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INSP logoInspire Medical Systems, Inc.(INSP)Earnings, Financials & Key Ratios

INSP•NYSE
$45.70
$1.32B mkt cap·9.3× P/E·Price updated May 6, 2026
SectorHealthcareIndustryMedical DevicesSub-IndustryRespiratory and sleep therapy devices
AboutInspire Medical Systems, Inc., a medical technology company, focuses on the development and commercialization of minimally invasive solutions for patients with obstructive sleep apnea (OSA) in the United States and internationally. The company offers Inspire system, a neurostimulation technology that provides a safe and effective treatment for moderate to severe OSA. It also develops a novel, a closed-loop solution that continuously monitors a patient's breathing and delivers mild hypoglossal nerve stimulation to maintain an open airway. The company was incorporated in 2007 and is headquartered in Golden Valley, Minnesota.Show more
  • Revenue$912M+13.6%
  • EBITDA$65M+52.3%
  • Net Income$145M+171.8%
  • EPS (Diluted)4.89+179.4%
  • Gross Margin85.39%+0.8%
  • EBITDA Margin7.12%+34.0%
  • Operating Margin5.59%+24.3%
  • Net Margin15.95%+139.2%
  • ROE19.77%+133.2%
  • ROIC5.97%+8.5%
  • Debt/Equity0.04-10.7%
  • Interest Coverage371.93-86.0%
Technical→

INSP Key Insights

Inspire Medical Systems, Inc. (INSP) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Company is almost debt free
  • ✓Strong Piotroski F-Score: 7/9
  • ✓Strong 5Y sales CAGR of 51.2%
  • ✓Share count reduced 2.6% through buybacks
  • ✓Efficient asset utilization: 1.0x turnover

✗Weaknesses

  • ✗Weak momentum: RS Rating 14 (bottom 14%)
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

INSP Price & Volume

Inspire Medical Systems, Inc. (INSP) stock price & volume — 10-year historical chart

Loading chart...

INSP Growth Metrics

Inspire Medical Systems, Inc. (INSP) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years51.21%
3 Years30.77%
TTM8.94%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM97.18%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM107.04%

Return on Capital

10 Years-51.99%
5 Years-4.65%
3 Years1.61%
Last Year6.66%

INSP Recent Earnings

Inspire Medical Systems, Inc. (INSP) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 12/12 qtrs (100%)●Beat Revenue 8/12 qtrs (67%)
Q2 2026Latest
May 4, 2026
EPS
$0.10
Est $0.28
+136.3%
Revenue
$205M
Est $200M
+2.3%
Q1 2026
Feb 11, 2026
EPS
$1.65
Est $0.69
+139.1%
Revenue
$269M
Est $266M
+1.3%
Q4 2025
Nov 3, 2025
EPS
$0.38
Est $0.15
+353.3%
Revenue
$225M
Est $262M
-14.4%
Q3 2025
Aug 4, 2025
EPS
$0.45
Est $0.22
+104.5%
Revenue
$217M
Est $214M
+1.2%
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 4, 2026
$0.10vs $0.28+136.3%
$205Mvs $200M+2.3%
Q1 2026Feb 11, 2026
$1.65vs $0.69+139.1%
$269Mvs $266M+1.3%
Q4 2025Nov 3, 2025
$0.38vs $0.15+353.3%
$225Mvs $262M-14.4%
Q3 2025Aug 4, 2025
$0.45vs $0.22+104.5%
$217Mvs $214M+1.2%
Based on last 12 quarters of dataView full earnings history →

INSP Peer Comparison

Inspire Medical Systems, Inc. (INSP) competitors in Respiratory and sleep therapy devices — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
NVCR logoNVCRNovoCure LimitedDirect Competitor1.88B16.50-13.528.28%-25.66%-50.82%0.85
TNDM logoTNDMTandem Diabetes Care, Inc.Direct Competitor1.24B18.03-5.937.93%-20.17%-141.98%2.86
IRTC logoIRTCiRhythm Technologies, Inc.Direct Competitor3.87B117.70-84.6826.24%-3.53%-20.6%4.79
MDT logoMDTMedtronic plcProduct Competitor99.48B77.6021.503.62%13%9.45%0.59
ABT logoABTAbbott LaboratoriesProduct Competitor149.97B86.2511.294.59%31.88%27.26%0.32
BSX logoBSXBoston Scientific CorporationProduct Competitor83.23B56.0028.8719.87%14.4%12.4%0.51
LVS logoLVSLas Vegas Sands Corp.Product Competitor35.32B53.2222.6515.22%13.41%95.8%8.34
RGEN logoRGENRepligen CorporationSupply Chain7.09B125.76146.2316.36%6.73%2.46%0.33

Compare INSP vs Peers

Inspire Medical Systems, Inc. (INSP) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs NVCR

Most directly comparable listed peer for INSP.

