ROARABLE // PRO
GLOBAL DESKS // NYC --:--:-- NYSE
US TAPE
ROAR ▸

INSP // Inspire Medical Systems Inc.

DES <GO> NYSE RQD COCKPIT → CIK 0001609550 ↗
Health Care • Medical/Dental Instruments
$68.10 ▼ -3.08 (-4.33%)
MKT CAP: $2.06B • VOL: 796.4K
INSP // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
▲ UPGRADE // C- (RQD 61) -> C+ (RQD 66)
ROARABLE C+
RQD CONFIDENCE
66 / 100 +5D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Hold — Upper Neutral / Watch for Breakout
01 MASSIVE / SEC XBRL
Forensic Fundamentals
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
02 INSTITUTIONAL TAPE & TREND
Whale & Options Flow
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
03 SEC XBRL CAPITAL ALLOCATION
Insider & Capital Conviction
16 / 20
STRONG
FCF YIELD +3.8% • P/E 11.9x • F-SCORE 7/9
04 FRED 90D r-MATRIX
Macro Regime Fit
13 / 20
SOLID
TAILWIND • r(10Y)=-0.05 (+23bp) • r(OAS)=-0.13
05 10-K REDLINE AUDIT
Forensic 10-K Risk
18 / 20
STRONG
20 BASE - 2 DEDUCT • 0 CRIT / 0 MED • STABLE
ALERT

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INSP // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +24.18%▼ SUPPORT BREAKDOWN
2026-11-02O $70.97H $71.18L $68.10C $68.10VOL 512.6K
RES: $91.00SUP: $70.39SMA50: $68.77SMA200: $58.45
$85.96$73.21$60.46$47.70$34.95RES $91.00SUP $70.39$68.102026-05-042026-06-172026-08-042026-09-172026-11-02
INSP // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
NEUTRAL / PAIR TRADE CONVICTION: 50/100
BEAR 0
100 BULL

Inspire Medical Systems Inc. (INSP) exhibits 85.4% gross margins and 6.0% return on invested capital within Health Care (Medical/Dental Instruments), balanced against a 23.3x enterprise multiple and 4.8% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 85.4% gross profitability converts into 5.6% operating margin and 6.0% ROIC, outpacing sector cost of capital.

ROIC: 6.0% // GM: 85.4%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of +13.6% paired with 3.81% free cash flow yield supports self-funded R&D and capital return.

REV YOY: +13.6% // FCF YLD: 3.81%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 11.40 and Piotroski F-Score of 7/9 indicate low near-term refinancing stress.

ALTMAN Z: 11.40 // F-SCORE: 7/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 14.2x trailing P/E (11.9x Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 14.2x // EV/EBITDA: 23.3x
02. Options Skew & Event Volatility Risk

Options market prices a ±5.2% implied move with a 0.85 put/call ratio around $68.10 max pain.

IMPL MOVE: ±5.2% // P/C: 0.85
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Medical/Dental Instruments require continuous execution to defend 15.9% net margins.

NET MARGIN: 15.9% // D/E: 0.45x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs 11.9x forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 1.10).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E 14.2x
FORWARD P/E 11.9x
EV / EBITDA 23.3x
FCF YIELD 3.81%
GROSS MARGIN 85.4%
OPERATING MARGIN 5.6%
NET MARGIN 15.9%
ROIC % 6.0%
REV GROWTH YOY +13.6%
DILUTED EPS TTM $5.03
DEBT / EQUITY —
DIVIDEND YIELD 0.00%
RSI-14 MOMENTUM 53.5
5Y EQUITY BETA —
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // INSPPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $62.31
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

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HEAD-TO-HEAD PEER COMPARISONS COMP <GO>