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Compiled from SEC Form N-PX filings and Inspire Medical Systems, Inc.’s Form 8-K, filed May 5, 2026 (Item 5.07 on EDGAR). Page generated October 25, 2026.
Meeting of April 30, 2026: 8 items on Inspire Medical Systems, Inc.’s Form 8-K, filed May 5, 2026: 3 elected · 5 approved.
Material dissent: a director nominee under 80% of the votes cast, say-on-pay under 70%, any other item the board put forward under 80%, or a shareholder proposal with more than 50%, on the company’s own Form 8-K tally. How this is decided
Explore Inspire Medical Systems, Inc. in the interactive database Compare manager voting policies
These tallies are Inspire Medical Systems, Inc.’s own, as disclosed to the U.S. Securities and Exchange Commission on Form 8-K, filed May 5, 2026 (Item 5.07, “Submission of Matters to a Vote of Security Holders”). They cover every share voted at the meeting, not just the funds that file Form N-PX.
| Ballot item | For | Against | Abstain | Withheld | Broker non-votes | Support (of votes cast) | Reported outcome | Voting standard |
|---|---|---|---|---|---|---|---|---|
| Elect Director: Gary L. Ellis | 17,268,398 | -- | -- | 5,883,344 | 2,135,853 | 75% | Elected | — |
| Elect Director: Georgia Melenikiotou | 22,693,412 | -- | -- | 458,330 | 2,135,853 | 98% | Elected | — |
| Elect Director: Dana G. Mead, Jr. | 21,950,770 | -- | -- | 1,200,972 | 2,135,853 | 95% | Elected | — |
| 2. Ratification of the Appointment of Ernst & Young LLP as the Company's Independent Registered Public Accounting Firm for the year ending December 31, 2026 | 25,089,422 | 170,682 | 27,491 | -- | -- | 99.3% | Approved | — |
| 3. Approval, on an Advisory (Non-Binding) Basis, of the Compensation of the Company's Named Executive Officers | 22,508,636 | 595,867 | 47,239 | -- | 2,135,853 | 97% | Approved | — |
| 5. Approval of an Amendment to the Company's Certificate of Incorporation to Phase Out the Classified Board Structure and Provide for the Annual Election of All Directors Beginning with the Company's 2029 Annual Meeting of Stockholders | 23,121,710 | 11,103 | 18,929 | -- | 2,135,853 | 99.9% | Approved | — |
| 6. Approval of an Amendment and Restatement of the Inspire Medical Systems, Inc | 14,330,536 | 8,796,686 | 24,520 | -- | 2,135,853 | 62% | Approved | — |
| 7. Approval of an Adjournment of the Annual Meeting, if necessary, to Solicit Additional Proxies if there are Not Sufficient Votes at the Time of the Annual Meeting to Approve Proposal No. 5 and/or Proposal No. 6 | 21,795,417 | 1,281,054 | 75,271 | -- | 2,135,853 | 94% | Approved | — |
Source: Inspire Medical Systems, Inc., Form 8-K, filed with the SEC on May 5, 2026 — read the filing on EDGAR.
Each item below shows how the 352 asset managers that disclosed a Inspire Medical Systems, Inc. vote in their SEC Form N-PX filings actually voted. Share totals are the shares those managers' funds voted, summed across every fund they report. These are reported items, not a count of the ballot: fund filings describe one ballot item in different words. Two descriptions are shown as one item only on evidence — the same text (or one cut short of the other), the same director nominee, or a match to the same row of Inspire Medical Systems, Inc.’s own Form 8-K tally — never because they merely read alike. A description that could not be joined that way is listed on its own, so one ballot item can appear more than once.
Combines 7 wordings of this item as funds reported it.
95% Majority: yes · of votes cast
Description as filed by funds: Election of Class II Directors: Dana G. Mead, Jr.
Inspire Medical Systems, Inc.’s own tally for this item (“Elect Director: Dana G. Mead, Jr.”): 21,950,770 for, 1,200,972 withheld, per its Form 8-K filed May 5, 2026 (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.
Reported outcome: Elected, in the filing’s own words: “Proposal 1 — Election of Directors 2 The following director nominees were elected as Class II directors to hold office until the Company's annual meeting of stockholders to be held in 2029 and until their respective successors have been duly elected and qualified.”
Support: 95% of votes cast — FOR ÷ (FOR + WITHHELD); abstentions and broker non-votes are excluded.
