ALMS — Institutional owners (13F)

218 filers · $3.2B total · As of Sept. 30, 2026

Institutions that report holding this stock in their quarterly SEC Form 13F. Long positions only; a single filer may appear twice for separate option legs. Large offsetting put/call legs typically reflect market-making or hedged inventory, not directional conviction.

Institution Value Shares % of tracked 13F Type
AyurMaya Capital Management Company, LP $426,031,355 15,139,707 13.18% Shares
BlackRock, Inc. $231,258,771 8,218,151 7.16% Shares
FMR LLC $190,484,444 6,769,170 5.89% Shares
Deep Track Capital, LP $178,648,422 6,348,558 5.53% Shares
SAMSARA BIOCAPITAL, LLC $178,554,463 6,345,219 5.53% Shares
Foresite Capital Management V, LLC $165,941,439 5,896,995 5.14% Shares
venBio Partners LLC $127,429,401 4,528,408 3.94% Shares
Foresite Capital Management VI LLC $119,529,434 4,247,670 3.70% Shares
VANGUARD CAPITAL MANAGEMENT LLC $118,629,882 4,215,703 3.67% Shares
Nextech Invest Ltd. $99,643,684 3,540,998 3.08% Shares
Cormorant Asset Management, LP $92,456,671 3,285,596 2.86% Shares
Saturn V Capital Management LP $82,040,566 2,915,443 2.54% Shares
Octagon Capital Advisors LP $79,655,898 2,830,700 2.47% Shares
STATE STREET CORP $61,549,665 2,187,266 1.90% Shares
GEODE CAPITAL MANAGEMENT, LLC $61,033,791 2,168,517 1.89% Shares
MPM BIOIMPACT LLC $56,815,223 2,019,020 1.76% Shares
BAKER BROS. ADVISORS LP $56,631,750 2,012,500 1.75% Shares
SR One Capital Management, LP $55,151,473 1,959,896 1.71% Shares
JANUS HENDERSON GROUP PLC $46,790,086 2,124,408 1.45% Shares
VANGUARD GROUP INC $40,048,110 4,103,290 1.24% Shares
Invesco Ltd. $33,022,796 1,173,518 1.02% Shares
NOVO HOLDINGS A/S $30,954,000 1,100,000 0.96% Shares
PRINCIPAL FINANCIAL GROUP INC $30,055,208 1,068,060 0.93% Shares
D. E. Shaw & Co., Inc. $27,246,105 968,234 0.84% Shares
UBS Group AG $26,783,540 951,796 0.83% Shares
JPMORGAN CHASE & CO $26,407,356 969,617 0.82% Shares
VANGUARD PORTFOLIO MANAGEMENT LLC $25,922,878 921,211 0.80% Shares
Ikarian Capital, LLC $24,497,220 870,548 0.76% Shares
GREAT POINT PARTNERS LLC $24,089,557 856,061 0.75% Shares
GOLDMAN SACHS GROUP INC $23,409,581 831,897 0.72% Shares
NORTHERN TRUST CORP $20,369,111 723,849 0.63% Shares
CHARLES SCHWAB INVESTMENT MANAGEMENT INC $19,701,771 700,134 0.61% Shares
Integral Health Asset Management, LLC $19,698,000 700,000 0.61% Shares
MILLENNIUM MANAGEMENT LLC $18,576,396 660,142 0.57% Shares
VANGUARD FIDUCIARY TRUST CO $17,221,961 612,010 0.53% Shares
Opaleye Management Inc. $15,477,000 550,000 0.48% Shares
ORBIMED ADVISORS LLC $15,425,307 548,163 0.48% Shares
ROYCE & ASSOCIATES LP $14,782,026 525,303 0.46% Shares
Woodline Partners LP $13,677,503 486,052 0.42% Shares
Spruce Street Capital LP $11,047,032 392,574 0.34% Shares
Trium Capital LLP $10,982,142 390,268 0.34% Shares
CITIGROUP INC $10,845,156 385,400 0.34% Shares
TWO SIGMA INVESTMENTS, LP $10,583,989 376,119 0.33% Shares
MARSHALL WACE, LLP $10,355,915 368,014 0.32% Shares
Ikarian Capital, LLC $10,026,282 356,300 0.31% Call option
MORGAN STANLEY $9,037,528 321,163 0.28% Shares
VOLORIDGE INVESTMENT MANAGEMENT, LLC $9,029,029 320,861 0.28% Shares
Weiss Asset Management LP $8,761,980 311,371 0.27% Shares
