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Inspire Medical Systems, Inc. (INSP) Form 10-Q — Nov 2, 2026

$INSPForm 10-QFiled Nov 2, 2026, 4:32 PM ET0001609550-26-000053Original filing

Inspire Medical's Q3 2026 revenue fell 7.9% to $206.7 million and the company swung to a net loss of $24.4 million ($0.84 per share) from $9.9 million in earnings a year ago, driven primarily by U.S. coding and reimbursement uncertainty around the Inspire V system. Management cited multiple headwinds: CMS/Medicare coding confusion including the -52 modifier reducing physician reimbursement by up to 30%, the WISeR prior-authorization program, and short-term revenue pressure from GLP-1 adoption. The company took $24.1 million of Project Horizon restructuring charges (targeting $30 million annualized savings) and a $7.0 million privacy litigation settlement.

Key figures

Revenue
206695000
Revenue Yoy
-7.9%
Total Assets
953033000
Cash Position
190803000
Shares Outstanding
28966119
Total debt
0
Gross margin
86.0%
Q3 2025 revenue
224501000
Nine month revenue
611859000
Nine month revenue yoy
-4.8%
Legal settlement expense
7000000
Restructuring charges q3
24138000
Operating cash flow nine months
82503000

AI analysis

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