The 88 asset managers below reported 10,383,212 for, 216,728 withheld, 709 abstained.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,586,458 | 0 | 5 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 520,213 | 0 | 0 | 0 | For |
| State Street | 463,499 | 0 | 0 | 24 | For |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 248,254 | 0 | 0 | 0 | For |
| Aberdeen | 0 | 0 | 0 | 203,308 | Withhold |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 153,388 | 0 | 0 | 0 | For |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 98,378 | 0 | 0 | 0 | For |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 73,736 | 0 | 0 | 0 | For |
| First Trust | 71,569 | 0 | 0 | 0 | For |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 41,571 | 0 | 0 | 0 | For |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 35,053 | 0 | 0 | 0 | For |
| BNY Mellon | 27,359 | 0 | 0 | 0 | For |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 24,721 | 0 | 0 | 0 | For |
Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.
Combines 7 wordings of this item as funds reported it.
75% Majority: yes · of votes cast
Description as filed by funds: Election of Class II Directors: Gary L. Ellis
Inspire Medical Systems, Inc.’s own tally for this item (“Elect Director: Gary L. Ellis”): 17,268,398 for, 5,883,344 withheld, per its Form 8-K filed May 5, 2026 (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.
Reported outcome: Elected, in the filing’s own words: “Proposal 1 — Election of Directors 2 The following director nominees were elected as Class II directors to hold office until the Company's annual meeting of stockholders to be held in 2029 and until their respective successors have been duly elected and qualified.”
Support: 75% of votes cast — FOR ÷ (FOR + WITHHELD); abstentions and broker non-votes are excluded.
The 88 asset managers below reported 9,105,767 for, 1,405,757 withheld, 89,126 abstained.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,516,605 | 0 | 25 | 69,833 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 469,513 | 0 | 0 | 50,700 | Mixed |
| State Street | 463,046 | 0 | 0 | 477 | For |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 0 | 0 | 0 | 365,211 | Withhold |
| WILLIAM BLAIR FUNDS | 0 | 0 | 0 | 248,254 | Withhold |
| Aberdeen | 0 | 0 | 0 | 203,308 | Withhold |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 153,388 | 0 | 0 | 0 | For |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 10,174 | 0 | 88,204 | 0 | Mixed |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 0 | 0 | 0 | 73,736 | Withhold |
| First Trust | 0 | 0 | 0 | 71,569 | Withhold |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 0 | 0 | 0 | 41,571 | Withhold |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 0 | 0 | 0 | 35,053 | Withhold |
| BNY Mellon | 3,511 | 0 | 0 | 23,848 | Mixed |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 15,556 | 0 | 0 | 9,165 | Mixed |
Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.
Combines 7 wordings of this item as funds reported it.
98% Majority: yes · of votes cast
Description as filed by funds: Election of Class II Directors: Georgia Melenikiotou
Inspire Medical Systems, Inc.’s own tally for this item (“Elect Director: Georgia Melenikiotou”): 22,693,412 for, 458,330 withheld, per its Form 8-K filed May 5, 2026 (Item 5.07). FOR was more than half of the votes cast. Whether the item passed is for the filing to say; its statement has not been read for this item.
Reported outcome: Elected, in the filing’s own words: “Proposal 1 — Election of Directors 2 The following director nominees were elected as Class II directors to hold office until the Company's annual meeting of stockholders to be held in 2029 and until their respective successors have been duly elected and qualified.”
Support: 98% of votes cast — FOR ÷ (FOR + WITHHELD); abstentions and broker non-votes are excluded.
The 88 asset managers below reported 10,592,886 for, 7,761 withheld, 2 abstained.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,586,461 | 0 | 2 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 520,213 | 0 | 0 | 0 | For |
| State Street | 463,523 | 0 | 0 | 0 | For |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 248,254 | 0 | 0 | 0 | For |
| Aberdeen | 203,308 | 0 | 0 | 0 | For |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 153,388 | 0 | 0 | 0 | For |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 98,378 | 0 | 0 | 0 | For |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 73,736 | 0 | 0 | 0 | For |
| First Trust | 71,569 | 0 | 0 | 0 | For |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 41,571 | 0 | 0 | 0 | For |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 35,053 | 0 | 0 | 0 | For |
| BNY Mellon | 27,359 | 0 | 0 | 0 | For |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 24,721 | 0 | 0 | 0 | For |
Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.
Combines 2 wordings of this item as funds reported it.
99.9% Approved · of votes cast
Description as filed by funds: APPROVAL OF AN AMENDMENT TO THE COMPANY'S SEVENTH AMENDED AND RESTATED CERTIFICATE OF INCORPORATION TO PHASE OUT THE CLASSIFIED BOARD STRUCTURE AND PROVIDE FOR THE ANNUAL ELECTION OF ALL DIRECTORS BEGINNING WITH THE COMPANY'S 2029 ANNUAL MEETING OF STOCKHOLDERS.
