Vault-13

ISHARES TR IHI

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

563 institutional holders -5 vs Q4 2024
32,266,18732.3m shares reported held*
$1.9bnreported value*
44 new 156 added 217 reduced 46 sold out net bought ≈ $247.0m (+4.1m 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 ($7.2m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $60.14. Options: 6 managers hold calls ($10.5m notional), 5 hold puts ($28.8m).

Trends to Q1 2025

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: 568Q1 25: 563563Q3 22Q1 23Q3 23Q1 24Q3 24Q1 25
Numbers
QuarterHolders
Q3 2022556
Q4 2022576
Q1 2023558
Q2 2023585
Q3 2023546
Q4 2023577
Q1 2024583
Q2 2024548
Q3 2024559
Q4 2024568
Q1 2025563

Buyers vs sellers

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

Bought or addedCut or sold out
4000400Q2 23: 229 bought or addedQ2 23: 271 cut or sold outQ3 23: 187 bought or addedQ3 23: 307 cut or sold outQ3 23Q4 23: 197 bought or addedQ4 23: 302 cut or sold outQ1 24: 225 bought or addedQ1 24: 277 cut or sold outQ1 24Q2 24: 170 bought or addedQ2 24: 316 cut or sold outQ3 24: 177 bought or addedQ3 24: 271 cut or sold outQ3 24Q4 24: 184 bought or addedQ4 24: 277 cut or sold outQ1 25: 200 bought or addedQ1 25: 263 cut or sold outQ1 25
Numbers
QuarterBought or addedCut or sold out
Q2 2023229271
Q3 2023187307
Q4 2023197302
Q1 2024225277
Q2 2024170316
Q3 2024177271
Q4 2024184277
Q1 2025200263

Calls vs puts

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

CallsPuts
$0$20m$40m$60m$80mQ2 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 2.32Q1 25 calls: $10.5mQ1 25 puts: $28.8mQ1 25P/C 2.75
Numbers
QuarterCallsPutsP/C
Q2 2024$20.2m$12.9m0.64
Q3 2024$17.4m$67.7m3.89
Q4 2024$19.3m$44.7m2.32
Q1 2025$10.5m$28.8m2.75

Biggest buyers

MENORA MIVTACHIM HOLDINGS LTD. New +5,072,050+5.1m
Harel Insurance Investments & Financial Services Ltd. Added +645,500+645.5k
Mivtachim The Workers Social Insurance Fund Ltd. (Under Special Management) New +158,000+158.0k
GOLDMAN SACHS GROUP INC Added +135,927+135.9k
Qube Research & Technologies Ltd Added +133,664+133.7k
Wealth Advisory Solutions, LLC New +119,737+119.7k
RAYMOND JAMES FINANCIAL INC Added +90,139+90.1k
BFI Infinity Ltd. New +88,416+88.4k
Geneos Wealth Management Inc. Added +72,402+72.4k
MARSHALL WACE, LLP New +51,359+51.4k

Biggest sellers

BANK OF AMERICA CORP /DE/ Reduced -1,042,772-1.0m
Fisher Asset Management, LLC Reduced -1,001,666-1.0m
JPMORGAN CHASE & CO Reduced -141,091-141.1k
LPL Financial LLC Reduced -89,919-89.9k
HighTower Advisors, LLC Reduced -89,103-89.1k
CITIGROUP INC Reduced -78,744-78.7k
MORGAN STANLEY Reduced -72,951-73.0k
Independent Advisor Alliance Sold out -68,940-68.9k
CITADEL ADVISORS LLC Reduced -53,508-53.5k
MEANS INVESTMENT CO., INC. Reduced -43,617-43.6k

Biggest calls

SUSQUEHANNA INTERNATIONAL GROUP, LLP Reduced $7.8m130.0k shares
CITADEL ADVISORS LLC Reduced $1.4m22.7k shares
Squarepoint Ops LLC Reduced $854.7k14.2k shares
JANE STREET GROUP, LLC Reduced $240.8k4.0k shares
WOLVERINE TRADING, LLC Reduced $202.0k3.4k shares
MAI Capital Management Unchanged $18.1k300 shares

Biggest puts

Point72 Asset Management, L.P. New $12.0m200.0k shares
Polar Asset Management Partners Inc. Reduced $11.0m183.0k shares
CITADEL ADVISORS LLC Reduced $4.5m75.0k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP Reduced $1.0m16.8k shares
Walleye Trading LLC Reduced $270.9k4.5k 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, Q1 2025

