Vault-13

FRESENIUS MEDICAL CARE AG FMS

SPONSORED ADR · ADR · CUSIP 358029106 · ISIN US3580291066

220 institutional holders +5 vs Q4 2025
42,046,08742.0m shares reported held*
$949.0mreported value*
39 new 90 added 48 reduced 36 sold out net bought ≈ $103.3m (+4.6m 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 ($1.5m 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

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: 215Q1 26: 220220Q3 22Q3 23Q3 24Q3 25Q1 26
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
Q1 2026220

Buyers vs sellers

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

Bought or addedCut or sold out
2000200Q2 24: 81 bought or addedQ2 24: 67 cut or sold outQ3 24: 78 bought or addedQ3 24: 68 cut or sold outQ3 24Q4 24: 93 bought or addedQ4 24: 58 cut or sold outQ1 25: 92 bought or addedQ1 25: 68 cut or sold outQ1 25Q2 25: 110 bought or addedQ2 25: 71 cut or sold outQ3 25: 99 bought or addedQ3 25: 84 cut or sold outQ3 25Q4 25: 85 bought or addedQ4 25: 95 cut or sold outQ1 26: 129 bought or addedQ1 26: 84 cut or sold outQ1 26
Numbers
QuarterBought or addedCut or sold out
Q2 20248167
Q3 20247868
Q4 20249358
Q1 20259268
Q2 202511071
Q3 20259984
Q4 20258595
Q1 202612984

Calls vs puts

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

CallsPuts
$0$1m$2m$3m$4mQ2 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 0.49Q1 26 calls: $2.6mQ1 26 puts: $3.5mQ1 26P/C 1.35
Numbers
QuarterCallsPutsP/C
Q2 2025$1.7m$1.2m0.70
Q3 2025$3.4m$00.00
Q4 2025$3.6m$1.8m0.49
Q1 2026$2.6m$3.5m1.35

Biggest buyers

BRANDES INVESTMENT PARTNERS, LP New +1,610,849+1.6m
MILLENNIUM MANAGEMENT LLC Added +1,600,779+1.6m
D. E. Shaw & Co., Inc. Added +396,336+396.3k
PZENA INVESTMENT MANAGEMENT LLC Added +299,986+300.0k
WELLS FARGO & COMPANY/MN Added +285,668+285.7k
BNP PARIBAS FINANCIAL MARKETS Added +275,495+275.5k
ROYAL BANK OF CANADA Added +179,418+179.4k
BlackRock, Inc. Added +165,910+165.9k
TWO SIGMA INVESTMENTS, LP Added +165,727+165.7k
FMR LLC Added +160,696+160.7k

Biggest sellers

Point72 Asset Management, L.P. Reduced -622,907-622.9k
FIDUCIARY MANAGEMENT INC /WI/ Reduced -499,863-499.9k
MORGAN STANLEY Reduced -455,029-455.0k
ABC ARBITRAGE SA Sold out -249,800-249.8k
Qube Research & Technologies Ltd Reduced -178,525-178.5k
XTX Topco Ltd Sold out -94,093-94.1k
Broyhill Asset Management, LLC Sold out -77,537-77.5k
FRANKLIN RESOURCES INC Sold out -76,888-76.9k
Balyasny Asset Management L.P. Sold out -75,530-75.5k
FACTORY MUTUAL INSURANCE CO Sold out -67,196-67.2k

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.

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 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

