NYSE : INSP
Inspire Medical Systems, Inc. — Financial statements
Healthcare · Medical Devices · United States
Last price 68.1 USD (Oct 30, 2026, 4:00 PM EDT) · Market cap 1.97B
Overview · Financial statements · Key statistics · Dividends · Company profile · Price history · Reports
Financial statements
Inspire Medical Systems, Inc. (INSP) reported revenue of 898.74M USD (TTM). Five years of income statement, balance sheet, cash flow and ratios below.
Income statement
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Revenue | 898.74M | 911.98M | 802.80M | 624.80M | 407.86M | 233.39M |
| Cost of Revenue | 124.64M | 133.22M | 122.99M | 96.58M | 66.11M | 33.28M |
| Gross Profit | 774.11M | 778.76M | 679.82M | 528.22M | 341.74M | 200.12M |
| Selling, General & Admin | 620.30M | 624.64M | 529.61M | 451.96M | 320.69M | 202.62M |
| Research & Development | 99.68M | 103.17M | 114.13M | 116.54M | 68.64M | 37.35M |
| Operating Expenses | 719.98M | 727.80M | 643.74M | 568.49M | 389.33M | 239.97M |
| Operating Income | 54.12M | 50.95M | 36.08M | -40.27M | -47.59M | -39.85M |
| Interest Expense | -137.00K | -137.00K | -22.00K | -1.68M | -2.13M | |
| Interest & Investment Income | 15.47M | 17.54M | 23.25M | 20.56M | 5.05M | 125.00K |
| Currency Exchange Gain (Loss) | -1.00M | -1.00M | -900.00K | -200.00K | -100.00K | |
| Other Non Operating Income (Expenses) | -3.12M | -1.66M | 45.00K | 5.00K | 51.00K | -117.00K |
| Pretax Income | 69.38M | 65.70M | 58.45M | -19.91M | -44.27M | -41.97M |
| Income Tax Expense | -65.66M | -79.72M | 4.94M | 1.25M | 613.00K | 72.00K |
| Net Income | 135.04M | 145.42M | 53.51M | -21.15M | -44.88M | -42.04M |
| Net Income to Common | 135.04M | 145.42M | 53.51M | -21.15M | -44.88M | -42.04M |
| Shares Outstanding (Basic) | 28.95M | 29.37M | 29.76M | 29.30M | 28.07M | 27.26M |
| Shares Outstanding (Diluted) | 29.34M | 29.76M | 30.54M | 29.30M | 28.07M | 27.26M |
| EPS (Basic) | 4.66 | 4.95 | 1.80 | -0.72 | -1.60 | -1.54 |
| EPS (Diluted) | 4.61 | 4.89 | 1.75 | -0.72 | -1.60 | -1.54 |
| Free Cash Flow | 117.09M | 78.48M | 91.12M | 1.02M | 2.47M | -24.79M |
| Free Cash Flow Per Share | 3.99 | 2.64 | 2.98 | 0.04 | 0.09 | -0.91 |
| Gross Margin | 86.13% | 85.39% | 84.68% | 84.54% | 83.79% | 85.74% |
| Operating Margin | 6.02% | 5.59% | 4.50% | -6.44% | -11.67% | -17.07% |
| Profit Margin | 15.03% | 15.95% | 6.67% | -3.39% | -11.00% | -18.01% |
| Free Cash Flow Margin | 13.03% | 8.61% | 11.35% | 0.16% | 0.61% | -10.62% |
| EBITDA | 71.33M | 64.91M | 42.63M | -37.42M | -45.73M | -38.63M |
| EBITDA Margin | 7.94% | 7.12% | 5.31% | -5.99% | -11.21% | -16.55% |
| D&A For EBITDA | 17.21M | 13.96M | 6.55M | 2.85M | 1.86M | 1.22M |
| EBIT | 54.12M | 50.95M | 36.08M | -40.27M | -47.59M | -39.85M |
| EBIT Margin | 6.02% | 5.59% | 4.50% | -6.44% | -11.67% | -17.07% |
| Effective Tax Rate | 8.46% | |||||
