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Risk Profile Improvements

  • Doj False Claims Act Investigation (new) — Government investigating potential false claims to Medicare/Medicaid arising from alleged Anti-Kickback Statute violations in marketing and reimbursement practices.
NYSE: INSP Inspire Medical Systems, Inc. 10-Q

Revenue growth slows to 1.6% as coding uncertainty, Medicare prior-auth delays hit demand

Filed May 4, 2026 · Period ending March 31, 2026 · Compared to 10-Q May 5, 2025 · ~2 min read

Key Changes

  • high

    Revenue growth decelerated sharply to 1.6% (vs 22.7% prior year) as coding/reimbursement uncertainty for Inspire V, new Medicare WISeR prior-authorization delays in six states, and GLP-1 competition all weighed on demand. Company expects WISeR headwinds to persist through 2026.

    MD&A: Revenue Growth & Headwinds verify on EDGAR →
  • high

    Net income swung to -$11.3M loss (from $3.0M profit prior year) despite operating loss narrowing 24.7%, driven by a 571.2% effective tax rate from stock-comp tax shortfalls when shares vested below grant price. The -$14.7M net below-the-line swing (income tax -$12.5M, non-operating/other -$2.1M) turned modest operating improvement into a bottom-line loss.

    MD&A: Tax Rate & Net Income verify on EDGAR →
  • high

    DOJ opened False Claims Act investigation in January 2025 into marketing, promotion, and reimbursement practices, examining potential false claims to government payors under Anti-Kickback Statute. Outcome and timing uncertain; company is cooperating.

    Notes: Legal Proceedings verify on EDGAR →

2 more material changes behind this preview — plus the full narrative summary, section-by-section diffs against the prior filing, and verbatim quotes with EDGAR citations.

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