Skip to main content

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
Police & Firemen's Retirement System of New Jersey11,823$1.09M0.01%−709−5.7%Reduced
Louisiana State Employees Retirement System12,100$1.12M0.02%−300−2.4%Reduced
Cambridge Investment Research Advisors, Inc.12,592$1.16M0.00%+12,592New
Quantinno Capital Management LP13,048$1.20M0.00%+1,268+10.8%Added
Congress Asset Management Co13,067$1.21M0.01%−434−3.2%Reduced
State of Tennessee, Treasury Department16,697$1.27M0.00%−600−3.5%Reduced
Dynamic Technology Lab Private Ltd13,883$1.28M0.29%+9,605+224.5%Added
LPL Financial LLC13,992$1.29M0.00%+2,797+25.0%Added
FORA Capital, LLC14,266$1.32M0.16%+5,338+59.8%Added
Omers Administration Corp14,553$1.34M0.01%+14,553New
ADAR1 Capital Management, LLC15,000$1.38M0.10%+9,000+150.0%Added
Parkman Healthcare Partners LLC15,000$1.38M0.13%+15,000New
State of Alaska, Department of Revenue15,096$1.39M0.01%−99−0.7%Reduced
Gilder Gagnon Howe & Co LLC15,241$1.41M0.01%−2,359−13.4%Reduced
Exit Wealth Advisors, LLC.16,230$1.50M0.88%+16,230New
Envestnet Asset Management Inc16,453$1.52M0.00%+4,335+35.8%Added
Edgestream Partners, L.P.17,953$1.66M0.05%−5,003−21.8%Reduced
Jump Financial, LLC18,636$1.72M0.02%+7,643+69.5%Added
Engineers Gate Manager LP19,204$1.77M0.02%+16,262+552.8%Added
Comerica Bank21,093$1.95M0.01%+6,699+46.5%Added
Aquatic Capital Management LLC21,535$1.99M0.06%−15,523−41.9%Reduced
New York State Teachers Retirement System21,595$1.99M0.00%+505+2.4%Added
Landscape Capital Management, L.L.C.21,855$2.02M0.14%+3,567+19.5%Added
Baird Financial Group, Inc.21,910$2.02M0.00%−3,239−12.9%Reduced
Manufacturers Life Insurance Company, The21,940$2.03M0.00%+16,693+318.1%Added
Great West Life Assurance Co22,993$2.12M0.00%00.0%Unchanged
Acadian Asset Management LLC23,415$2.15M0.00%+6,769+40.7%Added
Prudential Financial Inc23,675$2.18M0.00%−1,155−4.7%Reduced
TD Asset Management Inc23,800$2.20M0.00%+23,800New
Banque Pictet & Cie SA24,474$2.26M0.02%+21,747+797.5%Added
Schonfeld Strategic Advisors LLC24,947$2.30M0.01%+19,794+384.1%Added
Polar Asset Management Partners Inc.25,000$2.31M0.05%+25,000New
Moore Capital Management, LP25,096$2.31M0.05%+25,096New
Thornburg Investment Management Inc25,197$2.32M0.03%+4,833+23.7%Added
California State Teachers Retirement System26,186$2.42M0.00%−117−0.4%Reduced
AQR Capital Management LLC27,040$2.49M0.00%−22,377−45.3%Reduced
Thrivent Financial for Lutherans27,276$2.52M0.00%+7,861+40.5%Added
State Board of Administration of Florida Retirement System29,990$2.77M0.00%−950−3.1%Reduced
Raymond James Financial Inc30,622$2.82M0.00%+30,622New
Alliancebernstein L.P.30,636$2.83M0.00%+23,863+352.3%Added
Teachers Retirement System of the State of Kentucky31,069$2.87M0.02%−15,297−33.0%Reduced
State of Wisconsin Investment Board31,469$2.90M0.01%−41,635−57.0%Reduced
Voya Investment Management LLC32,549$3.00M0.00%−3,277−9.1%Reduced
EFG International AG33,813$3.11M0.06%+33,813New
Citigroup Inc34,672$3.20M0.00%−7,656−18.1%Reduced
Rhenman & Partners Asset Management AB35,800$3.30M0.31%−25,200−41.3%Reduced
Bullseye Asset Management LLC36,128$3.33M1.80%00.0%Unchanged
Universal- Beteiligungs- und Servicegesellschaft mbH38,404$3.54M0.01%+34,881+990.1%Added
