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Inspire Medical Systems, Inc. 2025-2026 Proxy Voting Records

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.

  • 10Reported items
  • 352Asset managers
  • 3,840Fund votes
  • April 30, 2026Meeting date

Results at a glance

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

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

Proxy season: 2023-2024 2024-2025 2025-2026

Explore Inspire Medical Systems, Inc. in the interactive database Compare manager voting policies

Official 2025-2026 meeting results reported by Inspire Medical Systems, Inc.

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.

Inspire Medical Systems, Inc. — official shareholder meeting results, meeting held April 30, 2026
Ballot itemForAgainst AbstainWithheldBroker non-votesSupport (of votes cast)Reported outcomeVoting standard
Elect Director: Gary L. Ellis 17,268,398---- 5,883,3442,135,853 75%Elected—
Elect Director: Georgia Melenikiotou 22,693,412---- 458,3302,135,853 98%Elected—
Elect Director: Dana G. Mead, Jr. 21,950,770---- 1,200,9722,135,853 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 25,089,422170,68227,491 ---- 99.3%Approved—
3. Approval, on an Advisory (Non-Binding) Basis, of the Compensation of the Company's Named Executive Officers 22,508,636595,86747,239 --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 23,121,71011,10318,929 --2,135,853 99.9%Approved—
6. Approval of an Amendment and Restatement of the Inspire Medical Systems, Inc 14,330,5368,796,68624,520 --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 21,795,4171,281,05475,271 --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.

How asset managers voted at the Inspire Medical Systems, Inc. 2025-2026 meeting

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.

1. Elect Director: Dana G. Mead, Jr.

Official resultDIRECTOR ELECTIONSReported outcome: Elected

Combines 7 wordings of this item as funds reported it.

95% Majority: yes · of votes cast

FOR 95%
FOR: 21,950,770WITHHELD: 1,200,972
Details: description as filed, official tally, votes by 88 asset managers

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.

FOR
FOR: 10,383,212ABSTAIN: 709WITHHOLD: 216,728
Largest asset managers voting on “Election of Class II Directors: Dana G. Mead, Jr.” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,586,4580 50For
BlackRock2,373,5810 00For
Fidelity520,2130 00For
State Street463,4990 024For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS248,2540 00For
Aberdeen00 0203,308Withhold
Charles Schwab165,4530 00For
T. Rowe Price153,3880 00For
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National98,3780 00For
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC73,7360 00For
First Trust71,5690 00For
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial41,5710 00For
Invesco36,8010 00For
Dimensional35,0530 00For
BNY Mellon27,3590 00For
Bridge Builder Trust24,9400 00For
Northwestern Mutual24,7210 00For

Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.

2. Elect Director: Gary L. Ellis

Official resultDIRECTOR ELECTIONSReported outcome: Elected

Combines 7 wordings of this item as funds reported it.

75% Majority: yes · of votes cast

FOR 75%WITHHELD
FOR: 17,268,398WITHHELD: 5,883,344
Details: description as filed, official tally, votes by 88 asset managers

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.

FOR
FOR: 9,105,767ABSTAIN: 89,126WITHHOLD: 1,405,757
Largest asset managers voting on “Election of Class II Directors: Gary L. Ellis” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,516,6050 2569,833For
BlackRock2,373,5810 00For
Fidelity469,5130 050,700Mixed
State Street463,0460 0477For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)00 0365,211Withhold
WILLIAM BLAIR FUNDS00 0248,254Withhold
Aberdeen00 0203,308Withhold
Charles Schwab165,4530 00For
T. Rowe Price153,3880 00For
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National10,1740 88,2040Mixed
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC00 073,736Withhold
First Trust00 071,569Withhold
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial00 041,571Withhold
Invesco36,8010 00For
Dimensional00 035,053Withhold
BNY Mellon3,5110 023,848Mixed
Bridge Builder Trust24,9400 00For
Northwestern Mutual15,5560 09,165Mixed

Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.

3. Elect Director: Georgia Melenikiotou

Official resultDIRECTOR ELECTIONSReported outcome: Elected

Combines 7 wordings of this item as funds reported it.

