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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
PharVision Advisers, LLC4,358$401.9K0.20%+4,358New
Caitong International Asset Management Co., Ltd4,233$390.4K0.10%+3,153+291.9%Added
Xponance, Inc.4,143$382.1K0.00%−34−0.8%Reduced
Winton Group Ltd4,100$378.1K0.01%−87,358−95.5%Reduced
Allspring Global Investments Holdings, LLC4,084$376.8K0.00%−32−0.8%Reduced
Hedges Asset Management LLC3,900$359.7K0.25%+400+11.4%Added
Virginia Retirement Systems Et Al3,894$359.1K0.00%−2,200−36.1%Reduced
Commerce Bank3,888$358.6K0.00%−1,776−31.4%Reduced
CI Private Wealth, LLC3,841$354.3K0.00%+3,841New
Apollon Wealth Management, LLC3,785$349.1K0.01%−6−0.2%Reduced
Connable Office Inc3,633$335.1K0.03%−1,000−21.6%Reduced
Jones Financial Companies LLLP3,525$325.1K0.00%+1,832+108.2%Added
Public Employees Retirement Association of Colorado3,328$307.0K0.00%00.0%Unchanged
Skopos Labs, Inc.3,276$306.9K0.01%+3,276New
Machina Capital S.A.S.3,295$303.9K0.06%+3,295New
Valeo Financial Advisors, LLC3,203$295.4K0.01%+112+3.6%Added
Zhang Financial LLC3,200$295.1K0.01%+3,200New
US Bancorp3,166$292.0K0.00%+387+13.9%Added
Swiss Life Asset Management Ltd3,142$289.8K0.00%+3,142New
First Trust Advisors LP3,072$283.3K0.00%+3,072New
Mutual of America Capital Management LLC3,022$278.7K0.00%+7+0.2%Added
Global Retirement Partners, LLC3,002$276.9K0.00%+2,982+14,910.0%Added
Quest Partners LLC2,984$275.2K0.02%−410−12.1%Reduced
Wealthspire Advisors, LLC2,882$265.8K0.00%−1,298−31.1%Reduced
Hodges Capital Management Inc.2,850$262.9K0.02%+2,850New
Quadrature Capital Ltd2,830$261.0K0.00%+2,830New
AlphaGrep UK Ltd2,774$255.8K0.09%+2,774New
Centiva Capital, LP2,747$253.4K0.02%+2,747New
Bank of Montreal2,728$251.6K0.00%−39,188−93.5%Reduced
Covestor Ltd2,677$247.0K0.13%+925+52.8%Added
Capstone Investment Advisors, LLC2,610$240.7K0.00%−134,197−98.1%Reduced
Walleye Trading LLC2,603$240.1K0.00%−608−18.9%Reduced
MML Investors Services, LLC2,575$237.5K0.00%+2,575New
Susquehanna Portfolio Strategies, LLC2,500$230.6K0.00%−73,055−96.7%Reduced
Versor Investments LP2,451$226.1K0.04%+2,451New
JustInvest LLC2,441$225.1K0.00%+2,441New
Boothbay Fund Management, LLC2,416$222.8K0.01%+2,416New
EntryPoint Capital, LLC2,407$222.0K0.09%+2,407New
Bayforest Capital Ltd2,407$222.0K0.17%+2,407New
Washington Capital Management Inc2,400$221.4K0.18%+2,400New
OP Asset Management Ltd2,283$210.6K0.00%00.0%Unchanged
The PNC Financial Services Group, Inc.2,035$187.7K0.00%+598+41.6%Added
Van Eck Associates Corp2,014$186.0K0.00%−12−0.6%Reduced
Farther Finance Advisors, LLC1,948$179.7K0.00%+1,473+310.1%Added
Group One Trading, L.P.1,853$170.9K0.01%−8,387−81.9%Reduced
MetLife Investment Management1,747$161.1K0.00%−84−4.6%Reduced
Bokf, NA1,685$155.4K0.00%−358−17.5%Reduced
