Vault-13

TREACE MED CONCEPTS INC TMCI

COM · Common Stock · CUSIP 89455T109 · ISIN US89455T1097

115 institutional holders -4 vs Q3 2025
35,814,61235.8m shares reported held*
56.2% of all shares outstanding*
$87.9mreported value*
26 new 30 added 35 reduced 35 sold out net sold ≈ $14.1m (-5.8m 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. Holder counts are more reliable. Shares outstanding: 63.7m as of 2025-10-31, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $2.45. Options: 2 managers hold calls ($59.8k notional), 5 hold puts ($483.6k).

Trends to Q4 2025

Institutional holders

Managers reporting a position, each quarter

050100150Q3 22: 91Q4 22: 106Q1 23: 123Q2 23: 138Q3 23: 124Q4 23: 128Q1 24: 133Q2 24: 129Q3 24: 135Q4 24: 136Q1 25: 139Q2 25: 126Q3 25: 119Q4 25: 115115Q3 22Q2 23Q1 24Q4 24Q4 25
Numbers
QuarterHolders
Q3 202291
Q4 2022106
Q1 2023123
Q2 2023138
Q3 2023124
Q4 2023128
Q1 2024133
Q2 2024129
Q3 2024135
Q4 2024136
Q1 2025139
Q2 2025126
Q3 2025119
Q4 2025115

Buyers vs sellers

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

Bought or addedCut or sold out
1000100Q1 24: 65 bought or addedQ1 24: 61 cut or sold outQ2 24: 91 bought or addedQ2 24: 66 cut or sold outQ2 24Q3 24: 62 bought or addedQ3 24: 71 cut or sold outQ4 24: 61 bought or addedQ4 24: 70 cut or sold outQ4 24Q1 25: 68 bought or addedQ1 25: 69 cut or sold outQ2 25: 66 bought or addedQ2 25: 71 cut or sold outQ2 25Q3 25: 58 bought or addedQ3 25: 54 cut or sold outQ4 25: 56 bought or addedQ4 25: 70 cut or sold outQ4 25
Numbers
QuarterBought or addedCut or sold out
Q1 20246561
Q2 20249166
Q3 20246271
Q4 20246170
Q1 20256869
Q2 20256671
Q3 20255854
Q4 20255670

Calls vs puts

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

CallsPuts
$0$200k$400k$600kQ1 25 calls: $388.1kQ1 25 puts: $25.2kQ1 25P/C 0.06Q2 25 calls: $12.6kQ2 25 puts: $0Q2 25P/C 0.00Q3 25 calls: $26.7kQ3 25 puts: $3.4kQ3 25P/C 0.13Q4 25 calls: $59.8kQ4 25 puts: $483.6kQ4 25P/C 8.09
Numbers
QuarterCallsPutsP/C
Q1 2025$388.1k$25.2k0.06
Q2 2025$12.6k$00.00
Q3 2025$26.7k$3.4k0.13
Q4 2025$59.8k$483.6k8.09

Biggest buyers

BANK OF AMERICA CORP /DE/ Added +2,228,317+2.2m
GAGNON SECURITIES LLC Added +852,337+852.3k
Gagnon Advisors, LLC Added +565,570+565.6k
ACADIAN ASSET MANAGEMENT LLC Added +390,848+390.8k
RAYMOND JAMES FINANCIAL INC Added +288,141+288.1k
GSA CAPITAL PARTNERS LLP Added +236,477+236.5k
First Eagle Investment Management, LLC Added +224,088+224.1k
CITADEL ADVISORS LLC New +211,906+211.9k
Point72 Asset Management, L.P. New +169,792+169.8k
Jump Financial, LLC New +154,946+154.9k

Biggest sellers

JPMORGAN CHASE & CO Reduced -3,163,548-3.2m
WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC Reduced -2,488,883-2.5m
Opaleye Management Inc. Sold out -702,245-702.2k
DEUTSCHE BANK AG\ Reduced -680,769-680.8k
CenterBook Partners LP Sold out -674,370-674.4k
Parkman Healthcare Partners LLC Reduced -648,282-648.3k
MORGAN STANLEY Reduced -551,586-551.6k
VANGUARD GROUP INC Reduced -458,386-458.4k
Acuitas Investments, LLC Sold out -301,100-301.1k
BlackRock, Inc. Reduced -271,522-271.5k

Biggest calls

CITADEL ADVISORS LLC New $51.0k20.8k shares
SIMPLEX TRADING, LLC Reduced $8.8k3.6k shares

