INSP

Strong BuyUnloved QualityAI neutral

Inspire Medical Systems, Inc. · Healthcare · United States · $2.1B cap · $63.9M/day traded

$71.11 -2.1% · close 23 Oct · scored 24 Oct

Unloved Quality: Strong and cheap; the market has not turned yet.

82
StockRank
Get score and insider alerts

Report expected 2 Nov: the next-year EPS estimate has risen 21.7% over the last 14 weeks.

Quality
80
Value
51
Momentum
48

As of 24 Oct 2026, MoatMap's StockRank for Inspire Medical Systems, Inc. (INSP) is 82/100, ranked against 24,000+ stocks in 35 markets (Quality 80, Value 51, Momentum 48, each scored against its sector).

Does StockRank work? Each month we publish how every decile did, whichever way it went. See the record →

P/E (TTM)
15.7x
peers 27.4x
ROE
18.0%
peers -31.5%
D/E
0.0x
peers 0.2x
Dividend %
—
trailing yield
AI CONVICTION THESIS

Inspire Medical makes an implanted nerve-stimulation device for obstructive sleep apnea in patients who cannot tolerate CPAP masks. It has high gross margins, a strong patent position and a large untreated patient pool, and the shares jumped about 23% after second-quarter results as the company worked through reimbursement changes. Speculation about a possible takeover by a larger medtech group has also appeared. The long-term concern is whether GLP-1 weight-loss drugs shrink the number of patients who need the device, and reimbursement changes are still being absorbed.

ABOUT INSPIRE MEDICAL SYSTEMS, INC.

Read

Inspire Medical Systems, Inc. is a medical technology company specializing in the development and commercialization of a minimally invasive neurostimulation device for obstructive sleep apnea (OSA). Its significant competitive moat stems from its Inspire system being the first and only FDA-approved implantable device for moderate-to-severe OSA, establishing a strong first-mover advantage. The company targets a large addressable market of patients who cannot tolerate traditional OSA therapies.

FINANCIAL SUMMARY (USD)

Year2022202320242025CAGRTTM2026E2027EFwd CAGR
Revenue407.9M624.8M802.8M912.0M30.8%898.7M853.9M887.3M-1.4%
EPS-1.60-0.721.804.95175.0%4.542.563.14-20.3%
Shares29.0M29.6M29.7M28.6M-1.5%28.9M———
Debt8.9M24.8M31.8M32.2M53.6%29.1M———
Equity496.0M572.5M689.7M781.2M16.3%————
Op CF11.6M24.7M130.2M117.0M116.2%157.1M———
Inv CF-19.6M-294.8M-113.1M21.4M—————
Fin CF235.1M13.9M-52.4M-183.4M—————
Loading 1Y...
PRICE (1Y) · USD-4.3%
66.769.271.774.376.814 Sep5 Oct23 Oct
SMA 50SMA 200

Price checkTurning upExperimental

83% above its 52-week low and back above a rising 50-day average.

The Momentum score still reads 48: it weighs six months of price and earnings revisions, so it trails a turn like this.

SwingsVery bumpy

Swung more than 84% of stocks we rank over the past year (71% a year).

How this is worked out

StockRank judges the business. The price check reads only the chart: it is the price side of the Momentum score, in words.

The rules: Still falling is a new 52-week low in the last two weeks, at least 25% below the high. Finding a floor is no new low since. Turning up is 20 or more trading days without a new low, at least 10% off it, and back above a rising 50-day average. In an uptrend is above the 200-day average and within 15% of the high.

In 2,112 US drawdowns since 2001, buying while the price was still falling was followed by a further 20% drop 42% of the time. Waiting for a turn like this one cut that to 33%, at about 7% higher prices and with no better returns. Part of that cut is simply not buying: 13% of falls never turned, and waiting kept those out. Among turns that were bought, 38% still fell another 20%, and 33% of turns were followed by a new low within six months. The benefit was largest in crashes such as 2008 and 2020.

What it measures: day-to-day price moves over the past year, as a yearly figure, ranked against every stock we cover. Very calm under 20% a year, Calm 20 to 30%, Average 30 to 40%, Bumpy 40 to 55%, Very bumpy above that.

What we found: across about 13,500 stocks in 34 markets (2002 to 2025), past swings were a good guide to the next year's, and bumpier stocks fell further. How much further changed too much between eras to put a number on it.

Calm is not safe: a calm stock can still slide steadily.

Rules fixed before any data was fetched. Describes the chart, not a recommendation.