98% Majority: yes · of votes cast

FOR 98%
FOR: 22,693,412WITHHELD: 458,330
Details: description as filed, official tally, votes by 88 asset managers

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.

FOR
FOR: 10,592,886ABSTAIN: 2WITHHOLD: 7,761
Largest asset managers voting on “Election of Class II Directors: Georgia Melenikiotou” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,586,4610 20For
BlackRock2,373,5810 00For
Fidelity520,2130 00For
State Street463,5230 00For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS248,2540 00For
Aberdeen203,3080 00For
Charles Schwab165,4530 00For
T. Rowe Price153,3880 00For
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National98,3780 00For
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC73,7360 00For
First Trust71,5690 00For
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial41,5710 00For
Invesco36,8010 00For
Dimensional35,0530 00For
BNY Mellon27,3590 00For
Bridge Builder Trust24,9400 00For
Northwestern Mutual24,7210 00For

Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.

4. 5. Approval of an Amendment to the Company's Certificate of Incorporation to Phase Out the Classified Board Structure…

Official resultCORPORATE GOVERNANCEReported outcome: Approved

Combines 2 wordings of this item as funds reported it.

99.9% Approved · of votes cast

FOR 99.9%
FOR: 23,121,710AGAINST: 11,103
Details: description as filed, official tally, votes by 88 asset managers

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.

FOR
FOR: 10,594,726
Largest asset managers voting on “APPROVAL OF AN AMENDMENT TO THE COMPANY'S SEVENTH AMENDED AND RESTATED CERTIFICATE OF INCORPORATION TO PHASE O” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,586,4630 00For
BlackRock2,373,5810 00For
Fidelity520,2130 00For
State Street463,5230 00For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS248,2540 00For
Aberdeen203,3080 00For
Charles Schwab165,4530 00For
T. Rowe Price153,3880 00For
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National98,3780 00For
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC73,7360 00For
First Trust71,5690 00For
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial41,5710 00For
Invesco36,8010 00For
Dimensional35,0530 00For
BNY Mellon27,3590 00For
Bridge Builder Trust24,9400 00For
Northwestern Mutual24,7210 00For

Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.

5. 7. Approval of an Adjournment of the Annual Meeting, if necessary, to Solicit Additional Proxies if there are Not…

Official resultCORPORATE GOVERNANCEReported outcome: Approved

Combines 2 wordings of this item as funds reported it.

94% Approved · of votes cast

FOR 94%
FOR: 21,795,417AGAINST: 1,281,054
Details: description as filed, official tally, votes by 88 asset managers

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.

FOR
FOR: 9,928,323AGAINST: 649,735ABSTAIN: 3,368
Largest asset managers voting on “APPROVAL OF AN ADJOURNMENT OF THE ANNUAL MEETING, IF NECESSARY, TO SOLICIT ADDITIONAL PROXIES IF THERE ARE NOT” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,586,4585 00For
BlackRock2,373,5810 00For
Fidelity501,38018,833 00For
State Street10,637452,886 00Against
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS248,2540 00For
Aberdeen203,3080 00For
Charles Schwab165,4530 00For
T. Rowe Price0153,388 00Against
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National98,3780 00For
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC73,7360 00For
First Trust71,5690 00For
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial41,5710 00For
Invesco36,8010 00For
Dimensional35,0530 00For
BNY Mellon27,3590 00For
Bridge Builder Trust24,9400 00For
Northwestern Mutual24,7210 00For

Showing the 25 largest of 88 asset managers. See all 88 in the interactive database.

6. 6. Approval of an Amendment and Restatement of the Inspire Medical Systems, Inc

Official resultCOMPENSATIONReported outcome: Approved

Combines 2 wordings of this item as funds reported it.

62% Approved · of votes cast

FOR 62%AGAINST
FOR: 14,330,536AGAINST: 8,796,686
Details: description as filed, official tally, votes by 92 asset managers

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.

