Inspire Medical Systems, Inc. (INSP) Stock Price & Analysis

Inspire Medical Systems, Inc. (INSP) closed at USD 71.11 on Friday, October 23, 2026, down 2.13% on the day. The US market is currently closed; this is not a live price.

The prior close was USD 72.66; the Oct 23, 2026 session ranged USD 68.46–72.75 on volume of 557,021 shares. Market capitalization is $2.06B, with a 52-week range of USD 38.91–147.03 (NYQ). Source: Nexqual, retrieved October 24, 2026 at 21:02 UTC.

Also available as compact Markdown for AI agents: nexqual.com/INSP.md

Key facts (INSP)

Financials (SEC 10-K; TTM = last four 10-Q/10-K quarters) (INSP)

USDFY2021FY2022FY2023FY2024FY2025TTM
Revenue$233M$408M$625M$803M$912M$899M
Gross profit$200M$342M$528M$680M$779M—
Operating income-$39.9M-$47.6M-$40.3M$36.1M$51.0M$54.1M
Net income-$42.0M-$44.9M-$21.2M$53.5M$145M$135M
EPS (diluted)-$1.54-$1.60-$0.72$1.75$4.89—
Free cash flow-$24.8M$2.5M$1.0M$91.1M$78.5M$117M
Gross margin85.7%83.8%84.5%84.7%85.4%—
Operating margin-17.1%-11.7%-6.4%4.5%5.6%6.0%
Net margin-18.0%-11.0%-3.4%6.7%15.9%15.0%
Revenue growth+102.3%+74.7%+53.2%+28.5%+13.6%—
Cash + short-term investments$214M$451M$460M$446M$308M—
Total debt$24.5M$0K————

Fiscal years end Dec. EPS is split-adjusted.

Valuation (price ÷ last four quarters, through Jun 30, 2026) (INSP)

P/E 15.2x · P/S 2.3x · P/FCF 17.6x · P/B 2.5x · FCF yield 5.70% · Earnings yield 6.57% · Buyback yield (TTM) 4.86%

P/E at fiscal year-ends: Dec 2025 18.9x, Dec 2024 105.8x.

Insider sales (SEC Form 4, open-market, last ~7 months) (INSP)

1 of 4 under a Rule 10b5-1 trading plan (scheduled in advance). Unplanned sales were timed by the insider.

Trade dateInsiderRoleSharesValue% of holdings sold10b5-1 planInsider type
2026-08-07Kelly Jason PSee Remarks963$57K4.8%NoToo little history (no open-market trades in 2023–2025)
2026-05-15Rondoni JohnSee Remarks2,641$114K8.9%NoRoutine (sold in Feb each year 2023–2025; this trade is outside those months)
2026-05-14Rondoni JohnSee Remarks700$30K2.3%NoRoutine (sold in Feb each year 2023–2025; this trade is outside those months)
2026-05-08McCormick ShawnDirector696$32K2.2%YesToo little history (no open-market trades in 2023)

% of holdings sold = shares sold ÷ (shares sold + all holdings the insider reported on that Form 4, direct and through trusts).

Insider type follows Cohen, Malloy & Pomorski (Journal of Finance, 2012). An insider who traded the stock in the same calendar month in each of the past three years is a routine trader; one who traded in each of those years without such a pattern is an opportunistic trader. In their study, trades by opportunistic insiders predicted future returns and trades by routine insiders did not. Counts open-market purchases and sales only (SEC Form 4 codes P and S) by that insider in that company. Not investment advice.

Analysts (INSP)

Consensus Hold (mean 3.06 on a 1–5 scale), 18 analysts; mean target USD 68 (low 40, high 97).

