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Inspire Medical Q2 revenue falls to $200.6 million as guidance raised

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Inspire Medical Systems (INSP) reported second-quarter 2026 revenue of $200.6 million, down 7.6% from the prior-year period, with net earnings of $0.3 million and diluted EPS of $0.01.

The company raised its full-year 2026 revenue outlook to $835 million to $875 million and announced Project Horizon, a strategic growth plan expected to create about $30 million of annualized growth investment capacity.

  • Second-quarter revenue was $200.6 million, compared with $217.1 million a year earlier.
  • Gross margin increased 150 basis points to 85.5%.
  • Operating loss was $0.5 million, compared with an operating loss of $3.3 million in the prior-year period.
  • Net cash provided by operating activities was $23.2 million for the quarter.
  • Cash, cash equivalents and investments totaled $415.2 million as of June 30, 2026.
  • Project Horizon is expected to involve $20 million to $25 million of pre-tax restructuring charges, with most actions expected to be completed in the third quarter.

$INSP Insider Trading Activity

INSP Insider Trades

$INSP insiders have traded $INSP stock on the open market 1 times in the past 6 months. Of those trades, 0 have been purchases and 1 have been sales.

Here’s a breakdown of recent trading of $INSP stock by insiders over the last 6 months:

  • JOHN RONDONI (See Remarks) sold 700 shares for an estimated $30,107

To track insider transactions, check out Quiver Quantitative's insider trading dashboard. You can access data on insider stock transactions through the Quiver Quantitative API insider transaction endpoint.

$INSP Hedge Fund Activity

We have seen 146 institutional investors add shares of $INSP stock to their portfolio, and 194 decrease their positions in their most recent quarter.

Here are some of the largest recent moves:

To track hedge funds' stock portfolios, check out Quiver Quantitative's institutional holdings dashboard. You can access data on hedge funds moves and 13F filings through the Quiver Quantitative API 13F endpoint.

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