#ManagerLocationShares Value% of their portfolioChangeShares change
1 MENORA MIVTACHIM HOLDINGS LTD. 1.99% of their portfolio Ramat Gan, L3 5,072,0505.1m $305.3m $305.3m 1.99% New
2 MORGAN STANLEY 0.01% of their portfolio NEW YORK, NY 2,779,2232.8m $167.3m $167.3m 0.01% Reduced -73.0k -72,951
3 LPL Financial LLC 0.05% of their portfolio FORT MILL, SC 2,147,5482.1m $129.3m $129.3m 0.05% Reduced -89.9k -89,919
4 BANK OF AMERICA CORP /DE/ 0.01% of their portfolio CHARLOTTE, NC 1,624,0341.6m $97.8m $97.8m 0.01% Reduced -1.0m -1,042,772
5 UBS Group AG 0.02% of their portfolio ZURICH, V8 1,218,8771.2m $73.4m $73.4m 0.02% Reduced -30.8k -30,835
6 WELLS FARGO & COMPANY/MN 0.02% of their portfolio SAN FRANCISCO, CA 1,136,0541.1m $68.4m $68.4m 0.02% Added +48.6k +48,583
7 RAYMOND JAMES FINANCIAL INC 0.02% of their portfolio ST. PETERSBURG, FL 756,743756.7k $45.5m $45.5m 0.02% Added +90.1k +90,139
8 ENVESTNET ASSET MANAGEMENT INC 0.01% of their portfolio Berwyn, PA 752,670752.7k $45.3m $45.3m 0.01% Added +4.7k +4,689
9 Harel Insurance Investments & Financial Services Ltd. 0.56% of their portfolio Ramat Gan, L3 711,329711.3k $42.5m $42.5m 0.56% Added +645.5k +645,500
10 ROYAL BANK OF CANADA 0.01% of their portfolio TORONTO, A6 698,962699.0k $42.1m $42.1m 0.01% Reduced -11.7k -11,709
11 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 427,152427.2k $25.7m $25.7m 0.00% Added +135.9k +135,927
12 RiverFront Investment Group, LLC 0.50% of their portfolio RICHMOND, VA 373,968374.0k $22.5m $22.5m 0.50% Added +32.0k +31,951
13 AMERIPRISE FINANCIAL INC 0.01% of their portfolio MINNEAPOLIS, MN 364,298364.3k $21.9m $21.9m 0.01% Added +36.6k +36,610
14 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 353,752353.8k $21.3m $21.3m 0.00% Reduced -141.1k -141,091
15 COMMONWEALTH EQUITY SERVICES, LLC 0.03% of their portfolio WALTHAM, MA 350,979351.0k $21.1m $21.1m 0.03% Added +28.5k +28,496
16 WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.03% of their portfolio PLYMOUTH, MN 267,366267.4k $16.1m $16.1m 0.03% Added +45.4k +45,423
17 Wharton Business Group, LLC 0.71% of their portfolio MALVERN, PA 262,205262.2k $15.7m $15.7m 0.71% Added +4.3k +4,305
18 Cetera Investment Advisers 0.03% of their portfolio SCHAUMBURG, IL 259,602259.6k $15.6m $15.6m 0.03% Added +10.6k +10,610
19 BNP PARIBAS FINANCIAL MARKETS 0.01% of their portfolio PARIS, I0 254,061254.1k $15.3m $15.3m 0.01% First filing
20 OSAIC HOLDINGS, INC. 0.03% of their portfolio SCOTTSDALE, AZ 242,883242.9k $14.6m $14.6m 0.03% Reduced -12.5k -12,520
21 ARKANSAS FINANCIAL GROUP, INC. 1.84% of their portfolio LITTLE ROCK, AR 190,871190.9k $10.7m $10.7m 1.84% Added +7.6k +7,603
22 Kingsview Wealth Management, LLC 0.22% of their portfolio GRANTS PASS, OR 190,701190.7k $11.5m $11.5m 0.22% Reduced -16.0k -15,977
23 FWL INVESTMENT MANAGEMENT, LLC 4.22% of their portfolio Dallas, TX 188,759188.8k $11.4m $11.4m 4.22% Reduced -11.7k -11,706
24 Gerber Kawasaki Wealth & Investment Management 0.50% of their portfolio SANTA MONICA, CA 185,884185.9k $11.2m $11.2m 0.50% Reduced -7.6k -7,615