Rating changes, last 120 days:

DateFirmActionRatingPrice target
2026-10-14Truist SecuritiesTarget raisedHold$62 → $78
2026-10-07BarclaysInitiatedUnderweight$65
2026-10-02Freedom Capital MarketsMaintainedBuy$97
2026-10-01RBC CapitalTarget raisedSector Perform$60 → $75
2026-09-21Freedom Capital MarketsTarget raisedBuy$71 → $97
2026-09-11StifelTarget raisedBuy$75 → $80
2026-08-04JP MorganTarget raisedNeutral$54 → $60
2026-08-04MizuhoTarget raisedOutperform$55 → $65
2026-08-04OppenheimerUpgradePerform → Outperform$85
2026-08-04Truist SecuritiesTarget raisedHold$54 → $62
2026-08-04Evercore ISI GroupTarget raisedIn-Line$40 → $54
2026-08-04Piper SandlerTarget raisedNeutral$55 → $60

Total return (dividends reinvested) (INSP)

1Y (from 2025-10-24)5Y (from 2021-10-25)
Total return-8.3%-73.6%
S&P 500 (SPY)+13.4%+76.9%
Per year-8.3%-23.4%
Volatility (annualized)70.0%62.3%
Max drawdown-72.2% (Dec 2025→May 2026)-87.7% (Jul 2023→May 2026)

INSP revenue by region (quarter ended Jun 30, 2026)

LineRevenueShare of totalYoY
United States$187.3M93.4%-9.6%
International$13.3M6.6%+33.6%
Total revenue$200.6M100%—

As tagged by the company in its SEC 10-Q / 10-K filings (XBRL).

INSP suppliers, customers and competitors (named in its 10-K)

RelationshipCompanySentence in the filing
PartnerMedtronic plc (MDT)“License Agreement with Medtronic”

Quoted from the company's 10-K filed Feb 13, 2026.

INSP company outlook (results filed Aug 3, 2026)

Quoted word-for-word from the SEC 8-K results press release.

INSP analyst estimates and revisions

PeriodEPS estimate90 days agoChangeRevenue estimateAnalysts
Current quarter (ends Sep 2026)$0.09$0.14-35.5%$204.3M14
Next quarter (ends Dec 2026)$0.91$0.90+1.8%$244.4M14
Current fiscal year (ends Dec 2026)$1.25$0.90+39.5%$853.9M14
Next fiscal year (ends Dec 2027)$1.54$1.26+21.7%$887.2M15

INSP options: expected move

Options price a move of about ±17.9% (±$12.75) by Nov 20, 2026, which includes earnings on Nov 2, 2026. Over the last 8 reports the stock moved ±14% on average.

ExpirationDaysATM implied volatilityExpected move
Nov 20, 20262781.9%±17.9%
Dec 18, 20265571.2%±21.9%
Jan 15, 20278366.9%±25.1%
Feb 19, 202711868.8%±30.7%
Mar 19, 202714667.2%±33.2%
May 21, 202720965.9%±38.8%

30-day implied volatility 67% vs 45% realized over the last 30 trading days. Put/call ratio (volume) 1. Cboe delayed quotes (15 min). Expected move = at-the-money straddle.

Key Statistics (as of October 24, 2026 at 21:02 UTC)

PriceUSD 71.11
Change▼ 2.13% (down)
Previous CloseUSD 72.66
OpenUSD 72.25
Day RangeUSD 68.46 – 72.75
52-Week RangeUSD 38.91 – 147.03
Volume557,021 shares
Market Cap$2.06B
ExchangeNYQ

Technical Analysis (INSP)

Nexqual's technical model rates INSP "STRONG BUY" based on 5 bullish and 0 bearish signals across 127 daily candles, as of October 24, 2026 at 21:02 UTC.

Overall SignalSTRONG BUY
RSI (14)56.48 (neutral)
vs SMA50Above (USD 67.43)
MACD0.94 (positive)

Analyst Ratings (INSP)

Wall Street analysts rate INSP "Hold" based on 18 analysts, with a mean price target of USD 68 (range USD 40–97), per Nexqual as of October 24, 2026 at 21:02 UTC.

Consensus RatingHold
Analyst Count18
Mean TargetUSD 68
High TargetUSD 97
Low TargetUSD 40
Buy / Hold / Sell4 / 11 / 3

Earnings (INSP)

Next Earnings Date2026-11-02
EPS EstimateUSD 0.09
Revenue Estimate$204.32M

Recent Earnings History

QuarterActual vs Estimate
2026-06-30USD 0.14 vs est -0.25 ▲ beat
2026-03-31USD 0.1 vs est -0.26 ▲ beat
2025-12-31USD 1.65 vs est 0.68 ▲ beat
2025-09-30USD 0.38 vs est -0.17 ▲ beat

Source: Nexqual, October 24, 2026 at 21:02 UTC.

