Inspire Medical Systems, Inc. (INSP) Ownership

NYSE: INSPTop holders, insider trades and short interest.

INSP ownership summary

as of October 17, 2026
Institutions
129.3%
of shares outstanding
Insiders
1.18%
of shares outstanding
Shares outstanding
28.9M
Float
23.3M
shares available to trade
Short interest
19.00%
4.2M shares short
Days to cover
5.01
short interest up 14.7% vs prior month
  • Institutions 129.28%
  • Insiders 1.18%

INSP top institutional holders

20 largest
Inspire Medical Systems, Inc. top institutional holders
#Holder% of sharesSharesValueChangeReported
1BlackRock Inc16.39%4.7M$325.9M+1.2M (+33.5%)June 30, 2026
2Wellington Management Company LLP8.24%2.4M$163.9M−153,294 (−6.0%)June 30, 2026
3Vanguard Portfolio Management, LLC7.23%2.1M$143.7M+451,788 (+27.6%)June 30, 2026
4Soleus Capital Management, L.P.6.68%1.9M$132.9M+1.4M (+235.1%)June 30, 2026
5AQR Capital Management LLC6.42%1.9M$127.7M+1.5M (+501.6%)June 30, 2026
6Assenagon Asset Management SA5.98%1.7M$118.9M+1.2M (+232.3%)June 30, 2026
7UBS Group AG5.69%1.6M$113.2M+1.0M (+157.5%)June 30, 2026
8D. E. Shaw & Co LP5.09%1.5M$101.2M+281,925 (+23.7%)June 30, 2026
9Nomura Holdings Inc4.74%1.4M$94.2M+1.4M (0.0%)June 30, 2026
10Deerfield Management Co4.49%1.3M$89.2M−1.4M (−52.0%)June 30, 2026
11Vanguard Capital Management, LLC4.40%1.3M$87.4M+4,190 (+0.3%)June 30, 2026
12State Street Corp4.17%1.2M$83.0M+250,483 (+26.2%)June 30, 2026
13Morgan Stanley - Brokerage Accounts2.74%791K$54.4M−659,412 (−45.5%)June 30, 2026
14Artisan Partners Limited Partnership2.53%732K$50.4M−48,252 (−6.2%)June 30, 2026
15Geode Capital Management, LLC2.42%701K$48.2M+190,602 (+37.4%)June 30, 2026
16BRAIDWELL LP2.34%678K$46.6M—June 30, 2026
17The Goldman Sachs Group Inc2.23%646K$44.4M−18,145 (−2.7%)June 30, 2026
18UBS Asset Mgmt Americas Inc1.89%546K$37.6M+97,233 (+21.7%)June 30, 2026
19Nantahala Capital Management, LLC1.86%539K$37.1M+538,948 (0.0%)June 30, 2026
20Citadel Advisors Llc1.75%506K$34.8M+112,258 (+28.5%)June 30, 2026

Value at the latest close. Change = shares bought or sold in the latest quarterly filing (13F). In the top 20, 14 holders added 9.6M shares and 5 cut 2.3M.

