Vault-13

ISHARES TR IHI

U.S. MED DVC ETF · ETP · CUSIP 464288810

577 institutional holders +31 vs Q3 2023
44,150,18744.2m shares reported held*
$2.4bnreported value*
58 new 139 added 246 reduced 56 sold out net bought ≈ $149.5m (+2.8m shares)

* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($13.8m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $53.94. Options: 10 managers hold calls ($43.0m notional), 9 hold puts ($20.4m).

Trends to Q4 2023

Institutional holders

Managers reporting a position, each quarter

0200400600Q3 22: 556Q4 22: 576Q1 23: 558Q2 23: 585Q3 23: 546Q4 23: 577577Q3 22Q4 22Q1 23Q2 23Q3 23Q4 23
Numbers
QuarterHolders
Q3 2022556
Q4 2022576
Q1 2023558
Q2 2023585
Q3 2023546
Q4 2023577

Buyers vs sellers

Managers adding to or starting a position, vs cutting or selling out

Bought or addedCut or sold out
4000400Q4 22: 192 bought or addedQ4 22: 283 cut or sold outQ4 22Q1 23: 177 bought or addedQ1 23: 325 cut or sold outQ1 23Q2 23: 229 bought or addedQ2 23: 271 cut or sold outQ2 23Q3 23: 187 bought or addedQ3 23: 307 cut or sold outQ3 23Q4 23: 197 bought or addedQ4 23: 302 cut or sold outQ4 23
Numbers
QuarterBought or addedCut or sold out
Q4 2022192283
Q1 2023177325
Q2 2023229271
Q3 2023187307
Q4 2023197302

Calls vs puts

Options held, notional value, last 4 quarters. P/C = puts ÷ calls

CallsPuts
$0$20m$40m$60mQ1 23 calls: $13.1mQ1 23 puts: $4.8mQ1 23P/C 0.37Q2 23 calls: $12.4mQ2 23 puts: $18.1mQ2 23P/C 1.46Q3 23 calls: $18.6mQ3 23 puts: $12.7mQ3 23P/C 0.68Q4 23 calls: $43.0mQ4 23 puts: $20.4mQ4 23P/C 0.47
Numbers
QuarterCallsPutsP/C
Q1 2023$13.1m$4.8m0.37
Q2 2023$12.4m$18.1m1.46
Q3 2023$18.6m$12.7m0.68
Q4 2023$43.0m$20.4m0.47

Biggest buyers

MORGAN STANLEY Added +3,253,752+3.3m
JPMORGAN CHASE & CO Added +728,895+728.9k
MEITAV INVESTMENT HOUSE LTD Added +436,752+436.8k
Mivtachim The Workers Social Insurance Fund Ltd. (Under Special Management) New +385,600+385.6k
Migdal Insurance & Financial Holdings Ltd. Added +350,000+350.0k
MARSHALL WACE, LLP New +328,634+328.6k
ROYAL BANK OF CANADA Added +259,155+259.2k
FWL INVESTMENT MANAGEMENT, LLC New +178,205+178.2k
JANE STREET GROUP, LLC Added +129,031+129.0k
SUSQUEHANNA INTERNATIONAL GROUP, LLP Added +116,728+116.7k

Biggest sellers

BANK OF AMERICA CORP /DE/ Reduced -514,453-514.5k
LPL Financial LLC Reduced -492,153-492.2k
Strategic Investment Solutions, Inc. /IL Reduced -396,849-396.8k
OSAIC HOLDINGS, INC. Reduced -292,551-292.6k
CUMBERLAND ADVISORS INC Sold out -267,629-267.6k
Baltimore-Washington Financial Advisors, Inc. Reduced -163,530-163.5k
WESPAC Advisors SoCal, LLC Sold out -156,920-156.9k
MML INVESTORS SERVICES, LLC Reduced -149,944-149.9k
Fisher Asset Management, LLC Reduced -110,248-110.2k
Stelac Advisory Services LLC Sold out -105,891-105.9k

