TREACE MED CONCEPTS INC TMCI
COM · Common Stock · CUSIP 89455T109 · ISIN US89455T1097
- SectorHealth care
- IndustrySurgical & Medical Instruments & Apparatus
- HeadquartersPonte Vedra, FL
- 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. 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
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 91 |
| Q4 2022 | 106 |
| Q1 2023 | 123 |
| Q2 2023 | 138 |
| Q3 2023 | 124 |
| Q4 2023 | 128 |
| Q1 2024 | 133 |
| Q2 2024 | 129 |
| Q3 2024 | 135 |
| Q4 2024 | 136 |
| Q1 2025 | 139 |
| Q2 2025 | 126 |
| Q3 2025 | 119 |
| Q4 2025 | 115 |
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 | 65 | 61 |
| Q2 2024 | 91 | 66 |
| Q3 2024 | 62 | 71 |
| Q4 2024 | 61 | 70 |
| Q1 2025 | 68 | 69 |
| Q2 2025 | 66 | 71 |
| Q3 2025 | 58 | 54 |
| Q4 2025 | 56 | 70 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $388.1k | $25.2k | 0.06 |
| Q2 2025 | $12.6k | $0 | 0.00 |
| Q3 2025 | $26.7k | $3.4k | 0.13 |
| Q4 2025 | $59.8k | $483.6k | 8.09 |
Biggest buyers
| BANK OF AMERICA CORP /DE/ | Added | +2.2m |
| GAGNON SECURITIES LLC | Added | +852.3k |
| Gagnon Advisors, LLC | Added | +565.6k |
| ACADIAN ASSET MANAGEMENT LLC | Added | +390.8k |
| RAYMOND JAMES FINANCIAL INC | Added | +288.1k |
| GSA CAPITAL PARTNERS LLP | Added | +236.5k |
| First Eagle Investment Management, LLC | Added | +224.1k |
| CITADEL ADVISORS LLC | New | +211.9k |
| Point72 Asset Management, L.P. | New | +169.8k |
| Jump Financial, LLC | New | +154.9k |
Biggest sellers
| JPMORGAN CHASE & CO | Reduced | -3.2m |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | Reduced | -2.5m |
| Opaleye Management Inc. | Sold out | -702.2k |
| DEUTSCHE BANK AG\ | Reduced | -680.8k |
| CenterBook Partners LP | Sold out | -674.4k |
| Parkman Healthcare Partners LLC | Reduced | -648.3k |
| MORGAN STANLEY | Reduced | -551.6k |
| VANGUARD GROUP INC | Reduced | -458.4k |
| Acuitas Investments, LLC | Sold out | -301.1k |
| BlackRock, Inc. | Reduced | -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.
| Holder | Stake |
|---|---|
| Treace John T. 13G · exempt (held before listing) filed 2026-08-12 | 19.2% |
| ARMISTICE CAPITAL, LLC 13G · institution -0.1 pts · filed 2026-08-14 | 9.8% |
| GAGNON SECURITIES LLC 13G · passive investor +3.3 pts · filed 2026-02-12 | 9.6% |
| BANK OF AMERICA CORP /DE/ 13G · institution new · filed 2026-05-14 | 5.5% |
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)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q1 2024 | 0 | — | 0 | — | — |
| Q2 2024 | 6 | $6.0m | 0 | — | — |
| Q3 2024 | 2 | $1.3m | 0 | — | — |
| Q4 2024 | 0 | — | 0 | — | — |
| Q1 2025 | 1 | $523.8k | 1 | $398.5k | $398.5k |
| Q2 2025 | 0 | — | 0 | — | — |
| Q3 2025 | 0 | — | 0 | — | — |
| Q4 2025 | 0 | — | 0 | — | — |
None reported in Q4 2025.
