Vault-13

ISHARES TR IHI

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

568 institutional holders +9 vs Q3 2024
28,339,18728.3m shares reported held*
$1.7bnreported value*
44 new 140 added 220 reduced 57 sold out net sold ≈ $424.5m (-8.1m 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 ($4.1m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $58.34. Options: 9 managers hold calls ($19.3m notional), 9 hold puts ($44.7m).

Trends to Q4 2024

Institutional holders

Managers reporting a position, each quarter

0200400600Q3 22: 556Q4 22: 576Q1 23: 558Q2 23: 585Q3 23: 546Q4 23: 577Q1 24: 583Q2 24: 548Q3 24: 559Q4 24: 568568Q3 22Q1 23Q3 23Q1 24Q3 24Q4 24
Numbers
QuarterHolders
Q3 2022556
Q4 2022576
Q1 2023558
Q2 2023585
Q3 2023546
Q4 2023577
Q1 2024583
Q2 2024548
Q3 2024559
Q4 2024568

Buyers vs sellers

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

Bought or addedCut or sold out
4000400Q1 23: 177 bought or addedQ1 23: 325 cut or sold outQ2 23: 229 bought or addedQ2 23: 271 cut or sold outQ2 23Q3 23: 187 bought or addedQ3 23: 307 cut or sold outQ4 23: 197 bought or addedQ4 23: 302 cut or sold outQ4 23Q1 24: 225 bought or addedQ1 24: 277 cut or sold outQ2 24: 170 bought or addedQ2 24: 316 cut or sold outQ2 24Q3 24: 177 bought or addedQ3 24: 271 cut or sold outQ4 24: 184 bought or addedQ4 24: 277 cut or sold outQ4 24
Numbers
QuarterBought or addedCut or sold out
Q1 2023177325
Q2 2023229271
Q3 2023187307
Q4 2023197302
Q1 2024225277
Q2 2024170316
Q3 2024177271
Q4 2024184277

Calls vs puts

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

CallsPuts
$0$20m$40m$60m$80mQ1 24 calls: $45.7mQ1 24 puts: $21.7mQ1 24P/C 0.48Q2 24 calls: $20.2mQ2 24 puts: $12.9mQ2 24P/C 0.64Q3 24 calls: $17.4mQ3 24 puts: $67.7mQ3 24P/C 3.89Q4 24 calls: $19.3mQ4 24 puts: $44.7mQ4 24P/C 2.32
Numbers
QuarterCallsPutsP/C
Q1 2024$45.7m$21.7m0.48
Q2 2024$20.2m$12.9m0.64
Q3 2024$17.4m$67.7m3.89
Q4 2024$19.3m$44.7m2.32

Biggest buyers

BANK OF AMERICA CORP /DE/ Added +598,974+599.0k
LPL Financial LLC Added +442,603+442.6k
BNP PARIBAS FINANCIAL MARKETS Added +191,921+191.9k
CITADEL ADVISORS LLC Added +115,747+115.7k
UBS Group AG Added +104,432+104.4k
Kingsview Wealth Management, LLC Added +86,315+86.3k
Independent Advisor Alliance New +68,940+68.9k
VALICENTI ADVISORY SERVICES INC New +60,280+60.3k
Harel Insurance Investments & Financial Services Ltd. Added +47,700+47.7k
SUSQUEHANNA INTERNATIONAL GROUP, LLP Added +42,566+42.6k

Biggest sellers

CITIGROUP INC Reduced -5,445,800-5.4m
JPMORGAN CHASE & CO Reduced -1,909,945-1.9m
INTERNATIONAL ASSETS INVESTMENT MANAGEMENT, LLC Reduced -746,096-746.1k
Baltimore-Washington Financial Advisors, Inc. Sold out -272,425-272.4k
D. E. Shaw & Co., Inc. Sold out -196,493-196.5k
ENVESTNET ASSET MANAGEMENT INC Reduced -134,854-134.9k
Strategic Wealth Partners, Ltd. Reduced -127,769-127.8k
MILLENNIUM MANAGEMENT LLC Sold out -127,437-127.4k
TWO SIGMA INVESTMENTS, LP Sold out -112,500-112.5k
Gimbal Financial Sold out -111,418-111.4k

