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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, Q2 2026

Institutional positions in Inspire Medical Systems, Inc. as of Jun 30, 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
275
−22 vs. Q1 2026
Shares held
37.0M
+2.14M (+6.2%) vs. Q1 2026
Total value
$1.65B
−$149.3M (−8.3%) vs. Q1 2026
New holders
68
98 more added
Sold out
90
76 more reduced

4 institutions that held it in Q1 2026 haven't filed for Q2 2026 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q1 2026: 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 holdersQ2 2026: 275 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 heldQ2 2026: $1.65B
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, Q2 2026

Shares, value and share of portfolio for each institution holding Inspire Medical Systems, Inc.; share changes are against Q1 2026.

Institutions holding INSP in Q2 2026
InstitutionSharesValue% of portfolioChange in sharesAction
Frec Markets, Inc.5,645$251.8K0.02%+5,645New
Colony Group, LLC5,686$253.7K0.00%+5,686New
Oregon Public Employees Retirement Fund5,962$266.0K0.00%00.0%Unchanged
Inceptionr LLC5,967$266.2K0.07%+5,967New
KLP Kapitalforvaltning AS6,000$267.7K0.00%00.0%Unchanged
HSBC Holdings PLC6,241$274.5K0.00%−13,489−68.4%Reduced
LSV Asset Management6,200$277.0K0.00%00.0%Unchanged
CAPROCK Group, Inc.6,210$277.0K0.01%+6,210New
Commonwealth of Pennsylvania Public School Empls Retrmt Sys6,218$277.4K0.00%−213−3.3%Reduced
Tactive Advisors, LLC6,430$286.8K0.07%+6,430New
Fifth Third Bancorp6,496$289.8K0.00%+55+0.9%Added
Commonwealth Equity Services, LLC6,533$291.4K0.00%+6,533New
Envestnet Portfolio Solutions, Inc.6,631$295.8K0.00%+6,631New
Van Diest Capital, LLC6,654$296.8K0.27%+6,654New
Cetera Investment Advisers6,655$296.9K0.00%+6,655New
Teachers Retirement System of the State of Kentucky6,651$297.0K0.00%00.0%Unchanged
Jain Global LLC6,683$298.1K0.00%−8,121−54.9%Reduced
Summit Trail Advisors, LLC6,712$299.4K0.00%+6,712New
SummitTX Capital, L.P.6,727$300.1K0.01%+6,727New
Vanguard Investments Australia, Ltd.6,759$301.5K0.00%00.0%Unchanged
Counterpoint Mutual Funds LLC6,892$307.5K0.03%+6,892New
First Citizens Bank & Trust Co6,950$310.0K0.00%+6,950New
Amalgamated Bank7,117$317.0K0.00%−1,747−19.7%Reduced
Yousif Capital Management, LLC7,147$318.8K0.00%+8+0.1%Added
Captrust Financial Advisors7,150$319.0K0.00%+7,150New
Arizona State Retirement System7,151$319.0K0.00%−578−7.5%Reduced
Jones Financial Companies LLLP7,078$323.6K0.00%+5,302+298.5%Added
Martingale Asset Management L P7,478$333.6K0.01%+7,478New
Royal Bank of Canada7,718$345.0K0.00%−245,253−96.9%Reduced
Freestone Grove Partners LP7,811$348.4K0.00%+4,790+158.6%Added
Police & Firemen's Retirement System of New Jersey7,993$356.6K0.00%−4,526−36.2%Reduced
State Board of Administration of Florida Retirement System8,038$358.6K0.00%−19,481−70.8%Reduced
Neuberger Berman Group LLC8,423$375.8K0.00%+8,423New
Alps Advisors Inc8,561$381.9K0.00%+111+1.3%Added
Cambridge Investment Research Advisors, Inc.8,674$387.0K0.00%+8,674New
Hedges Asset Management LLC8,700$388.1K0.25%+8,700New
Merit Financial Group, LLC8,748$390.2K0.00%+8,748New
Palo Alto Investors LP8,772$391.3K0.05%00.0%Unchanged
Weiss Asset Management LP8,821$393.5K0.00%+8,821New
Diversified Trust Co8,897$396.9K0.01%−2,970−25.0%Reduced
Rothschild Investment LLC9,368$417.9K0.02%+8,569+1,072.5%Added
SEI Investments Co9,828$438.1K0.00%−32,272−76.7%Reduced
Russell Investments Group, Ltd.9,922$442.6K0.00%−2,685−21.3%Reduced
