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Inspire Medical Systems, Inc.

INSP
Exchange
NYSE
Industry
Surgical & Medical Instruments & Apparatus
SEC CIK
0001609550

In the last 90 days, Inspire Medical Systems, Inc. insiders filed 0 open-market purchases and 1 sale; 275 institutions reported holding it in 13F filings for Q2 2026, worth $1.65B in total; no superinvestor holds it.

13F holders, Q4 2023

Institutional positions in Inspire Medical Systems, Inc. as of Dec 31, 2023. Investment managers with $100 million or more in US stocks report their long positions on Form 13F within 45 days after each quarter ends. How 13F works

Institutional holders
343
−17 vs. Q3 2023
Shares held
31.0M
+2.67M (+9.4%) vs. Q3 2023
Total value
$6.31B
+$659.1M (+11.7%) vs. Q3 2023
New holders
63
120 more added
Sold out
80
121 more reduced

5 institutions that held it in Q3 2023 haven't filed for Q4 2023 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q3 2023: new holders, sold out and not filed yet

Holders and value by quarter

Institutions reporting INSP on Form 13F each quarter since Q1 2021, and the total value they reported. Values are as of each quarter end, so they also move with the share price.

Institutional holdersQ4 2023: 343 institutions
Q1 2021: 251 institutionsQ2 2021: 248 institutionsQ3 2021: 254 institutionsQ4 2021: 289 institutionsQ1 2022: 299 institutionsQ2 2022: 287 institutionsQ3 2022: 301 institutionsQ4 2022: 340 institutionsQ1 2023: 374 institutionsQ2 2023: 407 institutionsQ3 2023: 365 institutionsQ4 2023: 343 institutionsQ1 2024: 327 institutionsQ2 2024: 325 institutionsQ3 2024: 347 institutionsQ4 2024: 357 institutionsQ1 2025: 363 institutionsQ2 2025: 356 institutionsQ3 2025: 325 institutionsQ4 2025: 343 institutionsQ1 2026: 301 institutionsQ2 2026: 275 institutions
Value heldQ4 2023: $6.31B
Q1 2021: $5.21BQ2 2021: $4.83BQ3 2021: $5.91BQ4 2021: $5.95BQ1 2022: $6.92BQ2 2022: $5.01BQ3 2022: $5.01BQ4 2022: $7.11BQ1 2023: $6.68BQ2 2023: $9.11BQ3 2023: $5.65BQ4 2023: $6.31BQ1 2024: $6.83BQ2 2024: $4.23BQ3 2024: $7.03BQ4 2024: $6.20BQ1 2025: $5.46BQ2 2025: $4.39BQ3 2025: $2.31BQ4 2025: $3.12BQ1 2026: $1.80BQ2 2026: $1.65B
Institutions holding INSP and their total value by quarter
QuarterHoldersValue
Q2 2026275$1.65B
Q1 2026301$1.80B
Q4 2025343$3.12B
Q3 2025325$2.31B
Q2 2025356$4.39B
Q1 2025363$5.46B
Q4 2024357$6.20B
Q3 2024347$7.03B
Q2 2024325$4.23B
Q1 2024327$6.83B
Q4 2023343$6.31B
Q3 2023365$5.65B
Q2 2023407$9.11B
Q1 2023374$6.68B
Q4 2022340$7.11B
Q3 2022301$5.01B
Q2 2022287$5.01B
Q1 2022299$6.92B
Q4 2021289$5.95B
Q3 2021254$5.91B
Q2 2021248$4.83B
Q1 2021251$5.21B

Institutions, Q4 2023

Shares, value and share of portfolio for each institution holding Inspire Medical Systems, Inc.; share changes are against Q3 2023.

