Bryan K. Phillips - 20 Feb 2026 Form 4 Insider Report for Inspire Medical Systems, Inc. (INSP)

Role: Senior Vice President, General Counsel, Secretary and Chief Compliance Officer.
Signature: /s/ Bryan Phillips
Issuer symbol: INSP
Transactions as of: 20 Feb 2026
Net transactions value: -$43,755
Form type: 4
Filing time: 24 Feb 2026, 19:08:50 UTC
Previous filing: 18 Feb 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Phillips Bryan K	Senior Vice President, General Counsel, Secretary and Chief Compliance Officer.	C/O INSPIRE MEDICAL SYSTEMS, INC., 5500 WAYZATA BLVD., SUITE 1600, GOLDEN VALLEY	/s/ Bryan Phillips	24 Feb 2026	0001412895

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	INSP	Common Stock	Award	$0	+2,400	+19%	$0.000000	14,891	20 Feb 2026	Direct	F1
transaction	INSP	Common Stock	Tax liability	$43,755	-735	-4.9%	$59.53	14,156	20 Feb 2026	Direct	F2
transaction	INSP	Common Stock	Award	$0	+15,958	+113%	$0.000000	30,114	20 Feb 2026	Direct	F3
transaction	INSP	Common Stock	Award	$0	+8,399	+28%	$0.000000	38,513	20 Feb 2026	Direct	F3

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Reflects an award of shares of common stock following the satisfaction of performance conditions associated with previously granted performance stock units.
F2	Reflects shares of common stock that were withheld by the Issuer to satisfy taxes incident to vesting of a performance stock unit award.
F3	Represents an award of restricted stock units ("RSUs"), which vests in three equal annual installments commencing on February 20, 2027. Each RSU represents a contingent right to receive one share of Issuer's common stock, subject to the Reporting Person's continuous employment with the Issuer through the relevant dates.

Remarks:

Senior Vice President, General Counsel, Secretary and Chief Compliance Officer.