Inspire Medical Systems, Inc. INSP
We are a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea ("OSA"). Our proprietary Inspire system is the first FDA, European Union ("EU") Regulation No. 2017/745 ("MDR" or "EU Medical Devices Regulation"), and Japan Pharmaceuticals and Medical Devices Agency-approved neurostimulation technology of its kind that provides a safe and effective treatment for patients with moderate to severe OSA. We have developed a novel, closed-loop solution that continuously monitors a patient's breathing and delivers mild hypoglossal nerve stimulation to maintain an open airway. A significant body of clinical data, which includes a publication in the New England Journal of Medicine, multiple publications in leading respiratory, ear, nose and throat ("ENT") and sleep medicine journals, and more than 385 peer-reviewed publications, supports the safety and efficacy of Inspire therapy. Inspire therapy received premarket approval ("PMA") from the FDA in 2014 and has been commercially available in certain European markets since 2011. Japan's Ministry of Health, Labour and Welfare ("MLHW") approved Inspire therapy to treat moderate to severe OSA in 2018. Inspire therapy is indicated for patients with moderate to severe OSA who do not have significant central sleep apnea and do not have a complete concentric collapse of the airway at the soft palate level. Physicians have treated more than 125,000 patients with Inspire therapy across the United States ("U.S."), Europe, and Asia.
Valuation FY2025 figures against the last close
Annual financial statements
Income statement
| Fiscal year | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 | FY2019 | FY2018 | FY2017 | FY2016 |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $912.0M | $802.8M | $624.8M | $407.9M | $233.4M | $115.4M | $82.0M | $50.6M | $28.6M | $16.4M |
| Cost of revenue | $133.2M | $123.0M | $96.6M | $66.1M | $33.3M | $17.6M | $13.6M | $10.1M | $6.0M | $3.9M |
| Gross profit | $778.8M | $679.8M | $528.2M | $341.7M | $200.1M | $97.8M | $68.4M | $40.5M | $22.5M | $12.5M |
| R&D | $103.2M | $114.1M | $116.5M | $68.6M | $37.4M | $26.1M | $12.8M | $7.4M | $6.2M | $7.1M |
| SG&A | $624.6M | $529.6M | $452.0M | $320.7M | $202.6M | $127.9M | $90.5M | $53.5M | $32.4M | $22.7M |
| Total operating expenses | — | — | $568.5M | $389.3M | $240.0M | $154.0M | $103.3M | $60.9M | $38.6M | $29.8M |
| Operating income | $51.0M | $36.1M | -$40.3M | -$47.6M | -$39.9M | -$56.2M | -$34.9M | -$20.4M | -$16.0M | -$17.3M |
| Interest expense | $137.0K | $22.0K | $0 | $1.7M | $2.1M | $2.1M | $2.1M | $3.3M | $1.8M | $1.3M |
| Pre-tax income | $65.7M | $58.5M | -$19.9M | -$44.3M | -$42.0M | -$57.1M | -$33.2M | -$21.8M | -$17.5M | -$18.5M |
| Income tax | $79.7M | $4.9M | $1.2M | $613.0K | $72.0K | $115.0K | $40.0K | $0 | $0 | $0 |
| Net income | $145.4M | $53.5M | -$21.2M | -$44.9M | -$42.0M | -$57.2M | -$33.2M | -$21.8M | -$17.5M | -$18.5M |
| EPS, basic | 4.95 | 1.80 | -0.72 | -1.60 | -1.54 | -2.19 | -1.40 | — | — | — |
| EPS, diluted | 4.89 | 1.75 | -0.72 | -1.60 | -1.54 | -2.19 | -1.40 | -1.50 | -14.88 | -16.90 |
| Shares, diluted (wtd. avg.) | $29.8M | $30.5M | $29.3M | $28.1M | $27.3M | $26.1M | $23.8M | — | — | — |
Balance sheet
| Fiscal year | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 | FY2019 | FY2018 | FY2017 | FY2016 |
|---|---|---|---|---|---|---|---|---|---|---|
| Cash and equivalents | $104.8M | $150.2M | $185.5M | $441.6M | $214.5M | $190.5M | $22.9M | $97.3M | $9.0M | $6.7M |
| Short-term investments | $203.5M | $295.4M | $274.8M | $9.8M | $0 | $43.8M | $126.6M | $90.9M | — | — |
| Receivables | $119.7M | $93.1M | $89.9M | $61.2M | $34.2M | $25.1M | $13.1M | $6.7M | — | — |
| Inventory | $145.3M | $80.1M | $33.9M | $11.9M | $17.2M | $8.5M | $5.8M | $2.7M | — | — |
| Total current assets | $583.7M | $630.8M | $593.7M | $530.0M | $268.5M | $269.9M | $170.6M | $199.3M | — | — |
| Property, plant and equipment | $97.9M | $71.9M | $40.0M | $17.2M | $8.5M | $5.3M | $3.0M | $802.0K | — | — |
| Total assets | $907.3M | $808.4M | $676.8M | $564.9M | $295.1M | $281.2M | $181.3M | $200.1M | — | — |
| Total current liabilities | $96.1M | $88.5M | $78.1M | $61.2M | $41.3M | $20.7M | $16.9M | $11.2M | — | — |
| Long-term debt | — | — | — | — | $24.5M | $24.5M | $24.5M | — | — | — |
| Total liabilities | $126.2M | $118.7M | $104.3M | $68.9M | $66.0M | $51.4M | $41.4M | $36.1M | — | — |
| Retained earnings | -$146.5M | -$291.9M | -$345.4M | -$324.3M | -$279.4M | -$237.3M | -$180.2M | -$146.9M | — | — |
| Total equity | $781.2M | $689.7M | $572.5M | $496.0M | $229.0M | $229.7M | $139.8M | $164.0M | $1.3M | -$6.6M |
Cash flow
| Fiscal year | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 | FY2019 | FY2018 | FY2017 | FY2016 |
|---|---|---|---|---|---|---|---|---|---|---|
| Operating cash flow | $117.0M | $130.2M | $24.7M | $11.6M | -$20.1M | -$53.0M | -$32.8M | -$18.7M | -$15.8M | -$17.9M |
| Depreciation and amortisation | $14.0M | $6.5M | $2.8M | $1.9M | $1.2M | $840.0K | $495.0K | $393.0K | $285.0K | $103.0K |
| Stock-based compensation | $130.3M | $116.0M | $82.5M | $52.0M | $26.2M | $12.8M | $6.2M | $1.2M | $243.0K | $248.0K |
| Capital expenditure | $38.5M | $39.1M | $23.6M | $9.1M | $4.7M | $2.5M | $2.7M | $250.0K | $412.0K | $306.0K |
| Investing cash flow | $21.4M | -$113.1M | -$294.8M | -$19.6M | $29.1M | $86.6M | -$43.6M | -$83.4M | -$7.6M | -$306.0K |
| Financing cash flow | -$183.4M | -$52.4M | $13.9M | $235.1M | $14.9M | $134.1M | $2.0M | $190.4M | $25.7M | $12.8M |
| Buybacks | $175.0M | $0 | $0 | $0 | — | — | — | — | — | — |
Figures as tagged in each year's own filing, in US dollars. A year restated by a later filing shows the restated figure. Capital expenditure, dividends and buybacks are cash out, shown positive. A line the filer does not report is not listed. Latest from accession 0001609550-26-000016.
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