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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, Q1 2026

Institutional positions in Inspire Medical Systems, Inc. as of Mar 31, 2026. 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
301
−34 vs. Q4 2025
Shares held
34.9M
+4.10M (+13.3%) vs. Q4 2025
Total value
$1.80B
−$1.04B (−36.6%) vs. Q4 2025
New holders
59
120 more added
Sold out
93
99 more reduced

8 institutions that held it in Q4 2025 haven't filed for Q1 2026 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q4 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 holdersQ1 2026: 301 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 heldQ1 2026: $1.80B
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, Q1 2026

Shares, value and share of portfolio for each institution holding Inspire Medical Systems, Inc.; share changes are against Q4 2025.

Institutions holding INSP in Q1 2026
InstitutionSharesValue% of portfolioChange in sharesAction
Capital Advisors, Ltd. LLC1$00.00%−54−98.2%Reduced
Avion Wealth8$00.00%+8New
Huntington National Bank1$520.00%−9−90.0%Reduced
WPG Advisers, LLC1$520.00%−6−85.7%Reduced
Hughes Financial Services, LLC1$520.00%−5−83.3%Reduced
Godfrey Financial Associates, Inc.1$520.00%00.0%Unchanged
Annis Gardner Whiting Capital Advisors, LLC1$520.00%+1New
Grove Bank & Trust2$1030.00%−257−99.2%Reduced
Ronald Blue Trust, Inc.2$1030.00%+2New
Retirement Wealth Solutions LLC2$1040.00%−6−75.0%Reduced
Advocate Investing Services LLC4$2060.00%00.0%Unchanged
Cromwell Holdings LLC4$2060.00%+4New
CoreCap Advisors, LLC4$2060.00%+4New
Stone House Investment Management, LLC6$3090.00%−9−60.0%Reduced
SWAN Capital LLC6$3090.00%00.0%Unchanged
Ankerstar Wealth, LLC6$3090.00%+1+20.0%Added
MV Capital Management, Inc.7$3620.00%−2−22.2%Reduced
Abound Wealth Management7$3620.00%−1−12.5%Reduced
Root Financial Partners, LLC8$4130.00%+8New
TD Private Client Wealth LLC9$4640.00%−15−62.5%Reduced
Steward Partners Investment Advisory, LLC9$4640.00%−6−40.0%Reduced
Tidemark, LLC10$5160.00%00.0%Unchanged
Caitlin John, LLC10$5160.00%+5+100.0%Added
Gill Capital Partners, LLC11$5670.00%+11New
Manchester Capital Management LLC11$5680.00%+10+1,000.0%Added
Innovative Asset Advisors Group, LLC12$6190.00%+12New
International Assets Investment Management, LLC15$8050.00%−11−42.3%Reduced
Golden State Wealth Management, LLC17$8770.00%00.0%Unchanged
Federation des caisses Desjardins du Quebec17$8770.00%00.0%Unchanged
Farmers & Merchants Investments Inc18$9280.00%00.0%Unchanged
JPL Wealth Management, LLC19$9810.00%+19New
UMA Financial Services, Inc.20$1.03K0.00%+20New
Sunbelt Securities, Inc.22$1.14K0.00%+22New
Sawyer & Company, Inc24$1.24K0.00%00.0%Unchanged
Transamerica Financial Advisors, Inc.29$1.50K0.00%+25+625.0%Added
Northwestern Mutual Wealth Management Co29$1.50K0.00%+29New
SHP Wealth Management31$1.60K0.00%+28+933.3%Added
SBI Securities Co., Ltd.34$1.75K0.00%00.0%Unchanged
Horizon Investments, LLC36$1.86K0.00%+36New
Birchwood Financial Partners, Inc.40$2.06K0.00%00.0%Unchanged
Basecamp Wealth Advisors LLC43$2.22K0.00%+10+30.3%Added
Twin Peaks Wealth Advisors, LLC46$2.37K0.00%+46New