25 Baker Avenue Asset Management, LP 0.32% of their portfolio SAN FRANCISCO, CA 167,045167.0k $10.1m $10.1m 0.32% Added +2.8k +2,792
26 Cambridge Investment Research Advisors, Inc. 0.03% of their portfolio FAIRFIELD, IA 165,425165.4k $10.0m $10.0m 0.03% Reduced -7.8k -7,843
27 Mivtachim The Workers Social Insurance Fund Ltd. (Under Special Management) 1.57% of their portfolio Tel Aviv, L3 158,000158.0k $9.5m $9.5m 1.57% New
28 Equitable Holdings, Inc. 0.09% of their portfolio NEW YORK, NY 153,005153.0k $9.2m $9.2m 0.09% Added +1.7k +1,687
29 MERCER GLOBAL ADVISORS INC /ADV 0.02% of their portfolio DENVER, CO 151,960152.0k $9.1m $9.1m 0.02% Reduced -11.3k -11,281
30 HighTower Advisors, LLC 0.01% of their portfolio CHICAGO, IL 147,359147.4k $8.9m $8.9m 0.01% Reduced -89.1k -89,103
31 Fisher Asset Management, LLC 0.00% of their portfolio PLANO, TX 147,066147.1k $8.9m $8.9m 0.00% Reduced -1.0m -1,001,666
32 Trivium Point Advisory, LLC 1.09% of their portfolio WILTON, CT 146,390146.4k $8.8m $8.8m 1.09% Added +10.2k +10,178
33 CUMBERLAND ADVISORS INC 3.93% of their portfolio SARASOTA, FL 143,860143.9k $8.7m $8.7m 3.93% Added +44.4k +44,410
34 JONES FINANCIAL COMPANIES LLLP 0.01% of their portfolio DES PERES, MO 139,561139.6k $8.3m $8.3m 0.01% Added +34.2k +34,221
35 Qube Research & Technologies Ltd 0.01% of their portfolio LONDON, X0 136,025136.0k $8.2m $8.2m 0.01% Added +133.7k +133,664
36 Certified Advisory Corp 0.92% of their portfolio ALTAMONTE SPRINGS, FL 134,622134.6k $8.1m $8.1m 0.92% Reduced -1.8k -1,750
37 Federation des caisses Desjardins du Quebec 0.04% of their portfolio LEVIS, A8 132,952133.0k $8.0m $8.0m 0.04% Added +1.2k +1,219
38 EP Wealth Advisors, LLC 0.06% of their portfolio TORRANCE, CA 129,962130.0k $7.8m $7.8m 0.06% Reduced -9.6k -9,600
39 MML INVESTORS SERVICES, LLC 0.03% of their portfolio SPRINGFIELD, MA 128,775128.8k $7.8m $7.8m 0.03% Added +1.3k +1,297
40 Geneos Wealth Management Inc. 0.11% of their portfolio ENGLEWOOD, CO 127,908127.9k $7.7m $7.7m 0.11% Added +72.4k +72,402
41 Safeguard Investment Advisory Group, LLC 2.05% of their portfolio Corona, CA 125,540125.5k $7.6m $7.6m 2.05% Reduced -1.3k -1,253
42 ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio NASHVILLE, TN 119,844119.8k $7.2m $7.2m 0.00% Added +50.0k +49,984
43 Wealth Advisory Solutions, LLC 1.91% of their portfolio ZIONSVILLE, IN 119,737119.7k $7.2m $7.2m 1.91% New
44 B. Riley Wealth Advisors, Inc. 0.21% of their portfolio MEMPHIS, TN 116,950117.0k $7.0m $7.0m 0.21% Added +3.3k +3,284
45 Dakota Wealth Management 0.16% of their portfolio PALM BEACH GARDENS, FL 110,506110.5k $6.7m $6.7m 0.16% Reduced -10.4k -10,417
46 BLAIR WILLIAM & CO/IL 0.02% of their portfolio CHICAGO, IL 108,207108.2k $6.5m $6.5m 0.02% Added +6.3k +6,263
47 MEANS INVESTMENT CO., INC. 0.69% of their portfolio BANGOR, ME 107,768107.8k $6.5m $6.5m 0.69% Reduced -43.6k -43,617
48 CITIGROUP INC 0.00% of their portfolio NEW YORK, NY 107,124107.1k $6.4m $6.4m 0.00% Reduced -78.7k -78,744
49 Anchor Investment Management, LLC 0.60% of their portfolio COLUMBIA, SC 106,797106.8k $6.4m $6.4m 0.60% Added +275 +275
