Stock Analysis

Should Inspire Medical Systems' (INSP) Guidance Cut and Legal Challenges Change Investors' View on Execution Risks?

  • Inspire Medical Systems recently faced multiple proposed class-action lawsuits alleging it misled investors about the commercial readiness and demand for its Inspire V sleep apnea device, after disclosing significant operational failures with the product’s launch, including incomplete staff training and billing challenges.
  • An important development is that the company’s sharp reduction to its 2025 earnings guidance, tied to weak Inspire V demand, has sparked legal action and raised questions around near-term execution risk.
  • We’ll examine how the significant earnings guidance cut and operational rollout setbacks could reshape Inspire’s investment narrative moving forward.

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Inspire Medical Systems Investment Narrative Recap

To be a shareholder in Inspire Medical Systems, you need to believe in the company’s ability to reaccelerate growth by resolving challenges with the Inspire V device rollout and restoring market trust. The sharp reduction in 2025 earnings guidance, tied directly to poor Inspire V demand and operational issues, has immediately impacted the company’s top short-term catalyst, adoption of Inspire V, while raising the execution risk as the most significant near-term threat to the business.

Given these events, the company’s updated 2025 earnings outlook and the associated class-action lawsuits stand out as the most relevant developments. Both highlight how much Inspire’s future depends on successful Inspire V commercialization and whether management can overcome current training, billing, and reimbursement obstacles in a timely manner.

Yet, with these legal and operational challenges now in sharper focus, investors should be aware that…

Read the full narrative on Inspire Medical Systems (it's free!)

Inspire Medical Systems' narrative projects $1.3 billion in revenue and $103.6 million in earnings by 2028. This requires 14.5% yearly revenue growth and a $50.5 million earnings increase from the current $53.1 million.

Uncover how Inspire Medical Systems' forecasts yield a $106.79 fair value, a 19% upside to its current price.

Exploring Other Perspectives

INSP Community Fair Values as at Nov 2025
INSP Community Fair Values as at Nov 2025

Nine fair value estimates from the Simply Wall St Community span from US$93.33 to US$270.86 per share. While some expect execution setbacks to weigh on performance, others are optimistic recovery is possible once operational hurdles clear, showing just how differently investor expectations can play out.

Explore 9 other fair value estimates on Inspire Medical Systems - why the stock might be worth just $93.33!

Build Your Own Inspire Medical Systems Narrative

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This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

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About NYSE:INSP

Inspire Medical Systems

A medical technology company, focuses on the development and commercialization of minimally invasive solutions for patients with obstructive sleep apnea (OSA) in the United States and internationally.

Flawless balance sheet with proven track record.

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