Fresenius Medical Care AG - Depositary Receipt (Common Stock)
US ˙ NYSE ˙ US3580291066

SecurityFMS / Fresenius Medical Care AG - Depositary Receipt (Common Stock)
InstitutionOptiver Holding B.V.
Latest Disclosed Ownership0 shares
Latest Disclosed Value $ 0
Optiver Holding B.V. ownership in FMS / Fresenius Medical Care AG - Depositary Receipt (Common Stock)

On June 2, 2026 - Optiver Holding B.V. filed a 13F-HR/A form disclosing ownership of 0 shares of Fresenius Medical Care AG - Depositary Receipt (Common Stock) (US:FMS) valued at $0 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 14,125 shares of Fresenius Medical Care AG - Depositary Receipt (Common Stock). This represents a change in shares of -100.00% during the quarter. The current value of the position is $0 USD.

Optiver Holding B.V. has a history of taking positions in derivatives of the underlying security (FMS) in the form of stock options. The firm currently holds call options representing 86,100 of underlying shares valued at $1,942,416 USD and put options representing 200 of underlying shares valued at $4,512 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

FMS / Fresenius Medical Care AG - Depositary Receipt (Common Stock) Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-06-02 2026-03-31 13F/A-1 FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 0 -14,125 -100.00 0 -100.00
2026-05-15 2026-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 0 -14,125 0
2026-02-17 2025-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 14,125 -32,178 -69.49 336 -72.44 0.0001
2025-11-10 2025-09-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 46,303 -3,742 -7.48 1,219 -14.70 0.0005
2025-08-14 2025-06-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 50,045 -14,625 -22.61 1,430 -11.24 0.0007
2025-05-15 2025-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 64,670 4,337 7.19 1,610 17.95 0.0009
2025-02-14 2024-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 60,333 45,045 294.64 1,366 320.00 0.0007
2024-11-14 2024-09-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 15,288 8,366 120.86 326 146.21 0.0002
2024-08-14 2024-06-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 6,922 3,582 107.25 132 106.25 0.0001
2024-05-09 2024-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 3,340 -2,871 -46.22 64 -50.39 0.0000
2024-02-13 2023-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR 358029106 6,211 5,310 589.35 129 578.95 0.0001
2023-11-13 2023-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 901 901 19 0.0000
2023-08-10 2023-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 0 -136,553 -100.00 0 -100.00
2023-05-11 2023-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 136,553 136,553 2,903 0.0021
2022-05-16 2022-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 0 -33,913 -100.00 0 -100.00
2022-02-14 2021-12-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 33,913 0 0.00 1,186 0.00 0.0010
2021-11-15 2021-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 33,913 -12,037 -26.20 1,186 -37.91 0.0012
2021-08-16 2021-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 45,950 -49,185 -51.70 1,910 -45.57 0.0026
2021-05-14 2021-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR 358029106 95,135 95,135 3,509 0.0040
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-06-02 2026-03-31 13F/A FRESENIUS MEDICAL CARE SPONSORED ADR Call 86,100 -42.10 1,942 -45.17 n/a n/a n/a
2026-05-15 2026-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 86,100 1,942 n/a n/a n/a
2026-02-17 2025-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 148,700 209.79 3,542 180.44 n/a n/a n/a
2025-11-10 2025-09-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 48,000 47,900.00 1,264 63,050.00 n/a n/a n/a
2025-08-14 2025-06-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 100 -99.12 3 -99.29 n/a n/a n/a
2025-05-15 2025-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 11,400 1,040.00 284 1,186.36 n/a n/a n/a
2025-02-14 2024-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 1,000 233.33 23 266.67 n/a n/a n/a
2024-11-14 2024-09-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 300 -96.67 6 -96.49 n/a n/a n/a
2024-08-14 2024-06-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 9,000 -80.69 172 -80.96 n/a n/a n/a
2024-05-09 2024-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 46,600 -69.66 898 -71.93 n/a n/a n/a
2024-02-13 2023-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Call 153,600 281.14 3,199 268.55 n/a n/a n/a
2023-11-13 2023-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 40,300 151.88 868 127.23 n/a n/a n/a
2023-08-10 2023-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 16,000 -91.56 383 -90.52 n/a n/a n/a
2023-05-11 2023-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 189,600 2.43 4,031 33.22 n/a n/a n/a
2023-02-10 2022-12-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 185,100 2,401.35 3,025 2,808.65 n/a n/a n/a
2022-11-14 2022-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 7,400 -71.32 104 -83.83 n/a n/a n/a
2022-08-10 2022-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 25,800 -48.30 643 -61.75 n/a n/a n/a
2022-05-16 2022-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 49,900 32.36 1,681 32.15 n/a n/a n/a
2022-02-14 2021-12-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 37,700 96.35 1,272 89.57 n/a n/a n/a
2021-11-15 2021-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 19,200 19,100.00 671 16,675.00 n/a n/a n/a
2021-08-16 2021-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 100 4 -42.86 n/a n/a n/a
2021-05-20 2021-03-31 13F/A FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 7 n/a n/a n/a
2021-05-14 2021-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Call 7 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-06-02 2026-03-31 13F/A FRESENIUS MEDICAL CARE SPONSORED ADR Put 200 100.00 5 100.00 n/a n/a n/a
2026-05-15 2026-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 200 5 n/a n/a n/a
2026-02-17 2025-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 100 2 n/a n/a n/a
2025-11-10 2025-09-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-08-14 2025-06-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 100 3 n/a n/a n/a
2025-05-15 2025-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-02-14 2024-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 1,700 -32.00 38 -28.30 n/a n/a n/a
2024-11-14 2024-09-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 2,500 -10.71 53 0.00 n/a n/a n/a
2024-08-14 2024-06-30 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 2,800 -97.61 53 -97.65 n/a n/a n/a
2024-05-09 2024-03-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 117,100 -36.74 2,258 -41.45 n/a n/a n/a
2024-02-13 2023-12-31 13F FRESENIUS MEDICAL CARE SPONSORED ADR Put 185,100 326.50 3,856 312.74 n/a n/a n/a
2023-11-13 2023-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 43,400 -2.25 935 -12.05 n/a n/a n/a
2023-08-10 2023-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 44,400 -75.00 1,062 -71.87 n/a n/a n/a
2023-05-11 2023-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 177,600 -20.36 3,776 3.59 n/a n/a n/a
2023-02-10 2022-12-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 223,000 603.47 3,644 718.88 n/a n/a n/a
2022-11-14 2022-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 31,700 546.94 445 264.75 n/a n/a n/a
2022-08-10 2022-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 4,900 -87.63 122 -90.85 n/a n/a n/a
2022-05-16 2022-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 39,600 59.04 1,334 57.13 n/a n/a n/a
2022-02-14 2021-12-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 24,900 55.62 849 51.61 n/a n/a n/a
2021-11-15 2021-09-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 16,000 185.71 560 140.34 n/a n/a n/a
2021-08-16 2021-06-30 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 5,600 233 26.63 n/a n/a n/a
2021-05-20 2021-03-31 13F/A FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 184 n/a n/a n/a
2021-05-14 2021-03-31 13F FRESENIUS MED CARE AG&CO KGA SPONSORED ADR Put 184 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.