FRESENIUS MEDICAL CARE AG FMS
SPONSORED ADR · ADR · CUSIP 358029106 · ISIN US3580291066
- SectorHealth care
- IndustryServices-Misc Health & Allied Services, NEC
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($1.1m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $23.84. Options: 2 managers hold calls ($3.6m notional), 4 hold puts ($1.8m).
Trends to Q4 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 142 |
| Q4 2022 | 155 |
| Q1 2023 | 156 |
| Q2 2023 | 147 |
| Q3 2023 | 148 |
| Q4 2023 | 160 |
| Q1 2024 | 172 |
| Q2 2024 | 167 |
| Q3 2024 | 168 |
| Q4 2024 | 190 |
| Q1 2025 | 203 |
| Q2 2025 | 209 |
| Q3 2025 | 207 |
| Q4 2025 | 215 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q1 2024 | 89 | 62 |
| Q2 2024 | 81 | 67 |
| Q3 2024 | 78 | 68 |
| Q4 2024 | 93 | 58 |
| Q1 2025 | 92 | 68 |
| Q2 2025 | 110 | 71 |
| Q3 2025 | 99 | 84 |
| Q4 2025 | 85 | 95 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $3.1m | $1.3m | 0.42 |
| Q2 2025 | $1.7m | $1.2m | 0.70 |
| Q3 2025 | $3.4m | $0 | 0.00 |
| Q4 2025 | $3.6m | $1.8m | 0.49 |
Biggest buyers
| MORGAN STANLEY | Added | +942.5k |
| Point72 Asset Management, L.P. | Added | +598.8k |
| ABC ARBITRAGE SA | Added | +229.6k |
| Integral Health Asset Management, LLC | Added | +200.0k |
| Moran Wealth Management, LLC | Added | +106.4k |
| JANE STREET GROUP, LLC | Added | +90.4k |
| XTX Topco Ltd | Added | +82.9k |
| Balyasny Asset Management L.P. | New | +75.5k |
| BNP PARIBAS FINANCIAL MARKETS | Added | +60.2k |
| Quantinno Capital Management LP | Added | +57.9k |
Biggest sellers
| FIDUCIARY MANAGEMENT INC /WI/ | Reduced | -495.4k |
| MILLENNIUM MANAGEMENT LLC | Reduced | -276.6k |
| PZENA INVESTMENT MANAGEMENT LLC | Reduced | -64.0k |
| UBS Group AG | Reduced | -51.6k |
| AMERIPRISE FINANCIAL INC | Reduced | -44.9k |
| GOLDMAN SACHS GROUP INC | Reduced | -44.2k |
| Sanctuary Advisors, LLC | Sold out | -43.4k |
| Optiver Holding B.V. | Reduced | -32.2k |
| FRANKLIN RESOURCES INC | Reduced | -26.2k |
| BAROMETER CAPITAL MANAGEMENT INC. | Reduced | -25.9k |
Biggest calls
| Optiver Holding B.V. | Added | $3.5m148.7k shares |
| SIMPLEX TRADING, LLC | Reduced | $64.3k2.7k shares |
Biggest puts
| SIMPLEX TRADING, LLC | New | $776.5k32.6k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | New | $733.7k30.8k shares |
| CITADEL ADVISORS LLC | New | $264.4k11.1k shares |
| Optiver Holding B.V. | New | $2.4k100 shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
Fresenius SE & Co. KGaA
13D · may seek influence
-3.0 pts · filed 2026-08-24
Stated purposeItem 4 of the Schedule 13D is hereby amended and restated in its entirety as follows: On August 20, 2026, Fresenius KGaA entered into the Share Purchase Agreement (as defined in Item 6) and agreed to sell certain Shares (as defined in Item 6) representing in the aggregate up to approximately 2.97% of the total share capital of the Company to the Purchaser in a block trade in accordance with the terms of the Share Purchase Agreement, as further described below. Fresenius KGaA is entering into this transaction as part of its broader portfolio optimization strategy. Fresenius KGaA intends to review its investment in the Company on a continuing basis and, depending on market conditions, the trading price of the Shares, legal or regulatory developments and other factors, may from time to time… Full filing |
25.6% |
Insider purchases and sales in Q4 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
None reported in Q4 2025.