FORAGAINST
FOR: 8,505,100AGAINST: 2,097,727ABSTAIN: 4,868
Largest asset managers voting on “APPROVAL OF AN AMENDMENT AND RESTATEMENT OF THE INSPIRE MEDICAL SYSTEMS, INC. 2018 INCENTIVE AWARD PLAN.” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,513,40173,062 00For
BlackRock2,373,5810 00For
Fidelity450,68069,533 00Mixed
State Street9,585453,938 00Against
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS0248,254 00Against
Aberdeen0203,308 00Against
Charles Schwab165,4530 00For
T. Rowe Price0153,388 00Against
WASATCH FUNDS TRUST135,4640 00For
TIAA0117,381 00Against
Hartford103,9220 00For
Columbia Threadneedle0100,067 00Against
Jackson National52,33846,040 00Mixed
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC073,736 00Against
First Trust071,569 00Against
Brown Capital Management Mutual Funds070,742 00Against
Lincoln Financial041,571 00Against
Invesco036,801 00Against
Dimensional035,053 00Against
BNY Mellon027,359 00Against
Bridge Builder Trust24,9400 00For
Northwestern Mutual15,5569,165 00Mixed

Showing the 25 largest of 92 asset managers. See all 92 in the interactive database.

7. 3. Approval, on an Advisory (Non-Binding) Basis, of the Compensation of the Company's Named Executive Officers

Official resultFund totals may overlapSECTION 14A SAY-ON-PAY VOTESReported outcome: Approved

Combines 5 wordings of this item as funds reported it.

97% Approved · of votes cast

FOR 97%
FOR: 22,508,636AGAINST: 595,867
Details: description as filed, official tally, votes by 351 asset managers

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).

Fund voting reports: 88 asset managers voting on “Approval, on an advisory (non- binding) basis, of the compensation of the Company's named executive officers.” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,586,4612 00For
BlackRock2,373,5810 00For
Fidelity520,2130 00For
State Street463,5230 00For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS248,2540 00For
Aberdeen203,3080 00For
Charles Schwab165,4530 00For
T. Rowe Price153,3880 00For
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National98,3780 00For
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC73,7360 00For
First Trust71,5690 00For
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial41,5710 00For
Invesco36,8010 00For
Dimensional35,0530 00For
BNY Mellon27,3590 00For
Bridge Builder Trust24,9400 00For
Northwestern Mutual24,7210 00For

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.

Institutional-manager reports: 284 asset managers voting on “Approval, on an advisory (non- binding) basis, of the compensation of the Company's named executive officers.” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
DEERFIELD MANAGEMENT COMPANY, L.P.2,376,2380 00For
Wellington1,814,7900 00For
WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC977,5120 00For
BlackRock923,306445 00For
State Street864,1770 00For
Artisan715,4980 00For
Invesco603,2720 00For
GEODE CAPITAL MANAGEMENT, LLC498,4100 00For
Aberdeen477,4760 00For
BAMCO INC /NY/407,3750 00For
Vestal Point Capital, LP380,8270 00For
Regal Partners Ltd310,48521,844 00Mixed
RA CAPITAL MANAGEMENT, L.P.325,6630 00For
DE Shaw272,9470 00For
T. Rowe Price242,0520 00For
UBS0225,922 00Against
Vanguard212,1040 00For
Soleus Capital Management, L.P.190,9040 00For
CANADA PENSION PLAN INVESTMENT BOARD177,8000 00For
Charles Schwab176,2540 00For
Northern Trust165,2810 00For
ADAR1 Capital Management, LLC156,5460 00For
WASATCH ADVISORS LP138,3500 00For
Nuveen132,3800 00For
PRINCIPAL GLOBAL INVESTORS130,1600 00For

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.

8. Approval, on an advisory (non- binding) basis, of the frequency of future advisory votes on the compensation of the…

No official matchFund totals may overlapSECTION 14A SAY-ON-PAY VOTES

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

1 YEAR
Details: description as filed, votes by 179 asset managers

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.

