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Inspire Medical Systems, Inc.

INSPHealthcareNASDAQ

Medical Devices

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Financials · Annual
Revenue
$912.0M
+13.6% YoY
Net Income
$145.4M
+171.8% YoY
EBITDA
$79.8M
+22.7% YoY
Free Cash Flow
$85.6M

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About Inspire Medical Systems, Inc.

Inspire Medical Systems, Inc., a medical technology company, focuses on the development and commercialization of minimally invasive solutions for patients with obstructive sleep apnea (OSA) in the. The $1.19B market capitalization puts INSP squarely in small-cap range for its industry. The company offers Inspire system, a neurostimulation technology that provides a safe and effective treatment for patients with moderate to severe OSA.

Key stats
Market Cap$1.19B
P/E (TTM)9.40
Fwd P/E31.69
EPS$4.40
Beta0.83
52W Change-69.1%
ROE18.4%
Analysis

With $283.8M in cash and $29.6M in debt, INSP maintains more liquidity than leverage. This favorable balance sheet position can be an asset when capital markets become less accommodating. Annual free cash flow of $85.6M supports ongoing capital allocation decisions and provides a cushion against unexpected expenses or downturns. ROE of 18.4% points to strong capital efficiency, indicating how much profit the company produces per dollar of shareholder equity. ROA of 3.9% is on the lower side, which is common in asset-heavy industries. Revenue has grown from $407.9M (2022) to $912.0M (2025), reflecting a 124% increase over the period.

The strong cash position relative to debt provides a financial cushion that reduces balance sheet risk. Understanding these risk dimensions helps frame what to watch going forward as conditions evolve for Inspire Medical Systems, Inc. and its sector.

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