Inspire Medical Systems, Inc.

Inspire Medical Systems, Inc.

INSPยทNYSE

$40.47

-0.27%
HealthcareMedical - Devices

Inspire 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.

At a Glance

Live Snapshot
Market Cap$1.17B
EPS4.9500
P/E Ratio8.18
Earnings Date08/03/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

High confidence

Valuation multiple is compressed (P/E 8.2).

Valuation inputs: P/E 8.2, earnings yield +12.2%, momentum -0.3%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is acceptable (ROE +18.6%, ROIC +6.3%).

Profitability stack: net margin +16.0%, ROE +18.6%, ROIC +6.3%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Downside profile looks controlled across current risk inputs.

Risk factors: liabilities/assets +13.9%, momentum -0.3%, net margin +16.0%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

insp

Inspire Medical Systems, Inc. Market vs Earnings Trajectory

INSP ยท NYSE

Loading price and EPS data...

Inspire Medical Systems, Inc.

Inspire Medical Systems, Inc. Fair Value Envelope

INSP ยท NYSE

Our analysis suggests that INSP has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $40.47, this represents a potential HIDDEN relative to our calculated worth for Inspire Medical Systems, Inc..

Intrinsic Value
Current Price: $40.47
3Y-409.0%
5Y-326.0%
10Y-432.0%
3Y+124.0%
5Y+690.0%
10Y+5452.0%
3Y-424.0%
5Y-354.0%
10Y-885.0%
3Y+911.0%
5Y-321.0%
10Y-752.0%
3Y+3073.0%
5Y-241.0%
10Y-530.0%
3Y+61.0%
5Y+223.0%
10Y+6818.0%
Inspire Medical Systems, Inc.

Inspire Medical Systems, Inc. Profit Bridge

INSP ยท NYSE
Revenue911.98M
Cost of Goods Sold (133.22M)
Gross Profit778.76M
Operating Expenses (727.80M)
Operating Income50.95M
Interest Expense (137.00K)
Other Income/Expense14.74M
Pretax Income65.70M
Income Tax (-79.72M)
Net Income145.42M
Net Income
145.42M

Profitability Analysis

Gross Margin

85.4%

Exceptional pricing power and cost management. The company retains over half of revenue after direct costs.

Operating Margin

5.6%

Acceptable margins but limited operational leverage. Operating expense control is important.

Net Profit Margin

15.9%

Strong net margins indicate efficient operations and favorable tax/interest management.

Effective Tax Rate

-121.4%

Below-average tax rate suggests effective tax planning, favorable jurisdictions, or tax credits.

Profitability Insight

Margin squeeze alert: Healthy gross margins but weak operating margins suggest excessive operating expenses. Cost optimization could unlock significant value.

85.39%
Gross Profit Margin
1%
3Y+2.0%
5Y+1.0%
10Y+12.0%
5.59%
Operating Profit Margin
24%
3Y-148.0%
5Y-111.0%
10Y-105.0%
15.95%
Net Profit Margin
139%
3Y-245.0%
5Y-132.0%
10Y-114.0%
18.62%
Return on Equity
140%
3Y-306.0%
5Y-175.0%
10Y-93.0%
16.03%
Return on Assets
142%
3Y-302.0%
5Y-179.0%
10Y-111.0%
6.26%
Return on Invested Capital
37%
3Y-166.0%
5Y-129.0%
10Y-103.0%
INSP

Inspire Medical Systems, Inc. Cash Conversion Engine

INSP ยท NYSE
Net Income145.42M
Depreciation & Amortization13.96M
Stock-Based Compensation0.00
Change in Working Capital-87.38M
Others133.73M
Capital Expenditures-38.50M
Free Cash Flow78.48M

Cash Flow Quality Analysis

FCF Conversion Rate

54.0%

Weak cash conversion. Significant portion of earnings not converting to cashโ€”review working capital trends and capital intensity.

CapEx Intensity

32.9%

Moderate capital requirements typical of many stable businesses. Healthy balance between reinvestment and cash generation.

FCF Growth Trend

-13.9%

Declining FCF warrants attention. Investigate whether due to temporary factors or fundamental deterioration.

Working Capital Impact

-$87.38M

Significant working capital drain. Growth may be consuming cash through inventory buildup or receivables extensionโ€”monitor closely.

Cash Flow Quality Insight

Working capital strain: Significant cash tied up in operations. Monitor receivables collection, inventory turns, and payment terms to optimize cash conversion cycle.

