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INSPIRE MEDICAL SYSTEMS INC. 2024-2025 Proxy Voting Records

Compiled from SEC Form N-PX filings and INSPIRE MEDICAL SYSTEMS INC.’s Form 8-K, filed 2025-05-05 (Item 5.07 on EDGAR). Page generated 02 October 2026.

10Reported items
434Asset managers
2,743Fund votes
2025-05-01Meeting date

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

Explore INSPIRE MEDICAL SYSTEMS INC. in the interactive database Compare manager voting policies

Official 2024-2025 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 2025-05-05 (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 2025-05-01
Ballot item	For	Against	Abstain	Withheld	Broker non-votes	Outcome
Elect Director: Cynthia B. Burks	20,494,838	--	--	6,413,474	1,819,480	Majority: yes
Elect Director: Timothy P. Herbert	21,076,649	--	--	5,831,663	1,819,480	Majority: yes
Elect Director: Shawn T McCormick	19,908,767	--	--	6,999,545	1,819,480	Majority: yes

Source: INSPIRE MEDICAL SYSTEMS INC., Form 8-K, filed with the SEC on 2025-05-05 — read the filing on EDGAR.

How asset managers voted at the INSPIRE MEDICAL SYSTEMS INC. 2024-2025 meeting

Each item below shows how the 434 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. Approval, on an advisory (non- binding) basis, of the compensation of the Company's named executive officers.

SECTION 14A SAY-ON-PAY VOTES

Meeting held 2025-05-01.

Combines 6 wordings of this item as funds reported it.

93% fund support · no official result

FOR 93%

The 410 asset managers below cast 93% of the shares they voted on this item FOR. Fund share totals are not shown for this item: fund-reported shares overlap across filings (an adviser and the funds it manages can each report the same shares), and here their sum exceeds the company's reported shares outstanding.

FOR: 93.1%AGAINST: 6.9%ABSTAIN: 0.0%NOT VOTED: 0.0%

Largest 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., 2024-2025
Asset manager	For	Against	Vote
Fidelity	4,933,493	0	For
Vanguard	4,012,599	704	For
BlackRock	2,628,210	191	For
Invesco	0	1,181,397	Against
WASATCH ADVISORS LP	1,062,568	0	For
State Street	951,704	0	For
WASATCH FUNDS TRUST	806,217	0	For
BAILLIE GIFFORD OVERSEAS LTD	627,916	0	For
WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC	580,376	0	For
Charles Schwab	570,187	0	For
Artisan	521,172	0	For
MACQUARIE INVESTMENT MANAGEMENT BUSINESS TRUST	516,440	0	For
GEODE CAPITAL MANAGEMENT, LLC	495,545	0	For
Janus Henderson	468,634	0	For
Federated Hermes	456,660	0	For
Allspring	429,580	0	For
BAILLIE GIFFORD & CO LTD	419,102	0	For
BAMCO INC /NY/	405,000	0	For
TimesSquare Capital Management, LLC	376,194	0	For
JANUS INVESTMENT FUND	360,485	0	For
Waddell & Reed	355,279	0	For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)	349,000	0	For
Jackson National	243,494	72,391	For
MUTUAL FUND SERIES TRUST	305,012	0	For
Thrivent	278,333	0	For

Showing the 25 largest of 410 asset managers. See all 410 in the interactive database.

2. Ratification of the appointment of Ernst & Young LLP as the Company's independent registered public accounting firm for 2025.

AUDIT-RELATED

Meeting held 2025-05-01.

Combines 3 wordings of this item as funds reported it.

99.9% fund support · no official result

FOR 99.8%

The 120 asset managers below cast 99.9% of the shares they voted on this item FOR (16,395,221 for, 15,421 against).

