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Inspire Medical Systems (INSP) Q3 2026 earnings results (third quarter 2026)

10-Q filed Nov 2, 2026

Inspire Medical Systems (INSP) reported revenue of $207M for the third quarter 2026 (Q3 2026), -8% from a year earlier and +3% from the quarter before. Operating margin was -13.9%, net loss $24.4M (11.8% of revenue).

Revenue$207M
Year over year-8%
Quarter over quarter+3%
Operating margin-13.9%
Net earnings−$24.4M

Inspire Medical Systems, Q3 2026: revenue $207M (-8% year over year), operating margin -13.9%, net loss $24.4M, operating cash flow $46.4M. The chart follows the revenue to costs, profit and cash.

Q3 2026AmountQ/QY/Y
Revenue$207M+3%-8%
Operating profit−$28.7M—-398%
Net earnings−$24.4M-7869%-346%
Operating cash flow$46.4M+100%-32%
Free cash flow$38.9M+176%-33%

What changed

Revenue was $206.7M in Q3 2026, down 8% year over year and up 3% from the previous quarter.

Gross margin was 86.0%, up 0.2 points from Q3 2025. Operating costs exceeded revenue by $28.7M, an operating margin of -13.9%. Operating expenses grew 13% against a revenue fall of 8%. The fastest-growing cost line was SG&A (+16%). The quarter ended with a net loss of $24.4M, after a profit of $314K the previous quarter.

Operating cash flow was $46.4M (down 32% year over year). Non-cash charges added back $5.1M of depreciation and amortization and $26.9M of share-based compensation. Working capital and other items added $38.8M. Capital expenditures of $7.5M left free cash flow of $38.9M.

Questions

What was Inspire Medical Systems' revenue in the third quarter 2026?

Inspire Medical Systems (INSP) reported revenue of $207M for the third quarter 2026 (Q3 2026), -8% from a year earlier and +3% from the quarter before.

Was Inspire Medical Systems profitable in the third quarter 2026?

Operating loss was $28.7M (-13.9% of revenue) and net loss $24.4M.

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