Scale Benchmark

vs ABT

Larger-name benchmark to compare INSP against a more recognizable public peer.

Peer Set

Compare Top 5

vs NVCR, TNDM, IRTC, MDT

INSP Income Statement

Inspire Medical Systems, Inc. (INSP) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Sales/Revenue28.57M50.59M82.05M115.38M233.39M407.86M624.8M802.8M911.98M915.25M
Revenue Growth %73.9%77.1%62.18%40.62%102.28%74.75%53.19%28.49%13.6%8.94%
Cost of Goods Sold6.02M10.06M13.64M17.62M33.28M66.11M96.58M122.99M133.22M130.19M
COGS % of Revenue21.07%19.88%16.63%15.27%14.26%16.21%15.46%15.32%14.61%-
Gross Profit
22.55M▲ 0%
40.54M▲ 79.8%
68.41M▲ 68.8%
97.76M▲ 42.9%
200.12M▲ 104.7%
341.74M▲ 70.8%
528.22M▲ 54.6%
679.82M▲ 28.7%
778.76M▲ 14.6%
785.06M▲ 0%
Gross Margin %78.93%80.12%83.37%84.73%85.74%83.79%84.54%84.68%85.39%85.78%
Gross Profit Growth %80.08%79.77%68.75%42.91%104.7%70.77%54.57%28.7%14.55%-
Operating Expenses38.55M60.91M103.3M153.97M239.97M389.33M568.49M643.74M727.8M733.74M
OpEx % of Revenue134.95%120.4%125.9%133.44%102.82%95.46%90.99%80.19%79.8%-
Selling, General & Admin32.36M53.53M90.47M127.87M202.62M320.69M451.96M529.61M624.64M632.55M
SG&A % of Revenue113.27%105.8%110.26%110.83%86.81%78.63%72.34%65.97%68.49%-
Research & Development6.19M7.39M12.84M26.09M37.35M68.64M116.54M114.13M103.17M101.19M
R&D % of Revenue21.68%14.6%15.65%22.61%16%16.83%18.65%14.22%11.31%-
Other Operating Expenses42K-16K00000000
Operating Income
-16M▲ 0%
-20.38M▼ 27.3%
-34.9M▼ 71.2%
-56.21M▼ 61.1%
-39.85M▲ 29.1%
-47.59M▼ 19.4%
-40.27M▲ 15.4%
36.08M▲ 189.6%
50.95M▲ 41.2%
51.32M▲ 0%
Operating Margin %-56.02%-40.28%-42.53%-48.72%-17.07%-11.67%-6.45%4.49%5.59%5.61%
Operating Income Growth %7.25%-27.34%-71.25%-61.07%29.1%-19.43%15.38%189.6%41.21%-
EBITDA-15.72M-19.98M-34.4M-55.37M-38.63M-45.73M-37.42M42.63M64.91M62.23M
EBITDA Margin %-55.02%-39.5%-41.93%-47.99%-16.55%-11.21%-5.99%5.31%7.12%6.8%
EBITDA Growth %8.35%-27.15%-72.14%-60.94%30.23%-18.38%18.17%213.92%52.26%6.25%
D&A (Non-Cash Add-back)285K393K495K840K1.22M1.86M2.85M6.55M13.96M10.91M
EBIT-15.76M-18.52M-31.08M-54.97M-39.84M-42.59M-19.91M58.48M50.95M57.34M
Net Interest Income-1.55M-1.43M1.68M-1.02M-2M3.37M20.56M23.23M17.4M12.33M
Interest Income203K1.87M3.8M1.09M125K5.05M20.56M23.25M17.54M12.47M
Interest Expense1.75M3.3M2.12M2.12M2.13M1.68M022K137K137K
Other Income/Expense-1.51M-1.45M1.69M-880K-2.12M3.32M20.36M22.37M14.74M12.61M
Pretax Income
-17.51M▲ 0%
-21.83M▼ 24.7%
-33.2M▼ 52.1%
-57.09M▼ 71.9%
-41.97M▲ 26.5%
-44.27M▼ 5.5%
-19.91M▲ 55.0%
58.45M▲ 393.6%
65.7M▲ 12.4%
63.94M▲ 0%
Pretax Margin %-61.3%-43.14%-40.47%-49.48%-17.98%-10.85%-3.19%7.28%7.2%6.99%
Income Tax0040K115K72K613K1.25M4.94M-79.72M-67.2M
Effective Tax Rate %0%0%-0.12%-0.2%-0.17%-1.38%-6.26%8.46%-121.35%-105.11%
Net Income
-17.51M▲ 0%
-21.83M▼ 24.7%
-33.24M▼ 52.3%
-57.2M▼ 72.1%
-42.04M▲ 26.5%
-44.88M▼ 6.8%
-21.15M▲ 52.9%
53.51M▲ 353.0%
145.42M▲ 171.8%
131.14M▲ 0%
Net Margin %-61.3%-43.14%-40.52%-49.58%-18.01%-11%-3.39%6.67%15.95%14.33%
Net Income Growth %5.49%-24.65%-52.3%-72.08%26.5%-6.75%52.87%352.96%171.77%97.18%
Net Income (Continuing)-17.51M-21.83M-33.24M-57.2M-42.04M-44.88M-21.15M53.51M145.42M131.14M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)
-1.30▲ 0%
-1.50▼ 15.4%
-1.40▲ 6.7%
-2.19▼ 56.4%
-1.54▲ 29.7%
-1.60▼ 3.9%
-0.72▲ 55.0%
1.75▲ 343.1%
4.89▲ 179.4%
4.57▲ 0%
EPS Growth %12.75%-15.38%6.67%-56.43%29.68%-3.9%55%343.06%179.43%107.04%
EPS (Basic)-1.30-1.50-1.40-2.19-1.54-1.60-0.721.804.95-
Diluted Shares Outstanding13.49M14.58M23.8M26.07M27.26M28.07M29.3M30.54M29.76M28.7M
Basic Shares Outstanding13.49M14.58M23.8M26.07M27.26M28.07M29.3M29.76M29.37M28.7M
Dividend Payout Ratio----------

