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    Inspire Medical Systems Inc (INSP)

    Updated May 5, 2025, 10:24 PM UTC
    Income Statement - MetricQ1 2018Q2 2018Q3 2018FY 2018Q1 2019Q2 2019Q3 2019FY 2019Q1 2020Q2 2020Q3 2020FY 2020Q1 2021Q2 2021Q3 2021FY 2021Q1 2022Q2 2022Q3 2022Q4 2022FY 2022Q1 2023Q2 2023Q3 2023Q4 2023FY 2023Q1 2024Q2 2024Q3 2024Q4 2024FY 2024Q1 2025
    Revenue (USD, thousands)192,508.00624,799164,010195,885.00203,191.00802,804201,317
    Cost of goods sold (USD, thousands)28,054.0096,57624,75729,843.0032,398.0035,988.00122,98630,709
    Gross profit (USD, thousands)164,454.00528,223139,253166,042.00170,793.00203,730.00679,818170,608
    Research and development expense (USD, thousands)31,052.00116,53628,85028,859.0026,083.0030,336.00114,12827,803
    Selling, general and administrative expense (USD, thousands)124,105.00451,958125,621132,084.00130,392.00141,510.00529,607144,290
    Total operating expenses (USD, thousands)155,157.00568,494154,471160,943.00156,475.00171,846.00643,735172,093
    Operating income (loss) (USD, thousands)9,297.00(40,271)(15,218)14,318.0036,083(1,485)
    Interest and dividend income (USD, thousands)(5,870.00)(20,560)(5,923)(5,882.00)(5,890.00)(5,552.00)(23,247)(5,066)
    Other expense, net (USD, thousands)(73.00)19560135.00(118.00)778.00855(578)
    Total other income (USD, thousands)(5,943.00)(20,365)(5,863)(5,747.00)(6,008.00)(4,752.00)(22,370)(5,644)
    Income (loss) before income taxes (USD, thousands)15,240.00(19,906)(9,355)10,846.0020,326.0036,636.0058,4534,159
    Income taxes (USD, thousands)477.001,2476501,053.001,829.001,412.004,9441,167
    Net income (loss) (USD, thousands)14,763.00(21,153)(10,005)9,793.0018,497.0035,224.002,992
    Balance Sheet - MetricQ1 2018Q2 2018Q3 2018FY 2018Q1 2019Q2 2019Q3 2019FY 2019Q1 2020Q2 2020Q3 2020FY 2020Q1 2021Q2 2021Q3 2021FY 2021Q1 2022Q2 2022Q3 2022Q4 2022FY 2022Q1 2023Q2 2023Q3 2023Q4 2023FY 2023Q1 2024Q2 2024Q3 2024Q4 2024FY 2024Q1 2025
    Cash and cash equivalents (USD, thousands)185,537185,537175,416188,035150,150150,15053,882
    Investments, short-term (USD, thousands)274,838274,838265,945251,629263,475295,396295,396315,307
    Accounts receivable, net (USD, thousands)89,88489,88472,33379,71689,74393,06893,06892,628
    Inventories, net (USD, thousands)33,88533,88548,97459,02567,43280,11880,11899,727
    Prepaid expenses and other current assets (USD, thousands)9,5959,5959,54628,75514,35812,07412,07410,135
    Total current assets (USD, thousands)593,739593,739572,214607,160582,520630,806630,806571,679
    Investments, long-term (USD, thousands)9,1439,14327,80326,34470,99570,99544,831
    Property and equipment, net (USD, thousands)39,98439,98452,28161,70167,44771,92571,92577,175
    Operating lease right-of-use assets (USD, thousands)22,66722,66722,24822,18921,81123,31423,31424,972
    Other non-current assets (USD, thousands)11,27811,27811,29610,99510,99111,34311,34312,152
    Total assets (USD, thousands)676,811676,811685,842728,389796,194808,383808,383730,809
    Accounts payable (USD, thousands)38,83938,83943,80233,62134,92638,68738,68729,137
    Accrued expenses (USD, thousands)39,26639,26628,37032,03639,33849,81449,81434,333
    Total current liabilities (USD, thousands)78,10578,10572,17265,65774,26488,50188,50163,470
    Operating lease liabilities, non-current portion (USD, thousands)24,84624,84624,50024,51225,21830,03930,03931,488
    Other non-current liabilities (USD, thousands)1,3461,346146149150148148-
    Total liabilities (USD, thousands)104,297104,29796,81890,31899,632118,68895,066
    Common Stock (USD, thousands)3030303030303029
    Additional paid-in capital (USD, thousands)917,107917,107944,298983,7911,021,970981,043981,043924,409
    Accumulated other comprehensive income (USD, thousands)800800124(115)1,700536536227
    Accumulated deficit (USD, thousands)(345,423)(345,423)(355,428)(345,635)(327,138)(291,914)(291,914)(288,922)
