Company Analysis

Inspire Medical Systems, Inc. (INSP)

NYSE: INSP · Surgical & Medical Instruments & Apparatus · Golden Valley, MN · filing with the SEC since 2014
Grade7.5
◀ Past 7.9● Present 8.0▶ Future 6.3

The grade of Inspire Medical Systems, Inc.

Nine metrics read from its own filings, by tense
Headline grade
7.5/10
◀ Past7.930% of the headline
● Present8.040% of the headline
▶ Future6.330% of the headline

All three tenses have at least two readings, so the archetype blend applies as printed.

All nine metrics read as filed from the record.

◀ Past

What did they actually do?

7.9/1030% of the headline grade · 3 of 3 filed

Surviving crises

as filed
8.3/10

Has it survived what it has been through?

No warning events in its filings since 2017.

weight 33% of this tense · 83rd percentile among 121 sector filers · read for itself

From the record

Inspire Medical Systems, Inc.'s filings since 2017 show no warning events in the scan: no bankruptcy or receivership notice, no debt default notice, no exchange listing notice, no restatement warning, no auditor change, no material cyber incident and no late-report notice (its current reports).

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Track record

as filed
7.9/10

What has it actually done, year after year?

+51.1% a year over 8 filed years; profitable in 2 of 8.

weight 45% of this tense · 79th percentile among 105 sector filers · read for its customers

From the record

Inspire Medical Systems, Inc.'s 8 filed years say what it did: revenue went from $51 million in fiscal 2018 to $912 million in fiscal 2025, up 51.1% a year; it rose in 7 of 7 years; it never fell from a peak; net income was positive in 2 of 8 of those years (its annual reports).

What it rests on

  • revenue growth over the filed span51.1%top 15% of its family
  • the share of years revenue rosetop 15% of its family
  • the share of filed years with a profittop 39% of its family
  • the deepest fall from a revenue peak0.0%top 16% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Shareholder treatment

as filed
7.3/10

How has it treated the people who own it?

Share count grew 2.0% a year. 64% of cash flow returned. Insiders: 7 sales, 0 purchases.

weight 22% of this tense · 73rd percentile among 40 sector filers · read for its shareholders

From the record

Over the 3 fiscal years to 2025-12-31, Inspire Medical Systems, Inc.'s diluted share count grew about 2.0% a year, and dividends and buybacks returned about 64% of its operating cash flow over 3 years (its filed statements). Its officers and directors filed 7 sales (4 under scheduled 10b5-1 plans) and 0 purchases of their own stock on the open market in the year to 2026-10-16 (their Form 4 filings).

What it rests on

  • the share count over the yearstop 33% of its family
  • cash returned against operating cash flowtop 21% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

● Present

What are they doing right now?

8.0/1040% of the headline grade · 3 of 3 filed

Financial health

as filed
9.1/10

Is it financially healthy right now?

ROE 19%: 19¢ of profit per shareholder dollar. Leverage 14%: owes 14¢ per asset dollar.

weight 45% of this tense · 91st percentile among 120 sector filers · read for itself

From the record

Return on equity: in the fiscal year ended 2025-12-31, Inspire Medical Systems, Inc. earned about 19 cents of profit for every dollar of shareholders' money, and gross profitability: its products earned about 86 cents per dollar of everything the company owns. Leverage: it owed about 14 cents per dollar of assets, and net share issuance: its share count shrank 2.6% over the year (the filed statements).

What it rests on

  • what it owes per dollar of assetstop 10% of its family
  • return on equitytop 8% of its family
  • gross profit against assetstop 8% of its family
  • the share count against the year beforetop 8% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Industry position

as filed
8.2/10

How strong is its position in its industry?

top 18% of 109 in its family; net margin 15.9%.

weight 33% of this tense · 82nd percentile among 109 sector filers · read for its customers

From the record

Inspire Medical Systems, Inc.'s standing among 109 graded names in its industry family: revenue of $912 million in fiscal 2025 ranks in the top 20% by size; a net margin of 15.9% ranks in the top 12%; revenue growth of 30.8% a year over the last 3 filed years ranks in the top 24% (its annual reports).

