There is a long list of 1230 institutional holders of NVS 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 NVS by largest to smallest position reported in the institutional investor's latest 13F filing. In the institutional-holders-of-NVS table below, the initial column indicates the name of each top institutional holder of NVS, with a link to that fund's top holdings. The next columns indicate the amount of NVS stock held by each of the institutional holders of NVS, followed by the NVS 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
Dodge & Cox	13,165,538	$1,329,324	12/31/2023
NVS	13,165,538	$1,329,324	12/31/2023
Primecap Management Co. CA	12,905,697	$1,303,088	12/31/2023
NVS	12,905,697	$1,303,088	12/31/2023
Morgan Stanley	7,092,253	$716,105	12/31/2023
NVS	7,092,253	$716,105	12/31/2023
Dimensional Fund Advisors LP	6,078,175	$613,700	12/31/2023
NVS	6,078,175	$613,700	12/31/2023
Loomis Sayles & Co. L P	6,009,900	$606,819	12/31/2023
NVS	6,009,900	$606,819	12/31/2023
Franklin Resources Inc.	5,914,989	$597,236	12/31/2023
NVS	5,914,989	$597,236	12/31/2023
Bank of America Corp DE	5,147,666	$519,760	12/31/2023
NVS	5,147,666	$519,760	12/31/2023
Wellington Management Group LLP	4,746,599	$479,264	12/31/2023
NVS	4,746,599	$479,264	12/31/2023
Goldman Sachs Group Inc.	3,535,902	$357,020	12/31/2023
NVS	3,535,902	$357,020	12/31/2023
Renaissance Technologies LLC	2,838,082	$286,561	12/31/2023
NVS	2,838,082	$286,561	12/31/2023
Janus Henderson Group PLC	2,552,713	$257,747	12/31/2023
NVS	2,552,713	$257,747	12/31/2023
Principal Financial Group Inc.	2,508,648	$253,298	12/31/2023
NVS	2,508,648	$253,298	12/31/2023
Northern Trust Corp	2,140,172	$216,093	12/31/2023
NVS	2,140,172	$216,093	12/31/2023
Envestnet Asset Management Inc.	2,032,130	$205,184	12/31/2023
NVS	2,032,130	$205,184	12/31/2023
Wells Fargo & Company MN	2,003,548	$202,298	12/31/2023
NVS	2,003,548	$202,298	12/31/2023
BlackRock Inc.	1,829,523	$184,727	12/31/2023
NVS	1,829,523	$184,727	12/31/2023
State Street Corp	1,777,048	$179,429	12/31/2023
NVS	1,777,048	$179,429	12/31/2023
UBS Group AG	1,661,492	$167,761	12/31/2023
NVS	1,661,492	$167,761	12/31/2023
Cullen Capital Management LLC	1,629,238	$164,504	12/31/2023
NVS	1,629,238	$164,504	12/31/2023
Grantham Mayo Van Otterloo & Co. LLC	1,527,375	$154,219	12/31/2023
NVS	1,527,375	$154,219	12/31/2023
Mondrian Investment Partners LTD	1,474,909	$148,922	12/31/2023
NVS	1,474,909	$148,922	12/31/2023
Fisher Asset Management LLC	1,430,609	$144,449	12/31/2023
NVS	1,430,609	$144,449	12/31/2023
Scharf Investments LLC	1,364,854	$132,022	03/31/2024
NVS	1,364,854	$132,022	03/31/2024
Magnetar Financial LLC	1,239,942	$125,197	12/31/2023
NVS	1,239,942	$125,197	12/31/2023
FMR LLC	1,198,122	$120,974	12/31/2023
NVS	1,198,122	$120,974	12/31/2023
Aristotle Capital Management LLC		$108,304	12/31/2023
NVS	592,335	$59,808	12/31/2023
FOREIGN	480,789	$48,496	12/31/2023
Manning & Napier Group LLC	1,042,426	$100,832	03/31/2024
NVS	1,042,426	$100,832	03/31/2024
Capital Research Global Investors	903,722	$91,249	12/31/2023
NVS	903,722	$91,249	12/31/2023
Natixis Advisors L.P.	926,655	$89,636	03/31/2024
NVS	926,655	$89,636	03/31/2024
Truist Financial Corp	830,365	$83,842	12/31/2023
NVS	830,365	$83,842	12/31/2023
Chevy Chase Trust Holdings Inc.	815,804	$82,372	12/31/2023
NVS	815,804	$82,372	12/31/2023
Earnest Partners LLC	814,016	$82,191	12/31/2023
NVS	814,016	$82,191	12/31/2023
Citadel Advisors LLC		$80,922	12/31/2023
Call	638,400	$64,459	12/31/2023
NVS	440,055	$44,432	12/31/2023
Put	277,000	$27,969	12/31/2023
Alyeska Investment Group L.P.	755,399	$76,273	12/31/2023
NVS	755,399	$76,273	12/31/2023
Morningstar Investment Services LLC	746,836	$74,661	12/31/2023
NVS	746,836	$74,661	12/31/2023
First Trust Advisors LP	678,674	$68,526	12/31/2023
NVS	678,674	$68,526	12/31/2023
Bristol John W & Co. Inc. NY	642,755	$64,899	12/31/2023
NVS	642,755	$64,899	12/31/2023
CIBC Private Wealth Group LLC	625,605	$63,160	12/31/2023
NVS	625,605	$63,160	12/31/2023
Bank of New York Mellon Corp	624,855	$63,092	12/31/2023
NVS	624,855	$63,092	12/31/2023
Sei Investments Co.	610,748	$61,666	12/31/2023
NVS	610,748	$61,666	12/31/2023
Millennium Management LLC		$60,140	12/31/2023
NVS	398,300	$40,216	12/31/2023
Call	206,600	$20,903	12/31/2023
Put	9,700	$979	12/31/2023
Royal Bank of Canada	589,361	$59,508	12/31/2023
NVS	589,361	$59,508	12/31/2023
CI Private Wealth LLC	587,563	$59,326	12/31/2023
NVS	587,563	$59,326	12/31/2023
Harvest Portfolios Group Inc.	521,332	$52,639	12/31/2023
NVS	521,332	$52,639	12/31/2023
Raymond James & Associates	529,840	$51,251	03/31/2024
NVS	529,840	$51,251	03/31/2024
D.A. Davidson & CO.	487,077	$49,180	12/31/2023
NVS	487,077	$49,180	12/31/2023
Optiver Holding B.V.		$47,937	12/31/2023
NVS	482,177	$48,685	12/31/2023
Put	241,900	$24,425	12/31/2023
Call	234,500	$23,677	12/31/2023
American Century Companies Inc.	435,697	$43,992	12/31/2023
NVS	435,697	$43,992	12/31/2023
Macquarie Group Ltd.	434,075	$43,829	12/31/2023
NVS	434,075	$43,829	12/31/2023
Marshall Wace LLP	432,322	$43,652	12/31/2023
NVS	432,322	$43,652	12/31/2023