Inspire Medical Systems, Inc.’s own tally for this item (“5. Approval of an Amendment to the Company's Certificate of Incorporation to Phase Out the Classified Board Structure and Provide for the Annual Election of All Directors Beginning with the Company's 2029 Annual Meeting ”): 23,121,710 for, 11,103 against — passed, per its Form 8-K filed May 5, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “Proposal 5 — Approval of an Amendment to the Company's Certificate of Incorporation to Phase Out the Classified Board Structure and Provide for the Annual Election of All Directors Beginning with the Company's 2029 Annual Meeting of Stockholders The Company's stockholders approved the amendment to …”
Support: 99.9% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 88 asset managers below reported 10,594,726 for.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,586,463 | 0 | 0 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 520,213 | 0 | 0 | 0 | For |
| State Street | 463,523 | 0 | 0 | 0 | For |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 248,254 | 0 | 0 | 0 | For |
| Aberdeen | 203,308 | 0 | 0 | 0 | For |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 153,388 | 0 | 0 | 0 | For |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 98,378 | 0 | 0 | 0 | For |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 73,736 | 0 | 0 | 0 | For |
| First Trust | 71,569 | 0 | 0 | 0 | For |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 41,571 | 0 | 0 | 0 | For |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 35,053 | 0 | 0 | 0 | For |
| BNY Mellon | 27,359 | 0 | 0 | 0 | For |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 24,721 | 0 | 0 | 0 | For |
Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.
Combines 2 wordings of this item as funds reported it.
94% Approved · of votes cast
Description as filed by funds: APPROVAL OF AN ADJOURNMENT OF THE ANNUAL MEETING, IF NECESSARY, TO SOLICIT ADDITIONAL PROXIES IF THERE ARE NOT SUFFICIENT VOTES AT THE TIME OF THE ANNUAL MEETING TO APPROVE PROPOSAL NO. 5 AND/OR PROPOSAL NO. 6.
Inspire Medical Systems, Inc.’s own tally for this item (“7. Approval of an Adjournment of the Annual Meeting, if necessary, to Solicit Additional Proxies if there are Not Sufficient Votes at the Time of the Annual Meeting to Approve Proposal No. 5 and/or Proposal No. 6”): 21,795,417 for, 1,281,054 against — passed, per its Form 8-K filed May 5, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “Proposal 7: Approval of an Adjournment of the Annual Meeting, if necessary, to Solicit Additional Proxies if there are Not Sufficient Votes at the Time of the Annual Meeting to Approve Proposal No. 5 and/or Proposal No. 6 The Company's stockholders approved the adjournment of the”
Support: 94% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 88 asset managers below reported 9,928,323 for, 649,735 against, 3,368 abstained.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,586,458 | 5 | 0 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 501,380 | 18,833 | 0 | 0 | For |
| State Street | 10,637 | 452,886 | 0 | 0 | Against |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 248,254 | 0 | 0 | 0 | For |
| Aberdeen | 203,308 | 0 | 0 | 0 | For |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 0 | 153,388 | 0 | 0 | Against |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 98,378 | 0 | 0 | 0 | For |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 73,736 | 0 | 0 | 0 | For |
| First Trust | 71,569 | 0 | 0 | 0 | For |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 41,571 | 0 | 0 | 0 | For |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 35,053 | 0 | 0 | 0 | For |
| BNY Mellon | 27,359 | 0 | 0 | 0 | For |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 24,721 | 0 | 0 | 0 | For |
Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.
Combines 2 wordings of this item as funds reported it.
62% Approved · of votes cast
Description as filed by funds: APPROVAL OF AN AMENDMENT AND RESTATEMENT OF THE INSPIRE MEDICAL SYSTEMS, INC. 2018 INCENTIVE AWARD PLAN.
