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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
Elyxium Wealth, LLC1$920.00%+1New
Godfrey Financial Associates, Inc.1$920.00%+1New
Manchester Capital Management LLC1$930.00%−16−94.1%Reduced
Strategic Advocates LLC2$1850.00%−6−75.0%Reduced
Gilpin Wealth Management, LLC2$1850.00%+2New
SHP Wealth Management3$2770.00%+3New
Torren Management, LLC3$2770.00%+3New
Ancora Advisors, LLC4$3690.00%00.0%Unchanged
Transamerica Financial Advisors, Inc.4$3690.00%+2+100.0%Added
Rothschild Investment LLC4$3690.00%+4New
Clearstead Advisors, LLC4$3690.00%+4New
Keating Financial Advisory Services, Inc.4$3690.00%+4New
Advocate Investing Services LLC4$3690.00%+4New
Caitlin John, LLC5$4610.00%00.0%Unchanged
Cedar Mountain Advisors, LLC5$4610.00%+1+25.0%Added
Ankerstar Wealth, LLC5$4610.00%+5New
SWAN Capital LLC6$5530.00%+6New
Hughes Financial Services, LLC6$5530.00%+6New
TFC Financial Management7$6460.00%+7New
WPG Advisers, LLC7$6460.00%+7New
Abound Wealth Management8$7380.00%00.0%Unchanged
Retirement Wealth Solutions LLC8$7380.00%+5+166.7%Added
MV Capital Management, Inc.9$8310.00%+8+800.0%Added
Huntington National Bank10$9220.00%−27−73.0%Reduced
Tidemark, LLC10$9220.00%00.0%Unchanged
GPS Wealth Strategies Group, LLC14$1.29K0.00%00.0%Unchanged
Bogart Wealth, LLC14$1.29K0.00%+14New
Steward Partners Investment Advisory, LLC15$1.38K0.00%00.0%Unchanged
Stone House Investment Management, LLC15$1.38K0.00%+15New
Federation des caisses Desjardins du Quebec17$1.57K0.00%−25−59.5%Reduced
Golden State Wealth Management, LLC17$1.57K0.00%+17New
Farmers & Merchants Investments Inc18$1.66K0.00%00.0%Unchanged
Bell Investment Advisors, Inc20$1.84K0.00%+17+566.7%Added
Atlantic Union Bankshares Corp21$1.94K0.00%+21New
Private Wealth Management Group, LLC22$2.03K0.00%−23−51.1%Reduced
Sawyer & Company, Inc24$2.21K0.00%00.0%Unchanged
TD Private Client Wealth LLC24$2.21K0.00%+6+33.3%Added
International Assets Investment Management, LLC26$2.40K0.00%+26New
HighMark Wealth Management LLC30$2.77K0.00%+10+50.0%Added
Bare Financial Services, Inc32$2.95K0.00%−21−39.6%Reduced
Basecamp Wealth Advisors LLC33$3.04K0.00%+33New
SBI Securities Co., Ltd.34$3.14K0.00%−2−5.6%Reduced
Prestige Wealth Management Group LLC35$3.23K0.00%+23+191.7%Added
Birchwood Financial Partners, Inc.40$3.69K0.00%+40New
Larson Financial Group LLC44$4.06K0.00%−597−93.1%Reduced
EverSource Wealth Advisors, LLC52$4.80K0.00%+42+420.0%Added
S&T Bank52$4.80K0.00%+52New
Capital Advisors, Ltd. LLC55$5.00K0.00%+55New
Parkside Financial Bank & Trust57$5.26K0.00%+46+418.2%Added
ORG Partners LLC75$6.92K0.00%00.0%Unchanged
Fortitude Family Office, LLC80$7.38K0.00%+80New
Tower Research Capital LLC (TRC)91$8.39K0.00%−458−83.4%Reduced
Signature Equity Partners, LLC91$8.39K0.00%+91New
Danske Bank A/S100$9.22K0.00%00.0%Unchanged
Asset Dedication, LLC100$9.22K0.00%00.0%Unchanged
Massmutual Trust Co FSB108$9.96K0.00%−42−28.0%Reduced
Los Angeles Capital Management LLC141$10.3K0.00%+141New
Versant Capital Management, Inc116$10.7K0.00%−153−56.9%Reduced
Quintet Private Bank (Europe) S.A.125$11.5K0.00%00.0%Unchanged
Flagship Harbor Advisors, LLC133$12.3K0.00%+133New
SageView Advisory Group, LLC134$12.4K0.00%+134New
National Bank of Canada153$14.1K0.00%+24+18.6%Added
SRS Capital Advisors, Inc.181$16.7K0.00%+181New
Umb Bank N A183$16.9K0.00%+169+1,207.1%Added
Harbour Investments, Inc.192$17.7K0.00%00.0%Unchanged
Sterling Capital Management LLC194$17.9K0.00%+151+351.2%Added
Advisors Asset Management, Inc.196$18.1K0.00%−4−2.0%Reduced
Signaturefd, LLC210$19.4K0.00%+152+262.1%Added
Aster Capital Management (DIFC) Ltd221$20.4K0.01%−756−77.4%Reduced
Allworth Financial LP222$20.5K0.00%+168+311.1%Added
Quadrant Capital Group LLC223$20.6K0.00%+217+3,616.7%Added
Nisa Investment Advisors, LLC255$23.5K0.00%+212+493.0%Added
Grove Bank & Trust259$23.9K0.00%+259New
Pittenger & Anderson Inc300$27.7K0.00%00.0%Unchanged
Salomon & Ludwin, LLC293$27.8K0.00%−17−5.5%Reduced
MAI Capital Management320$29.5K0.00%−1,363−81.0%Reduced
Fifth Third Bancorp340$31.4K0.00%−3−0.9%Reduced
CWM, LLC354$33.0K0.00%+242+216.1%Added
BNP PARIBAS ASSET MANAGEMENT Holding S.A.395$36.0K0.00%+111+39.1%Added
Havemeyer Place LP424$39.1K0.01%+424New
V-Square Quantitative Management LLC433$39.9K0.00%+433New
Smartleaf Asset Management LLC449$41.6K0.00%+205+84.0%Added
Pinnacle Wealth Planning Services, Inc.618$57.0K0.01%+618New
Quarry LP644$59.4K0.01%+563+695.1%Added
STRS Ohio648$59.8K0.00%−36−5.3%Reduced
Hantz Financial Services, Inc.685$63.0K0.00%+452+194.0%Added
Archer Investment Corp686$63.3K0.01%00.0%Unchanged
Parallel Advisors, LLC715$65.9K0.00%+556+349.7%Added
State of Wyoming731$67.4K0.01%+175+31.5%Added
Kestra Advisory Services, LLC805$74.2K0.00%+805New
Eurizon Capital SGR S.p.A.804$74.3K0.00%+804New
CIBC Private Wealth Group, LLC852$78.6K0.00%+17+2.0%Added
KBC Group NV895$83.0K0.00%00.0%Unchanged
GAMMA Investing LLC956$88.2K0.00%+691+260.8%Added
New Age Alpha Advisors, LLC1,513$139.5K0.01%+78+5.4%Added
Ensign Peak Advisors, Inc1,677$154.7K0.00%−4,300−71.9%Reduced
Bokf, NA1,685$155.4K0.00%−358−17.5%Reduced
MetLife Investment Management1,747$161.1K0.00%−84−4.6%Reduced
Group One Trading, L.P.1,853$170.9K0.01%−8,387−81.9%Reduced
Farther Finance Advisors, LLC1,948$179.7K0.00%+1,473+310.1%Added