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| ARMISTICE CAPITAL, LLC 0.38% of their portfolio | 6.4m $15.6m | Added +48.0k |
| BlackRock, Inc. 0.00% of their portfolio | 3.4m $8.4m | Reduced -271.5k |
| GAGNON SECURITIES LLC 1.55% of their portfolio | 3.1m $7.6m | Added +852.3k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 2.3m $5.7m | Added +2.2m |
| VANGUARD GROUP INC 0.00% of their portfolio | 2.3m $5.6m | Reduced -458.4k |
| Gagnon Advisors, LLC 2.39% of their portfolio | 1.5m $3.8m | Added +565.6k |
| MILLENNIUM MANAGEMENT LLC 0.00% of their portfolio | 1.5m $3.7m | Reduced -207.2k |
| CIBC Private Wealth Group LLC 0.01% of their portfolio | 1.5m $3.6m | Reduced -207.7k |
| First Eagle Investment Management, LLC 0.01% of their portfolio | 1.5m $3.6m | Added +224.1k |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC 0.01% of their portfolio | 1.1m $2.8m | Reduced -2.5m |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 1.1m $2.8m | Reduced -2.0k |
| STATE STREET CORP 0.00% of their portfolio | 994.2k $2.4m | Added +2.4k |
| ACADIAN ASSET MANAGEMENT LLC 0.00% of their portfolio | 662.8k $1.6m | Added +390.8k |
| D. E. Shaw & Co., Inc. 0.00% of their portfolio | 630.1k $1.5m | Reduced -131.2k |
| WEBER CAPITAL MANAGEMENT LLC /ADV 1.36% of their portfolio | 589.6k $1.4m | First filing |
| KOTLER KEVIN 0.86% of their portfolio | 474.4k $1.2m | First filing |
| NORTHERN TRUST CORP 0.00% of their portfolio | 393.8k $964.7k | Reduced -38.5k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 352.4k $863.5k | Reduced -62.6k |
| GSA CAPITAL PARTNERS LLP 0.07% of their portfolio | 347.8k $852.0k | Added +236.5k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 322.9k $791.2k | Added +288.1k |
| UBS Group AG 0.00% of their portfolio | 293.9k $720.1k | Added +10.6k |
| DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio | 273.4k $669.9k | Added +28.9k |
| DEUTSCHE BANK AG\ 0.00% of their portfolio | 251.0k $615.1k | Reduced -680.8k |
| WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.00% of their portfolio | 242.4k $707.8k | Reduced -6.9k |
| Birchview Capital, LP 0.33% of their portfolio | 226.9k $556.0k | Added +50.0k |
| MOORE CAPITAL MANAGEMENT, LP 0.01% of their portfolio | 222.1k $544.2k | Added +74.5k |
| CITADEL ADVISORS LLC 0.00% of their portfolio | 211.9k $519.2k | New |
| Arcadia Wealth Management, Inc. 0.30% of their portfolio | 210.0k $514.4k | Unchanged |
| MORGAN STANLEY 0.00% of their portfolio | 208.7k $511.4k | Reduced -551.6k |
| Parkman Healthcare Partners LLC 0.05% of their portfolio | 199.4k $488.5k | Reduced -648.3k |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 188.9k $462.7k | Reduced -25.8k |
| JANE STREET GROUP, LLC 0.00% of their portfolio | 177.0k $433.7k | Added +131.5k |
| Point72 Asset Management, L.P. 0.00% of their portfolio | 169.8k $416.0k | New |
| STIFEL FINANCIAL CORP 0.00% of their portfolio | 167.7k $410.9k | Reduced -35.4k |
| Jump Financial, LLC 0.00% of their portfolio | 154.9k $379.6k | New |
| Bank of New York Mellon Corp 0.00% of their portfolio | 121.0k $296.5k | Reduced -1.9k |
| Nuveen, LLC 0.00% of their portfolio | 103.2k $252.9k | Unchanged |
| FMR LLC 0.00% of their portfolio | 102.5k $251.0k | Added +20.7k |
| PARADIGM CAPITAL MANAGEMENT INC/NY 0.01% of their portfolio | 100.0k $245.0k | Reduced -150.0k |
| BARCLAYS PLC 0.00% of their portfolio | 87.7k $214.8k | Added +6.1k |
| Jain Global LLC 0.00% of their portfolio | 75.2k $184.3k | New |
| XTX Topco Ltd 0.00% of their portfolio | 73.4k $179.9k | New |
| Aristides Capital LLC 0.06% of their portfolio | 70.5k $172.7k | New |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 64.5k $158.1k | Unchanged |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 63.5k $155.6k | Reduced -3.2m |
| Schonfeld Strategic Advisors LLC 0.00% of their portfolio | 62.7k $153.6k | Reduced -373 |
| HRT FINANCIAL LP 0.00% of their portfolio | 61.2k $149.0k | New |
| Quadrature Capital Ltd 0.00% of their portfolio | 60.6k $148.6k | New |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 59.9k $146.8k | Reduced -19.6k |
