Vault-13

FRESENIUS MEDICAL CARE AG FMS

SPONSORED ADR · ADR · CUSIP 358029106 · ISIN US3580291066

215 institutional holders +8 vs Q3 2025
37,471,33437.5m shares reported held*
$893.2mreported value*
26 new 59 added 74 reduced 21 sold out net bought ≈ $33.1m (+1.4m shares)

* 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

0100200300Q3 22: 142Q4 22: 155Q1 23: 156Q2 23: 147Q3 23: 148Q4 23: 160Q1 24: 172Q2 24: 167Q3 24: 168Q4 24: 190Q1 25: 203Q2 25: 209Q3 25: 207Q4 25: 215215Q3 22Q2 23Q1 24Q4 24Q4 25
Numbers
QuarterHolders
Q3 2022142
Q4 2022155
Q1 2023156
Q2 2023147
Q3 2023148
Q4 2023160
Q1 2024172
Q2 2024167
Q3 2024168
Q4 2024190
Q1 2025203
Q2 2025209
Q3 2025207
Q4 2025215

Buyers vs sellers

Managers adding to or starting a position, vs cutting or selling out

Bought or addedCut or sold out
2000200Q1 24: 89 bought or addedQ1 24: 62 cut or sold outQ2 24: 81 bought or addedQ2 24: 67 cut or sold outQ2 24Q3 24: 78 bought or addedQ3 24: 68 cut or sold outQ4 24: 93 bought or addedQ4 24: 58 cut or sold outQ4 24Q1 25: 92 bought or addedQ1 25: 68 cut or sold outQ2 25: 110 bought or addedQ2 25: 71 cut or sold outQ2 25Q3 25: 99 bought or addedQ3 25: 84 cut or sold outQ4 25: 85 bought or addedQ4 25: 95 cut or sold outQ4 25
Numbers
QuarterBought or addedCut or sold out
Q1 20248962
Q2 20248167
Q3 20247868
Q4 20249358
Q1 20259268
Q2 202511071
Q3 20259984
Q4 20258595

Calls vs puts

Options held, notional value, last 4 quarters. P/C = puts ÷ calls

CallsPuts
$0$1m$2m$3m$4mQ1 25 calls: $3.1mQ1 25 puts: $1.3mQ1 25P/C 0.42Q2 25 calls: $1.7mQ2 25 puts: $1.2mQ2 25P/C 0.70Q3 25 calls: $3.4mQ3 25 puts: $0Q3 25P/C 0.00Q4 25 calls: $3.6mQ4 25 puts: $1.8mQ4 25P/C 0.49
Numbers
QuarterCallsPutsP/C
Q1 2025$3.1m$1.3m0.42
Q2 2025$1.7m$1.2m0.70
Q3 2025$3.4m$00.00
Q4 2025$3.6m$1.8m0.49

Biggest buyers

MORGAN STANLEY Added +942,497+942.5k
Point72 Asset Management, L.P. Added +598,814+598.8k
ABC ARBITRAGE SA Added +229,589+229.6k
Integral Health Asset Management, LLC Added +200,000+200.0k
Moran Wealth Management, LLC Added +106,438+106.4k
JANE STREET GROUP, LLC Added +90,357+90.4k
XTX Topco Ltd Added +82,935+82.9k
Balyasny Asset Management L.P. New +75,530+75.5k
BNP PARIBAS FINANCIAL MARKETS Added +60,249+60.2k
Quantinno Capital Management LP Added +57,923+57.9k

Biggest sellers

FIDUCIARY MANAGEMENT INC /WI/ Reduced -495,419-495.4k
MILLENNIUM MANAGEMENT LLC Reduced -276,587-276.6k
PZENA INVESTMENT MANAGEMENT LLC Reduced -64,016-64.0k
UBS Group AG Reduced -51,622-51.6k
AMERIPRISE FINANCIAL INC Reduced -44,852-44.9k
GOLDMAN SACHS GROUP INC Reduced -44,177-44.2k
Sanctuary Advisors, LLC Sold out -43,443-43.4k
Optiver Holding B.V. Reduced -32,178-32.2k
FRANKLIN RESOURCES INC Reduced -26,187-26.2k
BAROMETER CAPITAL MANAGEMENT INC. Reduced -25,900-25.9k

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.