Fund voting reports: 39 asset managers voting on “Approval, on an advisory (non- binding) basis, of the frequency of future advisory votes on the compensation o” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
BlackRock00 00--
Vanguard00 00--
Charles Schwab00 00--
Hartford00 00--
Jackson National00 00--
Advisors' Inner Circle Fund II00 00--
Brown Capital Management Mutual Funds00 00--
Bridge Builder Trust00 00--
JPMorgan00 00--
MASTER INVESTMENT PORTFOLIO00 00--
Northwestern Mutual00 00--
OPTIMUM FUND TRUST00 00--
HUSSMAN INVESTMENT TRUST00 00--
John Hancock00 00--
Global X00 00--
Allianz00 00--
SEI00 00--
GPS Funds I00 00--
NORTHERN LIGHTS FUND TRUST III00 00--
MassMutual00 00--
NYLIM VP FUNDS TRUST00 00--
TIMOTHY PLAN00 00--
Tidal Trust III00 00--
Forethought Variable Insurance Trust00 00--
Brighthouse00 3,3680Abstain

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.

Institutional-manager reports: 140 asset managers voting on “Approval, on an advisory (non- binding) basis, of the frequency of future advisory votes on the compensation o” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
DEERFIELD MANAGEMENT COMPANY, L.P.00 00--
Wellington00 00--
BlackRock00 00--
Regal Partners Ltd00 00--
Soleus Capital Management, L.P.00 00--
Charles Schwab00 00--
Northern Trust00 00--
Bridgewater00 00--
BROWN CAPITAL MANAGEMENT LLC00 00--
LOS ANGELES CAPITAL MANAGEMENT LLC00 00--
RIVERBRIDGE PARTNERS LLC00 00--
NEW YORK STATE COMMON RETIREMENT FUND00 00--
Champlain Investment Partners, LLC00 00--
STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM00 00--
CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM00 00--
Affinity Asset Advisors, LLC13,2330 00For
Russell Investments00 00--
ENVESTNET ASSET MANAGEMENT INC00 00--
DAFNA Capital Management LLC00 00--
BANK OF AMERICA NA00 00--
CONGRESS ASSET MANAGEMENT CO00 00--
LANDSCAPE CAPITAL MANAGEMENT, L.L.C.00 00--
SEI00 00--
Donor Advised Charitable Giving, Inc.00 00Not Voted
Man Group plc00 00--

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.

9. Approval, on a advisory (non-binding) basis, of the frequency of future advisory votes on the compensation of the…

No official matchFund totals may overlapSECTION 14A SAY-ON-PAY VOTES

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

1 YEAR
Details: description as filed, votes by 172 asset managers

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.

Fund voting reports: 55 asset managers voting on “Approval, on a advisory (non-binding) basis, of the frequency of future advisory votes on the compensation of ” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard00 00--
Fidelity00 00--
State Street00 00--
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)00 00--
WILLIAM BLAIR FUNDS00 00--
Aberdeen00 00--
T. Rowe Price00 00--
WASATCH FUNDS TRUST00 00--
TIAA00 00--
Columbia Threadneedle00 00--
FRANKLIN STRATEGIC SERIES00 00--
GLENMEDE FUND INC00 00--
First Trust00 00--
Lincoln Financial13,9540 00For
Invesco00 00--
Dimensional00 00--
BNY Mellon00 00--
Voya00 00--
Principal00 00--
Thrivent00 00--
Franklin Templeton00 00--
AIG/SunAmerica00 00--
Waddell & Reed00 00--
Equitable00 00--
Catholic Responsible Investments Funds00 00--

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.

