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Inspire Medical Systems

INSP
47
Medical - Devices · Healthcare
Winston Score
47
Winston is serious
Mixed quality — meaningful strengths and weaknesses.

Inspire Medical Systems makes a small implantable device that treats sleep apnea — a condition where people stop breathing repeatedly during sleep. The device, called the Inspire system, is surgically placed inside the chest and uses mild electrical signals to keep the airway open while a patient sleeps. It is sold to hospitals and surgical centers, and is used by patients who cannot tolerate the more common CPAP mask treatment.

The company earns revenue by selling the Inspire implant and related components to healthcare providers, with each procedure generating a one-time device sale. Inspire operates primarily in the United States, with a growing presence in Europe, and has built a strong position as the only FDA-approved hypoglossal nerve stimulation device for sleep apnea on the market. Its main growth driver is expanding the number of trained surgeons and covered insurance plans, while its key risk is its dependence on a single product in a market that larger medical device companies could eventually enter.

Winston Score History

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+1.6% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

-490.0% YoY

YoY Growth Rate

Earnings declining

Insider Activity

6.5%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

$99M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

Inspire Medical Systems is growing revenue at 2% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
86.5%
Premium pricing power — 86.5% gross margin
Operating Margin
-0.5%
Losing money on operations — -0.5%
ROCE
-0.1%
Weak — -0.1% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+8.9%
Steady sales growth (8.9% YoY)
EPS YoY
+103.1%
Earnings growing fast (103.1% YoY)

Earnings growing 25%+ a year. The compounder zone.

EPS Consistency
2/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
104%
Turns 104% of profit into real cash
FCF Margin
10.6%
Modest free cash flow (10.6%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

Debt / Equity
N/A
Data not available
Interest Cover
374.61x
Comfortably covers interest (374.6x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

P/E Ratio (TTM)
11.1x
no trend
Attractive valuation — P/E 11.1

P/E in the normal range. Price is roughly $15 for every $1 of yearly profit.

P/E vs Forward
-10.0
SLOWING
Earnings expected to fall — forward P/E higher than today

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Dividends

Not applicable for this business.
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