Artia Global Partners LP $7,838,284 278,546 0.24% Shares
BARCLAYS PLC $7,702,368 273,716 0.24% Shares
Yu Fan $7,110,190 252,672 0.22% Shares
Nuveen, LLC $6,862,558 243,872 0.21% Shares
BOOTHBAY FUND MANAGEMENT, LLC $6,825,019 242,538 0.21% Shares
Omega Fund Management, LLC $6,788,916 241,255 0.21% Shares
SCHRODER INVESTMENT MANAGEMENT GROUP $6,427,865 236,841 0.20% Shares
Bank of New York Mellon Corp $6,377,030 226,618 0.20% Shares
TOWERVIEW LLC $6,255,353 222,294 0.19% Shares
BANK OF AMERICA CORP /DE/ $5,847,183 207,789 0.18% Shares
Exome Asset Management LLC $5,752,323 204,418 0.18% Shares
DIADEMA PARTNERS LP $5,628,000 200,000 0.17% Call option
HighVista Strategies LLC $5,627,100 199,968 0.17% Shares
TYBOURNE CAPITAL MANAGEMENT (HK) LTD $5,583,008 1,399,250 0.17% Shares
WELLINGTON MANAGEMENT GROUP LLP $5,059,628 179,802 0.16% Shares
WELLS FARGO & COMPANY/MN $4,922,024 174,912 0.15% Shares
Susquehanna Portfolio Strategies, LLC $4,862,001 172,779 0.15% Shares
PRUDENTIAL FINANCIAL INC $4,575,086 162,583 0.14% Shares
Russell Investments Group, Ltd. $4,330,918 153,906 0.13% Shares
Ensign Peak Advisors, Inc $4,135,736 146,970 0.13% Shares
AQR CAPITAL MANAGEMENT LLC $4,120,736 146,437 0.13% Shares
VOYA INVESTMENT MANAGEMENT LLC $3,895,082 138,418 0.12% Shares
MOORE CAPITAL MANAGEMENT, LP $3,849,636 136,803 0.12% Shares
Swiss National Bank $3,824,226 135,900 0.12% Shares
STEMPOINT CAPITAL LP $3,819,611 135,736 0.12% Shares
NOMURA ASSET MANAGEMENT INTERNATIONAL INC. $3,795,000 134,850 0.12% Shares
VICTORY CAPITAL MANAGEMENT INC $3,723,794 132,331 0.12% Shares
Quantinno Capital Management LP $3,688,929 131,092 0.11% Shares
Elmind Capital, LP $3,658,200 130,000 0.11% Shares
STIFEL FINANCIAL CORP $3,097,510 110,075 0.10% Shares
BOOTHBAY FUND MANAGEMENT, LLC $2,943,444 104,600 0.09% Call option
MANUFACTURERS LIFE INSURANCE COMPANY, THE $2,820,050 100,215 0.09% Shares
Caption Management, LLC $2,814,000 100,000 0.09% Call option
Ghisallo Capital Management LLC $2,814,000 100,000 0.09% Shares
TD Asset Management Inc $2,729,636 97,002 0.08% Shares
RHUMBLINE ADVISERS $2,723,010 96,767 0.08% Shares
FIRST TRUST ADVISORS LP $2,646,454 94,046 0.08% Shares
Harvest Investment Services, LLC $2,610,407 92,765 0.08% Shares
Caption Management, LLC $2,532,600 90,000 0.08% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $2,490,390 88,500 0.08% Call option
DEUTSCHE BANK AG\ $2,366,939 84,113 0.07% Shares
ALLIANCEBERNSTEIN L.P. $2,299,800 104,394 0.07% Shares
CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM $2,217,939 78,818 0.07% Shares
Ally Bridge Group (NY) LLC $2,151,556 76,459 0.07% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $2,040,150 72,500 0.06% Put option
Mariner, LLC $2,018,263 71,726 0.06% Shares
UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC $1,808,090 82,074 0.06% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $1,652,296 58,717 0.05% Shares
ALGERT GLOBAL LLC $1,625,648 57,770 0.05% Shares
CITADEL ADVISORS LLC $1,581,468 56,200 0.05% Call option
Legal & General Group Plc $1,545,730 54,930 0.05% Shares
ACT CAPITAL MANAGEMENT, LLC $1,452,024 51,600 0.04% Shares
VANGUARD ASSET MANAGEMENT, Ltd $1,424,306 50,615 0.04% Shares
