INSP

Inspire Medical Systems, Inc.
NYSEUSDEQUITY Healthcare DELAYED
Last price
68.20
▼ 2.55 (3.60%)
MARKET · —

Price

1D — H — L — Range — Vol —
Drag pan · Pinch zoom · Hold crosshair · pick a tool then drag to draw
Open
71.23
Prev close
70.75
Day high
71.86
Day low
67.99
Volume
869.55K
Market cap
$1.97B
P/E (TTM)
15.02
52W range
38.91 – 147.03

Day trading desk

Current session · delayed
Gap from prior close
+0.68%
Prior close 70.75
VWAP
68.39
-0.28% from price
Relative volume
1.19×
Normal
Session range
5.69%
67.99 – 71.86
Position in range
5%
Near session low
ATR (14D)
3.74
5.48% of price
Prior day high
71.36
PDH
Prior day low
68.67
PDL
Bid / ask spread
—
Quote not published
Session volume
951.25K
Avg 798.63K

VWAP and the session figures are computed from the delayed intraday series on this page, so they lag the live tape and will not match a broker's real-time VWAP exactly. Turn on Prior day H/L/C, Opening range and Volume profile in the chart's Studies menu to see these levels drawn on price.

Trailing performance

Price return · vs SPY
Returnvs SPY
1W
-6.81% -8.8%
1M
+8.12% +7.0%
3M
+38.34% +33.8%
6M
+25.32% +7.1%
YTD
-26.05% -40.3%
1Y
-10.94% -27.4%
3Y
-65.63% -147.9%
5Y
— —

Price return only. Dividends are not reinvested, so total return on a dividend payer will be higher than shown.

Unusual options activity

Account required
Nothing crossed the thresholds in the expiries we scanned.
That is the normal state — most contracts trade well inside their existing open interest.
Free account required

Contracts trading at or above their open interest, ranked by notional and where the print landed.

Free account

5 more panels on INSP open with an account.

Options chains and analytics, valuation ratios, insider filings, analyst targets and ownership. No card, no trial, nothing to cancel.

Insider net activity

6m · Form 4 rollup
Net shares
+38.61K
Net buying
Buy transactions
19
53.61K shares
Sell transactions
5
15.00K shares
Net transactions
+24
Buys less sells
Sell : buy shares
0.3 : 1
Mixed
Insider-held shares
340.27K
Total on file
Bought 53.61KSold 15.00K

Insider transactions

Account required
DateInsiderAction SharesValueHeld
Aug 31, 26
KELLY JASON P
Chief Operating Officer
STOCK 6.35K $0 Direct
Aug 7, 26
KELLY JASON P
Officer
SELL 963 $57.35K Direct
Jul 20, 26
CARREL MICHAEL H
Director
STOCK 5.63K $0 Direct
Jul 15, 26
ELLIS GARY LEE
Director
STOCK 581 $0 Direct
Jul 15, 26
MELENIKIOTOU GEORGIA
Director
STOCK 344 $0 Direct
Jul 15, 26
TANSEY CASEY M
Director
STOCK 346 $0 Direct
Jul 15, 26
BROADER SHELLEY G
Director
STOCK 383 $0 Direct
May 15, 26
RONDONI JOHN
Officer
SELL 2.64K $114.30K Direct
May 14, 26
RONDONI JOHN
Officer
SELL 700 $30.11K Direct
May 8, 26
MCCORMICK SHAWN T
Director
SELL 696 $31.54K Direct
Apr 30, 26
ELLIS GARY LEE
Director
STOCK 3.56K $0 Direct
Apr 30, 26
MCCORMICK SHAWN T
Director
STOCK 3.56K $0 Direct
Apr 30, 26
CURET MYRIAM MCADAMS
Director
STOCK 3.56K $0 Direct
Apr 30, 26
MELENIKIOTOU GEORGIA
Director
STOCK 3.56K $0 Direct
What this is, and what it is not

These are SEC Form 4 filings — officers, directors and 10% owners reporting their own trades in the company's stock. Filing is due within two business days of the transaction, so this lags reality by days, and the provider adds its own lag on top.

A sale is not automatically bearish. Executives sell on scheduled 10b5-1 plans, to cover tax on vesting equity, and to diversify. Purchases with cash are generally the more informative signal, and they are far rarer.

