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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
Royal Bank of Canada28,241$5.24M0.00%−1,923−6.4%Reduced
California State Teachers Retirement System27,865$5.17M0.01%−225−0.8%Reduced
Monimus Capital Management, LP27,504$5.10M4.80%+27,504New
LMCG Investments, LLC26,868$4.98M0.31%−3,741−12.2%Reduced
Prudential Financial Inc28,740$4.96M0.01%−654−2.2%Reduced
Envestnet Asset Management Inc25,667$4.76M0.00%+1,752+7.3%Added
Comerica Bank25,159$4.66M0.02%+5,285+26.6%Added
Oak Ridge Investments LLC24,904$4.62M0.36%−6,431−20.5%Reduced
Thornburg Investment Management Inc24,869$4.61M0.06%−372−1.5%Reduced
Nippon Life Global Investors Americas, Inc.23,380$4.33M0.20%−5,210−18.2%Reduced
Ieq Capital, LLC21,095$3.91M0.04%+18,702+781.5%Added
Citigroup Inc19,296$3.58M0.00%+1,525+8.6%Added
Wells Fargo & Company19,013$3.52M0.00%+2,230+13.3%Added
Russell Investments Group, Ltd.18,126$3.36M0.00%+16,595+1,083.9%Added
PDT Partners, LLC18,042$3.34M0.30%−5,345−22.9%Reduced
State of Alaska, Department of Revenue17,031$3.16M0.04%+13+0.1%Added
Cetera Investment Advisers16,720$3.10M0.01%+634+3.9%Added
Two Sigma Investments, LP16,384$3.04M0.01%+1,398+9.3%Added
Clearbridge Investments, LLC16,349$3.03M0.00%+3,231+24.6%Added
Advisor Group Holdings, Inc.15,001$2.78M0.01%−2,078−12.2%Reduced
Louisiana State Employees Retirement System14,500$2.69M0.05%+100+0.7%Added
State of Tennessee, Treasury Department14,229$2.64M0.01%+4,684+49.1%Added
Teacher Retirement System of Texas13,679$2.54M0.01%+8,649+171.9%Added
Granite Investment Partners, LLC13,472$2.50M0.11%−2,277−14.5%Reduced
B. Metzler seel. Sohn & Co. AG13,425$2.49M0.03%+4,285+46.9%Added
Aquatic Capital Management LLC13,152$2.44M0.07%−13,948−51.5%Reduced
Oppenheimer Asset Management Inc.13,027$2.41M0.03%+2,375+22.3%Added
Treasurer of the State of North Carolina12,884$2.39M0.01%+90+0.7%Added
Agf Management Ltd12,806$2.37M0.01%+12,806New
Intech Investment Management LLC12,797$2.37M0.02%−1,423−10.0%Reduced
Gilliland Jeter Wealth Management LLC12,723$2.36M0.80%−100−0.8%Reduced
Zacks Investment Management12,657$2.35M0.02%+1,429+12.7%Added
Ensign Peak Advisors, Inc12,347$2.29M0.00%00.0%Unchanged
Cerity Partners LLC11,762$2.21M0.00%−1,814−13.4%Reduced
State of New Jersey Common Pension Fund D11,924$2.21M0.01%+145+1.2%Added
Maryland State Retirement & Pension System11,797$2.19M0.05%+21+0.2%Added
AIA Group Ltd11,766$2.18M0.05%−471−3.8%Reduced
Yousif Capital Management, LLC11,580$2.15M0.02%−180−1.5%Reduced
Centiva Capital, LP11,340$2.10M0.08%+11,340New
American Century Companies Inc11,214$2.08M0.00%+4,497+66.9%Added
Northwest & Ethical Investments L.P.11,025$2.04M0.06%−605−5.2%Reduced
Alliancebernstein L.P.10,918$2.02M0.00%−106−1.0%Reduced
Wealth Enhancement Advisory Services, LLC10,760$1.99M0.00%+2,960+37.9%Added
Police & Firemen's Retirement System of New Jersey10,495$1.95M0.02%+10,495New
Massmutual Trust Co FSB10,239$1.90M0.05%−990−8.8%Reduced
CWM, LLC9,899$1.83M0.01%+1,794+22.1%Added
LPL Financial LLC9,811$1.82M0.00%−338−3.3%Reduced
Danske Bank A/S9,753$1.81M0.01%+9,353+2,338.3%Added
Amalgamated Bank9,707$1.80M0.01%−67−0.7%Reduced
