Inspire Medical Stock Falls Despite Solid Preliminary Q4 Revenues

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Inspire Medical Systems, Inc. INSP announced preliminary revenues for the fourth quarter and full year 2024 yesterday. Despite the robust preliminary results, the company’s shares plunged nearly 13.4% at yesterday’s closing.

The company is scheduled to release fourth-quarter results on Feb. 10.

Per the preliminary report, fourth-quarter 2024 total revenues are estimated to be between $239.5 million and $239.7 million, up 25% year over year. The Zacks Consensus Estimate of $233 million lies below the preliminary figure.

Inspire Medical activated 72 new centers in the United States in the fourth quarter of 2024, thereby bringing the total to 1,435 U.S. medical centers implanting Inspire therapy. The company also created 12 new sales territories in the United States in the to-be-reported quarter, thus bringing the total to 335 U.S. sales territories.

Per management, Inspire Medical finished the year with significant momentum. The company is also implementing a new organizational structure intended to further fuel its continued growth, including the expansion of its leadership team. This raises our optimism about the stock.

Per the preliminary report, full-year 2024 total revenues are estimated to be between $802.6 million and $802.8 million, up 28% from the comparable 2023 period. The Zacks Consensus Estimate of $796.1 million lies below the preliminary figure.

Find the latest EPS estimates and surprises on Zacks Earnings Calendar.

INSP’s Guidance for 2025

Inspire Medical has issued its full-year 2025 guidance.

Total revenues are expected to lie in the range of $940 million-$955 million, reflecting a 17-19% increase over the comparable 2024 period. The Zacks Consensus Estimate is pegged at $949.4 million.

A Brief Q4 Analysis of Inspire Medical

During the fourth quarter of 2024, Inspire Medical initiated the soft launch of the Inspire V neurostimulator, with over 40 implants completed in Singapore and the United States. This looks promising for INSP’s top-line growth during the quarter.

On the third-quarter earnings call in November 2024, Inspire Medical’s management confirmed that its U.S. revenues registered a solid year-over-year uptick. This growth reflected greater therapy adoption primarily resulting from increased market penetration in existing centers and expansion into new implanting centers in the United States and new U.S. sales territories.

On the same call, management continued that its international business also witnessed strong growth. The company witnessed strength in Germany, Switzerland, the Netherlands and Belgium while it began reimbursement procedures in France. We expect this trend for both its domestic and international businesses to have continued in the fourth quarter, thereby driving up its revenues.