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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 2024

Institutional positions in Inspire Medical Systems, Inc. as of Dec 31, 2024. 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
357
+16 vs. Q3 2024
Shares held
33.4M
+361.4K (+1.1%) vs. Q3 2024
Total value
$6.20B
−$772.6M (−11.1%) vs. Q3 2024
New holders
60
119 more added
Sold out
44
127 more reduced

6 institutions that held it in Q3 2024 haven't filed for Q4 2024 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q3 2024: 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 2024: 357 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 2024: $6.20B
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 2024

Shares, value and share of portfolio for each institution holding Inspire Medical Systems, Inc.; share changes are against Q3 2024.

Institutions holding INSP in Q4 2024
InstitutionSharesValue% of portfolioChange in sharesAction
Commonwealth Equity Services, LLC7,984$1.48M0.00%+575+7.8%Added
BNP Paribas Arbitrage, SA7,991$1.48M0.00%+3,280+69.6%Added
Handelsbanken Fonder AB8,400$1.56M0.01%00.0%Unchanged
Employees Retirement System of Texas8,580$1.59M0.01%00.0%Unchanged
Arizona State Retirement System8,655$1.60M0.01%+100+1.2%Added
Quadrature Capital Ltd9,118$1.69M0.03%+3,868+73.7%Added
New York State Teachers Retirement System9,194$1.70M0.00%+1,100+13.6%Added
Evolutionary Tree Capital Management, LLC9,259$1.72M1.75%−1,170−11.2%Reduced
Amalgamated Bank9,707$1.80M0.01%−67−0.7%Reduced
Danske Bank A/S9,753$1.81M0.01%+9,353+2,338.3%Added
LPL Financial LLC9,811$1.82M0.00%−338−3.3%Reduced
CWM, LLC9,899$1.83M0.01%+1,794+22.1%Added
Massmutual Trust Co FSB10,239$1.90M0.05%−990−8.8%Reduced
Police & Firemen's Retirement System of New Jersey10,495$1.95M0.02%+10,495New
Wealth Enhancement Advisory Services, LLC10,760$1.99M0.00%+2,960+37.9%Added
Alliancebernstein L.P.10,918$2.02M0.00%−106−1.0%Reduced
Northwest & Ethical Investments L.P.11,025$2.04M0.06%−605−5.2%Reduced
American Century Companies Inc11,214$2.08M0.00%+4,497+66.9%Added
Centiva Capital, LP11,340$2.10M0.08%+11,340New
Yousif Capital Management, LLC11,580$2.15M0.02%−180−1.5%Reduced
AIA Group Ltd11,766$2.18M0.05%−471−3.8%Reduced
Maryland State Retirement & Pension System11,797$2.19M0.05%+21+0.2%Added
State of New Jersey Common Pension Fund D11,924$2.21M0.01%+145+1.2%Added
Cerity Partners LLC11,762$2.21M0.00%−1,814−13.4%Reduced
Ensign Peak Advisors, Inc12,347$2.29M0.00%00.0%Unchanged
Zacks Investment Management12,657$2.35M0.02%+1,429+12.7%Added
Gilliland Jeter Wealth Management LLC12,723$2.36M0.80%−100−0.8%Reduced
Intech Investment Management LLC12,797$2.37M0.02%−1,423−10.0%Reduced
Agf Management Ltd12,806$2.37M0.01%+12,806New
Treasurer of the State of North Carolina12,884$2.39M0.01%+90+0.7%Added
Oppenheimer Asset Management Inc.13,027$2.41M0.03%+2,375+22.3%Added
Aquatic Capital Management LLC13,152$2.44M0.07%−13,948−51.5%Reduced
B. Metzler seel. Sohn & Co. AG13,425$2.49M0.03%+4,285+46.9%Added
Granite Investment Partners, LLC13,472$2.50M0.11%−2,277−14.5%Reduced
Teacher Retirement System of Texas13,679$2.54M0.01%+8,649+171.9%Added
State of Tennessee, Treasury Department14,229$2.64M0.01%+4,684+49.1%Added
Louisiana State Employees Retirement System14,500$2.69M0.05%+100+0.7%Added
Advisor Group Holdings, Inc.15,001$2.78M0.01%−2,078−12.2%Reduced
Clearbridge Investments, LLC16,349$3.03M0.00%+3,231+24.6%Added
Two Sigma Investments, LP16,384$3.04M0.01%+1,398+9.3%Added
Cetera Investment Advisers16,720$3.10M0.01%+634+3.9%Added
State of Alaska, Department of Revenue17,031$3.16M0.04%+13+0.1%Added
