Ranked by reported Q1 2026 13F market value
Share of total reported institutional value in FMS held by the largest 10 / 25 filers.
| # | Institution | Shares Held | Market Value | QoQ Change | Ownership % | % of Fund |
|---|---|---|---|---|---|---|
| 1 | PZENA INVESTMENT MANAGEMENT LLC | 15.1M | $339.6M | +2.0% | 2.734% | 1.10% |
| 2 | FIDUCIARY MANAGEMENT INC /WI/ | 4.5M | $100.7M | -10.1% | 0.810% | 1.25% |
| 3 | DODGE & COX | 3.8M | $86.3M | 0.0% | 0.695% | 0.05% |
| 4 | MORGAN STANLEY | 2.5M | $56.1M | -15.5% | 0.451% | 0.00% |
| 5 | MILLENNIUM MANAGEMENT LLC | 1.6M | $37.0M | +3950.4% | 0.298% | 0.02% |
| 6 | BRANDES INVESTMENT PARTNERS, LP | 1.6M | $36.3M | β | 0.293% | 0.26% |
| 7 | TODD ASSET MANAGEMENT LLC | 1.3M | $29.3M | +0.8% | 0.235% | 0.57% |
| 8 | GOLDMAN SACHS GROUP INC | 818K | $18.5M | +11.3% | 0.149% | 0.00% |
| 9 | Integral Health Asset Management, LLC | 775K | $17.5M | +19.2% | 0.141% | 1.08% |
| 10 | BlackRock, Inc. | 628K | $14.2M | +35.9% | 0.114% | 0.00% |
| 11 | Point72 Asset Management, L.P. | 510K | $11.5M | -55.0% | 0.093% | 0.02% |
| 12 | D. E. Shaw & Co., Inc. | 429K | $9.7M | +1201.2% | 0.078% | 0.01% |
| 13 | RAYMOND JAMES FINANCIAL INC | 422K | $9.5M | +47.2% | 0.077% | 0.00% |
| 14 | ENVESTNET ASSET MANAGEMENT INC | 384K | $8.7M | +50.1% | 0.070% | 0.00% |
| 15 | NORTHERN TRUST CORP | 380K | $8.6M | -5.3% | 0.069% | 0.00% |
| 16 | Moran Wealth Management, LLC | 348K | $7.8M | +31.5% | 0.063% | 0.24% |
| 17 | Quantinno Capital Management LP | 341K | $7.7M | +15.7% | 0.062% | 0.01% |
| 18 | HENNESSY ADVISORS INC | 338K | $7.6M | -3.4% | 0.061% | 0.28% |
| 19 | BNP PARIBAS ARBITRAGE, SA | 336K | $7.6M | +456.9% | 0.061% | 0.00% |
| 20 | WELLS FARGO & COMPANY/MN | 335K | $7.6M | +580.8% | 0.061% | 0.00% |
| 21 | FMR LLC | 295K | $6.7M | +119.3% | 0.054% | 0.00% |
| 22 | ROYAL BANK OF CANADA | 217K | $4.9M | +479.2% | 0.039% | 0.00% |
| 23 | TWO SIGMA INVESTMENTS, LP | 214K | $4.8M | +340.7% | 0.039% | 0.00% |
| 24 | O'SHAUGHNESSY ASSET MANAGEMENT, LLC | 206K | $4.6M | +353.8% | 0.037% | 0.02% |
| 25 | Creative Planning | 184K | $4.1M | +156.2% | 0.033% | 0.00% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). β% of Fundβ shows how much of that investorβs total 13F portfolio is invested in FMS β a direct measure of their conviction.
Filings activity in FMS during Q1 2026, grouped by how each filer changed its position.
Institutions that opened a new FMS position in Q1 2026
Institutions that fully closed their FMS position in Q1 2026
8 quarters of 13F filings Β· Ξ columns show change vs prior quarter
| Quarter | Inst. Holders | Ξ Holders | Ownership % | Ξ Ownership | Total 13F Value | Ξ Value |
|---|---|---|---|---|---|---|
| Q1 2026 | 210 | +0.0% | 7.26% | +0.36 pp | $920M | +5.2% |
| Q4 2025 | 210 | +4.0% | 6.90% | 0.49 pp | $875M | 6.6% |
| Q3 2025 | 202 | 2.9% | 7.39% | 22.27 pp | $937M | 75% |
| Q2 2025 | 208 | +6.1% | 29.66% | +22.86 pp | $3.76B | +336% |
| Q1 2025 | 196 | +5.4% | 6.80% | +0.75 pp | $862M | +12% |
| Q4 2024 | 186 | +14% | 6.05% | +0.46 pp | $767M | +8.2% |
| Q3 2024 | 163 | +0.0% | 5.59% | +0.91 pp | $709M | +20% |
| Q2 2024 | 163 | β | 4.68% | β | $593M | β |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Ξ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying FMS stock.
Based on Q1 2026 13F filings, institutional ownership of Fresenius Medical Care AG & Co. KGaA stands at 7.3%, held across 210 reporting institutions.
PZENA INVESTMENT MANAGEMENT LLC is the largest reported institutional holder of FMS, with approximately 15,052,822 shares worth $0.34B as of Q1 2026.
Yes β 3 widely-followed marquee investors appear among the top 25 institutional holders of FMS, including MILLENNIUM MANAGEMENT LLC, Point72 Asset Management, L.P., TWO SIGMA INVESTMENTS, LP.
Our composite Smart Money Score for FMS is 67 out of 100 (Bullish). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
43 institutions opened new positions in FMS during Q1 2026, while 43 fully exited. 72 added to existing positions and 94 trimmed.
FMS institutional ownership rose by 0.36 percentage points quarter-over-quarter, with a net change of +0 holders.
The top 10 institutions account for 79.9% of all reported 13F value in FMS, and the top 25 account for 92.0%.
All data is sourced from SEC Form 13F filings, which institutional investment managers with at least $100M in assets are required to file each quarter. We process every 13F filing from EDGAR and recompute the aggregates after each cycle. Insider transactions are sourced from Form 4 filings.