50 Janney Montgomery Scott LLC 0.02% of their portfolio PHILADELPHIA, PA 105,188105.2k $6.3m $6.3m 0.02% Reduced -4.9k -4,865
51 ALTFEST L J & CO INC 0.79% of their portfolio NEW YORK, NY 104,788104.8k $6.3m $6.3m 0.79% Added +50.9k +50,892
52 Yarbrough Capital, LLC 0.27% of their portfolio FRANKLIN, TN 104,660104.7k $6.3m $6.3m 0.27% Unchanged
53 Segment Wealth Management, LLC 0.43% of their portfolio HOUSTON, TX 104,435104.4k $6.3m $6.3m 0.43% Reduced -2.4k -2,437
54 Baird Financial Group, Inc. 0.01% of their portfolio MILWAUKEE, WI 103,626103.6k $6.2m $6.2m 0.01% Added +2.8k +2,838
55 LYNX CAPITAL GROUP LTD /ADV 3.16% of their portfolio BEACHWOOD, OH 102,090102.1k $6.1m $6.1m 3.16% Added +20.4k +20,406
56 STIFEL FINANCIAL CORP 0.01% of their portfolio ST. LOUIS, MO 101,978102.0k $6.1m $6.1m 0.01% Reduced -4.3k -4,278
57 Moors & Cabot, Inc. 0.30% of their portfolio BOSTON, MA 99,13899.1k $6.0m $6.0m 0.30% Added +663 +663
58 CITADEL ADVISORS LLC 0.01% of their portfolio MIAMI, FL 98,00498.0k $5.9m $5.9m 0.01% Reduced -53.5k -53,508
59 PEAPACK GLADSTONE FINANCIAL CORP 0.09% of their portfolio BEDMINSTER, NJ 97,34297.3k $5.9m $5.9m 0.09% Reduced -3.2k -3,151
60 PRINCIPAL SECURITIES, INC. 0.12% of their portfolio DES MOINES, IA 92,68292.7k $5.4m $5.4m 0.12% Added +645 +645
61 BFI Infinity Ltd. 5.75% of their portfolio ZURICH, V8 88,41688.4k $5.3m $5.3m 5.75% New
62 VALICENTI ADVISORY SERVICES INC 1.34% of their portfolio ELMIRA, NY 86,57286.6k $5.2m $5.2m 1.34% Added +26.3k +26,292
63 Millington Financial Advisors, LLC 3.00% of their portfolio NAPERVILLE, IL 86,36786.4k $4.9m $4.9m 3.00% Added +9.4k +9,415
64 Capital Analysts, LLC 0.19% of their portfolio FORT WASHINGTON, PA 85,14285.1k $5.1m $5.1m 0.19% Reduced -10.3k -10,267
65 Northeast Financial Consultants Inc 0.22% of their portfolio WESTPORT, CT 83,89083.9k $5.0m $5.0m 0.22% Reduced -21.6k -21,557
66 Fifth Third Securities, Inc. 0.41% of their portfolio Cincinnati, OH 81,72281.7k $4.9m $4.9m 0.41% Reduced -24.5k -24,532
67 Mariner, LLC 0.01% of their portfolio Overland Park, KS 79,60179.6k $4.8m $4.8m 0.01% Added +4.1k +4,075
68 NewEdge Advisors, LLC 0.03% of their portfolio NEW ORLEANS, LA 78,75078.8k $4.7m $4.7m 0.03% Reduced -942 -942
69 Riggs Asset Managment Co. Inc. 1.35% of their portfolio DALLAS, PA 78,30978.3k $4.7m $4.7m 1.35% Added +4.4k +4,393
70 TRUIST FINANCIAL CORP 0.01% of their portfolio CHARLOTTE, NC 77,50677.5k $4.7m $4.7m 0.01% Reduced -25.2k -25,197
71 CENTAURUS FINANCIAL, INC. 0.28% of their portfolio ANAHEIM, CA 76,44976.4k $4.6m $4.6m 0.28% Added +865 +865
72 Capital Asset Advisory Services LLC 0.23% of their portfolio Williamston, MI 75,73875.7k $4.6m $4.6m 0.23% Reduced -2.6k -2,612
73 AXXCESS WEALTH MANAGEMENT, LLC 0.12% of their portfolio CARLSBAD, CA 75,72475.7k $4.6m $4.6m 0.12% Reduced -2.6k -2,568
74 Hamilton Wealth, LLC 1.08% of their portfolio LOS ANGELES, CA 74,32674.3k $4.5m $4.5m 1.08% Added +2.7k +2,742
