.46$0.00N/AMiss-
    Mar 17
    Reported Jun 29
    $-3.90$0.00N/AMiss-

    Key Metrics

    Valuation
    P/E Ratio30.91EV/EBITDA27.10x
    Price/FCF17.28xFCF Yield5.79%
    Profitability
    Profit Margin15.00%Operating Margin-0.26%
    ROE18.00%ROICN/A
    Financial Health
    Debt/Equity0.00xInterest CoverageN/A
    Current Ratio8.55xQuick Ratio6.16x
    Trading Statistics
    Beta0.73Avg Volume949.44K
    52-Week High$147.0352-Week Low$38.91

    Technical Indicators Dashboard

    Moving Averages

    SMA 10$69.05
    SMA 20$70.30
    SMA 50$66.02
    SMA 200$59.90
    EMA 10$69.36
    EMA 20$69.20
    EMA 50$65.63
    EMA 200$66.54

    MACD

    Line: 0.71Signal: 1.20Hist: -0.49

    ADX

    ADX: 27.0+DI: 21.9-DI: 15.6

    Aroon & PSAR

    Aroon Up24.0
    Aroon DownN/A
    PSAR$66.32

    Bollinger Bands

    Upper Band$75.37
    Lower Band$65.23
    %B Position1442%(Upper)
    Band Width0.49

    RSI (14-Day)

    Neutral
    53.5

    Momentum Oscillators

    Stoch %K32.1
    Stoch %D36.0
    Williams %R-55.6
    ROC (10d)-0.9%
    Momentum-0.61
    CCI (20d)-33.4
    MFI (14d)48.8

    Volatility Measures

    ATR (14d)$3.17(4.5%)
    StdDev (20d)2.53
    Hist Vol51.8%(High)

    Volume Flow

    VWAP$69.63
    OBV-10.0M
    AD Line4.7M
    CMF (20d)-0.122

    Volume Metrics

    Avg Vol (20d)973.9K
    Vol Ratio0.5x
    VWMA (20d)$70.76

    Pivot Points

    R3$71.45
    R2$70.51
    R1$69.29
    Pivot Point$68.35
    S1$67.13
    S2$66.19
    S3$64.97

    Advanced Oscillators

    TSI5.92
    Ultimate Osc49.3
    KST48.27

    Financial Data

    QuarterJun 2026Mar 2026Dec 2025Sep 2025Jun 2025Mar 2025Dec 2024Sep 2024Jun 2024Mar 2024Dec 2023Sep 2023
    Total Revenue$200.58M$204.58M$269.08M$224.50M$217.09M$201.32M$239.72M$203.19M$195.88M$164.01M$192.51M$153.30M
    Cost of Revenue$29.12M$27.67M$36.07M$31.77M$34.67M$30.71M$35.99M$32.40M$29.84M$24.76M$28.05M$24.38M
    Gross Profit$171.46M$176.91M$233.01M$192.73M$182.41M$170.61M$203.73M$170.79M$166.04M$139.25M$164.45M$128.92M
    Operating Expenses$171.97M$178.03M$186.90M$183.08M$185.73M$172.09M$171.85M$156.47M$160.94M$154.47M$155.16M$142.39M
    R&D$24.70M$25.83M$24.94M$24.21M$26.21M$27.80M$30.34M$26.08M$28.86M$28.85M$31.05M$29.14M
    SG&A$147.28M$152.20M$161.95M$158.87M$159.52M$144.29M$141.51M$130.39M$132.08M$125.62M$124.11M$113.25M
    Operating Income$-514,000$-1,118,000$46.11M$9.64M$-3,316,000$-1,485,000$31.88M$14.32M$5.10M$-15,218,000$9.30M$-13,471,000
    Interest Income$3.74M$3.74M$4.00M$3.98M$4.48M$5.07M$5.55M$5.89M$5.88M$5.92M$5.87M$5.50M
    Interest Expense$0$0$0$0$0$0$0$0$0$0$0$0
    Income Before Tax$3.12M$2.40M$50.32M$13.55M$-2,332,000$4.16M$36.64M$20.33M$10.85M$-9,355,000$15.24M$-8,200,000
    Income Tax Expense$2.80M$13.69M$-85,771,000$3.62M$1.26M$1.17M$1.41M$1.83M$1.05M$650,000$477,000$340,000
    Net Income$314,000$-11,294,000$136.09M$9.93M$-3,592,000$2.99M$35.22M$18.50M$9.79M$-10,005,000$14.76M$-8,540,000
    EBITDA$3.74M$3.48M$49.89M$12.86M$-4,309,000$928,000$32.04M$13.88M$3.91M$-16,908,000$7.79M$-12,986,000
    EBIT$-624,000$-1,344,000$46.44M$9.58M$-6,814,000$-907,000$31.11M$14.44M$4.96M$-15,278,000$9.37M$-13,695,000
    * Some calculated fields are derived from available data when not provided by source

