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Inspire Medical Systems INSP
$ 51.07 -1.73%
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Annual report 2025
added 02-13-2026

Inspire Medical Systems Cash Flow 2025-2011 | INSP

Brief overview of Inspire Medical Systems's cash generation

Cash flows are assessed across five available annual periods spanning 2021 to 2025.

Cash from operations was negative at -$20.1 million initially but became positive at $117 million.

Positive cash generation persisted in 4 of five years, so stability is not unconditional.

Operating cash flow covered cumulative profit by 2.9x, providing strong cash confirmation.

Operating cash margin reached 12.8% versus -8.6% initially. Revenue converted into cash more effectively.

Working capital needs increased $188.7 million, or 20.7% of sales. This may restrain cash conversion.

Overall assessment

Inspire Medical Systems's profile is more positive than negative: operations generate cash, although the free cash cushion is not unlimited.

Annual Cash Flow Inspire Medical Systems

2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011

Operating Cash Flow

117 M 130 M 24.7 M 11.6 M -20.1 M -53 M -32.8 M -18.7 M -15.8 M -17.9 M - - - - -

Depreciation & Amortization

14 M 6.55 M 2.85 M 1.86 M 1.22 M 840 K 495 K 393 K 285 K 103 K - - - - -

Accounts Payables

36.6 M 38.7 M 38.8 M 26.8 M 11.7 M 7.21 M 4.46 M 3.43 M - - - - - - -

Accounts Receivables

120 M 93.1 M 89.9 M 61.2 M 34.2 M 25.1 M 13.1 M 6.67 M - - - - - - -

Total Inventories

145 M 80.1 M 33.9 M 11.9 M 17.2 M 8.48 M 5.83 M 2.67 M - - - - - - -

All numbers in USD currency

Quarterly Cash Flow Inspire Medical Systems

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

Operating Cash Flow

- - -6.7 M - - - 8.86 M - - - -1.34 M - -7.7 M - -12.7 M - -20.9 M - -10.4 M - -48.9 M -40 M -14.8 M - -26.8 M -23.8 M -10.9 M - -16.1 M -12.6 M -6.42 M - -12.5 M -9.39 M -5.36 M - - - - - - - - - - - - - - - - - - - - - - - -

Depreciation & Amortization

3.7 M 3.4 M 3.04 M - 1.9 M 1.4 M 839 K - 800 K 700 K 593 K - 500 K 400 K 359 K - 874 K 300 K 234 K - 587 K 375 K 187 K - 342 K 209 K 103 K - 288 K 188 K 90 K - 174 K 99 K 43 K - - - - - - - - - - - - - - - - - - - - - - - -

Accounts Payables

59.2 M 53.2 M 29.1 M 38.7 M 34.9 M 33.6 M 43.8 M 38.8 M 40 M 40 M 36.5 M 26.8 M 20.3 M - 17 M 11.7 M 9.99 M 8.68 M 9.06 M 7.21 M 7.21 M 7.21 M 7.21 M 4.46 M 4.46 M 4.46 M 4.46 M 3.43 M 3.43 M 3.43 M 3.43 M 3 M 3 M 3 M 3 M - - - - - - - - - - - - - - - - - - - - - - - -

Accounts Receivables

108 M 138 M 92.6 M 93.1 M 89.7 M 79.7 M 72.3 M 89.9 M 71.5 M 63.5 M 59.8 M 61.2 M 48.5 M - 34.5 M 34.2 M 26.7 M 24.9 M 21.6 M 25.1 M 25.1 M 25.1 M 25.1 M 13.1 M 13.1 M 13.1 M 13.1 M 6.67 M 6.67 M 6.67 M 6.67 M 3.86 M 3.86 M 3.86 M 3.86 M - - - - - - - - - - - - - - - - - - - - - - - -

Total Inventories

142 M 122 M 99.7 M 80.1 M 67.4 M 59 M 49 M 33.9 M 26.1 M 20.8 M 15.7 M 11.9 M 15.1 M - 22.2 M 17.2 M 15.6 M 13.3 M 11.4 M 8.48 M 8.48 M 8.48 M 8.48 M 5.83 M 5.83 M 5.83 M 5.83 M 2.67 M 2.67 M 2.67 M 2.67 M 3.67 M 3.67 M 3.67 M 3.67 M - - - - - - - - - - - - - - - - - - - - - - - -

All numbers in USD currency

Cash Flow Statement is one of the three key financial reports of the company Inspire Medical Systems, reflecting the actual cash inflows and outflows over a certain period. Unlike the income statement, which shows revenues and expenses on an accrual basis, the cash flow statement focuses on real cash flows — how much cash actually came into the company and how much was spent.

Main Sections of the Cash Flow Statement
  • Operating Activities
    This section reflects cash flows related to the company’s core operations: receipts from sales of goods and services, payments to suppliers, employee salaries, taxes, and other operating expenses. Positive cash flow from operating activities indicates the viability of the business and its ability to generate cash.
  • Investing Activities
    Shows cash movements related to the purchase and sale of long-term assets such as real estate, equipment, and investments in other companies. Negative cash flow here often indicates investments in growth, which can be a positive sign.
  • Financing Activities
    Reflects the inflow and outflow of cash related to raising and repaying capital: issuing shares, loans, dividend payments, and loan repayments. This section shows how the company finances its activities and distributes profits.

The cash flow statement is important for investors because it allows them to assess the company’s real liquidity, showing whether it has enough cash to cover current obligations and investments — this is critical for financial stability. Additionally, it helps analyze the quality of earnings, since profits reported in the income statement can be "paper" profits and may not reflect actual cash inflows; the cash flow statement reveals this difference. The presence of free cash is also crucial for evaluating the company’s ability to finance growth and pay dividends, which is important for investors. Attention should also be paid to prolonged negative cash flows from operating activities, as this may serve as a warning sign of potential problems with the core business.

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