Inspire Medical Systems, Inc.’s own tally for this item (“6. Approval of an Amendment and Restatement of the Inspire Medical Systems, Inc”): 14,330,536 for, 8,796,686 against — passed, per its Form 8-K filed May 5, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “Proposal 6 — Approval of an Amendment and Restatement of the Inspire Medical Systems, Inc. 2018 Incentive Award Plan 3 The Company's stockholders approved the amendment and restatement of the Inspire Medical Systems, Inc. 2018 Incentive Award Plan:”
Support: 62% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 92 asset managers below reported 8,505,100 for, 2,097,727 against, 4,868 abstained.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,513,401 | 73,062 | 0 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 450,680 | 69,533 | 0 | 0 | Mixed |
| State Street | 9,585 | 453,938 | 0 | 0 | Against |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 0 | 248,254 | 0 | 0 | Against |
| Aberdeen | 0 | 203,308 | 0 | 0 | Against |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 0 | 153,388 | 0 | 0 | Against |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 0 | 117,381 | 0 | 0 | Against |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 0 | 100,067 | 0 | 0 | Against |
| Jackson National | 52,338 | 46,040 | 0 | 0 | Mixed |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 0 | 73,736 | 0 | 0 | Against |
| First Trust | 0 | 71,569 | 0 | 0 | Against |
| Brown Capital Management Mutual Funds | 0 | 70,742 | 0 | 0 | Against |
| Lincoln Financial | 0 | 41,571 | 0 | 0 | Against |
| Invesco | 0 | 36,801 | 0 | 0 | Against |
| Dimensional | 0 | 35,053 | 0 | 0 | Against |
| BNY Mellon | 0 | 27,359 | 0 | 0 | Against |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 15,556 | 9,165 | 0 | 0 | Mixed |
Showing the 25 largest of 92 asset managers. See all 92 in the interactive database.
Combines 5 wordings of this item as funds reported it.
97% Approved · of votes cast
Description as filed by funds: Approval, on an advisory (non- binding) basis, of the compensation of the Company's named executive officers.
Inspire Medical Systems, Inc.’s own tally for this item (“3. Approval, on an Advisory (Non-Binding) Basis, of the Compensation of the Company's Named Executive Officers”): 22,508,636 for, 595,867 against — passed, per its Form 8-K filed May 5, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “Proposal 3 — Approval, on an Advisory (Non-Binding) Basis, of the Compensation of the Company's Named Executive Officers The Company's stockholders approved, on an advisory (non-binding) basis, the compensation of the Company's named executive officers by voting as follows:”
Support: 97% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
Fund voting reports and institutional-manager reports both cover this item. An institutional manager can report shares that a fund it advises also reports, so the two are shown separately below and never added together, and their sum is not shown (fund and manager reports combined may count the same shares twice).
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,586,461 | 2 | 0 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 520,213 | 0 | 0 | 0 | For |
| State Street | 463,523 | 0 | 0 | 0 | For |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 248,254 | 0 | 0 | 0 | For |
| Aberdeen | 203,308 | 0 | 0 | 0 | For |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 153,388 | 0 | 0 | 0 | For |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 98,378 | 0 | 0 | 0 | For |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 73,736 | 0 | 0 | 0 | For |
| First Trust | 71,569 | 0 | 0 | 0 | For |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 41,571 | 0 | 0 | 0 | For |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 35,053 | 0 | 0 | 0 | For |
| BNY Mellon | 27,359 | 0 | 0 | 0 | For |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 24,721 | 0 | 0 | 0 | For |
Fund voting reports, all 88 managers: 10,585,993 for, 11,133 against, 17,368 abstained. Showing the 25 largest; see all in the interactive database.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| DEERFIELD MANAGEMENT COMPANY, L.P. | 2,376,238 | 0 | 0 | 0 | For |
| Wellington | 1,814,790 | 0 | 0 | 0 | For |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | 977,512 | 0 | 0 | 0 | For |
| BlackRock | 923,306 | 445 | 0 | 0 | For |
| State Street | 864,177 | 0 | 0 | 0 | For |
| Artisan | 715,498 | 0 | 0 | 0 | For |
| Invesco | 603,272 | 0 | 0 | 0 | For |
| GEODE CAPITAL MANAGEMENT, LLC | 498,410 | 0 | 0 | 0 | For |
| Aberdeen | 477,476 | 0 | 0 | 0 | For |
| BAMCO INC /NY/ | 407,375 | 0 | 0 | 0 | For |
| Vestal Point Capital, LP | 380,827 | 0 | 0 | 0 | For |
| Regal Partners Ltd | 310,485 | 21,844 | 0 | 0 | Mixed |
| RA CAPITAL MANAGEMENT, L.P. | 325,663 | 0 | 0 | 0 | For |
| DE Shaw | 272,947 | 0 | 0 | 0 | For |
| T. Rowe Price | 242,052 | 0 | 0 | 0 | For |
| UBS | 0 | 225,922 | 0 | 0 | Against |
| Vanguard | 212,104 | 0 | 0 | 0 | For |
| Soleus Capital Management, L.P. | 190,904 | 0 | 0 | 0 | For |
| CANADA PENSION PLAN INVESTMENT BOARD | 177,800 | 0 | 0 | 0 | For |
| Charles Schwab | 176,254 | 0 | 0 | 0 | For |
| Northern Trust | 165,281 | 0 | 0 | 0 | For |
| ADAR1 Capital Management, LLC | 156,546 | 0 | 0 | 0 | For |
| WASATCH ADVISORS LP | 138,350 | 0 | 0 | 0 | For |
| Nuveen | 132,380 | 0 | 0 | 0 | For |
| PRINCIPAL GLOBAL INVESTORS | 130,160 | 0 | 0 | 0 | For |
Institutional-manager reports, all 284 managers: 15,233,575 for, 452,176 against, 13,518 abstained, 11,929 not voted, 39,470 1 year. Showing the 25 largest; see all in the interactive database.