FOR: 16,395,221 (99.9%)AGAINST: 15,421 (0.1%)ABSTAIN: 1,836 (0.0%)NOT VOTED: 98 (0.0%)

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., 2024-2025
Asset manager	For	Against	Vote
Vanguard	3,937,376	0	For
Fidelity	2,589,305	0	For
BlackRock	2,041,502	0	For
WASATCH FUNDS TRUST	806,217	0	For
Invesco	528,044	0	For
JANUS INVESTMENT FUND	360,485	0	For
Waddell & Reed	355,279	0	For
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)	349,000	0	For
Jackson National	315,885	0	For
MUTUAL FUND SERIES TRUST	305,012	0	For
State Street	299,474	11	For
Charles Schwab	272,280	0	For
JPMorgan	234,950	0	For
Federated Hermes	228,330	0	For
Artisan	205,948	0	For
PROFESSIONALLY MANAGED PORTFOLIOS	192,719	0	For
CARILLON SERIES TRUST	182,520	0	For
FRANKLIN STRATEGIC SERIES	181,360	0	For
Allspring	180,673	0	For
Advisors' Inner Circle Fund II	155,000	0	For
WILLIAM BLAIR FUNDS	150,932	0	For
TIAA	145,725	0	For
Thrivent	136,488	0	For
OLD WESTBURY FUNDS INC	130,000	0	For
Dimensional	128,917	0	For

Showing the 25 largest of 120 asset managers. See all 120 in the interactive database.

3. Election of Class I Directors: Cynthia B. Burks

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2025-05-01.

Combines 8 wordings of this item as funds reported it.

76% Majority: yes · of votes cast

FOR 76%WITHHELD 24%

FOR: 20,494,838WITHHELD: 6,413,474

INSPIRE MEDICAL SYSTEMS INC.’s own tally for this item (“Elect Director: Cynthia B. Burks”): 20,494,838 for, 6,413,474 withheld, per its Form 8-K filed 2025-05-05 (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. Of all 29,467,300 outstanding shares: 70% for, 22% withheld (91% of the company cast a for/withheld vote).

The 120 asset managers below cast 100% of the shares they voted on this item FOR (13,702,076 for, 0 against).

FOR 83%ABSTAIN 17%

FOR: 13,702,076 (83.1%)ABSTAIN: 2,786,836 (16.9%)NOT VOTED: 98 (0.0%)

Largest asset managers voting on “Election of Class I Directors: Cynthia B. Burks” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Abstain	Vote
Vanguard	3,937,376	0	For
Fidelity	2,589,305	0	For
BlackRock	2,041,502	0	For
WASATCH FUNDS TRUST	806,217	0	For
Invesco	528,044	0	For
JANUS INVESTMENT FUND	0	360,485	Abstain
Waddell & Reed	0	355,279	Abstain
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)	349,000	0	For
Jackson National	226,652	89,233	For
MUTUAL FUND SERIES TRUST	305,012	0	For
State Street	299,309	176	For
Charles Schwab	272,280	0	For
JPMorgan	234,950	0	For
Federated Hermes	228,330	0	For
Artisan	205,948	0	For
PROFESSIONALLY MANAGED PORTFOLIOS	150,000	42,719	For
CARILLON SERIES TRUST	0	182,520	Abstain
FRANKLIN STRATEGIC SERIES	181,360	0	For
Allspring	0	180,673	Abstain
Advisors' Inner Circle Fund II	155,000	0	For
WILLIAM BLAIR FUNDS	0	150,932	Abstain
TIAA	145,725	0	For
Thrivent	0	136,488	Abstain
OLD WESTBURY FUNDS INC	0	130,000	Abstain
Dimensional	0	128,917	Abstain

Showing the 25 largest of 120 asset managers. See all 120 in the interactive database.

4. Election of Class I Directors: Shawn T McCormick

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2025-05-01.

Combines 9 wordings of this item as funds reported it.

