Inspire(INSP) - 2025 FY - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company reported a guidance reduction of approximately 4.5% for the second half of the year, primarily driven by the transition to Inspire five, with a more significant impact of about 9% for the second half [13][15][40] - The company expects to complete the transition from Inspire four to Inspire five by the end of the year, with full adoption anticipated across all implanting accounts [9][30] Business Line Data and Key Metrics Changes - The transition to Inspire five has seen significant progress, with surgeon certification increasing from 90% to nearly 99%, and contract execution rising from 70% to over 80% [5][6] - The implementation of the Sleep Sync programmer has improved from 50% to approximately 65% of implanting accounts [6][7] Market Data and Key Metrics Changes - The company noted a "patient warehousing dynamic," where patients are waiting for Inspire five despite the availability of Inspire four, impacting the patient funnel [14][15] - The company anticipates that the dynamics of patient warehousing and inventory destocking will stabilize as the transition to Inspire five progresses [15][16] Company Strategy and Development Direction - Inspire Medical is focusing on expanding its market presence through the launch of Inspire five, which is expected to drive productivity and efficiency in procedures [27][28] - The company is also investing in medical education and training for surgeons and mid-level professionals to enhance patient outcomes and drive growth [29][30] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, stating that the market opportunity is massive and underpenetrated, with expectations for continued growth driven by Inspire five [80] - The company is also monitoring the impact of GLP-1 medications on patient dynamics, which could lead to both positive and negative effects on patient flow [20][21] Other Important Information - The company is preparing to present data at upcoming conferences, highlighting the safety and efficacy of Inspire five [34][36] - Management acknowledged the competitive landscape, particularly with the introduction of new hypoglossal nerve stimulation devices, but remains confident in the advantages of Inspire's offerings [45][46] Q&A Session Summary Question: Why was there a significant guidance reduction? - Management explained that the slower transition to Inspire five led to a backlog of patients waiting for the new product, impacting the patient funnel and resulting in a reduction in guidance [14][15] Question: How does the company view the impact of GLP-1 medications? - Management indicated that while GLP-1s could bring new patients into the funnel, they also cause delays as some patients trial these medications before considering Inspire therapy [20][21] Question: What is the company's strategy regarding competition? - Management welcomed competition as validation of market potential and emphasized the importance of maintaining high standards in safety and efficacy compared to new entrants [45][46] Question: What are the expectations for growth in the coming years? - Management expects growth to accelerate in the following year, driven by the full adoption of Inspire five and continued expansion of the company's footprint [60][61]