HolderStakeChangeShares Last filed
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% -3.0 pts 67.2m 2026-08-24

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

#ManagerLocationShares Value% of their portfolioChangeShares change
1 PZENA INVESTMENT MANAGEMENT LLC 1.05% of their portfolio NEW YORK, NY 14,752,83614.8m $351.4m $351.4m 1.05% Reduced -64.0k -64,016
2 FIDUCIARY MANAGEMENT INC /WI/ 1.30% of their portfolio MILWAUKEE, WI 4,961,9695.0m $118.2m $118.2m 1.30% Reduced -495.4k -495,419
3 Dodge & Cox 0.05% of their portfolio San Francisco, CA 3,826,9103.8m $91.2m $91.2m 0.05% Unchanged
4 MORGAN STANLEY 0.00% of their portfolio NEW YORK, NY 2,939,8392.9m $70.0m $70.0m 0.00% Added +942.5k +942,497
5 TODD ASSET MANAGEMENT LLC 0.60% of their portfolio Louisville, KY 1,286,7631.3m $30.7m $30.7m 0.60% Reduced -16.7k -16,661
6 Point72 Asset Management, L.P. 0.04% of their portfolio STAMFORD, CT 1,132,8141.1m $27.0m $27.0m 0.04% Added +598.8k +598,814
7 TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY 0.15% of their portfolio FRANKFORT, KY 816,200816.2k $19.4m $19.4m 0.15% Unchanged
8 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 735,014735.0k $17.5m $17.5m 0.00% Reduced -44.2k -44,177
9 Integral Health Asset Management, LLC 0.78% of their portfolio New York, NY 650,000650.0k $15.5m $15.5m 0.78% Added +200.0k +200,000
10 BlackRock, Inc. 0.00% of their portfolio New York, NY 461,759461.8k $11.0m $11.0m 0.00% Reduced -6.6k -6,643
11 NORTHERN TRUST CORP 0.00% of their portfolio CHICAGO, IL 401,076401.1k $9.6m $9.6m 0.00% Reduced -16.7k -16,711
12 HENNESSY ADVISORS INC 0.30% of their portfolio NOVATO, CA 349,500349.5k $8.3m $8.3m 0.30% Reduced -22.7k -22,700
13 Quantinno Capital Management LP 0.01% of their portfolio NEW YORK, NY 294,915294.9k $7.0m $7.0m 0.01% Added +57.9k +57,923
14 RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio ST. PETERSBURG, FL 286,898286.9k $6.8m $6.8m 0.00% Added +4.8k +4,824
15 Moran Wealth Management, LLC 0.19% of their portfolio NAPLES, FL 264,462264.5k $6.3m $6.3m 0.19% Added +106.4k +106,438
16 ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio Berwyn, PA 255,716255.7k $6.1m $6.1m 0.00% Reduced -24.5k -24,462
17 ABC ARBITRAGE SA 0.56% of their portfolio PARIS, I0 249,800249.8k $6.0m $6.0m 0.56% Added +229.6k +229,589
18 Qube Research & Technologies Ltd 0.01% of their portfolio LONDON, X0 201,872201.9k $4.8m $4.8m 0.01% Reduced -21.4k -21,350
19 NIA IMPACT ADVISORS, LLC 1.22% of their portfolio OAKLAND, CA 152,962153.0k $3.6m $3.6m 1.22% Reduced -10.6k -10,625
20 JANE STREET GROUP, LLC 0.00% of their portfolio NEW YORK, NY 135,434135.4k $3.2m $3.2m 0.00% Added +90.4k +90,357
21 FMR LLC 0.00% of their portfolio BOSTON, MA 134,693134.7k $3.2m $3.2m 0.00% Reduced -19.8k -19,817
22 UBS Group AG 0.00% of their portfolio ZURICH, V8 101,827101.8k $2.4m $2.4m 0.00% Reduced -51.6k -51,622
23 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 98,90198.9k $2.4m $2.4m 0.00% Reduced -13.6k -13,603
