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Inspire Medical Systems, Inc. Announces Second Quarter 2024 Financial Results and Updates 2024 Outlook

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Inspire Medical Systems, Inc. (NYSE: INSP) reported strong Q2 2024 financial results, with revenue growing 30% year-over-year to $195.9 million. The company achieved a gross margin of 84.8% and generated $5.1 million in operating income. Earnings per share reached $0.32. Inspire activated 81 new U.S. centers and created 12 new sales territories. The company received CE Mark Certification under EU MDR, countrywide reimbursement in France, and FDA approval for the Inspire V neurostimulation system. Based on strong performance, Inspire increased its full-year 2024 revenue guidance to $788-$798 million (26-28% growth) and raised EPS guidance to $0.60-$0.80.

Inspire Medical Systems, Inc. (NYSE: INSP) ha riportato risultati finanziari solidi per il secondo trimestre del 2024, con ricavi in crescita del 30% rispetto all'anno precedente, raggiungendo 195,9 milioni di dollari. L'azienda ha raggiunto un margine lordo del 84,8% e ha generato 5,1 milioni di dollari di utile operativo. Gli utili per azione hanno raggiunto 0,32 dollari. Inspire ha attivato 81 nuovi centri negli Stati Uniti e ha creato 12 nuovi territori di vendita. L'azienda ha ricevuto la certificazione CE secondo il MDR dell'UE, il rimborso nazionale in Francia e l'approvazione della FDA per il sistema di neurostimolazione Inspire V. Basandosi su una forte performance, Inspire ha aumentato la sua previsione di ricavi per tutto il 2024 a 788-798 milioni di dollari (crescita del 26-28%) e ha elevato la previsione degli utili per azione a 0,60-0,80 dollari.

Inspire Medical Systems, Inc. (NYSE: INSP) reportó resultados financieros sólidos en el segundo trimestre de 2024, con ingresos que crecieron un 30% interanual, alcanzando 195,9 millones de dólares. La compañía logró un margen bruto del 84,8% y generó 5,1 millones de dólares en ingresos operativos. Las ganancias por acción alcanzaron 0,32 dólares. Inspire activó 81 nuevos centros en EE.UU. y creó 12 nuevos territorios de ventas. La compañía recibió la certificación CE bajo el MDR de la UE, reembolso nacional en Francia, y aprobación de la FDA para el sistema de neuroestimulación Inspire V. Basándose en un sólido rendimiento, Inspire incrementó su guía de ingresos para todo el año 2024 a 788-798 millones de dólares (crecimiento del 26-28%) y elevó la guía de EPS a 0,60-0,80 dólares.

Inspire Medical Systems, Inc. (NYSE: INSP)는 2024년 2분기 강력한 재무 결과를 보고했으며, 전년 대비 30% 성장하여 1억 9,590만 달러의 수익을 올렸습니다. 회사는 84.8%의 총 마진을 달성하였고 510만 달러의 운영 이익을 생성하였습니다. 주당 수익은 0.32 달러에 도달했습니다. Inspire는 미국 내 81개의 새로운 센터를 활성화했으며, 12개의 새로운 판매 지역을 만들었습니다. 회사는 EU MDR에 따라 CE 마크 인증을 받았고, 프랑스에서 전국적인 환급을 승인받았으며, Inspire V 신경 자극 시스템에 대한 FDA 승인을 받았습니다. 강력한 성과에 기반하여 Inspire는 2024년 전체 연도 수익 가이드를 7억 8,800만~7억 9,800만 달러로 (26-28% 성장) 증가시켰고, EPS 가이드를 0.60~0.80 달러로 상향 조정했습니다.

Inspire Medical Systems, Inc. (NYSE: INSP) a annoncé de solides résultats financiers pour le deuxième trimestre de 2024, avec un chiffre d'affaires en hausse de 30 % par rapport à l'année précédente, atteignant 195,9 millions de dollars. La société a réalisé une marge brute de 84,8 % et a généré 5,1 millions de dollars de résultat opérationnel. Le bénéfice par action a atteint 0,32 dollar. Inspire a activé 81 nouveaux centres aux États-Unis et créé 12 nouveaux territoires de vente. L'entreprise a reçu la certification CE conformément au MDR de l'UE, un remboursement national en France, et l'approbation de la FDA pour le système de neurostimulation Inspire V. Sur la base de ces résultats solides, Inspire a relevé ses prévisions de chiffre d'affaires pour l'année entière 2024 à 788-798 millions de dollars (croissance de 26-28 %) et a haussé ses prévisions de BPA à 0,60-0,80 dollar.

