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Disclosery

INSP INSPIRE MED SYS INC

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Stock (common), issuer CIK 1609550

267 managers (275 13F filers) reported a position in INSP shares at 2026-06-30, 36,993,692 shares in all. 64 filers opened a position and 90 filers sold out during the quarter.

Managers
267
13F filers
275
New
64
Added
97
Reduced
76
Sold out
90
Shares held by filers
36,993,692

Shares held by filers adds up every 13F filer's report, so a share reported by a parent and by its subsidiary counts twice (H9). Managers counts each filer group once.

13D and 13G filers

No 13D or 13G on this security in the data. Structured 13D/G data starts 2024-12-18.

Insider trades

No Form 4 transaction on this security in the data.

13F holders, Q2 2026

Filers in the available 13F reports with a share position at 2026-06-30, filer groups collapsed to one row (method), largest first. Options and principal amounts are left out. A group row states no % of portfolio, since each member reports its own portfolio: the members' percents are listed under it. A value about 1,000 times or 1/1,000 of the price other filers imply is shown as filed but neither ranks the row nor enters a sum.

HolderSharesValue% of portfolioChangeSource
BlackRock, Inc.in group BlackRock, Inc.4,737,519$211M<0.01%+1,187,96513F-HRTimelineGroup
VANGUARD GROUP INCgroup of 7 filers holding3,609,399$161M+494,929Timeline
WELLINGTON MANAGEMENT GROUP LLPin group WELLINGTON MANAGEMENT GROUP L…2,382,660$106M0.02%-153,29413F-HRTimelineGroup
UBS Group AGgroup of 2 filers holding2,191,531$97.8M+1,103,816Timeline
Soleus Capital Management, L.P.1,931,436$86.2M2.97%+1,355,13713F-HRTimeline
AQR CAPITAL MANAGEMENT LLCin group AQR CAPITAL MANAGEMENT LLC1,856,800$80.9M0.03%+1,548,13813F-HRTimelineGroup
D. E. Shaw & Co., Inc.in group D. E. Shaw & Co., Inc.1,470,462$65.6M0.04%+281,92513F-HRTimelineGroup
NOMURA ASSET MANAGEMENT CO LTDgroup of 2 filers holding1,369,410$61.1M+1,302,130Timeline
DEERFIELD MANAGEMENT COMPANY, L.P.in group DEERFIELD MANAGEMENT COMPANY,…1,296,862$57.9M0.6%-1,406,37613F-HRTimelineGroup
STATE STREET CORPin group STATE STREET CORP1,206,494$53.8M<0.01%+250,48313F-HRTimelineGroup
Assenagon Asset Management S.A.864,395$38.6M0.05%+344,22113F-HR/ATimeline
MORGAN STANLEYin group MORGAN STANLEY791,222$35.3M<0.01%-659,41213F-HRTimelineGroup
Artisan Partners Limited Partnership732,323$32.7M0.05%-48,25213F-HRTimeline
GEODE CAPITAL MANAGEMENT, LLCin group GEODE CAPITAL MANAGEMENT, LLC700,836$31.3M<0.01%+190,60213F-HRTimelineGroup
BRAIDWELL LP677,570$30.2M1.12%013F-HRTimeline
GOLDMAN SACHS GROUP INCin group GOLDMAN SACHS GROUP INC645,858$28.8M<0.01%-18,14513F-HRTimelineGroup
CITADEL ADVISORS LLCin group CITADEL ADVISORS LLC506,334$22.6M0.01%+112,25813F-HRTimelineGroup