Biggest calls

SUSQUEHANNA INTERNATIONAL GROUP, LLP Added $9.8m168.2k shares
CITADEL ADVISORS LLC Reduced $3.5m60.7k shares
WOLVERINE TRADING, LLC New $2.4m41.0k shares
Squarepoint Ops LLC Added $1.2m20.5k shares
JANE STREET GROUP, LLC Reduced $881.1k15.1k shares
CAPITAL FUND MANAGEMENT S.A. Reduced $805.2k13.8k shares
PEAK6 LLC First filing $554.3k9.5k shares
Walleye Trading LLC Reduced $58.4k1.0k shares
MAI Capital Management New $17.5k300 shares

Biggest puts

Polar Asset Management Partners Inc. New $23.3m400.0k shares
CITADEL ADVISORS LLC Added $8.5m145.3k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP Added $7.2m122.7k shares
WOLVERINE TRADING, LLC New $1.4m24.3k shares
Squarepoint Ops LLC Added $1.3m23.1k shares
PURA VIDA INVESTMENTS, LLC Reduced $1.2m20.0k shares
Caption Management, LLC Unchanged $1.2m20.0k shares
Walleye Trading LLC Added $496.0k8.5k shares
PEAK6 LLC First filing $93.4k1.6k 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 2024

#ManagerLocationShares Value% of their portfolioChangeShares change
1 MORGAN STANLEY 0.01% of their portfolio NEW YORK, NY 2,852,1742.9m $166.4m $166.4m 0.01% Reduced -81.8k -81,840
2 BANK OF AMERICA CORP /DE/ 0.01% of their portfolio CHARLOTTE, NC 2,666,8062.7m $155.6m $155.6m 0.01% Added +599.0k +598,974
3 LPL Financial LLC 0.05% of their portfolio FORT MILL, SC 2,237,4672.2m $130.6m $130.6m 0.05% Added +442.6k +442,603
4 UBS Group AG 0.02% of their portfolio ZURICH, V8 1,249,7121.2m $72.9m $72.9m 0.02% Added +104.4k +104,432
5 Fisher Asset Management, LLC 0.03% of their portfolio PLANO, TX 1,148,7321.1m $67.0m $67.0m 0.03% Reduced -66.9k -66,852
6 WELLS FARGO & COMPANY/MN 0.02% of their portfolio SAN FRANCISCO, CA 1,087,4711.1m $63.5m $63.5m 0.02% Added +21.7k +21,668
7 ENVESTNET ASSET MANAGEMENT INC 0.01% of their portfolio Berwyn, PA 747,981748.0k $43.6m $43.6m 0.01% Reduced -134.9k -134,854
8 ROYAL BANK OF CANADA 0.01% of their portfolio TORONTO, A6 710,671710.7k $41.5m $41.5m 0.01% Reduced -60.1k -60,090
9 RAYMOND JAMES FINANCIAL INC 0.01% of their portfolio ST. PETERSBURG, FL 666,604666.6k $38.9m $38.9m 0.01% First filing
10 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 494,843494.8k $28.9m $28.9m 0.00% Reduced -1.9m -1,909,945
11 BNP PARIBAS FINANCIAL MARKETS 0.02% of their portfolio PARIS, I0 348,312348.3k $20.3m $20.3m 0.02% Added +191.9k +191,921
12 RiverFront Investment Group, LLC 0.45% of their portfolio RICHMOND, VA 342,017342.0k $20.0m $20.0m 0.45% Added +24.1k +24,068
13 AMERIPRISE FINANCIAL INC 0.00% of their portfolio MINNEAPOLIS, MN 327,688327.7k $19.1m $19.1m 0.00% Reduced -18.2k -18,196