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| PZENA INVESTMENT MANAGEMENT LLC 1.05% of their portfolio | 14.8m $351.4m | Reduced -64.0k |
| FIDUCIARY MANAGEMENT INC /WI/ 1.30% of their portfolio | 5.0m $118.2m | Reduced -495.4k |
| Dodge & Cox 0.05% of their portfolio | 3.8m $91.2m | Unchanged |
| MORGAN STANLEY 0.00% of their portfolio | 2.9m $70.0m | Added +942.5k |
| TODD ASSET MANAGEMENT LLC 0.60% of their portfolio | 1.3m $30.7m | Reduced -16.7k |
| Point72 Asset Management, L.P. 0.04% of their portfolio | 1.1m $27.0m | Added +598.8k |
| TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY 0.15% of their portfolio | 816.2k $19.4m | Unchanged |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 735.0k $17.5m | Reduced -44.2k |
| Integral Health Asset Management, LLC 0.78% of their portfolio | 650.0k $15.5m | Added +200.0k |
| BlackRock, Inc. 0.00% of their portfolio | 461.8k $11.0m | Reduced -6.6k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 401.1k $9.6m | Reduced -16.7k |
| HENNESSY ADVISORS INC 0.30% of their portfolio | 349.5k $8.3m | Reduced -22.7k |
| Quantinno Capital Management LP 0.01% of their portfolio | 294.9k $7.0m | Added +57.9k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 286.9k $6.8m | Added +4.8k |
| Moran Wealth Management, LLC 0.19% of their portfolio | 264.5k $6.3m | Added +106.4k |
| ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio | 255.7k $6.1m | Reduced -24.5k |
| ABC ARBITRAGE SA 0.56% of their portfolio | 249.8k $6.0m | Added +229.6k |
| Qube Research & Technologies Ltd 0.01% of their portfolio | 201.9k $4.8m | Reduced -21.4k |
| NIA IMPACT ADVISORS, LLC 1.22% of their portfolio | 153.0k $3.6m | Reduced -10.6k |
| JANE STREET GROUP, LLC 0.00% of their portfolio | 135.4k $3.2m | Added +90.4k |
| FMR LLC 0.00% of their portfolio | 134.7k $3.2m | Reduced -19.8k |
| UBS Group AG 0.00% of their portfolio | 101.8k $2.4m | Reduced -51.6k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 98.9k $2.4m | Reduced -13.6k |
| XTX Topco Ltd 0.06% of their portfolio | 94.1k $2.2m | Added +82.9k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 83.1k $2.0m | Added +888 |
| SEARLE & CO. 0.50% of their portfolio | 80.7k $1.9m | Unchanged |
| Broyhill Asset Management, LLC 1.63% of their portfolio | 77.5k $1.8m | Added +100 |
| FRANKLIN RESOURCES INC 0.00% of their portfolio | 76.9k $1.8m | Reduced -26.2k |
| Balyasny Asset Management L.P. 0.00% of their portfolio | 75.5k $1.8m | New |
| Creative Planning 0.00% of their portfolio | 71.7k $1.7m | Added +7.9k |
| Pathstone Holdings, LLC 0.01% of their portfolio | 68.0k $1.6m | Added +307 |
| QRG CAPITAL MANAGEMENT, INC. 0.02% of their portfolio | 67.8k $1.6m | Added +2.9k |
| FACTORY MUTUAL INSURANCE CO 0.02% of their portfolio | 67.2k $1.6m | Unchanged |
| SEI INVESTMENTS CO 0.00% of their portfolio | 66.8k $1.6m | Added +52.9k |
| BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio | 60.3k $1.4m | Added +60.2k |
| Crossmark Global Holdings, Inc. 0.02% of their portfolio | 57.3k $1.4m | Reduced -7.6k |
| Advisors Asset Management, Inc. 0.02% of their portfolio | 54.1k $1.3m | Added +20.8k |
| XY Capital Ltd 1.30% of their portfolio | 53.6k $1.3m | Added +16.5k |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 52.7k $1.3m | Reduced -5.2k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 49.2k $1.2m | Reduced -9.4k |
| TWO SIGMA INVESTMENTS, LP 0.00% of their portfolio | 48.6k $1.2m | Added +38.0k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 47.6k $1.1m | Reduced -154 |
| NATIONAL BANK OF CANADA /FI/ 0.00% of their portfolio | 47.6k $1.1m | Added +10.0k |
| Mariner, LLC 0.00% of their portfolio | 45.6k $1.1m | Reduced -4.0k |
| ASSETMARK, INC 0.00% of their portfolio | 45.5k $1.1m | Added +14.1k |
| O'SHAUGHNESSY ASSET MANAGEMENT, LLC 0.01% of their portfolio | 45.4k $1.1m | Added +6.6k |
| Ethic Inc. 0.02% of their portfolio | 43.0k $1.0m | Reduced -4.8k |
| Balefire, LLC 0.20% of their portfolio | 42.9k $1.0m | Reduced -6.4k |
| Vident Advisory, LLC 0.01% of their portfolio | 42.2k $1.0m | Reduced -1.7k |
| MILLENNIUM MANAGEMENT LLC 0.00% of their portfolio | 40.5k $965.2k | Reduced -276.6k |
