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2026-09-02 17:04 7d ago
2026-09-02 12:31 7d ago
Inspire Medical klesla, ale zvýšila výhled tržeb
INSP Inspire Medical Systems
FMP Stock News 78
Original source text
It has been about a month since the last earnings report for Inspire Medical Systems (INSP - Free Report) . Shares have lost about 4.1% in that time frame, underperforming the S&P 500.

But investors have to be wondering, will the recent negative trend continue leading up to its next earnings release, or is Inspire due for a breakout? Before we dive into how investors and analysts have reacted as of late, let's take a quick look at its latest earnings report in order to get a better handle on the important catalysts.

Inspire Medical Q2 Earnings Beat Estimates, ’26 View Raised

Inspire Medical Systems, Inc. reported second-quarter 2026 adjusted earnings per share of 14 cents, down 58.8% year over year. The figure beat the Zacks Consensus Estimate of a loss of 22 cents by 163.6%.

GAAP earnings per share in the quarter were 1 cent compared to GAAP loss per share of 12 cents in the year-ago quarter.

INSP’s Q2 Revenues in Detail

Inspire Medical registered revenues of $200.6 million in the second quarter, down 7.6% year over year. The figure beat the Zacks Consensus Estimate by 2.9%.

The decline in sales was primarily caused by a decrease in U.S. revenues due to coding and reimbursement challenges. This was partly offset by an increase in international revenues.

As of June 30, 2026, INSP operated 280 U.S. sales territories and employed 301 field clinical representatives compared with 295 territories and 275 representatives at the end of 2025.

INSP’s Q2 Revenue Mix Reflects U.S. Pressure

In the second quarter, U.S. revenues totaled $187.3 million, down 9.6% year over year. Management attributed the weakness primarily to the evolving coding and reimbursement environment, which slowed prior-authorization activity and procedure volumes.

International revenues totaled $13.3 million, up 33.6% year over year. The overseas gain partly offset the domestic decline, but the United States remained the dominant contributor to quarterly sales.

INSP’s Margin Analysis

In the second quarter, Inspire Medical’s gross profit decreased 6% year over year to $171.5 million. The gross margin expanded 150 basis points to 85.5%, primarily driven by a higher sales mix of the Inspire V system.

Selling, general and administrative expenses decreased 7.7% year over year to $147.3 million. Research and development expenses declined 5.8% to $24.7 million. Operating expenses of $171.9 million decreased 7.4% year over year.

Adjusted operating profit decreased 66.8% year over year to $3.2 million. The adjusted operating margin contracted 280 basis points to 1.6%.

Inspire Medical’s Financial Position

Inspire Medical exited the second quarter of 2026 with cash and cash equivalents and short-term investments of $320.7 million compared with $283.8 million at the end of first-quarter 2026.

Cumulative net cash provided by operating activities at the end of second-quarter 2026 was $36.1 million, compared with the cumulative net cash used in operating activities of $4 million a year ago.

Inspire Medical Raises 2026 Outlook

Inspire Medical has updated its revenue and earnings per share outlook for 2026.

The company raised its revenue guidance to $835 million-$875 million from the previously projected $825 million-$875 million. The Zacks Consensus Estimate is pegged at $851.2 million.

INSP now expects adjusted earnings per share for 2026 in the range of $1.05-$1.45, up from the prior guidance of $0.75-$1.25. The company projects an adjusted operating margin of 4-6%. The Zacks Consensus Estimate is pegged at $1.24 per share.

How Have Estimates Been Moving Since Then?Since the earnings release, investors have witnessed a downward trend in estimates revision.

The consensus estimate has shifted -49.19% due to these changes.

VGM ScoresAt this time, Inspire has a average Growth Score of C, though it is lagging a bit on the Momentum Score front with a D. Charting a somewhat similar path, the stock was allocated a grade of C on the value side, putting it in the middle 20% for this investment strategy.

Overall, the stock has an aggregate VGM Score of C. If you aren't focused on one strategy, this score is the one you should be interested in.

OutlookEstimates have been broadly trending downward for the stock, and the magnitude of these revisions indicates a downward shift. Notably, Inspire has a Zacks Rank #1 (Strong Buy). We expect an above average return from the stock in the next few months.

Performance of an Industry PlayerInspire belongs to the Zacks Medical Info Systems industry. Another stock from the same industry, Tempus AI (TEM - Free Report) , has gained 32.4% over the past month. More than a month has passed since the company reported results for the quarter ended June 2026.

Tempus reported revenues of $382.49 million in the last reported quarter, representing a year-over-year change of +21.6%. EPS of -$0.04 for the same period compares with -$0.22 a year ago.

Tempus is expected to post a loss of $0.07 per share for the current quarter, representing a year-over-year change of +36.4%. Over the last 30 days, the Zacks Consensus Estimate has changed +3.3%.

The overall direction and magnitude of estimate revisions translate into a Zacks Rank #3 (Hold) for Tempus. Also, the stock has a VGM Score of F.
2026-08-31 10:19 9d ago
2026-08-26 04:13 14d ago
ADAR1 Capital koupila podíl ve společnosti Inspire Medical Systems
INSP Inspire Medical Systems
FMP Stock News 72
Original source text
ADAR1 Capital Management LLC acquired a new stake in Inspire Medical Systems, Inc. (NYSE:INSP – Free Report) in the 2nd quarter, according to the company in its most recent filing with the Securities and Exchange Commission (SEC). The firm acquired 374,617 shares of the company’s stock, valued at approximately $16,712,000. Inspire Medical Systems accounts for 0.8% of ADAR1 Capital Management LLC’s investment portfolio, making the stock its 28th largest holding. ADAR1 Capital Management LLC owned approximately 1.30% of Inspire Medical Systems as of its most recent SEC filing.

A number of other institutional investors have also recently added to or reduced their stakes in the stock. Daiwa Securities Group Inc. grew its position in Inspire Medical Systems by 38.7% during the second quarter. Daiwa Securities Group Inc. now owns 466 shares of the company’s stock worth $60,000 after buying an additional 130 shares during the period. State of Wyoming lifted its position in shares of Inspire Medical Systems by 31.5% during the 4th quarter. State of Wyoming now owns 731 shares of the company’s stock valued at $67,000 after acquiring an additional 175 shares during the period. Smartleaf Asset Management LLC boosted its stake in shares of Inspire Medical Systems by 84.0% during the 4th quarter. Smartleaf Asset Management LLC now owns 449 shares of the company’s stock worth $42,000 after acquiring an additional 205 shares in the last quarter. Apollon Wealth Management LLC boosted its stake in shares of Inspire Medical Systems by 5.6% during the 1st quarter. Apollon Wealth Management LLC now owns 3,997 shares of the company’s stock worth $206,000 after acquiring an additional 212 shares in the last quarter. Finally, Blair William & Co. IL grew its holdings in shares of Inspire Medical Systems by 5.1% in the 3rd quarter. Blair William & Co. IL now owns 4,865 shares of the company’s stock worth $361,000 after acquiring an additional 234 shares during the period. Hedge funds and other institutional investors own 94.91% of the company’s stock.

Inspire Medical Systems Price Performance NYSE:INSP opened at $61.23 on Wednesday. Inspire Medical Systems, Inc. has a 1-year low of $38.91 and a 1-year high of $147.03. The firm has a 50 day simple moving average of $51.95 and a 200-day simple moving average of $52.50. The firm has a market cap of $1.77 billion, a PE ratio of 13.25, a P/E/G ratio of 4.67 and a beta of 0.70.

Inspire Medical Systems (NYSE:INSP – Get Free Report) last issued its quarterly earnings results on Monday, August 3rd. The company reported $0.14 earnings per share for the quarter, beating the consensus estimate of ($0.24) by $0.38. Inspire Medical Systems had a return on equity of 8.64% and a net margin of 15.03%.The company had revenue of $200.58 million during the quarter, compared to the consensus estimate of $194.72 million. During the same period in the previous year, the firm posted $0.45 EPS. Inspire Medical Systems’s revenue was down 7.6% on a year-over-year basis. Inspire Medical Systems has set its FY 2026 guidance at 1.050-1.450 EPS. As a group, sell-side analysts expect that Inspire Medical Systems, Inc. will post 1.24 earnings per share for the current fiscal year. Insider Activity at Inspire Medical Systems In other news, insider Jason P. Kelly sold 963 shares of Inspire Medical Systems stock in a transaction on Friday, August 7th. The stock was sold at an average price of $59.55, for a total value of $57,346.65. Following the completion of the sale, the insider owned 18,985 shares of the company’s stock, valued at $1,130,556.75. The trade was a 4.83% decrease in their ownership of the stock. The sale was disclosed in a document filed with the Securities & Exchange Commission, which is available at the SEC website. 2.20% of the stock is currently owned by corporate insiders.

