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Inspire Medical Systems (INSP) Stock Falls on Q4 2025 Earnings

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Inspire Medical Systems (INSP) reported fourth-quarter 2025 revenue of $269.1 million, up 12.25% year‑over‑year and just under the consensus revenue estimate of $271.0 million.

Key profitability highlights:

  • Gross profit: $233.0 million (+14.37% year‑over‑year).
  • Operating profit: $46.1 million (+44.62% year‑over‑year).
  • Net income attributable to common shareholders: $136.1 million (+286.36% year‑over‑year).
  • Diluted earnings per share: $4.66 (+305.22% year‑over‑year) versus an EPS estimate of $0.89.
  • Cash flow and balance sheet items:

  • Cash from operating activities: $68.5 million (down 0.95% year‑over‑year).
  • Capital expenditures (purchases of property, plant and equipment): $10.4 million (up 48.56% year‑over‑year).
  • Cash and cash equivalents: $104.8 million (down 30.19% year‑over‑year).
  • Total liabilities: $126.2 million (up 6.29% year‑over‑year).
  • Additional note: cost of sales was $36.1 million, and shares of INSP were down 9.1% since market close.

    Note: This financials data is sourced from a third-party provider and has not been independently verified by Quiver.

    Inspire Medical Systems Inc. Insider Trading Activity

    INSP Insider Trades

    Inspire Medical Systems Inc. insiders have traded $INSP stock on the open market 4 times in the past 6 months. Of those trades, 0 have been purchases and 4 have been sales.

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

    • RICHARD BUCHHOLZ (Chief Financial Officer) sold 11,000 shares for an estimated $1,027,290
    • SHAWN MCCORMICK has made 0 purchases and 2 sales selling 3,200 shares for an estimated $421,760.
    • JOHN RONDONI (See Remarks) sold 109 shares for an estimated $10,900

    To track insider transactions, check out Quiver Quantitative's insider trading dashboard.

    Inspire Medical Systems Inc. Hedge Fund Activity

    We have seen 193 institutional investors add shares of Inspire Medical Systems Inc. stock to their portfolio, and 226 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.

    Inspire Medical Systems Inc. Government Contracts

    We have seen $3,857,842 of award payments to $INSP over the last year.

    Here are some of the awards which we have have seen pay out the most over the last year:

    To track government contracts to publicy traded companies, check out Quiver Quantitative's government contracts dashboard.

    Inspire Medical Systems Inc. Analyst Ratings

    Wall Street analysts have issued reports on $INSP in the last several months. We have seen 8 firms issue buy ratings on the stock, and 0 firms issue sell ratings.

    Here are some recent analyst ratings:

    • Truist Securities issued a "Buy" rating on 01/08/2026
    • RBC Capital issued a "Outperform" rating on 12/17/2025
    • Mizuho issued a "Outperform" rating on 12/17/2025
    • Baird issued a "Outperform" rating on 12/04/2025
    • Wolfe Research issued a "Outperform" rating on 11/25/2025
    • Stifel issued a "Buy" rating on 11/24/2025
    • Piper Sandler issued a "Overweight" rating on 11/04/2025

    To track analyst ratings and price targets for Inspire Medical Systems Inc., check out Quiver Quantitative's $INSP forecast page.

    Inspire Medical Systems Inc. Price Targets

    Multiple analysts have issued price targets for $INSP recently. We have seen 14 analysts offer price targets for $INSP in the last 6 months, with a median target of $127.5.

    Here are some recent targets:

    • Shagun Singh from RBC Capital set a target price of $90.0 on 01/27/2026
    • Larry Biegelsen from Wells Fargo set a target price of $145.0 on 01/14/2026
    • Richard Newitter from Truist Securities set a target price of $120.0 on 01/08/2026
    • Danielle Antalffy from UBS set a target price of $91.0 on 12/23/2025
    • Anthony Petrone from Mizuho set a target price of $130.0 on 12/17/2025
    • Robbie Marcus from JP Morgan set a target price of $118.0 on 12/16/2025
    • Suraj Kalia from Oppenheimer set a target price of $175.0 on 12/08/2025

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