24 XTX Topco Ltd 0.06% of their portfolio LONDON, X0 94,09394.1k $2.2m $2.2m 0.06% Added +82.9k +82,935
25 BANK OF AMERICA CORP /DE/ 0.00% of their portfolio CHARLOTTE, NC 83,08983.1k $2.0m $2.0m 0.00% Added +888 +888
26 SEARLE & CO. 0.50% of their portfolio GREENWICH, CT 80,72580.7k $1.9m $1.9m 0.50% Unchanged
27 Broyhill Asset Management, LLC 1.63% of their portfolio CHARLOTTE, NC 77,53777.5k $1.8m $1.8m 1.63% Added +100 +100
28 FRANKLIN RESOURCES INC 0.00% of their portfolio San Mateo, CA 76,88876.9k $1.8m $1.8m 0.00% Reduced -26.2k -26,187
29 Balyasny Asset Management L.P. 0.00% of their portfolio Chicago, IL 75,53075.5k $1.8m $1.8m 0.00% New
30 Creative Planning 0.00% of their portfolio OVERLAND PARK, KS 71,74871.7k $1.7m $1.7m 0.00% Added +7.9k +7,906
31 Pathstone Holdings, LLC 0.01% of their portfolio ENGLEWOOD, NJ 68,00868.0k $1.6m $1.6m 0.01% Added +307 +307
32 QRG CAPITAL MANAGEMENT, INC. 0.02% of their portfolio BERWYN, PA 67,77167.8k $1.6m $1.6m 0.02% Added +2.9k +2,869
33 FACTORY MUTUAL INSURANCE CO 0.02% of their portfolio WALTHAM, MA 67,19667.2k $1.6m $1.6m 0.02% Unchanged
34 SEI INVESTMENTS CO 0.00% of their portfolio OAKS, PA 66,78266.8k $1.6m $1.6m 0.00% Added +52.9k +52,903
35 BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio PARIS, I0 60,29560.3k $1.4m $1.4m 0.00% Added +60.2k +60,249
36 Crossmark Global Holdings, Inc. 0.02% of their portfolio HOUSTON, TX 57,26557.3k $1.4m $1.4m 0.02% Reduced -7.6k -7,568
37 Advisors Asset Management, Inc. 0.02% of their portfolio Monument, CO 54,07954.1k $1.3m $1.3m 0.02% Added +20.8k +20,838
38 XY Capital Ltd 1.30% of their portfolio CENTRAL, K3 53,61053.6k $1.3m $1.3m 1.30% Added +16.5k +16,467
39 GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio BOSTON, MA 52,72052.7k $1.3m $1.3m 0.00% Reduced -5.2k -5,185
40 WELLS FARGO & COMPANY/MN 0.00% of their portfolio SAN FRANCISCO, CA 49,18749.2k $1.2m $1.2m 0.00% Reduced -9.4k -9,404
41 TWO SIGMA INVESTMENTS, LP 0.00% of their portfolio NEW YORK, NY 48,64748.6k $1.2m $1.2m 0.00% Added +38.0k +38,005
42 CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio SAN FRANCISCO, CA 47,60947.6k $1.1m $1.1m 0.00% Reduced -154 -154
43 NATIONAL BANK OF CANADA /FI/ 0.00% of their portfolio MONTREAL, A8 47,58747.6k $1.1m $1.1m 0.00% Added +10.0k +10,008
44 Mariner, LLC 0.00% of their portfolio Overland Park, KS 45,62445.6k $1.1m $1.1m 0.00% Reduced -4.0k -4,037
45 ASSETMARK, INC 0.00% of their portfolio CONCORD, CA 45,52245.5k $1.1m $1.1m 0.00% Added +14.1k +14,078
46 O'SHAUGHNESSY ASSET MANAGEMENT, LLC 0.01% of their portfolio Stamford, CT 45,37145.4k $1.1m $1.1m 0.01% Added +6.6k +6,627
47 Ethic Inc. 0.02% of their portfolio NEW YORK, NY 42,95043.0k $1.0m $1.0m 0.02% Reduced -4.8k -4,806
48 Balefire, LLC 0.20% of their portfolio DALLAS, TX 42,89142.9k $1.0m $1.0m 0.20% Reduced -6.4k -6,365
49 Vident Advisory, LLC 0.01% of their portfolio Alpharetta, GA 42,21642.2k $1.0m $1.0m 0.01% Reduced -1.7k -1,716