| Caitong International Asset Management Co., Ltd 0.03% of their portfolio | 57.2k $140.1k | New |
| COMERICA BANK 0.00% of their portfolio | 55.0k $134.8k | Unchanged |
| LCW Services, LLC 0.07% of their portfolio | 54.9k $134.4k | First filing |
| BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio | 54.0k $132.2k | Reduced -170.8k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 52.2k $127.8k | Added +20.9k |
| PFM Health Sciences, LP 0.01% of their portfolio | 50.0k $122.5k | New |
| HSBC HOLDINGS PLC 0.00% of their portfolio | 48.9k $119.8k | New |
| Engineers Gate Manager LP 0.00% of their portfolio | 44.4k $108.8k | New |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio | 36.4k $89.1k | New |
| WINNACLE WEALTH LLC 0.06% of their portfolio | 28.3k $84.9k | New |
| SIMPLEX TRADING, LLC 0.00% of their portfolio | 25.9k $63.5k | New |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.00% of their portfolio | 25.6k $63.0k | Unchanged |
| Invesco Ltd. 0.00% of their portfolio | 25.0k $61.3k | Reduced -2.7k |
| State of Wyoming 0.01% of their portfolio | 22.8k $55.9k | New |
| MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. 0.00% of their portfolio | 22.7k $55.6k | Added +307 |
| INTECH INVESTMENT MANAGEMENT LLC 0.00% of their portfolio | 22.6k $55.3k | Added +2.7k |
| Verition Fund Management LLC 0.00% of their portfolio | 22.0k $53.8k | Reduced -502 |
| AlphaQuest LLC 0.00% of their portfolio | 20.2k $49.6k | Unchanged |
| Kestra Advisory Services, LLC 0.00% of their portfolio | 19.6k $48.0k | New |
| Chicago Partners Investment Group LLC 0.00% of their portfolio | 19.4k $50.1k | Reduced -377 |
| SG Americas Securities, LLC 0.00% of their portfolio | 18.8k $46.0k | New |
| CAPTRUST FINANCIAL ADVISORS 0.00% of their portfolio | 18.0k $44.1k | Added +3.4k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio | 17.2k $42.1k | Added +66 |
| AXQ CAPITAL, LP 0.01% of their portfolio | 16.9k $41.5k | New |
| Cerity Partners LLC 0.00% of their portfolio | 16.6k $40.7k | Added +2.4k |
| Balance Wealth Partners LLC 0.01% of their portfolio | 15.2k $37.2k | New |
| CITIGROUP INC 0.00% of their portfolio | 14.3k $35.0k | Added +8.4k |
| HighTower Advisors, LLC 0.00% of their portfolio | 13.6k $33.3k | New |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.00% of their portfolio | 12.9k $31.7k | Unchanged |
| PRUDENTIAL FINANCIAL INC 0.00% of their portfolio | 12.3k $30.1k | New |
| TrustWell Financial Advisors, LLC 0.03% of their portfolio | 11.7k $28.7k | First filing |
| LPL Financial LLC 0.00% of their portfolio | 11.5k $28.2k | Added +1.0k |
| Police & Firemen's Retirement System of New Jersey 0.00% of their portfolio | 11.2k $27.4k | Unchanged |
| Graham Capital Management, L.P. 0.00% of their portfolio | 11.0k $27.0k | New |
| MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio | 10.2k $25.1k | Reduced -2.7k |
| BLAIR WILLIAM & CO/IL 0.00% of their portfolio | 10.1k $24.7k | Unchanged |
| Rockefeller Capital Management L.P. 0.00% of their portfolio | 8.4k $20.5k | Unchanged |
| Tower Research Capital LLC (TRC) 0.00% of their portfolio | 8.1k $19.7k | Added +6.0k |
| Farther Finance Advisors, LLC 0.00% of their portfolio | 8.0k $19.6k | Added +7.3k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.00% of their portfolio | 7.2k $17.6k | Unchanged |
| Legal & General Group Plc 0.00% of their portfolio | 5.3k $13.0k | Unchanged |
| TRUST CO OF TOLEDO NA /OH/ 0.00% of their portfolio | 4.8k $11.8k | New |
| Ameritas Investment Partners, Inc. 0.00% of their portfolio | 4.5k $11.0k | Unchanged |
| Russell Investments Group, Ltd. 0.00% of their portfolio | 4.0k $9.7k | Reduced -35.3k |
| State of Alaska, Department of Revenue 0.00% of their portfolio | 3.3k $8.0k | Unchanged |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 2.9k $7.2k | Reduced -605 |
| OSAIC HOLDINGS, INC. 0.00% of their portfolio | 2.4k $5.8k | Reduced -2.4k |
| SIGNATUREFD, LLC 0.00% of their portfolio | 1.5k $3.7k | Added +1.1k |
| AMALGAMATED BANK 0.00% of their portfolio | 1.5k $4.0k | Reduced -184 |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 1.4k $3.0k | Added +790 |
| NFSG Corp 0.00% of their portfolio | 1.4k $3.3k | Unchanged |