INSP Balance Sheet

Inspire Medical Systems, Inc. (INSP) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Total Current Assets24.1M199.28M170.64M269.87M268.54M530.03M593.74M630.81M583.65M566.82M
Cash & Short-Term Investments16.14M188.21M149.47M234.36M214.47M451.41M460.38M445.55M308.27M98.93M
Cash Only8.96M97.29M22.86M190.52M214.47M441.59M185.54M150.15M104.81M98.93M
Short-Term Investments7.19M90.92M126.61M43.84M09.82M274.84M295.4M203.46M0
Accounts Receivable3.86M6.67M13.13M25.06M34.18M61.23M89.88M93.07M119.69M105.09M
Days Sales Outstanding49.2948.158.4179.2953.4554.7952.5142.3147.946.9
Inventory3.67M2.67M5.83M8.48M17.23M11.89M33.88M80.12M145.29M166.24M
Days Inventory Outstanding222.5996.8156.08175.61188.9965.62128.07237.78398.06402.98
Other Current Assets426K1.73M0005.5M9.6M12.07M10.4M196.56M
Total Non-Current Assets994K802K10.62M11.32M26.55M34.84M83.07M177.58M323.67M344.56M
Property, Plant & Equipment994K802K3.96M11.12M16.41M24.13M62.65M95.24M121.4M123.76M
Fixed Asset Turnover28.74x63.08x20.72x10.38x14.23x16.90x9.97x8.43x7.51x7.78x
Goodwill0000000000
Intangible Assets0000000000
Long-Term Investments006.28M09.94M09.14M71M96.33M426.8M
Other Non-Current Assets00381K204K204K10.71M11.28M11.34M6.09M44.79M
Total Assets
25.09M▲ 0%
200.08M▲ 697.4%
181.25M▼ 9.4%
281.19M▲ 55.1%
295.08M▲ 4.9%
564.88M▲ 91.4%
676.81M▲ 19.8%
808.38M▲ 19.4%
907.32M▲ 12.2%
911.38M▲ 0%
Asset Turnover1.14x0.25x0.45x0.41x0.79x0.72x0.92x0.99x1.01x1.06x
Asset Growth %91.3%697.42%-9.41%55.14%4.94%91.43%19.82%19.44%12.24%49.91%
Total Current Liabilities7.15M11.15M16.86M20.73M41.31M61.19M78.11M88.5M96.06M89.42M
Accounts Payable3M3.43M4.46M7.21M11.66M26.85M38.84M38.69M36.56M41.85M
Days Payables Outstanding181.83124.46119.29149.31127.94148.21146.79114.82100.18133.75
Short-Term Debt00009.19M00000
Deferred Revenue (Current)0000000000
Other Current Liabilities555K1.24M0000008.41M47.57M
Current Ratio3.37x17.86x10.12x13.02x6.50x8.66x7.60x7.13x6.08x6.08x
Quick Ratio2.86x17.63x9.78x12.61x6.08x8.47x7.17x6.22x4.56x4.56x
Cash Conversion Cycle90.0520.4495.2105.59114.5-27.833.79165.27345.79316.14
Total Non-Current Liabilities16.62M24.93M24.56M30.72M24.73M7.68M26.19M30.19M30.1M29.62M
Long-Term Debt16.46M24.93M24.52M24.75M15.8M7.54M00029.55M
Capital Lease Obligations0005.89M8.8M7.54M24.85M30.04M30M91.21M
Deferred Tax Liabilities00000000011.18M
Other Non-Current Liabilities157K040K85K134K-7.39M1.35M148K104K-29.61M
Total Liabilities23.61M36.08M41.42M51.44M66.04M68.87M104.3M118.69M126.16M119.04M
Total Debt16.46M24.93M25.35M30.63M34.09M16.41M24.85M31.79M32.16M29.55M
Net Debt7.5M-72.36M2.49M-159.89M-180.37M-425.18M-160.69M-118.36M-72.66M-69.38M
Debt / Equity11.09x0.15x0.18x0.13x0.15x0.03x0.04x0.05x0.04x0.04x
Debt / EBITDA-------0.75x0.50x0.47x
Net Debt / EBITDA--------2.78x-1.12x-1.12x
Interest Coverage-8.99x-5.61x-14.67x-25.97x-18.72x-25.40x-2657.95x371.93x418.58x
Total Equity
1.48M▲ 0%
164M▲ 10951.1%
139.84M▼ 14.7%
229.75M▲ 64.3%
229.05M▼ 0.3%
496.01M▲ 116.6%
572.51M▲ 15.4%
689.7M▲ 20.5%
781.16M▲ 13.3%
792.34M▲ 0%
Equity Growth %122.46%10951.15%-14.73%64.3%-0.3%116.55%15.42%20.47%13.26%39.8%
Book Value per Share0.1111.255.878.818.4017.6719.5422.5826.2527.61
Total Shareholders' Equity1.48M164M139.84M229.75M229.05M496.01M572.51M689.7M781.16M792.34M
Common Stock13K23K24K27K27K29K30K30K29K29K
Retained Earnings-125.08M-146.91M-180.16M-237.35M-279.39M-324.27M-345.42M-291.91M-146.49M-157.79M
Treasury Stock0000000000
Accumulated OCI0-52K102K29K-55K-86K800K536K464K-352K
Minority Interest0000000000

