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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, Q3 2025

Institutional positions in Inspire Medical Systems, Inc. as of Sep 30, 2025. 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
325
−27 vs. Q2 2025
Shares held
31.1M
−2.40M (−7.2%) vs. Q2 2025
Total value
$2.31B
−$2.04B (−46.9%) vs. Q2 2025
New holders
66
97 more added
Sold out
93
131 more reduced

4 institutions that held it in Q2 2025 haven't filed for Q3 2025 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q2 2025: 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 holdersQ3 2025: 325 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 heldQ3 2025: $2.31B
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, Q3 2025

Shares, value and share of portfolio for each institution holding Inspire Medical Systems, Inc.; share changes are against Q2 2025.

Institutions holding INSP in Q3 2025
InstitutionSharesValue% of portfolioChange in sharesAction
Thrivent Financial for Lutherans19,415$1.44M0.00%−91,253−82.5%Reduced
Two Sigma Advisers, LP20,000$1.48M0.00%+20,000New
Thornburg Investment Management Inc20,364$1.51M0.02%−564−2.7%Reduced
New York State Teachers Retirement System21,090$1.56M0.00%−400−1.9%Reduced
Neo Ivy Capital Management21,688$1.61M0.39%+21,656+67,675.0%Added
Lighthouse Investment Partners, LLC22,000$1.63M0.06%+22,000New
Edgestream Partners, L.P.22,956$1.70M0.05%−37,242−61.9%Reduced
Squarepoint Ops LLC23,144$1.72M0.00%+23,144New
Victory Capital Management Inc23,167$1.72M0.00%−39,540−63.1%Reduced
State of New Jersey Common Pension Fund D23,216$1.72M0.01%+10,311+79.9%Added
Great West Life Assurance Co22,993$1.74M0.00%−1,504−6.1%Reduced
Algert Global LLC23,487$1.74M0.03%+1,310+5.9%Added
Bank of Nova Scotia24,198$1.80M0.00%+24,198New
Oak Ridge Investments LLC24,261$1.80M0.12%−2,092−7.9%Reduced
Prudential Financial Inc24,830$1.84M0.00%−3,670−12.9%Reduced
Price T Rowe Associates Inc24,928$1.85M0.00%−38,710−60.8%Reduced
Baird Financial Group, Inc.25,149$1.87M0.00%−3,624−12.6%Reduced
Illinois Municipal Retirement Fund25,424$1.89M0.02%+18,400+262.0%Added
California State Teachers Retirement System26,303$1.95M0.00%−1,251−4.5%Reduced
EFG Asset Management (North America) Corp.27,634$2.05M0.26%+16,887+157.1%Added
Gotham Asset Management, LLC29,090$2.16M0.01%+29,090New
State Board of Administration of Florida Retirement System30,940$2.30M0.00%−727−2.3%Reduced
ExodusPoint Capital Management, LP32,821$2.44M0.03%+32,821New
Voya Investment Management LLC35,826$2.66M0.00%−142,493−79.9%Reduced
Bullseye Asset Management LLC36,128$2.68M1.40%00.0%Unchanged
Aquatic Capital Management LLC37,058$2.75M0.05%+37,058New
Two Sigma Investments, LP37,152$2.76M0.00%+17,802+92.0%Added
Point72 Hong Kong Ltd39,122$2.90M0.13%+21,672+124.2%Added
Canada Pension Plan Investment Board39,600$2.94M0.00%+29,200+280.8%Added
Kopp Family Office, LLC40,614$3.01M1.96%00.0%Unchanged
Quantbot Technologies LP41,063$3.05M0.08%+41,063New
Bank of Montreal41,916$3.11M0.00%+36,409+661.1%Added
Citigroup Inc42,328$3.14M0.00%−9,200−17.9%Reduced
HSBC Holdings PLC43,538$3.19M0.00%+35,576+446.8%Added
Macquarie Group Ltd43,324$3.21M0.00%−452,232−91.3%Reduced
HRT Financial LP45,681$3.39M0.01%+45,681New
Teachers Retirement System of the State of Kentucky46,366$3.44M0.03%+3,642+8.5%Added
Nuveen, LLC47,852$3.55M0.00%−165−0.3%Reduced
AQR Capital Management LLC49,417$3.67M0.00%−71,993−59.3%Reduced
Affinity Asset Advisors, LLC50,000$3.71M0.35%+50,000New
New York State Common Retirement Fund50,247$3.73M0.00%−141,021−73.7%Reduced
Rheos Capital Works Inc.52,400$3.89M0.22%00.0%Unchanged