Wall Street Analyst Weigh In Several equities analysts recently weighed in on INSP shares. Stifel Nicolaus set a $75.00 price objective on Inspire Medical Systems in a research note on Tuesday, August 4th. Zacks Research upgraded Inspire Medical Systems from a “hold” rating to a “strong-buy” rating in a research report on Monday, August 17th. Robert W. Baird upped their target price on Inspire Medical Systems from $54.00 to $59.00 and gave the company a “neutral” rating in a report on Tuesday, August 4th. UBS Group initiated coverage on Inspire Medical Systems in a research report on Tuesday, July 28th. They issued a “sell” rating and a $39.00 price target for the company. Finally, Summit Redstone set a $39.00 price target on Inspire Medical Systems in a research note on Friday, May 22nd. Two equities research analysts have rated the stock with a Strong Buy rating, three have given a Buy rating, eleven have assigned a Hold rating and three have issued a Sell rating to the company. According to MarketBeat, the stock currently has a consensus rating of “Hold” and a consensus target price of $66.19.

Check Out Our Latest Stock Report on INSP

(Free Report)

Inspire Medical Systems, Inc is a medical technology company specializing in implantable neurostimulation devices for the treatment of obstructive sleep apnea (OSA). The company’s flagship offering, the Inspire® system, delivers targeted stimulation of the hypoglossal nerve to maintain airway patency during sleep, providing an alternative therapy for patients who are intolerant of or inadequately managed by continuous positive airway pressure (CPAP) devices.

The Inspire system comprises an implantable pulse generator, a sensing lead that monitors breathing patterns, and a stimulation lead that activates the hypoglossal nerve.

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2026-08-20 18:44 20d ago
2026-08-20 13:21 20d ago
Inspire Medical: americký trh OSA přesahuje 10 miliard USD
INSP Inspire Medical Systems
FMP Stock News 78
Original source text
Key Takeaways Inspire V adoption and growing clinical evidence are strengthening Inspire Medical's position in OSA.Inspire Medical says its U.S. OSA market tops $10B and remains less than 5% penetrated.Coding and reimbursement disruptions affected Inspire Medical's second-quarter revenues by about $40M. Inspire Medical Systems (INSP - Free Report) is well-positioned for solid growth over the next few quarters as it navigates a significant product transition.

Shares of this Zacks Rank #1 (Strong Buy) company have declined 33.1% in the year-to-date period against a 12.2% gain for both the industry and the S&P 500 Index.

Inspire Medical, a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea (OSA), has a market capitalization of $1.66 billion.

The company’s earnings surpassed estimates in each of the trailing four quarters, delivering an average surprise of 195.9%.

Image Source: Zacks Investment Research

Factors Driving INSP’s ProspectsInspire V Adoption & Strong Clinical Evidence: Inspire Medical continues to strengthen its competitive position in OSA through the broader adoption of its Inspire V system and a growing body of clinical evidence. In the company’s Singapore clinical study, all 44 implants were completed successfully, surgical time was reduced by 20%, and therapy adherence averaged 5.9 hours per night. A limited U.S. market release involving 101 patients also showed 100% successful implantation and continued therapy use, with average adherence of 6.3 hours per night at six months.

INSP is also expanding the evidence base supporting Inspire therapy beyond sleep-related outcomes, with recent research finding lower odds of stroke, myocardial infarction, atrial fibrillation, hospitalization and acute heart failure among patients receiving hypoglossal nerve stimulation compared with CPAP. The PREDICTOR study could further simplify the treatment pathway by allowing certain patients to avoid drug-induced sleep endoscopy (DISE), potentially reducing barriers to treatment. With more than 400 publications, this growing evidence base supports physician confidence in Inspire therapy.

Large Underpenetrated Market & Expanding Patient Access: Inspire Medical has substantial room for long-term expansion, with its addressable OSA market still less than 5% penetrated. The company estimates a U.S. market opportunity of more than $10 billion, providing a broad foundation for future adoption. Management is also working to reduce patient-access bottlenecks through Project Horizon, SleepSync initiatives, expanded ENT capacity, surgeon training and new treatment centers. International markets offer additional growth potential, particularly Continental Europe, where France has seen strong momentum following nationwide reimbursement, alongside continued expansion across Germany, Austria, Switzerland, the Netherlands, Belgium, the U.K., Japan and Singapore.

Regulatory Expansion & Clinical Scale: Inspire Medical has treated more than 140,000 patients and has over 1,500 implanters, supported by reimbursement coverage for more than 300 million U.S. lives. Inspire V represented the majority of implants in the second quarter of 2026. Coding clarity is also improving, with new facility C-codes in place and CMS proposing higher 2027 Medicare facility reimbursement. The company has also resubmitted its application for a Category I CPT code, targeting implementation in January 2028, which could further strengthen the long-term reimbursement framework.

Key Challenges for INSP StockCoding, Reimbursement and WISeR Headwinds: Inspire Medical continues to face coding and reimbursement disruption for Inspire V, with inconsistent surgeon payments and administrative complexity under the WISeR prior authorization program across six Medicare pilot states. These issues affected second-quarter 2026 revenues by approximately $40 million and are expected to reduce full-year 2026 revenues by $120-$130 million, while the revised Category I CPT application remains pending. Although customer education and prior authorization support are improving, state-level variability and billing uncertainty could continue to slow procedure conversion and Medicare growth.

Potential GLP-1 Therapy Pressure: Growing use of GLP-1 therapies could delay some Inspire treatment decisions as physicians may prioritize weight-loss treatment before considering Inspire. This sequencing can extend the patient journey and reduce near-term procedure conversion. However, management believes GLP-1 adoption could eventually expand the addressable pool by helping patients reduce BMI while leaving OSA unresolved. The impact remains uncertain as prescribing patterns, patient behavior and payer coverage continue to evolve.

Estimate TrendInspire Medical is witnessing a positive estimate revision trend for 2026. In the past 30 days, the Zacks Consensus Estimate for earnings has moved north 33.3% to $1.24 per share.

The Zacks Consensus Estimate for third-quarter 2026 revenues and loss per share is pegged at $204.1 million and 11 cents, respectively.

Other Stocks to ConsiderSome other top-ranked stocks from the broader medical space are Globus Medical (GMED - Free Report) , West Pharmaceutical (WST - Free Report) and The Cooper Companies (COO - Free Report) .

Globus Medical, currently sporting a Zacks Rank #1, reported a second-quarter 2026 adjusted earnings per share (EPS) of $1.34, which surpassed the Zacks Consensus Estimate by 19.6%. Revenues of $789.6 million beat the Zacks Consensus Estimate by 0.4%. You can see the complete list of today’s Zacks #1 Rank stocks here.

GMED has an estimated long-term earnings growth rate of 12.4%. The company’s earnings beat estimates in each of the trailing four quarters, the average surprise being 27.9%.

West Pharmaceutical, carrying a Zacks Rank #2 (Buy) at present, reported second-quarter 2026 adjusted EPS of $2.37, which beat the Zacks Consensus Estimate by 13.9%. Revenues of $872.3 million surpassed the Zacks Consensus Estimate by 4.2%.

WST has an estimated long-term earnings growth rate of 16%. WST’s earnings surpassed estimates in the trailing four quarters, the average surprise being 17.4%.

The Cooper Companies, carrying a Zacks Rank #2 at present, reported a second-quarter fiscal 2026 adjusted EPS of $1.21, which beat the Zacks Consensus Estimate by 10%. Revenues of $1.08 billion beat the Zacks Consensus Estimate by 2.6%.

COO has an estimated long-term earnings growth rate of 8.3%. COO’s earnings surpassed estimates in each of the trailing four quarters, the average surprise being 5.8%.
2026-08-05 19:35 1mo ago
2026-08-05 15:01 1mo ago
Inspire Medical zvýšila marži, proplácení brzdí tržby
INSP Inspire Medical Systems
FMP Stock News 72
Original source text
Key Takeaways Inspire's long-term case rests on a $10B-plus U.S. market with penetration still below 5%.Coding, authorization delays and uneven Medicare payments cut second-quarter revenue by about $40M.Inspire V lifted gross margin to 85.5%, while $320.7M in cash and no debt add financial flexibility. Inspire Medical Systems, Inc. (INSP - Free Report) offers investors a difficult trade-off. Its underpenetrated obstructive sleep apnea market, improving margins and financial flexibility support the long-term case.

