INSP Inspire Medical Systems, Inc.
Platform & Compounding FCF
F 30.0 / 100 pillar composite

AlphaQuality composite grade, weighted for platform & compounding fcf businesses.

⚠ 3 of the last 5 fiscal years showed negative net income — AlphaQuality will not grade above F for persistent unprofitability in a platform & compounding fcf business.

Grade overrides the 30.0 pillar composite — hard gates always win.

Profitability

Weight: 25%
D 34
  • 5yr Avg ROIC -2.1%
  • Operating Margin Trend +6.15 pp/yr

Capital Efficiency

Weight: 15%
F 14
  • 5yr Avg ROE -0.9%
  • 5yr Share-Count CAGR 2.7%

Growth Quality

Weight: 25%
A+ 100
  • 5yr Revenue CAGR 51.2%
  • Revenue-Growth Years (5) 5/5

Cash Generation

Weight: 20%
B- 63
  • 5yr FCF Margin 2.0%
  • 5yr FCF/NI Conversion 1.12x

Balance Sheet

Weight: 10%
A+ 100
  • Net Debt / EBITDA -3.46x
  • Interest Coverage (EBIT/Int) 480.54x
  • Altman Z-Score 10.94

Stability

Weight: 5%
A- 82
  • Negative-Revenue Years (5) 0/5
  • Piotroski F-Score 6

Guru Flow

Curated superinvestor sentiment — not part of the AlphaQuality grade.
Dumping

2 of 4 gurus held; 1 added; 1 trimmed; 2 full exits.

Holders
2 -2
Avg Δ position
+6544.1%
New buys
0
Full exits
2
As of Q2 2026