14 COMMONWEALTH EQUITY SERVICES, LLC 0.03% of their portfolio WALTHAM, MA 322,483322.5k $18.8m $18.8m 0.03% Reduced -22.1k -22,107
15 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 291,225291.2k $17.0m $17.0m 0.00% Added +30.4k +30,413
16 Wharton Business Group, LLC 0.68% of their portfolio MALVERN, PA 257,900257.9k $15.0m $15.0m 0.68% Reduced -18.9k -18,950
17 OSAIC HOLDINGS, INC. 0.03% of their portfolio SCOTTSDALE, AZ 255,403255.4k $13.8m $13.8m 0.03% Reduced -6.1k -6,135
18 Cetera Investment Advisers 0.03% of their portfolio SCHAUMBURG, IL 248,992249.0k $14.5m $14.5m 0.03% Reduced -1.2k -1,177
19 HighTower Advisors, LLC 0.02% of their portfolio CHICAGO, IL 236,462236.5k $13.8m $13.8m 0.02% Added +31.7k +31,732
20 WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.02% of their portfolio PLYMOUTH, MN 221,943221.9k $13.0m $13.0m 0.02% Added +6.8k +6,781
21 Kingsview Wealth Management, LLC 0.23% of their portfolio GRANTS PASS, OR 206,678206.7k $12.1m $12.1m 0.23% Added +86.3k +86,315
22 FWL INVESTMENT MANAGEMENT, LLC 4.26% of their portfolio Dallas, TX 200,465200.5k $11.7m $11.7m 4.26% Added +6.8k +6,816
23 Gerber Kawasaki Wealth & Investment Management 0.49% of their portfolio SANTA MONICA, CA 193,499193.5k $11.3m $11.3m 0.49% Reduced -3.1k -3,098
24 CITIGROUP INC 0.01% of their portfolio NEW YORK, NY 185,868185.9k $10.8m $10.8m 0.01% Reduced -5.4m -5,445,800
25 ARKANSAS FINANCIAL GROUP, INC. 1.73% of their portfolio LITTLE ROCK, AR 183,268183.3k $10.7m $10.7m 1.73% Added +5.2k +5,172
26 Cambridge Investment Research Advisors, Inc. 0.03% of their portfolio FAIRFIELD, IA 173,268173.3k $10.1m $10.1m 0.03% Reduced -13.5k -13,489
27 Baker Avenue Asset Management, LP 0.29% of their portfolio SAN FRANCISCO, CA 164,253164.3k $9.6m $9.6m 0.29% Added +2.9k +2,901
28 MERCER GLOBAL ADVISORS INC /ADV 0.02% of their portfolio DENVER, CO 163,241163.2k $9.5m $9.5m 0.02% Reduced -17.9k -17,902
29 CITADEL ADVISORS LLC 0.01% of their portfolio MIAMI, FL 151,512151.5k $8.8m $8.8m 0.01% Added +115.7k +115,747
30 MEANS INVESTMENT CO., INC. 0.92% of their portfolio BANGOR, ME 151,385151.4k $8.8m $8.8m 0.92% Reduced -1.3k -1,314
31 Equitable Holdings, Inc. 0.08% of their portfolio NEW YORK, NY 151,318151.3k $8.8m $8.8m 0.08% Reduced -7.3k -7,344
32 EP Wealth Advisors, LLC 0.07% of their portfolio TORRANCE, CA 139,562139.6k $8.1m $8.1m 0.07% Reduced -12.4k -12,379
33 Certified Advisory Corp 0.86% of their portfolio ALTAMONTE SPRINGS, FL 136,372136.4k $8.0m $8.0m 0.86% Reduced -2.3k -2,285
34 Trivium Point Advisory, LLC 1.00% of their portfolio WILTON, CT 136,212136.2k $7.9m $7.9m 1.00% Added +4.8k +4,753
