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Inspire Medical Systems (INSP): analysis traps

Where its figures could mislead a reader, and what to check before taking them at face value · Data: Q3 2026, to Sep 30, 2026, filed Nov 2, 2026; rules v1.1

Inspire Medical Systems (INSP): 0 rules of 10 triggered on the filings to Sep 30, 2026. 1 to review; 2 with insufficient data; 4 not applicable. Each is a question to verify, with the normal explanation that would produce the same figures.

Check these first

A precise DCF value = the true value To review · confidence high

The DCF's point value is 14.36 a share (price 68.86); 108% of it is the terminal value, a number about years no one has seen. Moving operating margin by ±3 pts alone takes it from 3.28 to 25.43; across every method the research ran the range is -112 to 1,481. The value is a range; the decimals are not information.

Innocent reading: A stable, mature business with a narrow range of outcomes, where the point value is a fair summary.

Every rule

A01 FCF growth = the business improved Not triggered confidence high

Free cash flow did not rise ($91M → $78M): the trap does not arise.

The figures and how they are read
Fiscal year beforeFY2024
Fiscal yearFY2025
Operating cash flow, year before$130M
Operating cash flow$117M
Capex, year before$39M
Capex$38M
Free cash flow, year before$91M
Free cash flow$78M
Change in FCF−$13M
Change in capex−$624K
Working capital: change in its cash contribution−$50M

FCF = operating cash flow − cash capex; ΔFCF = ΔOCF − ΔCapEx; the working-capital part is the change in the cash-bridge items (receivables, inventory, payables, accruals), with the sign of the cash flow statement

Source: FY2025 (cash flow statement, fiscal year) · FY2024 (cash flow statement, fiscal year before)

A07 Stock compensation added back = no economic cost Not triggered confidence high

Stock compensation is 14.3% of revenue, but buybacks of $175M covered it (1.3×) and the diluted share count fell 2.6%: the dilution has been paid for in cash.

The figures and how they are read
Fiscal yearFY2025
Stock compensation$130M
Revenue$912M
SBC / revenue+14.3%
Buybacks$175M
Buybacks / SBC1.3
Diluted shares, year before30.5M shares
Diluted shares29.8M shares
Diluted shares: change-2.6%

SBC / revenue from the cash flow statement's add-back; the diluted weighted share count year over year; buybacks from the financing section

Source: FY2025 (stock compensation, buybacks and the diluted share count, fiscal year)

B02 Receivables growing = future cash is certain Not triggered confidence medium

Receivables grew -3% against revenue -8% in Q3 2026; DSO 46 against a median of 47: collections are keeping pace with sales.

The figures and how they are read
QuarterQ3 2026
Revenue, year over year-7.9%
Receivables, year over year-3.0%
Quarter beforeQ2 2026
Revenue y/y, quarter before-7.6%
Receivables y/y, quarter before-24.9%
Days sales outstanding46.3
DSO, median of eight quarters47.3
Receivables$105M
Revenue$207M

receivables and revenue against the same quarter a year earlier; DSO = receivables / quarterly revenue × days, against the median of the eight quarters before

Source: Q3 2026 (receivables and revenue) · Q3 2025 (the same quarter a year earlier)

B08 Adjusted profit = economic profit Insufficient data

no reconciliation table read from the releases yet and fewer than three quarters with both an adjusted and a GAAP EPS

C02 Low net debt = no refinancing risk Insufficient data

no debt figure could be read from the balance sheet (the filing may tag it in other lines)

D03 EPS growth = profit growth Not applicable

a loss in one of the quarters: EPS growth has no meaning

E02 Low P/E at a cyclical peak = undervalued Not applicable

a loss on a trailing or mid-cycle basis: the P/E has no meaning

E07 A precise DCF value = the true value To review confidence high

The DCF's point value is 14.36 a share (price 68.86); 108% of it is the terminal value, a number about years no one has seen. Moving operating margin by ±3 pts alone takes it from 3.28 to 25.43; across every method the research ran the range is -112 to 1,481. The value is a range; the decimals are not information.

The figures and how they are read
dcf value14.36
price68.86
terminal value share+108.1%
swing by inputOperating margin / ±3 pts / 3.28 / 25.43; Capex (share of revenue) / ±1 pt / 13.15 / 15.56; WACC / ±1 pt / 13.59 / 15.43; Revenue growth (each year) / ±5 pts / 13.91 / 14.91
range all methods-112.44; 1480.75

the DCF's point value against the share of it that is the terminal value and the value at each input moved by one step (growth ±5 pts, WACC ±1 pt, margin ±3 pts …); the range across every method the research ran

Source: 2026-11-08 (valuation research)

What would explain it innocently

What to look for in the filing

What would show the trap does not apply

Look again: next filing.

J06 A bank's low P/E and high profit = safe Not applicable

not a bank

J08 A REIT's low net income = the dividend is unsafe Not applicable

not a REIT

What the statuses mean

Triggered: the filings show the pattern; read the normal explanations and the missing evidence before concluding anything. To review: one quarter or a weak signal; a reader's judgement, not a pattern. Not triggered: the pattern is absent on these figures. Insufficient data: the filings read so far do not hold what the rule needs; this is not a clean bill. Not applicable: the rule is not meant for this kind of company (a bank's working capital, a loss-making quarter's EPS growth). Out of date: the latest filing is more than fifteen months old.

Severity is what the pattern could mean for cash, value or solvency; confidence is how reliable the inputs and the reading are. The two are kept apart.

Record a view

A reader's judgement, grounds, what would change it and the next review; kept in the browser (needs JavaScript).

Every rule and the companies it triggers on → Inspire Medical Systems: cash flow → Earnings quality score →

Each rule reads the company's own filings by a fixed formula and says what would explain the same figures innocently. A triggered rule is a question to verify, not a finding of manipulation, and not a view on the stock. Missing data is shown as missing, never as clear. Not investment advice.