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Inspire Medical Systems (INSP)
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Inspire Medical Systems Balance Sheet 2025-2011 | INSP
Brief overview of Inspire Medical Systems's assets and capital
The balance sheet is assessed across five available annual reports spanning 2021 to 2025.
Total assets increased by +207.5%, from $295.1 million to $907.3 million. A CAGR near 32.4% points to substantial expansion.
Growth in the asset base was not matched by liabilities: +207.5% versus +91%. The balance sheet moved in a more conservative direction.
The equity ratio reached 86.1% from 77.6%. A high capital share reduces dependence on liabilities.
Cash accounts for 11.6% of assets versus 72.7% initially. The change indicates the degree of financial flexibility.
The accumulated result is -$146.5 million and remains below zero. The number alone does not explain whether losses, dividends or repurchases were the main cause.
Overall assessment
Inspire Medical Systems has a solid balance sheet cushion. Capital and liquidity support development without excessive reliance on debt.
Annual Balance Sheet Inspire Medical Systems
| 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Net Debt |
-72.7 M | -118 M | -161 M | -433 M | -190 M | -166 M | 128 M | 18.6 M | 7.5 M | 9.01 M | - | - | - | - | - |
Long Term Debt |
30 M | 30 M | 24.8 M | 7.54 M | 24.5 M | 24.5 M | 24.5 M | 24.9 M | 16.5 M | 12.4 M | - | - | - | - | - |
Long Term Debt Current |
2.16 M | 1.75 M | - | 1.34 M | 312 K | - | 828 K | - | - | - | - | - | - | - | - |
Total Non Current Liabilities |
30.1 M | 30.2 M | 26.2 M | 7.68 M | 24.7 M | 30.7 M | 24.6 M | 24.9 M | 16.5 M | 12.4 M | - | - | - | - | - |
Total Current Liabilities |
96.1 M | 88.5 M | 78.1 M | 61.2 M | 41.3 M | 20.7 M | 16.9 M | 11.2 M | - | - | - | - | - | - | - |
Total Liabilities |
126 M | 119 M | 104 M | 68.9 M | 66 M | 51.4 M | 41.4 M | 36.1 M | 23.6 M | 19.7 M | - | - | - | - | - |
Retained Earnings |
-146 M | -292 M | -345 M | -324 M | -279 M | -237 M | -180 M | -147 M | -125 M | -108 M | - | - | - | - | - |
Total Assets |
907 M | 808 M | 677 M | 565 M | 295 M | 281 M | 181 M | 200 M | 25.1 M | 13.1 M | - | - | - | - | - |
Cash and Cash Equivalents |
105 M | 150 M | 186 M | 442 M | 214 M | 191 M | 22.9 M | 97.3 M | 8.96 M | - | - | - | - | - | - |
Book Value |
781 M | 690 M | 573 M | 496 M | 229 M | 230 M | 140 M | 164 M | 1.48 M | -6.61 M | - | - | - | - | - |
Total Shareholders Equity |
781 M | 690 M | 573 M | 496 M | 229 M | 230 M | 140 M | 164 M | 1.33 M | -6.61 M | - | - | - | - | - |
Annual performance
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All numbers in USD currency
Quarterly Balance Sheet Inspire Medical Systems
| 2026-Q3 | 2026-Q2 | 2026-Q1 | 2025-Q4 | 2025-Q3 | 2025-Q2 | 2025-Q1 | 2024-Q4 | 2024-Q3 | 2024-Q2 | 2024-Q1 | 2023-Q4 | 2023-Q3 | 2023-Q2 | 2023-Q1 | 2022-Q4 | 2022-Q3 | 2022-Q2 | 2022-Q1 | 2021-Q4 | 2021-Q3 | 2021-Q2 | 2021-Q1 | 2020-Q4 | 2020-Q3 | 2020-Q2 | 2020-Q1 | 2019-Q4 | 2019-Q3 | 2019-Q2 | 2019-Q1 | 2018-Q4 | 2018-Q3 | 2018-Q2 | 2018-Q1 | 2017-Q4 | 2017-Q3 | 2017-Q2 | 2017-Q1 | 2016-Q4 | 2016-Q3 | 2016-Q2 | 2016-Q1 | 2015-Q4 | 2015-Q3 | 2015-Q2 | 2015-Q1 | 2014-Q4 | 2014-Q3 | 2014-Q2 | 2014-Q1 | 2013-Q4 | 2013-Q3 | 2013-Q2 | 2013-Q1 | 2012-Q4 | 2012-Q3 | 2012-Q2 | 2012-Q1 | 2011-Q4 | 2011-Q3 | 2011-Q2 | 2011-Q1 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Long Term Debt |
28.6 M | 29.1 M | 29.6 M | 30 M | 30.3 M | 30.9 M | 31.5 M | 30 M | 25.2 M | 24.5 M | 24.5 M | 24.8 M | 25.2 M | 22.1 M | 7.18 M | 7.54 M | 7.88 M | 8.22 M | 8.55 M | 8.8 M | 6.08 M | 6.03 M | 5.96 M | 5.89 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | 24.5 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Total Non Current Liabilities |
28.7 M | 29.2 M | 29.6 M | 30.1 M | 30.4 M | 31 M | 31.6 M | 30.2 M | 25.4 M | 24.7 M | 24.6 M | 26.2 M | 25.3 M | 22.2 M | 7.33 M | 7.68 M | 8.03 M | 18.2 M | 21.5 M | 24.7 M | 25 M | 27.9 M | 30.9 M | 30.7 M | 24.8 M | 24.7 M | 24.6 M | 24.6 M | 24.5 M | 24.4 M | 24.4 M | 24.9 M | 24.8 M | 22 M | 24.9 M | 16.6 M | 16.6 M | 16.6 M | 16.6 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Total Liabilities |