SG Americas Securities, LLC491,703$21.9M0.01%+386,55613F-HRTimeline
BNP PARIBAS FINANCIAL MARKETSin group BNP PARIBAS FINANCIAL MARKETS428,069$19.1M0.01%+108,31113F-HRTimelineGroup
RENAISSANCE TECHNOLOGIES LLC426,000$19M0.03%-43,96813F-HRTimeline
ADAR1 Capital Management, LLCin group ADAR1 Capital Management, LLC374,617$16.7M0.79%-30,58013F-HRTimelineGroup
Aberdeen Group plcin group Aberdeen Group plc358,968$16M0.02%-118,50813F-HRTimelineGroup
NORTHERN TRUST CORPin group NORTHERN TRUST CORP334,039$14.9M<0.01%+137,00613F-HRTimelineGroup
BARCLAYS PLCin group BARCLAYS PLC307,270$13.7M<0.01%+239,62913F-HRTimelineGroup
FEDERATED HERMES, INC.in group FEDERATED HERMES, INC.272,130$12.1M0.02%+272,03913F-HRTimelineGroup
Nantahala Capital Management, LLC269,474$12M0.73%new13F-HR/ATimeline
FMR LLCin group FMR LLC267,871$11.9M<0.01%+229,88713F-HRTimelineGroup
BANK OF AMERICA CORP /DE/in group BANK OF AMERICA CORP /DE/248,802$11.1M<0.01%+62,73313F-HRTimelineGroup
Walleye Capital LLCin group Walleye Capital LLC245,763$11M0.05%-112,72613F-HRTimelineGroup
Rock Springs Capital Management LP244,000$10.9M0.53%+112,20013F-HRTimeline
CAPITAL FUND MANAGEMENT S.A.219,873$9.81M0.07%+110,85813F-HRTimeline
CHARLES SCHWAB INVESTMENT MANAGEMENT INCin group Charles Schwab Trust Co210,091$9.37M<0.01%+26,74013F-HRTimelineGroup
NORGES BANK198,272$8.84M<0.01%new13F-HRTimeline
DEUTSCHE BANK AG\in group DEUTSCHE BANK AG\176,200$7.86M<0.01%-336,97513F-HRTimelineGroup
TUDOR INVESTMENT CORP ET AL169,095$7.54M0.03%+1,87713F-HRTimeline
PRICE T ROWE ASSOCIATES INC /MD/167,733$7.48M<0.01%-13,58013F-HRTimeline
CANADA PENSION PLAN INVESTMENT BOARD165,100$7.37M<0.01%+1,00013F-HRTimeline
Bank of New York Mellon Corpin group Bank of New York Mellon Corp148,627$6.63M<0.01%-13713F-HRTimelineGroup
BANK OF NOVA SCOTIAin group BANK OF NOVA SCOTIA144,964$6.47M0.01%+84,96413F-HRTimelineGroup
SUSQUEHANNA INTERNATIONAL GROUP, LLPgroup of 2 filers holding140,383$6.26M-176,347Timeline
Quantinno Capital Management LP137,615$6.14M0.01%+111,06013F-HRTimeline
Edgestream Partners, L.P.133,766$5.97M0.18%+51,49813F-HRTimeline
PRINCIPAL FINANCIAL GROUP INCin group PRINCIPAL FINANCIAL GROUP INC128,175$5.72M<0.01%+1,38713F-HRTimelineGroup
Alberta Investment Management Corp122,900$5.48M0.03%new13F-HRTimeline
Rheos Capital Works Inc.117,400$5.24M0.3%013F-HRTimeline
DIMENSIONAL FUND ADVISORS LPin group DIMENSIONAL FUND ADVISORS LP115,907$5.17M<0.01%-118,76313F-HRTimelineGroup
Invesco Ltd.in group Invesco Ltd.110,285$4.92M<0.01%+6,31213F-HRTimelineGroup
VICTORY CAPITAL MANAGEMENT INC107,657$4.8M<0.01%+43,39713F-HRTimeline
Integral Health Asset Management, LLC100,000$4.46M0.18%new13F-HRTimeline
MILLENNIUM MANAGEMENT LLCin group MILLENNIUM MANAGEMENT LLC94,149$4.2M<0.01%-291,99713F-HRTimelineGroup
Public Sector Pension Investment Board90,077$4.02M0.01%-3,00913F-HR/ATimeline