This does not include congressional or senate trading. That comes from STOCK Act disclosures filed with the Senate eFD system and the House Clerk, which this data source does not carry.

Free account required

Officer and director trades in their own stock, straight from Form 4 filings.

Insider holders

10 reporting
NameRelationShares heldLatest
BUCHHOLZ RICHARD
Chief Financial Officer 50.77K Sale
HERBERT TIMOTHY P
Chief Executive Officer 163.49K Stock Award(Grant)
KELLY JASON P
Officer 18.98K Sale
MANN MELISSA
Officer 23.61K Stock Award(Grant)
MCCORMICK SHAWN T
Director 30.71K Sale
MEAD DANA G JR
Director 26.21K Stock Award(Grant)
PHILLIPS BRYAN K
General Counsel 38.51K Stock Award(Grant)
RONDONI JOHN
Officer 27.16K Sale
TANSEY CASEY M
Director 27.63K Stock Award(Grant)
WEATHERBY CARLTON
Officer 41.68K Stock Award(Grant)

Fundamentals

TTM · reported
Market cap$1.97B
Enterprise value$1.68B
Revenue (TTM)$898.74M
Gross profit$774.11M
EBITDA$71.33M
Net income$135.04M
EPS (TTM)$4.54
Free cash flow$94.64M
Total cash$320.68M
Total debt$29.09M
Book value / share$28.56
Shares outstanding28.91M
Float23.28M
Short % of float17.79%
Dividend yield0.00%
Beta (5Y)0.73

Valuation & profitability ratios

Account required
Trailing P/E15.02
Forward P/E44.09
PEG ratio—
Price / sales—
Price / book2.39
EV / revenue1.87
EV / EBITDA23.55
Gross margin86.13%
Operating margin-0.26%
Profit margin15.03%
Return on equity17.97%
Return on assets3.91%
Debt / equity3.52
Current ratio8.55
Free account required

Fourteen ratios including P/E, PEG, EV/EBITDA, margins and return on equity.

Financial statements

As reported · 5 years · 5 quarters
Blank means not reported, not zero
Line item2025202420232022YoY
Total revenue $911.98M$802.80M$624.80M$407.86M +13.6%
Operating revenue $911.98M$802.80M$624.80M$407.86M +13.6%
Cost of revenue $133.22M$122.99M$96.58M$66.11M +8.3%
Gross profit $778.76M$679.82M$528.22M$341.74M +14.6%
Research & development $103.17M$114.13M$116.54M$68.64M -9.6%
Selling, general & admin $624.64M$529.61M$451.96M$320.69M +17.9%
Total operating expense $727.80M$643.74M$568.49M$389.33M +13.1%
Operating income $50.95M$36.08M-$40.27M-$47.59M +41.2%
Net interest income $17.40M$23.23M$20.56M$3.37M -25.1%
Pre-tax income $65.70M$58.45M-$19.91M-$44.27M +12.4%
Tax provision -$79.72M$4.94M$1.25M$613.00K -1,712.6%
Net income $145.42M$53.51M-$21.15M-$44.88M +171.8%
Net income to common $145.42M$53.51M-$21.15M-$44.88M +171.8%
Basic EPS 4.951.80-0.72-1.60 +175.0%
Diluted EPS 4.891.75-0.72-1.60 +179.4%
EBIT $65.83M$58.48M-$19.91M-$42.59M +12.6%
EBITDA $79.79M$65.03M-$17.06M-$40.73M +22.7%
Basic shares 29.37M29.76M29.30M28.07M -1.3%
Diluted shares 29.76M29.76M29.30M28.07M -0.0%

Options analytics

Account required
Put / call volume
0.03
Call-heavy session
Put / call open interest
—
Positioning, not flow
Max pain
35.00
-48.7% from spot
ATM implied vol
3.1%
Nearest strike to spot
Skew (10% OTM)
+12.5%
Puts bid over calls
Call volume
1.16K
Contracts, this expiry
Put volume
35
Contracts, this expiry
Heaviest call OI
50.00
0 contracts
Heaviest put OI
35.00
0 contracts

Max pain is the strike at which the largest dollar value of open contracts expires worthless. It describes current positioning; it is not a forecast and it moves as open interest changes.

Free account required

Put/call ratios, max pain, implied volatility skew and where open interest is concentrated.

