Vault-13

ISHARES TR IHI

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

551 institutional holders -12 vs Q1 2025
31,574,19531.6m shares reported held*
$2.0bnreported value*
36 new 135 added 218 reduced 52 sold out net sold ≈ $39.4m (-629.0k 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 ($9.6m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $62.62. Options: 6 managers hold calls ($16.2m notional), 4 hold puts ($7.9m).

Trends to Q2 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: 563Q2 25: 551551Q3 22Q2 23Q1 24Q4 24Q2 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
Q2 2025551

Buyers vs sellers

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

Bought or addedCut or sold out
4000400Q3 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 24Q1 25: 200 bought or addedQ1 25: 263 cut or sold outQ2 25: 171 bought or addedQ2 25: 270 cut or sold outQ2 25
Numbers
QuarterBought or addedCut or sold out
Q3 2023187307
Q4 2023197302
Q1 2024225277
Q2 2024170316
Q3 2024177271
Q4 2024184277
Q1 2025200263
Q2 2025171270

Calls vs puts

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

CallsPuts
$0$20m$40m$60m$80mQ3 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 2.75Q2 25 calls: $16.2mQ2 25 puts: $7.9mQ2 25P/C 0.49
Numbers
QuarterCallsPutsP/C
Q3 2024$17.4m$67.7m3.89
Q4 2024$19.3m$44.7m2.32
Q1 2025$10.5m$28.8m2.75
Q2 2025$16.2m$7.9m0.49

Biggest buyers

ROYAL BANK OF CANADA Added +647,188+647.2k
BANK OF AMERICA CORP /DE/ Added +310,962+311.0k
GOLDMAN SACHS GROUP INC Added +276,306+276.3k
MORGAN STANLEY Added +149,410+149.4k
GTS SECURITIES LLC Added +118,754+118.8k
Baker Avenue Asset Management, LP Added +49,387+49.4k
Rockefeller Capital Management L.P. Added +47,381+47.4k
VIEWPOINT INVESTMENT PARTNERS CORP Added +45,309+45.3k
ALLIANCEBERNSTEIN L.P. Added +43,236+43.2k
Cetera Investment Advisers Added +40,785+40.8k

Biggest sellers

MENORA MIVTACHIM HOLDINGS LTD. Reduced -207,500-207.5k
FWL INVESTMENT MANAGEMENT, LLC Sold out -188,759-188.8k
Mivtachim The Workers Social Insurance Fund Ltd. (Under Special Management) Sold out -158,000-158.0k
Trivium Point Advisory, LLC Reduced -142,456-142.5k
Yarbrough Capital, LLC Reduced -100,000-100.0k
BNP PARIBAS FINANCIAL MARKETS Reduced -98,526-98.5k
JPMORGAN CHASE & CO Reduced -86,094-86.1k
Dakota Wealth Management Reduced -80,146-80.1k
Riggs Asset Managment Co. Inc. Reduced -77,657-77.7k
RAYMOND JAMES FINANCIAL INC Reduced -76,920-76.9k

Biggest calls

SUSQUEHANNA INTERNATIONAL GROUP, LLP Added $12.0m191.1k shares
CITADEL ADVISORS LLC Added $1.8m28.9k shares
PEAK6 LLC New $1.1m18.2k shares
Squarepoint Ops LLC Unchanged $889.5k14.2k shares
WOLVERINE TRADING, LLC Added $353.8k5.7k shares
MAI Capital Management Unchanged $18.8k300 shares

Biggest puts

CITADEL ADVISORS LLC Reduced $4.4m70.7k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP Added $3.2m51.7k shares
Walleye Trading LLC Reduced $200.4k3.2k shares
PEAK6 LLC New $12.5k200 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, Q2 2025