Biggest calls

Squarepoint Ops LLC Added $13.7m254.3k shares
CITADEL ADVISORS LLC Added $8.7m160.6k shares
Point72 Asset Management, L.P. New $5.4m100.0k shares
PEAK6 Investments LLC Added $4.6m84.8k shares
CAPITAL FUND MANAGEMENT S.A. New $4.4m81.8k shares
MILLENNIUM MANAGEMENT LLC New $2.7m50.0k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP Reduced $2.4m45.1k shares
BARCLAYS PLC New $647.6k12.0k shares
GTS SECURITIES LLC Added $350.8k6.5k shares
Cutler Group LLC / CA Added $68.0k20.8k shares

Biggest puts

CITADEL ADVISORS LLC Added $5.8m106.8k shares
Caption Management, LLC Unchanged $4.5m82.5k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP Added $4.4m82.4k shares
CAPITAL FUND MANAGEMENT S.A. New $4.2m78.4k shares
GTS SECURITIES LLC Reduced $885.1k16.4k shares
Squarepoint Ops LLC New $210.5k3.9k shares
Lido Advisors, LLC Unchanged $194.3k3.6k shares
PEAK6 Investments LLC New $167.3k3.1k shares
Cutler Group LLC / CA Added $1.0k5.3k shares

Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.