Earnings

History & consensus estimates
Reported vs expected · EPS
QuarterEst.ActualSurprise
Jun 2026 -0.250.14 +157.1%
Mar 2026 -0.260.10 +138.4%
Dec 2025 0.681.65 +142.1%
Sep 2025 -0.170.38 +323.6%
Forward consensus
PeriodEPSAnalystsRevenueGrowth
Current quarter 0.09 13 $204.32M -9.0%
Next quarter 0.91 13 $244.37M -9.2%
Current year 1.25 13 $853.86M -6.4%
Next year 1.55 14 $887.21M +3.9%

Analyst targets & ownership

Account required
Mean target$65.00
High target$97.00
Low target$40.00
Implied upside-4.69%
Analyst count15
ConsensusHOLD
Strong buy / Buy0 / 4
Hold11
Sell / Strong sell1 / 1
Held by insiders1.18%
Held by institutions130.19%
Institutions holding385
Free account required

Price targets, consensus spread, insider and institutional ownership.

Moving averages & technicals

Computed from 2Y daily closes
SMA 10
70.06
-2.66% from price
SMA 20
71.32
-4.38% from price
SMA 50
63.98
+6.59% from price
SMA 100
54.60
+24.90% from price
SMA 200
60.84
+12.09% from price
EMA 12
70.20
-2.85% from price
EMA 26
68.52
-0.47% from price
EMA 50
64.59
+5.59% from price
RSI (14)
49.7
Neutral
MACD (12,26,9)
1.68
Hist -0.83
ATR (14)
3.74
5.48% of price
Realised vol 30D
49.2%
Annualised
Bollinger upper
76.66
20, 2σ
Bollinger lower
65.98
20, 2σ
50 / 200 cross
Golden
63.98 vs 60.84
Trend bias
Above 200
+12.09%

Options chain

Account required
Expiry
Spot 68.20
Calls
StrikeLastBidAskVolOIIV
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
Puts
StrikeLastBidAskVolOIIV
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
Free account required

Every listed expiry, both sides of the book, with volume, open interest and implied volatility.

Risk profile

Daily returns · 1Y window
Beta vs SPY
1.05
More volatile than market
Correlation to SPY
0.19
Largely independent
Realised vol 30D
49.2%
Annualised
Market vol 1Y
13.0%
SPY, annualised
Max drawdown 1Y
-72.2%
Peak to trough
Max drawdown 5Y
-87.7%
Peak to trough
ATR 14
3.74
5.48% of price
Beta (reported)
0.73
5Y monthly, from filing

Short interest

Semi-monthly exchange report · lags by ~2 weeks
Shares short
3.93M
Prior 4.37M
Change vs prior
-10.2%
Shorts covering
% of float
17.79%
Elevated
% of shares out
13.59%
Against total outstanding
Days to cover
6.2
Crowded exit
Float
23.28M
Freely tradeable shares

Exchanges publish short interest twice a month with a settlement lag, so this is roughly two weeks behind. Days to cover divides shares short by average daily volume — it estimates how long covering would take, not whether it will happen.

Rating changes

199 on file
DateFirm ActionFromTo
Oct 2, 26 Freedom Capital Markets MAINTAINED Buy Buy
Oct 1, 26 RBC Capital MAINTAINED Sector Perform Sector Perform
Sep 21, 26 Freedom Capital Markets MAINTAINED Buy Buy
Sep 11, 26 Stifel MAINTAINED Buy Buy
Aug 4, 26 JP Morgan MAINTAINED Neutral Neutral
Aug 4, 26 Mizuho MAINTAINED Outperform Outperform
Aug 4, 26 Oppenheimer UPGRADE Perform Outperform
Aug 4, 26 Truist Securities MAINTAINED Hold Hold
Aug 4, 26 Evercore ISI Group MAINTAINED In-Line In-Line
Aug 4, 26 Piper Sandler MAINTAINED Neutral Neutral
Aug 4, 26 Baird MAINTAINED Neutral Neutral
Jul 16, 26 Truist Securities MAINTAINED Hold Hold

Dividends & splits

Declared · from the issuer
Forward rate—
Forward yield0.00%
5-year avg yield—
Payout ratio0.00%
Ex-dividend date—
Next pay date—
Last split—
Split date—

PRIVATE STRATEGY · BY QUALIFICATION

The same data. A different seat.

The research you are reading is the input layer for a discretionary options program we run for a small number of qualified investors. Minimum $1,000,000.