#ManagerLocationShares Value% of their portfolioChangeShares change
1 PZENA INVESTMENT MANAGEMENT LLC 1.10% of their portfolio NEW YORK, NY 15,052,82215.1m $339.6m $339.6m 1.10% Added +300.0k +299,986
2 FIDUCIARY MANAGEMENT INC /WI/ 1.25% of their portfolio MILWAUKEE, WI 4,462,1064.5m $100.7m $100.7m 1.25% Reduced -499.9k -499,863
3 Dodge & Cox 0.05% of their portfolio San Francisco, CA 3,826,9103.8m $86.3m $86.3m 0.05% Unchanged
4 MORGAN STANLEY 0.00% of their portfolio NEW YORK, NY 2,484,8102.5m $56.1m $56.1m 0.00% Reduced -455.0k -455,029
5 MILLENNIUM MANAGEMENT LLC 0.03% of their portfolio NEW YORK, NY 1,641,3011.6m $37.0m $37.0m 0.03% Added +1.6m +1,600,779
6 BRANDES INVESTMENT PARTNERS, LP 0.26% of their portfolio LA JOLLA, CA 1,610,8491.6m $36.3m $36.3m 0.26% New
7 TODD ASSET MANAGEMENT LLC 0.57% of their portfolio Louisville, KY 1,296,5431.3m $29.3m $29.3m 0.57% Added +9.8k +9,780
8 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 818,002818.0k $18.5m $18.5m 0.00% Added +83.0k +82,988
9 TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY 0.14% of their portfolio FRANKFORT, KY 816,200816.2k $18.4m $18.4m 0.14% Unchanged
10 Integral Health Asset Management, LLC 0.93% of their portfolio New York, NY 775,000775.0k $17.5m $17.5m 0.93% Added +125.0k +125,000
11 BlackRock, Inc. 0.00% of their portfolio New York, NY 627,669627.7k $14.2m $14.2m 0.00% Added +165.9k +165,910
12 Point72 Asset Management, L.P. 0.02% of their portfolio STAMFORD, CT 509,907509.9k $11.5m $11.5m 0.02% Reduced -622.9k -622,907
13 D. E. Shaw & Co., Inc. 0.01% of their portfolio New York, NY 429,332429.3k $9.7m $9.7m 0.01% Added +396.3k +396,336
14 RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio ST. PETERSBURG, FL 422,424422.4k $9.5m $9.5m 0.00% Added +135.5k +135,526
15 ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio Berwyn, PA 383,771383.8k $8.7m $8.7m 0.00% Added +128.1k +128,055
16 NORTHERN TRUST CORP 0.00% of their portfolio CHICAGO, IL 379,784379.8k $8.6m $8.6m 0.00% Reduced -21.3k -21,292
17 Moran Wealth Management, LLC 0.24% of their portfolio NAPLES, FL 347,773347.8k $7.8m $7.8m 0.24% Added +83.3k +83,311
18 Quantinno Capital Management LP 0.01% of their portfolio NEW YORK, NY 341,343341.3k $7.7m $7.7m 0.01% Added +46.4k +46,428
19 HENNESSY ADVISORS INC 0.28% of their portfolio NOVATO, CA 337,800337.8k $7.6m $7.6m 0.28% Reduced -11.7k -11,700
20 BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio PARIS, I0 335,790335.8k $7.6m $7.6m 0.00% Added +275.5k +275,495
21 WELLS FARGO & COMPANY/MN 0.00% of their portfolio SAN FRANCISCO, CA 334,855334.9k $7.6m $7.6m 0.00% Added +285.7k +285,668
22 FMR LLC 0.00% of their portfolio BOSTON, MA 295,389295.4k $6.7m $6.7m 0.00% Added +160.7k +160,696
23 ROYAL BANK OF CANADA 0.00% of their portfolio TORONTO, A6 216,861216.9k $4.9m $4.9m 0.00% Added +179.4k +179,418
24 TWO SIGMA INVESTMENTS, LP 0.00% of their portfolio NEW YORK, NY 214,374214.4k $4.8m $4.8m 0.00% Added +165.7k +165,727
