Inspire Medical reports Q3 revenue decline and cites $120 million reimbursement headwinds

Inspire Medical Systems posted third‑quarter 2026 revenue of $206.7 million, a 7.9% year‑over‑year drop but a 3.0% sequential increase. Management highlighted coding and reimbursement disruptions as the main near‑term challenge and estimated $120 million in 2026 coding and reimbursement headwinds. The company reaffirmed full‑year 2026 revenue guidance of $850 million‑$860 million, below 2025 levels, and GAAP operating losses widened despite an 86% gross margin.

The revenue decline and sizable reimbursement headwinds suggest pressure on future profitability and margins, which could affect investor expectations for earnings. The lowered full‑year revenue guidance signals a slower growth trajectory for the remainder of 2026.

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