74% Majority: yes · of votes cast

FOR 74%WITHHELD 26%

FOR: 19,908,767WITHHELD: 6,999,545

INSPIRE MEDICAL SYSTEMS INC.’s own tally for this item (“Elect Director: Shawn T McCormick”): 19,908,767 for, 6,999,545 withheld, per its Form 8-K filed 2025-05-05 (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. Of all 29,467,300 outstanding shares: 68% for, 24% withheld (91% of the company cast a for/withheld vote).

The 120 asset managers below cast 100% of the shares they voted on this item FOR (13,404,863 for, 0 against).

FOR 81%ABSTAIN 19%

FOR: 13,404,863 (81.3%)ABSTAIN: 3,084,049 (18.7%)NOT VOTED: 98 (0.0%)

Largest asset managers voting on “Election of Class I Directors: Shawn T McCormick” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Abstain	Vote
Vanguard	3,937,376	0	For
Fidelity	2,589,305	0	For
BlackRock	2,041,502	0	For
WASATCH FUNDS TRUST	806,217	0	For
Invesco	528,044	0	For
JANUS INVESTMENT FUND	0	360,485	Abstain
Waddell & Reed	0	355,279	Abstain
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)	349,000	0	For
Jackson National	226,652	89,233	For
MUTUAL FUND SERIES TRUST	305,012	0	For
State Street	15,573	283,912	Abstain
Charles Schwab	272,280	0	For
JPMorgan	234,950	0	For
Federated Hermes	228,330	0	For
Artisan	205,948	0	For
PROFESSIONALLY MANAGED PORTFOLIOS	150,000	42,719	For
CARILLON SERIES TRUST	0	182,520	Abstain
FRANKLIN STRATEGIC SERIES	181,360	0	For
Allspring	0	180,673	Abstain
Advisors' Inner Circle Fund II	155,000	0	For
WILLIAM BLAIR FUNDS	0	150,932	Abstain
TIAA	145,725	0	For
Thrivent	0	136,488	Abstain
OLD WESTBURY FUNDS INC	0	130,000	Abstain
Dimensional	0	128,917	Abstain

Showing the 25 largest of 120 asset managers. See all 120 in the interactive database.

5. Election of Class I Directors: Timothy P. Herbert

DIRECTOR ELECTIONSMajority of the votes cast: yes

Meeting held 2025-05-01.

Combines 8 wordings of this item as funds reported it.

78% Majority: yes · of votes cast

FOR 78%WITHHELD 22%

FOR: 21,076,649WITHHELD: 5,831,663

INSPIRE MEDICAL SYSTEMS INC.’s own tally for this item (“Elect Director: Timothy P. Herbert”): 21,076,649 for, 5,831,663 withheld, per its Form 8-K filed 2025-05-05 (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. Of all 29,467,300 outstanding shares: 72% for, 20% withheld (91% of the company cast a for/withheld vote).

The 120 asset managers below cast 100% of the shares they voted on this item FOR (14,014,918 for, 0 against).

FOR 85%ABSTAIN 15%

FOR: 14,014,918 (85.0%)ABSTAIN: 2,473,994 (15.0%)NOT VOTED: 98 (0.0%)

Largest asset managers voting on “Election of Class I Directors: Timothy P. Herbert” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Abstain	Vote
Vanguard	3,937,376	0	For
Fidelity	2,589,305	0	For
BlackRock	2,041,502	0	For
WASATCH FUNDS TRUST	806,217	0	For
Invesco	528,044	0	For
JANUS INVESTMENT FUND	0	360,485	Abstain
Waddell & Reed	0	355,279	Abstain
BARON INVESTMENT FUNDS TRUST (f/k/a BARON ASSET FUND)	349,000	0	For
Jackson National	226,652	89,233	For
MUTUAL FUND SERIES TRUST	305,012	0	For
State Street	299,309	176	For
Charles Schwab	272,280	0	For
JPMorgan	234,950	0	For
Federated Hermes	228,330	0	For
Artisan	205,948	0	For
PROFESSIONALLY MANAGED PORTFOLIOS	150,000	42,719	For
CARILLON SERIES TRUST	182,520	0	For
FRANKLIN STRATEGIC SERIES	181,360	0	For
Allspring	0	180,673	Abstain
Advisors' Inner Circle Fund II	155,000	0	For
WILLIAM BLAIR FUNDS	0	150,932	Abstain
TIAA	145,725	0	For
Thrivent	0	136,488	Abstain
OLD WESTBURY FUNDS INC	0	130,000	Abstain
Dimensional	0	128,917	Abstain

Showing the 25 largest of 120 asset managers. See all 120 in the interactive database.

