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 ($1.5m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $22.57. Options: 3 managers hold calls ($2.6m notional), 5 hold puts ($3.5m).
Trends to Q1 2026
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 |
| Q1 2026 | 220 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| 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 |
| Q1 2026 | 129 | 84 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q2 2025 | $1.7m | $1.2m | 0.70 |
| Q3 2025 | $3.4m | $0 | 0.00 |
| Q4 2025 | $3.6m | $1.8m | 0.49 |
| Q1 2026 | $2.6m | $3.5m | 1.35 |
Biggest buyers
| BRANDES INVESTMENT PARTNERS, LP | New | +1.6m |
| MILLENNIUM MANAGEMENT LLC | Added | +1.6m |
| D. E. Shaw & Co., Inc. | Added | +396.3k |
| PZENA INVESTMENT MANAGEMENT LLC | Added | +300.0k |
| WELLS FARGO & COMPANY/MN | Added | +285.7k |
| BNP PARIBAS FINANCIAL MARKETS | Added | +275.5k |
| ROYAL BANK OF CANADA | Added | +179.4k |
| BlackRock, Inc. | Added | +165.9k |
| TWO SIGMA INVESTMENTS, LP | Added | +165.7k |
| FMR LLC | Added | +160.7k |
Biggest sellers
| Point72 Asset Management, L.P. | Reduced | -622.9k |
| FIDUCIARY MANAGEMENT INC /WI/ | Reduced | -499.9k |
| MORGAN STANLEY | Reduced | -455.0k |
| ABC ARBITRAGE SA | Sold out | -249.8k |
| Qube Research & Technologies Ltd | Reduced | -178.5k |
| XTX Topco Ltd | Sold out | -94.1k |
| Broyhill Asset Management, LLC | Sold out | -77.5k |
| FRANKLIN RESOURCES INC | Sold out | -76.9k |
| Balyasny Asset Management L.P. | Sold out | -75.5k |
| FACTORY MUTUAL INSURANCE CO | Sold out | -67.2k |
Biggest calls
| Optiver Holding B.V. | Reduced | $1.9m86.1k shares |
| CITADEL ADVISORS LLC | New | $552.7k24.5k shares |
| SIMPLEX TRADING, LLC | Added | $101.5k4.5k shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $1.6m73.1k shares |
| SIMPLEX TRADING, LLC | Added | $1.1m50.0k shares |
| CITADEL ADVISORS LLC | Added | $491.8k21.8k shares |
| JANE STREET GROUP, LLC | New | $227.9k10.1k shares |
| Optiver Holding B.V. | Added | $4.5k200 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 Q1 2026
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 Q1 2026.
Holders, Q1 2026
| Manager | Shares | Change |
|---|---|---|
| PZENA INVESTMENT MANAGEMENT LLC 1.10% of their portfolio | 15.1m $339.6m | Added +300.0k |
| FIDUCIARY MANAGEMENT INC /WI/ 1.25% of their portfolio | 4.5m $100.7m | Reduced -499.9k |
| Dodge & Cox 0.05% of their portfolio | 3.8m $86.3m | Unchanged |
| MORGAN STANLEY 0.00% of their portfolio | 2.5m $56.1m | Reduced -455.0k |
| MILLENNIUM MANAGEMENT LLC 0.03% of their portfolio | 1.6m $37.0m | Added +1.6m |
| BRANDES INVESTMENT PARTNERS, LP 0.26% of their portfolio | 1.6m $36.3m | New |
| TODD ASSET MANAGEMENT LLC 0.57% of their portfolio | 1.3m $29.3m | Added +9.8k |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 818.0k $18.5m | Added +83.0k |
| TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY 0.14% of their portfolio | 816.2k $18.4m | Unchanged |
| Integral Health Asset Management, LLC 0.93% of their portfolio | 775.0k $17.5m | Added +125.0k |
| BlackRock, Inc. 0.00% of their portfolio | 627.7k $14.2m | Added +165.9k |
| Point72 Asset Management, L.P. 0.02% of their portfolio | 509.9k $11.5m | Reduced -622.9k |
| D. E. Shaw & Co., Inc. 0.01% of their portfolio | 429.3k $9.7m | Added +396.3k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 422.4k $9.5m | Added +135.5k |
| ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio | 383.8k $8.7m | Added +128.1k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 379.8k $8.6m | Reduced -21.3k |
