Inspire Medical Systems, Inc.
Business
Inspire Medical Systems develops and commercializes the Inspire system, a minimally invasive, closed-loop neurostimulation device for patients with moderate to severe obstructive sleep apnea who have failed continuous positive airway pressure therapy. The system delivers electrical stimulation to the hypoglossal nerve to maintain airway patency. Inspire sells directly to hospitals and ambulatory surgery centers in the U.S. and Europe, and through distributors in Asia.
Summary from 10-K filed 2026-02-13
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 912 | 803 | 625 | 408 | 233 | |
| Cost of goods sold | 133 | 123 | 97 | 66 | 33 | |
| Gross profit | 779 | 680 | 528 | 342 | 200 | |
| Research and development | 103 | 114 | 117 | 69 | 37 | |
| Selling, general and administrative | 625 | 530 | 452 | 321 | 203 | |
| Total operating expenses | 728 | 644 | 568 | 389 | — | |
| Operating income (loss) | 51 | 36 | −40 | −48 | −40 | |
| Interest and dividend income | −18 | −23 | −21 | −5 | −125,000 | |
| Interest expense | 137,000 | 22,000 | 0 | 2 | — | |
| Other expense, net | 3 | 855,000 | 195,000 | 49,000 | 117,000 | |
| Total other income | −15 | −22 | −20 | −3 | 2 | |
| Income (loss) before income taxes | 66 | 58 | −20 | −44 | −42 | |
| Income tax (benefit) expense | −80 | 5 | 1 | 613,000 | 72,000 | |
| Net income (loss) | 145 | 54 | −21 | −45 | −42 | |
| Foreign currency translation (loss) gain | −296,000 | −65,000 | 140,000 | 89,000 | 0 | |
| Unrealized gain (loss) on investments | 224,000 | −199,000 | 746,000 | −120,000 | −84,000 | |
| Total comprehensive income (loss) | 145 | 53 | −20 | −45 | −42 | |
| Basic (in dollars per share) | 4.95 | 1.8 | −0.72 | −1.6 | −1.54 | |
| Diluted (in dollars per share) | 4.89 | 1.75 | −0.72 | −1.6 | −1.54 | |
| Basic (in shares) | 29 | 30 | 29 | 28 | 27 | |
| Diluted (in shares) | 30 | 31 | 29 | 28 | 27 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 105 | 150 | 186 | 442 | 214 | |
| Investments, short-term | 203 | 295 | 275 | 10 | 0 | |
| Accounts receivable, net of allowance for credit losses of $1,080 and $880, respectively | 120 | 93 | 90 | 61 | 34 | |
| Inventories, net | 145 | 80 | 34 | 12 | 17 | |
| Prepaid expenses and other current assets | 10 | 12 | 10 | 6 | 3 | |
| Total current assets | 584 | 631 | 594 | 530 | 269 | |
| Investments, long-term | 96 | 71 | 9 | 0 | 10 | |
| Property and equipment, net | 98 | 72 | 40 | 17 | 8 | |
| Operating lease right-of-use assets | 24 | 23 | 23 | 7 | 8 | |
| Deferred tax assets | 89 | 13,000 | — | — | — | |
| Other non-current assets | 17 | 11 | 11 | 11 | 204,000 | |
| Total assets | 907 | 808 | 677 | 565 | 295 | |
| Accounts payable | 37 | 39 | 39 | 27 | 12 | |
| Accrued expenses | 59 | 50 | 39 | 34 | 20 | |
| Total current liabilities | 96 | 89 | 78 | 61 | 41 | |
| Operating lease liabilities, non-current portion | 30 | 30 | 25 | 8 | 9 | |
| Other non-current liabilities | 104,000 | 148,000 | 1 | 146,000 | 134,000 | |
| Total liabilities | 126 | 119 | 104 | 69 | 66 | |
| Commitments and contingencies (Note 11) | — | — | — | — | — | |
| Preferred Stock, $0.001 par value, 10,000,000 shares authorized; no shares issued and outstanding | 0 | 0 | 0 | 0 | 0 | |
| Common Stock, $0.001 par value, 200,000,000 shares authorized; 28,579,015 and 29,740,176 shares issued and outstanding at December 31, 2025 and 2024, respectively | 29,000 | 30,000 | 30,000 | 29,000 | 27,000 | |
| Additional paid-in capital | 927 | 981 | 917 | 820 | 508 | |
| Accumulated other comprehensive income | 464,000 | 536,000 | 800,000 | −86,000 | −55,000 | |
| Accumulated deficit | −146 | −292 | −345 | −324 | −279 | |
| Total stockholders' equity | 781 | 690 | 573 | 496 | 229 | |
