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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
Voya Investment Management LLC35,826$2.66M0.00%−142,493−79.9%Reduced
ExodusPoint Capital Management, LP32,821$2.44M0.03%+32,821New
State Board of Administration of Florida Retirement System30,940$2.30M0.00%−727−2.3%Reduced
Gotham Asset Management, LLC29,090$2.16M0.01%+29,090New
EFG Asset Management (North America) Corp.27,634$2.05M0.26%+16,887+157.1%Added
California State Teachers Retirement System26,303$1.95M0.00%−1,251−4.5%Reduced
Illinois Municipal Retirement Fund25,424$1.89M0.02%+18,400+262.0%Added
Baird Financial Group, Inc.25,149$1.87M0.00%−3,624−12.6%Reduced
Price T Rowe Associates Inc24,928$1.85M0.00%−38,710−60.8%Reduced
Prudential Financial Inc24,830$1.84M0.00%−3,670−12.9%Reduced
Oak Ridge Investments LLC24,261$1.80M0.12%−2,092−7.9%Reduced
Bank of Nova Scotia24,198$1.80M0.00%+24,198New
Algert Global LLC23,487$1.74M0.03%+1,310+5.9%Added
Great West Life Assurance Co22,993$1.74M0.00%−1,504−6.1%Reduced
State of New Jersey Common Pension Fund D23,216$1.72M0.01%+10,311+79.9%Added
Victory Capital Management Inc23,167$1.72M0.00%−39,540−63.1%Reduced
Squarepoint Ops LLC23,144$1.72M0.00%+23,144New
Edgestream Partners, L.P.22,956$1.70M0.05%−37,242−61.9%Reduced
Lighthouse Investment Partners, LLC22,000$1.63M0.06%+22,000New
Neo Ivy Capital Management21,688$1.61M0.39%+21,656+67,675.0%Added
New York State Teachers Retirement System21,090$1.56M0.00%−400−1.9%Reduced
Thornburg Investment Management Inc20,364$1.51M0.02%−564−2.7%Reduced
Two Sigma Advisers, LP20,000$1.48M0.00%+20,000New
Thrivent Financial for Lutherans19,415$1.44M0.00%−91,253−82.5%Reduced
Holocene Advisors, LP19,171$1.42M0.00%+19,171New
Exome Asset Management LLC18,600$1.38M0.91%+18,600New
Landscape Capital Management, L.L.C.18,288$1.36M0.09%+13,305+267.0%Added
Gilder Gagnon Howe & Co LLC17,600$1.31M0.01%−74,156−80.8%Reduced
Advisor Group Holdings, Inc.14,055$1.29M0.00%−222−1.6%Reduced
State of Tennessee, Treasury Department17,297$1.28M0.00%+852+5.2%Added
DAFNA Capital Management LLC17,200$1.28M0.32%+17,200New
Acadian Asset Management LLC16,646$1.23M0.00%+16,646New
SEI Investments Co16,425$1.22M0.00%−116,644−87.7%Reduced
State of Alaska, Department of Revenue15,195$1.13M0.01%−2,361−13.4%Reduced
Comerica Bank14,394$1.07M0.00%−26,613−64.9%Reduced
Royal Bank of Canada13,912$1.03M0.00%+1,183+9.3%Added
Congress Asset Management Co13,501$1.00M0.01%−359,846−96.4%Reduced
ING Groep NV13,500$1.00M0.01%+13,500New
Brevan Howard Capital Management LP13,227$981.4K0.01%−8,324−38.6%Reduced
Monimus Capital Management, LP13,077$970.3K0.72%−13,298−50.4%Reduced
Treasurer of the State of North Carolina12,860$954.0K0.00%−506−3.8%Reduced
Police & Firemen's Retirement System of New Jersey12,532$929.9K0.01%+1,343+12.0%Added
Nordea Investment Management AB12,624$924.1K0.00%00.0%Unchanged
Louisiana State Employees Retirement System12,400$920.1K0.02%−1,400−10.1%Reduced
B. Metzler seel. Sohn & Co. AG12,362$917.3K0.01%−13,400−52.0%Reduced
Envestnet Asset Management Inc12,118$899.1K0.00%−19,776−62.0%Reduced
Mirae Asset Global ETFs Holdings Ltd.12,090$897.1K0.00%+1,770+17.2%Added