Inspire Medical Systems, Inc. (NYSE: INSP) hat im zweiten Quartal 2024 starke Finanzergebnisse gemeldet, mit einer Umsatzsteigerung von 30% im Jahresvergleich auf 195,9 Millionen Dollar. Das Unternehmen erzielte eine Bruttomarge von 84,8% und erwirtschaftete 5,1 Millionen Dollar Betriebsergebnis. Der Gewinn pro Aktie erreichte 0,32 Dollar. Inspire aktivierte 81 neue Zentren in den USA und schuf 12 neue Verkaufsgebiete. Das Unternehmen erhielt die CE-Kennzeichnung nach der EU-MDR, landesweite Erstattung in Frankreich und die FDA-Zulassung für das Inspire V Neurostimulationssystem. Basierend auf der starken Leistung erhöhte Inspire die Umsatzprognose für das gesamte Jahr 2024 auf 788-798 Millionen Dollar (26-28% Wachstum) und hob die EPS-Prognose auf 0,60-0,80 Dollar an.

Positive
  • Revenue increased 30% year-over-year to $195.9 million in Q2 2024
  • Gross margin improved to 84.8% in Q2 2024
  • Generated $5.1 million in operating income, compared to a loss in the prior year
  • Earnings per share of $0.32 in Q2 2024, up from a loss of $0.41 in Q2 2023
  • Activated 81 new U.S. centers, bringing the total to 1,316
  • Created 12 new U.S. sales territories, reaching a total of 310
  • Received CE Mark Certification under EU MDR and countrywide reimbursement in France
  • FDA approval received for the Inspire V neurostimulation system
  • Increased full-year 2024 revenue guidance to $788-$798 million
  • Raised full-year 2024 EPS guidance to $0.60-$0.80
Negative
  • Cash, cash equivalents, and investments decreased to $466.0 million from $469.5 million on December 31, 2023

Insights

Inspire Medical Systems' Q2 2024 results demonstrate robust financial performance. Revenue growth of 30% year-over-year to $195.9 million is impressive, surpassing the industry average. The company's gross margin improvement to 84.8% indicates strong operational efficiency. Notably, Inspire achieved profitability with $5.1 million in operating income, a significant turnaround from the previous year's loss.

The raised full-year guidance, projecting 26-28% revenue growth and increased EPS forecast of $0.60 to $0.80, signals management's confidence in sustained growth. The $150 million share repurchase program further underscores this confidence and potential for shareholder value creation.

However, investors should monitor the slight decrease in cash and equivalents, ensuring it doesn't impact future growth initiatives. Overall, Inspire's financial health and market expansion strategy position it well for continued success in the medical technology sector.

Inspire's recent achievements mark significant milestones in the sleep apnea treatment landscape. The CE Mark Certification under EU MDR, including full-body MRI compatibility, enhances the therapy's appeal and accessibility in Europe. This, coupled with countrywide reimbursement in France, opens substantial growth opportunities in the European market.

The FDA approval of the Inspire V neurostimulation system represents a important advancement in the company's technology. This new system likely offers improved functionality or patient comfort, potentially driving adoption rates and solidifying Inspire's market leadership in minimally invasive sleep apnea solutions.

The expansion to 1,316 U.S. medical centers and 310 sales territories indicates strong market penetration and physician acceptance. This broad network is a key competitive advantage, facilitating patient access and potentially accelerating revenue growth. However, the company must ensure proper training and support for these new centers to maintain high-quality patient outcomes.

Inspire Reports Year-over-Year Revenue Growth of 30% in the Second Quarter

MINNEAPOLIS, Aug. 06, 2024 (GLOBE NEWSWIRE) -- Inspire Medical Systems, Inc. (NYSE: INSP) (Inspire, or the company), a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea, today reported financial results for the quarter ended June 30, 2024.