Near-term execution remains less certain. Coding changes, prior-authorization delays and inconsistent Medicare reimbursement continue to restrain procedure volumes, making patience more appropriate than an aggressive entry.

Inspire’s Market Opportunity Remains LargeManagement estimates the U.S. opportunity at more than $10 billion, with market penetration below 5%. More than 140,000 patients have received Inspire therapy, while over 1,500 physicians perform implants.

That adoption base leaves substantial room for expansion if access improves. ResMed Inc. (RMD - Free Report) , a major provider of continuous positive airway pressure therapy, also serves the large sleep apnea market, underscoring both the demand opportunity and established competition.

INSP’s Balance Sheet Supports PatienceInspire ended the second quarter with $320.7 million in cash, cash equivalents and short-term investments. The company had no debt, limiting near-term balance-sheet pressure during the reimbursement disruption.

Operating cash flow reached $36.1 million in the first half of 2026, compared with cash use of $4 million a year earlier. This liquidity gives Inspire room to fund patient-access programs, commercial execution and research.

Inspire V Improves the Economic ModelInspire V represented the large majority of second-quarter implants and helped lift gross margin to 85.5%, up 150 basis points year over year. Its integrated respiratory sensor simplifies the implant procedure.

CMS has proposed raising 2027 Medicare facility reimbursement by about 12% for hospital outpatient procedures and 15% for ambulatory surgery centers. Those increases could improve procedure economics, but final rates are expected in November 2026.

Image Source: Zacks Investment Research

INSP’s Growth Case Still Has FrictionCoding and reimbursement disruption, including the WISeR prior-authorization program in six Medicare pilot states, reduced second-quarter revenues by about $40 million. Management expects a $120-$130 million full-year revenue impact.

Two Medicare Administrative Contractors still require a reduced-services modifier, creating uneven surgeon payments. Eli Lilly and Company (LLY - Free Report) adds another variable because Zepbound is approved for moderate-to-severe obstructive sleep apnea in adults with obesity, potentially affecting treatment sequencing.

Inspire’s Valuation Balances Risk and OpportunityINSP trades at roughly 2.1X forward sales, below the sub-industry multiple of 5.1X and its five-year median of 7.1X. The discount recognizes the company’s weaker near-term growth visibility.

A durable re-rating likely requires improving U.S. procedure trends, more consistent reimbursement and evidence that patient-flow investments are converting demand into implants. Until then, the lower multiple alone does not remove execution risk.

INSP’s Scores Point to a HoldThe bottom line is that margin improvement, liquidity and a large addressable market support holding INSP, while reimbursement uncertainty limits the case for buying aggressively now.

The stock currently carries a Zacks Rank #3 (Hold). Its Growth Score of B and VGM Score of B recognize favorable growth characteristics, while its Value Score of C and Momentum Score of C indicate a more balanced setup. The scores support waiting for clearer operating momentum before taking a stronger view. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
2026-08-04 00:18 1mo ago
2026-08-03 18:46 1mo ago
Inspire Medical Systems překonala odhady zisku i tržeb
INSP Inspire Medical Systems
FMP Stock News 78
Original source text
Inspire Medical Systems (INSP - Free Report) came out with quarterly earnings of $0.14 per share, beating the Zacks Consensus Estimate of a loss of $0.22 per share. This compares to earnings of $0.45 per share a year ago. These figures are adjusted for non-recurring items.

This quarterly report represents an earnings surprise of +163.64%. A quarter ago, it was expected that this maker of devices for treating obstructive sleep apnea would post a loss of $0.36 per share when it actually produced earnings of $0.1, delivering a surprise of +127.78%.

Over the last four quarters, the company has surpassed consensus EPS estimates four times.

Inspire, which belongs to the Zacks Medical Info Systems industry, posted revenues of $200.58 million for the quarter ended June 2026, surpassing the Zacks Consensus Estimate by 2.95%. This compares to year-ago revenues of $217.09 million. The company has topped consensus revenue estimates four times over the last four quarters.

The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call.

Inspire shares have lost about 45.6% since the beginning of the year versus the S&P 500's gain of 9.4%.

What's Next for Inspire?While Inspire has underperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock?

There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately.

Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions.

Ahead of this earnings release, the estimate revisions trend for Inspire was mixed. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #3 (Hold) for the stock. So, the shares are expected to perform in line with the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here.

It will be interesting to see how estimates for the coming quarters and the current fiscal year change in the days ahead. The current consensus EPS estimate is $0.21 on $203.81 million in revenues for the coming quarter and $0.93 on $844.21 million in revenues for the current fiscal year.

Investors should be mindful of the fact that the outlook for the industry can have a material impact on the performance of the stock as well. In terms of the Zacks Industry Rank, Medical Info Systems is currently in the top 33% of the 250 plus Zacks industries. Our research shows that the top 50% of the Zacks-ranked industries outperform the bottom 50% by a factor of more than 2 to 1.

Another stock from the same industry, Privia Health (PRVA - Free Report) , has yet to report results for the quarter ended June 2026. The results are expected to be released on August 6.

This physician practice management company is expected to post quarterly earnings of $0.08 per share in its upcoming report, which represents a year-over-year change of +300%. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days.

Privia Health's revenues are expected to be $581.67 million, up 11.6% from the year-ago quarter.
2026-08-04 00:18 1mo ago
2026-08-03 20:05 1mo ago
Inspire Medical Systems zvýšila výhled navzdory poklesu tržeb
INSP Inspire Medical Systems
FMP Stock News 88
Original source text
3 Medical Device Stocks Giving Investors a Different Healthcare PlayInspire Medical Systems NYSE: INSP reported second-quarter revenue of $200.6 million, down 7.6% from a year earlier, as coding and reimbursement disruptions continued to affect procedure volumes. The company said results exceeded its internal expectations for profitability and cash flow, prompting it to raise its full-year outlook for revenue, adjusted operating margin and adjusted earnings per share.

Chairman and Chief Executive Officer Tim Herbert said the company has been working with customers to navigate changes in coding and billing for its Inspire V sleep apnea therapy system. He said improved trends in prior-authorization submissions and customer education efforts have provided greater confidence that the disruption will lessen during the second half of 2026.

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Second-Quarter Results and Updated Outlook Eli Lilly Stock Up: GLP-1 Zepbound Targets Sleep Apnea MarketChief Financial Officer Matt Osberg said the revenue decline primarily reflected coding and reimbursement disruption, including the effect of declining prior authorizations observed during the first quarter. Diluted earnings per share were $0.01, while adjusted diluted EPS was $0.14. Adjusted EBITDA margin declined 90 basis points to 19.4%.

Operating cash flow totaled $23.2 million during the quarter and $36.1 million for the first six months of the year, an improvement of $40 million from the prior-year six-month period, which Osberg attributed primarily to improved working capital. Inspire ended the quarter with $415 million in cash and investments and no debt.

Inspire Medical Up 15% After Breakout, Analysts Say It's A BuyThe company revised its 2026 revenue outlook to a range of $835 million to $875 million. It now expects adjusted operating margin of 4% to 6%, diluted EPS ranging from a loss of $0.42 to earnings of $0.17, and adjusted diluted EPS of $1.05 to $1.45.

For the third quarter, Inspire forecast an 8% to 10% year-over-year revenue decline, while expecting sequential revenue growth from the second quarter. Osberg said the company expects approximately breakeven adjusted operating income in the third quarter, as higher revenue is expected to be offset by a sequential increase in marketing expenses.

Management estimated that coding and reimbursement issues, including the WISER program, reduced second-quarter results by about $40 million. For the full year, the company estimates a total adverse effect of $120 million to $130 million, with the impact expected to decline sequentially in the third and fourth quarters.

Coding and Reimbursement Developments Herbert said previously announced C-codes are now in place and have been incorporated into the WISER system for the six applicable states. Hospital and ambulatory surgery center reimbursement rates have remained unchanged, he said.

For physician reimbursement, most Medicare Administrative Contractors do not require a -52 modifier for Inspire V procedures billed under CPT code 64582. Two contractors require the modifier, however, and payment reductions in those regions have ranged from 0% to 30% of the national average Medicare payment of $723, according to Herbert.