Ensign Peak Advisors, Inc1,677$154.7K0.00%−4,300−71.9%Reduced
New Age Alpha Advisors, LLC1,513$139.5K0.01%+78+5.4%Added
GAMMA Investing LLC956$88.2K0.00%+691+260.8%Added
KBC Group NV895$83.0K0.00%00.0%Unchanged
CIBC Private Wealth Group, LLC852$78.6K0.00%+17+2.0%Added
Eurizon Capital SGR S.p.A.804$74.3K0.00%+804New
Kestra Advisory Services, LLC805$74.2K0.00%+805New
State of Wyoming731$67.4K0.01%+175+31.5%Added
Parallel Advisors, LLC715$65.9K0.00%+556+349.7%Added
Archer Investment Corp686$63.3K0.01%00.0%Unchanged
Hantz Financial Services, Inc.685$63.0K0.00%+452+194.0%Added
STRS Ohio648$59.8K0.00%−36−5.3%Reduced
Quarry LP644$59.4K0.01%+563+695.1%Added
Pinnacle Wealth Planning Services, Inc.618$57.0K0.01%+618New
Smartleaf Asset Management LLC449$41.6K0.00%+205+84.0%Added
V-Square Quantitative Management LLC433$39.9K0.00%+433New
Havemeyer Place LP424$39.1K0.01%+424New
BNP PARIBAS ASSET MANAGEMENT Holding S.A.395$36.0K0.00%+111+39.1%Added
CWM, LLC354$33.0K0.00%+242+216.1%Added
Fifth Third Bancorp340$31.4K0.00%−3−0.9%Reduced
MAI Capital Management320$29.5K0.00%−1,363−81.0%Reduced
Salomon & Ludwin, LLC293$27.8K0.00%−17−5.5%Reduced
Pittenger & Anderson Inc300$27.7K0.00%00.0%Unchanged
Grove Bank & Trust259$23.9K0.00%+259New
Nisa Investment Advisors, LLC255$23.5K0.00%+212+493.0%Added
Quadrant Capital Group LLC223$20.6K0.00%+217+3,616.7%Added
Allworth Financial LP222$20.5K0.00%+168+311.1%Added
Aster Capital Management (DIFC) Ltd221$20.4K0.01%−756−77.4%Reduced
Signaturefd, LLC210$19.4K0.00%+152+262.1%Added
Advisors Asset Management, Inc.196$18.1K0.00%−4−2.0%Reduced
Sterling Capital Management LLC194$17.9K0.00%+151+351.2%Added
Harbour Investments, Inc.192$17.7K0.00%00.0%Unchanged
Umb Bank N A183$16.9K0.00%+169+1,207.1%Added
SRS Capital Advisors, Inc.181$16.7K0.00%+181New
National Bank of Canada153$14.1K0.00%+24+18.6%Added
SageView Advisory Group, LLC134$12.4K0.00%+134New
Flagship Harbor Advisors, LLC133$12.3K0.00%+133New
Quintet Private Bank (Europe) S.A.125$11.5K0.00%00.0%Unchanged
Versant Capital Management, Inc116$10.7K0.00%−153−56.9%Reduced
Los Angeles Capital Management LLC141$10.3K0.00%+141New
Massmutual Trust Co FSB108$9.96K0.00%−42−28.0%Reduced
Danske Bank A/S100$9.22K0.00%00.0%Unchanged
Asset Dedication, LLC100$9.22K0.00%00.0%Unchanged
Tower Research Capital LLC (TRC)91$8.39K0.00%−458−83.4%Reduced
Signature Equity Partners, LLC91$8.39K0.00%+91New
Fortitude Family Office, LLC80$7.38K0.00%+80New
ORG Partners LLC75$6.92K0.00%00.0%Unchanged
Parkside Financial Bank & Trust57$5.26K0.00%+46+418.2%Added
Capital Advisors, Ltd. LLC55$5.00K0.00%+55New
EverSource Wealth Advisors, LLC52$4.80K0.00%+42+420.0%Added
S&T Bank52$4.80K0.00%+52New
Larson Financial Group LLC44$4.06K0.00%−597−93.1%Reduced
Birchwood Financial Partners, Inc.40$3.69K0.00%+40New