6. Advisory Vote to Ratify Named Executive Officers' Compensation

SECTION 14A SAY-ON-PAY VOTES

Meeting held 2025-05-01.

94% fund support · no official result

FOR 94%

The 15 asset managers below cast 94% of the shares they voted on this item FOR (643,930 for, 42,364 against).

FOR: 643,930 (93.8%)AGAINST: 42,364 (6.2%)

Largest asset managers voting on “Advisory Vote to Ratify Named Executive Officers' Compensation” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Against	Vote
JPMorgan	379,355	0	For
Eversept Partners, LP	160,893	0	For
Brighthouse	0	28,983	Against
Empower	24,529	0	For
ALGERT GLOBAL LLC	21,453	0	For
GuideStone	19,439	0	For
APG Asset Management US Inc.	16,408	0	For
Desjardins Global Asset Management Inc.	0	13,347	Against
Metzler Asset Management GmbH	9,184	0	For
AGF Investments Trust	6,886	0	For
TD ASSET MANAGEMENT INC	3,534	0	For
BEACON INVESTMENT ADVISORY SERVICES, INC.	1,212	0	For
HC CAPITAL TRUST	883	0	For
Empirical Financial Services, LLC d.b.a. Empirical Wealth Ma	154	0	For
Cornerstone Investment Partners, LLC	0	34	Against

7. Ratify Ernst & Young LLP as Auditors

DIRECTOR ELECTIONS

Meeting held 2025-05-01.

100% fund support · no official result

FOR 100%

The 5 asset managers below cast 100% of the shares they voted on this item FOR (80,720 for, 0 against).

FOR: 80,720 (100.0%)

Largest asset managers voting on “Ratify Ernst & Young LLP as Auditors” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Vote
Brighthouse	28,983	For
Empower	24,529	For
GuideStone	19,439	For
AGF Investments Trust	6,886	For
HC CAPITAL TRUST	883	For

8. DIRECTOR

DIRECTOR ELECTIONS

Meeting held 2025-05-01.

100% fund support · no official result

FOR 100%

The 3 asset managers below cast 100% of the shares they voted on this item FOR (4,856 for, 0 against).

FOR: 4,856 (100.0%)

Largest asset managers voting on “DIRECTOR” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Vote
Zacks Trust	2,923	For
Tidal Trust III	1,078	For
Jackson Creek Investment Advisors LLC	855	For

9. 14A Executive Compensation

SECTION 14A SAY-ON-PAY VOTES

Meeting held 2025-05-01.

100% fund support · no official result

FOR 100%

The 3 asset managers below cast 100% of the shares they voted on this item FOR (280 for, 0 against).

FOR: 280 (100.0%)

Largest asset managers voting on “14A Executive Compensation” at INSPIRE MEDICAL SYSTEMS INC., 2024-2025
Asset manager	For	Vote
Baker Avenue Asset Management, LP	200	For
River Street Advisors LLC	69	For
Simplify Exchange Traded Funds	11	For

10. Approval, on an advisory (non- binding) basis, of the compensation of the Company's named executive officers.

SECTION 14A SAY-ON-PAY VOTESMajority of the votes cast: yes

Meeting held 2024-05-02 (outside the 2024-2025 season's 1 July to 30 June window; reported in this season's filings).

Combines 2 wordings of this item as funds reported it.