| Total liabilities and stockholders' equity | 907 | 808 | 677 | 565 | 295 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 14 | 7 | 3 | 2 | 1 | |
| Accretion of investment discount | −3 | −9 | −2 | −4,000 | 14,000 | |
| Stock-based compensation expense | 130 | 116 | 83 | 52 | 26 | |
| Deferred income taxes (benefit) | −89 | 0 | 0 | — | — | |
| Provision (benefit) for estimated credit losses | 200,000 | −768,000 | 2 | −63,000 | — | |
| Impairment of strategic investment | 4 | 0 | 0 | — | — | |
| Other non-cash expenses | 2 | 2 | 2 | 879,000 | — | |
| Accounts receivable | −26 | −3 | −30 | −27 | −9 | |
| Inventories | −65 | −46 | −22 | 5 | −9 | |
| Prepaid expenses and other current assets | 2 | −2 | −5 | −3 | −696,000 | |
| Accounts payable | −4 | 604,000 | 9 | 14 | 5 | |
| Accrued expenses and other liabilities | 6 | 13 | 7 | 12 | 7 | |
| Net cash provided by operating activities | 117 | 130 | 25 | 12 | −20 | |
| Purchases of property and equipment | −38 | −39 | −24 | −9 | −5 | |
| Purchases of investments | −240 | −418 | −281 | 0 | −10 | |
| Proceeds from sales or maturities of investments | 310 | 345 | 10 | 0 | 44 | |
| Purchases of strategic investments | −10 | −250,000 | −250,000 | −11 | 0 | |
| Net cash provided by (used in) investing activities | 21 | −113 | −295 | −20 | 29 | |
| Proceeds from the exercise of stock options | 10 | 22 | 26 | 12 | 11 | |
| Accelerated share repurchase of common stock | 0 | −75 | 0 | — | — | |
| Share repurchase of common stock | −175 | 0 | 0 | 0 | — | |
| Payment of taxes on net share settlement of equity awards | −23 | −5 | −17 | −43,000 | 0 | |
| Proceeds from the issuance of common stock from employee stock purchase plan | 5 | 6 | 5 | 4 | 3 | |
| Net cash (used in) provided by financing activities | −183 | −52 | 14 | 235 | 15 | |
| Effect of exchange rate on cash | −310,000 | −118,000 | 164,000 | 75,000 | −19,000 | |
| Decrease in cash and cash equivalents | −45 | −35 | −256 | 227 | 24 | |
| Cash paid for interest | 137,000 | 22,000 | 0 | 2 | 2 | |
| Property and equipment included in accounts payable and accrued expenses | 5 | 3 | 4 | 2 | 274,000 | |
| Excise taxes accrued but not paid | 1 | 0 | 0 | — | — |
Filings
Material Events
Insiders
Institutional Holders
Frequently asked questions
What is Inspire Medical Systems, Inc.'s CIK number?
Inspire Medical Systems, Inc.'s SEC CIK number is 0001609550 (1609550). The CIK (Central Index Key) is the permanent identifier the SEC assigns to every EDGAR filer — unlike a ticker symbol, it never changes.
Where can I find Inspire Medical Systems, Inc.'s SEC filings?
All of Inspire Medical Systems, Inc.'s EDGAR filings — 10-K annual reports, 10-Q quarterly reports, 8-K material events, and insider transactions — are listed on this page, sourced live from SEC EDGAR.
When did Inspire Medical Systems, Inc. last report earnings?
Inspire Medical Systems, Inc. (INSP) most recently filed an earnings 8-K with the SEC on May 4, 2026, furnishing its results under Item 2.02 (Results of Operations and Financial Condition). The earnings press release is attached to that filing (accession 0001609550-26-000021). This is Inspire Medical Systems, Inc.'s most recent earnings filing of record — not a forecast of its next earnings date.
What is Inspire Medical Systems, Inc.'s most recent earnings 8-K?
Inspire Medical Systems, Inc.'s latest earnings 8-K (Item 2.02) was filed May 4, 2026 under accession 0001609550-26-000021. It carries the quarterly or annual earnings press release — the earliest official, SEC-filed version of the results.
View Inspire Medical Systems, Inc.'s latest earnings 8-K →
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