Adagio Medical Holdings, Inc (ADGM) Ownership

NASDAQ: ADGMTop holders, insider trades and short interest.

ADGM ownership summary

as of October 18, 2026
Institutions
54.9%
of shares outstanding
Insiders
1.02%
of shares outstanding
Shares outstanding
27.4M
Float
8.5M
shares available to trade
Short interest
10.66%
1.3M shares short
Days to cover
0.54
short interest up 211.8% vs prior month
  • Institutions 54.93%
  • Insiders 1.02%
  • Other investors 44.05%

ADGM top institutional holders

20 largest
Adagio Medical Holdings, Inc top institutional holders
#Holder% of sharesSharesValueChangeReported
1Perceptive Advisors LLC44.47%9.9M$977,782+10 (+0.0%)June 30, 2026
2Adage Capital Partners Gp LLC5.67%1.3M$124,592—June 30, 2026
3ADAR1 Capital Management LLC5.43%1.2M$119,339—June 30, 2026
4Alyeska Investment Group, L.P.5.22%1.2M$114,802—June 30, 2026
5Sio Capital Management, LLC3.15%699K$69,200−589,472 (−45.8%)June 30, 2026
6SILVERARC CAPITAL MANAGEMENT, LLC1.01%224K$22,212−27,612 (−11.0%)June 30, 2026
7Shaolin Capital Management LLC0.77%171K$16,946—June 30, 2026
8Vanguard Capital Management, LLC0.49%109K$10,786+69,346 (+175.1%)June 30, 2026
9Affinity Asset Advisors, LLC0.36%80K$7,920—June 30, 2026
10Geode Capital Management, LLC0.36%79K$7,832−46,126 (−36.8%)June 30, 2026
11Vanguard Fiduciary Trust Co0.24%54K$5,324—June 30, 2026
12Northern Trust Corp0.14%31K$3,057+9,277 (+43.0%)June 30, 2026
13The Toronto-Dominion Bank0.11%25K$2,475—June 30, 2026
14Opaleye Management Inc0.08%18K$1,826—June 30, 2026
15XTX Topco Ltd0.08%18K$1,797−5,197 (−22.3%)June 30, 2026
16Citadel Advisors Llc0.07%16K$1,599+16,155 (0.0%)June 30, 2026
17HRT FINANCIAL LLC0.06%14K$1,357+13,705 (0.0%)June 30, 2026
18Citigroup Inc0.06%13K$1,312+13,254 (+1,325,400.0%)June 30, 2026
19Bank of America Corp0.05%12K$1,142−1,326 (−10.3%)June 30, 2026
20Tower Research Capital LLC0.03%6,454$639+4,252 (+193.1%)June 30, 2026

Value at the latest close. Change = shares bought or sold in the latest quarterly filing (13F). In the top 20, 7 holders added 126K shares and 5 cut 670K.

ADGM top mutual fund and ETF holders

5 largest
Adagio Medical Holdings, Inc top fund holders
#Holder% of sharesSharesValueChangeReported
1Fidelity Nasdaq Composite Index2.59%576K$57,016+575,923 (0.0%)August 31, 2026
2Fidelity Extended Market Index0.23%50K$4,999−271 (−0.5%)August 31, 2026
3Fidelity Total Market Index0.08%18K$1,818+18,364 (0.0%)August 31, 2026
4Vanguard MStar Total Stk Mkt Idx Invest0.08%17K$1,727—August 31, 2026
5Fidelity Series Total Market Index0.05%10K$1,030—August 31, 2026

Funds report holdings monthly or quarterly; dates differ by fund.

ADGM insider transactions

latest 2
Adagio Medical Holdings, Inc insider transactions
DateNameTransactionPriceSharesValue
2025-12-16Deborah KasterBuy$1.2015,000$18,000
2025-12-12Todd UsenBuy$1.09207,315$225,973

Reported trades by company officers, directors and other filers (including disclosures by members of Congress where EODHD lists them). "—" where the filing gives no share count.

ADGM shares outstanding

Shares outstanding

Year-end shares outstanding, adjusted for splits.

Who owns ADGM

Institutional investors own 54.9% of Adagio Medical's shares and insiders 1.02%. The largest holder is Perceptive Advisors LLC with 44.47% of the shares (9.9M), as of June 30, 2026. Among the top 20 institutions, 7 added shares and 5 reduced their stake in the latest filings. Short interest is 10.66% of the float, or 0.54 days of average trading volume. The share count rose 5.0% since 2021.

Related: ADGM analyst forecast, ADGM key metrics. See the ADGM stock overview for the latest quote and news.

ADGM ownership FAQ

Who owns the most Adagio Medical stock?

The largest shareholders of Adagio Medical are Perceptive Advisors LLC (44.47%), Adage Capital Partners Gp LLC (5.67%), ADAR1 Capital Management LLC (5.43%), Alyeska Investment Group, L.P. (5.22%), Sio Capital Management, LLC (3.15%).

What percentage of Adagio Medical is owned by institutions?

Institutions hold 54.9% of Adagio Medical's shares outstanding; insiders hold 1.02%.

Which funds own Adagio Medical?

The largest fund holders of Adagio Medical are Fidelity Nasdaq Composite Index (2.59%), Fidelity Extended Market Index (0.23%), Fidelity Total Market Index (0.08%), Vanguard MStar Total Stk Mkt Idx Invest (0.08%), Fidelity Series Total Market Index (0.05%).

What is Adagio Medical's short interest?

1.3M shares of Adagio Medical were sold short, 10.66% of the float; at the average daily volume it would take 0.54 days to cover.

Are insiders buying or selling Adagio Medical?

Of the latest 2 reported insider transactions in Adagio Medical (since December 12, 2025), 2 were purchases and 0 were sales.

How many shares of Adagio Medical are outstanding?

Adagio Medical has 27.4M shares outstanding, of which 8.5M are in the public float.

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