75 PNC Financial Services Group, Inc. 0.00% of their portfolio Pittsburgh, PA 73,89773.9k $4.4m $4.4m 0.00% Reduced -4.5k -4,533
76 J. Goldman & Co LP 0.16% of their portfolio NEW YORK, NY 73,33873.3k $4.4m $4.4m 0.16% Unchanged
77 Dale Q Rice Investment Management Ltd 2.23% of their portfolio VANCOUVER, WA 71,59271.6k $4.3m $4.3m 2.23% Reduced -1.2k -1,192
78 LM Advisors LLC 0.77% of their portfolio SAN DIEGO, CA 70,96271.0k $4.3m $4.3m 0.77% Reduced -3.3k -3,323
79 Lake Hills Wealth Management, LLC 2.87% of their portfolio AUSTIN, TX 68,97169.0k $4.2m $4.2m 2.87% Reduced -7.0k -7,026
80 NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO 0.00% of their portfolio MILWAUKEE, WI 67,36267.4k $4.1m $4.1m 0.00% Reduced -703 -703
81 Virtu Financial LLC 0.22% of their portfolio New York, NY 65,65165.7k $4.0m $4.0m 0.22% Reduced -2.1k -2,104
82 J.W. COLE ADVISORS, INC. 0.12% of their portfolio TAMPA, FL 65,44065.4k $3.9m $3.9m 0.12% Added +12.7k +12,654
83 TRANSCEND CAPITAL ADVISORS, LLC 0.27% of their portfolio MADISON, NJ 62,49062.5k $3.8m $3.8m 0.27% Reduced -6.6k -6,612
84 CMH Wealth Management LLC 0.93% of their portfolio PORTSMOUTH, NH 61,82961.8k $3.7m $3.7m 0.93% Reduced -925 -925
85 CIBC WORLD MARKET INC. 0.01% of their portfolio TORONTO, A6 60,62860.6k $3.6m $3.6m 0.01% Added +5.5k +5,481
86 Snider Financial Group 1.18% of their portfolio BELLEVUE, WA 60,17260.2k $3.6m $3.6m 1.18% Reduced -10.9k -10,920
87 Charter Oak Capital Management, LLC 0.33% of their portfolio PORTSMOUTH, NH 59,67759.7k $3.6m $3.6m 0.33% Reduced -2.0k -2,010
88 Prestige Wealth Management Group LLC 0.76% of their portfolio FLEMINGTON, NJ 59,10759.1k $3.6m $3.6m 0.76% Added +8.7k +8,726
89 CREATIVE FINANCIAL DESIGNS INC /ADV 0.28% of their portfolio KOKOMO, IN 57,94257.9k $3.5m $3.5m 0.28% Added +1.1k +1,075
90 Private Advisor Group, LLC 0.02% of their portfolio MORRISTOWN, NJ 57,47557.5k $3.5m $3.5m 0.02% Reduced -3.7k -3,717
91 Tower Research Capital LLC (TRC) 0.11% of their portfolio NEW YORK, NY 56,22556.2k $3.6m $3.6m 0.11% Added +7.6k +7,553
92 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.01% of their portfolio BALA CYNWYD, PA 55,64455.6k $3.3m $3.3m 0.01% Reduced -4.7k -4,656
93 Continuum Advisory, LLC 0.43% of their portfolio EAGLE, ID 55,10555.1k $3.3m $3.3m 0.43% Reduced -874 -874
94 CAPITAL FUND MANAGEMENT S.A. 0.04% of their portfolio PARIS, I0 54,64654.6k $3.3m $3.3m 0.04% Reduced -11.0k -10,954
95 NORTHSTAR ASSET MANAGEMENT Co 0.79% of their portfolio BLUE BELL, PA 54,64554.6k $3.3m $3.3m 0.79% Reduced -7.0k -6,980
96 Somerset Group LLC 2.95% of their portfolio WAYZATA, MN 53,77853.8k $3.2m $3.2m 2.95% Added +1.8k +1,847
97 Apollon Financial, LLC 0.76% of their portfolio MOUNT PLEASANT, SC 53,51853.5k $3.2m $3.2m 0.76% Reduced -5.9k -5,908
98 Atria Wealth Solutions, Inc. 0.04% of their portfolio NEW YORK, NY 52,09352.1k $3.1m $3.1m 0.04% Added +9.3k +9,261
99 MARSHALL WACE, LLP 0.00% of their portfolio LONDON, X0 51,35951.4k $3.1m $3.1m 0.00% New
100 Diversified Enterprises, LLC 0.26% of their portfolio Wilmington, DE 51,10551.1k $3.1m $3.1m 0.26% Reduced -483 -483