Holders, Q4 2023

#ManagerLocationShares Value% of their portfolioChangeShares change
1 MORGAN STANLEY 0.02% of their portfolio NEW YORK, NY 6,599,3346.6m $356.2m $356.2m 0.02% Added +3.3m +3,253,752
2 MEITAV INVESTMENT HOUSE LTD 2.43% of their portfolio BENE-BERAQ, L3 3,068,4363.1m $165.5m $165.5m 2.43% Added +436.8k +436,752
3 BANK OF AMERICA CORP /DE/ 0.01% of their portfolio CHARLOTTE, NC 2,347,1202.3m $126.7m $126.7m 0.01% Reduced -514.5k -514,453
4 LPL Financial LLC 0.08% of their portfolio FORT MILL, SC 2,297,4092.3m $124.0m $124.0m 0.08% Reduced -492.2k -492,153
5 Fisher Asset Management, LLC 0.06% of their portfolio PLANO, TX 2,075,7452.1m $112.0m $112.0m 0.06% Reduced -110.2k -110,248
6 WELLS FARGO & COMPANY/MN 0.02% of their portfolio SAN FRANCISCO, CA 1,328,7011.3m $71.7m $71.7m 0.02% Added +70.2k +70,238
7 UBS Group AG 0.03% of their portfolio ZURICH, V8 1,324,3081.3m $71.5m $71.5m 0.03% Added +80.0k +80,033
8 ENVESTNET ASSET MANAGEMENT INC 0.03% of their portfolio Berwyn, PA 1,170,9661.2m $63.2m $63.2m 0.03% Reduced -7.3k -7,251
9 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 1,107,5041.1m $59.8m $59.8m 0.00% Added +728.9k +728,895
10 ROYAL BANK OF CANADA 0.01% of their portfolio TORONTO, A6 1,068,9991.1m $57.7m $57.7m 0.01% Added +259.2k +259,155
11 Harel Insurance Investments & Financial Services Ltd. 0.69% of their portfolio Ramat Gan, L3 723,996724.0k $39.1m $39.1m 0.69% Reduced -26.4k -26,450
12 Kranot Hishtalmut Le Morim Ve Gananot Havera Menahelet LTD 2.04% of their portfolio Tel Aviv, L3 552,661552.7k $29.8m $29.8m 2.04% Unchanged
13 J Arnold Wealth Management Co 10.01% of their portfolio Youngstown, OH 544,644544.6k $29.4m $29.4m 10.01% Added +34.6k +34,560
14 AMERIPRISE FINANCIAL INC 0.01% of their portfolio MINNEAPOLIS, MN 527,979528.0k $28.5m $28.5m 0.01% Reduced -74.5k -74,496
15 GOLDMAN SACHS GROUP INC 0.01% of their portfolio NEW YORK, NY 493,031493.0k $26.6m $26.6m 0.01% Reduced -11.7k -11,733
16 OSAIC HOLDINGS, INC. 0.04% of their portfolio SCOTTSDALE, AZ 429,277429.3k $23.2m $23.2m 0.04% Reduced -292.6k -292,551
17 Mivtachim The Workers Social Insurance Fund Ltd. (Under Special Management) 1.63% of their portfolio Tel Aviv, L3 385,600385.6k $20.8m $20.8m 1.63% New
18 RAYMOND JAMES & ASSOCIATES 0.02% of their portfolio ST PETERSBURG, FL 382,205382.2k $20.6m $20.6m 0.02% Reduced -82.1k -82,092
19 COMMONWEALTH EQUITY SERVICES, LLC 0.04% of their portfolio WALTHAM, MA 379,679379.7k $20.5m $20.5m 0.04% Reduced -96.0k -95,963
20 Flaharty Asset Management, LLC 3.23% of their portfolio CLEARWATER, FL 378,432378.4k $20.4m $20.4m 3.23% Added +1.9k +1,935
21 Raymond James Financial Services Advisors, Inc. 0.03% of their portfolio ST. PETERSBURG, FL 367,812367.8k $19.9m $19.9m 0.03% Added +71.6k +71,596
22 Migdal Insurance & Financial Holdings Ltd. 0.39% of their portfolio Petach Tikva, L3 356,326356.3k $19.2m $19.2m 0.39% Added +350.0k +350,000
23 MARSHALL WACE, LLP 0.03% of their portfolio LONDON, X0 328,634328.6k $17.7m $17.7m 0.03% New
24 Nan Shan Life Insurance Co., Ltd. 0.37% of their portfolio Taipei City, F5 280,711280.7k $15.1m $15.1m 0.37% Unchanged