Combines 2 wordings of this item as funds reported it.
100% Fund and manager reports combined; may count the same shares twice · no official result
Description as filed by funds: Approval, on an advisory (non- binding) basis, of the frequency of future advisory votes on the compensation of the Company's named executive officers.
Fund voting reports and institutional-manager reports both cover this item. An institutional manager can report shares that a fund it advises also reports, so the two are shown separately below and never added together, and their sum is not shown (fund and manager reports combined may count the same shares twice). The figure above is FOR ÷ (FOR + AGAINST + WITHHELD) of the shares these managers voted; abstained and unvoted shares are in neither half, and these managers are a subset of all shareholders, not the meeting result.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| BlackRock | 0 | 0 | 0 | 0 | -- |
| Vanguard | 0 | 0 | 0 | 0 | -- |
| Charles Schwab | 0 | 0 | 0 | 0 | -- |
| Hartford | 0 | 0 | 0 | 0 | -- |
| Jackson National | 0 | 0 | 0 | 0 | -- |
| Advisors' Inner Circle Fund II | 0 | 0 | 0 | 0 | -- |
| Brown Capital Management Mutual Funds | 0 | 0 | 0 | 0 | -- |
| Bridge Builder Trust | 0 | 0 | 0 | 0 | -- |
| JPMorgan | 0 | 0 | 0 | 0 | -- |
| MASTER INVESTMENT PORTFOLIO | 0 | 0 | 0 | 0 | -- |
| Northwestern Mutual | 0 | 0 | 0 | 0 | -- |
| OPTIMUM FUND TRUST | 0 | 0 | 0 | 0 | -- |
| HUSSMAN INVESTMENT TRUST | 0 | 0 | 0 | 0 | -- |
| John Hancock | 0 | 0 | 0 | 0 | -- |
| Global X | 0 | 0 | 0 | 0 | -- |
| Allianz | 0 | 0 | 0 | 0 | -- |
| SEI | 0 | 0 | 0 | 0 | -- |
| GPS Funds I | 0 | 0 | 0 | 0 | -- |
| NORTHERN LIGHTS FUND TRUST III | 0 | 0 | 0 | 0 | -- |
| MassMutual | 0 | 0 | 0 | 0 | -- |
| NYLIM VP FUNDS TRUST | 0 | 0 | 0 | 0 | -- |
| TIMOTHY PLAN | 0 | 0 | 0 | 0 | -- |
| Tidal Trust III | 0 | 0 | 0 | 0 | -- |
| Forethought Variable Insurance Trust | 0 | 0 | 0 | 0 | -- |
| Brighthouse | 0 | 0 | 3,368 | 0 | Abstain |
Fund voting reports, all 39 managers: 3,368 abstained, 4,563,534 1 year, 20,926 unknown, 9,299 3 year. Showing the 25 largest; see all in the interactive database.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| DEERFIELD MANAGEMENT COMPANY, L.P. | 0 | 0 | 0 | 0 | -- |
| Wellington | 0 | 0 | 0 | 0 | -- |
| BlackRock | 0 | 0 | 0 | 0 | -- |
| Regal Partners Ltd | 0 | 0 | 0 | 0 | -- |
| Soleus Capital Management, L.P. | 0 | 0 | 0 | 0 | -- |
| Charles Schwab | 0 | 0 | 0 | 0 | -- |
| Northern Trust | 0 | 0 | 0 | 0 | -- |
| Bridgewater | 0 | 0 | 0 | 0 | -- |
| BROWN CAPITAL MANAGEMENT LLC | 0 | 0 | 0 | 0 | -- |
| LOS ANGELES CAPITAL MANAGEMENT LLC | 0 | 0 | 0 | 0 | -- |
| RIVERBRIDGE PARTNERS LLC | 0 | 0 | 0 | 0 | -- |
| NEW YORK STATE COMMON RETIREMENT FUND | 0 | 0 | 0 | 0 | -- |
| Champlain Investment Partners, LLC | 0 | 0 | 0 | 0 | -- |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM | 0 | 0 | 0 | 0 | -- |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | 0 | 0 | 0 | 0 | -- |
| Affinity Asset Advisors, LLC | 13,233 | 0 | 0 | 0 | For |
| Russell Investments | 0 | 0 | 0 | 0 | -- |
| ENVESTNET ASSET MANAGEMENT INC | 0 | 0 | 0 | 0 | -- |
| DAFNA Capital Management LLC | 0 | 0 | 0 | 0 | -- |
