Inspire Medical Systems FY Conference Summary Company Overview - **Company**: Inspire Medical Systems (NYSE: INSP) - **Industry**: Medical Technology, specifically focused on sleep apnea treatment Key Points and Arguments Financial Performance - **Q4 and Full-Year Revenue**: Pre-announced revenue reflects continued growth and adoption of the Inspire 5 system, with guidance for 2026 indicating a revenue growth of **10%-11%** [2][28] - **2025 Revenue Projection**: Expected to be approximately **$912 million** [4] - **Initial Revenue Guidance for 2026**: Projected between **$1.003 billion** and **$1.013 billion**, excluding contributions from increased reimbursement [25] Product Development and Market Position - **Inspire 5 System Launch**: Successful launch with **100% physician training**, **95% contract execution**, and **90% center participation** in the SleepSync program [4] - **Patient Adoption**: Over **125,000 patients** treated with Inspire, indicating a significant under-penetrated market with potential for growth [5][18] - **Clinical Outcomes**: Improved device performance with **87% inspiratory phase overlap** and a **79% responder rate** in clinical studies [10][11] Technological Advancements - **Inspire 5 Features**: Incorporates a closed-loop stimulation system with an accelerometer for improved respiratory detection, reducing procedure time to **30-45 minutes** [6][10] - **Future Developments**: Inspire 6 will introduce auto sleep detection, enhancing patient experience by automating device activation [8][46] Reimbursement and Regulatory Challenges - **Reimbursement Code**: Inspire procedures are billed under code **64568**, which has been associated with a nearly **50% premium** compared to previous codes [30][31] - **Ongoing Reimbursement Discussions**: The company is actively working with agencies to clarify billing practices and ensure proper reimbursement for procedures [34][35] Market Strategy and Growth Drivers - **Direct-to-Consumer Efforts**: Increased marketing efforts to raise awareness about Inspire therapy, targeting patients who may benefit from the device [18][19] - **Utilization Focus**: Emphasis on improving patient throughput in existing centers rather than solely opening new centers [49] Safety and Patient Outcomes - **Device Safety**: Continuous improvement in device explant rates, now less than **1%**, and revision rates reduced from **10%** to **1-1.5%** [14] - **Long-term Benefits**: New data indicates cardiovascular benefits associated with Inspire therapy, enhancing its value proposition compared to traditional CPAP treatments [16][30] Leadership and Organizational Changes - **New CFO Appointment**: Matt Osberg appointed as CFO, bringing diverse experience to the company [24] Additional Important Insights - **GLP-1 Medications**: The rise of GLP-1 medications for weight management may create a tailwind for Inspire by increasing the number of patients eligible for treatment [41][42] - **Patient Engagement**: The company is focused on improving patient engagement and education to enhance treatment adherence and outcomes [12][49] This summary encapsulates the key points discussed during the Inspire Medical Systems FY Conference, highlighting the company's financial outlook, product advancements, market strategies, and ongoing challenges in the reimbursement landscape.

Inspire Medical Systems, Inc. November 2025 NYSE: INSP Disclaimer This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts are forward-looking statements. In some cases, you can identify forward-looking statements by terms such as ''may,'' ''will,'' ''should,'' ''expect,'' ''plan,'' ''anticipate,'' ''could,'' "future," "outlook," ''intend,'' ''target,'' ''project,'' ''contemplate ...

Company Overview - Inspire Medical Systems has an underpenetrated U S market exceeding $10 billion[7,9,26] - The company achieved over $800 million in revenue in 2024, demonstrating a 28% year-over-year growth[7,10] - Inspire therapy has established reimbursement in all 50 U S states, covering over 300 million lives[7,9] - Over 100,000 patients have received Inspire therapy, highlighting a significant first-mover advantage[7,8,9,33] Financial Performance & Growth Strategy - The company projects FY2025 revenue between $900 million and $910 million, representing a 12%-13% growth over FY2024[65] - The gross margin for FY2025 is expected to be between 84% and 86%[65] - Inspire initiated the full launch of the Inspire V system in the U S in May 2025[70,71] - Second quarter revenue reached $217 1 million, an 11% increase year-over-year, with a gross margin of 84%[70] Therapy & Market - Inspire therapy demonstrates a median Apnea-Hypopnea Index (AHI) reduction from 33 0 events/hr at baseline to 10 2 events/hr at 12 months[43] - Inspire patients reported a median Epworth Sleepiness Scale (ESS) score reduction from 11 0 at baseline to 6 0 at the 12-month visit[44] - 91% of patients say Inspire is better than CPAP, and 93% would recommend Inspire to a friend or family member[46]

Company Overview & Financial Performance - Inspire Medical Systems highlights a significant underpenetrated U S market valued at over $10 billion[7] - The company reported revenue of over $800 million in 2024, marking a 28% year-over-year growth[7, 10] - The company has surpassed 100,000 patients receiving Inspire therapy[7, 75] - The company's gross margin for the first quarter was 84.7%[75] - FY2025 revenue is projected to be in the range of $940 million to $955 million, representing a 17%-19% growth over FY2024[70] Inspire Therapy & Market Dynamics - The company has reimbursement coverage in all 50 states, covering over 300 million U S lives[7, 9] - The domestic OSA market presents a substantial opportunity, with approximately 500,000 Inspire-eligible individuals[25] - Inspire patients experience a median AHI reduction from 33 events/hr at baseline to 10.2 events/hr at 12 months[44] - 91% of patients say Inspire is better compared against their previous experience with CPAP[47] GLP-1s and OSA - Claims data identified over 1,500 patients who were on a GLP-1 at the time of Inspire implant[122] - The BMI of Inspire patients was roughly 20% lower at the time of implant than all other OSA patients at the time of their OSA Dx[123]