AMERIPRISE FINANCIAL INCin group AMERIPRISE FINANCIAL INC87,518$3.9M<0.01%-55,93313F-HRTimelineGroup
ACADIAN ASSET MANAGEMENT LLCin group ACADIAN ASSET MANAGEMENT LLC81,263$3.62M<0.01%-128,22313F-HRTimelineGroup
Pacer Advisors, Inc.80,472$3.59M0.01%new13F-HRTimeline
CITIGROUP INCin group CITIGROUP INC77,780$3.47M<0.01%+46,17413F-HRTimelineGroup
NEW YORK STATE COMMON RETIREMENT FUND72,413$3.23M<0.01%+1,52813F-HRTimeline
Voleon Capital Management LP72,218$3.22M0.06%+39,09613F-HRTimeline
Nuveen, LLCin group TIAA70,046$3.12M<0.01%-15,12313F-HRTimelineGroup
RHUMBLINE ADVISERS64,202$2.86M<0.01%-3,70513F-HRTimeline
Legal & General Group Plcin group Legal & General Group Plc61,236$2.73M<0.01%-34713F-HRTimelineGroup
ALGERT GLOBAL LLC60,517$2.7M0.03%+7,65713F-HRTimeline
Corient Private Wealth LPin group Corient Private Wealth LP57,535$2.57M<0.01%+52,27513F-HR/ATimelineGroup
Y-Intercept (Hong Kong) Ltd55,681$2.48M0.05%-102,59313F-HRTimeline
Bullseye Asset Management LLC52,230$2.33M1.18%+1,10213F-HRTimeline
Swiss National Bank52,000$2.32M<0.01%-3,50013F-HRTimeline
Empowered Funds, LLC50,657$2.26M0.01%+15,78113F-HRTimeline
LPL Financial LLC47,947$2.14M<0.01%+36,43813F-HRTimeline
BROWN CAPITAL MANAGEMENT LLC43,951$1.96M0.39%-40,41713F-HRTimeline
JPMORGAN CHASE & COin group JPMORGAN CHASE & CO41,988$1.94M<0.01%-11,62713F-HRTimelineGroup
NORDEA INVESTMENT MANAGEMENT ABin group NORDEA INVESTMENT MANAGEMENT …44,381$1.93M<0.01%+3,96113F-HRTimelineGroup
Brevan Howard Capital Management LPin group Brevan Howard Capital Managem…43,158$1.93M0.03%+37,70113F-HRTimelineGroup
ALLIANCEBERNSTEIN L.P.33,715$1.74M<0.01%+18,55513F-HRTimeline
WINTON GROUP Ltdin group WINTON GROUP Ltd37,412$1.67M0.05%+33,21213F-HRTimelineGroup
Creative Planningin group Creative Planning37,373$1.67M<0.01%+26,06913F-HRTimelineGroup
Entropy Technologies, LP37,293$1.66M0.07%new13F-HRTimeline
Gotham Asset Management, LLC35,823$1.6M<0.01%-51,91013F-HRTimeline
FIRST TRUST ADVISORS LPin group FIRST TRUST ADVISORS LP34,238$1.53M<0.01%-37,42313F-HRTimelineGroup
Jump Financial, LLCin group Jump Financial, LLC31,926$1.42M0.01%+23,72513F-HRTimelineGroup
Mariner, LLCin group Mariner, LLC30,190$1.35M<0.01%new13F-HRTimelineGroup
WELLS FARGO & COMPANY/MNin group WELLS FARGO & COMPANY/MN29,771$1.33M<0.01%+24,46113F-HRTimelineGroup
AXQ CAPITAL, LP29,630$1.32M0.14%-3,38413F-HRTimeline
CALIFORNIA STATE TEACHERS RETIREMENT SY…29,526$1.32M<0.01%-4,94713F-HR/ATimeline
WORLDQUANT MILLENNIUM ADVISORS LLC28,359$1.27M<0.01%-46,88013F-HRTimeline
PRUDENTIAL FINANCIAL INCin group PRUDENTIAL FINANCIAL INC27,720$1.24M<0.01%+4,00513F-HRTimelineGroup
FRANKLIN RESOURCES INCin group Franklin Resources27,693$1.24M<0.01%-15,53413F-HRTimelineGroup
RAYMOND JAMES FINANCIAL INCin group RAYMOND JAMES FINANCIAL INC26,412$1.18M<0.01%new13F-HRTimelineGroup
Odyssean, LLC26,282$1.17M0.19%new13F-HRTimeline
Quantbot Technologies LP25,954$1.16M0.05%new13F-HRTimeline
