What is Inspire Medical Systems's net debt / EBITDA?

Inspire Medical Systems (INSP) reported net debt / EBITDA of -1× in Q1 2026.

How has Inspire Medical Systems's net debt / EBITDA changed year-over-year?

Inspire Medical Systems's net debt / EBITDA decreased by 196.4% year-over-year, from -0.3× to -1×.

What does net debt / EBITDA mean?

Net debt (total debt minus cash) divided by trailing-twelve-month EBITDA. Expresses leverage in years — roughly how long it would take to repay net debt out of operating cash earnings.

Inspire Medical Systems INSP Net debt / EBITDA

Net debt / EBITDA at other companies

ResMedRMD

-0.3×-0.3×

LivaNovaLIVN

-0.8×-2.1×

Globus MedicalGMED

-0.5×-0.1×

StrykerSYK

1.9×-1.3×

ITG

Integer HoldingsITGR

4×+0.1×

MedtronicMDT

2.9×-0.2×

Other financials

Income statement

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Revenue$204.6M+1.6%

Gross profit$176.9M+3.7%

Operating income-$1.1M+24.7%

Net income-$11.3M-477%

EPS (diluted)-$0.39-490%

Balance sheet

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Cash & equivalents$98.9M+83.6%

Total debt$29.6M-11.8%

Total equity$792.3M+24.6%

Total assets$911.4M+24.7%

Cash flow

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Operating cash flow$12.8M+292%

CapEx$9.7M+15.7%

Free cash flow$3.1M+121%

Valuation

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Market cap$1.24B-67.8%

Enterprise value$1.18B-69.4%

P/E9.5×-48.6×

P/S1.4×-3.2×

Profitability

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Gross margin85.8%+1.1pp

Operating margin5.6%-0.3pp

Net margin14.3%+6.4pp

FCF margin10.6%+1.2pp

Returns & leverage

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Return on equity18.4%+7.5pp

Debt / equity0×0.0×

Current ratio6.3×-2.7×

Where this comes from

Calculated from Inspire Medical Systems’s reported figures.

net debt/ebitda=-1×

Based on the most recent quarter.

The official record: Inspire Medical Systems’s 10-Q, filed May 4, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is Inspire Medical Systems's net debt / EBITDA?: Inspire Medical Systems (INSP) reported net debt / EBITDA of -1× in Q1 2026.
How has Inspire Medical Systems's net debt / EBITDA changed year-over-year?: Inspire Medical Systems's net debt / EBITDA decreased by 196.4% year-over-year, from -0.3× to -1×.
What does net debt / EBITDA mean?: Net debt (total debt minus cash) divided by trailing-twelve-month EBITDA. Expresses leverage in years — roughly how long it would take to repay net debt out of operating cash earnings.