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  • New Qui Tam Lawsuit (new) — A former employee has filed a qui tam lawsuit under the False Claims Act, alleging improper certification of physician eligibility for Medicare reimbursement. The government declined to intervene, but the relator is proceeding with the litigation.
NYSE: INSP Inspire Medical Systems, Inc. 10-Q

Revenue fell 7.6% to $200.6M in the second quarter, which the company attributes to adverse impacts of coding and reimbursement challenges, while net earnings turned positive at $314,000.

Filed August 3, 2026 · Period ending June 30, 2026 · Compared to 10-Q Aug 4, 2025 · ~1 min read

Key Changes

  • high

    Revenue declined 7.6% to $200.6M, driven by a 9.6% drop in U.S. revenue to $187.3M, which the company attributes to adverse impacts of coding and reimbursement challenges.

  • medium

    International revenue grew 33.6% to $13.3M.

  • medium

    Gross margin improved to 85.5% from 84.0%, which the company attributes to increased sales mix of the Inspire V system, which has a higher gross margin than the Inspire IV system.

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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Figures/quotes linked to EDGAR · Narrative written by AI · Aug 4, 2026 · How we verify