SG Americas Securities, LLC38,449$3.55M0.00%+30,695+395.9%Added
ExodusPoint Capital Management, LP38,896$3.59M0.04%+6,075+18.5%Added
Bank of Nova Scotia40,042$3.69M0.01%+15,844+65.5%Added
Man Group plc41,425$3.82M0.01%−42,420−50.6%Reduced
HSBC Holdings PLC43,328$4.00M0.00%−210−0.5%Reduced
Lazard Asset Management LLC44,981$4.15M0.01%−44,624−49.8%Reduced
JPMorgan Chase & Co45,388$4.19M0.00%−34,986−43.5%Reduced
XTX Topco Ltd45,783$4.22M0.11%+38,494+528.1%Added
Algert Global LLC46,250$4.27M0.07%+22,763+96.9%Added
Susquehanna International Group, LLP48,497$4.47M0.01%−20,831−30.0%Reduced
Gotham Asset Management, LLC48,547$4.48M0.02%+19,457+66.9%Added
SEI Investments Co50,940$4.70M0.00%+34,515+210.1%Added
Nomura Asset Management International Inc.52,246$4.82M0.01%+52,246New
Swiss National Bank55,500$5.12M0.00%+1,100+2.0%Added
Mairs & Power Inc57,616$5.31M0.05%−7,830−12.0%Reduced
Two Sigma Investments, LP59,515$5.49M0.01%+22,363+60.2%Added
Nomura Holdings Inc60,950$5.62M0.02%+60,950New
Voleon Capital Management LP63,627$5.87M0.13%−14,891−19.0%Reduced
Rhumbline Advisers65,894$6.08M0.00%−1,306−1.9%Reduced
Credit Agricole S A67,695$6.24M0.02%−57,560−46.0%Reduced
New York State Common Retirement Fund68,774$6.34M0.01%+18,527+36.9%Added
Legal & General Group Plc69,756$6.43M0.00%−14,524−17.2%Reduced
Y-Intercept (Hong Kong) Ltd70,635$6.51M0.15%−28,414−28.7%Reduced
Bridgewater Associates, LP71,727$6.62M0.02%−17,225−19.4%Reduced
Integral Health Asset Management, LLC75,000$6.92M0.35%−45,000−37.5%Reduced
Arrowstreet Capital, Limited Partnership76,028$7.01M0.00%+76,028New
Walleye Capital LLC78,217$7.21M0.04%−50,396−39.2%Reduced
Glenmede Trust Co NA81,986$7.56M0.04%+81,986New
Barclays PLC85,655$7.90M0.00%+77,005+890.2%Added
ING Groep NV88,300$8.14M0.05%+74,800+554.1%Added
Ameriprise Financial Inc91,277$8.42M0.00%+2,206+2.5%Added
Public Sector Pension Investment Board91,472$8.44M0.03%−13,512−12.9%Reduced
Riverbridge Partners LLC97,111$8.96M0.17%−6,460−6.2%Reduced
Bellevue Group AG100,761$9.29M0.18%+42,113+71.8%Added
Canada Pension Plan Investment Board105,500$9.73M0.01%+65,900+166.4%Added
Tudor Investment Corp Et Al112,873$10.4M0.06%+112,873New
Wasatch Advisors Inc116,068$10.7M0.06%−19,846−14.6%Reduced
Rheos Capital Works Inc.117,400$10.8M0.69%+65,000+124.0%Added
Brown Capital Management LLC119,935$11.1M0.91%−158,105−56.9%Reduced
HRT Financial LP121,761$11.2M0.04%+76,080+166.5%Added
Capital Fund Management S.A.122,706$11.3M0.11%+49,709+68.1%Added
Principal Financial Group Inc125,519$11.6M0.01%−3,465−2.7%Reduced
Norges Bank129,570$12.0M0.00%+129,570New
Rock Springs Capital Management LP131,000$12.1M0.62%+20,500+18.6%Added
Connor, Clark & Lunn Investment Management Ltd.136,420$12.6M0.03%−2,897−2.1%Reduced
FMR LLC137,306$12.7M0.00%−612,006−81.7%Reduced
Ra Capital Management, L.P.141,964$13.1M0.13%+27,063+23.6%Added
Frontier Capital Management Co LLC142,007$13.1M0.14%−20,288−12.5%Reduced
Nuveen, LLC159,421$14.7M0.00%+111,569+233.2%Added
Balyasny Asset Management LLC187,226$17.3M0.03%−427,133−69.5%Reduced
Voloridge Investment Management, LLC188,100$17.3M0.06%+99,799+113.0%Added
Charles Schwab Investment Management Inc194,155$17.9M0.00%+1,021+0.5%Added