INSP Cash Flow Statement

Inspire Medical Systems, Inc. (INSP) cash flow — operating, investing & free cash flow history

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Cash from Operations-15.79M-18.69M-33.38M-53.05M-20.12M11.57M24.65M130.25M116.98M116.98M
Operating CF Margin %-55.28%-36.95%-40.68%-45.97%-8.62%2.84%3.95%16.22%12.83%-
Operating CF Growth %12.02%-18.38%-78.54%-58.93%62.07%157.5%113.1%428.32%-10.19%3839.63%
Net Income-17.51M-21.83M-33.24M-57.2M-42.04M-44.88M-21.15M53.51M145.42M131.14M
Depreciation & Amortization285K393K1.4M840K1.99M2.9M2.85M6.55M13.96M16.02M
Stock-Based Compensation243K1.22M012.82M0082.47M116.01M0129.93M
Deferred Taxes100K-53K0-22K0000-88.75M1.01M
Other Non-Cash Items315K714K5.04M1.4M26.79M51.74M1.27M-7.51M133.73M-84.48M
Working Capital Changes777K861K-6.57M-10.88M-6.86M1.81M-40.78M-37.71M-87.38M-57.08M
Change in Receivables-1.77M-2.84M-6.48M-11.84M-9.24M-27.02M-30.22M-2.6M-26.23M-12.21M
Change in Inventory-315K1M-3.17M-2.65M-8.75M5.34M-22M-46.23M-65.17M-66.51M
Change in Payables1.82M439K1.03M2.05M4.78M14.36M9.3M604K-3.75M12.9M
Cash from Investing-7.6M-83.39M-43.56M86.63M29.14M-19.6M-294.82M-113.12M21.45M11.75M
Capital Expenditures-412K-250K-2.74M-2.46M-4.67M-9.1M-23.63M-39.12M-38.5M-39.82M
CapEx % of Revenue1.44%0.49%3.34%2.13%2%2.23%3.78%4.87%4.22%-
Acquisitions000-89.08M000000
Investments----------
Other Investing-7.19M-83.14M089.08M0-10.5M0000
Cash from Financing25.66M190.38M2.5M134.06M14.95M235.08M13.95M-52.39M-183.45M-103.17M
Debt Issued (Net)458K8M000-24.5M0000
Equity Issued (Net)25.2M182.38M2.5M134.06M14.95M259.62M31.11M-47.23M-160.41M-91.73M
Dividends Paid0000000000
Share Repurchases0000000-75M-175.02M-100.01M
Other Financing00000-43K-17.16M-5.17M-23.04M-11.44M
Net Change in Cash
2.27M▲ 0%
88.33M▲ 3791.3%
-74.43M▼ 184.3%
167.66M▲ 325.3%
23.95M▼ 85.7%
227.13M▲ 848.4%
-256.06M▼ 212.7%
-35.39M▲ 86.2%
-45.34M▼ 28.1%
45.05M▲ 0%
Free Cash Flow
-16.2M▲ 0%
-18.94M▼ 16.9%
-35.59M▼ 87.8%
-55.5M▼ 56.0%
-24.79M▲ 55.3%
2.47M▲ 110.0%
1.02M▼ 58.6%
91.12M▲ 8798.7%
78.48M▼ 13.9%
96.71M▲ 0%
FCF Margin %-56.72%-37.44%-43.37%-48.1%-10.62%0.61%0.16%11.35%8.61%10.57%
FCF Growth %11.24%-16.92%-87.84%-55.96%55.34%109.98%-58.59%8798.73%-13.88%22.65%
FCF per Share-1.20-1.30-1.49-2.13-0.910.090.032.982.642.64
FCF Conversion (FCF/Net Income)0.90x0.86x1.00x0.93x0.48x-0.26x-1.17x2.43x0.80x0.74x
Interest Paid002.03M01.89M2.32M022K0133K
Taxes Paid0000000000

