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Inspire Medical Systems (INSP)
NYSE:INSP
US Market
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Inspire Medical Systems (INSP) Earnings Dates, Call Summary & Reports

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Earnings Data

Report Date
Aug 04, 2026
After Close (Confirmed)
Period Ending
2026 (Q2)
Consensus EPS Forecast
-0.24
Last Year’s EPS
0.45
Same Quarter Last Year
Based on 16 Analysts Ratings

Earnings Call Summary

Q1 2026
Earnings Call Date:May 04, 2026|
% Change Since:
|
Earnings Call Sentiment|Neutral
Balanced/Neutral — The company delivered modest revenue growth, margin expansion, stronger operating cash flow, a solid cash position, and meaningful clinical progress, but faces material near-term headwinds from coding and reimbursement uncertainty and the WISER pilot that prompted a significant revenue guide reduction and short-term profitability pressure. Management outlined actions to mitigate the disruption (education, field reimbursement hiring, inventory strategy, targeted investments) and expects improvement later in 2026, while a permanent coding solution (new CPT) is not expected until 2028.
Company Guidance
On the Q1 2026 call Inspire revised full‑year revenue to $825–$875M, citing an estimated $120–$150M total adverse impact this year from coding/reimbursement uncertainty and the WISER pilot (six states); Q1 revenue was $204.6M (up 1.6%) and management estimated Q1 was hurt by ~ $20M with a $40–$50M headwind forecast for Q2, implying a 9–11% year‑over‑year revenue decline for 2026. Profitability guidance was updated to adjusted operating margin of 2–4%, diluted EPS $0.07–$0.62, adjusted diluted EPS $0.75–$1.25, an expected effective tax rate of 65–70% (adjusted 27–29%), and an anticipated Q2 adjusted operating loss of $10–$15M; in Q1 adjusted EBITDA margin improved 100 bps to 17.5%, adjusted diluted EPS was $0.10 (GAAP diluted EPS loss $0.39), and Q1 effective tax rate was 571.2% (Q1 adjusted effective tax rate 25.7%). Cash flow and operational metrics include Q1 operating cash flow $12.8M (up ~$20M YoY), $400M cash and investments, no debt, ~284 U.S. territories, 288 U.S. field clinical reps (13 hired in the quarter), ~29.4M weighted average diluted shares, and capex guidance of $40–$45M; management noted a long‑term CPT code target effective January 1, 2028.
Revenue Growth Despite Headwinds
Revenue increased 1.6% year-over-year to $204.6 million in Q1 2026, driven by increased market penetration despite coding/reimbursement and WISER-related disruptions.
Improved Profitability Metrics and Margins
Adjusted EBITDA margin improved by 100 basis points to 17.5%; adjusted operating income and operating cash flow improved versus the prior year.
Operating Cash Flow and Strong Balance Sheet
Operating cash flow was $12.8 million for the quarter, an improvement of $20 million year-over-year. Cash and investments totaled $400 million with no debt.
Clinical and Scientific Momentum
Multiple clinical milestones: ADHERE 5,000-patient trial complete; PREDICTOR manuscript accepted for publication; full Inspire V Singapore trial results to be presented; independent VCU study published showing significantly lower odds of major cardiovascular events for Inspire patients. Company has treated >135,000 patients since inception.
Field Organization Optimization
Ended quarter with 284 U.S. territories and 288 U.S. field clinical reps, hired 13 field clinical reps in the quarter and reached goal of a one-to-one territory manager to field clinical rep ratio, plus targeted territory consolidation.
Product Flexibility and Inventory
Maintained inventory of Inspire IV to support centers concerned about Inspire V reimbursement; Q1 implant mix remained predominantly Inspire V but IV is available as a bridge.

Inspire Medical Systems (INSP) Earnings, Revenues Date & History

The upcoming earnings date is based on a company’s previous reporting, and may be updated when the actual date is announced

INSP Earnings History

Report Date
Fiscal Quarter
Forecast / EPS
Last Year's EPS
EPS YoY Change
Press Release
Slides
Play Transcript
Aug 04, 2026
2026 (Q2)
-0.24 / -
0.45
May 04, 2026
2026 (Q1)
-0.28 / 0.10
0.10.00% (0.00)
Feb 11, 2026
2025 (Q4)
0.74 / 1.65
1.1543.48% (+0.50)
Nov 03, 2025
2025 (Q3)
-0.19 / 0.38
0.6-36.67% (-0.22)
Aug 04, 2025
2025 (Q2)
0.20 / 0.45
0.3240.63% (+0.13)
May 05, 2025
2025 (Q1)
-0.25 / 0.10
-0.34129.41% (+0.44)
Feb 10, 2025
2024 (Q4)
0.73 / 1.15
0.49134.69% (+0.66)
Nov 04, 2024
2024 (Q3)
0.06 / 0.60
-0.29306.90% (+0.89)
Aug 06, 2024
2024 (Q2)
-0.14 / 0.32
-0.41178.05% (+0.73)
May 07, 2024
2024 (Q1)
-0.65 / -0.34
-0.5335.85% (+0.19)
The table shows recent earnings report dates and whether the forecast was beat or missed. See the change in forecast and EPS from the previous year.
Beat
Missed

INSP Earnings-Related Price Changes

Report Date
Price 1 Day Before
Price 1 Day After
Percentage Change
May 04, 2026
$54.84$48.25-12.02%
Feb 11, 2026
$68.21$59.65-12.55%
Nov 03, 2025
$73.71$85.01+15.33%
Aug 04, 2025
$129.95$87.91-32.35%
Earnings announcements can affect a stock’s price. This table shows the stock's price the day before and the day after recent earnings reports, including the percentage change.

FAQ

When does Inspire Medical Systems (INSP) report earnings?
Inspire Medical Systems (INSP) is schdueled to report earning on Aug 04, 2026, After Close (Confirmed).
    What is Inspire Medical Systems (INSP) earnings time?
    Inspire Medical Systems (INSP) earnings time is at Aug 04, 2026, After Close (Confirmed).
      Where can I see when companies are reporting earnings?
      You can see which companies are reporting today on our designated earnings calendar.
        What companies are reporting earnings today?
        You can see a list of the companies which are reporting today on TipRanks earnings calendar.
          What is INSP EPS forecast?
          INSP EPS forecast for the fiscal quarter 2026 (Q2) is -0.24.