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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 2025

Institutional positions in Inspire Medical Systems, Inc. as of Dec 31, 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
343
+24 vs. Q3 2025
Shares held
33.9M
+2.96M (+9.6%) vs. Q3 2025
Total value
$3.12B
+$828.8M (+36.1%) vs. Q3 2025
New holders
93
114 more added
Sold out
69
114 more reduced

6 institutions that held it in Q3 2025 haven't filed for Q4 2025 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q3 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 holdersQ4 2025: 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 2025: $3.12B
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 2025

Shares, value and share of portfolio for each institution holding Inspire Medical Systems, Inc.; share changes are against Q3 2025.

Institutions holding INSP in Q4 2025
InstitutionSharesValue% of portfolioChange in sharesAction
BlackRock, Inc.3,550,848$327.5M0.01%+3,653+0.1%Added
Vanguard Group Inc2,953,170$272.4M0.00%−46,917−1.6%Reduced
Wellington Management Group LLP2,211,091$203.9M0.04%+2,211,091New
Deerfield Management Company, L.P. (Series C)1,505,872$138.9M1.78%+458,178+43.7%Added
Morgan Stanley1,259,762$116.2M0.01%+809,121+179.5%Added
D. E. Shaw & Co., Inc.1,212,162$111.8M0.08%+853,305+237.8%Added
William Blair Investment Management, LLC1,161,285$107.1M0.30%−136,288−10.5%Reduced
State Street Corp918,504$84.7M0.00%−60,805−6.2%Reduced
Artisan Partners Limited Partnership785,742$72.5M0.11%+259,500+49.3%Added
Fuller & Thaler Asset Management, Inc.668,099$61.6M0.21%+668,099New
Janus Henderson Group PLC562,331$51.9M0.02%−104,747−15.7%Reduced
Braidwell LP540,890$49.9M1.60%−342,857−38.8%Reduced
Marshall Wace, LLP531,079$49.0M0.05%+396,810+295.5%Added
Deutsche Bank AG516,816$47.7M0.02%+509,628+7,090.0%Added
Citadel Advisors LLC511,318$47.2M0.03%−1,237,091−70.8%Reduced
Geode Capital Management, LLC491,750$45.4M0.00%−13,237−2.6%Reduced
UBS Asset Management Americas Inc463,316$42.7M0.01%−370,283−44.4%Reduced
Standard Life Aberdeen plc460,901$42.5M0.07%+64,561+16.3%Added
BNP Paribas Arbitrage, SA454,810$41.9M0.03%−67,370−12.9%Reduced
Eventide Asset Management, LLC440,205$40.6M0.63%+183,547+71.5%Added
UBS Group AG411,329$37.9M0.01%−56,407−12.1%Reduced
Renaissance Technologies LLC410,768$37.9M0.06%+255,768+165.0%Added
Amundi364,622$33.6M0.01%+109,498+42.9%Added
Driehaus Capital Management LLC348,500$32.1M0.22%+348,500New
Dimensional Fund Advisors LP341,397$31.5M0.01%−2,321−0.7%Reduced
Bamco Inc337,486$31.1M0.08%+147,463+77.6%Added
Price T Rowe Associates Inc308,171$28.4M0.00%+283,243+1,136.2%Added
Jefferies Financial Group Inc.307,588$28.4M0.23%+307,588New
Soleus Capital Management, L.P.299,399$27.6M1.17%−428,789−58.9%Reduced
Goldman Sachs Group Inc284,885$26.3M0.00%+21,661+8.2%Added
Jane Street Group, LLC277,199$25.6M0.03%+205,748+288.0%Added
Jain Global LLC268,250$24.7M0.24%+264,354+6,785.3%Added
Assenagon Asset Management S.A.264,999$24.4M0.04%+264,999New
Invesco Ltd.261,374$24.1M0.00%+168,587+181.7%Added
Franklin Resources Inc231,438$21.3M0.01%−65,807−22.1%Reduced
Bank of New York Mellon Corp215,780$19.9M0.00%+48,904+29.3%Added
Trexquant Investment LP213,249$19.7M0.18%+213,249New
VGI Partners Ltd211,304$19.5M1.12%+109,590+107.7%Added
Bank of America Corp210,126$19.4M0.00%−78,702−27.2%Reduced
Champlain Investment Partners, LLC203,098$18.7M0.19%−203,961−50.1%Reduced
Millennium Management LLC202,140$18.6M0.01%−154,668−43.3%Reduced
Keybank National Association200,042$18.4M0.07%+370.0%Added
