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Inspire Medical Systems (INSP)

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Earnings summaries and quarterly performance for Inspire Medical Systems.

Research analysts who have asked questions during Inspire Medical Systems earnings calls.

Adam Maeder

Adam Maeder

Piper Sandler Companies

6 questions for INSP

Also covers: ABT, AXNX, EW +13 more
AP

Anthony Petrone

Mizuho Group

6 questions for INSP

Also covers: ADMA, ALC, AXGN +24 more
Brett Fishbin

Brett Fishbin

KeyBanc Capital Markets

6 questions for INSP

Also covers: ALC, COO, ICUI +7 more
DR

David Rescott

Baird

6 questions for INSP

Also covers: HAE, IRTC, LIVN +7 more
RN

Richard Newitter

Truist Securities

6 questions for INSP

Also covers: AXNX, BBNX, DXCM +19 more
Travis Steed

Travis Steed

Bank of America

6 questions for INSP

Also covers: ABT, AXNX, BAX +24 more
DA

Danielle Antalffy

UBS Group AG

5 questions for INSP

Also covers: ABT, ATRC, BAX +15 more
LB

Larry Biegelsen

Wells Fargo & Company

5 questions for INSP

Also covers: ABT, ALC, AXNX +25 more
MS

Michael Sarcone

Jefferies

5 questions for INSP

Also covers: ALC, ALGN, AXGN +12 more
Jonathan Block

Jonathan Block

Stifel Financial Corp.

4 questions for INSP

Also covers: ALGN, COO, CUTR +11 more
RM

Robert Marcus

JPMorgan Chase & Co.

4 questions for INSP

Also covers: ABT, BAX, BDX +21 more
SS

Shagun Singh Chadha

RBC Capital Markets

4 questions for INSP

Also covers: AXNX, BDX, DXCM +12 more
Chris Pasquale

Chris Pasquale

Nephron Research LLC

3 questions for INSP

Also covers: ALC, AXGN, BSX +9 more
Christopher Pasquale

Christopher Pasquale

Nephron Research

3 questions for INSP

Also covers: ALC, AXGN, BSX +12 more
Michael Polark

Michael Polark

Wolfe Research

3 questions for INSP

Also covers: BBNX, BSX, DXCM +13 more
Mike Kratky

Mike Kratky

Leerink Partners

3 questions for INSP

Also covers: AXGN, DXCM, MDT +5 more
JB

Jon Block

Stifel, Nicolaus & Company, Incorporated

2 questions for INSP

Also covers: ALGN, BBNX, COO +8 more
Michael Kratky

Michael Kratky

Leerink Partners

2 questions for INSP

Also covers: AXGN, BBNX, DXCM +6 more
Patrick Wood

Patrick Wood

Morgan Stanley

2 questions for INSP

Also covers: ALC, BDX, BLCO +20 more
RM

Robbie Marcus

JPMorgan Chase & Co.

2 questions for INSP

Also covers: ABT, BAX, BDX +15 more
SS

Shagun Singh

RBC

2 questions for INSP

Also covers: GMED, TFX, TNDM
SK

Suraj Kalia

Oppenheimer & Co. Inc.

2 questions for INSP

Also covers: ABT, AORT, ATRC +14 more
BN

Brett Netson

Leerink Partners

1 question for INSP

DA

Danielle Antalffy

UBS

1 question for INSP

Also covers: ATRC, BAX, BBNX +11 more
DM

Daniel Markowitz

Evercore ISI

1 question for INSP

Also covers: GH, NTRA, RGEN +3 more
Kallum Titchmarsh

Kallum Titchmarsh

Morgan Stanley

1 question for INSP

Also covers: ATEC, AXNX, EMBC +6 more
LB

Lawrence Biegelsen

Wells Fargo

1 question for INSP

Also covers: ABT, ALC, BAX +16 more
Mike Polark

Mike Polark

Wolfe Research, LLC

1 question for INSP

Also covers: BBNX, BSX, DXCM +6 more

Recent press releases and 8-K filings for INSP.

