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INSP Stock Analysis 2026 - Inspire Medical Systems, Inc. AI Rating

INSP NYSE Surgical & Medical Instruments & Apparatus DE CIK: 0001609550
Recently Updated • Analysis: Mar 29, 2026 • SEC Data: 2025-12-31
STRONG BUY
88% Conf
Pending
Analysis scheduled

📊 INSP Key Takeaways

Revenue: $912.0M
Net Margin: 15.9%
Free Cash Flow: $78.5M
Current Ratio: 6.08x
Debt/Equity: 0.03x
EPS: $4.89
AI Rating: STRONG BUY with 88% confidence

Is INSP a Good Investment? Thesis Analysis

Claude

Inspire Medical demonstrates exceptional fundamental strength with 85.4% gross margins, accelerating profitability (net income +171.8% YoY despite modest 13.6% revenue growth), and fortress balance sheet (6.08x current ratio, 0.03x debt/equity). The significant operating leverage improvement and strong free cash flow generation ($78.5M, 8.6% FCF margin) indicate a maturing business model transitioning to sustained profitability.

Why Buy INSP? Key Strengths

Claude
  • + Exceptional gross margin of 85.4% demonstrates strong pricing power and efficient manufacturing in medical device sector
  • + Dramatic net income growth of 171.8% YoY with EPS up 179.4% shows improving operational efficiency and operating leverage
  • + Fortress balance sheet with $104.8M cash, minimal debt (0.03x D/E), and 6.08x current ratio provides strategic flexibility
  • + Robust free cash flow generation of $78.5M with positive conversion from operating cash flow
  • + High ROE of 18.6% and ROA of 16.0% indicate efficient capital deployment and management execution
  • + Significant insider buying activity with 23 Form 4 filings in last 90 days signals management confidence

INSP Investment Risks to Consider

Claude
  • ! Operating margin of only 5.6% despite 85.4% gross margin suggests elevated SG&A and R&D spending that may limit near-term profitability gains
  • ! Revenue growth of 13.6% YoY appears to be moderating, raising questions about market saturation or competitive pressures in surgical sleep apnea market
  • ! Medical device sector faces inherent regulatory risks, reimbursement pressures, and potential for disruptive competitive technologies
  • ! Heavy reliance on single indication (sleep apnea) creates concentration risk despite strong current market position

Key Metrics to Watch

Claude
  • * Revenue growth trajectory and market penetration rates in core sleep apnea procedure volume
  • * Operating margin expansion as business scales and fixed costs are absorbed
  • * Free cash flow sustainability and capital allocation decisions (dividends, buybacks, acquisitions)
  • * Gross margin stability amid potential pricing pressure or unfavorable reimbursement changes
  • * R&D pipeline success and potential for label expansions or new indications to drive future growth

INSP Financial Metrics

Revenue
$912.0M
Net Income
$145.4M
EPS (Diluted)
$4.89
Free Cash Flow
$78.5M
Total Assets
$907.3M
Cash Position
$104.8M

💡 AI Analyst Insight

Strong liquidity with a 6.08x current ratio provides a solid financial cushion.

INSP Profitability Ratios

Gross Margin 85.4%
Operating Margin 5.6%
Net Margin 15.9%
ROE 18.6%
ROA 16.0%
FCF Margin 8.6%

INSP vs Healthcare Sector

How Inspire Medical Systems, Inc. compares to Healthcare sector averages

Net Margin
INSP 15.9%
vs
Sector Avg 12.0%
INSP Sector
ROE
INSP 18.6%
vs
Sector Avg 15.0%
INSP Sector
Current Ratio
INSP 6.1x
vs
Sector Avg 2.0x
INSP Sector
Debt/Equity
INSP 0.0x
vs
Sector Avg 0.6x
INSP Sector

Sector benchmarks are approximate industry averages. Actual sector performance may vary.

Is INSP Overvalued or Undervalued?

Based on fundamental analysis, Inspire Medical Systems, Inc. has mixed fundamental signals relative to the Healthcare sector in 2026.

Return on Equity
18.6%
Sector avg: 15%
Net Profit Margin
15.9%
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
0.03x
Sector avg: 0.6x

Note: This is a fundamental analysis based on SEC filings. For P/E ratio, price targets, and market-based valuation, consult financial data providers. This is not investment advice.

INSP Balance Sheet & Liquidity

Current Ratio
6.08x
Quick Ratio
4.56x
Debt/Equity
0.03x
Debt/Assets
13.9%
Interest Coverage
N/A
Long-term Debt
$21.4M

INSP 5-Year Financial Trend & Growth Analysis

INSP 5-year financial data: Year 2021: Revenue $233.4M, Net Income -$33.2M, EPS $-1.40. Year 2022: Revenue $407.9M, Net Income -$57.2M, EPS $-2.19. Year 2023: Revenue $624.8M, Net Income -$42.0M, EPS $-1.54. Year 2024: Revenue $802.8M, Net Income -$44.9M, EPS $-1.60. Year 2025: Revenue $912.0M, Net Income -$21.2M, EPS $-0.72.
Revenue
Net Income
EPS (right axis)

5-Year Trend Summary: Inspire Medical Systems, Inc.'s revenue has grown significantly by 291% over the 5-year period, indicating strong business expansion. The most recent EPS of $-0.72 indicates the company is currently unprofitable.

