Inspire(US:INSP)2025-02-11 04:55Financial Data and Key Metrics Changes - Total revenue for Q4 2024 was $239.7 million, a 25% increase from $192.5 million in Q4 2023 [26] - Net income for Q4 2024 was $35.2 million, compared to $14.8 million in the prior year, representing diluted net income of $1.15 per share versus $0.49 per share in Q4 2023 [11] - Full year 2024 revenue totaled $802.8 million, a 28% increase over $624.8 million in 2023 [30] - Full year diluted net income per share was $1.75 compared to a net loss of $0.72 per share in 2023 [31] Business Line Data and Key Metrics Changes - U.S. revenue in Q4 2024 was $231.6 million, a 22% increase from $189.4 million in the prior year [26] - Revenue outside the U.S. was $8.1 million, a 163% increase year-over-year [26] - Gross margin in Q4 2024 was 85% [27] - Adjusted EBITDA for Q4 2024 was $62.7 million, a 26% adjusted EBITDA margin compared to $33 million or a 17% margin in Q4 2023 [29] Market Data and Key Metrics Changes - The company added 72 new U.S. centers in Q4 2024, bringing the total to 1,435 active U.S. centers [27] - Revenue outside the U.S. for the full year 2024 was $31.8 million, a 71% year-over-year growth [30] Company Strategy and Development Direction - The company aims to enhance patient access and therapy outcomes through organizational changes and new leadership roles [9] - Key strategies include adding advanced practice providers, certifying additional surgeons, and driving the adoption of new digital tools [25] - The Inspire V neurostimulator is expected to simplify procedures and improve efficiency, with a full launch planned for 2025 [12][14] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving full year 2025 revenue guidance of $940 million to $955 million, representing 17% to 19% growth year-over-year [11][32] - The company is committed to improving annual operating margins and expects sequential improvement throughout 2025 [39] - Management remains focused on ethical business practices amid a civil investigative demand from the Department of Justice [23][24] Other Important Information - The company generated $130 million in operating cash flow for the full year 2024, increasing total cash and investment balances to $517 million [29] - The Inspire V device incorporates respiratory sensing, reducing surgical complexity and costs [13] Q&A Session Summary Question: EPS guidance and DOJ CID - Management indicated that they do not expect to be profitable in Q1 but anticipate sequential improvement throughout the year [39][41] Question: Impact of automated scheduling on patient volume - Management reported significant advantages in patient appointment success using digital scheduling, leading to increased participation in the program [47][48] Question: Inspire V reimbursement and physician feedback - Management believes the Inspire V will not be a barrier for physicians and will actually encourage more cases due to reduced surgical time [52][54] Question: Revenue and expense phasing with Inspire V launch - Management expects sequential revenue growth throughout the year, with continued investments in R&D and expansion of sales territories [62] Question: International revenue growth and interest income - Management indicated that international revenue will continue to represent 3% to 4% of worldwide revenue, with interest income expected to be around $20 million for the year [94][95] Question: Inventory build for Inspire V - Management confirmed that they are actively building inventory for Inspire V and have opened a new production line to support this [127][129] Question: Long-term center base outlook - Management aims to continue growing the number of centers and expects to maintain a consistent growth trajectory over the next few years [148]