| Advertising Expenses | 114.90M | 94.90M | 100.30M | 74.30M | 47.80M |
Balance sheet
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Cash & Equivalents | 127.76M | 104.81M | 150.15M | 185.54M | 441.59M | 214.47M |
| Short-Term Investments | 192.92M | 203.46M | 295.40M | 274.84M | 9.82M | |
| Cash & Short-Term Investments | 320.68M | 308.27M | 445.55M | 460.38M | 451.41M | 214.47M |
| Receivables | 103.34M | 119.69M | 93.07M | 89.88M | 61.23M | 34.18M |
| Inventory | 170.45M | 145.29M | 80.12M | 33.88M | 11.89M | 17.23M |
| Prepaid Expenses | 14.20M | 10.40M | 12.07M | 9.60M | 5.50M | 2.66M |
| Total Current Assets | 608.67M | 583.65M | 630.81M | 593.74M | 530.03M | 268.54M |
| Property, Plant & Equipment | 126.93M | 121.40M | 95.24M | 62.65M | 24.13M | 16.41M |
| Long-Term Investments | 111.78M | 112.73M | 81.59M | 19.54M | 10.50M | 9.94M |
| Long-Term Deferred Tax Assets | 77.58M | 88.67M | 13.00K | |||
| Other Long-Term Assets | 1.03M | 864.00K | 730.00K | 878.00K | 215.00K | 204.00K |
| Total Assets | 925.99M | 907.32M | 808.38M | 676.81M | 564.88M | 295.08M |
| Accounts Payable | 27.10M | 36.56M | 38.69M | 38.84M | 26.85M | 11.66M |
| Accrued Expenses | 44.08M | 54.29M | 45.52M | 37.59M | 32.08M | 19.67M |
| Current Portion of Long-Term Debt | 9.19M | |||||
| Current Portion of Leases | 2.16M | 1.75M | 1.34M | 312.00K | ||
| Current Income Taxes Payable | 2.45M | 1.61M | 577.00K | |||
| Other Current Liabilities | 587.00K | 933.00K | 1.10M | 920.00K | 468.00K | |
| Total Current Liabilities | 71.18M | 96.06M | 88.50M | 78.11M | 61.19M | 41.31M |
| Long-Term Debt | 15.80M | |||||
| Long-Term Leases | 29.09M | 30.00M | 30.04M | 24.85M | 7.54M | 8.80M |
| Other Long-Term Liabilities | 136.00K | 104.00K | 148.00K | 1.35M | 146.00K | 134.00K |
| Total Liabilities | 100.41M | 126.16M | 118.69M | 104.30M | 68.87M | 66.04M |
| Common Stock | 29.00K | 29.00K | 30.00K | 30.00K | 29.00K | 27.00K |
| Additional Paid-In Capital | 983.67M | 927.16M | 981.04M | 917.11M | 820.34M | 508.46M |
| Retained Earnings | -157.47M | -146.49M | -291.91M | -345.42M | -324.27M | -279.39M |
| Comprehensive Income & Other | -645.00K | 464.00K | 536.00K | 800.00K | -86.00K | -55.00K |
| Total Common Equity | 825.58M | 781.16M | 689.70M | 572.51M | 496.01M | 229.05M |
| Shareholders' Equity | 825.58M | 781.16M | 689.70M | 572.51M | 496.01M | 229.05M |
| Total Liabilities & Equity | 925.99M | 907.32M | 808.38M | 676.81M | 564.88M | 295.08M |
| Total Debt | 29.09M | 32.16M | 31.79M | 24.85M | 8.87M | 34.09M |
| Net Cash (Debt) | 291.59M | 276.11M | 413.75M | 435.53M | 442.54M | 180.37M |
| Net Cash Per Share | 9.94 | 9.28 | 13.55 | 14.86 | 15.76 | 6.62 |
| Filing Date Shares Outstanding | 28.91M | 28.59M | 29.67M | 29.59M | 29.05M | 27.53M |
| Total Common Shares Outstanding | 28.91M | 28.58M | 29.74M | 29.56M | 29.01M | 27.42M |