INSP Growth Metrics (YoY)

Revenue Growth
N/A
Year-over-year
Net Income Growth
N/A
Year-over-year
EPS Growth
N/A
Earnings per share
FCF Margin
8.6%
Free cash flow / Revenue

INSP Quarterly Performance

Quarterly financial performance data for Inspire Medical Systems, Inc. including revenue, net income, and earnings per share.
Quarter Revenue Net Income EPS
Q3 2025 $203.2M $3.0M $0.31
Q2 2025 $195.9M -$212.0K $-0.01
Q1 2025 $164.0M $3.0M $0.10
Q3 2024 $153.3M -$8.5M $-0.29
Q2 2024 $151.1M -$212.0K $-0.01
Q1 2024 $127.9M -$10.0M $-0.34
Q3 2023 $109.2M -$8.5M $-0.29
Q2 2023 $91.4M -$12.0M $-0.41

Data sourced from SEC EDGAR 10-Q quarterly filings. Figures may represent quarterly or cumulative values.

INSP Capital Allocation

Operating Cash Flow
$117.0M
Cash generated from operations
Stock Buybacks
$175.0M
Shares repurchased (TTM)
Capital Expenditures
$38.5M
Investment in assets
Dividends
None
No dividend program

INSP SEC 10-K & 10-Q Filing Analysis

Access official SEC EDGAR filings for Inspire Medical Systems, Inc. (CIK: 0001609550)

📋 Recent SEC Filings

Date Form Document Action
Mar 20, 2026 DEF 14A ny20062558x2_def14a.htm View →
Feb 24, 2026 4 xslF345X05/tm267181-7_4seq1.xml View →
Feb 24, 2026 4 xslF345X05/tm267181-6_4seq1.xml View →
Feb 24, 2026 4 xslF345X05/tm267181-5_4seq1.xml View →
Feb 24, 2026 4 xslF345X05/tm267181-4_4seq1.xml View →

Frequently Asked Questions about INSP

What is the AI rating for INSP?

Inspire Medical Systems, Inc. (INSP) has an AI rating of STRONG BUY with 88% confidence, based on fundamental analysis of SEC EDGAR filings.

What are INSP's key strengths?

Claude: Exceptional gross margin of 85.4% demonstrates strong pricing power and efficient manufacturing in medical device sector. Dramatic net income growth of 171.8% YoY with EPS up 179.4% shows improving operational efficiency and operating leverage.

What are the risks of investing in INSP?

Claude: Operating margin of only 5.6% despite 85.4% gross margin suggests elevated SG&A and R&D spending that may limit near-term profitability gains. Revenue growth of 13.6% YoY appears to be moderating, raising questions about market saturation or competitive pressures in surgical sleep apnea market.

What is INSP's revenue and growth?

Inspire Medical Systems, Inc. reported revenue of $912.0M.

Does INSP pay dividends?

Inspire Medical Systems, Inc. does not currently pay dividends.

Where can I find INSP SEC filings?

Official SEC filings for Inspire Medical Systems, Inc. (CIK: 0001609550) including 10-K, 10-Q, and 8-K reports are available on SEC EDGAR.

What is INSP's EPS?

Inspire Medical Systems, Inc. has a diluted EPS of $4.89.

How is the AI analysis conducted?

Two independent AI systems — Claude (Anthropic) and ChatGPT (OpenAI) — analyze SEC EDGAR filings including 10-K annual reports and 10-Q quarterly reports. Each AI evaluates financial health, profitability ratios, balance sheet strength, and growth metrics. The combined rating reflects both perspectives for balanced insights.

Is INSP a good stock to buy right now?

Based on our AI fundamental analysis in March 2026, Inspire Medical Systems, Inc. has a STRONG BUY rating with 88% confidence. The AI analysis suggests favorable fundamentals based on SEC filings. This is not investment advice.

Is INSP stock overvalued or undervalued?

Valuation metrics for INSP: ROE of 18.6% (sector avg: 15%), net margin of 15.9% (sector avg: 12%). Higher ROE suggests strong returns relative to peers.

Should I buy INSP stock in 2026?

Our dual AI analysis gives Inspire Medical Systems, Inc. a combined STRONG BUY rating for 2026. Revenue is data pending, with profitability above sector average. Always conduct your own research.

What is INSP's free cash flow?

Inspire Medical Systems, Inc.'s operating cash flow is $117.0M, with capital expenditures of $38.5M. FCF margin is 8.6%.

How does INSP compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin 15.9% (avg: 12%), ROE 18.6% (avg: 15%), current ratio 6.08 (avg: 2).

Disclaimer: This analysis is generated by Claude AI (Anthropic) and ChatGPT (OpenAI) based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research and consult with a qualified financial advisor before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: Mar 29, 2026 | Data as of: 2025-12-31 | Powered by Claude AI