Close
$71.11
RSI (14)
50.8
52-Week Range-51.6% from high
Low $38.91High $147.03

SCORE BREAKDOWN

Quality
80
ROIC
7.7%62.7
ROE
18.0%86.1
GP/Assets
85.3%97.3
Op. Margin
-0.3%32.9
FCF/Assets
12.9%90.5
Piotroski
783.5
Int. Cover
50.0x89.5
D/E Ratio
0.04x75.2
Current Ratio
8.55x84.8
Value
51
P/E (TTM)
15.7x72.8
EV/EBITDA
24.7x25.9
P/FCF
17.6x64.6
P/B
2.5x51.5
P/S
2.3x64.4
Div Yield
—N/A
Momentum
48
52W High %
48%25.6
RS 6M
19%80.0
SMA 50/200
1.14x83.2
EPS Rev 4W
-0.0%35.5
EPS Rev 12W
+21.7%92.2
EPS Improve
-66%7.8
Q Growth
—N/A

FUNDAMENTALS

Market Cap
$2.1B
P/E (Forward)
46.3x
Gross Margin
86.1%

SECTOR PEERS

Closest peers in Healthcare, ranked by industry match, size, and score similarity. Cross-listings of INSP are excluded.

TickerCompanyMkt CapStockRankSignal
INSPInspire Medical Systems, Inc.(you)$2.1B82Strong Buy
UFPTUFP Technologies, Inc.$2.3B80Strong Buy
CNMDCONMED Corporation$1.5B92Strong Buy
IRMDIRADIMED CORPORATION$1.1B75Buy
HAEHaemonetics Corporation$5.4B84Strong Buy
VREXVarex Imaging Corporation$782M76Buy
ITGRInteger Holdings Corporation$4.3B68Buy
BVSBioventus Inc.$1.0B96Strong Buy
NEOGNeogen Corporation$2.7B57Hold
DCTHDelcath Systems, Inc.$500M78Buy

Peer medians: ROE -31.5% · P/E 27.4x · Gross margin 62.6%

Company Deep Dive

Business segments breakdown, earnings transcript analysis, management credibility scoring, competitive landscape, and scenario modelling.

Request Deep Dive(50 Feathers)

Inspire Medical Systems, Inc. (INSP): Stock Score Summary

Inspire Medical Systems, Inc. (INSP) has a MoatMap StockRank of 82/100 based on Quality (80/100), Value (51/100), and Momentum (48/100) factor scores. The current signal is STRONG BUY. Inspire Medical makes an implanted nerve-stimulation device for obstructive sleep apnea in patients who cannot tolerate CPAP masks. It has high gross margins, a strong patent position and a large untreated patient pool, and the shares jumped about 23% after second-quarter results as the company worked through reimbursement changes. Speculation about a possible takeover by a larger medtech group has also appeared. The long-term concern is whether GLP-1 weight-loss drugs shrink the number of patients who need the device, and reimbursement changes are still being absorbed.

Inspire Medical Systems, Inc. is a medical technology company specializing in the development and commercialization of a minimally invasive neurostimulation device for obstructive sleep apnea (OSA). Its significant competitive moat stems from its Inspire system being the first and only FDA-approved implantable device for moderate-to-severe OSA, establishing a strong first-mover advantage. The company targets a large addressable market of patients who cannot tolerate traditional OSA therapies.

Key Financial Metrics

Price$71.11
Market Cap$2.1B
P/E (TTM)15.66
P/E (Forward)46.28
Price/Book2.49
Return on Equity18.0%
Return on Invested Capital7.7%
Debt/Equity0.04x
Gross Margin86.1%
Operating Margin-0.3%
Revenue Growth-7.6%
Free Cash Flow$117M

Inspire Medical Systems, Inc. operates in the Medical Devices industry, part of the Healthcare sector (United States).

Frequently Asked Questions

What is Inspire Medical Systems, Inc.’s (INSP) StockRank?
MoatMap’s StockRank for Inspire Medical Systems, Inc. (INSP) is 82/100, with a Strong Buy signal. It is a composite of Quality (80), Value (51), and Momentum (48), each scored against its sector. The composite is then ranked across MoatMap’s universe of 24,000+ stocks.
Does Inspire Medical Systems, Inc. have an economic moat?
Inspire Medical Systems, Inc. (INSP) has a Quality factor score of 80/100. The Quality factor combines ROIC, Piotroski F-Score, and leverage: the financial fingerprints of a durable competitive advantage. A Quality score above 70 typically indicates a company with the characteristics of a moated business.
Is Inspire Medical Systems, Inc. a buy, hold, or sell?
MoatMap’s current signal for Inspire Medical Systems, Inc. (INSP) is Strong Buy, based on a StockRank of 82/100. Signals are derived mechanically from the StockRank composite and should be one input among many; combine with your own thesis on management, competitive position, and valuation.
What sector is Inspire Medical Systems, Inc. in?
Inspire Medical Systems, Inc. (INSP) operates in the Healthcare sector, specifically the Medical Devices industry (United States).