Natixis12,088$896.9K0.00%+12,088New
Quantinno Capital Management LP11,780$874.1K0.00%+8,573+267.3%Added
Quantitative Investment Management, LLC11,692$867.0K0.12%+11,692New
LPL Financial LLC11,195$830.7K0.00%−282−2.5%Reduced
Jump Financial, LLC10,993$815.7K0.01%+3,818+53.2%Added
Fox Run Management, L.L.C.10,782$800.0K0.12%+10,782New
Hussman Strategic Advisors, Inc.10,500$779.1K0.17%−4,200−28.6%Reduced
Wells Fargo & Company10,318$765.6K0.00%−1,942−15.8%Reduced
Magnetar Financial LLC10,245$760.2K0.00%−57,134−84.8%Reduced
Group One Trading, L.P.10,240$759.8K0.02%+10,240New
Amalgamated Bank9,212$684.0K0.00%−355−3.7%Reduced
Public Employees Retirement System of Ohio8,936$663.1K0.00%−42,841−82.7%Reduced
FORA Capital, LLC8,928$662.5K0.12%+7,235+427.3%Added
Zurcher Kantonalbank (Zurich Cantonalbank)8,758$649.8K0.00%+727+9.1%Added
Freestone Grove Partners LP8,676$643.8K0.00%+8,676New
Barclays PLC8,650$641.8K0.00%−3,343−27.9%Reduced
Employees Retirement System of Texas8,580$637.0K0.01%00.0%Unchanged
Intech Investment Management LLC8,501$630.8K0.01%−44,082−83.8%Reduced
Yousif Capital Management, LLC8,488$629.8K0.01%−2,780−24.7%Reduced
Marex Group plc8,451$627.1K0.01%+4,279+102.6%Added
Arizona State Retirement System8,292$615.3K0.00%−393−4.5%Reduced
Handelsbanken Fonder AB7,900$586.0K0.00%00.0%Unchanged
Diversified Trust Co7,840$581.7K0.01%+3,167+67.8%Added
SG Americas Securities, LLC7,754$575.0K0.00%+3,454+80.3%Added
XTX Topco Ltd7,289$540.8K0.03%+300+4.3%Added
Deutsche Bank AG7,188$533.4K0.00%+82+1.2%Added
Bessemer Group Inc7,076$525.0K0.00%+46+0.7%Added
Fred Alger Management, LLC6,936$514.7K0.00%−115,722−94.3%Reduced
AIA Group Ltd6,902$512.1K0.01%−840−10.8%Reduced
Commonwealth of Pennsylvania Public School Empls Retrmt Sys6,854$508.6K0.00%−718−9.5%Reduced
Alliancebernstein L.P.6,773$502.6K0.00%+346+5.4%Added
Point72 Asia (Singapore) Pte. Ltd.6,660$494.1K0.08%+6,660New
Axq Capital, LP6,429$477.0K0.18%+6,429New
Sherbrooke Park Advisers LLC6,353$471.4K0.22%+1,803+39.6%Added
Russell Investments Group, Ltd.6,301$467.6K0.00%+2,883+84.3%Added
Virginia Retirement Systems Et Al6,094$452.2K0.00%−1,000−14.1%Reduced
Oregon Public Employees Retirement Fund6,072$450.5K0.01%−700−10.3%Reduced
ABN AMRO Bank N.V.6,019$445.3K0.00%00.0%Unchanged
ADAR1 Capital Management, LLC6,000$445.2K0.04%+6,000New
Ensign Peak Advisors, Inc5,977$443.5K0.00%−3,500−36.9%Reduced
Northwest & Ethical Investments L.P.5,940$440.7K0.01%00.0%Unchanged
Kornitzer Capital Management Inc5,800$430.4K0.01%−44,440−88.5%Reduced
Commonwealth Equity Services, LLC5,796$430.0K0.00%−1,627−21.9%Reduced
Prelude Capital Management, LLC5,735$425.5K0.03%+5,735New
Commerce Bank5,664$420.3K0.00%+3,640+179.8%Added
KLP Kapitalforvaltning AS5,600$415.5K0.00%−700−11.1%Reduced
Numerai GP LLC5,543$411.3K0.06%+5,543New
Truist Financial Corp5,299$393.2K0.00%+2,532+91.5%Added
Manufacturers Life Insurance Company, The5,247$389.3K0.00%−515−8.9%Reduced
Maryland State Retirement & Pension System5,238$388.7K0.01%−4,799−47.8%Reduced
Schonfeld Strategic Advisors LLC5,153$382.4K0.00%+5,153New
Bridgefront Capital, LLC5,010$371.7K0.11%+2,901+137.6%Added
Cinctive Capital Management LP5,000$371.0K0.02%+5,000New