25 BANK HAPOALIM BM 2.01% of their portfolio TEL AVIV, L3 272,492272.5k $14.7m $14.7m 2.01% Reduced -5.7k -5,748
26 MACKENZIE FINANCIAL CORP 0.02% of their portfolio TORONTO ONTARIO, A6 269,360269.4k $14.5m $14.5m 0.02% Reduced -655 -655
27 Gerber Kawasaki Wealth & Investment Management 0.78% of their portfolio SANTA MONICA, CA 242,802242.8k $13.1m $13.1m 0.78% Reduced -66.7k -66,744
28 RiverFront Investment Group, LLC 0.41% of their portfolio RICHMOND, VA 242,301242.3k $13.1m $13.1m 0.41% Added +11.8k +11,823
29 AE Wealth Management LLC 0.07% of their portfolio TOPEKA, KS 236,109236.1k $13.0m $13.0m 0.07% Reduced -13.1k -13,146
30 Baltimore-Washington Financial Advisors, Inc. 0.87% of their portfolio Columbia, MD 233,413233.4k $12.6m $12.6m 0.87% Reduced -163.5k -163,530
31 Wharton Business Group, LLC 0.63% of their portfolio MALVERN, PA 233,385233.4k $12.6m $12.6m 0.63% Reduced -26.1k -26,131
32 WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.03% of their portfolio PLYMOUTH, MN 221,522221.5k $12.0m $12.0m 0.03% Reduced -554 -554
33 Cambridge Investment Research Advisors, Inc. 0.05% of their portfolio FAIRFIELD, IA 218,135218.1k $11.8m $11.8m 0.05% Reduced -84.0k -84,039
34 ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio NASHVILLE, TN 210,401210.4k $11.4m $11.4m 0.00% Added +64.3k +64,340
35 Northeast Financial Consultants Inc 0.62% of their portfolio WESTPORT, CT 208,726208.7k $11.3m $11.3m 0.62% Reduced -21.4k -21,450
36 Financial Partners Group, Inc 2.00% of their portfolio Overland Park, KS 206,832206.8k $11.2m $11.2m 2.00% Added +13.4k +13,431
37 MML INVESTORS SERVICES, LLC 0.05% of their portfolio SPRINGFIELD, MA 202,398202.4k $10.9m $10.9m 0.05% Reduced -149.9k -149,944
38 MERCER GLOBAL ADVISORS INC /ADV 0.03% of their portfolio DENVER, CO 202,055202.1k $10.9m $10.9m 0.03% Added +6.2k +6,187
39 MEANS INVESTMENT CO., INC. 1.55% of their portfolio BANGOR, ME 199,857199.9k $10.8m $10.8m 1.55% Reduced -26.5k -26,515
40 Equitable Holdings, Inc. 0.13% of their portfolio NEW YORK, NY 197,140197.1k $10.6m $10.6m 0.13% Added +27.9k +27,864
41 Kranot Hishtalmut Le Morim Tichoniim Havera Menahelet LTD 2.06% of their portfolio Tel Aviv, L3 192,789192.8k $10.4m $10.4m 2.06% Unchanged
42 Cetera Advisor Networks LLC 0.06% of their portfolio EL SEGUNDO, CA 189,115189.1k $10.2m $10.2m 0.06% Reduced -22.9k -22,875
43 FWL INVESTMENT MANAGEMENT, LLC 5.60% of their portfolio Dallas, TX 178,205178.2k $9.6m $9.6m 5.60% New
44 ARKANSAS FINANCIAL GROUP, INC. 1.75% of their portfolio LITTLE ROCK, AR 175,674175.7k $9.5m $9.5m 1.75% Added +13.7k +13,656
45 EP Wealth Advisors, LLC 0.11% of their portfolio TORRANCE, CA 162,223162.2k $8.8m $8.8m 0.11% Reduced -3.0k -2,985
46 JANE STREET GROUP, LLC 0.01% of their portfolio NEW YORK, NY 158,981159.0k $8.6m $8.6m 0.01% Added +129.0k +129,031
47 Hamilton Wealth, LLC 2.69% of their portfolio LOS ANGELES, CA 158,378158.4k $8.5m $8.5m 2.69% Reduced -23.4k -23,424
48 TRUIST FINANCIAL CORP 0.01% of their portfolio CHARLOTTE, NC 156,010156.0k $8.4m $8.4m 0.01% Added +1.6k +1,582