PDT Partners, LLC18,042$3.34M0.30%−5,345−22.9%Reduced
Russell Investments Group, Ltd.18,126$3.36M0.00%+16,595+1,083.9%Added
Wells Fargo & Company19,013$3.52M0.00%+2,230+13.3%Added
Citigroup Inc19,296$3.58M0.00%+1,525+8.6%Added
Ieq Capital, LLC21,095$3.91M0.04%+18,702+781.5%Added
Nippon Life Global Investors Americas, Inc.23,380$4.33M0.20%−5,210−18.2%Reduced
Thornburg Investment Management Inc24,869$4.61M0.06%−372−1.5%Reduced
Oak Ridge Investments LLC24,904$4.62M0.36%−6,431−20.5%Reduced
Comerica Bank25,159$4.66M0.02%+5,285+26.6%Added
Envestnet Asset Management Inc25,667$4.76M0.00%+1,752+7.3%Added
Prudential Financial Inc28,740$4.96M0.01%−654−2.2%Reduced
LMCG Investments, LLC26,868$4.98M0.31%−3,741−12.2%Reduced
Monimus Capital Management, LP27,504$5.10M4.80%+27,504New
California State Teachers Retirement System27,865$5.17M0.01%−225−0.8%Reduced
Royal Bank of Canada28,241$5.24M0.00%−1,923−6.4%Reduced
Barclays PLC28,375$5.26M0.00%−14,150−33.3%Reduced
Baird Financial Group, Inc.28,391$5.26M0.01%−3,996−12.3%Reduced
Great West Life Assurance Co28,819$5.35M0.01%−418−1.4%Reduced
State Board of Administration of Florida Retirement System31,110$5.77M0.01%−730−2.3%Reduced
Goldman Sachs Group Inc32,565$6.04M0.00%−16,637−33.8%Reduced
Trexquant Investment LP33,871$6.28M0.07%+33,871New
Beck Bode, LLC34,711$6.43M1.18%+34,711New
Public Employees Retirement System of Ohio35,178$6.52M0.02%−1,183−3.3%Reduced
Arrowstreet Capital, Limited Partnership35,294$6.54M0.01%+33,202+1,587.1%Added
Bullseye Asset Management LLC36,128$6.70M3.15%−471−1.3%Reduced
California Public Employees Retirement System38,568$7.15M0.00%−12,516−24.5%Reduced
Kopp Family Office, LLC41,041$7.61M4.82%−24−0.1%Reduced
Algert Global LLC43,012$7.97M0.19%−2,551−5.6%Reduced
Bank of America Corp46,396$8.60M0.00%−36,032−43.7%Reduced
Jennison Associates LLC47,586$8.82M0.01%+47,586New
Teachers Retirement System of the State of Kentucky47,888$8.88M0.08%−1,290−2.6%Reduced
M&G Plc49,704$9.20M0.06%+49,704New
Impax Asset Management Group plc50,000$9.27M0.04%00.0%Unchanged
Kornitzer Capital Management Inc50,240$9.31M0.18%00.0%Unchanged
Rheos Capital Works Inc.52,400$9.71M0.54%00.0%Unchanged
Citadel Advisors LLC52,421$9.72M0.01%−57,890−52.5%Reduced
WCM Investment Management, LLC55,735$10.3M0.02%+55,735New
Norges Bank57,617$10.7M0.00%−220,356−79.3%Reduced
Price T Rowe Associates Inc57,932$10.7M0.00%−106,173−64.7%Reduced
Swiss National Bank58,600$10.9M0.01%+600+1.0%Added
Fred Alger Management, LLC63,125$11.7M0.06%−6,725−9.6%Reduced
Lazard Asset Management LLC64,282$11.9M0.02%−922−1.4%Reduced
Mairs & Power Inc64,671$12.0M0.12%+3,498+5.7%Added
State of Wisconsin Investment Board65,688$12.2M0.03%+3,747+6.0%Added
Mitsubishi UFJ Trust & Banking Corp73,352$13.6M0.03%−9,384−11.3%Reduced
Rhumbline Advisers73,650$13.7M0.01%−2,918−3.8%Reduced
Public Sector Pension Investment Board74,659$13.8M0.06%+11,359+17.9%Added
Victory Capital Management Inc77,469$14.4M0.01%−5,380−6.5%Reduced
Capital Fund Management S.A.80,984$15.0M0.15%−16,524−16.9%Reduced
Neuberger Berman Group LLC84,225$15.6M0.01%+4,140+5.2%Added
Los Angeles Capital Management LLC90,542$16.8M0.07%+47,563+110.7%Added
Legal & General Group Plc95,478$17.7M0.00%+3,065+3.3%Added
Integral Health Asset Management, LLC100,000$18.5M1.64%−60,000−37.5%Reduced
First Trust Advisors LP101,614$18.8M0.02%+101,614New
Ameriprise Financial Inc104,756$19.4M0.00%−77,409−42.5%Reduced
Credit Agricole S A118,076$21.9M0.07%−19,332−14.1%Reduced
Standard Life Aberdeen plc121,361$22.4M0.04%00.0%Unchanged
Eventide Asset Management, LLC125,090$23.2M0.42%00.0%Unchanged