#ManagerLocationShares Value% of their portfolioChangeShares change
1 MENORA MIVTACHIM HOLDINGS LTD. 1.75% of their portfolio Ramat Gan, L3 4,864,5504.9m $304.7m $304.7m 1.75% Reduced -207.5k -207,500
2 MORGAN STANLEY 0.01% of their portfolio NEW YORK, NY 2,928,6332.9m $183.4m $183.4m 0.01% Added +149.4k +149,410
3 LPL Financial LLC 0.04% of their portfolio FORT MILL, SC 2,097,5962.1m $131.4m $131.4m 0.04% Reduced -50.0k -49,952
4 BANK OF AMERICA CORP /DE/ 0.01% of their portfolio CHARLOTTE, NC 1,934,9961.9m $121.2m $121.2m 0.01% Added +311.0k +310,962
5 ROYAL BANK OF CANADA 0.01% of their portfolio TORONTO, A6 1,346,1501.3m $84.3m $84.3m 0.01% Added +647.2k +647,188
6 UBS Group AG 0.01% of their portfolio ZURICH, V8 1,142,4461.1m $71.6m $71.6m 0.01% Reduced -76.4k -76,431
7 WELLS FARGO & COMPANY/MN 0.02% of their portfolio SAN FRANCISCO, CA 1,135,3771.1m $71.1m $71.1m 0.02% Reduced -677 -677
8 ENVESTNET ASSET MANAGEMENT INC 0.01% of their portfolio Berwyn, PA 757,244757.2k $47.4m $47.4m 0.01% Added +4.6k +4,574
9 GOLDMAN SACHS GROUP INC 0.01% of their portfolio NEW YORK, NY 703,458703.5k $44.1m $44.1m 0.01% Added +276.3k +276,306
10 Harel Insurance Investments & Financial Services Ltd. 0.50% of their portfolio Ramat Gan, L3 690,929690.9k $43.3m $43.3m 0.50% Reduced -20.4k -20,400
11 RAYMOND JAMES FINANCIAL INC 0.01% of their portfolio ST. PETERSBURG, FL 679,823679.8k $42.6m $42.6m 0.01% Reduced -76.9k -76,920
12 RiverFront Investment Group, LLC 0.47% of their portfolio RICHMOND, VA 387,632387.6k $24.3m $24.3m 0.47% Added +13.7k +13,664
13 AMERIPRISE FINANCIAL INC 0.01% of their portfolio MINNEAPOLIS, MN 337,238337.2k $21.1m $21.1m 0.01% Reduced -27.1k -27,060
14 Wharton Business Group, LLC 0.80% of their portfolio MALVERN, PA 302,630302.6k $18.9m $18.9m 0.80% Added +40.4k +40,425
15 Cetera Investment Advisers 0.03% of their portfolio SCHAUMBURG, IL 300,387300.4k $18.8m $18.8m 0.03% Added +40.8k +40,785
16 WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.03% of their portfolio PLYMOUTH, MN 292,277292.3k $18.2m $18.2m 0.03% Added +24.9k +24,911
17 COMMONWEALTH EQUITY SERVICES, LLC 0.02% of their portfolio WALTHAM, MA 291,220291.2k $18.2m $18.2m 0.02% Reduced -59.8k -59,759
18 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 267,658267.7k $16.8m $16.8m 0.00% Reduced -86.1k -86,094
19 OSAIC HOLDINGS, INC. 0.03% of their portfolio SCOTTSDALE, AZ 233,731233.7k $14.6m $14.6m 0.03% Reduced -9.2k -9,152
20 Baker Avenue Asset Management, LP 0.39% of their portfolio SAN FRANCISCO, CA 216,432216.4k $13.6m $13.6m 0.39% Added +49.4k +49,387
21 ARKANSAS FINANCIAL GROUP, INC. 1.86% of their portfolio LITTLE ROCK, AR 191,615191.6k $12.0m $12.0m 1.86% Added +744 +744
22 Gerber Kawasaki Wealth & Investment Management 0.44% of their portfolio SANTA MONICA, CA 183,199183.2k $11.5m $11.5m 0.44% Reduced -2.7k -2,685
23 JONES FINANCIAL COMPANIES LLLP 0.01% of their portfolio DES PERES, MO 164,165164.2k $10.2m $10.2m 0.01% Added +24.6k +24,604
24 HighTower Advisors, LLC 0.01% of their portfolio CHICAGO, IL 163,862163.9k $10.3m $10.3m 0.01% Added +16.5k +16,503
