Inspire Medical Systems FY Conference Summary Company Overview - **Company**: Inspire Medical Systems (NYSE: INSP) - **Industry**: Medical Devices, specifically focused on sleep apnea treatment Key Points Q4 Guidance and Business Visibility - The company expressed confidence in achieving Q4 implied guidance following a strong Q3 performance, which included beating revenue and EPS expectations. The full-year revenue guidance for 2025 was reaffirmed, indicating a significant quarter-over-quarter revenue increase is expected [1][2][3] Product Transition and Inventory Management - The transition from Inspire 4 to Inspire 5 has been successful, with over 75% of U.S. accounts performing Gen 5 procedures. The company expects to complete the transition by year-end, with minimal inventory impact moving forward [5][6][8] - The company noted that December is typically the busiest month for implants due to high-deductible insurance plans, which is expected to drive Q4 performance [3] Reimbursement Changes - A significant reimbursement change for CPT code 64568 is anticipated for 2026, with a 40-50% year-over-year increase in facility reimbursement, which is expected to positively impact the business [12][13] - The new tech APC is seen as a bridge to potentially achieving a level 6 APC in the future, which would further enhance reimbursement rates [15] Growth Projections - The company provided an early indication of a 10-11% top-line growth for 2026, although this is not formal guidance. The focus will be on consistency and establishing a starting point for future expectations [9][10] Patient Warehousing and Utilization - The issue of patient warehousing, where patients delayed treatment for the new Inspire 5 device, has largely been resolved, with most patients now in the queue for treatment [7][8] - Centers that have fully transitioned to Inspire 5 are experiencing over 20% year-over-year volume increases, indicating strong acceptance and utilization of the new device [18][19] Competitive Landscape - The company acknowledged the emergence of a second competitor in the market but emphasized the established safety and efficacy of Inspire's products. New data showing improved health outcomes for Inspire over CPAP is expected to strengthen its market position [31][32][33] Replacement Device Opportunity - The reimbursement for replacement devices has improved, with expectations of a high replacement rate of up to 80% for patients receiving therapy. The battery life of devices is approximately 10-11 years, leading to a new revenue stream as older devices are replaced [26][27] Impact of GLP-1 Medications - The company noted that GLP-1 medications are increasing the diagnosis rate of obstructive sleep apnea, which could lead to a favorable tailwind for Inspire as more patients seek treatment [28][29][30] Financial Outlook - The transition to Inspire 5 is expected to positively impact gross margins due to the elimination of the expensive pressure-sensing lead. Operating margins are anticipated to increase as the company continues to support direct-to-consumer initiatives [34] Leadership Transition - The company is in the process of searching for a new CFO, with several candidates being interviewed. An announcement regarding the new hire is expected soon [35] Future Developments - Inspire is working on a dual-channel device to address both tongue-based and lateral wall collapse in obstructive sleep apnea patients, which could expand its treatment capabilities [36] Conclusion Inspire Medical Systems is positioned for growth with the successful launch of Inspire 5, favorable reimbursement changes, and an increasing patient base due to the impact of GLP-1 medications. The company is focused on enhancing its market position while navigating competitive dynamics and preparing for future leadership transitions.