INSP Key Ratios

Inspire Medical Systems, Inc. (INSP) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201720182019202020212022202320242025TTM
Return on Equity (ROE)-1179.99%-26.38%-21.88%-30.96%-18.33%-12.38%-3.96%8.48%19.77%17.98%
Return on Invested Capital (ROIC)-210.81%-30.38%-22.37%-39.73%-50.43%-59.74%-12.52%5.51%5.97%5.97%
Gross Margin78.93%80.12%83.37%84.73%85.74%83.79%84.54%84.68%85.39%85.78%
Net Margin-61.3%-43.14%-40.52%-49.58%-18.01%-11%-3.39%6.67%15.95%14.33%
Debt / Equity11.09x0.15x0.18x0.13x0.15x0.03x0.04x0.05x0.04x0.04x
Interest Coverage-8.99x-5.61x-14.67x-25.97x-18.72x-25.40x-2657.95x371.93x418.58x
FCF Conversion0.90x0.86x1.00x0.93x0.48x-0.26x-1.17x2.43x0.80x0.74x
Revenue Growth73.9%77.1%62.18%40.62%102.28%74.75%53.19%28.49%13.6%8.94%

INSP SEC Filings & Documents

Inspire Medical Systems, Inc. (INSP) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

May 5, 2026·SEC

Material company update

May 4, 2026·SEC

Material company update

Feb 11, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 13, 2026·SEC

FY 2025

Feb 10, 2025·SEC

FY 2024

Feb 9, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

May 4, 2026·SEC

FY 2025

Nov 3, 2025·SEC

FY 2025

Aug 4, 2025·SEC

INSP Frequently Asked Questions

Inspire Medical Systems, Inc. (INSP) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Inspire Medical Systems, Inc. (INSP) reported $915.2M in revenue for fiscal year 2025. This represents a 5472% increase from $16.4M in 2016.

Inspire Medical Systems, Inc. (INSP) grew revenue by 13.6% over the past year. This is steady growth.

Yes, Inspire Medical Systems, Inc. (INSP) is profitable, generating $131.1M in net income for fiscal year 2025 (15.9% net margin).

Dividend & Returns

Inspire Medical Systems, Inc. (INSP) has a return on equity (ROE) of 19.8%. This is reasonable for most industries.

Inspire Medical Systems, Inc. (INSP) generated $96.7M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

Explore More INSP

Inspire Medical Systems, Inc. (INSP) financial analysis — history, returns, DCA and operating performance tools

Total Return Calculator

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Dividend History

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Earnings History

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Price History

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Revenue History

Sales growth patterns & revenue breakdown

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Financial Ratios

30 years of market, efficiency and balance-sheet ratios

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Valuation

DCF intrinsic value, peer multiples & estimates

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