Inspire Medical Systems, Inc. Announces First Quarter 2019 Financial Results and Increases 2019 Outlook

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MINNEAPOLIS, Minnesota – May 7, 2019 – Inspire Medical Systems, Inc. (NYSE: INSP) (“Inspire”), a medical
technology company focused on the development and commercialization of innovative and minimally invasive
solutions for patients with obstructive sleep apnea, reported financial results for the quarter ended March 31, 2019.

Recent Business Highlights

  • Achieved revenue of $16.3 million in the first quarter of 2019, a 62% increase over the same quarter last year
  •  Activated 20 new U.S. medical centers in the first quarter of 2019, bringing the total to 226 U.S. medical centers
    implanting Inspire therapy, and added seven Territory Managers, bringing the total to 53 U.S. Territory
    Managers
  • Received a favorable assessment from Blue Cross Blue Shield Association’s (“BCBSA”) Evidence Street, which
    performs healthcare technology assessments for the BCBSA’s 36 companies
  • Announced 24 new positive coverage policies since January 1, 2019, adding coverage for 58 million lives and
    bringing total covered lives to 83 million

“In the first quarter of 2019, we experienced another strong quarter of revenue growth, as well as improvement in
our gross margins,” said Tim Herbert, President and Chief Executive Officer of Inspire Medical Systems. “Our
revenue growth was primarily the result of improved patient flow at existing centers, as well as opening 20 new
medical centers during the first quarter. We also exceeded our plan by hiring seven new U.S. Territory Managers in
the quarter, and the additional reps and centers strengthen our ability to meet the increasing demand for Inspire
therapy.”

The positive assessment from the BCBSA’s Evidence Street already has led to positive coverage policies of Inspire
therapy from 21 BCBSA health plans covering approximately 53 million lives. The Company expects to garner
additional BCBSA-related positive coverage policies throughout 2019. Along with several independent coverage
policies that were issued during the quarter, Inspire has reported that over 83 million covered lives are under policy
in the U.S.

“Our focus remains on generating positive patient outcomes. We expect our continued growth to be driven by a
consistent cadence of activating new medical centers and hiring Territory Managers in the U.S., bolstered by
improving patient flow and establishing country-specific reimbursement in Europe,” concluded Mr. Herbert.

First Quarter 2019 Financial Results
Revenue was $16.3 million for the three months ended March 31, 2019, a 62% increase from $10.0 million in the
corresponding period in the prior year. U.S. revenue for the quarter was $14.4 million, an increase of 64% over the
prior year quarter. First quarter European revenue was $1.9 million, an increase of 46% over the first quarter of
2018.

Gross margin was 82.4% for the three months ended March 31, 2019, compared to 77.2% for the corresponding
prior year period.

Operating expense was $22.2 million for the first quarter of 2019, as compared to $12.9 million in the corresponding
prior year period, an increase of 71.3%. This increase was primarily due to higher employee-related expenses
resulting from the expansion of our U.S. and European sales organizations, as well as increased direct-to-patient
marketing programs, continued product development efforts, and general corporate costs, which increased primarily
as a result of becoming a public company in the second quarter of 2018.

Net loss was $8.3 million for the first quarter of 2019, as compared to $6.5 million in the corresponding prior year
period. The diluted net loss per share for the first quarter of 2019 was $0.35 per share.

As of March 31, 2019, cash, cash equivalents and short-term investments were $177.0 million, compared to $188.2
million at December 31, 2018.

Full Year 2019 Guidance
Inspire now expects full year 2019 revenue to be in the range of $69 million to $72 million, representing growth of
approximately 36% to 42% over full year 2018 revenue of $50.6 million. Gross margin for the full year 2019 is now
expected to be in the range of 80% to 82%. This compares to the prior revenue guidance of $67 million to $70
million and gross margin guidance of 79% to 81%.

In addition, Inspire continues to expect to add 12 to 14 new U.S. implanting centers and four to five new Territory
Managers per quarter in 2019.

Webcast and Conference Call
Inspire’s management will host a conference call after market close today, Tuesday, May 7, 2019, at 5:00 p.m.
Eastern Time to discuss these results and answer questions.

