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INSP logoInspire Medical Systems, Inc. (INSP) Earnings History

Annual and quarterly earnings data from 2016 to 2025

TTM Net Income
$131M
Profitable
TTM EPS
$4.57
Diluted
YoY EPS Growth
+179.4%
Excellent
Net Margin
15.9%
Profitability
Operating Margin5.6%
Gross Margin85.4%
ROE19.8%
ROA17.0%
Highest Annual Net Income$145M (2025)
Highest Quarterly EPS$4.66 (Q4 2025)
Consecutive Profitable Years2 years
Q1 2026
Net Income-$11M
EPS$-0.39
QoQ Growth-108.3%Declining

Loading earnings history...

INSP EPS Growth (CAGR)

Compound annual growth rate of diluted earnings per share

1-Year
+179.4%
Excellent
3-Year
N/A
N/M
5-Year
N/A
N/M
10-Year
N/A
N/M

CAGR (Compound Annual Growth Rate) shows the annualized growth rate of EPS over the specified period. A higher CAGR indicates stronger earnings momentum.

INSP Profitability Analysis

Margin trends over time

View revenue breakdown →
YearGross MarginOperating MarginNet Margin
202585.4%5.6%15.9%
202484.7%4.5%6.7%
202384.5%-6.4%-3.4%
202283.8%-11.7%-11.0%
202185.7%-17.1%-18.0%
Gross Margin = Gross Profit ÷ Revenue
Operating Margin = Operating Income ÷ Revenue
Net Margin = Net Income ÷ Revenue

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Inspire Medical Systems, Inc. (INSP) Earnings Overview

As of May 6, 2026, Inspire Medical Systems, Inc. (INSP) reported trailing twelve-month net income of $131M, reflecting +179.4% year-over-year growth. The company earned $4.57 per diluted share over the past four quarters, with a net profit margin of 15.9%.

Looking at the long-term picture, INSP's historical earnings data spans multiple years. The company achieved its highest annual net income of $145M in fiscal 2025, representing a new all-time high.

Inspire Medical Systems, Inc. maintains industry-leading profitability with a gross margin of 85.4%, operating margin of 5.6%, and net margin of 15.9%. This margin structure demonstrates strong pricing power and operational efficiency. View revenue history →

Compared to peers including NVCR (-$173M net income, -20.8% margin), TNDM (-$205M net income, -20.2% margin), IRTC (-$28M net income, -6.0% margin), INSP has outperformed on profitability metrics. Compare INSP vs NVCR →

INSP Earnings vs Peers

Earnings metrics vs comparable public companies

CompanyTTM Net IncomeTTM EPSNet MarginROEYoY GrowthCompare
INSP logoINSPCurrent
$131M$4.5715.9%19.8%+179.4%—
NVCR logoNVCR
-$173M$-1.52-20.8%-38.9%+21.8%
TNDM logoTNDM
-$205M$-3.01-20.2%-97.9%-106.8%
IRTC logoIRTC
-$28M$-0.85-6.0%-36.6%+61.7%
MDT logoMDT
$4.6B$3.5813.9%9.4%+30.8%
ABT logoABT
$14.0B$7.9931.9%30.9%+133.6%
Best in group
Lowest in group

INSP Historical Earnings Data (2016–2025)

10 years
Fiscal Year Net Income YoY % Operating Income EPS (Diluted) Net Margin Op. Margin
2025$145M+171.8%$51M$4.8915.9%5.6%
2024$54M+353.0%$36M$1.756.7%4.5%
2023-$21M+52.9%-$40M$-0.72-3.4%-6.4%
2022-$45M-6.8%-$48M$-1.60-11.0%-11.7%
2021-$42M+26.5%-$40M$-1.54-18.0%-17.1%
2020-$57M-72.1%-$56M$-2.19-49.6%-48.7%
2019-$33M-52.3%-$35M$-1.40-40.5%-42.5%
2018-$22M-24.7%-$20M$-1.50-43.1%-40.3%
2017-$18M+5.5%-$16M$-1.30-61.3%-56.0%
2016-$19M--$17M$-1.49-112.8%-105.0%

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Compare INSP vs DBVT

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INSP — Frequently Asked Questions

Quick answers to the most common questions about buying INSP stock.

Is INSP growing earnings?

INSP EPS is $4.57, with earnings growth accelerating to +179.4%. This exceeds the 5-year CAGR of N/A. TTM net income reached $131M.

What are INSP's profit margins?

Inspire Medical Systems, Inc. net margin is +15.9%, with operating margin at +5.6%. Above-average margins indicate pricing power.

How consistent are INSP's earnings?

INSP earnings data spans 2016-2025. The accelerating earnings trend is +179.4% YoY. Historical data enables comparison across business cycles.

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INSP Earnings Over Time (2016–2025)

Net income and EPS trends