Institutional-manager reports: 134 asset managers voting on “Approval, on a advisory (non-binding) basis, of the frequency of future advisory votes on the compensation of ” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC00 00--
State Street00 00--
Artisan00 00--
Invesco00 00--
GEODE CAPITAL MANAGEMENT, LLC00 00--
Aberdeen00 00--
BAMCO INC /NY/00 00--
Vestal Point Capital, LP00 00--
RA CAPITAL MANAGEMENT, L.P.00 00--
DE Shaw00 00--
T. Rowe Price00 00--
UBS00 00--
Vanguard00 00--
CANADA PENSION PLAN INVESTMENT BOARD00 00--
ADAR1 Capital Management, LLC00 00--
WASATCH ADVISORS LP00 00--
Nuveen00 00--
PRINCIPAL GLOBAL INVESTORS00 00--
BRAIDWELL LP00 00--
Rock Springs Capital Management LP00 00--
FRANKLIN ADVISERS INC00 00--
PUBLIC SECTOR PENSION INVESTMENT BOARD00 00--
AQR00 00--
MELLON INVESTMENTS Corp00 00--
Rhumbline34,3350 00For

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.

10. 2. Ratification of the Appointment of Ernst & Young LLP as the Company's Independent Registered Public Accounting Firm…

Official resultAUDIT-RELATEDReported outcome: Approved

Combines 3 wordings of this item as funds reported it.

99.3% Approved · of votes cast

FOR 99.3%
FOR: 25,089,422AGAINST: 170,682
Details: description as filed, official tally, votes by 89 asset managers

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.

FOR
FOR: 10,600,208AGAINST: 11,073ABSTAIN: 3,368
Largest asset managers voting on “RATIFICATION OF THE APPOINTMENT OF ERNST & YOUNG LLP AS THE COMPANY'S INDEPENDENT REGISTERED PUBLIC ACCOUNTING” at Inspire Medical Systems, Inc., 2025-2026
Asset managerForAgainst AbstainWithheldVote
Vanguard4,586,4630 00For
BlackRock2,373,5810 00For
Fidelity520,2130 00For
State Street463,49924 00For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)365,2110 00For
WILLIAM BLAIR FUNDS248,2540 00For
Aberdeen203,3080 00For
Charles Schwab165,4530 00For
T. Rowe Price153,3880 00For
WASATCH FUNDS TRUST135,4640 00For
TIAA117,3810 00For
Hartford103,9220 00For
Columbia Threadneedle100,0670 00For
Jackson National98,3780 00For
Advisors' Inner Circle Fund II93,5000 00For
FRANKLIN STRATEGIC SERIES78,4520 00For
GLENMEDE FUND INC73,7360 00For
First Trust71,5690 00For
Brown Capital Management Mutual Funds70,7420 00For
Lincoln Financial41,5710 00For
Invesco36,8010 00For
Dimensional35,0530 00For
BNY Mellon27,3590 00For
Bridge Builder Trust24,9400 00For
Northwestern Mutual24,7210 00For

Showing the 25 largest of 89 asset managers. See all 89 in the interactive database.

Largest Inspire Medical Systems, Inc. shareholders voting in 2025-2026

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.

Fund voting reports: top Inspire Medical Systems, Inc. shareholders by shares voted on “Approval, on an advisory (non- binding) basis, of the compensation of the Company's named…”, 2025-2026
#Asset manager % of shares outstanding
1Vanguard 15.92%
2BlackRock 8.24%
3Fidelity 1.81%
4State Street 1.61%
5BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND) 1.27%
6WILLIAM BLAIR FUNDS 0.86%
7Aberdeen 0.71%
8Charles Schwab 0.57%
9T. Rowe Price 0.53%
10WASATCH FUNDS TRUST 0.47%
Institutional-manager reports: top Inspire Medical Systems, Inc. shareholders by shares voted on “Approval, on an advisory (non- binding) basis, of the compensation of the Company's named…”, 2025-2026
#Asset manager % of shares outstanding
1DEERFIELD MANAGEMENT COMPANY, L.P. 8.25%
2Wellington 6.30%
3WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC 3.39%
4BlackRock 3.21%
5State Street 3.00%
6Artisan 2.48%
7Invesco 2.09%
8GEODE CAPITAL MANAGEMENT, LLC 1.73%
9Aberdeen 1.66%
10BAMCO INC /NY/ 1.41%

Reported Inspire Medical Systems, Inc. holdings and ownership

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.

Inspire Medical Systems, Inc. holdings and ownership disclosed for the 2025-2026 proxy season
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.

About this page

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.