Recent Business Highlights

  • Generated revenue of $195.9 million in the second quarter of 2024, a 30% increase over the same quarter last year
  • Achieved gross margin of 84.8% in the second quarter of 2024
  • Generated $5.1 million in operating income and earnings per share of $0.32 in the second quarter of 2024
  • Activated 81 new U.S. centers in the second quarter of 2024, bringing the total to 1,316 U.S. medical centers providing Inspire therapy
  • Created 12 new U.S. sales territories in the second quarter of 2024, bringing the total to 310 U.S. sales territories
  • Received CE Mark Certification under the European Union’s Medical Device Regulation (EU MDR)
  • Received countrywide reimbursement for Inspire therapy in France
  • Received FDA approval of the Inspire V neurostimulation system
  • Authorized the repurchase of up to $150.0 million of the company’s outstanding shares of common stock

“We are excited with our strong execution in the second quarter which drove robust revenue performance and continued operating leverage,” said Tim Herbert, Chairman and CEO of Inspire Medical Systems. “Based on our strong first half results, we are increasing our full year revenue guidance to $788 million to $798 million, representing 26% to 28% growth, up from of $783 million to $793 million announced previously, and we are raising our full year earnings per share guidance to $0.60 to $0.80, up from $0.10 to $0.20 previously.”

“In addition to our healthy financial performance, there are many important achievements worth highlighting. First, we received CE mark certification under the European Union’s Medical Device Regulation including full-body MRI compatibility in Europe. Second, we received countrywide reimbursement for Inspire therapy in France at a rate consistent with other European markets. Both achievements represent significant milestones for the company and should drive many years of strong growth in Europe. Third, we received FDA approval for the Inspire V neurostimulation system, marking an important milestone for the future of Inspire therapy. Lastly, we authorized a share repurchase program of up to $150.0 million, the first in company history, as we believe the repurchase of our common stock represents an attractive investment opportunity,” concluded Mr. Herbert.

Second Quarter 2024 Financial Results

Revenue was $195.9 million for the three months ended June 30, 2024, a 30% increase from $151.1 million in the corresponding period in the prior year. U.S. revenue for the quarter was $187.8 million, an increase of 30% as compared to the prior year quarter. Second quarter revenue outside the U.S. was $8.1 million, an increase of 27% as compared to the second quarter of 2023.

Gross margin was 84.8% for the three months ended June 30, 2024, compared to 83.9% for the corresponding prior year period.

Operating expenses increased to $160.9 million for the second quarter of 2024, as compared to $143.4 million in the corresponding prior year period, an increase of 12%. This increase primarily reflected ongoing investments in the expansion of the U.S. sales organization and general corporate costs.

Operating income increased to $5.1 million for the second quarter of 2024, as compared to an operating loss of $16.6 million in the prior year period.

Net income was $9.8 million for the second quarter of 2024, as compared to a net loss of $12.0 million in the corresponding prior year period. The diluted net income per share for the second quarter of 2024 was $0.32 per share, as compared to a diluted net loss of $0.41 in the prior year period.

As of June 30, 2024, cash, cash equivalents, and investments decreased to $466.0 million from $469.5 million on December 31, 2023.

Full Year 2024 Guidance

Inspire is increasing its full year 2024 revenue guidance to between $788 million to $798 million, which represents growth of 26% to 28% over full year 2023 revenue of $624.8 million. This compares to the prior revenue guidance of $783 million to $793 million.

The company is maintaining its full year 2024 gross margin guidance of 83% to 85%.

Inspire is increasing diluted net income per share guidance for the full year 2024 to between $0.60 to $0.80 per share, excluding the impact of any share repurchases that may be effected during the year. This compares to the prior guidance of $0.10 to $0.20 per share.

Inspire is also maintaining its guidance relating to the opening of new U.S. medical centers of 52 to 56 per quarter, as well as its guidance of 12 to 14 new U.S. territories per quarter for the remainder of 2024.

Webcast and Conference Call

Inspire’s management will host a conference call after market close today, Tuesday, August 6, 2024, at 5:00 p.m. Eastern Time to discuss these results and answer questions.

To access the conference call, please preregister on https://register.vevent.com/register/BI2e8b55545d72404cb4e58c6f3b9c27d7. Registrants will receive confirmation with dial-in details.

A live webcast of the event can be accessed on https://edge.media-server.com/mmc/p/c8jt7ki8/. A replay of the webcast will be available on https://investors.inspiresleep.com/ starting approximately two hours after the event and archived on the site for two weeks.