He said surgeons that submit supporting documentation describing the reduction in services have generally been able to minimize reimbursement reductions. Inspire has focused its customer education efforts first on higher-volume centers, which management said account for a disproportionate share of revenue. The company is working through the majority of its top 25% of centers and expects to educate most of those facilities during the third quarter.

CMS has proposed 2027 outpatient reimbursement of $35,414 for Inspire V procedures, about 12% above 2026 levels, and ambulatory surgery center reimbursement of $31,722, about 15% higher. CMS also proposed physician reimbursement of roughly $699 for CPT code 64582, a decline of about 4%. Herbert said the company is not assuming those levels will take effect until final rates are published in November.

Inspire also submitted a revised application for a Category 1 CPT code for a single-lead Inspire system. The application, scheduled for review at the September AMA CPT Editorial Panel meeting, includes revised replacement-procedure subcodes, joint submission with another industry participant and additional clinical evidence. If approved, management said the code could remain on track for implementation Jan. 1, 2028.

Project Horizon Targets Growth Investments The company introduced Project Horizon, a strategic plan intended to create approximately $30 million in annualized capacity for growth investments. The initiative includes organizational changes and supply-chain consolidation intended to support quality, scale and efficiency.

Osberg said Inspire expects to incur $20 million to $25 million of pretax restructuring charges, about 90% of which are expected to be recognized in the third quarter. Roughly $16 million to $20 million is expected to consist of non-cash impairment charges tied to production equipment at vendors that will no longer be used as the company consolidates its supply chain. The remaining charges relate to employee separation costs.

Management expects most restructuring actions to be completed in the third quarter and substantially all actions to be complete by year-end. Herbert said the majority of redeployed investments will target patient flow and are expected to have a greater effect in 2027 and beyond.

Expanding patient access to care and helping patients navigate coverage approval. Increasing patient education and engagement through the Inspire Connect program. Building on prior-authorization support tools within the SleepSync platform. Expanding capacity through additional centers and surgeons. Herbert said Inspire maintained 280 territories and increased the number of field clinical representative areas to 301. Inspire V represented the large majority of implants in the second quarter, although some centers continue to use Inspire IV for certain Medicare cases.

Clinical Data and Market Development At the American Academy of Sleep Medicine conference in June, Inspire presented full results from its Inspire V trial in Singapore, including data on the safety and efficacy of the implant and its accelerometer-based sensing technology.

Herbert also cited a secondary analysis of the STAR trial showing reductions in hypoxic burden, a measure incorporating the depth, duration and frequency of oxygen desaturation events during sleep. Separately, he highlighted a TriNetX database analysis matching 3,525 hypoglossal nerve stimulation patients with 3,525 CPAP patients. The analysis found lower odds in the hypoglossal nerve stimulation group for several outcomes, including stroke, myocardial infarction, atrial fibrillation, hospitalization and acute heart failure.

The company also announced publication of the PREDICTOR study, which identified body mass index and neck circumference as predictors of complete concentric collapse. Herbert said the findings could allow some potential patients to be screened for eligibility without drug-induced sleep endoscopy, potentially reducing diagnostic burden and time to treatment.

Management said it continues to track GLP-1 adoption but does not believe the drugs have changed overall demand for Inspire therapy. Herbert said the company views GLP-1 medicines as potentially helping some patients lose weight and become eligible for Inspire treatment over the longer term.

About Inspire Medical Systems (NYSE:INSP)Inspire Medical Systems, Inc is a medical technology company specializing in implantable neurostimulation devices for the treatment of obstructive sleep apnea (OSA). The company's flagship offering, the Inspire® system, delivers targeted stimulation of the hypoglossal nerve to maintain airway patency during sleep, providing an alternative therapy for patients who are intolerant of or inadequately managed by continuous positive airway pressure (CPAP) devices.

The Inspire system comprises an implantable pulse generator, a sensing lead that monitors breathing patterns, and a stimulation lead that activates the hypoglossal nerve.

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2026-08-03 21:53 1mo ago
2026-08-03 16:02 1mo ago
Inspire Medical Systems zvýšila výhled tržeb a spouští Project Horizon
INSP Inspire Medical Systems
FMP Stock News 92
Original source text
Generated second quarter revenue of $200.6 millionSecond quarter diluted EPS of $0.01; adjusted diluted EPS of $0.14Second quarter operating cash flow of $23.2 millionAnnounced strategic growth plan designed to unlock and redeploy $30 million for growth initiatives MINNEAPOLIS, Aug. 03, 2026 (GLOBE NEWSWIRE) -- Inspire Medical Systems, Inc. (NYSE: INSP) (Inspire, or the Company), a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea, today reported financial results for the quarter ended June 30, 2026.

“Our second quarter results reflect the increased discipline and focus we are bringing to the business as we continue to support customers through the evolving coding and reimbursement environment and invest in the long-term adoption of Inspire therapy,” said Tim Herbert, Chairman and CEO of Inspire Medical Systems. “We are also announcing a strategic growth plan designed to generate approximately $30 million of annualized growth investment capacity, which we intend to redeploy into targeted growth initiatives. We believe these actions will strengthen our operating foundation, sharpen our focus on the highest-return opportunities, and position Inspire for sustainable growth and long-term value creation.”

Second Quarter 2026 Financial Results (Second Quarter 2026 compared to Second Quarter 2025)

Revenue decreased 7.6% to $200.6 million, primarily driven by a decline in U.S. revenue, partially offset by growth in International revenue. The U.S. decline was driven primarily by the impacts of evolving coding and reimbursement environment.Gross margin increased 150 bps to 85.5%, primarily due to increased sales mix of the Inspire V system, which has a higher gross margin than the Inspire IV system.Operating expenses decreased $13.8 million, or 7.4%, to $172.0 million, primarily driven by lower stock-based compensation costs due to accelerated stock-based compensation expenses recognized in the prior year period as well as lower marketing expenses.Operating earnings increased $2.8 million to an operating loss of $0.5 million, and operating margin of (0.3)%. Adjusted operating income was $3.2 million, and adjusted operating margin was 1.6%. Interest and dividend income, net decreased by $0.7 million, primarily due to lower average interest rates and lower average cash, cash equivalents, and investment balances.Other expense, net decreased by $3.4 million, primarily due to a $4.0 million impairment charge recognized in the prior year period, partially offset by a decrease in interest and dividend income in the current period due to lower average interest rates and lower average cash, cash equivalents, and investment balances in the current period.The effective tax rate was 89.9% compared to (54.0)%. The increase in the effective tax rate was primarily driven by tax shortfall related to stock-based compensation. For the three months ended June 30, 2025, the Company maintained a full valuation allowance against federal and state deferred tax assets, which was subsequently released at December 31, 2025.Net earnings was $0.3 million and adjusted net earnings was $4.0 million. Diluted EPS was $0.01 and adjusted diluted EPS was $0.14. Financial Condition

Net cash provided by operating activities for the three months ended June 30, 2026 was $23.2 million, compared to $2.7 million in the prior year period. The change was primarily driven by improved working capital, primarily in receivables and inventories.As of June 30, 2026, cash, cash equivalents, and investments increased $10.6 million to $415.2 million as compared to December 31, 2025. Full Year 2026 Guidance

The Company is raising its previously announced revenue outlook to be in the range of $835 million to $875 million. Additionally, the Company now expects annual adjusted operating margin to be in the range of 4% to 6%, diluted EPS to be in the range of $(0.42) to $0.17 and adjusted diluted EPS to be in the range of $1.05 to $1.45.

The Company’s outlook assumes an effective tax rate of approximately 95% to 100% and an adjusted effective tax rate of 30% to 35%, estimated weighted average diluted shares outstanding of approximately 29.4 million, and capital expenditures between $35 million to $40 million.

Strategic Growth Plan

On August 3, 2026, the Company announced a strategic growth plan, named Project Horizon, intended to create additional investment capacity to accelerate revenue growth through:

Aligning resources to revenue growth initiatives;Streamlining the organization; andOptimizing the Company’s supply chain by consolidating production to support quality, scale, and efficiency. The Company expects to incur a total of $20 million to $25 million of pre-tax restructuring charges in connection with the first phase of Project Horizon, including approximately $4 million to $5 million of employee-related costs, and $16 million to $20 million of other expenses, which will be non-cash in nature. These actions are expected to generate approximately $30 million of annualized growth investment capacity which is expected to be invested in revenue growth initiatives. The Company expects the majority of actions related to the restructuring to be completed in the third quarter and all actions to be substantially complete by the end of 2026.