STATE OF WISCONSIN INVESTMENT BOARD $1,418,622 50,413 0.04% Shares
Vanguard Global Advisers, LLC $1,400,134 49,756 0.04% Shares
Squarepoint Ops LLC $1,339,183 47,590 0.04% Shares
MetLife Investment Management, LLC $1,303,220 46,312 0.04% Shares
CITADEL ADVISORS LLC $1,224,090 43,500 0.04% Put option
FRED ALGER MANAGEMENT, LLC $1,211,624 43,057 0.04% Shares
Creative Planning $1,176,759 41,818 0.04% Shares
JANE STREET GROUP, LLC $1,136,856 40,400 0.04% Put option
MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. $1,023,536 36,373 0.03% Shares
Corient Private Wealth LP $988,953 35,144 0.03% Shares
Trexquant Investment LP $960,615 34,137 0.03% Shares
FRANKLIN RESOURCES INC $918,321 32,634 0.03% Shares
Zurcher Kantonalbank (Zurich Cantonalbank) $882,949 31,377 0.03% Shares
NEW YORK STATE COMMON RETIREMENT FUND $781,363 27,767 0.02% Shares
J. Goldman & Co LP $727,306 25,846 0.02% Shares
Jain Global LLC $710,704 25,256 0.02% Shares
Y-Intercept (Hong Kong) Ltd $710,141 25,236 0.02% Shares
JANE STREET GROUP, LLC $680,988 24,200 0.02% Call option
BNP PARIBAS FINANCIAL MARKETS $677,555 24,078 0.02% Shares
FOX RUN MANAGEMENT, L.L.C. $675,163 23,993 0.02% Shares
Inscription Capital, LLC $664,076 23,599 0.02% Shares
RENAISSANCE TECHNOLOGIES LLC $656,647 23,335 0.02% Shares
Police & Firemen's Retirement System of New Jersey $655,521 23,295 0.02% Shares
XTX Topco Ltd $642,549 22,834 0.02% Shares
State of New Jersey Common Pension Fund D $616,238 21,899 0.02% Shares
INTECH INVESTMENT MANAGEMENT LLC $586,803 20,853 0.02% Shares
China Universal Asset Management Co., Ltd. $552,782 19,644 0.02% Shares
ARIZONA STATE RETIREMENT SYSTEM $525,880 18,688 0.02% Shares
Vanguard Investments Australia, Ltd. $457,894 16,272 0.01% Shares
Persistent Asset Partners Ltd $443,667 508 0.01% Call option
Arrowpoint Investment Partners (Singapore) Pte. Ltd. $433,243 15,396 0.01% Shares
OCCUDO QUANTITATIVE STRATEGIES LP $430,458 15,297 0.01% Shares
VIRGINIA RETIREMENT SYSTEMS ET Al $422,100 15,000 0.01% Shares
Brevan Howard Capital Management LP $416,782 14,811 0.01% Shares
ProShare Advisors LLC $405,020 14,393 0.01% Shares
PROFUND ADVISORS LLC $401,023 14,251 0.01% Shares
OpenArc Corporate Advisory, LLC $400,714 14,240 0.01% Shares
KLP KAPITALFORVALTNING AS $399,588 14,200 0.01% Shares
STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM $382,817 13,604 0.01% Shares
Virtus Investment Advisers, LLC $381,269 13,549 0.01% Shares
TWO SIGMA ADVISERS, LP $371,602 38,074 0.01% Shares
Point72 Asset Management, L.P. $343,308 12,200 0.01% Call option
Point72 Asset Management, L.P. $343,308 12,200 0.01% Put option
Verdad Advisers, LP $342,942 12,187 0.01% Shares
MERCER GLOBAL ADVISORS INC /ADV $322,119 11,447 0.01% Shares
SmartHarvest Portfolios, LLC $303,096 10,771 0.01% Shares
Allianz Asset Management GmbH $301,098 10,700 0.01% Shares
Vanguard Personalized Indexing Management, LLC $300,169 10,667 0.01% Shares
Voleon Capital Management LP $299,550 10,645 0.01% Shares
Pictet Asset Management Holding SA $295,217 10,491 0.01% Shares
Rafferty Asset Management, LLC $278,670 9,903 0.01% Shares
CAPSTONE INVESTMENT ADVISORS, LLC $236,967 8,421 0.01% Shares
SEI INVESTMENTS CO $234,621 8,337 0.01% Shares
Vident Advisory, LLC $233,449 8,296 0.01% Shares
