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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
Van Eck Associates Corp2,014$186.0K0.00%−12−0.6%Reduced
The PNC Financial Services Group, Inc.2,035$187.7K0.00%+598+41.6%Added
OP Asset Management Ltd2,283$210.6K0.00%00.0%Unchanged
Washington Capital Management Inc2,400$221.4K0.18%+2,400New
EntryPoint Capital, LLC2,407$222.0K0.09%+2,407New
Bayforest Capital Ltd2,407$222.0K0.17%+2,407New
Boothbay Fund Management, LLC2,416$222.8K0.01%+2,416New
JustInvest LLC2,441$225.1K0.00%+2,441New
Versor Investments LP2,451$226.1K0.04%+2,451New
Susquehanna Portfolio Strategies, LLC2,500$230.6K0.00%−73,055−96.7%Reduced
MML Investors Services, LLC2,575$237.5K0.00%+2,575New
Walleye Trading LLC2,603$240.1K0.00%−608−18.9%Reduced
Capstone Investment Advisors, LLC2,610$240.7K0.00%−134,197−98.1%Reduced
Covestor Ltd2,677$247.0K0.13%+925+52.8%Added
Bank of Montreal2,728$251.6K0.00%−39,188−93.5%Reduced
Centiva Capital, LP2,747$253.4K0.02%+2,747New
AlphaGrep UK Ltd2,774$255.8K0.09%+2,774New
Quadrature Capital Ltd2,830$261.0K0.00%+2,830New
Hodges Capital Management Inc.2,850$262.9K0.02%+2,850New
Wealthspire Advisors, LLC2,882$265.8K0.00%−1,298−31.1%Reduced
Quest Partners LLC2,984$275.2K0.02%−410−12.1%Reduced
Global Retirement Partners, LLC3,002$276.9K0.00%+2,982+14,910.0%Added
Mutual of America Capital Management LLC3,022$278.7K0.00%+7+0.2%Added
First Trust Advisors LP3,072$283.3K0.00%+3,072New
Swiss Life Asset Management Ltd3,142$289.8K0.00%+3,142New
US Bancorp3,166$292.0K0.00%+387+13.9%Added
Zhang Financial LLC3,200$295.1K0.01%+3,200New
Valeo Financial Advisors, LLC3,203$295.4K0.01%+112+3.6%Added
Machina Capital S.A.S.3,295$303.9K0.06%+3,295New
Skopos Labs, Inc.3,276$306.9K0.01%+3,276New
Public Employees Retirement Association of Colorado3,328$307.0K0.00%00.0%Unchanged
Jones Financial Companies LLLP3,525$325.1K0.00%+1,832+108.2%Added
Connable Office Inc3,633$335.1K0.03%−1,000−21.6%Reduced
Apollon Wealth Management, LLC3,785$349.1K0.01%−6−0.2%Reduced
CI Private Wealth, LLC3,841$354.3K0.00%+3,841New
Commerce Bank3,888$358.6K0.00%−1,776−31.4%Reduced
Virginia Retirement Systems Et Al3,894$359.1K0.00%−2,200−36.1%Reduced
Hedges Asset Management LLC3,900$359.7K0.25%+400+11.4%Added
Allspring Global Investments Holdings, LLC4,084$376.8K0.00%−32−0.8%Reduced
Winton Group Ltd4,100$378.1K0.01%−87,358−95.5%Reduced
Xponance, Inc.4,143$382.1K0.00%−34−0.8%Reduced
Caitong International Asset Management Co., Ltd4,233$390.4K0.10%+3,153+291.9%Added
PharVision Advisers, LLC4,358$401.9K0.20%+4,358New
Janney Montgomery Scott LLC4,376$404.0K0.00%+4,376New
Vestmark Advisory Solutions, Inc.4,438$409.3K0.01%+4,438New
Pictet Asset Management Holding SA4,476$412.8K0.00%00.0%Unchanged
RSM US Wealth Management LLC4,463$413.1K0.01%+4,463New
Guggenheim Capital LLC4,665$430.3K0.00%+4,665New
Wells Fargo & Company4,706$434.0K0.00%−5,612−54.4%Reduced
M&T Bank Corp4,708$434.1K0.00%+4,708New
Blair William & Co4,732$436.4K0.00%−133−2.7%Reduced
