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Inspire Medical Systems (INSP) Q1 2025 earnings results (first quarter 2025)

10-Q filed May 5, 2025

Inspire Medical Systems (INSP) reported revenue of $201M for the first quarter 2025 (Q1 2025), +23% from a year earlier and -16% from the quarter before. Operating margin was -0.7%, net earnings $3.0M (1.5% of revenue).

Revenue$201M
Year over year+23%
Quarter over quarter-16%
Operating margin-0.7%
Net earnings$3.0M

Inspire Medical Systems, Q1 2025: revenue $201M (+23% year over year), operating margin -0.7%, net earnings $3.0M, operating cash flow −$6.7M. The chart follows the revenue to costs, profit and cash.

Q1 2025AmountQ/QY/Y
Revenue$201M-16%+23%
Operating profit−$1.5M——
Net earnings$3.0M——
Operating cash flow−$6.7M——

What changed

Revenue was $201.3M in Q1 2025, up 23% year over year and down 16% from the previous quarter.

Gross margin was 84.7%, down 0.2 points from a year earlier. Operating costs exceeded revenue by $1.5M, an operating margin of -0.7%. Operating expenses grew 11% against revenue growth of 23%. The fastest-growing cost line was SG&A (+15%). Net earnings were $3.0M. The effective tax rate was 28.1%. Non-operating items added $5.6M, 136% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was −$6.7M. Non-cash charges added back $3.0M of depreciation and amortization and $31.1M of share-based compensation. Working capital and other items used $43.8M. Capital expenditures of $8.4M exceeded it, leaving free cash flow of −$15.1M.

Questions

What was Inspire Medical Systems' revenue in the first quarter 2025?

Inspire Medical Systems (INSP) reported revenue of $201M for the first quarter 2025 (Q1 2025), +23% from a year earlier and -16% from the quarter before.

Was Inspire Medical Systems profitable in the first quarter 2025?

Operating loss was $1.5M (-0.7% of revenue) and net earnings $3.0M.

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Source: Inspire Medical Systems 10-Q on SEC EDGAR.