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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
State Board of Administration of Florida Retirement System27,519$1.42M0.00%−2,471−8.2%Reduced
Engineers Gate Manager LP29,567$1.53M0.02%+10,363+54.0%Added
Zacks Investment Management30,021$1.55M0.01%+30,021New
Citigroup Inc31,606$1.63M0.00%−3,066−8.8%Reduced
XTX Topco Ltd32,483$1.68M0.03%−13,300−29.1%Reduced
Axq Capital, LP33,014$1.70M0.22%+33,014New
Voleon Capital Management LP33,122$1.71M0.04%−30,505−47.9%Reduced
California State Teachers Retirement System34,473$1.78M0.00%+8,287+31.6%Added
Empowered Funds, LLC34,876$1.80M0.01%+34,876New
FMR LLC37,984$1.96M0.00%−99,322−72.3%Reduced
Nordea Investment Management AB40,420$2.06M0.00%+29,032+254.9%Added
SEI Investments Co42,100$2.17M0.00%−8,840−17.4%Reduced
Franklin Resources Inc43,227$2.23M0.00%−188,211−81.3%Reduced
Bullseye Asset Management LLC51,128$2.64M1.53%+15,000+41.5%Added
JPMorgan Chase & Co53,615$2.70M0.00%+8,227+18.1%Added
Intech Investment Management LLC52,702$2.72M0.03%+46,482+747.3%Added
Algert Global LLC52,860$2.73M0.04%+6,610+14.3%Added
Man Group plc54,488$2.81M0.01%+13,063+31.5%Added
Swiss National Bank55,500$2.86M0.00%00.0%Unchanged
Bank of Nova Scotia60,000$3.09M0.01%+19,958+49.8%Added
Legal & General Group Plc61,583$3.18M0.00%−8,173−11.7%Reduced
Victory Capital Management Inc64,260$3.31M0.00%+52,938+467.6%Added
Qube Research & Technologies Ltd66,184$3.41M0.00%+66,184New
Squarepoint Ops LLC66,814$3.45M0.01%+59,992+879.4%Added
Nomura Asset Management International Inc.67,280$3.47M0.01%+15,034+28.8%Added
Barclays PLC67,641$3.49M0.00%−18,014−21.0%Reduced
Rhumbline Advisers67,907$3.50M0.00%+2,013+3.1%Added
New York State Common Retirement Fund70,885$3.66M0.01%+2,111+3.1%Added
First Trust Advisors LP71,661$3.70M0.00%+68,589+2,232.7%Added
Worldquant Millennium Advisors LLC75,239$3.88M0.01%+68,035+944.4%Added
Glenmede Trust Co NA81,495$4.20M0.02%−491−0.6%Reduced
Edgestream Partners, L.P.82,268$4.24M0.14%+64,315+358.2%Added
Brown Capital Management LLC84,368$4.35M0.62%−35,567−29.7%Reduced
Two Sigma Investments, LP85,096$4.39M0.00%+25,581+43.0%Added
Nuveen, LLC85,169$4.39M0.00%−74,252−46.6%Reduced
Gotham Asset Management, LLC87,733$4.53M0.01%+39,186+80.7%Added
Riverbridge Partners LLC92,494$4.77M0.12%−4,617−4.8%Reduced
Public Sector Pension Investment Board93,086$4.80M0.01%+1,614+1.8%Added
Bellevue Group AG99,735$5.14M0.12%−1,026−1.0%Reduced
Voloridge Investment Management, LLC100,207$5.17M0.02%−87,893−46.7%Reduced
Invesco Ltd.103,973$5.36M0.00%−157,401−60.2%Reduced
SG Americas Securities, LLC105,147$5.42M0.01%+66,698+173.5%Added
Susquehanna Portfolio Strategies, LLC106,157$5.48M0.08%+103,657+4,146.3%Added
Capital Fund Management S.A.109,015$5.62M0.05%−13,691−11.2%Reduced
Rheos Capital Works Inc.117,400$6.05M0.40%00.0%Unchanged
Trexquant Investment LP121,490$6.27M0.05%−91,759−43.0%Reduced
Principal Financial Group Inc126,788$6.54M0.00%+1,269+1.0%Added
Rock Springs Capital Management LP131,800$6.80M0.40%+800+0.6%Added
Los Angeles Capital Management LLC132,954$6.86M0.03%+132,813+94,193.6%Added
VGI Partners Ltd135,767$7.00M0.38%−75,537−35.7%Reduced