| Moran Wealth Management, LLC 0.24% of their portfolio | 347.8k $7.8m | Added +83.3k |
| Quantinno Capital Management LP 0.01% of their portfolio | 341.3k $7.7m | Added +46.4k |
| HENNESSY ADVISORS INC 0.28% of their portfolio | 337.8k $7.6m | Reduced -11.7k |
| BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio | 335.8k $7.6m | Added +275.5k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 334.9k $7.6m | Added +285.7k |
| FMR LLC 0.00% of their portfolio | 295.4k $6.7m | Added +160.7k |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 216.9k $4.9m | Added +179.4k |
| TWO SIGMA INVESTMENTS, LP 0.00% of their portfolio | 214.4k $4.8m | Added +165.7k |
| O'SHAUGHNESSY ASSET MANAGEMENT, LLC 0.02% of their portfolio | 205.9k $4.6m | Added +160.5k |
| Creative Planning 0.00% of their portfolio | 183.8k $4.1m | Added +112.1k |
| NIA IMPACT ADVISORS, LLC 1.48% of their portfolio | 147.6k $3.3m | Reduced -5.4k |
| ASSETMARK, INC 0.01% of their portfolio | 132.3k $3.0m | Added +86.8k |
| SEI INVESTMENTS CO 0.00% of their portfolio | 120.7k $2.7m | Added +53.9k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 116.5k $2.6m | Added +17.6k |
| UBS Group AG 0.00% of their portfolio | 113.5k $2.6m | Added +11.7k |
| Cinctive Capital Management LP 0.15% of their portfolio | 99.0k $2.2m | New |
| HRT FINANCIAL LP 0.01% of their portfolio | 85.8k $1.9m | New |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 84.8k $1.9m | Added +37.2k |
| RITHOLTZ WEALTH MANAGEMENT 0.03% of their portfolio | 84.7k $1.9m | Added +60.7k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 82.5k $1.9m | Reduced -623 |
| HANTZ FINANCIAL SERVICES, INC. 0.03% of their portfolio | 82.4k $1.9m | Added +75.0k |
| JANE STREET GROUP, LLC 0.00% of their portfolio | 81.7k $1.8m | Reduced -53.7k |
| SEARLE & CO. 0.46% of their portfolio | 80.7k $1.8m | Unchanged |
| STIFEL FINANCIAL CORP 0.00% of their portfolio | 80.7k $1.8m | New |
| QRG CAPITAL MANAGEMENT, INC. 0.02% of their portfolio | 77.1k $1.7m | Added +9.4k |
| DIVERSIFIED MANAGEMENT INC 0.28% of their portfolio | 73.0k $1.6m | Added +60.4k |
| Schonfeld Strategic Advisors LLC 0.01% of their portfolio | 68.6k $1.5m | New |
| Pathstone Holdings, LLC 0.01% of their portfolio | 67.1k $1.5m | Reduced -923 |
| Advisors Asset Management, Inc. 0.02% of their portfolio | 66.0k $1.5m | Added +11.9k |
| NATIONAL BANK OF CANADA /FI/ 0.00% of their portfolio | 64.0k $1.4m | Added +16.4k |
| Engineers Gate Manager LP 0.02% of their portfolio | 63.6k $1.4m | Added +29.7k |
| Crossmark Global Holdings, Inc. 0.02% of their portfolio | 56.6k $1.3m | Reduced -642 |
| CITADEL ADVISORS LLC 0.00% of their portfolio | 56.6k $1.3m | Added +28.1k |
| LPL Financial LLC 0.00% of their portfolio | 53.3k $1.2m | New |
| Tidal Investments LLC 0.00% of their portfolio | 50.9k $1.1m | Added +38.7k |
| Mariner, LLC 0.00% of their portfolio | 50.1k $1.1m | Added +4.5k |
| BAROMETER CAPITAL MANAGEMENT INC. 0.36% of their portfolio | 46.2k $1.0m | Added +39.3k |
| BANK OF MONTREAL /CAN/ 0.00% of their portfolio | 45.2k $1.0m | New |
| Vident Advisory, LLC 0.01% of their portfolio | 45.1k $1.0m | Added +2.9k |
| Cerity Partners LLC 0.00% of their portfolio | 40.6k $917.0k | Added +499 |
| Uncommon Cents Investing LLC 0.21% of their portfolio | 40.5k $913.6k | Added +720 |
| AQR CAPITAL MANAGEMENT LLC 0.00% of their portfolio | 38.7k $873.9k | Added +1.4k |
| AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio | 38.6k $871.1k | Added +2.7k |
| Summit Trail Advisors, LLC 0.01% of their portfolio | 37.5k $845.9k | Added +25.7k |
| HIGHLAND CAPITAL MANAGEMENT, LLC 0.04% of their portfolio | 36.6k $826.8k | Reduced -150 |
| Nuveen, LLC 0.00% of their portfolio | 34.9k $788.0k | Reduced -885 |
| MML INVESTORS SERVICES, LLC 0.00% of their portfolio | 34.7k $783.6k | Added +10.1k |
| Ethic Inc. 0.01% of their portfolio | 34.7k $783.5k | Reduced -8.2k |
| Trexquant Investment LP 0.01% of their portfolio | 33.6k $757.8k | New |
| SIGNET FINANCIAL MANAGEMENT, LLC 0.07% of their portfolio | 28.9k $651.9k | Reduced -389 |
| Summit Financial, LLC 0.01% of their portfolio | 28.1k $633.9k | New |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio | 27.8k $627.0k | Added +15.5k |
| OPPENHEIMER ASSET MANAGEMENT INC. 0.01% of their portfolio | 26.8k $604.4k | New |
| VOLORIDGE INVESTMENT MANAGEMENT, LLC 0.00% of their portfolio | 25.1k $565.1k | New |
| Vanguard Personalized Indexing Management, LLC 0.01% of their portfolio | 23.4k $527.5k | Reduced -5.3k |
| Qube Research & Technologies Ltd 0.00% of their portfolio | 23.3k $526.7k | Reduced -178.5k |
| US BANCORP \DE\ 0.00% of their portfolio | 23.0k $519.1k | Reduced -1.1k |
| EVERGREEN CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 22.9k $517.1k | Added +4.9k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 22.7k $512.8k | Added +5.2k |
| Orion Porfolio Solutions, LLC 0.00% of their portfolio | 22.5k $508.4k | New |
| DMC Group, LLC 0.34% of their portfolio | 22.5k $506.7k | Added +3.0k |
| Caprock Group, LLC 0.01% of their portfolio | 22.3k $502.4k | Added +12.9k |
| Callan Family Office, LLC 0.01% of their portfolio | 21.7k $489.3k | Reduced -7.5k |
| GUGGENHEIM CAPITAL LLC 0.00% of their portfolio | 21.7k $488.9k | Reduced -322 |
| SIMPLEX TRADING, LLC 0.02% of their portfolio | 21.5k $485.5k | Added +3.5k |
| LANARK FINANCIAL, INC. 0.04% of their portfolio | 21.1k $475.9k | New |
| GLENMEDE TRUST CO NA 0.00% of their portfolio | 20.8k $470.0k | Reduced -249 |
| Bank of New York Mellon Corp 0.00% of their portfolio | 20.7k $466.3k | Reduced -276 |
| Sequoia Financial Advisors, LLC 0.00% of their portfolio | 20.3k $457.4k | New |
| DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio | 19.5k $439.1k | Reduced -8.3k |
| FIFTH THIRD BANCORP 0.00% of their portfolio | 18.8k $423.3k | Reduced -1 |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 18.7k $422.6k | Added +1.4k |
| HighTower Advisors, LLC 0.00% of their portfolio | 18.4k $415.3k | Added +1.2k |
| QUADRANT CAPITAL GROUP LLC 0.01% of their portfolio | 17.5k $395.2k | Reduced -434 |
| Aaron Wealth Advisors LLC 0.02% of their portfolio | 16.4k $370.3k | New |
| MEYER HANDELMAN CO 0.01% of their portfolio | 16.0k $361.0k | Unchanged |
| Cetera Investment Advisers 0.00% of their portfolio | 15.9k $359.1k | Added +6.9k |
| MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio | 15.5k $350.3k | Reduced -1.7k |
| Laird Norton Wetherby Trust Company, LLC 0.01% of their portfolio | 15.4k $348.0k | Added +750 |
| Riverwater Partners LLC 0.12% of their portfolio | 15.3k $345.3k | Unchanged |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 15.3k $345.2k | Reduced -37.4k |
| UMB Bank, n.a. 0.00% of their portfolio | 15.2k $341.8k | Added +15.0k |
| PING CAPITAL MANAGEMENT, INC. 0.13% of their portfolio | 15.0k $338.4k | Added +5.0k |
| Corient IA LP 0.32% of their portfolio | 15.0k $338.4k | Unchanged |