ExodusPoint Capital Management, LP25,704$1.15M0.01%new13F-HRTimeline
NEW YORK STATE TEACHERS RETIREMENT SYST…25,559$1.14M<0.01%+1,96013F-HRTimeline
MERCER GLOBAL ADVISORS INC /ADV24,944$1.11M<0.01%+18,96713F-HR/ATimeline
Squarepoint Ops LLCin group Squarepoint Ops LLC24,259$1.08M<0.01%-42,55513F-HRTimelineGroup
LAZARD ASSET MANAGEMENT LLCin group LAZARD ASSET MANAGEMENT LLC21,840$974K<0.01%+2,90213F-HRTimelineGroup
CANADA LIFE ASSURANCE Coin group CANADA LIFE ASSURANCE Co21,621$965K<0.01%013F-HRTimelineGroup
INTECH INVESTMENT MANAGEMENT LLC21,255$948K0.01%-31,44713F-HRTimeline
MANUFACTURERS LIFE INSURANCE COMPANY, T…in group MANUFACTURERS LIFE INSURANCE …20,525$916K<0.01%-48013F-HRTimelineGroup
MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd.in group Mirae Asset Global Investment…20,099$897K<0.01%+13,35613F-HRTimelineGroup
Cerity Partners LLCin group Cerity Partners LLC19,959$890K<0.01%-161,46713F-HRTimelineGroup
TD Asset Management Inc19,290$861K<0.01%013F-HRTimeline
Janney Montgomery Scott LLC19,067$851K<0.01%+9,98613F-HRTimeline
VOYA INVESTMENT MANAGEMENT LLCin group VOYA INVESTMENT MANAGEMENT LLC18,780$838K<0.01%-6,09113F-HRTimelineGroup
GSA CAPITAL PARTNERS LLP18,382$820K0.05%+3,81413F-HRTimeline
DAFNA Capital Management LLC18,200$812K0.15%013F-HRTimeline
Oak Thistle LLC17,805$794K0.08%-2,57913F-HRTimeline
Thrivent Financial for Lutheransin group Thrivent Financial for Luther…17,218$768K<0.01%-14113F-HRTimelineGroup
MetLife Investment Management, LLCin group MetLife Investment Management…16,957$756K<0.01%+15,19513F-HRTimelineGroup
AMERICAN CENTURY COMPANIES INCin group AMERICAN CENTURY COMPANIES INC16,443$734K<0.01%+5,76113F-HRTimelineGroup
STATE OF WISCONSIN INVESTMENT BOARD15,405$687K<0.01%-5,61813F-HRTimeline
WEALTH ENHANCEMENT ADVISORY SERVICES, L…12,664$655K<0.01%new13F-HRTimeline
Handelsbanken Fonder AB14,200$633K<0.01%+4,40013F-HRTimeline
Jupiter Topco LLCin group Janus Henderson13,451$601K<0.01%13F-HRTimelineGroup
ALLSTATE CORPin group ALLSTATE CORP12,636$564K0.01%new13F-HRTimelineGroup
Amundiin group Amundi12,552$560K<0.01%-244,27813F-HRTimelineGroup
Exit Wealth Advisors, LLC.12,218$545K0.25%new13F-HRTimeline
VARCOV Co.12,066$538K0.2%new13F-HRTimeline
Mitsubishi UFJ Asset Management Co., Lt…in group Mitsubishi UFJ Trust & Bankin…11,875$530K<0.01%+6,34513F-HRTimelineGroup
State of Tennessee, Department of Treas…11,751$524K<0.01%-4,94613F-HRTimeline
Zurcher Kantonalbank (Zurich Cantonalba…11,604$518K<0.01%013F-HRTimeline
Schonfeld Strategic Advisors LLC11,513$514K<0.01%-12,66713F-HRTimeline
Louisiana State Employees Retirement Sy…11,500$513K0.01%013F-HR/ATimeline
Universal- Beteiligungs- und Serviceges…in group Universal- Beteiligungs- und …10,746$479K<0.01%+4313F-HRTimelineGroup
MACKENZIE FINANCIAL CORP10,551$471K<0.01%new13F-HRTimeline