PDT Partners, LLC4,800$442.7K0.03%+4,800New
Concurrent Investment Advisors, LLC4,815$444.1K0.01%+1,647+52.0%Added
Commonwealth Equity Services, LLC4,893$451.3K0.00%−903−15.6%Reduced
Sanctuary Advisors, LLC5,216$481.1K0.00%+5,216New
Maryland State Retirement & Pension System5,238$483.1K0.01%00.0%Unchanged
Mitsubishi UFJ Kokusai Asset Management Co., Ltd.5,436$501.6K0.00%+1,640+43.2%Added
Counterpoint Mutual Funds LLC5,488$506.2K0.04%+1,267+30.0%Added
Cetera Investment Advisers5,621$518.4K0.00%+5,621New
Rockefeller Capital Management L.P.5,712$526.8K0.00%+739+14.9%Added
Bessemer Group Inc5,707$527.0K0.00%−1,369−19.3%Reduced
Virtu Financial LLC5,712$527.0K0.02%+1,639+40.2%Added
KLP Kapitalforvaltning AS6,000$553.4K0.00%+400+7.1%Added
Oregon Public Employees Retirement Fund6,062$559.1K0.01%−10−0.2%Reduced
Two Sigma Advisers, LP6,200$571.8K0.00%−13,800−69.0%Reduced
Intech Investment Management LLC6,220$573.7K0.01%−2,281−26.8%Reduced
Commonwealth of Pennsylvania Public School Empls Retrmt Sys6,546$603.7K0.00%−308−4.5%Reduced
Marex Group plc6,550$604.1K0.01%−1,901−22.5%Reduced
Squarepoint Ops LLC6,822$629.2K0.00%−16,322−70.5%Reduced
Everhart Financial Group, Inc.7,013$646.8K0.06%+7,013New
Sectoral Asset Management Inc7,200$664.1K0.53%+7,200New
Worldquant Millennium Advisors LLC7,204$664.4K0.00%+7,204New
Oak Thistle LLC7,293$672.6K0.09%+7,293New
Yousif Capital Management, LLC7,329$692.2K0.01%−1,159−13.7%Reduced
HighTower Advisors, LLC7,543$695.7K0.00%+7,543New
Entropy Technologies, LP7,624$703.2K0.04%+7,624New
Arizona State Retirement System7,860$724.9K0.00%−432−5.2%Reduced
Leonteq Securities AG7,939$732.2K0.04%+3,098+64.0%Added
Public Employees Retirement System of Ohio8,145$751.2K0.00%−791−8.9%Reduced
Creative Planning8,171$753.6K0.00%+5,007+158.2%Added
Diversified Trust Co8,432$777.7K0.01%+592+7.6%Added
DAFNA Capital Management LLC8,600$793.2K0.18%−8,600−50.0%Reduced
Palo Alto Investors LP8,772$809.0K0.11%+8,772New
Dark Forest Capital Management LP9,156$844.5K0.04%+9,156New
Gsa Capital Partners LLP9,215$850.0K0.07%+9,215New
Campbell & CO Investment Adviser LLC9,220$850.4K0.04%+6,480+236.5%Added
Hilltop Holdings Inc.9,244$852.6K0.05%+9,244New
Zurcher Kantonalbank (Zurich Cantonalbank)9,265$854.5K0.00%+507+5.8%Added
Amalgamated Bank9,270$855.0K0.01%+58+0.6%Added
Mirae Asset Global ETFs Holdings Ltd.9,423$869.1K0.00%−2,667−22.1%Reduced
Handelsbanken Fonder AB9,800$904.0K0.00%+1,900+24.1%Added
Brevan Howard Capital Management LP10,785$994.7K0.02%−2,442−18.5%Reduced
Advisor Group Holdings, Inc.10,875$1.00M0.00%−3,180−22.6%Reduced
Royal Bank of Canada10,984$1.01M0.00%−2,928−21.0%Reduced
Lecap Asset Management Ltd11,010$1.02M0.40%+11,010New
Verition Fund Management LLC11,106$1.02M0.01%−60,589−84.5%Reduced
Russell Investments Group, Ltd.11,171$1.03M0.00%+4,870+77.3%Added
Nordea Investment Management AB11,388$1.04M0.00%−1,236−9.8%Reduced
Victory Capital Management Inc11,322$1.04M0.00%−11,845−51.1%Reduced
Treasurer of the State of North Carolina11,342$1.05M0.00%−1,518−11.8%Reduced