25 O'SHAUGHNESSY ASSET MANAGEMENT, LLC 0.02% of their portfolio Stamford, CT 205,876205.9k $4.6m $4.6m 0.02% Added +160.5k +160,505
26 Creative Planning 0.00% of their portfolio OVERLAND PARK, KS 183,818183.8k $4.1m $4.1m 0.00% Added +112.1k +112,070
27 NIA IMPACT ADVISORS, LLC 1.48% of their portfolio OAKLAND, CA 147,597147.6k $3.3m $3.3m 1.48% Reduced -5.4k -5,365
28 ASSETMARK, INC 0.01% of their portfolio CONCORD, CA 132,320132.3k $3.0m $3.0m 0.01% Added +86.8k +86,798
29 SEI INVESTMENTS CO 0.00% of their portfolio OAKS, PA 120,704120.7k $2.7m $2.7m 0.00% Added +53.9k +53,922
30 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 116,494116.5k $2.6m $2.6m 0.00% Added +17.6k +17,593
31 UBS Group AG 0.00% of their portfolio ZURICH, V8 113,517113.5k $2.6m $2.6m 0.00% Added +11.7k +11,690
32 Cinctive Capital Management LP 0.15% of their portfolio New York, NY 99,00499.0k $2.2m $2.2m 0.15% New
33 HRT FINANCIAL LP 0.01% of their portfolio NEW YORK, NY 85,83785.8k $1.9m $1.9m 0.01% New
34 CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio SAN FRANCISCO, CA 84,83384.8k $1.9m $1.9m 0.00% Added +37.2k +37,224
35 RITHOLTZ WEALTH MANAGEMENT 0.03% of their portfolio NEW YORK, NY 84,65884.7k $1.9m $1.9m 0.03% Added +60.7k +60,652
36 BANK OF AMERICA CORP /DE/ 0.00% of their portfolio CHARLOTTE, NC 82,46682.5k $1.9m $1.9m 0.00% Reduced -623 -623
37 HANTZ FINANCIAL SERVICES, INC. 0.03% of their portfolio SOUTHFIELD, MI 82,41682.4k $1.9m $1.9m 0.03% Added +75.0k +75,046
38 JANE STREET GROUP, LLC 0.00% of their portfolio NEW YORK, NY 81,71281.7k $1.8m $1.8m 0.00% Reduced -53.7k -53,722
39 SEARLE & CO. 0.46% of their portfolio GREENWICH, CT 80,72580.7k $1.8m $1.8m 0.46% Unchanged
40 STIFEL FINANCIAL CORP 0.00% of their portfolio ST. LOUIS, MO 80,66480.7k $1.8m $1.8m 0.00% New
41 QRG CAPITAL MANAGEMENT, INC. 0.02% of their portfolio BERWYN, PA 77,12877.1k $1.7m $1.7m 0.02% Added +9.4k +9,357
42 DIVERSIFIED MANAGEMENT INC 0.28% of their portfolio MILWAUKEE, WI 73,04773.0k $1.6m $1.6m 0.28% Added +60.4k +60,448
43 Schonfeld Strategic Advisors LLC 0.01% of their portfolio NEW YORK, NY 68,56468.6k $1.5m $1.5m 0.01% New
44 Pathstone Holdings, LLC 0.01% of their portfolio ENGLEWOOD, NJ 67,08567.1k $1.5m $1.5m 0.01% Reduced -923 -923
45 Advisors Asset Management, Inc. 0.02% of their portfolio Monument, CO 66,02466.0k $1.5m $1.5m 0.02% Added +11.9k +11,945
46 NATIONAL BANK OF CANADA /FI/ 0.00% of their portfolio MONTREAL, A8 63,99564.0k $1.4m $1.4m 0.00% Added +16.4k +16,408
47 Engineers Gate Manager LP 0.02% of their portfolio NEW YORK, NY 63,59363.6k $1.4m $1.4m 0.02% Added +29.7k +29,739
48 Crossmark Global Holdings, Inc. 0.02% of their portfolio HOUSTON, TX 56,62356.6k $1.3m $1.3m 0.02% Reduced -642 -642
49 CITADEL ADVISORS LLC 0.00% of their portfolio MIAMI, FL 56,57856.6k $1.3m $1.3m 0.00% Added +28.1k +28,089
50 LPL Financial LLC 0.00% of their portfolio FORT MILL, SC 53,33253.3k $1.2m $1.2m 0.00% New