Truist Financial Corp10,203$455.2K0.00%−157−1.5%Reduced
State of Alaska, Department of Revenue10,288$458.0K0.00%−4,203−29.0%Reduced
Dark Forest Capital Management LP10,300$459.5K0.03%+4,793+87.0%Added
Aviva PLC10,306$459.8K0.00%+2,846+38.2%Added
Mackenzie Financial Corp10,551$470.7K0.00%+10,551New
Universal- Beteiligungs- und Servicegesellschaft mbH10,746$479.4K0.00%+43+0.4%Added
Louisiana State Employees Retirement System11,500$513.0K0.01%00.0%Unchanged
Schonfeld Strategic Advisors LLC11,513$513.6K0.00%−12,667−52.4%Reduced
Zurcher Kantonalbank (Zurich Cantonalbank)11,604$517.7K0.00%00.0%Unchanged
State of Tennessee, Treasury Department11,751$524.2K0.00%−4,946−29.6%Reduced
Mitsubishi UFJ Kokusai Asset Management Co., Ltd.11,875$529.7K0.00%+6,345+114.7%Added
VARCOV Co.12,066$538.3K0.20%+12,066New
Exit Wealth Advisors, LLC.12,218$545.0K0.25%+12,218New
Amundi12,552$559.9K0.00%−244,278−95.1%Reduced
Allstate Corp12,636$563.7K0.01%+12,636New
Jupiter Topco LLC13,451$600.7K0.00%+13,451New
Handelsbanken Fonder AB14,200$633.0K0.00%+4,400+44.9%Added
Wealth Enhancement Advisory Services, LLC12,664$655.5K0.00%+12,664New
State of Wisconsin Investment Board15,405$687.2K0.00%−5,618−26.7%Reduced
American Century Companies Inc16,443$733.5K0.00%+5,761+53.9%Added
MetLife Investment Management16,957$756.5K0.00%+15,195+862.4%Added
Thrivent Financial for Lutherans17,218$768.0K0.00%−141−0.8%Reduced
Oak Thistle LLC17,805$794.3K0.08%−2,579−12.7%Reduced
DAFNA Capital Management LLC18,200$811.9K0.15%00.0%Unchanged
Gsa Capital Partners LLP18,382$820.0K0.05%+3,814+26.2%Added
Voya Investment Management LLC18,780$837.8K0.00%−6,091−24.5%Reduced
Janney Montgomery Scott LLC19,067$851.0K0.00%+9,986+110.0%Added
TD Asset Management Inc19,290$860.5K0.00%00.0%Unchanged
Cerity Partners LLC19,959$890.4K0.00%−161,467−89.0%Reduced
Mirae Asset Global ETFs Holdings Ltd.20,099$896.6K0.00%+13,356+198.1%Added
Manufacturers Life Insurance Company, The20,525$915.6K0.00%−480−2.3%Reduced
Intech Investment Management LLC21,255$948.2K0.01%−31,447−59.7%Reduced
Vanguard Global Advisers, LLC21,530$960.5K0.00%+10,903+102.6%Added
Great West Life Assurance Co21,621$965.0K0.00%00.0%Unchanged
Lazard Asset Management LLC21,840$974.3K0.00%+2,902+15.3%Added
Squarepoint Ops LLC24,259$1.08M0.00%−42,555−63.7%Reduced
Mercer Global Advisors Inc24,944$1.11M0.00%+18,967+317.3%Added
Vanguard Asset Management, Ltd25,473$1.14M0.00%00.0%Unchanged
New York State Teachers Retirement System25,559$1.14M0.00%+1,960+8.3%Added
ExodusPoint Capital Management, LP25,704$1.15M0.01%+25,704New
Quantbot Technologies LP25,954$1.16M0.05%+25,954New
Odyssean, LLC26,282$1.17M0.19%+26,282New
Raymond James Financial Inc26,412$1.18M0.00%+26,412New
Franklin Resources Inc27,693$1.24M0.00%−15,534−35.9%Reduced
Prudential Financial Inc27,720$1.24M0.00%+4,005+16.9%Added
Worldquant Millennium Advisors LLC28,359$1.27M0.00%−46,880−62.3%Reduced
California State Teachers Retirement System29,526$1.32M0.00%−4,947−14.4%Reduced
Axq Capital, LP29,630$1.32M0.14%−3,384−10.3%Reduced
Wells Fargo & Company29,771$1.33M0.00%+24,461+460.7%Added
Mariner, LLC30,190$1.35M0.00%+30,190New
Jump Financial, LLC31,926$1.42M0.01%+23,725+289.3%Added
First Trust Advisors LP34,238$1.53M0.00%−37,423−52.2%Reduced
Gotham Asset Management, LLC35,823$1.60M0.00%−51,910−59.2%Reduced
Entropy Technologies, LP37,293$1.66M0.07%+37,293New
Creative Planning37,373$1.67M0.00%+26,069+230.6%Added
Winton Group Ltd37,412$1.67M0.05%+33,212+790.8%Added
Alliancebernstein L.P.33,715$1.74M0.00%+18,555+122.4%Added