| BANK OF AMERICA NA | 0 | 0 | 0 | 0 | -- |
| CONGRESS ASSET MANAGEMENT CO | 0 | 0 | 0 | 0 | -- |
| LANDSCAPE CAPITAL MANAGEMENT, L.L.C. | 0 | 0 | 0 | 0 | -- |
| SEI | 0 | 0 | 0 | 0 | -- |
| Donor Advised Charitable Giving, Inc. | 0 | 0 | 0 | 0 | Not Voted |
| Man Group plc | 0 | 0 | 0 | 0 | -- |
Institutional-manager reports, all 140 managers: 23,682 for, 11,929 not voted, 6,839,289 1 year, 4,555 3 year, 55 unknown, 50 2 year. Showing the 25 largest; see all in the interactive database.
Combines 2 wordings of this item as funds reported it.
100% Fund and manager reports combined; may count the same shares twice · no official result
Description as filed by funds: Approval, on a advisory (non-binding) basis, of the frequency of future advisory votes on the compensation of the Company's named executive officers.
Fund voting reports and institutional-manager reports both cover this item. An institutional manager can report shares that a fund it advises also reports, so the two are shown separately below and never added together, and their sum is not shown (fund and manager reports combined may count the same shares twice). The figure above is FOR ÷ (FOR + AGAINST + WITHHELD) of the shares these managers voted; abstained and unvoted shares are in neither half, and these managers are a subset of all shareholders, not the meeting result.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 0 | 0 | 0 | 0 | -- |
| Fidelity | 0 | 0 | 0 | 0 | -- |
| State Street | 0 | 0 | 0 | 0 | -- |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 0 | 0 | 0 | 0 | -- |
| WILLIAM BLAIR FUNDS | 0 | 0 | 0 | 0 | -- |
| Aberdeen | 0 | 0 | 0 | 0 | -- |
| T. Rowe Price | 0 | 0 | 0 | 0 | -- |
| WASATCH FUNDS TRUST | 0 | 0 | 0 | 0 | -- |
| TIAA | 0 | 0 | 0 | 0 | -- |
| Columbia Threadneedle | 0 | 0 | 0 | 0 | -- |
| FRANKLIN STRATEGIC SERIES | 0 | 0 | 0 | 0 | -- |
| GLENMEDE FUND INC | 0 | 0 | 0 | 0 | -- |
| First Trust | 0 | 0 | 0 | 0 | -- |
| Lincoln Financial | 13,954 | 0 | 0 | 0 | For |
| Invesco | 0 | 0 | 0 | 0 | -- |
| Dimensional | 0 | 0 | 0 | 0 | -- |
| BNY Mellon | 0 | 0 | 0 | 0 | -- |
| Voya | 0 | 0 | 0 | 0 | -- |
| Principal | 0 | 0 | 0 | 0 | -- |
| Thrivent | 0 | 0 | 0 | 0 | -- |
| Franklin Templeton | 0 | 0 | 0 | 0 | -- |
| AIG/SunAmerica | 0 | 0 | 0 | 0 | -- |
| Waddell & Reed | 0 | 0 | 0 | 0 | -- |
| Equitable | 0 | 0 | 0 | 0 | -- |
| Catholic Responsible Investments Funds | 0 | 0 | 0 | 0 | -- |
Fund voting reports, all 55 managers: 13,954 for, 5,943,637 1 year, 39,853 3 year. Showing the 25 largest; see all in the interactive database.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | 0 | 0 | 0 | 0 | -- |
| State Street | 0 | 0 | 0 | 0 | -- |
| Artisan | 0 | 0 | 0 | 0 | -- |
| Invesco | 0 | 0 | 0 | 0 | -- |
| GEODE CAPITAL MANAGEMENT, LLC | 0 | 0 | 0 | 0 | -- |
| Aberdeen | 0 | 0 | 0 | 0 | -- |
| BAMCO INC /NY/ | 0 | 0 | 0 | 0 | -- |
| Vestal Point Capital, LP | 0 | 0 | 0 | 0 | -- |
| RA CAPITAL MANAGEMENT, L.P. | 0 | 0 | 0 | 0 | -- |
| DE Shaw | 0 | 0 | 0 | 0 | -- |
| T. Rowe Price | 0 | 0 | 0 | 0 | -- |
| UBS | 0 | 0 | 0 | 0 | -- |
| Vanguard | 0 | 0 | 0 | 0 | -- |
| CANADA PENSION PLAN INVESTMENT BOARD | 0 | 0 | 0 | 0 | -- |