Webcast and Conference Call

The Company's management will host a conference call after market close today, Monday, August 3, 2026, at 5:00 p.m. Eastern Time to discuss these results and answer questions.

To access the conference call, please preregister on https://register-conf.media-server.com/register/BI05401f2d26b24d47a1416936675b79be. Registrants will receive confirmation with dial-in details.

A live webcast of the event can be accessed on https://edge.media-server.com/mmc/p/qu4ekmuy/. A replay of the webcast will be available on https://investors.inspiresleep.com starting approximately two hours after the event and archived on the site for two weeks.

About Inspire Medical Systems

Inspire Medical Systems is a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea. Inspire’s proprietary Inspire therapy is the first FDA, EU MDR, and PDMA-approved neurostimulation technology that provides a safe and effective treatment for moderate to severe obstructive sleep apnea.

For additional information about Inspire, please visit www.inspiresleep.com.

Use of Non-GAAP Financial Measures

This press release includes non-GAAP financial measures, including without limitation, adjusted operating income, adjusted operating margin, adjusted earnings before income taxes, adjusted income tax expense, adjusted effective tax rate, adjusted net earnings, adjusted net earnings per diluted share ("EPS"), adjusted EBITDA, and adjusted EBITDA margin, which differ from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”).

We define adjusted operating income as operating income or loss adjusted for items that are not indicative of our ongoing operations. Operating income is the most directly comparable GAAP financial measure to adjusted operating income. We define adjusted operating margin in this release as adjusted operating income divided by revenue. Operating margin is the most directly comparable GAAP financial measure to adjusted operating margin. Adjusted earnings before income taxes is defined as earnings before income taxes, adjusted for items that are not indicative of our ongoing operations. Earnings before income taxes is the most directly comparable GAAP financial measure. Adjusted income tax expense is defined as income tax expense, adjusted for items that are not indicative of our ongoing operations. Adjusted effective tax rate is adjusted income tax expense divided by adjusted earnings before income taxes. Income tax expense is the most directly comparable GAAP financial measure. Adjusted net earnings is defined as net earnings or loss, adjusted for items that are not indicative of our ongoing operations. Net earnings or loss is the most directly comparable GAAP financial measure to adjusted net earnings. Adjusted net earnings per diluted share is calculated as adjusted net earnings divided by the diluted weighted average shares outstanding. Net earnings or loss per diluted share is the most directly comparable GAAP financial measure to adjusted net earnings per diluted share. We define adjusted EBITDA as net earnings or loss, less interest and dividend income, net, plus income tax expense, plus depreciation and amortization, plus stock-based compensation expense, adjusted for items that are not indicative of our ongoing operations. Net earnings or loss is the most directly comparable GAAP financial measure to adjusted EBITDA. We define adjusted EBITDA margin in this release as adjusted EBITDA divided by revenue. Net earnings or loss margin is the most directly comparable GAAP measure to adjusted EBITDA margin. Reconciliations of these non-GAAP financial measures to their most directly comparable GAAP measures are included in this press release.

These non-GAAP financial measures are presented because we believe they are useful indicators of our operating performance and facilitate a more meaningful trend analysis without the distortion of various adjustment items. Management uses these measures principally as measures of our underlying operating performance, trends, and for planning purposes, including the preparation of our annual operating plan and financial projections. We believe these measures are useful to investors as supplemental information and because they are frequently used by analysts, investors, and other interested parties to evaluate companies in our industry. We also believe these non-GAAP financial measures are useful to our management and investors as a measure of comparative operating performance from period to period.

These non-GAAP financial measures should not be considered as an alternative to, or superior to, the most directly comparable GAAP financial measures, as measures of financial performance or cash flows from operations, as a measure of liquidity, or any other performance measure derived in accordance with GAAP, and they should not be construed to imply that our future results will be unaffected by unusual or non-recurring items. In addition, Adjusted EBITDA is not intended to be a measure of cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as tax payments, capital expenditures, and certain other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs, and cash costs to replace assets being depreciated and amortized. In evaluating our non-GAAP financial measures, you should be aware that in the future we may incur expenses that are the same as or similar to some of the adjustments in this presentation. Our presentation of non-GAAP financial measures should not be construed to imply that our future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on our GAAP results in addition to using non-GAAP financial measures on a supplemental basis. These measures and their definitions are discussed in more detail below and our definition of these non-GAAP financial measures is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

Forward Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts are forward-looking statements, including, without limitation, statements regarding estimated financial and non-financial impacts from our strategic growth plan (including without limitation the expectations for pre-tax charges in connection with the growth plan, annual growth investment capacity, the extent and manner of the use of investments in revenue growth initiatives as well as the time to complete the strategic growth plan) and potential impacts to our business (including potential actions and solutions as well as timing of these impacts) associated with coding and reimbursement, and our expectations regarding our full year 2026 financial outlook (including without limitation expectations for the impacts of coding and reimbursement, revenue, expected growth, adjusted operating margin, net earnings or loss per diluted share, adjusted net earnings per diluted share, effective tax rate, adjusted effective tax rate, weighted average diluted shares outstanding and capital expenditures). In some cases, you can identify forward-looking statements by terms such as ‘‘may,’’ ‘‘will,’’ ‘‘should,’’ ‘‘expect,’’ ‘‘plan,’’ ‘‘anticipate,’’ ‘‘could,’’ “future,” “outlook,” “guidance,” ‘‘intend,’’ ‘‘target,’’ ‘‘project,’’ ‘‘contemplate,’’ ‘‘believe,’’ ‘‘estimate,’’ ‘‘predict,’’ ‘‘potential,’’ ‘‘continue,’’ or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words.

These forward-looking statements are based on management’s current expectations and involve known and unknown risks and uncertainties that may cause our actual results, performance, or achievements to be materially different from any future results, performance, or achievements expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others: our dependency on our Inspire system for revenues; fluctuations in our financial results and the market price of our common stock; our ability to sustain or increase our profitability and our history of operating losses; commercial success and market acceptance of our Inspire therapy; our ability to achieve and maintain adequate and clear levels of coverage or reimbursement for our Inspire system or any future products we may seek to commercialize; competitive companies, technologies, and pharmaceuticals in our industry; our ability to expand our indications and develop and commercialize additional products and enhancements to our Inspire system; our ability to forecast demand and manage our inventory; our dependence on third-parties; risks related to consolidation in the healthcare industry; our ability to expand, manage, and maintain our direct sales and marketing organization, and to market and sell our Inspire system in markets outside of the United States; our ability to manage our growth; risks related to product liability claims and warranty claims; our ability to address quality issues that may arise with our Inspire system; any failure of key information technology systems, processes, or sites or damage to or inability to access our physical facilities; any violations of anti-bribery, anti-corruption, and anti-money laundering laws; future needs for additional financing; risks related to our tax assets and changes in tax laws; our ability to timely commercialize or obtain regulatory approvals or certifications for our Inspire therapy and system; U.S. Food and Drug Administration (FDA) or other United States or foreign regulatory actions affecting us or the healthcare industry generally; our ability to establish and maintain intellectual property protection for our Inspire therapy and system or avoid claims of infringement; and our strategic growth plan may not achieve our intended outcome.

Other important factors that could cause actual results, performance or achievements to differ materially from those contemplated in this press release can be found under the captions “Risk Factors” and "Management's Discussion and Analysis of Financial Condition and Results of Operations“ in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, and as such factors may be updated from time to time in our other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov and the Investors page of our website at www.inspiresleep.com. These and other important factors could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management’s estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, unless required by applicable law, we disclaim any obligation to do so, even if subsequent events cause our views to change. Thus, one should not assume that our silence over time means that actual events are bearing out as expressed or implied in such forward-looking statements. These forward-looking statements should not be relied upon as representing our views as of any date after the date of this press release.