126 M | 100 M | 119 M | 126 M | 141 M | 124 M | 95.1 M | 119 M | 99.6 M | 90.3 M | 96.8 M | 104 M | 95.3 M | 88.9 M | 67.2 M | 68.9 M | 57.3 M | 65 M | 64.7 M | 66 M | 58.6 M | 52.3 M | 50.3 M | 51.4 M | 43 M | 37.7 M | 38.3 M | 41.4 M | 37.2 M | 33.1 M | 32.2 M | 36.1 M | 36.1 M | 36.1 M | 36.1 M | 23.8 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Retained Earnings |
-182 M | -157 M | -158 M | -146 M | -283 M | -293 M | -289 M | -292 M | -327 M | -346 M | -355 M | -345 M | -360 M | -352 M | -340 M | -324 M | -327 M | -311 M | -296 M | -279 M | -277 M | -267 M | -254 M | -237 M | -230 M | -219 M | -196 M | -180 M | -171 M | -163 M | -155 M | -147 M | -147 M | -147 M | -147 M | -125 M | -125 M | -125 M | -125 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Total Assets |
953 M | 926 M | 911 M | 907 M | 808 M | 802 M | 731 M | 808 M | 796 M | 728 M | 686 M | 677 M | 639 M | 618 M | 572 M | 565 M | 528 M | 292 M | 290 M | 295 M | 279 M | 272 M | 273 M | 281 M | 272 M | 271 M | 166 M | 181 M | 183 M | 186 M | 190 M | 200 M | 200 M | 200 M | 200 M | 25.1 M | 25.1 M | 25.1 M | 25.1 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Cash and Cash Equivalents |
191 M | 128 M | 98.9 M | 105 M | 113 M | 107 M | 53.9 M | 150 M | 148 M | 188 M | 175 M | 186 M | 330 M | 467 M | 442 M | 442 M | 418 M | 187 M | 203 M | 214 M | 210 M | 177 M | 182 M | 191 M | 179 M | 211 M | 76.1 M | 22.9 M | 48 M | 51.3 M | 102 M | 97.3 M | 97.3 M | 97.3 M | 97.3 M | 8.96 M | 8.96 M | 8.96 M | 8.96 M | 6.68 M | - | - | - | 12.1 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Book Value |
827 M | 826 M | 792 M | 781 M | 666 M | 678 M | 636 M | 690 M | 697 M | 638 M | 589 M | 573 M | 544 M | 529 M | 505 M | 496 M | 470 M | 227 M | 225 M | 229 M | 220 M | 220 M | 223 M | 230 M | 229 M | 234 M | 127 M | 140 M | 146 M | 152 M | 157 M | 164 M | 164 M | 164 M | 164 M | 1.33 M | 25.1 M | 25.1 M | 25.1 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Total Shareholders Equity |
827 M | 826 M | 792 M | 781 M | 666 M | 678 M | 636 M | 690 M | 697 M | 638 M | 589 M | 573 M | 544 M | 529 M | 505 M | 496 M | 470 M | 227 M | 225 M | 229 M | 220 M | 220 M | 223 M | 230 M | 229 M | 234 M | 127 M | 140 M | 146 M | 152 M | 157 M | 164 M | 164 M | 164 M | 164 M | 1.33 M | 1.33 M | 1.33 M | 1.33 M | -6.61 M | - | - | - | -1.14 M | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Quarterly performance
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All numbers in USD currency
Balance Sheet is a fundamental financial report of Inspire Medical Systems, providing a complete picture of the company’s financial position at a specific point in time. Unlike the income statement, which records the results of operations over a certain period, the balance sheet shows what assets the company owns, what liabilities it has to creditors, and what equity is available to the owners.
For an investor, the balance sheet is important because it allows assessing the company’s financial stability, understanding how much debt it carries, and how dependent it is on borrowed financing. It helps calculate key liquidity and leverage ratios. When analyzing, attention should be paid to the debt-to-equity ratio (Debt/Equity), the amount of cash on the balance sheet, and the ratio of current liabilities to liquid assets.
Features of balance sheet analysis- Vertical and horizontal analysis
Vertical analysis shows the structure of the balance sheet as a percentage of total assets or liabilities, while horizontal analysis shows the dynamics of changes over multiple periods. - Asset quality
It is important to evaluate not only the amount of assets but also their liquidity and realizability. - Accounting for off-balance sheet liabilities
Some liabilities may not be directly reflected in the balance sheet, which requires additional attention.
Balance sheet of other industry stocks – Medical devices
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Itamar Medical Ltd.
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CryoLife, Inc.
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Integer Holdings Corporation
ITGR
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Avanos Medical
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Aziyo Biologics
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