50 MILLENNIUM MANAGEMENT LLC 0.00% of their portfolio NEW YORK, NY 40,52240.5k $965.2k $965.2k 0.00% Reduced -276.6k -276,587
51 Cerity Partners LLC 0.00% of their portfolio NEW YORK, NY 40,14640.1k $956.3k $956.3k 0.00% Reduced -1.5k -1,514
52 Uncommon Cents Investing LLC 0.23% of their portfolio JANESVILLE, WI 39,77539.8k $947.4k $947.4k 0.23% Added +110 +110
53 Tower Research Capital LLC (TRC) 0.02% of their portfolio NEW YORK, NY 38,50638.5k $917.2k $917.2k 0.02% Added +23.3k +23,293
54 ROYAL BANK OF CANADA 0.00% of their portfolio TORONTO, A6 37,44337.4k $891.0k $891.0k 0.00% Reduced -13.7k -13,711
55 AQR CAPITAL MANAGEMENT LLC 0.00% of their portfolio Greenwich, CT 37,31537.3k $888.9k $888.9k 0.00% Added +4.9k +4,876
56 TWO SIGMA ADVISERS, LP 0.00% of their portfolio NEW YORK, NY 37,20737.2k $886.3k $886.3k 0.00% Added +14.6k +14,607
57 HIGHLAND CAPITAL MANAGEMENT, LLC 0.04% of their portfolio MEMPHIS, TN 36,80036.8k $876.6k $876.6k 0.04% Reduced -4.2k -4,200
58 AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio KANSAS CITY, MO 35,88835.9k $854.9k $854.9k 0.00% Added +6.5k +6,472
59 Nuveen, LLC 0.00% of their portfolio CHARLOTTE, NC 35,81335.8k $853.1k $853.1k 0.00% Reduced -2.1k -2,098
60 Engineers Gate Manager LP 0.01% of their portfolio NEW YORK, NY 33,85433.9k $806.4k $806.4k 0.01% Added +23.2k +23,194
61 D. E. Shaw & Co., Inc. 0.00% of their portfolio New York, NY 32,99633.0k $786.0k $786.0k 0.00% New
62 SIGNET FINANCIAL MANAGEMENT, LLC 0.08% of their portfolio PARSIPPANY, NJ 29,28429.3k $697.5k $697.5k 0.08% Reduced -558 -558
63 Callan Family Office, LLC 0.01% of their portfolio RADNOR, PA 29,17729.2k $695.0k $695.0k 0.01% Added +1.6k +1,563
64 Vanguard Personalized Indexing Management, LLC 0.01% of their portfolio OAKLAND, CA 28,69128.7k $683.4k $683.4k 0.01% Reduced -8.3k -8,326
65 CITADEL ADVISORS LLC 0.00% of their portfolio MIAMI, FL 28,48928.5k $678.6k $678.6k 0.00% New
66 DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio AUSTIN, TX 27,81127.8k $662.5k $662.5k 0.00% Reduced -583 -583
67 MML INVESTORS SERVICES, LLC 0.00% of their portfolio SPRINGFIELD, MA 24,66424.7k $587.5k $587.5k 0.00% Added +3.9k +3,900
68 US BANCORP \DE\ 0.00% of their portfolio MINNEAPOLIS, MN 24,15624.2k $575.4k $575.4k 0.00% Reduced -22.1k -22,099
69 RITHOLTZ WEALTH MANAGEMENT 0.01% of their portfolio NEW YORK, NY 24,00624.0k $571.8k $571.8k 0.01% Added +5.6k +5,595
70 GUGGENHEIM CAPITAL LLC 0.00% of their portfolio CHICAGO, IL 21,99222.0k $523.8k $523.8k 0.00% Reduced -70 -70
71 GLENMEDE TRUST CO NA 0.00% of their portfolio PHILADELPHIA, PA 21,08321.1k $502.2k $502.2k 0.00% First filing
72 Bank of New York Mellon Corp 0.00% of their portfolio NEW YORK, NY 20,94520.9k $498.9k $498.9k 0.00% Reduced -505 -505
73 DMC Group, LLC 0.31% of their portfolio BIRMINGHAM, AL 19,47419.5k $463.9k $463.9k 0.31% Added +11.6k +11,642
74 Corient Private Wealth LP 0.00% of their portfolio MIAMI, FL 19,09119.1k $454.7k $454.7k 0.00% Reduced -10.2k -10,205