49 Baker Avenue Asset Management, LP 0.36% of their portfolio SAN FRANCISCO, CA 150,287150.3k $8.1m $8.1m 0.36% Added +8.1k +8,130
50 Certified Advisory Corp 1.12% of their portfolio ALTAMONTE SPRINGS, FL 137,302137.3k $7.4m $7.4m 1.12% Reduced -716 -716
51 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.01% of their portfolio BALA CYNWYD, PA 134,394134.4k $7.3m $7.3m 0.01% Added +116.7k +116,728
52 B. Riley Wealth Advisors, Inc. 0.19% of their portfolio MEMPHIS, TN 127,745127.7k $6.9m $6.9m 0.19% Added +13.6k +13,602
53 NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO 0.01% of their portfolio MILWAUKEE, WI 126,469126.5k $6.8m $6.8m 0.01% Added +2.5k +2,472
54 NewEdge Advisors, LLC 0.06% of their portfolio NEW ORLEANS, LA 120,972121.0k $6.6m $6.6m 0.06% Reduced -31.6k -31,586
55 Janney Montgomery Scott LLC 0.02% of their portfolio PHILADELPHIA, PA 117,671117.7k $6.4m $6.4m 0.02% Reduced -53.4k -53,396
56 Strategic Wealth Partners, Ltd. 0.77% of their portfolio INDEPENDENCE, OH 115,852115.9k $6.3m $6.3m 0.77% New
57 PEAPACK GLADSTONE FINANCIAL CORP 0.10% of their portfolio BEDMINSTER, NJ 112,165112.2k $6.1m $6.1m 0.10% Reduced -1.5k -1,478
58 Federation des caisses Desjardins du Quebec 0.06% of their portfolio LEVIS, A8 112,132112.1k $6.1m $6.1m 0.06% Reduced -4.2k -4,206
59 Capital Analysts, LLC 0.30% of their portfolio FORT WASHINGTON, PA 111,965112.0k $6.0m $6.0m 0.30% Reduced -1.6k -1,617
60 United Asset Strategies, Inc. 0.65% of their portfolio GARDEN CITY, NY 107,508107.5k $5.8m $5.8m 0.65% New
61 Baird Financial Group, Inc. 0.01% of their portfolio MILWAUKEE, WI 106,733106.7k $5.8m $5.8m 0.01% Reduced -1.0k -1,031
62 FinDec Wealth Services, Inc. 3.82% of their portfolio Stockton, CA 105,791105.8k $5.7m $5.7m 3.82% Reduced -23.3k -23,323
63 Safeguard Investment Advisory Group, LLC 2.13% of their portfolio Corona, CA 104,851104.9k $5.7m $5.7m 2.13% Added +3.5k +3,483
64 Yarbrough Capital, LLC 0.30% of their portfolio FRANKLIN, TN 104,660104.7k $5.6m $5.6m 0.30% Unchanged
65 Segment Wealth Management, LLC 0.49% of their portfolio HOUSTON, TX 103,101103.1k $5.6m $5.6m 0.49% Reduced -12.7k -12,680
66 CENTAURUS FINANCIAL, INC. 0.42% of their portfolio ANAHEIM, CA 103,092103.1k $5.6m $5.6m 0.42% Added +28.0k +27,958
67 BLAIR WILLIAM & CO/IL 0.02% of their portfolio CHICAGO, IL 101,043101.0k $5.5m $5.5m 0.02% Added +7.2k +7,206
68 Mariner, LLC 0.01% of their portfolio Overland Park, KS 100,473100.5k $5.4m $5.4m 0.01% Reduced -15.6k -15,621
69 Moors & Cabot, Inc. 0.34% of their portfolio BOSTON, MA 100,080100.1k $5.4m $5.4m 0.34% Added +324 +324
70 Dakota Wealth Management 0.21% of their portfolio PALM BEACH GARDENS, FL 100,079100.1k $5.4m $5.4m 0.21% Reduced -1.3k -1,329
71 CMH Wealth Management LLC 1.31% of their portfolio PORTSMOUTH, NH 100,036100.0k $5.4m $5.4m 1.31% Added +34.0k +33,986
72 STIFEL FINANCIAL CORP 0.01% of their portfolio ST. LOUIS, MO 99,48399.5k $5.4m $5.4m 0.01% Reduced -4.3k -4,348
73 Deane Retirement Strategies, Inc. 2.93% of their portfolio NEW ORLEANS, LA 99,36799.4k $5.4m $5.4m 2.93% New