35 Federation des caisses Desjardins du Quebec 0.04% of their portfolio LEVIS, A8 131,733131.7k $7.7m $7.7m 0.04% Reduced -1.2k -1,229
36 MML INVESTORS SERVICES, LLC 0.03% of their portfolio SPRINGFIELD, MA 127,478127.5k $7.4m $7.4m 0.03% Reduced -3.2k -3,188
37 Safeguard Investment Advisory Group, LLC 2.03% of their portfolio Corona, CA 126,793126.8k $7.4m $7.4m 2.03% Added +2.7k +2,660
38 Dakota Wealth Management 0.16% of their portfolio PALM BEACH GARDENS, FL 120,923120.9k $7.1m $7.1m 0.16% Reduced -2.3k -2,321
39 B. Riley Wealth Advisors, Inc. 0.22% of their portfolio MEMPHIS, TN 113,666113.7k $6.6m $6.6m 0.22% Reduced -1.5k -1,493
40 Janney Montgomery Scott LLC 0.02% of their portfolio PHILADELPHIA, PA 110,053110.1k $6.4m $6.4m 0.02% Reduced -9.3k -9,262
41 Segment Wealth Management, LLC 0.43% of their portfolio HOUSTON, TX 106,872106.9k $6.2m $6.2m 0.43% Added +7.4k +7,355
42 Anchor Investment Management, LLC 0.58% of their portfolio COLUMBIA, SC 106,522106.5k $6.2m $6.2m 0.58% Added +2.1k +2,091
43 STIFEL FINANCIAL CORP 0.01% of their portfolio ST. LOUIS, MO 106,256106.3k $6.2m $6.2m 0.01% Added +339 +339
44 Fifth Third Securities, Inc. 0.53% of their portfolio Cincinnati, OH 106,254106.3k $6.2m $6.2m 0.53% Reduced -4.4k -4,417
45 Northeast Financial Consultants Inc 0.26% of their portfolio WESTPORT, CT 105,447105.4k $6.2m $6.2m 0.26% Reduced -24.3k -24,339
46 JONES FINANCIAL COMPANIES LLLP 0.01% of their portfolio DES PERES, MO 105,340105.3k $6.1m $6.1m 0.01% Added +29.4k +29,445
47 Yarbrough Capital, LLC 0.23% of their portfolio FRANKLIN, TN 104,660104.7k $6.1m $6.1m 0.23% Unchanged
48 TRUIST FINANCIAL CORP 0.01% of their portfolio CHARLOTTE, NC 102,703102.7k $6.0m $6.0m 0.01% Reduced -14.4k -14,356
49 BLAIR WILLIAM & CO/IL 0.02% of their portfolio CHICAGO, IL 101,944101.9k $5.9m $5.9m 0.02% Reduced -2.0k -2,019
50 Baird Financial Group, Inc. 0.01% of their portfolio MILWAUKEE, WI 100,788100.8k $5.9m $5.9m 0.01% Reduced -1.3k -1,342
51 PEAPACK GLADSTONE FINANCIAL CORP 0.09% of their portfolio BEDMINSTER, NJ 100,493100.5k $5.9m $5.9m 0.09% Reduced -5.2k -5,250
52 CUMBERLAND ADVISORS INC 2.32% of their portfolio SARASOTA, FL 99,45099.5k $5.8m $5.8m 2.32% Reduced -750 -750
53 Moors & Cabot, Inc. 0.27% of their portfolio BOSTON, MA 98,47598.5k $5.7m $5.7m 0.27% Reduced -158 -158
54 Capital Analysts, LLC 0.22% of their portfolio FORT WASHINGTON, PA 95,40995.4k $5.6m $5.6m 0.22% Reduced -505 -505
55 PRINCIPAL SECURITIES, INC. 0.12% of their portfolio DES MOINES, IA 92,03792.0k $5.4m $5.4m 0.12% Reduced -2.6k -2,588
56 LYNX CAPITAL GROUP LTD /ADV 2.74% of their portfolio BEACHWOOD, OH 81,68481.7k $4.8m $4.8m 2.74% Added +13.9k +13,891