Biggest puts

CITADEL ADVISORS LLC New $179.3k73.2k shares
SIMPLEX TRADING, LLC New $144.3k58.9k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP New $117.4k47.9k shares
JANE STREET GROUP, LLC New $32.8k13.4k shares
GROUP ONE TRADING LLC Added $9.8k4.0k 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
Treace John T. 13G · exempt (held before listing) filed 2026-08-12 19.2% 12.5m≈ $49.9m 2026-08-12
ARMISTICE CAPITAL, LLC 13G · institution -0.1 pts · filed 2026-08-14 9.8% -0.1 pts 6.4m≈ $25.3m 2026-08-14
GAGNON SECURITIES LLC 13G · passive investor +3.3 pts · filed 2026-02-12 9.6% +3.3 pts 6.1m≈ $24.4m 2026-02-12
BANK OF AMERICA CORP /DE/ 13G · institution new · filed 2026-05-14 5.5% new 3.5m≈ $14.1m 2026-05-14

Fell to 5% or below in the last year: BlackRock, Inc. (1.5%, 2026-07-30), WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC (1.8%, 2026-02-09)

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.

Officers and directors buying vs selling

Number of people, by quarter (10% owners not included)

BuyingSelling
10010Q1 24: 0 buyingQ1 24: 0 sellingQ2 24: 6 buyingQ2 24: 0 sellingQ2 24Q3 24: 2 buyingQ3 24: 0 sellingQ4 24: 0 buyingQ4 24: 0 sellingQ4 24Q1 25: 1 buyingQ1 25: 1 sellingQ2 25: 0 buyingQ2 25: 0 sellingQ2 25Q3 25: 0 buyingQ3 25: 0 sellingQ4 25: 0 buyingQ4 25: 0 sellingQ4 25
Numbers
QuarterBuyingBoughtSellingSoldSold under a plan
Q1 20240—0——
Q2 20246$6.0m0——
Q3 20242$1.3m0——
Q4 20240—0——
Q1 20251$523.8k1$398.5k$398.5k
Q2 20250—0——
Q3 20250—0——
Q4 20250—0——

None reported in Q4 2025.