| Working Capital | 537.49M | 487.60M | 542.30M | 515.63M | 468.85M | 227.23M |
| Book Value Per Share | 28.56 | 27.33 | 23.19 | 19.37 | 17.10 | 8.35 |
| Tangible Book Value | 825.58M | 781.16M | 689.70M | 572.51M | 496.01M | 229.05M |
| Tangible Book Value Per Share | 28.56 | 27.33 | 23.19 | 19.37 | 17.10 | 8.35 |
| Machinery | 54.21M | 34.10M | 9.42M | 8.24M | 6.08M | |
| Construction In Progress | 24.38M | 24.98M | 33.21M | 11.86M | 5.17M | |
| Leasehold Improvements | 11.77M | 10.06M | 2.36M | 2.06M | 281.00K |
Cash flow statement
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Net Income | 135.04M | 145.42M | 53.51M | -21.15M | -44.88M | -42.04M |
| Depreciation & Amortization | 17.21M | 13.96M | 6.55M | 2.85M | 1.86M | 1.22M |
| Loss (Gain) From Sale of Investments | -5.34M | -2.89M | -8.86M | -2.47M | -4.00K | 14.00K |
| Stock-Based Compensation | 119.39M | 130.26M | 116.01M | 82.47M | 51.97M | 26.48M |
| Provision & Write-off of Bad Debts | 200.00K | 200.00K | -768.00K | 1.61M | -63.00K | |
| Other Operating Activities | -72.07M | -82.59M | 1.52M | 2.13M | 879.00K | 1.07M |
| Change in Accounts Receivable | 34.30M | -26.23M | -2.60M | -30.22M | -27.02M | -9.24M |
| Change in Inventory | -48.82M | -65.17M | -46.23M | -22.00M | 5.34M | -8.75M |
| Change in Accounts Payable | -22.26M | -3.75M | 604.00K | 9.30M | 14.36M | 4.78M |
| Change in Other Net Operating Assets | -572.00K | 7.77M | 10.52M | 2.14M | 9.13M | 6.36M |
| Operating Cash Flow | 157.07M | 116.98M | 130.25M | 24.65M | 11.57M | -20.12M |
| Capital Expenditures | -39.98M | -38.50M | -39.12M | -23.63M | -9.10M | -4.67M |
| Investment in Securities | 8.72M | 59.95M | -74.00M | -271.19M | -10.50M | 33.81M |
| Investing Cash Flow | -31.26M | 21.45M | -113.12M | -294.82M | -19.60M | 29.14M |
| Long-Term Debt Repaid | -24.50M | |||||
| Net Debt Issued (Repaid) | -24.50M | |||||
| Issuance of Common Stock | 5.45M | 14.61M | 27.77M | 31.11M | 259.62M | 14.95M |
| Repurchase of Common Stock | -110.41M | -198.06M | -80.17M | -17.16M | -43.00K | |
| Financing Cash Flow | -104.96M | -183.45M | -52.39M | 13.95M | 235.08M | 14.95M |
| Foreign Exchange Rate Adjustments | -17.00K | -310.00K | -118.00K | 164.00K | 75.00K | -19.00K |
| Net Cash Flow | 20.83M | -45.34M | -35.39M | -256.06M | 227.12M | 23.95M |
| Free Cash Flow | 117.09M | 78.48M | 91.12M | 1.02M | 2.47M | -24.79M |
| Free Cash Flow Margin | 13.03% | 8.61% | 11.35% | 0.16% | 0.61% | -10.62% |
| Free Cash Flow Per Share | 3.99 | 2.64 | 2.98 | 0.04 | 0.09 | -0.91 |
| Levered Free Cash Flow | 94.64M | 54.50M | 62.72M | 27.62K | 17.43M | -10.69M |
| Unlevered Free Cash Flow | 94.72M | 54.59M | 62.73M | 27.62K | 18.48M | -9.36M |
| Cash Interest Paid | 137.00K | 137.00K | 22.00K | 2.32M | 1.89M | |
| Change in Working Capital | -37.35M | -87.38M | -37.71M | -40.78M | 1.81M | -6.86M |
Ratios
Fiscal year January - December; amounts in USD.