Institutions holding INSP in Q4 2023
InstitutionSharesValue% of portfolioChange in sharesAction
Lisanti Capital Growth, LLC11,480$2.34M0.55%+4,925+75.1%Added
Treasurer of the State of North Carolina12,750$2.59M0.01%+120+1.0%Added
Royal Bank of Canada12,885$2.62M0.00%−18,177−58.5%Reduced
Millennium Management LLC12,959$2.64M0.00%−306,744−95.9%Reduced
Sirios Capital Management L P13,122$2.67M0.54%+11,662+798.8%Added
Assenagon Asset Management S.A.13,149$2.67M0.01%−23,820−64.4%Reduced
PEAK6 Investments LLC13,577$2.76M0.12%+771+6.0%Added
Janus Henderson Group PLC13,602$2.77M0.00%−21−0.2%Reduced
Evolutionary Tree Capital Management, LLC14,439$2.94M3.24%−2,230−13.4%Reduced
LMR Partners LLP14,579$2.97M0.07%+12,341+551.4%Added
Nippon Life Global Investors Americas, Inc.14,600$2.97M0.17%00.0%Unchanged
Miura Global Management, LLC15,000$3.05M1.71%00.0%Unchanged
Archon Capital Management LLC15,000$3.05M1.26%+15,000New
Russell Investments Group, Ltd.16,056$3.27M0.01%+11,567+257.7%Added
Gilliland Jeter Wealth Management LLC16,563$3.37M1.39%+16,563New
Putnam Investments LLC16,811$3.42M0.00%+4,373+35.2%Added
Congress Asset Management Co17,192$3.50M0.03%+17,192New
State of New Jersey Common Pension Fund D17,791$3.62M0.01%+1,087+6.5%Added
Velan Capital Investment Management LP18,000$3.66M2.59%+2,700+17.6%Added
Rhenman & Partners Asset Management AB18,000$3.66M0.37%+11,000+157.1%Added
Advisor Group Holdings, Inc.18,128$3.69M0.01%+30.0%Added
Algert Global LLC18,320$3.73M0.15%−16,395−47.2%Reduced
Optimas Capital Ltd18,979$3.86M3.64%+18,979New
Allianz Asset Management GmbH19,355$3.94M0.01%+1,692+9.6%Added
Whetstone Capital Advisors, LLC20,509$4.17M2.10%+20,509New
HSBC Holdings PLC21,185$4.31M0.00%+2,905+15.9%Added
New York State Common Retirement Fund21,900$4.46M0.01%−4,927−18.4%Reduced
Dimensional Fund Advisors LP22,683$4.61M0.00%−13,072−36.6%Reduced
Baird Financial Group, Inc.24,689$5.02M0.01%+8,137+49.2%Added
Thornburg Investment Management Inc24,861$5.06M0.07%−167−0.7%Reduced
Squarepoint Ops LLC26,539$5.40M0.02%−29,573−52.7%Reduced
Envestnet Asset Management Inc26,890$5.47M0.00%−3,172−10.6%Reduced
Wells Fargo & Company27,029$5.50M0.00%−2,849−9.5%Reduced
Axiom Investors LLC27,201$5.53M0.05%+8,429+44.9%Added
Bullseye Asset Management LLC27,199$5.53M2.65%+14,812+119.6%Added
Sivik Global Healthcare LLC27,500$5.59M2.34%+27,500New
Legal & General Group Plc28,739$5.85M0.00%−10,038−25.9%Reduced
Osterweis Capital Management Inc28,977$5.89M0.37%+6,706+30.1%Added
California State Teachers Retirement System30,906$6.29M0.01%−1,291−4.0%Reduced
Oak Ridge Investments LLC31,299$6.37M0.73%−832−2.6%Reduced
Next Century Growth Investors LLC31,336$6.37M0.62%−16,519−34.5%Reduced
Teachers Retirement System of the State of Kentucky31,876$6.49M0.06%+26,964+548.9%Added
Public Employees Retirement System of Ohio32,590$6.63M0.03%+3,181+10.8%Added
State Board of Administration of Florida Retirement System32,990$6.71M0.01%+276+0.8%Added
UBS Group AG33,173$6.75M0.00%+2,366+7.7%Added
Kopp Family Office, LLC33,225$6.76M3.95%+15,113+83.4%Added
Lazard Asset Management LLC34,157$6.95M0.01%−3,418−9.1%Reduced
Goldman Sachs Group Inc35,020$7.12M0.00%−17,616−33.5%Reduced
Armistice Capital, LLC36,522$7.43M0.20%+32,899+908.1%Added
