Inspire Medical Systems, Inc.
US ˙ NYSE ˙ US4577301090

SecurityINSP / Inspire Medical Systems, Inc.
InstitutionSquarepoint Ops LLC
Latest Disclosed Ownership66,814 shares
Latest Disclosed Value $ 3,446,266
Squarepoint Ops LLC ownership in INSP / Inspire Medical Systems, Inc.

On May 15, 2026 - Squarepoint Ops LLC filed a 13F-HR form disclosing ownership of 66,814 shares of Inspire Medical Systems, Inc. (US:INSP) valued at $3,446,266 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 13, 2026 disclosing 6,822 shares of Inspire Medical Systems, Inc.. This represents a change in shares of 879.39% during the quarter. The current value of the position is $2,701,958 USD.

Squarepoint Ops LLC has a history of taking positions in derivatives of the underlying security (INSP) in the form of stock options. The firm currently holds call options representing 0 of underlying shares valued at $0 USD and put options representing 0 of underlying shares valued at $0 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

INSP / Inspire Medical Systems, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-15 2026-03-31 13F INSPIRE MED SYS COM 457730109 66,814 59,992 879.39 3,446 447.85 0.0040
2026-02-13 2025-12-31 13F INSPIRE MED SYS COM 457730109 6,822 -16,322 -70.52 629 -63.37 0.0007
2025-11-14 2025-09-30 13F INSPIRE MED SYS COM 457730109 23,144 23,144 1,717 0.0017
2025-08-27 2025-06-30 13F/A-1 INSPIRE MED SYS COM 457730109 0 -2,835 -100.00 0 -100.00
2025-08-14 2025-06-30 13F INSPIRE MED SYS COM 457730109 0 -2,835 0
2025-08-27 2025-03-31 13F/A-1 INSPIRE MED SYS COM 457730109 2,835 358 14.45 452 -1.74 0.0005
2025-05-15 2025-03-31 13F INSPIRE MED SYS COM 457730109 2,835 358 452 0.0005
2025-02-14 2024-12-31 13F INSPIRE MED SYS COM 457730109 2,477 2,477 459 0.0005
2024-11-14 2024-09-30 13F INSPIRE MED SYS COM 457730109 0 -26,294 -100.00 0 -100.00
2024-08-14 2024-06-30 13F INSPIRE MED SYS COM 457730109 26,294 26,294 3,519 0.0058
2024-05-15 2024-03-31 13F INSPIRE MED SYS COM 457730109 0 -26,539 -100.00 0 -100.00
2024-02-14 2023-12-31 13F INSPIRE MED SYS COM 457730109 26,539 -29,573 -52.70 5,399 -51.52 0.0102
2023-11-14 2023-09-30 13F INSPIRE MED SYS COM 457730109 56,112 56,112 11,135 0.0275
2023-08-14 2023-06-30 13F INSPIRE MED SYS COM 457730109 0 -35,819 -100.00 0 -100.00
2023-05-15 2023-03-31 13F INSPIRE MED SYS COM 457730109 35,819 2,401 7.18 8,384 -0.39 0.0342
2023-02-14 2022-12-31 13F INSPIRE MED SYS COM 457730109 33,418 -10,379 -23.70 8,417 8.35 0.0333
2022-11-14 2022-09-30 13F INSPIRE MED SYS COM 457730109 43,797 24,894 131.69 7,768 124.96 0.0392
2022-08-15 2022-06-30 13F INSPIRE MED SYS COM 457730109 18,903 15,857 520.58 3,453 341.56 0.0192
2022-05-16 2022-03-31 13F INSPIRE MED SYS COM 457730109 3,046 2,075 213.70 782 250.67 0.0033
2022-02-14 2021-12-31 13F INSPIRE MED SYS COM 457730109 971 -1,166 -54.56 223 -55.22 0.0006
2021-11-15 2021-09-30 13F INSPIRE MED SYS COM 457730109 2,137 -14,302 -87.00 498 -84.32 0.0014
2021-08-16 2021-06-30 13F INSPIRE MED SYS COM 457730109 16,439 11,777 252.62 3,177 229.22 0.0121
2021-05-17 2021-03-31 13F INSPIRE MED SYS COM 457730109 4,662 -1,422 -23.37 965 -15.65 0.0057
2021-02-16 2020-12-31 13F INSPIRE MED SYS COM 457730109 6,084 6,084 1,144 0.0085
2020-08-14 2020-06-30 13F INSPIRE MED SYS COM 457730109 0 -6,969 -100.00 0 -100.00
2020-05-15 2020-03-31 13F INSPIRE MED SYS COM 457730109 6,969 -6,919 -49.82 420 -59.26 0.0107
2020-02-14 2019-12-31 13F INSPIRE MED SYS COM 457730109 13,888 -3,897 -21.91 1,031 -4.98 0.0061
2019-11-14 2019-09-30 13F INSPIRE MED SYS COM 457730109 17,785 -5,515 -23.67 1,085 -23.21 0.0097
2019-08-14 2019-06-30 13F INSPIRE MED SYS COM 457730109 23,300 18,475 382.90 1,413 415.69 0.0138
2019-05-15 2019-03-31 13F INSPIRE MED SYS COM 457730109 4,825 4,825 274 0.0029
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-15 2026-03-31 13F INSPIRE MED SYS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2026-02-13 2025-12-31 13F INSPIRE MED SYS COM Call 2,300 212 n/a n/a n/a
2025-02-14 2024-12-31 13F INSPIRE MED SYS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-11-14 2024-09-30 13F INSPIRE MED SYS COM Call 12,700 -47.52 2,680 -17.23 n/a n/a n/a
2024-08-14 2024-06-30 13F INSPIRE MED SYS COM Call 24,200 -56.40 3,239 -72.84 n/a n/a n/a
2024-05-15 2024-03-31 13F INSPIRE MED SYS COM Call 55,500 232.34 11,921 250.90 n/a n/a n/a
2024-02-14 2023-12-31 13F INSPIRE MED SYS COM Call 16,700 3,397 n/a n/a n/a
2023-11-14 2023-09-30 13F INSPIRE MED SYS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2023-08-14 2023-06-30 13F INSPIRE MED SYS COM Call 4,700 1,526 n/a n/a n/a
2023-05-15 2023-03-31 13F INSPIRE MED SYS COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2023-02-14 2022-12-31 13F INSPIRE MED SYS COM Call 2,200 0.00 554 42.05 n/a n/a n/a
2022-11-14 2022-09-30 13F INSPIRE MED SYS COM Call 2,200 390 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-15 2026-03-31 13F INSPIRE MED SYS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2026-02-13 2025-12-31 13F INSPIRE MED SYS COM Put 2,200 203 n/a n/a n/a
2025-02-14 2024-12-31 13F INSPIRE MED SYS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2024-11-14 2024-09-30 13F INSPIRE MED SYS COM Put 15,600 -22.39 3,292 22.42 n/a n/a n/a
2024-08-14 2024-06-30 13F INSPIRE MED SYS COM Put 20,100 -66.28 2,690 -78.99 n/a n/a n/a
2024-05-15 2024-03-31 13F INSPIRE MED SYS COM Put 59,600 12,801 n/a n/a n/a
2023-05-15 2023-03-31 13F INSPIRE MED SYS COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2023-02-14 2022-12-31 13F INSPIRE MED SYS COM Put 900 227 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.