CWM, LLC $228,870 10,389 0.01% Shares
TEACHER RETIREMENT SYSTEM OF TEXAS $222,081 7,892 0.01% Shares
Arax Advisory Partners $221,884 7,885 0.01% Shares
XPONANCE LLC $218,113 7,751 0.01% Shares
HAP Trading, LLC $213,125 402,500 0.01% Put option
Abel Hall, LLC $209,277 7,437 0.01% Shares
WEALTH ENHANCEMENT ADVISORY SERVICES, LLC $201,794 7,128 0.01% Shares
Ameritas Investment Partners, Inc. $201,708 7,168 0.01% Shares
Fulcrum Asset Management LLP $193,128 7,116 0.01% Shares
State of Wyoming $188,876 6,712 0.01% Shares
Farther Finance Advisors, LLC $174,890 6,215 0.01% Shares
Mirae Asset Global Investments Co., Ltd. $155,333 5,520 0.00% Shares
Tower Research Capital LLC (TRC) $153,279 5,447 0.00% Shares
PRICE T ROWE ASSOCIATES INC /MD/ $146,325 5,199,838 0.00% Shares
SIMPLEX TRADING, LLC $140,306 4,986 0.00% Shares
ASSETMARK, INC $118,441 4,209 0.00% Shares
GF FUND MANAGEMENT CO. LTD. $75,331 2,677 0.00% Shares
STRS OHIO $73,164 2,600 0.00% Shares
EverSource Wealth Advisors, LLC $72,630 2,581 0.00% Shares
ROYAL BANK OF CANADA $72,000 2,559 0.00% Shares
Parallel Advisors, LLC $57,940 2,059 0.00% Shares
SIGNATUREFD, LLC $36,188 1,286 0.00% Shares
BNP PARIBAS ASSET MANAGEMENT Holding S.A. $32,839 1,167 0.00% Shares
GAMMA Investing LLC $27,971 994 0.00% Shares
JONES FINANCIAL COMPANIES LLLP $27,852 1,055 0.00% Shares
NISA INVESTMENT ADVISORS, LLC $27,774 987 0.00% Shares
Kemnay Advisory Services Inc. $25,664 912 0.00% Shares
Global Retirement Partners, LLC $15,280 543 0.00% Shares
Allworth Financial LP $13,142 467 0.00% Shares
Essential Partners LLC $12,382 440 0.00% Shares
ROTHSCHILD INVESTMENT LLC $11,566 411 0.00% Shares
PNC Financial Services Group, Inc. $11,031 392 0.00% Shares
Aster Capital Management (DIFC) Ltd $9,258 329 0.00% Shares
COMERICA BANK $9,096 932 0.00% Shares
OSAIC HOLDINGS, INC. $8,188 291 0.00% Shares
MassMutual Private Wealth & Trust, FSB $7,851 279 0.00% Shares
Sterling Capital Management LLC $7,795 277 0.00% Shares
US BANCORP \DE\ $7,401 263 0.00% Shares
True Wealth Design, LLC $6,529 232 0.00% Shares
BFSG, LLC $5,403 192 0.00% Shares
Larson Financial Group LLC $4,334 154 0.00% Shares
Versant Capital Management, Inc $4,013 543 0.00% Shares
Parkside Financial Bank & Trust $3,994 142 0.00% Shares
Transamerica Financial Advisors, LLC $2,729 97 0.00% Shares
Quarry LP $2,701 96 0.00% Shares
Optiver Holding B.V. $2,645 94 0.00% Shares
Decker Retirement Planning Inc. $2,561 91 0.00% Shares
Fortitude Family Office, LLC $2,167 77 0.00% Shares
IFP Advisors, Inc $1,548 55 0.00% Shares
SBI Securities Co., Ltd. $957 34 0.00% Shares
Silver Grove Financial Group, Inc. $900 32 0.00% Shares
CoreCap Advisors, LLC $732 26 0.00% Shares
NATIONAL BANK OF CANADA /FI/ $703 25 0.00% Shares
SG Americas Securities, LLC $643 22,867 0.00% Shares
HARBOUR INVESTMENTS, INC. $634 23 0.00% Shares
Stone House Investment Management, LLC $619 22 0.00% Shares
SALEM INVESTMENT COUNSELORS INC $563 20 0.00% Shares
HAP Trading, LLC $272 340,000 0.00% Put option
HAP Trading, LLC $260 266,900 0.00% Call option
Sunbelt Securities, Inc. $154 7 0.00% Shares
ACADIAN ASSET MANAGEMENT LLC $103 3,696 0.00% Shares
KBC Group NV $54 1,929 0.00% Shares
Covestor Ltd $1 28 0.00% Shares