75 FIFTH THIRD BANCORP 0.00% of their portfolio CINCINNATI, OH 18,76618.8k $447.0k $447.0k 0.00% Added +726 +726
76 ATLAS CAPITAL ADVISORS INC. 0.05% of their portfolio JACKSON, WY 18,30618.3k $436.0k $436.0k 0.05% First filing
77 SIMPLEX TRADING, LLC 0.01% of their portfolio CHICAGO, IL 18,03818.0k $429.7k $429.7k 0.01% New
78 EVERGREEN CAPITAL MANAGEMENT LLC 0.01% of their portfolio Bellevue, WA 18,01418.0k $429.1k $429.1k 0.01% Added +6.9k +6,856
79 QUADRANT CAPITAL GROUP LLC 0.01% of their portfolio CINCINNATI, OH 17,95218.0k $427.6k $427.6k 0.01% Reduced -212 -212
80 AMERIPRISE FINANCIAL INC 0.00% of their portfolio MINNEAPOLIS, MN 17,56917.6k $418.5k $418.5k 0.00% Reduced -44.9k -44,852
81 RHUMBLINE ADVISERS 0.00% of their portfolio BOSTON, MA 17,34017.3k $413.0k $413.0k 0.00% Added +3.3k +3,251
82 MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio DENVER, CO 17,26617.3k $411.3k $411.3k 0.00% Reduced -1.9k -1,861
83 HighTower Advisors, LLC 0.00% of their portfolio CHICAGO, IL 17,24817.2k $410.9k $410.9k 0.00% Reduced -342 -342
84 MEYER HANDELMAN CO 0.01% of their portfolio RYE BROOK, NY 16,00016.0k $381.1k $381.1k 0.01% Unchanged
85 Riverwater Partners LLC 0.14% of their portfolio Milwaukee, WI 15,30615.3k $364.6k $364.6k 0.14% Unchanged
86 Corient IA LP 0.34% of their portfolio MIAMI, FL 15,00015.0k $357.3k $357.3k 0.34% Reduced -10.0k -10,000
87 Laird Norton Wetherby Trust Company, LLC 0.01% of their portfolio Seattle, WA 14,67514.7k $349.6k $349.6k 0.01% New
88 Optiver Holding B.V. 0.01% of their portfolio AMSTERDAM, P7 14,12514.1k $336.5k $336.5k 0.01% Reduced -32.2k -32,178
89 LODESTAR PRIVATE ASSET MANAGEMENT LLC 0.03% of their portfolio ALAMO, CA 13,53213.5k $322.3k $322.3k 0.03% Reduced -50 -50
90 Forum Financial Management, LP 0.00% of their portfolio LOMBARD, IL 13,51013.5k $321.8k $321.8k 0.00% Unchanged
91 EVERETT HARRIS & CO /CA/ 0.00% of their portfolio LOS ANGELES, CA 12,83912.8k $305.8k $305.8k 0.00% Reduced -420 -420
92 DIVERSIFIED MANAGEMENT INC 0.07% of their portfolio MILWAUKEE, WI 12,59912.6k $300.1k $300.1k 0.07% First filing
93 SYON CAPITAL LLC 0.01% of their portfolio SAN FRANCISCO, CA 12,58512.6k $299.8k $299.8k 0.01% Reduced -1.4k -1,395
94 NATIXIS ADVISORS, LLC 0.00% of their portfolio Boston, MA 12,36912.4k $295.0k $295.0k 0.00% Reduced -3.0k -2,962
95 COMMONWEALTH EQUITY SERVICES, LLC 0.00% of their portfolio WALTHAM, MA 12,34112.3k $293.9k $293.9k 0.00% Added +81 +81
96 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio BALA CYNWYD, PA 12,27912.3k $292.5k $292.5k 0.00% New
97 Tidal Investments LLC 0.00% of their portfolio Milwaukee, WI 12,15912.2k $289.6k $289.6k 0.00% Added +550 +550
98 Summit Trail Advisors, LLC 0.00% of their portfolio NEW YORK, NY 11,76011.8k $280.1k $280.1k 0.00% Reduced -614 -614
99 OLD MISSION CAPITAL LLC 0.01% of their portfolio CHICAGO, IL 11,57111.6k $275.6k $275.6k 0.01% New
100 Versant Capital Management, Inc 0.03% of their portfolio PHOENIX, AZ 11,42011.4k $272.0k $272.0k 0.03% Added +3.5k +3,481