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    Government Contracts

    Gov Obligations (TTM)
    $4.12M
    Gov Obligations / Revenue
    0.4%
    Obligations YoY
    0.4%
    Active Awards
    151
    New Awards (TTM)
    151
    Avg Remaining Term
    2.7 mo

    Top agency: Department of Veterans Affairs at 100.0% of trailing twelve month obligations across 1 agencies

    Recent Awards

    Award IDAgencyObligatedStart
    36C24226N0449Department of Veterans AffairsDepartment of Veterans Affairs$100503Apr 8, 2026
    36C24226N0576Department of Veterans AffairsDepartment of Veterans Affairs$100302May 29, 2026
    36C25926P0465Department of Veterans AffairsDepartment of Veterans Affairs$50195May 13, 2026
    36C25626N0583Department of Veterans AffairsDepartment of Veterans Affairs$50151Jun 11, 2026
    36C24226N0530Department of Veterans AffairsDepartment of Veterans Affairs$50151May 7, 2026
    36C24926F0066Department of Veterans AffairsDepartment of Veterans Affairs$50151Dec 23, 2025
    36C24226N0260Department of Veterans AffairsDepartment of Veterans Affairs$50151Nov 20, 2025
    36C24225P1403Department of Veterans AffairsDepartment of Veterans Affairs$49900Aug 21, 2025
    36C24526F0078Department of Veterans AffairsDepartment of Veterans Affairs$47337Oct 27, 2025
    36C25026N0434Department of Veterans AffairsDepartment of Veterans Affairs$43417Mar 26, 2026

    Federal contract obligations are bookings recorded by the awarding agency, not recognized revenue. They can exceed 100% of revenue and can be negative when contracts are de-obligated. Source: USAspending.gov prime awards, data through Jul 31, 2026.

    News

    INSP Valuation and Fair Value

    P/E
    30.9x
    Forward P/E
    59.2x
    EV/EBITDA
    27.1x
    P/FCF
    17.3x
    P/B
    2.5x
    See GNG's fair value

    INSP Profitability: Margins, ROIC and FCF

    Gross margin
    86.1%
    Operating margin
    -0.3%
    Net margin
    15.0%
    ROE
    18.0%
    FCF margin
    13.0%
    FCF yield
    5.8%

    INSP Analyst Ratings

    Consensus
    Hold
    Analysts
    17
    Strong Buy
    0
    Buy
    4
    Hold
    11
    Sell
    1
    Strong Sell
    1

    INSP Bull Case vs Bear Case

    Bull case

    • INSP beat EPS estimates in 100.0% of its last 8 reported quarters.

    Bear case

    • INSP's quarterly revenue changed -7.6% year over year.

    INSP Earnings: Beat Rate and Next Report

    Beat rate
    8 of 8 quarters (100.0%)
    Average surprise
    218.3%
    EPS estimate (fiscal period ending Sep 30, 2026)
    $0.09
    Estimate revisions (30 days, fiscal period ending Sep 30, 2026)
    2 up, 8 down

    Frequently Asked Questions About INSP

    Does INSP pay dividends?

    Inspire Medical Systems Inc (INSP) does not currently pay a regular dividend.

    What is INSP's P/E ratio?

    Inspire Medical Systems Inc has a price-to-earnings (P/E) ratio of 30.91.

    What is INSP's market cap?

    Inspire Medical Systems Inc (INSP) has a market capitalization of $1.97B with a current stock price of $70.17.

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