About Inspire Medical Systems

Inspire is a medical technology company focused on the development and commercialization of innovative, minimally invasive solutions for patients with obstructive sleep apnea. Inspire’s proprietary Inspire therapy is the first and only FDA, EU MDR and PDMA-approved neurostimulation technology of its kind that provides a safe and effective treatment for moderate to severe obstructive sleep apnea.

For additional information about Inspire, please visit www.inspiresleep.com.

Forward Looking Statements

This press release 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, including, without limitation, statements regarding full year 2024 financial outlook, our expectations to activate new U.S. medical centers and add new territories per quarter in 2024 and the impact of such additions, our expectations regarding operating leverage and profitability during 2024, the drivers of short- and long-term growth for our business, and our strategy and investments to grow and scale our business. In some cases, you can identify forward-looking statements by terms such as ‘‘may,’’ ‘‘will,’’ ‘‘should,’’ ‘‘expect,’’ ‘‘plan,’’ ‘‘anticipate,’’ ‘‘could,’’ “future,” “outlook,” “guidance,” ‘‘intend,’’ ‘‘target,’’ ‘‘project,’’ ‘‘contemplate,’’ ‘‘believe,’’ ‘‘estimate,’’ ‘‘predict,’’ ‘‘potential,’’ ‘‘continue,’’ or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words.

These forward-looking statements are based on management’s current expectations and involve known and unknown risks and uncertainties that may cause our actual results, performance, or achievements to be materially different from any future results, performance, or achievements expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others, estimates regarding the annual total addressable market for our Inspire therapy in the U.S. and our market opportunity outside the U.S.; future results of operations, financial position, research and development costs, capital requirements and our needs for additional financing; commercial success and market acceptance of our Inspire therapy; the impact of macroeconomic trends; general and international economic, political, and other risks, including currency, inflation, stock market fluctuations and the uncertain economic environment; challenges experienced by patients in obtaining prior authorization, our ability to achieve and maintain adequate levels of coverage or reimbursement for our Inspire system or any future products we may seek to commercialize; competitive companies and technologies in our industry; our ability to enhance our Inspire system, expand our indications and develop and commercialize additional products; our business model and strategic plans for our products, technologies and business, including our implementation thereof; our ability to accurately forecast customer demand for our Inspire system and manage our inventory; our dependence on third-party suppliers, contract manufacturers and shipping carriers; consolidation in the healthcare industry; our ability to expand, manage and maintain our direct sales and marketing organization, and to market and sell our Inspire system in markets outside of the U.S.; risks associated with international operations; our ability to manage our growth; our ability to increase the number of active medical centers implanting Inspire therapy; our ability to hire and retain our senior management and other highly qualified personnel; risk of product liability claims; risks related to information technology and cybersecurity; risk of damage to or interruptions at our facilities; our ability to commercialize or obtain regulatory approvals for our Inspire therapy and system, or the effect of delays in commercializing or obtaining regulatory approvals; FDA or other U.S. or foreign regulatory actions affecting us or the healthcare industry generally, including healthcare reform measures in the U.S. and international markets; and the timing or likelihood of regulatory filings and approvals. Other important factors that could cause actual results, performance or achievements to differ materially from those contemplated in this press release can be found under the captions “Risk Factors” and "Management's Discussion and Analysis of Financial Condition and Results of Operations“ in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023, as updated in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2024 to be filed with the SEC, and as such factors may be updated from time to time in our other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov and the Investors page of our website at www.inspiresleep.com. These and other important factors could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management’s estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, unless required by applicable law, we disclaim any obligation to do so, even if subsequent events cause our views to change. Thus, one should not assume that our silence over time means that actual events are bearing out as expressed or implied in such forward-looking statements. These forward-looking statements should not be relied upon as representing our views as of any date after the date of this press release.