Investor & Media Contact
Ezgi Yagci
Vice President, Investor Relations
[email protected]
617-549-2443

 Inspire Medical Systems, Inc.
Consolidated Statements of Operations (unaudited)
(in thousands, except share and per share amounts)
       Three Months Ended Six Months Ended  June 30, June 30,  2026
 2025
 2026
 2025
Revenue $200,581  $217,086  $405,164  $418,403 Cost of goods sold  29,122   34,672   56,793   65,381 Gross profit  171,459   182,414   348,371   353,022 Operating expenses:        Research and development  24,698   26,209   50,524   54,012 Selling, general and administrative  147,275   159,521   299,479   303,811 Total operating expenses  171,973   185,730   350,003   357,823 Operating (loss)  (514)  (3,316)  (1,632)  (4,801)Interest and dividend (income), net  (3,739)  (4,482)  (7,480)  (9,548)Other expense, net  110   3,498   336   2920 Earnings (loss) before income taxes  3,115   (2,332)  5,512   1,827 Income tax expense  2,801   1,260   16,492   2,427 Net earnings (loss) $314  $(3,592) $(10,980) $(600)Basic earnings (loss) per share $0.01  $(0.12) $(0.38) $(0.02)Diluted earnings (loss) per share $0.01  $(0.12) $(0.38) $(0.02)Weighted average shares outstanding:        Basic  28,835,058   29,506,807   28,768,163   29,604,043 Diluted  28,940,846   29,506,807   28,768,163   29,604,043                    Inspire Medical Systems, Inc.
Consolidated Balance Sheets (unaudited)
(in thousands, except share and per share amounts)
       June 30,
2026 December 31, 2025Assets    Current assets:    Cash and cash equivalents $127,761  $104,813 Investments, short-term  192,923   203,455 Accounts receivable, net of allowance for credit losses of $997 and $1,080, respectively  103,340   119,692 Inventories, net  170,451   145,293 Prepaid expenses and other current assets  14,199   10,399 Total current assets  608,674   583,652 Investments, long-term  94,480   96,330 Property and equipment, net  104,330   97,872 Operating lease right-of-use assets  22,599   23,532 Deferred tax assets  77,582   88,667 Other non-current assets  18,328   17,264 Total assets $925,993  $907,317 Liabilities and stockholders' equity    Current liabilities:    Accounts payable $27,102  $36,565 Accrued expenses  44,080   59,490 Total current liabilities  71,182   96,055 Operating lease liabilities, non-current portion  29,093   29,998 Other non-current liabilities  136   104 Total liabilities  100,411   126,157 Stockholders' equity:    Preferred Stock, $0.001 par value; 10,000,000 shares authorized; no shares issued and outstanding  —   — Common Stock, $0.001 par value; 200,000,000 shares authorized; 28,907,221 and 28,579,015 issued and outstanding at June 30, 2026 and December 31, 2025, respectively  29   29 Additional paid-in capital  983,670   927,159 Accumulated other comprehensive (loss) income  (645)  464 Accumulated deficit  (157,472)  (146,492)Total stockholders' equity  825,582   781,160 Total liabilities and stockholders' equity $925,993  $907,317            Inspire Medical Systems, Inc.
GAAP to Non-GAAP Reconciliations (unaudited)
(in thousands, except per share amounts)
     Three Months Ended June 30, 2026
  Gross Profit
 Operating Expenses Operating (Loss) Income Operating Margin Other (Income) Earnings Before Income Taxes
 Income Tax Expense Effective Tax Rate Net Earnings
 Diluted EPS
Reported $171,459  $171,973  $(514) (0.3)% $(3,629) $3,115  $2,801  89.9% $314  $0.01 Non-GAAP adjustments:                        Legal fees1  —   (3,697)  3,697  1.9%  —   3,697   1,296     2,401   0.09 Tax impact of stock-based compensation2  —   —   —  —%  —   —   (1,288)    1,288   0.04 Adjusted $171,459  $168,276  $3,183  1.6% $(3,629) $6,812  $2,809  41.2% $4,003  $0.14    Three Months Ended June 30, 2025  Gross Profit
 Operating Expenses Operating (Loss) Income Operating Margin Other (Income) (Loss) Earnings Before Income Taxes Income Tax Expense
 Effective Tax Rate Net (Loss) Earnings Diluted EPSReported $182,414  $185,730  $(3,316) (1.5)% $(984) $(2,332) $1,260  (54.0)% $(3,592) $(0.12)Non-GAAP adjustments:                      Stock-based compensation expense3  —   (11,155)  11,155  5.1%  —   11,155   2,770     8,385   0.28 Legal fees1  —   (1,736)  1,736  0.8%  —   1,736   431     1,305   0.04 Asset impairment charge4  —   —   —  —%  (4,046)  4,046   —     4,046   0.14 Adjusted $182,414  $172,839  $9,575  4.4% $(5,030) $14,605  $4,461  30.5% $10,144  $0.34                                         1 These costs represent legal-related expenses related to (a) a civil investigative demand from the Department of Justice, (b) a patent infringement suit that we filed against Nyxoah S.A. and its wholly-owned subsidiary, Nyxoah, Inc. ("Nyxoah"), and (c) a patent infringement suit brought against us by Nyxoah.
2 The accounting standards codification guidance governing employee stock-based compensation requires that any excess or deficient tax deduction for stock-based compensation be immediately recorded within income tax expense. Employee stock-based compensation activity, including the exercise of stock options, can be unpredictable and can significantly impact our net earnings, net earnings per diluted share, and effective tax rate. These amounts represent the discrete tax expense recorded as excess tax expense for stock-based compensation.
3 Represents accelerated stock-based compensation expense for certain employees who were retirement eligible in accordance with the implementation of changes to the treatment of equity awards under the Inspire Medical Systems, Inc. 2018 Incentive Award Plan upon the holder's death, disability, or retirement.
4 Represents a non-cash impairment of a strategic investment.

 Inspire Medical Systems, Inc.
GAAP to Non-GAAP Reconciliations (unaudited)
(in thousands, except per share amounts)
     Six Months Ended June 30, 2026  Gross Profit
 Operating Expenses Operating (Loss) Income Operating Margin Other (Income) Earnings Before Income Taxes
 Income Tax Expense Effective Tax Rate Net (Loss) Earnings Diluted EPSReported $348,371  $350,003  $(1,632) (0.4)% $(7,144) $5,512  $16,492  299.2% $(10,980) $(0.38)Non-GAAP adjustments:                      Legal fees1  —   (5,133)  5,133  1.3%  —   5,133   1,676     3,457   0.12 Tax impact of stock-based compensation2  —   —   —  —%  —   —   (14,375)    14,375   0.50 Adjusted $348,371  $344,870  $3,501  0.9% $(7,144) $10,645  $3,793  35.6% $6,852  $0.24    Six Months Ended June 30, 2025  Gross Profit
 Operating Expenses Operating (Loss) Income Operating Margin Other (Income) Earnings Before Income Taxes
 Income Tax Expense
 Effective Tax Rate Net (Loss) Earnings Diluted EPSReported $353,022  $357,823  $(4,801) (1.1)% $(6,628) $1,827  $2,427  132.8% $(600) $(0.02)Non-GAAP adjustments:                       Stock-based compensation expense3  —   (11,155)  11,155  2.6%  —   11,155   2,770     8,385   0.28 Legal fees1  —   (1,736)  1,736  0.4%  —   1,736   431     1,305   0.04 Asset impairment charge4  —   —   —  —%  (4,046)  4,046   —     4,046   0.14 Adjusted $353,022  $344,932  $8,090  1.9% $(10,674) $18,764  $5,628  30.0% $13,136  $0.44                          1 These costs represent legal-related expenses related to (a) a civil investigative demand from the Department of Justice, (b) a patent infringement suit that we filed against Nyxoah S.A. and its wholly-owned subsidiary, Nyxoah, Inc. ("Nyxoah"), and (c) a patent infringement suit brought against us by Nyxoah.
2 The accounting standards codification guidance governing employee stock-based compensation requires that any excess or deficient tax deduction for stock-based compensation be immediately recorded within income tax expense. Employee stock-based compensation activity, including the exercise of stock options, can be unpredictable and can significantly impact our net earnings, net earnings per diluted share, and effective tax rate. These amounts represent the discrete tax expense recorded as excess tax expense for stock-based compensation.
3 Represents accelerated stock-based compensation expense for certain employees who were retirement eligible in accordance with the implementation of changes to the treatment of equity awards under the Inspire Medical Systems, Inc. 2018 Incentive Award Plan upon the holder's death, disability, or retirement.
4 Represents a non-cash impairment of a strategic investment.

