Financial Performance - Revenue for Q1 2025 was 201.3million,a22.7164.0 million in Q1 2024[20] - Gross profit for Q1 2025 was 170.6million,comparedto139.3 million in Q1 2024, reflecting a gross margin improvement[20] - Operating loss narrowed to 1.5millioninQ12025fromalossof15.2 million in Q1 2024[20] - Net income for Q1 2025 was 3.0million,asignificantrecoveryfromanetlossof10.0 million in Q1 2024[20] - Revenue for the three months ended March 31, 2025, was 201.3million,a22.7164.0 million in the same period of 2024[125] - The operating loss for the three months ended March 31, 2025, was 1.5million,significantlyimprovedfromalossof15.2 million in the same period of 2024[125] - The net income for the three months ended March 31, 2025, was 2.99million,comparedtoanetlossof10.0 million in the same period of 2024[132] - Gross profit for the three months ended March 31, 2025, was 170.6million,withagrossmarginof84.753.9 million as of March 31, 2025, down from 150.2millionattheendof2024[17]−Totalassetsdecreasedto730.8 million as of March 31, 2025, from 808.4millionattheendof2024[17]−Totalliabilitiesdecreasedto95.1 million as of March 31, 2025, from 118.7millionattheendof2024[17]−AsofMarch31,2025,totalcashequivalentsandinvestmentsamountedto389.896 million, a decrease from 425.997millionasofDecember31,2024[42][44]−Cash,cashequivalents,andavailable−for−saledebtsecuritiestotaled414.0 million as of March 31, 2025, a decrease of 102.5millionfrom516.5 million as of December 31, 2024[182] Investments and Stock Repurchase - The company repurchased 75.0millionworthofcommonstockduringQ12025[25]−Thecompanyhasasharerepurchaseprogramauthorizedforupto150.0 million, set to expire in August 2026[95] - An accelerated share repurchase agreement was entered into in November 2024, with a prepayment of 75.0millionfor409,043sharesatanaveragepriceof190.29[96][97] - The company repurchased a total of 442,649 shares during the three months ended March 31, 2025, with an average price of 164.23pershare[214]ResearchandDevelopment−ResearchanddevelopmentexpensesforQ12025were27.8 million, slightly down from 28.9millioninQ12024[20]−ResearchanddevelopmentexpensesareexpectedtoincreaseasthecompanydevelopsnextgenerationversionsofitsInspiresystemandexpandsclinicalstudies[165]−Researchanddevelopmentexpensesincludecostsrelatedtoproductdevelopmentandclinicalstudies,withprelaunchinventoryexpensedunlessregulatoryapprovalisprobable[71]InventoryandExpenses−Totalinventoriesroseto99,727,000 as of March 31, 2025, compared to 80,118,000attheendof2024,withfinishedgoodsincreasingfrom57,688,000 to 71,638,000[53]−Advertisingexpensesdecreasedfrom25,600,000 in Q1 2024 to 20,900,000inQ12025[76]−Totalaccruedexpensesdecreasedfrom49,814,000 at the end of 2024 to 34,333,000 as of March 31, 2025[62] - SG&A expenses rose by 18.7 million, or 14.9%, to 144.3millionforthethreemonthsendedMarch31,2025,primarilydrivenbya17.4 million increase in compensation[177] Market and Operational Insights - Inspire Medical Systems continues to focus on expanding its innovative solutions for obstructive sleep apnea, with ongoing development of its proprietary Inspire system[27] - The company plans to fully launch its next generation Inspire system ("Inspire V") in the U.S. in 2025, following FDA approval in August 2024[151] - The company anticipates that some patients and physicians are delaying Inspire therapy until Inspire V is available, which may impact consolidated revenue until the full launch[152] - The company experienced supply disruptions in 2023, particularly related to polyurethane-based stimulation leads, which affected European revenue and consolidated revenue[147] - The global economic environment is facing challenges such as inflation and increased costs, which may lead customers to decrease or delay orders for the company's products[157] Tax and Income - The company recorded income tax expense of 1.2millionforthethreemonthsendedMarch31,2025,comparedto0.7 million for the same period in 2024[116] - The company had gross federal net operating loss carryforwards of 51.2millionasofDecember31,2024,whicharenolongersubjecttoexpiration[117]EmployeeandCompensation−Thecompany’smatchingcontributionstotheemployeeretirementplantotaled1.9 million for the three months ended March 31, 2025[94] - The total stock-based compensation expense recognized for the three months ended March 31, 2025, was 1.9million,comparedto1.5 million for the same period in 2024[94] - The company has unearned stock-based compensation estimated to be expensed through 2028, amounting to 56.7millionforunvestedstockoptionsand171.9 million for unvested RSUs[109][111] Accounting and Compliance - The company is evaluating the impact of recent accounting pronouncements, including ASU 2023-09 and ASU 2024-03, on its financial statement disclosures[86][87] - The company has not experienced material changes in its critical accounting policies and estimates from those described in its Annual Report[199]