| Cerity Partners LLC 0.00% of their portfolio | 40.1k $956.3k | Reduced -1.5k |
| Uncommon Cents Investing LLC 0.23% of their portfolio | 39.8k $947.4k | Added +110 |
| Tower Research Capital LLC (TRC) 0.02% of their portfolio | 38.5k $917.2k | Added +23.3k |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 37.4k $891.0k | Reduced -13.7k |
| AQR CAPITAL MANAGEMENT LLC 0.00% of their portfolio | 37.3k $888.9k | Added +4.9k |
| TWO SIGMA ADVISERS, LP 0.00% of their portfolio | 37.2k $886.3k | Added +14.6k |
| HIGHLAND CAPITAL MANAGEMENT, LLC 0.04% of their portfolio | 36.8k $876.6k | Reduced -4.2k |
| AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio | 35.9k $854.9k | Added +6.5k |
| Nuveen, LLC 0.00% of their portfolio | 35.8k $853.1k | Reduced -2.1k |
| Engineers Gate Manager LP 0.01% of their portfolio | 33.9k $806.4k | Added +23.2k |
| D. E. Shaw & Co., Inc. 0.00% of their portfolio | 33.0k $786.0k | New |
| SIGNET FINANCIAL MANAGEMENT, LLC 0.08% of their portfolio | 29.3k $697.5k | Reduced -558 |
| Callan Family Office, LLC 0.01% of their portfolio | 29.2k $695.0k | Added +1.6k |
| Vanguard Personalized Indexing Management, LLC 0.01% of their portfolio | 28.7k $683.4k | Reduced -8.3k |
| CITADEL ADVISORS LLC 0.00% of their portfolio | 28.5k $678.6k | New |
| DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio | 27.8k $662.5k | Reduced -583 |
| MML INVESTORS SERVICES, LLC 0.00% of their portfolio | 24.7k $587.5k | Added +3.9k |
| US BANCORP \DE\ 0.00% of their portfolio | 24.2k $575.4k | Reduced -22.1k |
| RITHOLTZ WEALTH MANAGEMENT 0.01% of their portfolio | 24.0k $571.8k | Added +5.6k |
| GUGGENHEIM CAPITAL LLC 0.00% of their portfolio | 22.0k $523.8k | Reduced -70 |
| GLENMEDE TRUST CO NA 0.00% of their portfolio | 21.1k $502.2k | First filing |
| Bank of New York Mellon Corp 0.00% of their portfolio | 20.9k $498.9k | Reduced -505 |
| DMC Group, LLC 0.31% of their portfolio | 19.5k $463.9k | Added +11.6k |
| Corient Private Wealth LP 0.00% of their portfolio | 19.1k $454.7k | Reduced -10.2k |
| FIFTH THIRD BANCORP 0.00% of their portfolio | 18.8k $447.0k | Added +726 |
| ATLAS CAPITAL ADVISORS INC. 0.05% of their portfolio | 18.3k $436.0k | First filing |
| SIMPLEX TRADING, LLC 0.01% of their portfolio | 18.0k $429.7k | New |
| EVERGREEN CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 18.0k $429.1k | Added +6.9k |
| QUADRANT CAPITAL GROUP LLC 0.01% of their portfolio | 18.0k $427.6k | Reduced -212 |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 17.6k $418.5k | Reduced -44.9k |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 17.3k $413.0k | Added +3.3k |
| MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio | 17.3k $411.3k | Reduced -1.9k |
| HighTower Advisors, LLC 0.00% of their portfolio | 17.2k $410.9k | Reduced -342 |
| MEYER HANDELMAN CO 0.01% of their portfolio | 16.0k $381.1k | Unchanged |
| Riverwater Partners LLC 0.14% of their portfolio | 15.3k $364.6k | Unchanged |
| Corient IA LP 0.34% of their portfolio | 15.0k $357.3k | Reduced -10.0k |
| Laird Norton Wetherby Trust Company, LLC 0.01% of their portfolio | 14.7k $349.6k | New |
| Optiver Holding B.V. 0.01% of their portfolio | 14.1k $336.5k | Reduced -32.2k |
| LODESTAR PRIVATE ASSET MANAGEMENT LLC 0.03% of their portfolio | 13.5k $322.3k | Reduced -50 |
| Forum Financial Management, LP 0.00% of their portfolio | 13.5k $321.8k | Unchanged |
| EVERETT HARRIS & CO /CA/ 0.00% of their portfolio | 12.8k $305.8k | Reduced -420 |
| DIVERSIFIED MANAGEMENT INC 0.07% of their portfolio | 12.6k $300.1k | First filing |
| SYON CAPITAL LLC 0.01% of their portfolio | 12.6k $299.8k | Reduced -1.4k |
| NATIXIS ADVISORS, LLC 0.00% of their portfolio | 12.4k $295.0k | Reduced -3.0k |
| COMMONWEALTH EQUITY SERVICES, LLC 0.00% of their portfolio | 12.3k $293.9k | Added +81 |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio | 12.3k $292.5k | New |
| Tidal Investments LLC 0.00% of their portfolio | 12.2k $289.6k | Added +550 |
| Summit Trail Advisors, LLC 0.00% of their portfolio | 11.8k $280.1k | Reduced -614 |
| OLD MISSION CAPITAL LLC 0.01% of their portfolio | 11.6k $275.6k | New |
| Versant Capital Management, Inc 0.03% of their portfolio | 11.4k $272.0k | Added +3.5k |