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Institutional Cluster

ACH

ACCENDRA HEALTH INC/VA/
BEARISH
Impact 5/10
Horizonweeks Processed4mo ago
Institutional cluster: 0 buyers, 4 sellers (bearish)
Actionable Insight ▼ Bearish

The unanimous passive selling suggests ACH may be facing index rebalancing headwinds or systematic de-risking. Monitor for further institutional exits and any fundamental deterioration that could explain the broad-based reduction. The 8% analyst bullish consensus and prior strong historical performance of ACH-related calls warrant caution against over-interpreting this as a pure fundamental signal.

DirectionBearish
Confidencemedium
Horizonweeks
Final — all horizons settled through T+60d
ACH ▼ -62.31% at T+60d
SHORT call ✓ call won +62.31% · α vs SPY +66.70% · entry $3.21 → $1.21
Entry = T+0 close
Jun 11, 2026
via day close
T+1d
+3.74%
call -3.74% · α -3.20%
$3.33
settled 5mo ago
T+5d
-1.56%
call +1.56% · α +1.99%
$3.16
settled 4mo ago
T+20d
+2.80%
call -2.80% · α -0.91%
$3.30
settled 4mo ago
T+60d
-62.31%
call +62.31% · α +66.70%
$1.21
settled 7w ago

Executive Summary

Four mega-passive institutional investors (Vanguard, BlackRock, State Street, Fidelity) collectively trimmed $135.7M from their ACH positions in Q3 2025, with BlackRock cutting nearly half its stake and Fidelity nearly exiting entirely. This broad-based passive reduction suggests systematic de-risking or index-driven rebalancing rather than a fundamental thesis change, but the scale is notable for a $210M market-cap company.

Key Financial Metrics

Direction
distributing
Sell Value
$135.7M
Net Flow
-$135.7M

Institutional Positions

Net institutional flow: -$135.7M

▼ Sellers (4)

InstitutionActionChangePrev ValueValue Δ
BlackRockTRIM-48.5%$99.1M-$72.2M
VanguardTRIM-25.7%$73.1M-$44.4M
State StreetTRIM-36.5%$28.1M-$18.7M
FidelityNEAR_EXIT-88.4%$340.0K-$318.8K

Key Facts

  • 4 mega-passive institutions reduced ACH holdings by a combined $135.7M in Q3 2025
  • BlackRock trimmed 48.5% of its stake (5.28M shares), the largest absolute reduction at $72.2M
  • Fidelity nearly exited, cutting 88.4% of its position (33K shares)
  • Vanguard trimmed 25.7% (2.07M shares, $44.4M reduction)
  • State Street trimmed 36.5% (1.13M shares, $18.7M reduction)
  • No institutional buyers were identified in the cluster

Financial Impact

4 institutions sold a combined $135.7M in ACH stock during Q3 2025, representing a significant portion of the $210M market cap

institutional ownershipfloatliquidity

Risk Factors

  • Passive selling may be index-driven rather than thesis-driven, reducing signal quality
  • 13F data is 45+ days stale; positions may have been rebuilt since quarter-end
  • Small market cap ($210M) amplifies the impact of large institutional moves on float

Market Snapshot

Exchange
NYSE
Sector
Wholesale-Medical, Dental & Hospital Equipment & Supplies
Analyst Consensus
8% bullish (12 analysts)

Investment Themes

Healthcare & Medical Devices

Documents Analyzed

This report is based on 1 institutional 13F filing from SEC EDGAR.

DocumentAccession Number
INST-CLUSTER Data (Synthetic)inst-cluster-ACH-2025-Q3
15 reports for ACH
Performance horizon
100% Hit rate @ T+5 5 of 5 directional calls Went positive at some point 5 of 5 best @ T+5▲ +43.61%Oct 9, 2026
Filters
Rows
Reports for ACH — sortable, filterable
TypeNow
Oct 9, 2026
18d ago
8-K
BEARISH ★ 7/10
$0.3905 $0.2202▲ +43.61%▲ +42.12%—
Oct 7, 2026
20d ago
SC 13G
NEUTRAL ★ 4/10
$0.4729 $0.3128▼ −33.85%▼ −32.87%—
Sep 17, 2026
5w ago
8-K
NEUTRAL ★ 3/10
$1.03 $0.7332▼ −28.82%▼ −29.42%—
Aug 17, 2026
10w ago
8-K
BULLISH ★ 5/10
$1.07 $1.16▲ +8.41%▲ +9.60%—
Aug 16, 2026
10w ago
Institutional Cluster
MIXED ★ 5/10
$1.07 $1.16▲ +8.41%▲ +9.60%—
Aug 10, 2026
11w ago
8-K
NEUTRAL ★ 4/10
$1.26 $1.13▼ −10.32%▼ −9.91%—
Aug 10, 2026
11w ago
8-K
BEARISH ★ 6/10
$1.40 $1.07▲ +23.57%▲ +23.52%—
Aug 10, 2026
11w ago
8-K
NEUTRAL ★ 3/10
$1.40 $1.07▼ −23.57%▼ −23.52%—
Jul 27, 2026
13w ago
EFFECT
NEUTRAL ★ 3/10
$3.22 $3.41▲ +5.90%▲ +3.39%—
Jun 25, 2026
17w ago
8-K
NEUTRAL ★ 5/10
$3.34 $3.59▲ +7.49%▲ +5.32%—
Showing 10 of 15

US Market Status

Market Closed — Opens Thu (12h 53m)

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Report published Jun 11, 2026