Inspire Medical Systems Reports Q4 2025 Results and Updates 2026 Guidance Amid Reimbursement Changes
INSP
Earnings
Guidance Update
Demand Weakening
  • Inspire Medical Systems reported Q4 2025 revenue of $269 million, an increase of 12%, and full-year 2025 revenue of $912 million, an increase of 14%, with improved operating margins and positive operating income.
  • For full-year 2026, the company revised its revenue guidance to $950 million-$1 billion (representing 4%-10% growth), and provided outlooks for net income per diluted share of $1.23-$1.81 and adjusted net income per diluted share of $1.85-$2.35.
  • The coding for the Inspire 5 procedure transitioned to CPT code 64582 with a -52 modifier, which is estimated to reduce the professional fee by approximately 10%-50%, potentially influencing physicians' willingness to perform the procedure; the company is pursuing short-term initiatives to minimize this reduction and a long-term strategy for a new CPT code by January 1, 2028.
  • The WISeR program, a government initiative requiring prior authorization for Medicare cases in six pilot states, has impacted Medicare patient procedures in the first quarter of 2026 due to technical challenges and denials.
Feb 11, 2026, 10:00 PM
Inspire Medical Systems Reports Q4 2025 Results and Revises 2026 Guidance
INSP
Earnings
Guidance Update
Product Launch
  • Inspire Medical Systems reported Q4 2025 revenue of $269 million, a 12% increase, and full-year revenue of $912 million, up 14%, with full-year adjusted net income per diluted share of $2.42.
  • The company revised its full-year 2026 revenue outlook to $950 million-$1 billion, representing 4%-10% growth, and expects adjusted net income per diluted share of $1.85-$2.35.
  • This revised outlook is primarily due to coding uncertainty for the Inspire 5 procedure, which is transitioning to CPT code 64582 with a -52 modifier, potentially reducing the professional fee by 10%-50%.
  • Inspire plans to mitigate this impact by working with stakeholders to minimize the reduction and is pursuing a new CPT code for Inspire 5, anticipated by January 1, 2028.
  • Q1 2026 revenue is expected to be approximately flat to the prior year, influenced by coding uncertainty and the WISeR program.
Feb 11, 2026, 10:00 PM
Inspire Medical Systems Reports Q4 and Full Year 2025 Results, Revises 2026 Guidance Due to Coding Changes
INSP
Earnings
Guidance Update
Demand Weakening
  • Inspire Medical Systems reported strong financial performance for Q4 2025, with revenue increasing 12% to $269 million and full year revenue up 14% to $912 million, contributing to full year adjusted net income per diluted share of $2.42.
  • The company announced a clarification regarding the coding for its Inspire V procedure, transitioning to CPT code 64582 with a -52 modifier, which is estimated to reduce the professional fee by 10%-50% and may influence physicians' willingness to perform the procedure.
  • Consequently, Inspire Medical Systems revised its full year 2026 revenue guidance to $950 million - $1 billion (4%-10% growth), with Q1 2026 revenue expected to be approximately flat to prior year and a net loss anticipated in Q1. The company is pursuing both short-term initiatives to minimize the fee reduction and a long-term plan to develop a new CPT code by January 1, 2028.
Feb 11, 2026, 10:00 PM
Inspire Medical Systems, Inc. Announces Q4 and Full Year 2025 Financial Results and 2026 Outlook
INSP
Earnings
Guidance Update
Share Buyback
  • Inspire Medical Systems, Inc. reported strong financial results for Q4 2025, with revenue increasing 12% to $269.1 million and net income per diluted share of $4.66 (GAAP) or $1.65 (adjusted). For the full year 2025, revenue reached $912.0 million, a 14% increase, with $117.0 million in operating cash flow.
  • The company issued full-year 2026 revenue guidance of $950 million to $1.0 billion, representing 4% to 10% growth, and adjusted net income per diluted share guidance of $1.85 to $2.35. This outlook incorporates the estimated impact of coding uncertainty and the transition to CPT code 64582 with a -52 modifier.
  • The launch of the Inspire V system is complete, and it received FDA approval for 3.0T MRI compatibility. Additionally, Inspire completed $175 million in share repurchases for the full year 2025.
Feb 11, 2026, 9:32 PM
Inspire Medical Systems, Inc. Announces Preliminary Q4 and Full Year 2025 Results, 2026 Guidance, and New CFO
INSP
Earnings
Guidance Update
CFO Change
  • Inspire Medical Systems, Inc. announced preliminary, unaudited revenue for Q4 2025 between $268.9 million and $269.1 million, an approximately 12% increase over Q4 2024, and full year 2025 revenue between $911.8 million and $912.0 million, a 14% increase over full year 2024.
