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INSP Financials Inspire Medical Systems, Inc.

10 years of revenue, profit, cash flow and balance-sheet history through FY2025, from SEC filings — with a computed, factual read of the trend. Updated Overview →

Growth & profitability

  • Revenue has grown 51.2% per year over the past 5 years.
  • Operating margin has expanded, at 5.6% in the latest year.

Financial health

  • Total debt has grown slower than revenue (0.0% vs 51.2% per year).
  • Operating income covered interest expense 372× in the latest year.
Revenue & net income
-$57M $427M $912M $0 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
RevenueNet income
Margins (gross / operating / net)
-50% 18% 86% 0% 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
GrossOperatingNet
Return on equity & assets (ROE / ROA)
-1320% -520% 280% 0% 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
ROEROA
Free cash flow (CFO − capex)
-$56M $18M $91M $0 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
Free cash flow
Cash vs total debt
$0 $221M $442M 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
CashTotal debt
Cash flow: operating / investing / financing
-$295M -$30M $235M $0 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
OperatingInvestingFinancing

Key annual figures

FYRevenueNet incomeGross MOp MROEROAFCFTotal debtCash
2025 $912M $145M 85.4% 5.6% 18.6% 16.0% $78M — $105M
2024 $803M $54M 84.7% 4.5% 7.8% 6.6% $91M — $150M
2023 $625M -$21M 84.5% -6.4% -3.7% -3.1% $1M — $186M
2022 $408M -$45M 83.8% -11.7% -9.0% -7.9% $2M — $442M
2021 $233M -$42M 85.7% -17.1% -18.4% -14.2% -$25M $25M $214M
2020 $115M -$57M 84.7% -48.7% -24.9% -20.3% -$56M $25M $191M
2019 $82M -$33M 83.4% -42.5% -23.8% -18.3% -$36M $25M $23M
2018 $51M -$22M 80.1% -40.3% -13.3% -10.9% -$19M $25M $97M
2017 — -$18M — — -1319.6% -69.8% -$16M — $9M
2016 — -$19M — — 280.4% — -$18M — $7M

Valuation over time

How the market has priced INSP against its own fundamentals since 2023-03 — each month-end's share price set against the most recent annual filing, so the multiple moves as price runs ahead of (or behind) earnings. Split-adjusted.

Price / earnings (P/E)
0.0 52.4 104.9 Mar '23 Sep '23 Mar '24 Sep '24 Mar '25 Sep '25 Mar '26 Sep '26
P/E
Price / sales (P/S)
0.0 11.5 23.1 Mar '23 Sep '23 Mar '24 Sep '24 Mar '25 Sep '25 Mar '26 Sep '26
P/S

Frequently asked questions

Is INSP growing its revenue and profit?

Over the past 5 years, Inspire Medical Systems, Inc.'s revenue has grown 51.2% per year. These are computed facts, not advice.

How much debt does INSP have?

As of FY2025, Inspire Medical Systems, Inc. reported — of total debt against $105M of cash; operating income covered interest expense 372×.

What is INSP's profit margin?

In FY2025, gross margin was 85.4%, operating margin 5.6%, and net margin 15.9%.

What is INSP's P/E ratio?

Inspire Medical Systems, Inc.'s P/E (TTM) is 19.42 as of the 2026-11-02 close — market cap ÷ net income over the trailing twelve months where four consecutive quarters are reported, otherwise the latest fiscal year, the same figure as on the INSP stock page. The valuation chart above sets each month-end's price against the latest annual net income instead, so its latest point (about 13.5× as of Nov '26) can differ. These are computed facts, not advice.

Where does this data come from?

All figures are extracted from the company’s SEC EDGAR/XBRL filings — 10-K annual reports and 10-Q quarterly reports (use the Annual / Quarterly toggle). Quarterly figures are derived from the as-filed statements (year-to-date amounts are differenced into discrete quarters). Growth rates and ratios are computed by tradmap; nothing here is investment advice.

Source: SEC EDGAR / XBRL (10-K + 10-Q filings) · prices EOD (Databento), split-adjusted; price return — dividends not reinvested · growth rates, valuation multiples & ratios computed by tradmap. Valuation uses each month-end price against the latest annual filing. Informational only — not investment advice.