Invesco Ltd.37,169$7.56M0.00%−150,615−80.2%Reduced
Rhumbline Advisers38,781$7.89M0.01%−469−1.2%Reduced
Polar Asset Management Partners Inc.39,800$8.10M0.22%+39,800New
California Public Employees Retirement System40,337$8.21M0.01%−12,240−23.3%Reduced
Man Group plc40,470$8.23M0.02%––
Capital Fund Management S.A.41,516$8.45M0.11%−8,791−17.5%Reduced
Royce & Associates LP42,269$8.60M0.08%+28,781+213.4%Added
Standard Life Aberdeen plc45,961$9.35M0.02%+45,961New
Neuberger Berman Group LLC50,857$10.3M0.01%+3,128+6.6%Added
Stanley-Laman Group, Ltd.51,051$10.4M1.59%+51,051New
Amundi57,739$11.0M0.00%−65,491−53.1%Reduced
Swiss National Bank57,800$11.8M0.01%−6,400−10.0%Reduced
Integral Health Asset Management, LLC60,000$12.2M1.76%−45,000−42.9%Reduced
Nomura Asset Management Co Ltd60,187$12.2M0.05%+60,187New
State of Wisconsin Investment Board62,458$12.7M0.04%+18,893+43.4%Added
Rheos Capital Works Inc.63,100$12.8M0.71%00.0%Unchanged
AQR Capital Management LLC63,443$12.9M0.02%+49,096+342.2%Added
Mairs & Power Inc64,609$13.1M0.14%+2,098+3.4%Added
Aquatic Capital Management LLC65,500$13.3M0.34%+62,000+1,771.4%Added
Novo Holdings A/S65,524$13.3M0.89%+5,524+9.2%Added
Jane Street Group, LLC66,025$13.4M0.02%+38,347+138.5%Added
Bank of America Corp69,254$14.1M0.00%−18,428−21.0%Reduced
Canada Pension Plan Investment Board70,000$14.2M0.02%+29,800+74.1%Added
Comerica Bank70,576$14.4M0.07%+600+0.9%Added
Ensign Peak Advisors, Inc70,716$14.4M0.03%+19,265+37.4%Added
Tudor Investment Corp Et Al71,600$14.6M0.20%+62,907+723.7%Added
Kornitzer Capital Management Inc72,150$14.7M0.29%00.0%Unchanged
Barclays PLC74,191$15.1M0.01%−5,745−7.2%Reduced
Connor, Clark & Lunn Investment Management Ltd.78,470$16.0M0.07%+65,125+488.0%Added
SEI Investments Co85,365$17.4M0.03%+4,597+5.7%Added
Alyeska Investment Group, L.P.87,687$17.8M0.12%+87,687New
First Light Asset Management, LLC88,523$18.0M1.45%+88,523New
ExodusPoint Capital Management, LP88,764$18.1M0.22%+62,975+244.2%Added
Nuveen Asset Management, LLC98,493$20.0M0.01%−28,441−22.4%Reduced
Rock Springs Capital Management LP99,000$20.1M0.50%+54,500+122.5%Added
Balyasny Asset Management LLC100,827$20.5M0.06%+83,704+488.8%Added
Susquehanna Portfolio Strategies, LLC101,600$20.7M0.37%+101,600New
UBS Asset Management Americas Inc102,956$20.9M0.01%−334−0.3%Reduced
Parkman Healthcare Partners LLC103,746$21.1M2.99%+76,823+285.3%Added
Schonfeld Strategic Advisors LLC107,342$21.8M0.18%+62,142+137.5%Added
Thrivent Financial for Lutherans108,922$22.2M0.05%+48,626+80.6%Added
Mitsubishi UFJ Trust & Banking Corp109,960$22.4M0.05%+37,390+51.5%Added
Degroof Petercam Asset Management110,000$22.4M0.29%+110,000New
Eagle Health Investments LP113,503$23.1M4.69%+20,260+21.7%Added
Renaissance Technologies LLC113,600$23.1M0.04%−201,800−64.0%Reduced
Atika Capital Management LLC121,600$24.7M3.52%−18,565−13.2%Reduced
Eventide Asset Management, LLC125,090$25.4M0.42%00.0%Unchanged
Ophir Asset Management Pty Ltd125,788$25.6M5.08%+125,788New
Summit Partners Public Asset Management, LLC141,777$28.8M1.57%−226,749−61.5%Reduced
Victory Capital Management Inc142,821$29.1M0.03%−22,350−13.5%Reduced
Iron Triangle Partners LP150,000$30.5M3.95%+150,000New