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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
Avion Wealth8$00.00%+8New
Fuller & Thaler Asset Management, Inc.0$00.00%−668,099−100.0%Sold out
Marshall Wace, LLP0$00.00%−531,079−100.0%Sold out
Eventide Asset Management, LLC0$00.00%−440,205−100.0%Sold out
Driehaus Capital Management LLC0$00.00%−348,500−100.0%Sold out
Jane Street Group, LLC0$00.00%−277,199−100.0%Sold out
Keybank National Association0$00.00%−200,042−100.0%Sold out
Frontier Capital Management Co LLC0$00.00%−142,007−100.0%Sold out
Connor, Clark & Lunn Investment Management Ltd.0$00.00%−136,420−100.0%Sold out
HRT Financial LP0$00.00%−121,761−100.0%Sold out
ING Groep NV0$00.00%−88,300−100.0%Sold out
Arrowstreet Capital, Limited Partnership0$00.00%−76,028−100.0%Sold out
Integral Health Asset Management, LLC0$00.00%−75,000−100.0%Sold out
Credit Agricole S A0$00.00%−67,695−100.0%Sold out
Nomura Holdings Inc0$00.00%−60,950−100.0%Sold out
Mairs & Power Inc0$00.00%−57,616−100.0%Sold out
ExodusPoint Capital Management, LP0$00.00%−38,896−100.0%Sold out
Rhenman & Partners Asset Management AB0$00.00%−35,800−100.0%Sold out
EFG International AG0$00.00%−33,813−100.0%Sold out
Raymond James Financial Inc0$00.00%−30,622−100.0%Sold out
Thornburg Investment Management Inc0$00.00%−25,197−100.0%Sold out
Moore Capital Management, LP0$00.00%−25,096−100.0%Sold out
Polar Asset Management Partners Inc.0$00.00%−25,000−100.0%Sold out
Banque Pictet & Cie SA0$00.00%−24,474−100.0%Sold out
Baird Financial Group, Inc.0$00.00%−21,910−100.0%Sold out
Aquatic Capital Management LLC0$00.00%−21,535−100.0%Sold out
Exit Wealth Advisors, LLC.0$00.00%−16,230−100.0%Sold out
Gilder Gagnon Howe & Co LLC0$00.00%−15,241−100.0%Sold out
Parkman Healthcare Partners LLC0$00.00%−15,000−100.0%Sold out
Cambridge Investment Research Advisors, Inc.0$00.00%−12,592−100.0%Sold out
Verition Fund Management LLC0$00.00%−11,106−100.0%Sold out
Hilltop Holdings Inc.0$00.00%−9,244−100.0%Sold out
Entropy Technologies, LP0$00.00%−7,624−100.0%Sold out
HighTower Advisors, LLC0$00.00%−7,543−100.0%Sold out
Everhart Financial Group, Inc.0$00.00%−7,013−100.0%Sold out
Marex Group plc0$00.00%−6,550−100.0%Sold out
Two Sigma Advisers, LP0$00.00%−6,200−100.0%Sold out
Virtu Financial LLC0$00.00%−5,712−100.0%Sold out
Cetera Investment Advisers0$00.00%−5,621−100.0%Sold out
Counterpoint Mutual Funds LLC0$00.00%−5,488−100.0%Sold out
Sanctuary Advisors, LLC0$00.00%−5,216−100.0%Sold out
Commonwealth Equity Services, LLC0$00.00%−4,893−100.0%Sold out
Concurrent Investment Advisors, LLC0$00.00%−4,815−100.0%Sold out
PDT Partners, LLC0$00.00%−4,800−100.0%Sold out
M&T Bank Corp0$00.00%−4,708−100.0%Sold out
Guggenheim Capital LLC0$00.00%−4,665−100.0%Sold out