Investor & Media Contact
Ezgi Yagci
Vice President, Investor Relations
ezgiyagci@inspiresleep.com
617-549-2443

Inspire Medical Systems, Inc.
Consolidated Statements of Operations and Comprehensive Income (Loss) (unaudited)
(in thousands, except share and per share amounts)
    
 Three Months Ended June 30, Six Months Ended June 30,
 2024
 2023
 2024
 2023
Revenue$195,885  $151,092  $359,895  $278,989 
Cost of goods sold 29,843   24,252   54,600   44,140 
Gross profit 166,042   126,840   305,295   234,849 
Operating expenses:       
Research and development 28,859   30,821   57,709   56,340 
Selling, general and administrative 132,084   112,618   257,705   214,606 
Total operating expenses 160,943   143,439   315,414   270,946 
Operating income (loss) 5,099   (16,599)  (10,119)  (36,097)
Other (income) expense:       
Interest and dividend income (5,882)  (4,922)  (11,805)  (9,195)
Other expense, net 135   61   195   44 
Total other income (5,747)  (4,861)  (11,610)  (9,151)
Income (loss) before income taxes 10,846   (11,738)  1,491   (26,946)
Income taxes 1,053   214   1,703   430 
Net income (loss) 9,793   (11,952)  (212)  (27,376)
Other comprehensive income (loss):       
Foreign currency translation (loss) gain (39)  72   (173)  177 
Unrealized (loss) gain on investments (200)  (1)  (742)  12 
Total comprehensive income (loss)$9,554  $(11,881) $(1,127) $(27,187)
Net income (loss) per share:       
Basic$0.33  $(0.41) $(0.01) $(0.94)
Diluted$0.32  $(0.41) $(0.01) $(0.94)
Weighted average shares outstanding:       
Basic 29,728,849   29,229,922   29,672,006   29,160,323 
Diluted 30,408,439   29,229,922   29,672,006   29,160,323 
                


Inspire Medical Systems, Inc.
Consolidated Balance Sheets (unaudited)
(in thousands, except share and per share amounts)
 
 June 30, 
2024
 December 31,
2023
Assets   
Current assets:   
Cash and cash equivalents$188,035  $185,537 
Investments, short-term 251,629   274,838 
Accounts receivable, net of allowance for credit losses of $515 and $1,648, respectively 79,716   89,884 
Inventories, net 59,025   33,885 
Prepaid expenses and other current assets 28,755   9,595 
Total current assets 607,160   593,739 
Investments, long-term 26,344   9,143 
Property and equipment, net 61,701   39,984 
Operating lease right-of-use assets 22,189   22,667 
Other non-current assets 10,995   11,278 
Total assets$728,389  $676,811 
Liabilities and stockholders' equity   
Current liabilities:   
Accounts payable$33,621  $38,839 
Accrued expenses 32,036   39,266 
Total current liabilities 65,657   78,105 
Operating lease liabilities, non-current portion 24,512   24,846 
Other non-current liabilities 149   1,346 
Total liabilities 90,318   104,297 
Stockholders' equity:   
Preferred Stock, $0.001 par value, 10,000,000 shares authorized; no shares issued and outstanding     
Common Stock, $0.001 par value per share; 200,000,000 shares authorized; 29,805,301 and 29,560,464 issued and outstanding at June 30, 2024 and December 31, 2023, respectively 30   30 
Additional paid-in capital 983,791   917,107 
Accumulated other comprehensive (loss) income (115)  800 
Accumulated deficit (345,635)  (345,423)
Total stockholders' equity 638,071   572,514 
Total liabilities and stockholders' equity$728,389  $676,811 

FAQ

What was Inspire Medical Systems' revenue growth in Q2 2024?

Inspire Medical Systems reported a 30% year-over-year revenue growth in Q2 2024, reaching $195.9 million.

How many new U.S. centers did Inspire activate in Q2 2024?

Inspire activated 81 new U.S. centers in Q2 2024, bringing the total to 1,316 U.S. medical centers providing Inspire therapy.

What is Inspire's updated revenue guidance for full-year 2024?

Inspire increased its full-year 2024 revenue guidance to between $788 million and $798 million, representing 26% to 28% growth over 2023.

Did Inspire Medical Systems (INSP) receive any regulatory approvals in Q2 2024?

Yes, Inspire received CE Mark Certification under EU MDR, countrywide reimbursement in France, and FDA approval for the Inspire V neurostimulation system.

What was Inspire Medical Systems' (INSP) earnings per share in Q2 2024?

Inspire reported earnings per share of $0.32 in Q2 2024, compared to a loss of $0.41 per share in the same quarter of the previous year.

Inspire Medical Systems, Inc.

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