    Total stockholders' equity (USD, thousands)572,514572,514589,024638,071696,562689,695689,695635,743
    Total liabilities and stockholders' equity (USD, thousands)676,811676,811685,842728,389796,194808,383808,383730,809
    Cash Flow - MetricQ1 2018Q2 2018Q3 2018FY 2018Q1 2019Q2 2019Q3 2019FY 2019Q1 2020Q2 2020Q3 2020FY 2020Q1 2021Q2 2021Q3 2021FY 2021Q1 2022Q2 2022Q3 2022Q4 2022FY 2022Q1 2023Q2 2023Q3 2023Q4 2023FY 2023Q1 2024Q2 2024Q3 2024Q4 2024FY 2024Q1 2025
    Net income (loss) [USD, thousands]14,763.00(21,153)(10,005)9,793.0018,497.0035,224.0053,5092,992
    Depreciation and amortization [USD, thousands]817.002,8468391,383.001,850.002,478.006,5503,044
    Accretion of investment discount [USD, thousands]-(2,469)(2,469)(2,438.00)(2,410.00)(1,542.00)(8,859)(1,209)
    Stock-based compensation expense [USD, thousands]22,849.0082,47026,32232,322.0028,223.0029,140.00116,00731,056
    Provision (benefit) for estimated credit losses [USD, thousands]--(1,392)259.000.00365.00(768)311
    Other non-cash expenses [USD, thousands]716.001,987---411.001,517512
    Net cash provided by operating activities [USD, thousands]17,267.0024,6538,860(6,703)
    Purchases of property and equipment [USD, thousands](8,033.00)(23,629)(11,696)(12,393.00)(8,007.00)(7,027.00)(39,123)(8,407)
    Purchases of investments [USD, thousands](143,936.00)(281,189)(55,739)(56,296.00)(225,505.00)(80,814.00)(418,354)(16,719)
    Proceeds from sales or maturities of investments [USD, thousands]246.0010,24647,90074,309.00130,544.0091,852.00344,60524,173
    Purchases of strategic investments [USD, thousands]0.00(250)----(250)(600)
    Net cash used in investing activities [USD, thousands](151,723.00)(294,822)(19,535)5,620.00(102,968.00)3,761.00(113,122)(1,553)
    Proceeds from the exercise of stock options [USD, thousands]1,303.0025,8093,6165,518.0014,225.00(1,192.00)22,1676,441
    Accelerated share repurchase of common stock [USD, thousands]------(75,000)(75,009)
    Payment of taxes on net share settlement of equity awards [USD, thousands](13,925.00)(17,158)(2,848)(1,862.00)(4,335.00)3,880.00(5,165)(19,192)
    Net cash (used in) provided by financing activities [USD, thousands](10,115.00)13,9507687,087.009,890.00(70,138.00)(52,393)(87,760)
    Effect of exchange rate on cash [USD, thousands]211.00164(214)(10.00)272.00(166.00)(118)(252)
    (Decrease) increase in cash and cash equivalents [USD, thousands](144,360.00)(256,055)(10,121)12,619.00(40,523.00)2,638.00(35,387)(96,268)
    Cash and cash equivalents at beginning of year [USD, thousands]441,592441,592185,537185,537185,537185,537185,537150,150
    Cash and cash equivalents at end of year [USD, thousands]185,537185,537175,416188,035147,512150,150150,15053,882
    Property and equipment included in accounts payable and accrued expenses [USD, thousands]4,0184,0185,4583,8683,4563,3863,3863,272
    Revenue by Geography - in Millions of USDQ1 2018Q2 2018Q3 2018FY 2018Q1 2019Q2 2019Q3 2019FY 2019Q1 2020Q2 2020Q3 2020FY 2020Q1 2021Q2 2021Q3 2021FY 2021Q1 2022Q2 2022Q3 2022Q4 2022FY 2022Q1 2023Q2 2023Q3 2023Q4 2023FY 2023Q1 2024Q2 2024Q3 2024Q4 2024FY 2024Q1 2025
    United States189.49606.2155.8187.8195.8231.64771.04-
    - All Other Countries3.1118.68.28.17.48.0631.76-
    Total Revenue192.5624.8164.0195.9203.2239.7802.80-
    KPIs - Metric (Unit, Scale)Q1 2018Q2 2018Q3 2018FY 2018Q1 2019Q2 2019Q3 2019FY 2019Q1 2020Q2 2020Q3 2020FY 2020Q1 2021Q2 2021Q3 2021FY 2021Q1 2022Q2 2022Q3 2022Q4 2022FY 2022Q1 2023Q2 2023Q3 2023Q4 2023FY 2023Q1 2024Q2 2024Q3 2024Q4 2024FY 2024Q1 2025
    Number of new U.S. centers that implant Inspire therapy (count)-280668166-285-
    Number of total U.S. centers that implant Inspire therapy (count)-1,1801,2461,3161,371-1,435-
    Number of new U.S. sales territories (count)-62111213-48-
    Number of total U.S. sales territories (count)-287298310323-335-
    Average BMI of patients treated with Inspire therapy (body mass index)-2929-29-29-