| ADAR1 Capital Management, LLC | 0 | 0 | 0 | 0 | -- |
| WASATCH ADVISORS LP | 0 | 0 | 0 | 0 | -- |
| Nuveen | 0 | 0 | 0 | 0 | -- |
| PRINCIPAL GLOBAL INVESTORS | 0 | 0 | 0 | 0 | -- |
| BRAIDWELL LP | 0 | 0 | 0 | 0 | -- |
| Rock Springs Capital Management LP | 0 | 0 | 0 | 0 | -- |
| FRANKLIN ADVISERS INC | 0 | 0 | 0 | 0 | -- |
| PUBLIC SECTOR PENSION INVESTMENT BOARD | 0 | 0 | 0 | 0 | -- |
| AQR | 0 | 0 | 0 | 0 | -- |
| MELLON INVESTMENTS Corp | 0 | 0 | 0 | 0 | -- |
| Rhumbline | 34,335 | 0 | 0 | 0 | For |
Institutional-manager reports, all 134 managers: 34,490 for, 8,760,108 1 year, 45,678 3 year. Showing the 25 largest; see all in the interactive database.
Combines 3 wordings of this item as funds reported it.
99.3% Approved · of votes cast
Description as filed by funds: RATIFICATION OF THE APPOINTMENT OF ERNST & YOUNG LLP AS THE COMPANY'S INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM FOR 2026.
Inspire Medical Systems, Inc.’s own tally for this item (“2. Ratification of the Appointment of Ernst & Young LLP as the Company's Independent Registered Public Accounting Firm for the year ending December 31, 2026”): 25,089,422 for, 170,682 against — passed, per its Form 8-K filed May 5, 2026 (Item 5.07).
Reported outcome: Approved, in the filing’s own words: “Proposal 2 — Ratification of the Appointment of Ernst & Young LLP as the Company's Independent Registered Public Accounting Firm for the year ending December 31, 2026 The Company's stockholders ratified the appointment of Ernst & Young LLP as the Company's independent registered public accounting f…”
Support: 99.3% of votes cast — FOR ÷ (FOR + AGAINST); abstentions and broker non-votes are excluded.
The 89 asset managers below reported 10,600,208 for, 11,073 against, 3,368 abstained.
| Asset manager | For | Against | Abstain | Withheld | Vote |
|---|---|---|---|---|---|
| Vanguard | 4,586,463 | 0 | 0 | 0 | For |
| BlackRock | 2,373,581 | 0 | 0 | 0 | For |
| Fidelity | 520,213 | 0 | 0 | 0 | For |
| State Street | 463,499 | 24 | 0 | 0 | For |
| BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 365,211 | 0 | 0 | 0 | For |
| WILLIAM BLAIR FUNDS | 248,254 | 0 | 0 | 0 | For |
| Aberdeen | 203,308 | 0 | 0 | 0 | For |
| Charles Schwab | 165,453 | 0 | 0 | 0 | For |
| T. Rowe Price | 153,388 | 0 | 0 | 0 | For |
| WASATCH FUNDS TRUST | 135,464 | 0 | 0 | 0 | For |
| TIAA | 117,381 | 0 | 0 | 0 | For |
| Hartford | 103,922 | 0 | 0 | 0 | For |
| Columbia Threadneedle | 100,067 | 0 | 0 | 0 | For |
| Jackson National | 98,378 | 0 | 0 | 0 | For |
| Advisors' Inner Circle Fund II | 93,500 | 0 | 0 | 0 | For |
| FRANKLIN STRATEGIC SERIES | 78,452 | 0 | 0 | 0 | For |
| GLENMEDE FUND INC | 73,736 | 0 | 0 | 0 | For |
| First Trust | 71,569 | 0 | 0 | 0 | For |
| Brown Capital Management Mutual Funds | 70,742 | 0 | 0 | 0 | For |
| Lincoln Financial | 41,571 | 0 | 0 | 0 | For |
| Invesco | 36,801 | 0 | 0 | 0 | For |
| Dimensional | 35,053 | 0 | 0 | 0 | For |
| BNY Mellon | 27,359 | 0 | 0 | 0 | For |
| Bridge Builder Trust | 24,940 | 0 | 0 | 0 | For |
| Northwestern Mutual | 24,721 | 0 | 0 | 0 | For |
Showing the 25 largest of 89 asset managers. See all 89 in the interactive database.