Evolutionary Tree Capital Management, LLC9,259$1.72M1.75%−1,170−11.2%Reduced
New York State Teachers Retirement System9,194$1.70M0.00%+1,100+13.6%Added
Quadrature Capital Ltd9,118$1.69M0.03%+3,868+73.7%Added
Arizona State Retirement System8,655$1.60M0.01%+100+1.2%Added
Employees Retirement System of Texas8,580$1.59M0.01%00.0%Unchanged
Handelsbanken Fonder AB8,400$1.56M0.01%00.0%Unchanged
BNP Paribas Arbitrage, SA7,991$1.48M0.00%+3,280+69.6%Added
Commonwealth Equity Services, LLC7,984$1.48M0.00%+575+7.8%Added
MML Investors Services, LLC7,941$1.47M0.01%+67+0.9%Added
D. E. Shaw & Co., Inc.7,753$1.44M0.00%+4,780+160.8%Added
Zurcher Kantonalbank (Zurich Cantonalbank)7,662$1.42M0.00%+898+13.3%Added
Congress Asset Management Co7,606$1.41M0.01%+2,077+37.6%Added
Bessemer Group Inc7,060$1.31M0.00%+37+0.5%Added
Oregon Public Employees Retirement Fund7,054$1.31M0.02%−46−0.6%Reduced
Sit Investment Associates Inc6,830$1.27M0.03%00.0%Unchanged
Integrated Quantitative Investments LLC6,800$1.26M0.62%+6,800New
Verition Fund Management LLC6,766$1.25M0.01%+3,181+88.7%Added
KLP Kapitalforvaltning AS6,400$1.19M0.01%+6,400New
Commonwealth of Pennsylvania Public School Empls Retrmt Sys6,397$1.19M0.01%+23+0.4%Added
ABN AMRO Bank N.V.6,447$1.18M0.02%−274−4.1%Reduced
Manufacturers Life Insurance Company, The6,364$1.18M0.00%−9,302−59.4%Reduced
CenterBook Partners LP6,299$1.17M0.07%+6,299New
Deutsche Bank AG6,284$1.16M0.00%+360+6.1%Added
Winton Group Ltd5,977$1.11M0.07%+806+15.6%Added
Valeo Financial Advisors, LLC5,442$1.01M0.03%+19+0.4%Added
Lecap Asset Management Ltd5,254$974.0K0.26%−1,412−21.2%Reduced
Polar Asset Management Partners Inc.5,100$945.4K0.01%+5,100New
Millennium Management LLC5,051$936.4K0.00%−2,475−32.9%Reduced
Allianz Asset Management GmbH4,922$912.4K0.00%+2,603+112.2%Added
Mariner, LLC4,837$896.7K0.00%+77+1.6%Added
Blair William & Co4,816$892.8K0.00%−3,501−42.1%Reduced
Janney Montgomery Scott LLC4,806$891.0K0.00%+3,427+248.5%Added
Diversified Trust Co4,686$868.7K0.02%+173+3.8%Added
MAI Capital Management4,634$859.0K0.01%−82−1.7%Reduced
Connable Office Inc4,633$858.9K0.09%00.0%Unchanged
Schonfeld Strategic Advisors LLC4,570$847.2K0.01%−3,068−40.2%Reduced
Mutual of America Capital Management LLC4,540$841.6K0.01%+55+1.2%Added
Bank of Montreal4,522$838.3K0.00%+1,064+30.8%Added
Pictet Asset Management Holding SA4,298$796.8K0.00%+536+14.2%Added
Jane Street Group, LLC4,267$791.0K0.00%−3,778−47.0%Reduced
Apollon Wealth Management, LLC4,180$774.9K0.02%−229−5.2%Reduced
Pallas Capital Advisors LLC4,037$748.4K0.03%+233+6.1%Added
Caisse de Depot Et Placement du Quebec3,983$738.4K0.00%+3,983New
Xponance, Inc.3,824$708.9K0.01%+82+2.2%Added
Illinois Municipal Retirement Fund3,639$674.6K0.01%00.0%Unchanged
SG Americas Securities, LLC3,534$655.0K0.00%+892+33.8%Added
M&T Bank Corp3,526$654.1K0.00%+298+9.2%Added
Public Employees Retirement Association of Colorado3,410$632.0K0.00%00.0%Unchanged
Mitsubishi UFJ Kokusai Asset Management Co., Ltd.3,103$616.5K0.00%−1,633−34.5%Reduced
Twin Capital Management Inc3,264$605.1K0.07%−3,383−50.9%Reduced
Bridgewater Associates, LP3,162$586.2K0.00%−1,378−30.4%Reduced