57 NewEdge Advisors, LLC 0.03% of their portfolio NEW ORLEANS, LA 79,69279.7k $4.7m $4.7m 0.03% Reduced -6.8k -6,814
58 PNC Financial Services Group, Inc. 0.00% of their portfolio Pittsburgh, PA 78,43078.4k $4.6m $4.6m 0.00% Added +479 +479
59 Capital Asset Advisory Services LLC 0.23% of their portfolio Williamston, MI 78,35078.3k $4.6m $4.6m 0.23% Reduced -369 -369
60 AXXCESS WEALTH MANAGEMENT, LLC 0.11% of their portfolio CARLSBAD, CA 78,29278.3k $4.6m $4.6m 0.11% Reduced -57 -57
61 Millington Financial Advisors, LLC 2.86% of their portfolio NAPERVILLE, IL 76,95277.0k $4.9m $4.9m 2.86% Added +10.4k +10,369
62 Lake Hills Wealth Management, LLC 3.03% of their portfolio AUSTIN, TX 75,99776.0k $4.4m $4.4m 3.03% Added +5.3k +5,266
63 CENTAURUS FINANCIAL, INC. 0.27% of their portfolio ANAHEIM, CA 75,58475.6k $4.4m $4.4m 0.27% Reduced -3.6k -3,564
64 Mariner, LLC 0.01% of their portfolio Overland Park, KS 75,52675.5k $4.4m $4.4m 0.01% Reduced -10.8k -10,778
65 LM Advisors LLC 0.80% of their portfolio SAN DIEGO, CA 74,28574.3k $4.3m $4.3m 0.80% Added +3.1k +3,140
66 Riggs Asset Managment Co. Inc. 1.15% of their portfolio DALLAS, PA 73,91673.9k $4.3m $4.3m 1.15% Added +2.4k +2,363
67 J. Goldman & Co LP 0.15% of their portfolio NEW YORK, NY 73,33873.3k $4.3m $4.3m 0.15% Reduced -6.3k -6,285
68 Dale Q Rice Investment Management Ltd 1.87% of their portfolio VANCOUVER, WA 72,78472.8k $4.2m $4.2m 1.87% First filing
69 Hamilton Wealth, LLC 1.01% of their portfolio LOS ANGELES, CA 71,58471.6k $4.2m $4.2m 1.01% Reduced -694 -694
70 Snider Financial Group 1.29% of their portfolio BELLEVUE, WA 71,09271.1k $4.1m $4.1m 1.29% Added +212 +212
71 ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio NASHVILLE, TN 69,86069.9k $4.1m $4.1m 0.00% Reduced -5.0k -5,028
72 TRANSCEND CAPITAL ADVISORS, LLC 0.29% of their portfolio MADISON, NJ 69,10269.1k $4.0m $4.0m 0.29% Reduced -2.4k -2,378
73 Independent Advisor Alliance 0.05% of their portfolio CHARLOTTE, NC 68,94068.9k $4.0m $4.0m 0.05% New
74 NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO 0.00% of their portfolio MILWAUKEE, WI 68,06568.1k $4.0m $4.0m 0.00% Reduced -9.4k -9,365
75 Virtu Financial LLC 0.21% of their portfolio New York, NY 67,75567.8k $4.0m $4.0m 0.21% Added +23.3k +23,259
76 Harel Insurance Investments & Financial Services Ltd. 0.05% of their portfolio Ramat Gan, L3 65,82965.8k $3.3m $3.3m 0.05% Added +47.7k +47,700
77 CAPITAL FUND MANAGEMENT S.A. 0.04% of their portfolio PARIS, I0 65,60065.6k $3.8m $3.8m 0.04% Added +8.8k +8,800
78 CMH Wealth Management LLC 0.84% of their portfolio PORTSMOUTH, NH 62,75462.8k $3.7m $3.7m 0.84% Reduced -28.2k -28,163