Ranked separately for each type of Form N-PX report. An institutional manager can report shares that a fund it advises also reports, so the two tables can list the same shares and are never added together. Each is ranked by the shares voted on the item that the most managers of that type reported, shown as a share of the 28,813,153 shares outstanding at the time of that meeting.
| # | Asset manager | % of shares outstanding |
|---|---|---|
| 1 | Vanguard | 15.92% |
| 2 | BlackRock | 8.24% |
| 3 | Fidelity | 1.81% |
| 4 | State Street | 1.61% |
| 5 | BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) | 1.27% |
| 6 | WILLIAM BLAIR FUNDS | 0.86% |
| 7 | Aberdeen | 0.71% |
| 8 | Charles Schwab | 0.57% |
| 9 | T. Rowe Price | 0.53% |
| 10 | WASATCH FUNDS TRUST | 0.47% |
| # | Asset manager | % of shares outstanding |
|---|---|---|
| 1 | DEERFIELD MANAGEMENT COMPANY, L.P. | 8.25% |
| 2 | Wellington | 6.30% |
| 3 | WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | 3.39% |
| 4 | BlackRock | 3.21% |
| 5 | State Street | 3.00% |
| 6 | Artisan | 2.48% |
| 7 | Invesco | 2.09% |
| 8 | GEODE CAPITAL MANAGEMENT, LLC | 1.73% |
| 9 | Aberdeen | 1.66% |
| 10 | BAMCO INC /NY/ | 1.41% |
As disclosed to the SEC in Form 13F (quarter-end holdings of 30 large managers), Schedules 13D and 13G (beneficial ownership above 5%) and the company’s own proxy statement (DEF 14A). Each row names its form.
| Holder | % outstanding | Disclosure |
|---|---|---|
| BlackRock | 12.32% | 13F |
| Vanguard Group | 10.25% | 13F |
| Wellington Management | 8.80% | 13F |
| Vanguard Portfolio Management | 7.38% | 13G |
| Soleus Capital Master Fund, L.P. | 6.70% | 13G |
| AQR Capital Management, LLC | 6.44% | 13G |
| Deerfield Mgmt, L.P. | 4.50% | 13G |
| Morgan Stanley | 4.37% | 13F |
| D.E. Shaw | 4.16% | 13F |
| State Street | 3.32% | 13F |
Percentages above are of 28,813,153 shares outstanding, as reported by Inspire Medical Systems, Inc. on its Form 10-Q dated April 28, 2026 (see the filing on EDGAR). This is the count contemporaneous with the 2025-2026 meeting, not today’s. Each holding is as of its own filing, which may be dated before or after the meeting.
Every figure above is derived from filings made with the US Securities and Exchange Commission: Form N-PX, in which registered funds disclose how they voted every proxy and institutional managers disclose their votes on executive pay (say-on-pay, say-on-frequency and golden parachutes), and Form 8-K Item 5.07, in which the company reports its own meeting results. Shares outstanding are taken from Inspire Medical Systems, Inc.’s 10-Q dated April 28, 2026. This page is a static snapshot rebuilt weekly on October 25, 2026; a live search always shows the current data.
At Inspire Medical Systems, Inc.'s shareholder meeting held April 30, 2026, in the 2025-2026 proxy season, 352 asset managers reported how they voted in their SEC Form N-PX filings, covering 3,840 separate fund positions. Their filings are grouped here into 10 reported items; because filers word the same ballot item differently, that can be more than the number of items on the ballot. On the most widely held item on that ballot — Approval, on an advisory (non- binding) basis, of the compensation of the Company's named… — Inspire Medical Systems, Inc.'s filing reports the proposal as approved, with 97% support of the votes cast (FOR divided by FOR plus AGAINST, the conventional basis for proxy support; abstentions, broker non-votes and unvoted shares are excluded because none of them took a side). Source: Inspire Medical Systems, Inc.'s Form 8-K, Item 5.07, filed with the U.S. Securities and Exchange Commission on May 5, 2026.
Inspire Medical Systems, Inc. proxy season coverage: 2023-2024 · 2024-2025 · 2025-2026 (this page).
Download data (CSV): ballot items · votes by manager · column guide.