Here's Why You Should Retain INSP Stock in Your Portfolio Now

Core Insights - Inspire Medical Systems (INSP) is positioned for growth due to a significant product transition, with management highlighting clinical momentum, improved reimbursement visibility, and disciplined cost control, despite facing near-term challenges related to inventory conversion and competition [2][12][14] Company Overview - Inspire Medical focuses on innovative, minimally-invasive solutions for obstructive sleep apnea, with a market capitalization of $2.81 billion. The company anticipates a 39.1% earnings decline for Q4 2025, but expects earnings growth to resume in 2026 [4] Financial Performance - INSP shares have decreased by 12.5% over the past six months, while the industry has declined by 16.3%, and the S&P 500 has increased by 16.3% during the same period [3] - The company has consistently surpassed earnings estimates in the last four quarters, achieving an average surprise of 164.19% [6] Positive Factors Driving Prospects - The launch of Inspire V is a key growth driver, with strong clinical data supporting its adoption, including reduced surgical times and high nightly usage. Adoption has accelerated, reaching over 75% of implanting centers [7] - Reimbursement trends are favorable, with an 11% increase in the physician fee schedule for CPT 64568 effective January 2026, enhancing the economic viability for hospitals [8][9] - The adoption of GLP-1 therapies is increasing patient flow into sleep clinics, which could lead to more referrals for Inspire Medical as noncompliance with CPAP emerges [10] Operational Discipline - The company has demonstrated operational discipline, achieving earnings upside through gross margin expansion and cost control, despite increased marketing expenses [11] Key Challenges - The transition from Inspire IV to Inspire V presents complexities, with some centers continuing to use Inspire IV for economic reasons, which complicates inventory forecasting [12] - Uncertainty exists around GLP-1 trialing, which may delay surgical interventions and impact short-term volume growth [13] - Elevated operating expenses and competition pose challenges to maintaining margin expansion, as operating expenses growth outpaces revenue growth [14] Estimate Trend - The Zacks Consensus Estimate for earnings in 2025 is $1.71 per share, with Q4 2025 revenue estimated at $262.9 million and a loss per share of 70 cents [15]