  • The company provided initial full year 2026 revenue guidance of $1,003 million to $1,013 million, representing a 10% to 11% increase over full year 2025. This outlook does not include any contribution from increased reimbursement at this time.
  • Matt Osberg has been appointed as Executive Vice President and Chief Financial Officer, with a start date of January 19, 2026.
Jan 12, 2026, 10:04 PM
Inspire (INSP) Pre-Announces 2025 Revenue, Provides 2026 Guidance, and Announces New CFO
INSP
Guidance Update
Product Launch
CFO Change
  • Inspire (INSP) pre-announced full-year 2025 revenue of approximately $912 million.
  • The company issued initial revenue guidance for 2026 between $1.003 billion and $1.013 billion, reflecting 10%-11% growth, which excludes any contributions from increased reimbursement.
  • The Inspire 5 neurostimulator system launch has been successful, with 100% of physicians trained and 90% of centers on the SleepSync program. The new system reduces procedure time to 30-45 minutes.
  • Inspire is actively working with agencies to clarify reimbursement for the Inspire 5 procedure, asserting that 64568 best describes the procedure and is currently being billed.
  • Matt Osberg will join Inspire as the new Chief Financial Officer later in January.
Jan 12, 2026, 5:45 PM
Inspire Medical Systems Provides 2025 Revenue Update and 2026 Guidance, Announces New CFO
INSP
Guidance Update
Product Launch
CFO Change
  • Inspire pre-announced Q4 and full-year 2025 revenue and provided initial 2026 revenue guidance, which does not include any contributions from increased reimbursement.
  • The Inspire V neurostimulator system launch has seen strong adoption, with 100% of physicians trained and reduced procedure times, contributing to significant momentum in Q4 2025.
  • The company is actively working to clarify reimbursement for code 64568, which was billed for Inspire V procedures throughout 2025.
  • Matt Osberg will join Inspire as the new CFO in late January.
  • Inspire is developing future innovations, including Inspire VI for auto sleep detection and a dual-channel device to treat high BMI patients.
Jan 12, 2026, 5:45 PM
Inspire Pre-Announces 2025 Revenue, Provides 2026 Guidance, and Announces New CFO
INSP
Guidance Update
Product Launch
CFO Change
  • Inspire pre-announced full-year 2025 revenue of approximately $912 million and provided initial 2026 revenue guidance of $1.003 billion to $1.013 billion, representing 10%-11% growth. This guidance does not include contributions from increased reimbursement.
  • The Inspire 5 system has fully launched with high adoption rates, and the company is developing Inspire 6 as a software upgrade for auto sleep detection to improve therapy adherence.
  • Inspire is actively working with relevant agencies to clarify reimbursement for the 64568 procedure code, which was billed and paid for Inspire 5 procedures throughout 2025.
  • Matt Osberg will join Inspire as the new CFO later in January.
Jan 12, 2026, 5:45 PM
Inspire Medical Systems Announces Preliminary Q4 and Full Year 2025 Results and 2026 Guidance
INSP
Earnings
Guidance Update
Management Change
  • Inspire Medical Systems, Inc. anticipates preliminary fourth quarter 2025 revenue to be between $268.9 million and $269.1 million, an approximate 12% increase over the same quarter of 2024.
  • Preliminary full year 2025 revenue is expected to range from $911.8 million to $912.0 million, representing an approximate 14% increase over full year 2024.
  • The company provided initial full year 2026 revenue guidance of $1,003 million to $1,013 million, which would be a 10% to 11% increase over full year 2025.
  • Matt Osberg has been appointed as the new Executive Vice President and Chief Financial Officer, with a start date of January 19, 2026.
Jan 12, 2026, 11:45 AM
Inspire Medical Systems Faces Securities Fraud Lawsuit Following Stock Drop
INSP
Legal Proceedings
Guidance Update
Product Launch
  • Inspire Medical Systems (INSP) is facing a class action lawsuit for securities fraud following a more than 32% stock drop on August 5, 2025.
  • The lawsuit alleges the company failed to adequately prepare for the launch of its Inspire V device, resulting in significant delays in adoption and weak demand.
  • On August 4, 2025, Inspire disclosed an "elongated timeframe" for the Inspire V launch and reduced its 2025 earnings per share guidance by more than 80%.
  • This disclosure caused the stock price to drop $42.04 per share, from $129.95 on August 4, 2025, to $87.91 on August 5, 2025.
  • Investors have until January 5, 2026, to ask the Court to be appointed to lead the case.
Jan 2, 2026, 2:07 PM