AVIVA PLCin group AVIVA PLC10,306$460K<0.01%+2,84613F-HRTimelineGroup
DARK FOREST CAPITAL MANAGEMENT LP10,300$459K0.03%+4,79313F-HRTimeline
State of Alaska, Department of Revenue10,288$458K<0.01%-4,20313F-HRTimeline
TRUIST FINANCIAL CORPin group TRUIST FINANCIAL CORP10,203$455K<0.01%-15713F-HRTimelineGroup
Russell Investments Group, Ltd.in group Russell Investments Group, Lt…9,922$443K<0.01%-2,68513F-HRTimelineGroup
SEI INVESTMENTS COin group SEI INVESTMENTS CO9,828$438K<0.01%-32,27213F-HRTimelineGroup
ROTHSCHILD INVESTMENT LLC9,368$418K0.02%+8,56913F-HRTimeline
DIVERSIFIED TRUST CO8,897$397K0.01%-2,97013F-HRTimeline
Weiss Asset Management LPin group Weiss Asset Management LP8,821$394K<0.01%new13F-HRTimelineGroupThe filing omitted confidential holdings, a later amendment may add them.
Palo Alto Investors LP8,772$391K0.05%013F-HR/ATimeline
Merit Financial Group, LLC8,748$390K<0.01%new13F-HR/ATimeline
Hedges Asset Management LLC8,700$388K0.25%13F-HRTimeline
Cambridge Investment Research Advisors,…8,674$387K<0.01%new13F-HR/ATimeline
ALPS ADVISORS INC8,561$382K<0.01%+11113F-HRTimeline
NEUBERGER BERMAN GROUP LLCin group NEUBERGER BERMAN GROUP LLC8,423$376K<0.01%new13F-HRTimelineGroup
STATE BOARD OF ADMINISTRATION OF FLORID…8,038$359K<0.01%-19,48113F-HRTimeline
Police & Firemen's Retirement System of…7,993$357K<0.01%-4,52613F-HRTimeline
Freestone Grove Partners LP7,811$348K<0.01%+4,79013F-HRTimeline
ROYAL BANK OF CANADAin group ROYAL BANK OF CANADA7,718$345K<0.01%-245,25313F-HRTimelineGroup
MARTINGALE ASSET MANAGEMENT L P7,478$334K0.01%new13F-HRTimeline
JONES FINANCIAL COMPANIES LLLPin group JONES FINANCIAL COMPANIES LLLP7,078$324K<0.01%+5,30213F-HRTimelineGroup
ARIZONA STATE RETIREMENT SYSTEM7,151$319K<0.01%-57813F-HRTimeline
CAPTRUST FINANCIAL ADVISORS7,150$319K<0.01%new13F-HRTimeline
YOUSIF CAPITAL MANAGEMENT, LLC7,147$319K<0.01%+813F-HRTimeline
AMALGAMATED BANK7,117$317K<0.01%-1,74713F-HRTimeline
FIRST CITIZENS BANK & TRUST CO6,950$310K<0.01%new13F-HRTimeline
Counterpoint Mutual Funds LLC6,892$307K0.03%new13F-HRTimeline
SummitTX Capital, L.P.6,727$300K0.01%new13F-HRTimeline
Summit Trail Advisors, LLC6,712$299K<0.01%new13F-HRTimeline
Jain Global LLC6,683$298K<0.01%-8,12113F-HRTimeline
TEACHERS RETIREMENT SYSTEM OF THE STATE…6,651$297K<0.01%013F-HRTimeline
Cetera Investment Advisers6,655$297K<0.01%new13F-HRTimeline
Van Diest Capital, LLC6,654$297K0.27%new13F-HRTimeline
ENVESTNET ASSET MANAGEMENT INCgroup of 2 filers holding6,631$296K-19,935Timeline
COMMONWEALTH EQUITY SERVICES, LLC6,533$291K<0.01%new13F-HRTimeline
FIFTH THIRD BANCORPin group FIFTH THIRD BANK, NATIONAL AS…6,496$290K<0.01%+5513F-HRTimelineGroup
Tactive Advisors, LLC6,430$287K0.07%new13F-HRTimeline
COMMONWEALTH OF PENNSYLVANIA PUBLIC SCH…6,218$277K<0.01%-21313F-HRTimeline
Caprock Group, LLC6,210$277K0.01%new13F-HRTimeline
LSV ASSET MANAGEMENT6,200$277K<0.01%013F-HRTimeline