 Reconciliation of GAAP Net Earnings (Loss) to Non-GAAP Adjusted EBITDA
       Three Months Ended Six Months Ended  June 30, June 30,  2026
 2025
 2026
 2025
Net earnings (loss) $314  $(3,592) $(10,980) $(600)Interest and dividend income, net  (3,739)  (4,482)  (7,480)  (9,548)Income tax expense  2,801   1,260   16,492   2,427 Depreciation and amortization  4,597   3,414   9,707   6,458 EBITDA  3,973   (3,400)  7,739   (1,263)Stock-based compensation expense1  31,226   41,724   61,915   72,780 Legal fees2  3,697   1,736   5,133   1,736 Asset impairment charge3  —   4,046   —   4,046 Adjusted EBITDA $38,896  $44,106  $74,787  $77,299                   1 Total stock-based compensation expense.
2 These costs represent legal-related expenses related to (a) a civil investigative demand from the Department of Justice, (b) a patent infringement suit that we filed against Nyxoah S.A. and its wholly-owned subsidiary, Nyxoah, Inc. ("Nyxoah"), and (c) a patent infringement suit brought against us by Nyxoah.
3 Represents a non-cash impairment of a strategic investment.

 Reconciliation of GAAP Net Earnings (Loss) Margin and Non-GAAP Adjusted EBITDA Margin
       Three Months Ended Six Months Ended  June 30, June 30,  2026
 2025
 2026
 2025
Net earnings (loss) margin1 0.2% (1.7)% (2.7)% (0.1)%Interest and dividend income, net (1.9)% (2.1)% (1.8)% (2.3)%Income tax expense 1.4% 0.6% 4.1% 0.6%Depreciation and amortization 2.3% 1.6% 2.4% 1.5%Stock-based compensation expense2 15.6% 19.2% 15.2% 17.4%Legal fees3 1.8% 0.8% 1.3% 0.4%Asset impairment charge4 —% 1.9% —% 1.0%Adjusted EBITDA margin 19.4% 20.3% 18.5% 18.5%              1 Net earnings (loss) margin is calculated as net earnings (loss) divided by total revenue.
2 Total stock-based compensation expense.
3 These costs represent legal-related expenses related to (a) a civil investigative demand from the Department of Justice, (b) a patent infringement suit that we filed against Nyxoah S.A. and its wholly-owned subsidiary, Nyxoah, Inc. ("Nyxoah"), and (c) a patent infringement suit brought against us by Nyxoah.
4 Adjusted EBITDA margin is calculated as Adjusted EBITDA divided by total revenue.

 Full Year 2026 OutlookReconciliation of Full Year 2026 Outlook of Estimated Net Earnings per Diluted Share
to Adjusted Net Earnings per Diluted Share

        Outlook Full Year 2026
 Tax Rate Outlook Full Year 2026  Low Range High Range
 Low Range High RangeNet earnings per diluted share $(0.42) $0.17  95.0% 100.0%Legal fees1  0.25   0.23     Restructuring charges2  0.64   0.51     Tax impact of stock-based compensation3  0.58   0.54     Adjusted net earnings per diluted share $1.05  $1.45  30.0% 35.0%                1 These costs represent legal-related expenses related to (a) a civil investigative demand from the Department of Justice, (b) a patent infringement suit that we filed against Nyxoah S.A. and its wholly-owned subsidiary, Nyxoah, Inc. ("Nyxoah"), and (c) a patent infringement suit brought against us by Nyxoah.
2 Restructuring costs related to Project Horizon.
3 Represents the estimated tax impact of permanent differences that arise between the expense recognized for financial reporting of stock-based compensation awards and the tax deduction the Company receives (tax windfall or shortfall). Accounting standards codification guidance requires that any excess or deficient tax deduction for stock-based compensation be immediately recorded within income tax expense. These amounts represent the estimated discrete tax impact for stock-based compensation during the period presented.
2026-07-17 17:58 1mo ago
2026-07-17 11:51 1mo ago
Inspire Medical čeká růst, brzdí ho úhrady
INSP Inspire Medical Systems
FMP Stock News 78
Original source text
Key Takeaways Inspire Medical is positioned for growth as Inspire V drives a major product transition.Inspire V cuts implant time by over 20%, while FDA approvals broaden patient eligibility.Coding uncertainty and WISeR delays may worsen in Q2 before easing in the second half of 2026. Inspire Medical Systems (INSP - Free Report) is well-positioned for solid growth over the next few quarters as it navigates a significant product transition.

Shares of this Zacks Rank #3 (Hold) company have declined 44.1% in the year-to-date period compared with the industry’s 6.8% fall. However, the S&P 500 Index has increased 10% in the same timeframe.

Inspire Medical, a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea, has a market capitalization of $1.46 billion.

The company’s earnings surpassed estimates in each of the trailing four quarters, delivering an average surprise of 181.2%.

Image Source: Zacks Investment Research

Positive Factors Driving INSP’s ProspectsStrong Clinical Innovation & Growing Clinical Evidence: Inspire Medical continues to strengthen its leadership in hypoglossal nerve stimulation through product innovation and expanding clinical evidence. The Inspire V system remains a key growth driver, offering a simplified implant procedure by integrating the respiratory sensor within the neurostimulator while reducing implant time by more than 20% versus Inspire IV. Clinical studies have demonstrated superior respiratory sensing, improved sleep apnea outcomes and strong patient adherence.

The recently published PREDICTOR study suggests many patients may be screened without drug-induced sleep endoscopy (DISE), reducing diagnostic burden and time to treatment. Long-term data from the ADHERE registry and independent studies presented at SLEEP 2026 demonstrated sustained improvements in apnea severity, therapy adherence and cardiovascular outcomes, with Inspire patients showing lower risks of stroke, myocardial infarction, atrial fibrillation and hospitalization than CPAP-treated or untreated patients. Having treated more than 135,000 patients globally and supported by more than 385 peer-reviewed publications, Inspire Medical continues to strengthen physician confidence and long-term adoption.

Regulatory Expansion & Commercial Execution: Inspire Medical continues expanding its addressable market through regulatory approvals while strengthening commercial execution. Recent FDA approvals broadened patient eligibility by increasing the upper apnea-hypopnea index threshold, expanding BMI criteria and authorizing Inspire therapy for certain pediatric Down syndrome patients. The launch of Inspire V and new CMS HCPCS Level II C-codes has further supported adoption while improving facility reimbursement clarity. Management is also pursuing a dedicated CPT code expected to take effect in 2028, providing a long-term reimbursement solution. The company has optimized its sales organization by strategically consolidating territories while increasing field clinical representatives to achieve its targeted one-to-one ratio with territory managers. International momentum remains encouraging, with first-quarter 2026 international revenues increasing 16.5% year over year, reflecting growing physician awareness and market penetration despite reimbursement headwinds.

Disciplined Financial Execution & Investment in Growth: Inspire Medical delivered resilient financial performance while maintaining a disciplined investment strategy. Revenues increased 1.6% year over year, while the company improved adjusted operating margin through favorable product mix and higher adoption of Inspire V, generating stronger operating cash flow than the prior-year period. Management remains focused on investments that directly support long-term expansion, including reimbursement education, field reimbursement specialists, digital patient engagement tools, marketing effectiveness, operational efficiencies and next-generation product development. These initiatives will begin contributing more meaningfully during the second half of 2026 and accelerate further in 2027 as reimbursement challenges ease.

Key Challenges for INSP StockCoding & Reimbursement Uncertainty: The biggest near-term challenge remains coding and reimbursement uncertainty for Inspire V procedures. Differences in billing practices across Medicare and commercial insurers have slowed prior authorizations, reduced patient pipeline activity and delayed procedures. Although CMS introduced facility billing codes and management is working toward a dedicated CPT code expected in 2028, reimbursement uncertainty is expected to continue affecting procedure volumes until providers gain confidence in billing practices.

Coding and reimbursement disruption, along with the WISeR program, negatively impacted first-quarter 2026 revenues by approximately $20 million and could reduce full-year 2026 revenues by $120-$150 million. The company expects second-quarter revenue pressure to worsen with an estimated revenue headwind of $40-$50 million due to lower prior authorization activity during the first quarter, before improving gradually during the second half of 2026.

WISeR Program Disrupting Procedure Volumes: The rollout of the WISeR’s prior authorization program across six Medicare pilot states has created additional administrative hurdles for providers. AI-driven authorization requirements and varying state-specific workflows have delayed procedures and reduced Medicare volumes during the first quarter. While management expects providers to adapt over time, the program is likely to remain a short-term headwind before becoming less disruptive later in 2026.