Holders, Q4 2025

#ManagerLocationShares Value% of their portfolioChangeShares change
1 ARMISTICE CAPITAL, LLC 0.38% of their portfolio NEW YORK, NY 6,364,0006.4m $15.6m $15.6m 0.38% Added +48.0k +48,000
2 BlackRock, Inc. 0.00% of their portfolio New York, NY 3,411,1383.4m $8.4m $8.4m 0.00% Reduced -271.5k -271,522
3 GAGNON SECURITIES LLC 1.55% of their portfolio New York, NY 3,110,5753.1m $7.6m $7.6m 1.55% Added +852.3k +852,337
4 BANK OF AMERICA CORP /DE/ 0.00% of their portfolio CHARLOTTE, NC 2,314,2222.3m $5.7m $5.7m 0.00% Added +2.2m +2,228,317
5 VANGUARD GROUP INC 0.00% of their portfolio Valley Forge, PA 2,273,0942.3m $5.6m $5.6m 0.00% Reduced -458.4k -458,386
6 Gagnon Advisors, LLC 2.39% of their portfolio New York, NY 1,534,0341.5m $3.8m $3.8m 2.39% Added +565.6k +565,570
7 MILLENNIUM MANAGEMENT LLC 0.00% of their portfolio NEW YORK, NY 1,502,9111.5m $3.7m $3.7m 0.00% Reduced -207.2k -207,229
8 CIBC Private Wealth Group LLC 0.01% of their portfolio ATLANTA, GA 1,478,8301.5m $3.6m $3.6m 0.01% Reduced -207.7k -207,691
9 First Eagle Investment Management, LLC 0.01% of their portfolio NEW YORK, NY 1,462,9831.5m $3.6m $3.6m 0.01% Added +224.1k +224,088
10 WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC 0.01% of their portfolio CHICAGO, IL 1,145,4981.1m $2.8m $2.8m 0.01% Reduced -2.5m -2,488,883
11 GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio BOSTON, MA 1,144,3721.1m $2.8m $2.8m 0.00% Reduced -2.0k -2,035
12 STATE STREET CORP 0.00% of their portfolio BOSTON, MA 994,191994.2k $2.4m $2.4m 0.00% Added +2.4k +2,350
13 ACADIAN ASSET MANAGEMENT LLC 0.00% of their portfolio Boston, MA 662,785662.8k $1.6m $1.6m 0.00% Added +390.8k +390,848
14 D. E. Shaw & Co., Inc. 0.00% of their portfolio New York, NY 630,130630.1k $1.5m $1.5m 0.00% Reduced -131.2k -131,203
15 WEBER CAPITAL MANAGEMENT LLC /ADV 1.36% of their portfolio Dover, MA 589,617589.6k $1.4m $1.4m 1.36% First filing
16 KOTLER KEVIN 0.86% of their portfolio MELVILLE, NY 474,365474.4k $1.2m $1.2m 0.86% First filing
17 NORTHERN TRUST CORP 0.00% of their portfolio CHICAGO, IL 393,765393.8k $964.7k $964.7k 0.00% Reduced -38.5k -38,468
18 CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio SAN FRANCISCO, CA 352,444352.4k $863.5k $863.5k 0.00% Reduced -62.6k -62,562
19 GSA CAPITAL PARTNERS LLP 0.07% of their portfolio LONDON, X0 347,755347.8k $852.0k $852.0k 0.07% Added +236.5k +236,477
20 RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio ST. PETERSBURG, FL 322,942322.9k $791.2k $791.2k 0.00% Added +288.1k +288,141
21 UBS Group AG 0.00% of their portfolio ZURICH, V8 293,929293.9k $720.1k $720.1k 0.00% Added +10.6k +10,580
22 DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio AUSTIN, TX 273,376273.4k $669.9k $669.9k 0.00% Added +28.9k +28,912
23 DEUTSCHE BANK AG\ 0.00% of their portfolio FRANKFURT AM MAIN, 2M 251,049251.0k $615.1k $615.1k 0.00% Reduced -680.8k -680,769
24 WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.00% of their portfolio PLYMOUTH, MN 242,411242.4k $707.8k $707.8k 0.00% Reduced -6.9k -6,921
25 Birchview Capital, LP 0.33% of their portfolio BURLINGTON, VT 226,947226.9k $556.0k $556.0k 0.33% Added +50.0k +50,000
26 MOORE CAPITAL MANAGEMENT, LP 0.01% of their portfolio NEW YORK, NY 222,110222.1k $544.2k $544.2k 0.01% Added +74.5k +74,503
27 CITADEL ADVISORS LLC 0.00% of their portfolio MIAMI, FL 211,906211.9k $519.2k $519.2k 0.00% New
28 Arcadia Wealth Management, Inc. 0.30% of their portfolio SMITHTOWN, NY 209,972210.0k $514.4k $514.4k 0.30% Unchanged
29 MORGAN STANLEY 0.00% of their portfolio NEW YORK, NY 208,723208.7k $511.4k $511.4k 0.00% Reduced -551.6k -551,586
30 Parkman Healthcare Partners LLC 0.05% of their portfolio STAMFORD, CT 199,393199.4k $488.5k $488.5k 0.05% Reduced -648.3k -648,282
31 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 188,852188.9k $462.7k $462.7k 0.00% Reduced -25.8k -25,812