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|---|
| Market Capitalization | 1.93B | 2.68B | 5.56B | 6.01B | 7.28B | 6.29B |
| Enterprise Value | 1.63B | 2.39B | 5.17B | 5.57B | 6.86B | 6.11B |
| Last Close Price | 68.10 | 92.23 | 185.38 | 203.43 | 251.88 | 230.06 |
| PE Ratio | 14.46 | 18.43 | 103.82 | |||
| Forward PE | 49.10 | 57.14 | 114.37 | |||
| PS Ratio | 2.18 | 2.94 | 6.92 | 9.61 | 17.84 | 26.97 |
| PB Ratio | 2.38 | 3.43 | 8.05 | 10.49 | 14.67 | 27.48 |
| P/TBV Ratio | 2.37 | 3.43 | 8.05 | 10.49 | 14.67 | 27.48 |
| P/FCF Ratio | 16.74 | 34.15 | 60.96 | 5,865.34 | 2,942.75 | |
| P/OCF Ratio | 12.48 | 22.91 | 42.65 | 243.63 | 629.04 | |
| PEG Ratio | 9.93 | |||||
| EV/Sales Ratio | 1.86 | 2.62 | 6.44 | 8.91 | 16.82 | 26.20 |
| EV/EBITDA Ratio | 23.39 | 36.82 | 121.26 | |||
| EV/EBIT Ratio | 30.82 | 46.90 | 143.27 | |||
| EV/FCF Ratio | 14.25 | 30.45 | 56.73 | 5,436.59 | 2,773.55 | |
| Debt / Equity Ratio | 0.04 | 0.04 | 0.05 | 0.04 | 0.02 | 0.15 |
| Debt / EBITDA Ratio | 0.37 | 0.45 | 0.66 | |||
| Debt / FCF Ratio | 0.25 | 0.41 | 0.35 | 24.26 | 3.59 | |
| Net Debt / Equity Ratio | -0.35 | -0.35 | -0.60 | -0.76 | -0.89 | -0.79 |
| Net Debt / EBITDA Ratio | -4.09 | -4.25 | -9.71 | 11.64 | 9.68 | 4.67 |
| Net Debt / FCF Ratio | -2.49 | -3.52 | -4.54 | -425.32 | -178.95 | 7.28 |
| Asset Turnover | 1.04 | 1.06 | 1.08 | 1.01 | 0.95 | 0.81 |
| Inventory Turnover | 0.85 | 1.18 | 2.16 | 4.22 | 4.54 | 2.59 |
| Quick Ratio | 5.96 | 4.46 | 6.09 | 7.04 | 8.38 | 6.02 |
| Current Ratio | 8.55 | 6.08 | 7.13 | 7.60 | 8.66 | 6.50 |
| Return on Equity (ROE) | 17.96% | 19.77% | 8.48% | -3.96% | -12.38% | -18.33% |
| Return on Assets (ROA) | 3.91% | 3.71% | 3.04% | -4.05% | -6.92% | -8.64% |
| Return on Invested Capital (ROIC) | 10.10% | 13.05% | 16.00% | -42.29% | -93.19% | -106.70% |
| Return on Capital Employed (ROCE) | 6.30% | 6.30% | 5.00% | -6.70% | -9.40% | -15.70% |
| Earnings Yield | 6.91% | 5.43% | 0.96% | -0.35% | -0.62% | -0.67% |
| FCF Yield | 5.97% | 2.93% | 1.64% | 0.02% | 0.03% | -0.39% |
| Buyback Yield / Dilution | 3.84% | 2.57% | -4.24% | -4.38% | -2.97% | -4.56% |