GLP-1 Adoption & Competitive Pressure: Inspire Medical also faces emerging external headwinds. Management acknowledged that increasing use of GLP-1 weight-loss therapies may temporarily delay Inspire procedures as some patients pursue medical treatment first. Although GLP-1 therapies could ultimately expand the eligible patient population by helping patients meet BMI requirements, the near-term impact on procedure volumes remains uncertain. At the same time, competition in the hypoglossal nerve stimulation market is gradually increasing, adding another factor that could weigh on growth until reimbursement challenges subside.

Estimate TrendInspire Medical is witnessing a positive estimate revision trend for 2026. In the past 30 days, the Zacks Consensus Estimate for earnings has moved north 1 cent to $1.05 per share.

The Zacks Consensus Estimate for second-quarter 2026 revenues and loss per share is pegged at $194.8 million and 22 cents, respectively.

Stocks to ConsiderSome better-ranked stocks from the broader medical space are West Pharmaceutical (WST - Free Report) , Intuitive Surgical (ISRG - Free Report) and Cardinal Health (CAH - Free Report) , each carrying a Zacks Rank #2 (Buy) at present. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.

West Pharmaceutical reported first-quarter 2026 earnings per share of $2.13, which beat the Zacks Consensus Estimate by 26.8%. Revenues of $844.9 million surpassed the Zacks Consensus Estimate by 8.5%.

West Pharmaceutical has an estimated long-term earnings growth rate of 13.9%. WST’s earnings surpassed estimates in the trailing four quarters, the average surprise being 19.4%.

Intuitive Surgical reported first-quarter 2026 adjusted EPS of $2.50, which beat the Zacks Consensus Estimate by 20.2%. Revenues of $2.77 billion surpassed the Zacks Consensus Estimate by 6.2%.

Intuitive Surgical has an estimated long-term earnings growth rate of 14.3%. ISRG’s earnings surpassed estimates in each of the trailing four quarters, the average surprise being 16.8%.

Cardinal Health reported a third-quarter fiscal 2026 adjusted EPS of $3.17, which beat the Zacks Consensus Estimate by 13.2%. Revenues of $60.94 billion missed the Zacks Consensus Estimate by 2.3%.

Cardinal Health has an estimated long-term earnings growth rate of 17%. CAH’s earnings surpassed estimates in the trailing four quarters, the average surprise being 10.3%.
2026-06-24 15:58 2mo ago
2026-06-22 11:31 2mo ago
Inspire V zkrátil implantaci a snížil AHI
INSP Inspire Medical Systems
FMP Stock News 78
Original source text
Key Takeaways Inspire Medical presented new SLEEP 2026 data supporting its therapy in obstructive sleep apnea.Inspire V cut implant time of 20.4%, reduced mean AHI to 8.4 and showed 5.9 hours of nightly use.ADHERE registry data showed a 62% median AHI reduction and strong long-term adherence. Inspire Medical Systems (INSP - Free Report) recently showcased new clinical data, technology advancements and cardiovascular outcomes research at SLEEP 2026, the annual meeting of the Associated Professional Sleep Societies. A major focus of the company’s presence was the growing body of evidence supporting Inspire therapy in obstructive sleep apnea (OSA).

INSP showcased its next-generation Inspire V system, advances in closed-loop hypoglossal nerve stimulation (HNS) therapy, the Inspire SleepSync remote patient management platform and resources designed to establish and expand Inspire programs.

Per management, the company’s participation at SLEEP 2026 highlights the continued evolution of the Inspire platform, including the Inspire V system and new clinical data demonstrating real-world effectiveness. INSP’s long-standing association with the conference reflects its commitment to advancing physician education and improving outcomes for patients with OSA worldwide.

Likely Trend of INSP Stock Following the NewsShares of INSP have gained 2.9% since the announcement on Tuesday. In the year-to-date period, shares of the company have declined 53.8% compared with the industry’s 17.3% fall. However, the S&P 500 has risen 9.7% in the same timeframe.

The latest data presentation and publication of the PREDICTOR study are likely to strengthen Inspire Medical’s position in the growing sleep apnea treatment market. Positive clinical outcomes, high patient adherence and studies showing lower rates of several cardiovascular events may support physician confidence and patient adoption of Inspire therapy. The PREDICTOR study could further expand patient access and reduce diagnostic barriers, supporting future adoption and market growth.

INSP currently has a market capitalization of $1.23 billion.

Image Source: Zacks Investment Research

More on the Latest Clinical FindingsResearch highlighted at the event included a secondary analysis of the STAR trial, which demonstrated significant reductions in hypoxic burden, a physiologic measure of oxygen desaturation linked to OSA risk. The analysis showed improvements in daytime sleepiness that correlated with reductions in hypoxic burden, even among 50% apnea-hypopnea index (AHI) non-responders.

The company highlighted another study comparing HNS and CPAP therapy in matched groups of 3,525 patients each using the TriNetX database. The study demonstrated significantly lower rates of several cardiovascular and respiratory complications. Lower odds were observed for stroke, myocardial infarction, atrial fibrillation/flutter, hypertensive crisis, pulmonary embolism, ventricular tachycardia, COPD exacerbation, acute kidney injury, hospitalization, acute heart failure and others, compared with CPAP therapy.

The company also announced the publication of the PREDICTOR study, which identified body mass index and neck circumference as predictors of complete concentric collapse. These findings suggest that some patients may be screened for Inspire eligibility without requiring drug-induced sleep endoscopy.

Clinical data presented at SLEEP 2026 further demonstrated the effectiveness of Inspire therapy. Final results from a study of the Inspire V system showed a 20.4% reduction in implant time, improved respiratory sensing performance, a reduction in mean AHI from 34.4 to 8.4 events per hour and average nightly usage of 5.9 hours.

Data from the ADHERE registry, which followed 5,000 patients across the United States and Europe, showed a 62% median reduction in AHI, improvements in daytime sleepiness and strong long-term adherence. Additional real-world studies reported higher adherence rates and greater disease alleviation with Inspire therapy compared with CPAP, while late-breaking research suggested Inspire therapy may reduce major adverse cardiovascular event risk relative to both CPAP and untreated OSA.

Industry Prospects Favoring the MarketGoing by the data provided by Fortune Business Insights, the sleep apnea implants market is valued at $724.2 million in 2026 and is estimated to grow at a CAGR of 12.7% from 2026 to 2034.

Factors like the increasing prevalence of obstructive sleep apnea and central sleep apnea are boosting the market growth.

Other NewsIn May, Inspire Medical announced its first-quarter 2026 results. The company delivered modest top-line growth, margin expansion and improved operating cash flow, highlighting disciplined cost management and a favorable product mix shift toward Inspire V. However, reimbursement-related disruptions and the WISeR program continue to pressure procedure volumes, prompting a reduction in full-year guidance. Management expects these headwinds to ease over time, supporting sequential improvement through 2026 and positioning the company for renewed growth in 2027.

INSP’s Zacks Rank & Key PicksCurrently, INSP has a Zacks Rank #4 (Sell).

Some better-ranked stocks from the broader medical space are West Pharmaceutical (WST - Free Report) , Globus Medical (GMED - Free Report) and Biodesix (BDSX - Free Report) .

West Pharmaceutical, sporting a Zacks Rank #1 (Strong Buy) at present, reported first-quarter 2026 earnings per share (EPS) of $2.13, which beat the Zacks Consensus Estimate by 26.8%. Revenues of $844.9 million surpassed the Zacks Consensus Estimate by 8.5%. You can see the complete list of today’s Zacks #1 Rank stocks here.

West Pharmaceutical has an estimated long-term earnings growth rate of 13.9%. WST’s earnings surpassed estimates in the trailing four quarters, the average surprise being 19.4%.

Globus Medical, currently carrying a Zacks Rank #2 (Buy), reported first-quarter 2026 adjusted EPS of $1.12, which surpassed the Zacks Consensus Estimate by 22.1%. Revenues of $759.9 million beat the Zacks Consensus Estimate by 4.0%.

Globus Medical has an estimated long-term earnings growth rate of 10.2%. GMED’s earnings beat estimates in the trailing four quarters, the average surprise being 26.3%.

Biodesix, currently carrying a Zacks Rank of 2, reported a first-quarter 2026 adjusted loss per share of 81 cents, which was 35.71% narrower than the Zacks Consensus Estimate. Revenues of $26 million beat the Zacks Consensus Estimate by 12.3%.

BDSX has an estimated earnings growth rate of 37.3% for 2026. The company beat earnings estimates in three of the trailing four quarters and missed once, the average surprise being 25.6%.