Swiss National Bank54,400$4.04M0.00%−2,400−4.2%Reduced
Mitsubishi UFJ Trust & Banking Corp55,805$4.14M0.01%−1,806−3.1%Reduced
Healthcare of Ontario Pension Plan Trust Fund58,497$4.34M0.01%+58,497New
Bellevue Group AG58,648$4.35M0.09%−17,012−22.5%Reduced
Rhenman & Partners Asset Management AB61,000$4.53M0.50%+30,500+100.0%Added
Weiss Asset Management LP63,029$4.68M0.07%+63,029New
Mairs & Power Inc65,446$4.86M0.05%−2,358−3.5%Reduced
Rhumbline Advisers67,200$4.99M0.00%−3,555−5.0%Reduced
Susquehanna International Group, LLP69,328$5.14M0.01%+51,299+284.5%Added
Jane Street Group, LLC71,451$5.30M0.01%+71,451New
Verition Fund Management LLC71,695$5.32M0.03%+55,261+336.3%Added
Capital Fund Management S.A.72,997$5.42M0.05%+4,334+6.3%Added
State of Wisconsin Investment Board73,104$5.42M0.01%+4,624+6.8%Added
Susquehanna Portfolio Strategies, LLC75,555$5.61M0.09%+75,555New
Voleon Capital Management LP78,518$5.83M0.14%+78,518New
JPMorgan Chase & Co80,374$5.96M0.00%−303,667−79.1%Reduced
Qube Research & Technologies Ltd82,810$6.14M0.01%+82,810New
Man Group plc83,845$6.22M0.01%−296,453−78.0%Reduced
Legal & General Group Plc84,280$6.25M0.00%−11,408−11.9%Reduced
Voloridge Investment Management, LLC88,301$6.55M0.02%+88,301New
Bridgewater Associates, LP88,952$6.60M0.03%−52,695−37.2%Reduced
Ameriprise Financial Inc89,071$6.61M0.00%−23,379−20.8%Reduced
Lazard Asset Management LLC89,605$6.65M0.01%+17,500+24.3%Added
Winton Group Ltd91,458$6.79M0.25%+83,369+1,030.6%Added
Point72 Asset Management, L.P.91,896$6.82M0.01%+16,491+21.9%Added
Invesco Ltd.92,787$6.88M0.00%−240,445−72.2%Reduced
Cubist Systematic Strategies, LLC97,387$7.23M0.10%+97,387New
Y-Intercept (Hong Kong) Ltd99,049$7.35M0.18%+83,883+553.1%Added
VGI Partners Ltd101,714$7.55M0.54%+101,714New
Riverbridge Partners LLC103,571$7.68M0.13%−10,315−9.1%Reduced
Federated Hermes, Inc.103,804$7.70M0.01%−124,528−54.5%Reduced
Public Sector Pension Investment Board104,984$7.79M0.03%+4,479+4.5%Added
WCM Investment Management, LLC107,032$8.09M0.02%−3,701−3.3%Reduced
Rock Springs Capital Management LP110,500$8.20M0.48%+3,000+2.8%Added
Ra Capital Management, L.P.114,901$8.53M0.11%+114,901New
Integral Health Asset Management, LLC120,000$8.90M0.65%+50,000+71.4%Added
Credit Agricole S A125,255$9.29M0.03%+125,255New
Walleye Capital LLC128,613$9.54M0.08%+128,595+714,416.7%Added
Principal Financial Group Inc128,984$9.57M0.00%−16,718−11.5%Reduced
Marshall Wace, LLP134,269$9.96M0.01%+118,364+744.2%Added
Vestal Point Capital, LP135,000$10.0M0.45%+135,000New
Wasatch Advisors Inc135,914$10.1M0.05%−1,498,481−91.7%Reduced
Capstone Investment Advisors, LLC136,807$10.2M0.09%+132,432+3,027.0%Added
Connor, Clark & Lunn Investment Management Ltd.139,317$10.3M0.03%−73,426−34.5%Reduced
M&G Plc144,960$10.7M0.06%+92,036+173.9%Added
Renaissance Technologies LLC155,000$11.5M0.02%+28,200+22.2%Added
Frontier Capital Management Co LLC162,295$12.0M0.11%−530,908−76.6%Reduced
Bank of New York Mellon Corp166,876$12.4M0.00%−160,877−49.1%Reduced
Atika Capital Management LLC187,600$13.9M1.19%+25,700+15.9%Added
Northern Trust Corp189,764$14.1M0.00%−12,747−6.3%Reduced
Bamco Inc190,023$14.1M0.04%−301,729−61.4%Reduced
Charles Schwab Investment Management Inc193,134$14.3M0.00%−90,466−31.9%Reduced
Keybank National Association200,005$14.8M0.05%−626−0.3%Reduced
Eventide Asset Management, LLC256,658$19.0M0.31%+100,000+63.8%Added
Amundi255,124$19.5M0.01%+71,168+38.7%Added
Goldman Sachs Group Inc263,224$19.5M0.00%+169,158+179.8%Added
Brown Capital Management LLC278,040$20.6M0.85%−89,401−24.3%Reduced
Bank of America Corp288,828$21.4M0.00%+34,354+13.5%Added