74 Dynamic Advisor Solutions LLC 0.19% of their portfolio PHOENIX, AZ 96,18296.2k $5.1m $5.1m 0.19% Reduced -34.5k -34,531
75 Anchor Investment Management, LLC 0.59% of their portfolio COLUMBIA, SC 96,11096.1k $5.2m $5.2m 0.59% Added +14.7k +14,671
76 Fifth Third Securities, Inc. 0.53% of their portfolio Cincinnati, OH 94,51994.5k $5.1m $5.1m 0.53% Reduced -13.1k -13,078
77 MANCHESTER FINANCIAL INC 1.41% of their portfolio Westlake Village, CA 93,31593.3k $5.0m $5.0m 1.41% Reduced -1.9k -1,936
78 Atria Wealth Solutions, Inc. 0.06% of their portfolio NEW YORK, NY 92,34092.3k $5.0m $5.0m 0.06% Added +969 +969
79 LM Advisors LLC 0.98% of their portfolio SAN DIEGO, CA 90,67390.7k $4.9m $4.9m 0.98% First filing
80 Money Design Co.,Ltd. 0.27% of their portfolio TOKYO, M0 89,41489.4k $4.8m $4.8m 0.27% Reduced -19.0k -19,001
81 HRT FINANCIAL LP 0.04% of their portfolio NEW YORK, NY 89,17289.2k $4.8m $4.8m 0.04% New
82 AVANTAX ADVISORY SERVICES, INC. 0.05% of their portfolio DALLAS, TX 88,55988.6k $4.8m $4.8m 0.05% Reduced -23.9k -23,896
83 Cavalier Investments, LLC 1.73% of their portfolio ALPHARETTA, GA 86,85686.9k $4.7m $4.7m 1.73% Added +2.1k +2,122
84 PRINCIPAL SECURITIES, INC. 0.17% of their portfolio DES MOINES, IA 82,69382.7k $4.5m $4.5m 0.17% First filing
85 Focus Partners Wealth 0.06% of their portfolio ST LOUIS, MO 80,15380.2k $4.3m $4.3m 0.06% First filing
86 Kestra Advisory Services, LLC 0.03% of their portfolio AUSTIN, TX 79,35979.4k $4.3m $4.3m 0.03% Reduced -1.3k -1,265
87 HighTower Advisors, LLC 0.01% of their portfolio CHICAGO, IL 78,63578.6k $4.2m $4.2m 0.01% Reduced -5.9k -5,937
88 PNC Financial Services Group, Inc. 0.00% of their portfolio Pittsburgh, PA 78,60178.6k $4.2m $4.2m 0.00% Reduced -3.0k -2,994
89 Charter Oak Capital Management, LLC 0.50% of their portfolio PORTSMOUTH, NH 78,53278.5k $4.2m $4.2m 0.50% Reduced -3.5k -3,543
90 ALTFEST L J & CO INC 0.61% of their portfolio NEW YORK, NY 77,38077.4k $4.2m $4.2m 0.61% Added +12.5k +12,510
91 JMAC ENTERPRISES LLC 0.89% of their portfolio NEWTOWN, PA 76,85076.8k $4.1m $4.1m 0.89% Added +9.1k +9,089
92 Private Advisor Group, LLC 0.03% of their portfolio MORRISTOWN, NJ 76,65976.7k $4.1m $4.1m 0.03% Added +4.1k +4,114
93 AXXCESS WEALTH MANAGEMENT, LLC 0.12% of their portfolio CARLSBAD, CA 74,11774.1k $4.0m $4.0m 0.12% Added +7.8k +7,808
94 Nicholas Investment Partners, LP 0.47% of their portfolio RANCHO SANTA FE, CA 74,00974.0k $4.0m $4.0m 0.47% New
95 Apollon Financial, LLC 1.57% of their portfolio MOUNT PLEASANT, SC 73,61673.6k $4.0m $4.0m 1.57% First filing
96 Snider Financial Group 1.77% of their portfolio BELLEVUE, WA 71,27671.3k $3.8m $3.8m 1.77% Added +4.2k +4,155
97 NORTHSTAR ASSET MANAGEMENT Co 1.00% of their portfolio BLUE BELL, PA 70,00270.0k $3.8m $3.8m 1.00% Reduced -10.6k -10,610
98 Capital Asset Advisory Services LLC 0.23% of their portfolio Williamston, MI 69,53269.5k $3.8m $3.8m 0.23% Added +2.8k +2,797
99 Mason & Associates Inc 1.07% of their portfolio LOS ANGELES, CA 67,60567.6k $3.6m $3.6m 1.07% Added +352 +352
100 RWA WEALTH PARTNERS, LLC 0.05% of their portfolio BOSTON, MA 66,97867.0k $3.6m $3.6m 0.05% New