Tuesday, May 7th at 5:00 p.m. Eastern Time:
Domestic: 877-407-0792
International: 201-689-8263
Conference ID: 13688690
Webcast: http://public.viavid.com/index.php?id=133632

To listen to a live webcast, please visit the Investors section of the Inspire website at www.inspiresleep.com. The
webcast replay will be available on the Inspire website for two weeks following the completion of the call.

About Inspire Medical Systems
Inspire is a medical technology company focused on the development and commercialization of innovative and
minimally invasive solutions for patients with obstructive sleep apnea. Inspire’s proprietary Inspire therapy is the first
and only FDA-approved neurostimulation technology that provides a safe and effective treatment for moderate to
severe obstructive sleep apnea.

For additional information about Inspire, please visit www.inspiresleep.com.

Forward Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation
Reform Act of 1995. All statements other than statements of historical facts are forward-looking statements,
including our full year 2019 financial outlook, our expectations to add new U.S. implanting centers and Territory
Managers per quarter in 2019 and future positive insurance coverage. In some cases, you can identify forward-
looking statements by terms such as ‘‘may,’’ ‘‘will,’’ ‘‘should,’’ ‘‘expect,’’ ‘‘plan,’’ ‘‘anticipate,’’ ‘‘could,’’ “future,”
“outlook,” “guidance,” ‘‘intend,’’ ‘‘target,’’ ‘‘project,’’ ‘‘contemplate,’’ ‘‘believe,’’ ‘‘estimate,’’ ‘‘predict,’’ ‘‘potential,’’
‘‘continue,’’ or the negative of these terms or other similar expressions, although not all forward-looking statements
contain these words.

These forward-looking statements are based on management’s current expectations and involve known and
unknown risks and uncertainties that may cause our actual results, performance or achievements to be materially
different from any future results, performance or achievements expressed or implied by the forward-looking
statements. Such risks and uncertainties include, among others, estimates regarding the annual total addressable
market for our Inspire therapy in the U.S. and our market opportunity outside the U.S., future results of operations,
financial position, research and development costs, capital requirements and our needs for additional financing;
commercial success and market acceptance of our Inspire therapy; our ability to achieve and maintain adequate
levels of coverage or reimbursement for our Inspire system or any future products we may seek to commercialize;
competitive companies and technologies in our industry; our ability to expand our indications and develop and
commercialize additional products and enhancements to our Inspire system; our business model and strategic
plans for our products, technologies and business, including our implementation thereof; our ability to accurately
forecast customer demand for our Inspire system and manage our inventory; our ability to expand, manage and
maintain our direct sales and marketing organization, and to market and sell our Inspire system in markets outside
of the U.S.; our ability to increase the number of active medical centers implanting Inspire therapy; our ability to hire
and retain our senior management and other highly qualified personnel; our ability to commercialize or obtain
regulatory approvals for our Inspire therapy and system, or the effect of delays in commercializing or obtaining
regulatory approvals; FDA or other U.S. or foreign regulatory actions affecting us or the healthcare industry
generally, including healthcare reform measures in the U.S. and international markets; and our ability to establish
and maintain intellectual property protection for our Inspire therapy and system or avoid claims of infringement.
Other important factors that could cause actual results, performance or achievements to differ materially from those
contemplated in this press release can be found under the captions “Risk Factors” and “Management’s Discussion
and Analysis of Financial Condition and Results of Operations“ in our Annual Report on Form 10-K for the fiscal
year ended December 31, 2018 filed with the SEC on February 26, 2019, as such factors may be updated from time
to time in our other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov. These and
other important factors could cause actual results to differ materially from those indicated by the forward-looking
statements made in this press release. Any such forward-looking statements represent management’s estimates as
of the date of this press release. While we may elect to update such forward-looking statements at some point in the
future, unless required by applicable law, we disclaim any obligation to do so, even if subsequent events cause our
views to change. Thus, one should not assume that our silence over time means that actual events are bearing out
as expressed or implied in such forward-looking statements. These forward-looking statements should not be relied
upon as representing our views as of any date subsequent to the date of this press release.

Investor & Media Contact:
Bob Yedid
LifeSci Advisors
646-597-6989
Bob@LifeSciAdvisors.com