What it rests on

  • revenue against the family$912Mtop 20% of its family
  • net margin15.9%top 12% of its family
  • three-year revenue growth30.8%top 24% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Leadership

as filed
5.6/10

What are the people in charge doing?

top 44% of 91 in its family for leadership; chief executive since 2018.

weight 22% of this tense · 56th percentile among 91 sector filers · read for its shareholders

From the record

Inspire Medical Systems, Inc.'s leadership, from its insiders' filings and its current reports: the chief executive on the record is Herbert, Timothy P. (CEO and President, as filed), filing under that title since 2018-05-02, 8.5 years (top 29% of its family); the 17 officers and directors filing in the last fifteen months have been on the record a median of 5.8 years (top 47%); 10 officer or director changes were reported on Form 8-K since 2023-11-13, against the 17 people in charge now (bottom 43%; fewer changes for each person reads higher) (the Form 4 record, its Form 8-K reports). Years count from a person's first filing in the SEC's data sets, which begin in 2006, so each is a floor.

What it rests on

  • officer and director changes on Form 8-K, against the people in charge10 in three years among 17 peoplebottom 43% of its family
  • the median years the people in charge have filed5.8 yearstop 47% of its family
  • the chief executive's years on the record8.5 yearstop 29% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

▶ Future

What are they set up to do next?

6.3/1030% of the headline grade · 3 of 3 filed

Room to expand

as filed
6.7/10

How much room does it have to grow?

top 33% of 104 in its family for room to expand.

weight 45% of this tense · 67th percentile among 104 sector filers · read for itself

From the record

Inspire Medical Systems, Inc.'s room to grow, from the newest filed statements (fiscal 2025): cash of $105 million against no long-term debt tagged leaves 11.6% of its assets as net cash, top 49% of its family; cash from operations less capital spending is 8.6% of revenue (top 25%); a gross margin of 85.4% (top 6%); research spending of 11.3% of revenue (bottom 49%) (its annual report).

What it rests on

  • cash less debt against assets11.6%top 49% of its family
  • cash from operations less capital spending against revenue8.6%top 25% of its family
  • gross margin85.4%top 6% of its family
  • research spending against revenue11.3%bottom 49% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Growth drivers

as filed
5.7/10

What could actually drive growth from here?

top 43% of 105 in its family for growth drivers.

weight 33% of this tense · 57th percentile among 105 sector filers · read for its customers

From the record

Inspire Medical Systems, Inc.'s growth drivers, from the filed years to fiscal 2025: revenue grew 30.8% a year over the last three filed years against 51.1% over all 8, slowing (bottom 13% of its family); the newest year grew 13.6% (bottom 50%); research spending grew 14.5% a year (top 29%); capital spending grew 61.7% a year (top 6%) (its annual reports). Inspire Medical Systems, Inc. tags no split of its revenue by line in the annual report on file, so growth by line cannot be read here; research and capital spending are on the trend.

What it rests on

  • three-year growth against the whole span-20.4 points a yearbottom 13% of its family
  • the newest year's revenue growth13.6%top 50% of its family
  • three-year growth of research spending14.5%top 29% of its family
  • three-year growth of capital spending61.7%top 6% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Expectations vs reality

as filed
6.2/10

Did its newest year beat what its own record pointed to?

top 38% of 88 in its family for expectations against reality.

weight 22% of this tense · 62nd percentile among 88 sector filers · read for its shareholders

From the record

Inspire Medical Systems, Inc.'s newest year against its own record: revenue of $912 million in fiscal 2025 came in 19% below the $1.1 billion its prior three years' pace pointed to (bottom 23% of its family); net income of $145 million against a prior three-year average of $4 million (top 1%); a net margin of 15.9% against -2.6% before (top 36%) (its annual reports).

What it rests on

  • revenue against the prior three years' pace-19.0%bottom 23% of its family
  • net income against the prior three years' averagefive times its prior average or moretop 1% of its family
  • net margin against its prior average+18.5 pointstop 36% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

The grade is the company against its own industry, from its filings. It is not a view on the share price. How the grade is made

SI Assistanton INSP · research, not advice