Bare Financial Services, Inc49$2.53K0.00%+17+53.1%Added
Parkside Financial Bank & Trust49$2.53K0.00%−8−14.0%Reduced
HighMark Wealth Management LLC50$2.58K0.00%+20+66.7%Added
SJS Investment Consulting Inc.65$3.35K0.00%+65New
Owl Creek Wealth Partners LLC70$3.61K0.00%+70New
Private Wealth Management Group, LLC71$3.66K0.00%+49+222.7%Added
IFP Advisors, Inc72$3.71K0.00%+72New
Federated Hermes, Inc.91$4.69K0.00%+91New
Quent Capital, LLC94$4.85K0.00%+94New
Asset Dedication, LLC100$5.16K0.00%00.0%Unchanged
Massmutual Trust Co FSB116$5.98K0.00%+8+7.4%Added
Quintet Private Bank (Europe) S.A.125$6.45K0.00%00.0%Unchanged
Larson Financial Group LLC138$7.12K0.00%+94+213.6%Added
Smartleaf Asset Management LLC147$7.42K0.00%−302−67.3%Reduced
Umb Bank N A145$7.48K0.00%−38−20.8%Reduced
True Wealth Design, LLC159$8.20K0.00%+159New
Covestor Ltd180$10.0K0.01%−2,497−93.3%Reduced
Advisors Asset Management, Inc.196$10.1K0.00%00.0%Unchanged
Versant Capital Management, Inc200$10.3K0.00%+84+72.4%Added
Essential Partners LLC200$10.3K0.00%+200New
Sterling Capital Management LLC204$10.5K0.00%+10+5.2%Added
Harbour Investments, Inc.208$10.7K0.00%+16+8.3%Added
CX Institutional221$11.0K0.00%+221New
Salomon & Ludwin, LLC250$13.7K0.00%−43−14.7%Reduced
RWM Asset Management, LLC295$15.2K0.00%+295New
Pittenger & Anderson Inc300$15.5K0.00%00.0%Unchanged
Cullen/Frost Bankers, Inc.338$17.4K0.00%+338New
Advisory Services Network, LLC365$18.8K0.00%+365New
Quadrant Capital Group LLC423$21.8K0.00%+200+89.7%Added
Farther Finance Advisors, LLC439$23.5K0.00%−1,509−77.5%Reduced
Signaturefd, LLC482$24.9K0.00%+272+129.5%Added
Hantz Financial Services, Inc.498$26.0K0.00%−187−27.3%Reduced
Allworth Financial LP527$27.2K0.00%+305+137.4%Added
BNP PARIBAS ASSET MANAGEMENT Holding S.A.543$28.0K0.00%+148+37.5%Added
Nisa Investment Advisors, LLC564$29.1K0.00%+309+121.2%Added
Tower Research Capital LLC (TRC)601$31.0K0.00%+510+560.4%Added
EverSource Wealth Advisors, LLC632$32.6K0.00%+580+1,115.4%Added
GAMMA Investing LLC660$34.0K0.00%−296−31.0%Reduced
Pinnacle Wealth Planning Services, Inc.670$34.6K0.00%+52+8.4%Added
STRS Ohio685$35.3K0.00%+37+5.7%Added
Quarry LP724$37.3K0.01%+80+12.4%Added
Parallel Advisors, LLC729$37.6K0.00%+14+2.0%Added
Rothschild Investment LLC799$41.2K0.00%+795+19,875.0%Added
KBC Group NV895$46.0K0.00%00.0%Unchanged
The PNC Financial Services Group, Inc.1,009$52.0K0.00%−1,026−50.4%Reduced
Eurizon Capital SGR S.p.A.1,038$52.6K0.00%+234+29.1%Added
MAI Capital Management1,020$52.6K0.00%+700+218.8%Added
Group One Trading, L.P.1,160$59.8K0.00%−693−37.4%Reduced
Caitong International Asset Management Co., Ltd1,213$62.6K0.01%−3,020−71.3%Reduced
State of Wyoming1,343$69.3K0.01%+612+83.7%Added
New Age Alpha Advisors, LLC1,465$75.6K0.00%−48−3.2%Reduced
Bessemer Group Inc1,615$83.0K0.00%−4,092−71.7%Reduced
Ensign Peak Advisors, Inc1,677$86.5K0.00%00.0%Unchanged
Jones Financial Companies LLLP1,776$89.0K0.00%−1,749−49.6%Reduced
MetLife Investment Management1,762$90.9K0.00%+15+0.9%Added
Natixis2,033$104.9K0.00%+2,033New
Rockefeller Capital Management L.P.2,105$108.6K0.00%−3,607−63.1%Reduced
US Bancorp2,303$118.8K0.00%−863−27.3%Reduced