97% Majority: yes · of votes cast

FOR 97%

FOR: 25,906,913AGAINST: 670,207

INSPIRE MEDICAL SYSTEMS INC.’s own tally for this item (“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 Com”): 25,906,913 for, 670,207 against, per its Form 8-K filed 2024-05-07 (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. Of all 29,467,300 outstanding shares: 88% for, 2% against (90% of the company cast a for/against vote).

The 2 asset managers below cast 0% of the shares they voted on this item FOR (0 for, 270 against).

AGAINST 100%

AGAINST: 270 (100.0%)

Largest 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., 2024-2025
Asset manager	For	Against	Abstain	Withheld	Vote
COLDSTREAM CAPITAL MANAGEMENT INC	0	270	0	0	Against
Echo45 Advisors LLC	0	0	0	0	--

Largest INSPIRE MEDICAL SYSTEMS INC. shareholders voting in 2024-2025

Ranked by the number of INSPIRE MEDICAL SYSTEMS INC. shares each manager voted on the most widely held ballot item of the 2024-2025 meeting, shown as a share of the 29,467,300 shares outstanding at the time of that meeting.

Top INSPIRE MEDICAL SYSTEMS INC. shareholders by shares voted, 2024-2025
#	Asset manager	% of shares outstanding
1	Fidelity	16.74%
2	Vanguard	13.62%
3	BlackRock	8.92%
4	Invesco	4.01%
5	WASATCH ADVISORS LP	3.61%
6	State Street	3.23%
7	WASATCH FUNDS TRUST	2.74%
8	BAILLIE GIFFORD OVERSEAS LTD	2.13%
9	WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC	1.97%
10	Charles Schwab	1.94%

Reported INSPIRE MEDICAL SYSTEMS INC. ownership

Positions disclosed to the SEC on Schedules 13D and 13G, Form 13F and the company’s own proxy statement (DEF 14A).

INSPIRE MEDICAL SYSTEMS INC. beneficial owners on record for the 2024-2025 proxy season
Holder	% outstanding	Disclosure
BlackRock	13.67%	13F
Vanguard Group	10.95%	13F
FMR (Fidelity)	8.62%	13F
Wellington Management Group LLP	8.61%	13G
Vanguard Portfolio Management	5.58%	13G
Soleus Capital Master Fund, L.P.	4.99%	13G
Deerfield Mgmt, L.P.	4.40%	13G
State Street	3.42%	13F
Invesco	2.91%	13F
Kenneth Griffin	1.79%	13G

Percentages above are of 29,467,300 shares outstanding, as reported by INSPIRE MEDICAL SYSTEMS INC. on its Form 10-Q dated 2025-03-31 (see the filing on EDGAR). This is the count contemporaneous with the 2024-2025 meeting, so the percentages are the ones that were true then, not ones restated against today’s share count.

About this page

Every figure above is derived from filings made with the US Securities and Exchange Commission: Form N-PX, in which registered investment companies and institutional managers disclose how they voted every proxy, 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 2025-03-31. This page is a static snapshot rebuilt weekly on 02 October 2026; a live search always shows the current data.

At INSPIRE MEDICAL SYSTEMS INC.'s shareholder meeting held 2025-05-01, in the 2024-2025 proxy season, 434 asset managers reported how they voted in their SEC Form N-PX filings, covering 2,743 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. INSPIRE MEDICAL SYSTEMS INC.'s own Form 8-K tally for this meeting is published below, but no row in it could be matched to the most widely held item, so this page states no certified outcome for that item. On that item — Approval, on an advisory (non- binding) basis, of the compensation of the Company's named… — the reporting funds cast 93% of the shares they voted in favour (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). That is the aggregate of those managers' own N-PX disclosures, not the company's certified result, and the funds are a subset of all shareholders.

INSPIRE MEDICAL SYSTEMS INC. proxy season coverage: 2023-2024 · 2024-2025 (this page) · 2025-2026.