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Inspire Medical Systems, Inc. Funding & Solvency Profile

INSP ยท NYSE
Cash & Cash Equivalents98.93M
Net Receivables105.09M
Inventory166.24M
Other Current Assets196.56M
Total Current Assets567 M
Property, Plant & Equipment123.76M
Goodwill & Intangible Assets0.00
Long-Term Investments115.88M
Other Non-Current Assets17.25M
Total Non-Current Assets257 M
Total Assets
911.38M

Financial Health Analysis

Current Ratio

6.34x

Excellent liquidity position. The company can easily cover its short-term obligations with substantial cushion.

Debt-to-Equity Ratio

0.15x

Conservative capital structure. The company relies primarily on equity financing, indicating low financial risk.

Working Capital

477 M

Strong working capital position provides significant operational flexibility and financial cushion.

Asset Composition

62% Current

Asset-light business model with high liquidity. Majority of assets are easily convertible to cash.

Financial Health Insight

Strong financial foundation: Excellent liquidity combined with conservative leverage suggests the company is well-positioned to weather economic uncertainties and fund growth opportunities.

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Inspire Medical Systems, Inc. Street Expectations Map

INSP ยท NYSE

Wall Street analysts project that INSP stock may rise significantly over the coming 12 months. The consensus 1-year price target stands at 67.17, with estimates ranging from a low of 39.00 to a high of 175.00.

Lowest Target
39.00
-3.63%
Consensus Target
67.17
65.97%
Highest Target
175.00
332.42%

The consensus 1-year price target stands at 67.17, with estimates ranging from a low of 39.00 to a high of 175.00.

Analyst Consensus Analysis

Upside Potential

+66.0%

Substantial upside potential. Analysts see significant value gap, suggesting the stock may be materially undervalued at current levels.

Analyst Agreement

202.5% spread

High uncertainty. Very wide target spread indicates significant disagreement among analystsโ€”major valuation uncertainty or transformation underway.

Risk-Reward Profile

91.52x

Favorable risk-reward. Potential upside significantly exceeds downside risk, offering asymmetric return profile attractive for risk-tolerant investors.

Analyst Conviction

Low

High uncertainty: Wide dispersion indicates analysts struggle to agree on valuationโ€”proceed with caution and independent analysis.

Market Sentiment Insight

High risk, high reward: Substantial upside potential exists, but wide analyst disagreement signals execution risk or unclear catalysts. Thorough due diligence essential before committing capital.

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Inspire Medical Systems, Inc. Insider Positioning

INSP ยท NYSE

During the last 12 months, insiders have sold $1.64M worth of INSP shares, with no buying activity reported.

3 Months

Bought

0

0.00

Sold

4.0K

175.94K

Net Activity

-176K

-$176K

3-6 Months

Bought

0

0.00

Sold

109

10.90K

Net Activity

-11K

-$11K

6-9 Months

Bought

0

0.00

Sold

3.2K

421.76K

Net Activity

-422K

-$422K

9-12 Months

Bought

0

0.00

Sold

11.0K

1.03M

Net Activity

-1.0M

-$1.03M

Top Buyers

No buying activity

Top Sellers

1
BR

Buchholz Richard

Officer: Chief Financial Officer

11.0K sharesโ€ข1 transactions

$1.03M

2
MS

Mccormick Shawn

Director

3.9K sharesโ€ข3 transactions

$453K

3
RJ

Rondoni John

Officer: See Remarks

3.5K sharesโ€ข3 transactions

$155K

4
CM

Curet Myriam

Director

4 sharesโ€ข1 transactions

$309

Insider Activity Analysis

Net Insider Sentiment

Bearish

Strong bearish signal with $1.64M net selling. Heavy insider selling may indicate concerns about valuation or near-term prospects.

Buy/Sell Ratio

0.00:1

Very poor ratio. Heavy selling with minimal buying suggests insiders may be concerned about valuation or outlook.

Recent Trend (3 Months)

$176K

Heavy recent selling activity. Recent insider sales notably exceed purchasesโ€”may warrant investigation into company developments.

Insider Participation

High Selling

4 insider sellers vs. 0 buyers. Widespread selling across multiple insiders may signal concerns.

Insider Activity Insight

Multiple red flags: Heavy selling, numerous sellers, and continued recent selling create a concerning pattern. Investigate fundamental drivers and consider whether company guidance or industry conditions have deteriorated.

No Dividend Yield Data

INSP has not reported any dividend yield values in the available annual periods.

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insp Dividend History

INSP
10Y CAGR +0%
Latest $0
Annual $0
Stable dividend payments
Last Period: +0%