79 Charter Oak Capital Management, LLC 0.34% of their portfolio PORTSMOUTH, NH 61,68761.7k $3.6m $3.6m 0.34% Reduced -4.8k -4,826
80 NORTHSTAR ASSET MANAGEMENT Co 0.82% of their portfolio BLUE BELL, PA 61,62561.6k $3.6m $3.6m 0.82% Reduced -1.9k -1,895
81 Private Advisor Group, LLC 0.02% of their portfolio MORRISTOWN, NJ 61,19261.2k $3.6m $3.6m 0.02% Reduced -5.1k -5,071
82 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.01% of their portfolio BALA CYNWYD, PA 60,30060.3k $3.5m $3.5m 0.01% Added +42.6k +42,566
83 VALICENTI ADVISORY SERVICES INC 0.88% of their portfolio ELMIRA, NY 60,28060.3k $3.5m $3.5m 0.88% New
84 Apollon Financial, LLC 0.86% of their portfolio MOUNT PLEASANT, SC 59,42659.4k $3.5m $3.5m 0.86% Reduced -305 -305
85 CREATIVE FINANCIAL DESIGNS INC /ADV 0.27% of their portfolio KOKOMO, IN 56,86756.9k $3.3m $3.3m 0.27% Reduced -1.0k -1,043
86 Continuum Advisory, LLC 0.42% of their portfolio EAGLE, ID 55,97956.0k $3.3m $3.3m 0.42% Added +291 +291
87 Geneos Wealth Management Inc. 0.11% of their portfolio ENGLEWOOD, CO 55,50655.5k $3.2m $3.2m 0.11% Reduced -12 -12
88 CIBC WORLD MARKET INC. 0.01% of their portfolio TORONTO, A6 55,14755.1k $3.2m $3.2m 0.01% Added +4.9k +4,898
89 ALTFEST L J & CO INC 0.40% of their portfolio NEW YORK, NY 53,89653.9k $3.1m $3.1m 0.40% Added +18.7k +18,651
90 J.W. COLE ADVISORS, INC. 0.12% of their portfolio TAMPA, FL 52,78652.8k $3.1m $3.1m 0.12% Added +9.7k +9,724
91 Somerset Group LLC 2.77% of their portfolio WAYZATA, MN 51,93151.9k $3.0m $3.0m 2.77% Reduced -695 -695
92 Diversified Enterprises, LLC 0.29% of their portfolio Wilmington, DE 51,58851.6k $3.0m $3.0m 0.29% Reduced -1.7k -1,707
93 Cerity Partners LLC 0.01% of their portfolio NEW YORK, NY 50,65250.7k $3.0m $3.0m 0.01% Added +299 +299
94 Prestige Wealth Management Group LLC 0.61% of their portfolio FLEMINGTON, NJ 50,38150.4k $2.9m $2.9m 0.61% Added +360 +360
95 Kestra Advisory Services, LLC 0.02% of their portfolio AUSTIN, TX 50,04750.0k $2.9m $2.9m 0.02% Reduced -27.9k -27,939
96 Gray Wealth Management Inc. 1.08% of their portfolio Bangor, ME 49,01149.0k $2.9m $2.9m 1.08% Added +6.1k +6,144
97 Tower Research Capital LLC (TRC) 0.06% of their portfolio NEW YORK, NY 48,67248.7k $2.8m $2.8m 0.06% Added +11.7k +11,723
98 Money Design Co.,Ltd. 0.14% of their portfolio TOKYO, M0 47,78547.8k $2.8m $2.8m 0.14% Reduced -7.6k -7,587
99 ORLEANS CAPITAL MANAGEMENT CORP/LA 1.71% of their portfolio MANDEVILLE, LA 47,75547.8k $3.1m $3.1m 1.71% Reduced -470 -470
100 Mason & Associates Inc 0.65% of their portfolio LOS ANGELES, CA 47,53747.5k $2.8m $2.8m 0.65% Reduced -556 -556