INSP top mutual fund and ETF holders

20 largest
Inspire Medical Systems, Inc. top fund holders
#Holder% of sharesSharesValueChangeReported
1Vanguard Health Care Inv7.24%2.1M$144.0M—June 30, 2026
2iShares Core S&P Small-Cap ETF5.95%1.7M$118.4M+417 (+0.0%)September 30, 2026
3Vanguard MStar Total Stk Mkt Idx Invest3.16%914K$62.9M—August 31, 2026
4iShares Russell 2000 ETF2.59%750K$51.6M−8,640 (−1.1%)September 30, 2026
5Vanguard Small Cap Index2.29%662K$45.6M−1,242 (−0.2%)August 31, 2026
6Xtrackers S&P 500 Swap ETF 1C1.75%505K$34.8M−3,728 (−0.7%)December 31, 2025
7Artisan International Small-Mid Investor1.58%456K$31.4M−26,755 (−5.5%)June 30, 2026
8Vanguard MStar Small Cap Growth Indx Inv1.31%380K$26.1M−3,348 (−0.9%)August 31, 2026
9Fidelity Small Cap Index1.10%317K$21.8M+2,451 (+0.8%)July 31, 2026
10iShares S&P Small-Cap 600 Growth ETF0.93%268K$18.4M—September 30, 2026
11State Street SPDR Port S&P 600 Sm CpETF0.92%265K$18.2M—September 30, 2026
12Federated Hermes MDT Mid Cap Growth A0.82%237K$16.3M+236,764 (0.0%)June 30, 2026
13iShares Russell 2000 Growth ETF0.81%235K$16.2M−298 (−0.1%)September 30, 2026
14Vanguard Strategic Equity Inv0.80%231K$15.9M+146,341 (+173.7%)June 30, 2026
15UBS Lux Rbtc and Atmtn Eq seeding P acc0.78%224K$15.4M−747 (−0.3%)June 30, 2026
16Vanguard Explorer Inv0.63%182K$12.5M+55,116 (+43.4%)June 30, 2026
17Principal US Small Cap ETF0.63%182K$12.5M+90 (+0.0%)September 30, 2026
18Vanguard Russell 2000 ETF0.58%167K$11.5M+3,984 (+2.4%)August 31, 2026
19State Street® SPDR® S&P 600™ Sm Cp GrETF0.58%166K$11.5M—September 30, 2026
20Schwab US Small-Cap ETF™0.53%152K$10.5M+99 (+0.1%)September 30, 2026

Funds report holdings monthly or quarterly; dates differ by fund.

INSP insider transactions

latest 6
Inspire Medical Systems, Inc. insider transactions
DateNameTransactionPriceSharesValue
2026-01-09John RondoniSell$100.00109$10,900
2025-11-28Shawn MccormickSell$127.482,000$254,960
2025-08-29Richard BuchholzSell$93.3911,000$1.0M
2025-08-08Myriam CuretSell$77.284$309
2025-05-08Myriam CuretSell$153.222$306
2025-05-02Shawn MccormickSell$160.00360$57,600

Reported trades by company officers, directors and other filers (including disclosures by members of Congress where EODHD lists them). "—" where the filing gives no share count.

INSP shares outstanding

Shares outstanding

Year-end shares outstanding, adjusted for splits.

Who owns INSP

Institutional investors own 129.3% of Inspire Medical Systems's shares and insiders 1.18%. The largest holder is BlackRock Inc with 16.39% of the shares (4.7M), as of June 30, 2026. Among the top 20 institutions, 14 added shares and 5 reduced their stake in the latest filings. Short interest is 19.00% of the float, or 5.01 days of average trading volume. The share count rose 2,821.8% since 2016.

Related: INSP analyst forecast, INSP key metrics. See the INSP stock overview for the latest quote and news.

INSP ownership FAQ

Who owns the most Inspire Medical Systems stock?

The largest shareholders of Inspire Medical Systems are BlackRock Inc (16.39%), Wellington Management Company LLP (8.24%), Vanguard Portfolio Management, LLC (7.23%), Soleus Capital Management, L.P. (6.68%), AQR Capital Management LLC (6.42%).

What percentage of Inspire Medical Systems is owned by institutions?

Institutions hold 129.3% of Inspire Medical Systems's shares outstanding; insiders hold 1.18%.

Which funds own Inspire Medical Systems?

The largest fund holders of Inspire Medical Systems are Vanguard Health Care Inv (7.24%), iShares Core S&P Small-Cap ETF (5.95%), Vanguard MStar Total Stk Mkt Idx Invest (3.16%), iShares Russell 2000 ETF (2.59%), Vanguard Small Cap Index (2.29%).

What is Inspire Medical Systems's short interest?

4.2M shares of Inspire Medical Systems were sold short, 19.00% of the float; at the average daily volume it would take 5.01 days to cover.

Are insiders buying or selling Inspire Medical Systems?

Of the latest 6 reported insider transactions in Inspire Medical Systems (since May 2, 2025), 0 were purchases and 6 were sales.

How many shares of Inspire Medical Systems are outstanding?

Inspire Medical Systems has 28.9M shares outstanding, of which 23.3M are in the public float.

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