32 JANE STREET GROUP, LLC 0.00% of their portfolio NEW YORK, NY 177,008177.0k $433.7k $433.7k 0.00% Added +131.5k +131,478
33 Point72 Asset Management, L.P. 0.00% of their portfolio STAMFORD, CT 169,792169.8k $416.0k $416.0k 0.00% New
34 STIFEL FINANCIAL CORP 0.00% of their portfolio ST. LOUIS, MO 167,702167.7k $410.9k $410.9k 0.00% Reduced -35.4k -35,431
35 Jump Financial, LLC 0.00% of their portfolio Chicago, IL 154,946154.9k $379.6k $379.6k 0.00% New
36 Bank of New York Mellon Corp 0.00% of their portfolio NEW YORK, NY 121,020121.0k $296.5k $296.5k 0.00% Reduced -1.9k -1,932
37 Nuveen, LLC 0.00% of their portfolio CHARLOTTE, NC 103,205103.2k $252.9k $252.9k 0.00% Unchanged
38 FMR LLC 0.00% of their portfolio BOSTON, MA 102,450102.5k $251.0k $251.0k 0.00% Added +20.7k +20,663
39 PARADIGM CAPITAL MANAGEMENT INC/NY 0.01% of their portfolio ALBANY, NY 100,000100.0k $245.0k $245.0k 0.01% Reduced -150.0k -150,000
40 BARCLAYS PLC 0.00% of their portfolio LONDON, X0 87,66487.7k $214.8k $214.8k 0.00% Added +6.1k +6,077
41 Jain Global LLC 0.00% of their portfolio NEW YORK, NY 75,20675.2k $184.3k $184.3k 0.00% New
42 XTX Topco Ltd 0.00% of their portfolio LONDON, X0 73,44273.4k $179.9k $179.9k 0.00% New
43 Aristides Capital LLC 0.06% of their portfolio LOUISVILLE, KY 70,50070.5k $172.7k $172.7k 0.06% New
44 ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio NASHVILLE, TN 64,55064.5k $158.1k $158.1k 0.00% Unchanged
45 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 63,51663.5k $155.6k $155.6k 0.00% Reduced -3.2m -3,163,548
46 Schonfeld Strategic Advisors LLC 0.00% of their portfolio NEW YORK, NY 62,67462.7k $153.6k $153.6k 0.00% Reduced -373 -373
47 HRT FINANCIAL LP 0.00% of their portfolio NEW YORK, NY 61,21061.2k $149.0k $149.0k 0.00% New
48 Quadrature Capital Ltd 0.00% of their portfolio LONDON, X0 60,64460.6k $148.6k $148.6k 0.00% New
49 RHUMBLINE ADVISERS 0.00% of their portfolio BOSTON, MA 59,91759.9k $146.8k $146.8k 0.00% Reduced -19.6k -19,614
50 Caitong International Asset Management Co., Ltd 0.03% of their portfolio HONG KONG, K3 57,18557.2k $140.1k $140.1k 0.03% New
51 COMERICA BANK 0.00% of their portfolio DALLAS, TX 55,00055.0k $134.8k $134.8k 0.00% Unchanged
52 LCW Services, LLC 0.07% of their portfolio VIRGINIA BEACH, VA 54,85054.9k $134.4k $134.4k 0.07% First filing
53 BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio PARIS, I0 53,96954.0k $132.2k $132.2k 0.00% Reduced -170.8k -170,812
54 WELLS FARGO & COMPANY/MN 0.00% of their portfolio SAN FRANCISCO, CA 52,16352.2k $127.8k $127.8k 0.00% Added +20.9k +20,870
55 PFM Health Sciences, LP 0.01% of their portfolio SAN FRANCISCO, CA 50,00050.0k $122.5k $122.5k 0.01% New
56 HSBC HOLDINGS PLC 0.00% of their portfolio LONDON, X0 48,88048.9k $119.8k $119.8k 0.00% New
57 Engineers Gate Manager LP 0.00% of their portfolio NEW YORK, NY 44,40344.4k $108.8k $108.8k 0.00% New
58 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio BALA CYNWYD, PA 36,36636.4k $89.1k $89.1k 0.00% New
59 WINNACLE WEALTH LLC 0.06% of their portfolio WACO, TX 28,31428.3k $84.9k $84.9k 0.06% New
60 SIMPLEX TRADING, LLC 0.00% of their portfolio CHICAGO, IL 25,92925.9k $63.5k $63.5k 0.00% New
61 PRICE T ROWE ASSOCIATES INC /MD/ 0.00% of their portfolio BALTIMORE, MD 25,62725.6k $63.0k $63.0k 0.00% Unchanged
62 Invesco Ltd. 0.00% of their portfolio ATLANTA, GA 25,02025.0k $61.3k $61.3k 0.00% Reduced -2.7k -2,711
63 State of Wyoming 0.01% of their portfolio CHEYENNE, WY 22,82022.8k $55.9k $55.9k 0.01% New
64 MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. 0.00% of their portfolio CAUSEWAY BAY, K3 22,70222.7k $55.6k $55.6k 0.00% Added +307 +307
65 INTECH INVESTMENT MANAGEMENT LLC 0.00% of their portfolio WEST PALM BEACH, FL 22,57022.6k $55.3k $55.3k 0.00% Added +2.7k +2,722
66 Verition Fund Management LLC 0.00% of their portfolio GREENWICH, CT 21,97322.0k $53.8k $53.8k 0.00% Reduced -502 -502
