There is a long list of 142 institutional holders of ACCD within the last two holding periods in our database of 13F filers, so we've sorted through to present to you just the top 50 institutional holders of ACCD by largest to smallest position reported in the institutional investor's latest 13F filing. In the institutional-holders-of-ACCD table below, the initial column indicates the name of each top institutional holder of ACCD, with a link to that fund's top holdings. The next columns indicate the amount of ACCD stock held by each of the institutional holders of ACCD, followed by the ACCD position size held by the institution, and finally the date of the quarterly 13F filing period the holdings data represents for that institution.

Holder	Amount	Position Size ($ in 1000's)	As of
Deerfield Management Company L.P. Series C		$114,012	12/31/2023
NOTE 0	132,598,000	$114,012	12/31/2023
JPMorgan Chase & Co.	6,410,377	$76,989	12/31/2023
ACCD	6,410,377	$76,989	12/31/2023
BlackRock Inc.	5,660,665	$67,985	12/31/2023
ACCD	5,660,665	$67,985	12/31/2023
AH Capital Management L.L.C.	5,398,708	$64,838	12/31/2023
ACCD	5,398,708	$64,838	12/31/2023
Vanguard Group Inc.	5,326,212	$63,968	12/31/2023
ACCD	5,326,212	$63,968	12/31/2023
Brown Advisory Inc.	5,845,934	$61,265	03/31/2024
ACCD	5,845,934	$61,265	03/31/2024
ARK Investment Management LLC	5,613,043	$58,825	03/31/2024
ACCD	5,613,043	$58,825	03/31/2024
Bellevue Group AG	4,507,404	$54,134	12/31/2023
ACCD	4,507,404	$54,134	12/31/2023
Rock Springs Capital Management LP	3,485,000	$41,855	12/31/2023
ACCD	3,485,000	$41,855	12/31/2023
FMR LLC		$25,126	12/31/2023
NOTE 0	29,530,000	$25,100	12/31/2023
ACCD	2,173	$26	12/31/2023
Dimensional Fund Advisors LP	1,921,676	$23,083	12/31/2023
ACCD	1,921,676	$23,083	12/31/2023
Nikko Asset Management Americas Inc.	1,802,494	$21,648	12/31/2023
ACCD	1,802,494	$21,648	12/31/2023
State Street Corp	1,568,442	$18,837	12/31/2023
ACCD	1,568,442	$18,837	12/31/2023
Geode Capital Management LLC	1,535,926	$18,449	12/31/2023
ACCD	1,535,926	$18,449	12/31/2023
Sumitomo Mitsui Trust Holdings Inc.	1,697,560	$17,790	03/31/2024
ACCD	1,697,560	$17,790	03/31/2024
Franklin Resources Inc.		$16,641	12/31/2023
NOTE 0	19,000,000	$16,245	12/31/2023
ACCD	32,965	$396	12/31/2023
Fairman Group LLC	1,177,287	$14,139	12/31/2023
ACCD	1,177,287	$14,139	12/31/2023
Ieq Capital LLC	1,114,691	$13,387	12/31/2023
ACCD	1,114,691	$13,387	12/31/2023
Balyasny Asset Management LLC	929,956	$11,169	12/31/2023
ACCD	929,956	$11,169	12/31/2023
Ameriprise Financial Inc.		$10,570	12/31/2023
CONV BND	9,000,000	$7,650	12/31/2023
ACCD	243,097	$2,920	12/31/2023
Nuveen Asset Management LLC	876,359	$10,525	12/31/2023
ACCD	876,359	$10,525	12/31/2023
Morgan Stanley	797,048	$9,573	12/31/2023
ACCD	797,048	$9,573	12/31/2023
Northern Trust Corp	745,490	$8,953	12/31/2023
ACCD	745,490	$8,953	12/31/2023
Point72 Asset Management L.P.	567,163	$6,812	12/31/2023
ACCD	567,163	$6,812	12/31/2023
Charles Schwab Investment Management Inc.	555,982	$6,677	12/31/2023
ACCD	555,982	$6,677	12/31/2023
Renaissance Technologies LLC	484,500	$5,819	12/31/2023
ACCD	484,500	$5,819	12/31/2023
JFG Wealth Management LLC	471,000	$5,657	12/31/2023
ACCD	471,000	$5,657	12/31/2023
Bank of New York Mellon Corp	429,297	$4,499	03/31/2024
ACCD	429,297	$4,499	03/31/2024
Oaktree Capital Management LP		$4,278	12/31/2023
CONVERTIBLE BOND	5,004,000	$4,278	12/31/2023
D. E. Shaw & Co. Inc.	324,434	$3,896	12/31/2023
ACCD	324,434	$3,896	12/31/2023
Bank of America Corp DE	323,596	$3,886	12/31/2023
ACCD	323,596	$3,886	12/31/2023
Prudential Financial Inc.	301,653	$3,623	12/31/2023
ACCD	301,653	$3,623	12/31/2023
Millennium Management LLC	245,078	$2,943	12/31/2023
ACCD	245,078	$2,943	12/31/2023
Woodline Partners LP	240,829	$2,892	12/31/2023
ACCD	240,829	$2,892	12/31/2023
HighTower Advisors LLC	202,788	$2,435	12/31/2023
ACCD	202,788	$2,435	12/31/2023
Deutsche Bank AG	186,203	$2,236	12/31/2023
ACCD	186,203	$2,236	12/31/2023
Silverback Asset Management LLC		$1,913	12/31/2023
NOTE 0	2,213,000	$1,913	12/31/2023
Stifel Financial Corp	144,737	$1,738	12/31/2023
ACCD	144,737	$1,738	12/31/2023
Equitable Trust Co.	155,020	$1,625	03/31/2024
ACCD	155,020	$1,625	03/31/2024
Swiss National Bank	135,200	$1,624	12/31/2023
ACCD	135,200	$1,624	12/31/2023
Barclays PLC	128,916	$1,548	12/31/2023
ACCD	128,916	$1,548	12/31/2023
Susquehanna International Group LLP		$1,406	12/31/2023
ACCD	83,568	$1,004	12/31/2023
Call	33,500	$402	12/31/2023
Lazard Asset Management LLC	107,537	$1,291	12/31/2023
ACCD	107,537	$1,291	12/31/2023
Invesco Ltd.	103,329	$1,241	12/31/2023
ACCD	103,329	$1,241	12/31/2023
Nordea Investment Management AB	100,251	$1,237	12/31/2023
ACCD	100,251	$1,237	12/31/2023
CIBC Private Wealth Group LLC	102,598	$1,232	12/31/2023
ACCD	102,598	$1,232	12/31/2023
Rhumbline Advisers	99,871	$1,199	12/31/2023
ACCD	99,871	$1,199	12/31/2023
Bank of Montreal Can	90,009	$1,158	12/31/2023
ACCD	90,009	$1,158	12/31/2023
Credit Suisse AG	86,343	$1,037	12/31/2023
ACCD	86,343	$1,037	12/31/2023
UBS Asset Management Americas Inc.	86,298	$1,036	12/31/2023
ACCD	86,298	$1,036	12/31/2023