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Piper downgrades Inspire Medical to Neutral on guidance cut

Piper Sandler downgraded Inspire Medical (INSP) to Neutral from Overweight with a price target of $55, down from $85. The stock in premarket trading is down 22%, or $12.04, to $42.80. Piper is “pleased” with Inspire’s Q1 report but struggles to understand the company’s revised fiscal 2026 outlook, which was reduced significantly. The company’s Q2 outlook is “quite soft” with the updated 2026 guide also implying negative year-over-year growth in both Q3 and Q4, the analyst tells investors in a research note. Piper thinks a multi-quarter turnaround is required between for Inspire to return to growth in fiscal 2027.

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