Vestmark Advisory Solutions, Inc.0$00.00%−4,438−100.0%Sold out
PharVision Advisers, LLC0$00.00%−4,358−100.0%Sold out
Virginia Retirement Systems Et Al0$00.00%−3,894−100.0%Sold out
Commerce Bank0$00.00%−3,888−100.0%Sold out
Connable Office Inc0$00.00%−3,633−100.0%Sold out
Machina Capital S.A.S.0$00.00%−3,295−100.0%Sold out
Valeo Financial Advisors, LLC0$00.00%−3,203−100.0%Sold out
Zhang Financial LLC0$00.00%−3,200−100.0%Sold out
Mutual of America Capital Management LLC0$00.00%−3,022−100.0%Sold out
Quest Partners LLC0$00.00%−2,984−100.0%Sold out
Wealthspire Advisors, LLC0$00.00%−2,882−100.0%Sold out
Hodges Capital Management Inc.0$00.00%−2,850−100.0%Sold out
Quadrature Capital Ltd0$00.00%−2,830−100.0%Sold out
AlphaGrep UK Ltd0$00.00%−2,774−100.0%Sold out
Centiva Capital, LP0$00.00%−2,747−100.0%Sold out
Bank of Montreal0$00.00%−2,728−100.0%Sold out
Capstone Investment Advisors, LLC0$00.00%−2,610−100.0%Sold out
Walleye Trading LLC0$00.00%−2,603−100.0%Sold out
MML Investors Services, LLC0$00.00%−2,575−100.0%Sold out
Versor Investments LP0$00.00%−2,451−100.0%Sold out
JustInvest LLC0$00.00%−2,441−100.0%Sold out
EntryPoint Capital, LLC0$00.00%−2,407−100.0%Sold out
Bayforest Capital Ltd0$00.00%−2,407−100.0%Sold out
Kestra Advisory Services, LLC0$00.00%−805−100.0%Sold out
Archer Investment Corp0$00.00%−686−100.0%Sold out
V-Square Quantitative Management LLC0$00.00%−433−100.0%Sold out
Aster Capital Management (DIFC) Ltd0$00.00%−221−100.0%Sold out
SRS Capital Advisors, Inc.0$00.00%−181−100.0%Sold out
National Bank of Canada0$00.00%−153−100.0%Sold out
SageView Advisory Group, LLC0$00.00%−134−100.0%Sold out
Flagship Harbor Advisors, LLC0$00.00%−133−100.0%Sold out
Danske Bank A/S0$00.00%−100−100.0%Sold out
Signature Equity Partners, LLC0$00.00%−91−100.0%Sold out
Fortitude Family Office, LLC0$00.00%−80−100.0%Sold out
S&T Bank0$00.00%−52−100.0%Sold out
Prestige Wealth Management Group LLC0$00.00%−35−100.0%Sold out
Atlantic Union Bankshares Corp0$00.00%−21−100.0%Sold out
Bell Investment Advisors, Inc0$00.00%−20−100.0%Sold out
Bogart Wealth, LLC0$00.00%−14−100.0%Sold out
TFC Financial Management0$00.00%−7−100.0%Sold out
Cedar Mountain Advisors, LLC0$00.00%−5−100.0%Sold out
Clearstead Advisors, LLC0$00.00%−4−100.0%Sold out
Ancora Advisors, LLC0$00.00%−4−100.0%Sold out
Keating Financial Advisory Services, Inc.0$00.00%−4−100.0%Sold out
Torren Management, LLC0$00.00%−3−100.0%Sold out
Strategic Advocates LLC0$00.00%−2−100.0%Sold out
Gilpin Wealth Management, LLC0$00.00%−2−100.0%Sold out
Elyxium Wealth, LLC0$00.00%−1−100.0%Sold out
Vanguard Group Inc––––Not filed
Norges Bank––––Not filed
Comerica Bank––––Not filed
Hedges Asset Management LLC––––Not filed
Global Retirement Partners, LLC––––Not filed
CIBC Private Wealth Group, LLC––––Not filed