Wasatch Advisors Inc138,603$7.15M0.05%+22,535+19.4%Added
Longaeva Partners L.P.138,761$7.16M0.34%+138,761New
Ameriprise Financial Inc143,451$7.40M0.00%+52,174+57.2%Added
Bank of New York Mellon Corp148,764$7.67M0.00%−67,016−31.1%Reduced
Balyasny Asset Management LLC151,856$7.83M0.02%−35,370−18.9%Reduced
Y-Intercept (Hong Kong) Ltd158,274$8.16M0.15%+87,639+124.1%Added
Champlain Investment Partners, LLC158,989$8.20M0.10%−44,109−21.7%Reduced
Canada Pension Plan Investment Board164,100$8.46M0.01%+58,600+55.5%Added
Tudor Investment Corp Et Al167,218$8.63M0.05%+54,345+48.1%Added
Vanguard Fiduciary Trust Co167,700$8.65M0.00%+167,700New
Bridgewater Associates, LP173,533$8.95M0.04%+101,806+141.9%Added
Price T Rowe Associates Inc181,313$9.35M0.00%−126,858−41.2%Reduced
Cerity Partners LLC181,426$9.36M0.01%+181,426New
Charles Schwab Investment Management Inc183,351$9.46M0.00%−10,804−5.6%Reduced
Bank of America Corp186,069$9.60M0.00%−24,057−11.4%Reduced
Northern Trust Corp197,033$10.2M0.00%−423−0.2%Reduced
Acadian Asset Management LLC209,486$10.8M0.02%+186,071+794.7%Added
Susquehanna International Group, LLP210,573$10.9M0.01%+162,076+334.2%Added
Dimensional Fund Advisors LP234,670$12.1M0.00%−106,727−31.3%Reduced
Royal Bank of Canada252,971$13.0M0.00%+241,987+2,203.1%Added
Amundi256,830$13.2M0.00%−107,792−29.6%Reduced
Bamco Inc298,470$15.4M0.05%−39,016−11.6%Reduced
Jefferies Financial Group Inc.306,423$15.8M0.19%−1,165−0.4%Reduced
AQR Capital Management LLC308,662$15.9M0.01%+281,622+1,041.5%Added
BNP Paribas Arbitrage, SA319,758$16.5M0.01%−135,052−29.7%Reduced
Ra Capital Management, L.P.325,663$16.8M0.18%+183,699+129.4%Added
Walleye Capital LLC358,489$18.5M0.11%+280,272+358.3%Added
Millennium Management LLC386,146$19.9M0.01%+184,006+91.0%Added
Citadel Advisors LLC394,076$20.3M0.01%−117,242−22.9%Reduced
ADAR1 Capital Management, LLC405,197$20.9M1.26%+390,197+2,601.3%Added
UBS Asset Management Americas Inc448,787$23.1M0.00%−14,529−3.1%Reduced
Renaissance Technologies LLC469,968$24.2M0.04%+59,200+14.4%Added
Standard Life Aberdeen plc477,476$24.6M0.04%+16,575+3.6%Added
Geode Capital Management, LLC510,234$26.3M0.00%+18,484+3.8%Added
Deutsche Bank AG513,175$26.5M0.01%−3,641−0.7%Reduced
Assenagon Asset Management S.A.520,174$26.8M0.04%+255,175+96.3%Added
Vestal Point Capital, LP539,269$27.8M0.78%+539,269New
Soleus Capital Management, L.P.576,299$29.7M1.20%+276,900+92.5%Added
UBS Group AG638,928$33.0M0.01%+227,599+55.3%Added
Goldman Sachs Group Inc664,003$34.2M0.00%+379,118+133.1%Added
Braidwell LP677,570$34.9M1.17%+136,680+25.3%Added
Artisan Partners Limited Partnership780,575$40.3M0.07%−5,167−0.7%Reduced
State Street Corp956,011$49.3M0.00%+37,507+4.1%Added
William Blair Investment Management, LLC1,137,384$58.7M0.19%−23,901−2.1%Reduced
D. E. Shaw & Co., Inc.1,188,537$61.3M0.05%−23,625−1.9%Reduced
Vanguard Capital Management LLC1,266,738$65.3M0.00%+1,266,738New
Morgan Stanley1,450,634$74.8M0.00%+190,872+15.2%Added
Vanguard Portfolio Management LLC1,637,173$84.4M0.00%+1,637,173New
Wellington Management Group LLP2,535,954$130.8M0.02%+324,863+14.7%Added
Deerfield Management Company, L.P. (Series C)2,703,238$139.4M1.64%+1,197,366+79.5%Added