Financials & Fundamentals (INSP)

Total Revenue$898.74M
Revenue Growth (latest quarter, YoY)-7.60%
Gross Margin+86.13%
Operating Margin-0.26%
Profit Margin+15.03%
ROE+17.97%
Debt / Equity0.04
Current Ratio8.55
Total Cash$320.68M
Total Debt$29.09M
Free Cash Flow (last four quarters to Jun 2026, SEC 10-Q / 10-K)$117.09M (13.0% of revenue)

Source: Nexqual, October 24, 2026 at 21:02 UTC.

Financial Health Score (INSP)

Nexqual rates Inspire Medical Systems, Inc.'s overall financial health "Solid" across five dimensions, as of October 24, 2026 at 21:02 UTC.

GrowthSolid — Revenue +14% YoY (annual)
ProfitabilitySolid — Gross margin 86%, operating -0% (last 12 months)
Balance SheetStrong — $321M cash vs $29M debt, net cash position
Cash FlowSolid — FCF $117M (last 4 quarters to Jun 2026, SEC), 13% margin
EfficiencySolid — ROE 18%, ROA 3.9%

Ownership (INSP)

Insider Ownership+1.18%
Institutional Ownership+129.34%
Shares Outstanding28.91M
Float23.27M
Short % of Float+19.00%

Source: Nexqual, October 24, 2026 at 21:02 UTC.

Leadership (INSP)

Inspire Medical Systems, Inc. is led by Timothy P. Herbert, Founder, Chairman, CEO & President, per Nexqual as of October 24, 2026 at 21:02 UTC.

Founder, Chairman, CEO & PresidentTimothy P. Herbert
Chief Strategy and Growth OfficerCarlton W. Weatherby
Executive VP & CFOMatthew J. Osberg
Senior Vice President of U.S. SalesJoseph E. Sander
Director of Financial ReportingMegan Rowekamp

Major Backers & Investors (INSP)

Notable institutional backers of Inspire Medical Systems, Inc. include Wellington Management, Soleus Capital Management, L.P., AQR Capital Management, LLC, according to Nexqual as of October 24, 2026 at 21:02 UTC.

Active Investors

InvestorStake
Wellington Management8.24%
Soleus Capital Management, L.P.6.68%
AQR Capital Management, LLC6.42%
UBS Group AG5.69%
Shaw D.E. & Co., Inc.5.09%
Nomura Holdings Inc.4.74%
Deerfield Management Company, L.P4.49%
Artisan Partners Funds Inc.-Artisan International Small-Mid Fund1.58%

Index Funds (Passive)

FundStake
BlackRock16.39%
Vanguard Group11.63%

Source: Nexqual, October 24, 2026 at 21:02 UTC.

From Inspire Medical Systems, Inc.'s Latest SEC 10-K Filing (filed 2026-02-13)

Key Strengths & Strategy (as disclosed to the SEC)

Partnerships

Legal & Regulatory Risks (Item 1A, quoted)

Source: SEC EDGAR 10-K, official filing. Curated by Nexqual.

Peers & Related Stocks

SymbolNamePriceChange
ALMRAlamar Biosciences, Inc.USD 30.69▲ 3.26%
ESTAEstablishment Labs Holdings IncUSD 63.8▲ 0.44%
AXGNAxoGen, Inc.USD 38.06▲ 3.76%
UFPTUFP Technologies, Inc.USD 295.78▼ 0.52%
BFLYButterfly Network, Inc.USD 6.76▼ 0.73%
TMDXTransMedics Group, Inc.USD 70.74▼ 1.83%

Data source: Nexqual — market data, technical indicators, analyst consensus, earnings, SEC EDGAR filings. Last updated: October 24, 2026 at 21:02 UTC. This page is informational and not investment advice.

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