HSBC HOLDINGS PLCin group HSBC HOLDINGS PLC6,241$274K<0.01%-13,48913F-HRTimelineGroup
KLP KAPITALFORVALTNING AS6,000$268K<0.01%013F-HRTimeline
INCEPTIONR LLC5,967$266K0.07%new13F-HRTimeline
OREGON PUBLIC EMPLOYEES RETIREMENT FUND5,962$266K<0.01%013F-HRTimeline
Focus Partners Wealthin group Focus Partners Wealth5,686$254K<0.01%new13F-HRTimelineGroup
Frec Markets, Inc.in group Frec Markets, Inc.5,645$252K0.02%new13F-HRTimelineGroup
VAN ECK ASSOCIATES CORPin group VAN ECK ASSOCIATES CORP5,267$235K<0.01%+1,02513F-HRTimelineGroup
Pictet Asset Management Holding SAin group Pictet Asset Management Holdi…5,018$224K<0.01%013F-HRTimelineGroup
Sanctuary Advisors, LLC4,779$213K<0.01%new13F-HRTimeline
Swiss Life Asset Management Ltdin group Swiss Life Asset Management L…4,753$212K<0.01%-11213F-HRTimelineGroup
BOOTHBAY FUND MANAGEMENT, LLC4,559$203K<0.01%-17,47613F-HRTimeline
BRIGHTON JONES LLC4,518$202K<0.01%new13F-HRTimeline
PUBLIC EMPLOYEES RETIREMENT ASSOCIATION…3,328$148K<0.01%013F-HRTimeline
Bayforest Capital Ltd3,240$145K0.13%new13F-HRTimeline
Leonteq Securities AG3,234$144K0.01%-19,57813F-HRTimeline
US BANCORP \DE\in group US BANCORP \DE\2,970$132K<0.01%+66713F-HRTimelineGroup
Integrated Wealth Concepts LLC2,946$131K<0.01%new13F-HRTimeline
Ameritas Investment Partners, Inc.in group Ameritas Investment Partners,…2,634$118K<0.01%new13F-HRTimelineGroup
BOKF, NAin group BOKF, NA2,586$115K<0.01%-8213F-HRTimelineGroup
SIMPLEX TRADING, LLC2,441$109K<0.01%new13F-HRTimeline
Rockefeller Capital Management L.P.in group Rockefeller Capital Managemen…2,331$104K<0.01%+22613F-HRTimelineGroup
Tower Research Capital LLC (TRC)in group Tower Research Capital LLC (T…2,228$99.4K<0.01%+1,62713F-HRTimelineGroup
NATIXISin group Natixis Investment Managers2,100$93.7K<0.01%+6713F-HRTimelineGroup
Allworth Financial LP1,980$88.3K<0.01%+1,45313F-HRTimeline
Arax Advisory Partners1,814$80.9K<0.01%new13F-HRTimeline
Nykredit A/Sin group Nykredit A/S1,754$78.2K<0.01%13F-HRTimelineGroup
Ensign Peak Advisors, Inc1,677$74.8K<0.01%013F-HRTimeline
PNC Financial Services Group, Inc.in group PNC Financial Services Group,…1,562$69.7K<0.01%+55313F-HRTimelineGroup
SIGNATUREFD, LLC1,546$69K<0.01%+1,06413F-HRTimeline
New Age Alpha Advisors, LLC1,409$62.9K<0.01%-5613F-HRTimeline
GAMMA Investing LLC1,221$54.5K<0.01%+56113F-HRTimeline
Eurizon Capital SGR S.p.A.1,094$49.2K<0.01%+5613F-HRTimeline
HANTZ FINANCIAL SERVICES, INC.1,083$48K<0.01%+58513F-HRTimelineThe filing omitted confidential holdings, a later amendment may add them.
Pinnacle Wealth Planning Services, Inc.978$43.6K<0.01%+30813F-HRTimeline
Versant Capital Management, Inc958$42.7K<0.01%+75813F-HRTimeline
KBC Group NVin group KBC Group NV895$40K<0.01%013F-HRTimelineGroup
OSAIC HOLDINGS, INC.in group OSAIC HOLDINGS, INC.881$39.3K<0.01%-8,83413F-HRTimelineGroup
Parallel Advisors, LLC757$33.8K<0.01%+2813F-HRTimeline