51 Tidal Investments LLC 0.00% of their portfolio Milwaukee, WI 50,90550.9k $1.1m $1.1m 0.00% Added +38.7k +38,746
52 Mariner, LLC 0.00% of their portfolio Overland Park, KS 50,10650.1k $1.1m $1.1m 0.00% Added +4.5k +4,482
53 BAROMETER CAPITAL MANAGEMENT INC. 0.36% of their portfolio TORONTO, A6 46,20046.2k $1.0m $1.0m 0.36% Added +39.3k +39,300
54 BANK OF MONTREAL /CAN/ 0.00% of their portfolio TORONTO, A6 45,21845.2k $1.0m $1.0m 0.00% New
55 Vident Advisory, LLC 0.01% of their portfolio Alpharetta, GA 45,10045.1k $1.0m $1.0m 0.01% Added +2.9k +2,884
56 Cerity Partners LLC 0.00% of their portfolio NEW YORK, NY 40,64540.6k $917.0k $917.0k 0.00% Added +499 +499
57 Uncommon Cents Investing LLC 0.21% of their portfolio JANESVILLE, WI 40,49540.5k $913.6k $913.6k 0.21% Added +720 +720
58 AQR CAPITAL MANAGEMENT LLC 0.00% of their portfolio Greenwich, CT 38,73638.7k $873.9k $873.9k 0.00% Added +1.4k +1,421
59 AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio KANSAS CITY, MO 38,61338.6k $871.1k $871.1k 0.00% Added +2.7k +2,725
60 Summit Trail Advisors, LLC 0.01% of their portfolio NEW YORK, NY 37,49437.5k $845.9k $845.9k 0.01% Added +25.7k +25,734
61 HIGHLAND CAPITAL MANAGEMENT, LLC 0.04% of their portfolio MEMPHIS, TN 36,65036.6k $826.8k $826.8k 0.04% Reduced -150 -150
62 Nuveen, LLC 0.00% of their portfolio CHARLOTTE, NC 34,92834.9k $788.0k $788.0k 0.00% Reduced -885 -885
63 MML INVESTORS SERVICES, LLC 0.00% of their portfolio SPRINGFIELD, MA 34,73634.7k $783.6k $783.6k 0.00% Added +10.1k +10,072
64 Ethic Inc. 0.01% of their portfolio NEW YORK, NY 34,73134.7k $783.5k $783.5k 0.01% Reduced -8.2k -8,219
65 Trexquant Investment LP 0.01% of their portfolio STAMFORD, CT 33,59033.6k $757.8k $757.8k 0.01% New
66 SIGNET FINANCIAL MANAGEMENT, LLC 0.07% of their portfolio PARSIPPANY, NJ 28,89528.9k $651.9k $651.9k 0.07% Reduced -389 -389
67 Summit Financial, LLC 0.01% of their portfolio PARSIPPANY, NJ 28,09728.1k $633.9k $633.9k 0.01% New
68 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio BALA CYNWYD, PA 27,79227.8k $627.0k $627.0k 0.00% Added +15.5k +15,513
69 OPPENHEIMER ASSET MANAGEMENT INC. 0.01% of their portfolio NEW YORK, NY 26,79026.8k $604.4k $604.4k 0.01% New
70 VOLORIDGE INVESTMENT MANAGEMENT, LLC 0.00% of their portfolio JUPITER, FL 25,05025.1k $565.1k $565.1k 0.00% New
71 Vanguard Personalized Indexing Management, LLC 0.01% of their portfolio OAKLAND, CA 23,38223.4k $527.5k $527.5k 0.01% Reduced -5.3k -5,309
72 Qube Research & Technologies Ltd 0.00% of their portfolio LONDON, X0 23,34723.3k $526.7k $526.7k 0.00% Reduced -178.5k -178,525
73 US BANCORP \DE\ 0.00% of their portfolio MINNEAPOLIS, MN 23,00823.0k $519.1k $519.1k 0.00% Reduced -1.1k -1,148
74 EVERGREEN CAPITAL MANAGEMENT LLC 0.01% of their portfolio Bellevue, WA 22,92122.9k $517.1k $517.1k 0.01% Added +4.9k +4,907
