Inspire Medical Systems, Inc. (INSP) Earnings History
Profitable10 years of earnings data (2016–2025) · Positive TTM net income
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Inspire Medical Systems, Inc. (INSP) Earnings Overview
As of June 21, 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 (-$95M 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
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 | $4.89 | 15.9% | 5.6% |
| 2024 | $54M | +353.0% | $36M | $1.75 | 6.7% | 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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INSP — Frequently Asked Questions
Quick answers to the most common questions about buying INSP stock.
What is INSP earnings per share (EPS)?
INSP trailing twelve-month (TTM) diluted EPS is $4.57, reflecting +179.4% year-over-year growth. The 5-year EPS CAGR is N/A. Complete EPS history from 2016 to 2025 is available in the table on this page.
What is Inspire Medical Systems, Inc.'s net income?
Inspire Medical Systems, Inc. (INSP) trailing twelve-month net income is $131M as of 2025. Earnings grew +179.4% year-over-year. Inspire Medical Systems, Inc. has been profitable for 2 consecutive years.
Is INSP profitable?
Yes, INSP is profitable with a TTM net income of $131M and a net profit margin of +15.9%. Inspire Medical Systems, Inc. has generated profits for 2 consecutive years.
What is INSP's earnings growth rate?
INSP compound annual EPS growth rates (CAGR): 1-Year: +179.4%, 3-Year: N/A, 5-Year: N/A, 10-Year: N/A. These figures measure the annualised rate of diluted EPS growth over each period, based on data from 2016 to 2025.
What are INSP's profit margins?
Inspire Medical Systems, Inc. net profit margin is +15.9%, operating margin is +5.6%, and gross margin is +85.4%. Above-average net margins reflect strong pricing power and competitive moat. Return on Equity is +19.8%.
Is INSP growing earnings?
Yes, INSP earnings are accelerating — EPS growth of +179.4% exceeds the 5-year CAGR of N/A. TTM net income reached $131M. Earnings momentum is strengthening.
What was INSP's best earnings year?
Inspire Medical Systems, Inc.'s highest annual net income on record is $145M, achieved in fiscal year 2025. Earnings history on this page spans 2016 to 2025 and includes all annual and quarterly figures.
What were INSP's earnings last quarter?
INSP's most recent reported quarter was Q1 2026. Net income was $-11M with diluted EPS of $-0.39. For a full breakdown of all quarters, see the quarterly earnings table on this page.