Northern Trust Corp197,456$18.2M0.00%+7,692+4.1%Added
Charles Schwab Investment Management Inc194,155$17.9M0.00%+1,021+0.5%Added
Voloridge Investment Management, LLC188,100$17.3M0.06%+99,799+113.0%Added
Balyasny Asset Management LLC187,226$17.3M0.03%−427,133−69.5%Reduced
Nuveen, LLC159,421$14.7M0.00%+111,569+233.2%Added
Frontier Capital Management Co LLC142,007$13.1M0.14%−20,288−12.5%Reduced
Ra Capital Management, L.P.141,964$13.1M0.13%+27,063+23.6%Added
FMR LLC137,306$12.7M0.00%−612,006−81.7%Reduced
Connor, Clark & Lunn Investment Management Ltd.136,420$12.6M0.03%−2,897−2.1%Reduced
Rock Springs Capital Management LP131,000$12.1M0.62%+20,500+18.6%Added
Norges Bank129,570$12.0M0.00%+129,570New
Principal Financial Group Inc125,519$11.6M0.01%−3,465−2.7%Reduced
Capital Fund Management S.A.122,706$11.3M0.11%+49,709+68.1%Added
HRT Financial LP121,761$11.2M0.04%+76,080+166.5%Added
Brown Capital Management LLC119,935$11.1M0.91%−158,105−56.9%Reduced
Rheos Capital Works Inc.117,400$10.8M0.69%+65,000+124.0%Added
Wasatch Advisors Inc116,068$10.7M0.06%−19,846−14.6%Reduced
Tudor Investment Corp Et Al112,873$10.4M0.06%+112,873New
Canada Pension Plan Investment Board105,500$9.73M0.01%+65,900+166.4%Added
Bellevue Group AG100,761$9.29M0.18%+42,113+71.8%Added
Riverbridge Partners LLC97,111$8.96M0.17%−6,460−6.2%Reduced
Public Sector Pension Investment Board91,472$8.44M0.03%−13,512−12.9%Reduced
Ameriprise Financial Inc91,277$8.42M0.00%+2,206+2.5%Added
ING Groep NV88,300$8.14M0.05%+74,800+554.1%Added
Barclays PLC85,655$7.90M0.00%+77,005+890.2%Added
Glenmede Trust Co NA81,986$7.56M0.04%+81,986New
Walleye Capital LLC78,217$7.21M0.04%−50,396−39.2%Reduced
Arrowstreet Capital, Limited Partnership76,028$7.01M0.00%+76,028New
Integral Health Asset Management, LLC75,000$6.92M0.35%−45,000−37.5%Reduced
Bridgewater Associates, LP71,727$6.62M0.02%−17,225−19.4%Reduced
Y-Intercept (Hong Kong) Ltd70,635$6.51M0.15%−28,414−28.7%Reduced
Legal & General Group Plc69,756$6.43M0.00%−14,524−17.2%Reduced
New York State Common Retirement Fund68,774$6.34M0.01%+18,527+36.9%Added
Credit Agricole S A67,695$6.24M0.02%−57,560−46.0%Reduced
Rhumbline Advisers65,894$6.08M0.00%−1,306−1.9%Reduced
Voleon Capital Management LP63,627$5.87M0.13%−14,891−19.0%Reduced
Nomura Holdings Inc60,950$5.62M0.02%+60,950New
Two Sigma Investments, LP59,515$5.49M0.01%+22,363+60.2%Added
Mairs & Power Inc57,616$5.31M0.05%−7,830−12.0%Reduced
Swiss National Bank55,500$5.12M0.00%+1,100+2.0%Added
Nomura Asset Management International Inc.52,246$4.82M0.01%+52,246New
SEI Investments Co50,940$4.70M0.00%+34,515+210.1%Added
Gotham Asset Management, LLC48,547$4.48M0.02%+19,457+66.9%Added
Susquehanna International Group, LLP48,497$4.47M0.01%−20,831−30.0%Reduced
Algert Global LLC46,250$4.27M0.07%+22,763+96.9%Added
XTX Topco Ltd45,783$4.22M0.11%+38,494+528.1%Added
JPMorgan Chase & Co45,388$4.19M0.00%−34,986−43.5%Reduced
Lazard Asset Management LLC44,981$4.15M0.01%−44,624−49.8%Reduced
HSBC Holdings PLC43,328$4.00M0.00%−210−0.5%Reduced
Man Group plc41,425$3.82M0.01%−42,420−50.6%Reduced
Bank of Nova Scotia40,042$3.69M0.01%+15,844+65.5%Added
ExodusPoint Capital Management, LP38,896$3.59M0.04%+6,075+18.5%Added
SG Americas Securities, LLC38,449$3.55M0.00%+30,695+395.9%Added
Universal- Beteiligungs- und Servicegesellschaft mbH38,404$3.54M0.01%+34,881+990.1%Added
Bullseye Asset Management LLC36,128$3.33M1.80%00.0%Unchanged
Rhenman & Partners Asset Management AB35,800$3.30M0.31%−25,200−41.3%Reduced
Citigroup Inc34,672$3.20M0.00%−7,656−18.1%Reduced
EFG International AG33,813$3.11M0.06%+33,813New