67 AlphaQuest LLC 0.00% of their portfolio New York, NY 20,25020.2k $49.6k $49.6k 0.00% Unchanged
68 Kestra Advisory Services, LLC 0.00% of their portfolio AUSTIN, TX 19,58619.6k $48.0k $48.0k 0.00% New
69 Chicago Partners Investment Group LLC 0.00% of their portfolio CHICAGO, IL 19,40819.4k $50.1k $50.1k 0.00% Reduced -377 -377
70 SG Americas Securities, LLC 0.00% of their portfolio NEW YORK, NY 18,75118.8k $46.0k $46.0k 0.00% New
71 CAPTRUST FINANCIAL ADVISORS 0.00% of their portfolio RALEIGH, NC 18,00018.0k $44.1k $44.1k 0.00% Added +3.4k +3,365
72 MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio Toronto, A6 17,18417.2k $42.1k $42.1k 0.00% Added +66 +66
73 AXQ CAPITAL, LP 0.01% of their portfolio JERSEY CITY, NJ 16,94516.9k $41.5k $41.5k 0.01% New
74 Cerity Partners LLC 0.00% of their portfolio NEW YORK, NY 16,59616.6k $40.7k $40.7k 0.00% Added +2.4k +2,423
75 Balance Wealth Partners LLC 0.01% of their portfolio WORTHINGTON, OH 15,20315.2k $37.2k $37.2k 0.01% New
76 CITIGROUP INC 0.00% of their portfolio NEW YORK, NY 14,27614.3k $35.0k $35.0k 0.00% Added +8.4k +8,404
77 HighTower Advisors, LLC 0.00% of their portfolio CHICAGO, IL 13,59513.6k $33.3k $33.3k 0.00% New
78 STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.00% of their portfolio TALLAHASSEE, FL 12,92012.9k $31.7k $31.7k 0.00% Unchanged
79 PRUDENTIAL FINANCIAL INC 0.00% of their portfolio NEWARK, NJ 12,29012.3k $30.1k $30.1k 0.00% New
80 TrustWell Financial Advisors, LLC 0.03% of their portfolio Jacksonville, FL 11,72511.7k $28.7k $28.7k 0.03% First filing
81 LPL Financial LLC 0.00% of their portfolio FORT MILL, SC 11,53011.5k $28.2k $28.2k 0.00% Added +1.0k +1,030
82 Police & Firemen's Retirement System of New Jersey 0.00% of their portfolio TRENTON, NJ 11,16811.2k $27.4k $27.4k 0.00% Unchanged
83 Graham Capital Management, L.P. 0.00% of their portfolio ROWAYTON, CT 11,00711.0k $27.0k $27.0k 0.00% New
84 MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio DENVER, CO 10,25010.2k $25.1k $25.1k 0.00% Reduced -2.7k -2,666
85 BLAIR WILLIAM & CO/IL 0.00% of their portfolio CHICAGO, IL 10,08010.1k $24.7k $24.7k 0.00% Unchanged
86 Rockefeller Capital Management L.P. 0.00% of their portfolio NEW YORK, NY 8,3608.4k $20.5k $20.5k 0.00% Unchanged
87 Tower Research Capital LLC (TRC) 0.00% of their portfolio NEW YORK, NY 8,0598.1k $19.7k $19.7k 0.00% Added +6.0k +5,974
88 Farther Finance Advisors, LLC 0.00% of their portfolio SAN FRANCISCO, CA 8,0008.0k $19.6k $19.6k 0.00% Added +7.3k +7,302
89 NEW YORK STATE COMMON RETIREMENT FUND 0.00% of their portfolio ALBANY, NY 7,1817.2k $17.6k $17.6k 0.00% Unchanged
90 Legal & General Group Plc 0.00% of their portfolio London, X0 5,2955.3k $13.0k $13.0k 0.00% Unchanged
91 TRUST CO OF TOLEDO NA /OH/ 0.00% of their portfolio HOLLAND, OH 4,8004.8k $11.8k $11.8k 0.00% New
92 Ameritas Investment Partners, Inc. 0.00% of their portfolio LINCOLN, NE 4,4934.5k $11.0k $11.0k 0.00% Unchanged
93 Russell Investments Group, Ltd. 0.00% of their portfolio Seattle, WA 3,9504.0k $9.7k $9.7k 0.00% Reduced -35.3k -35,301
94 State of Alaska, Department of Revenue 0.00% of their portfolio JUNEAU, AK 3,3433.3k $8.0k $8.0k 0.00% Unchanged
95 CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio WEST SACRAMENTO, CA 2,9322.9k $7.2k $7.2k 0.00% Reduced -605 -605
96 OSAIC HOLDINGS, INC. 0.00% of their portfolio SCOTTSDALE, AZ 2,3642.4k $5.8k $5.8k 0.00% Reduced -2.4k -2,391
97 SIGNATUREFD, LLC 0.00% of their portfolio ATLANTA, GA 1,5161.5k $3.7k $3.7k 0.00% Added +1.1k +1,109
98 AMALGAMATED BANK 0.00% of their portfolio NEW YORK, NY 1,4981.5k $4.0k $4.0k 0.00% Reduced -184 -184
99 ROYAL BANK OF CANADA 0.00% of their portfolio TORONTO, A6 1,3691.4k $3.0k $3.0k 0.00% Added +790 +790
100 NFSG Corp 0.00% of their portfolio BOCA RATON, FL 1,3521.4k $3.3k $3.3k 0.00% Unchanged