75 AMERIPRISE FINANCIAL INC 0.00% of their portfolio MINNEAPOLIS, MN 22,72922.7k $512.8k $512.8k 0.00% Added +5.2k +5,160
76 Orion Porfolio Solutions, LLC 0.00% of their portfolio OMAHA, NE 22,53622.5k $508.4k $508.4k 0.00% New
77 DMC Group, LLC 0.34% of their portfolio BIRMINGHAM, AL 22,46022.5k $506.7k $506.7k 0.34% Added +3.0k +2,986
78 Caprock Group, LLC 0.01% of their portfolio BOISE, ID 22,26922.3k $502.4k $502.4k 0.01% Added +12.9k +12,867
79 Callan Family Office, LLC 0.01% of their portfolio RADNOR, PA 21,68721.7k $489.3k $489.3k 0.01% Reduced -7.5k -7,490
80 GUGGENHEIM CAPITAL LLC 0.00% of their portfolio CHICAGO, IL 21,67021.7k $488.9k $488.9k 0.00% Reduced -322 -322
81 SIMPLEX TRADING, LLC 0.02% of their portfolio CHICAGO, IL 21,52121.5k $485.5k $485.5k 0.02% Added +3.5k +3,483
82 LANARK FINANCIAL, INC. 0.04% of their portfolio BIRMINGHAM, AL 21,09421.1k $475.9k $475.9k 0.04% New
83 GLENMEDE TRUST CO NA 0.00% of their portfolio PHILADELPHIA, PA 20,83420.8k $470.0k $470.0k 0.00% Reduced -249 -249
84 Bank of New York Mellon Corp 0.00% of their portfolio NEW YORK, NY 20,66920.7k $466.3k $466.3k 0.00% Reduced -276 -276
85 Sequoia Financial Advisors, LLC 0.00% of their portfolio Akron, OH 20,27520.3k $457.4k $457.4k 0.00% New
86 DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio AUSTIN, TX 19,46319.5k $439.1k $439.1k 0.00% Reduced -8.3k -8,348
87 FIFTH THIRD BANCORP 0.00% of their portfolio CINCINNATI, OH 18,76518.8k $423.3k $423.3k 0.00% Reduced -1 -1
88 RHUMBLINE ADVISERS 0.00% of their portfolio BOSTON, MA 18,73418.7k $422.6k $422.6k 0.00% Added +1.4k +1,394
89 HighTower Advisors, LLC 0.00% of their portfolio CHICAGO, IL 18,40918.4k $415.3k $415.3k 0.00% Added +1.2k +1,161
90 QUADRANT CAPITAL GROUP LLC 0.01% of their portfolio CINCINNATI, OH 17,51817.5k $395.2k $395.2k 0.01% Reduced -434 -434
91 Aaron Wealth Advisors LLC 0.02% of their portfolio Chicago, IL 16,41616.4k $370.3k $370.3k 0.02% New
92 MEYER HANDELMAN CO 0.01% of their portfolio RYE BROOK, NY 16,00016.0k $361.0k $361.0k 0.01% Unchanged
93 Cetera Investment Advisers 0.00% of their portfolio SCHAUMBURG, IL 15,91715.9k $359.1k $359.1k 0.00% Added +6.9k +6,909
94 MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio DENVER, CO 15,52615.5k $350.3k $350.3k 0.00% Reduced -1.7k -1,740
95 Laird Norton Wetherby Trust Company, LLC 0.01% of their portfolio Seattle, WA 15,42515.4k $348.0k $348.0k 0.01% Added +750 +750
96 Riverwater Partners LLC 0.12% of their portfolio Milwaukee, WI 15,30615.3k $345.3k $345.3k 0.12% Unchanged
97 GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio BOSTON, MA 15,30115.3k $345.2k $345.2k 0.00% Reduced -37.4k -37,419
98 UMB Bank, n.a. 0.00% of their portfolio Kansas City, MO 15,15015.2k $341.8k $341.8k 0.00% Added +15.0k +15,000
99 PING CAPITAL MANAGEMENT, INC. 0.13% of their portfolio NEW YORK, NY 15,00015.0k $338.4k $338.4k 0.13% Added +5.0k +5,000
100 Corient IA LP 0.32% of their portfolio MIAMI, FL 15,00015.0k $338.4k $338.4k 0.32% Unchanged