25 ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio NASHVILLE, TN 163,080163.1k $10.2m $10.2m 0.00% Added +43.2k +43,236
26 Kingsview Wealth Management, LLC 0.17% of their portfolio GRANTS PASS, OR 161,199161.2k $10.1m $10.1m 0.17% Reduced -29.5k -29,502
27 Qube Research & Technologies Ltd 0.01% of their portfolio LONDON, X0 158,077158.1k $9.9m $9.9m 0.01% Added +22.1k +22,052
28 BNP PARIBAS FINANCIAL MARKETS 0.01% of their portfolio PARIS, I0 155,535155.5k $9.7m $9.7m 0.01% Reduced -98.5k -98,526
29 Equitable Holdings, Inc. 0.08% of their portfolio NEW YORK, NY 152,915152.9k $9.6m $9.6m 0.08% Reduced -90 -90
30 MERCER GLOBAL ADVISORS INC /ADV 0.02% of their portfolio DENVER, CO 149,275149.3k $9.4m $9.4m 0.02% Reduced -2.7k -2,685
31 Cambridge Investment Research Advisors, Inc. 0.03% of their portfolio FAIRFIELD, IA 147,483147.5k $9.2m $9.2m 0.03% Reduced -17.9k -17,942
32 GTS SECURITIES LLC 0.38% of their portfolio NEW YORK, NY 137,742137.7k $8.6m $8.6m 0.38% Added +118.8k +118,754
33 Certified Advisory Corp 0.86% of their portfolio ALTAMONTE SPRINGS, FL 132,336132.3k $8.3m $8.3m 0.86% Reduced -2.3k -2,286
34 CUMBERLAND ADVISORS INC 3.45% of their portfolio SARASOTA, FL 130,965131.0k $8.2m $8.2m 3.45% Reduced -12.9k -12,895
35 MML INVESTORS SERVICES, LLC 0.02% of their portfolio SPRINGFIELD, MA 123,908123.9k $7.8m $7.8m 0.02% Reduced -4.9k -4,867
36 Safeguard Investment Advisory Group, LLC 1.92% of their portfolio Corona, CA 122,932122.9k $7.7m $7.7m 1.92% Reduced -2.6k -2,608
37 Federation des caisses Desjardins du Quebec 0.03% of their portfolio LEVIS, A8 120,399120.4k $7.5m $7.5m 0.03% Reduced -12.6k -12,553
38 Wealth Advisory Solutions, LLC 1.87% of their portfolio ZIONSVILLE, IN 117,584117.6k $7.4m $7.4m 1.87% Reduced -2.2k -2,153
39 EP Wealth Advisors, LLC 0.05% of their portfolio TORRANCE, CA 114,333114.3k $7.2m $7.2m 0.05% Reduced -15.6k -15,629
40 BLAIR WILLIAM & CO/IL 0.02% of their portfolio CHICAGO, IL 111,527111.5k $7.0m $7.0m 0.02% Added +3.3k +3,320
41 B. Riley Wealth Advisors, Inc. 0.33% of their portfolio MEMPHIS, TN 109,530109.5k $6.9m $6.9m 0.33% Reduced -7.4k -7,420
42 Anchor Investment Management, LLC 0.60% of their portfolio COLUMBIA, SC 108,478108.5k $6.8m $6.8m 0.60% Added +1.7k +1,681
43 STIFEL FINANCIAL CORP 0.01% of their portfolio ST. LOUIS, MO 107,159107.2k $6.7m $6.7m 0.01% Added +5.2k +5,181
44 Fisher Asset Management, LLC 0.00% of their portfolio PLANO, TX 105,924105.9k $6.6m $6.6m 0.00% Reduced -41.1k -41,142
45 Janney Montgomery Scott LLC 0.02% of their portfolio PHILADELPHIA, PA 105,900105.9k $6.6m $6.6m 0.02% Added +712 +712
46 Baird Financial Group, Inc. 0.01% of their portfolio MILWAUKEE, WI 103,752103.8k $6.5m $6.5m 0.01% Added +126 +126
47 MEANS INVESTMENT CO., INC. 0.61% of their portfolio BANGOR, ME 102,431102.4k $6.4m $6.4m 0.61% Reduced -5.3k -5,337
48 Segment Wealth Management, LLC 0.40% of their portfolio HOUSTON, TX 101,540101.5k $6.4m $6.4m 0.40% Reduced -2.9k -2,895
49 LYNX CAPITAL GROUP LTD /ADV 3.06% of their portfolio BEACHWOOD, OH 101,176101.2k $6.3m $6.3m 3.06% Reduced -914 -914
50 Moors & Cabot, Inc. 0.29% of their portfolio BOSTON, MA 100,058100.1k $6.3m $6.3m 0.29% Added +920 +920
51 BFI Infinity Ltd. 5.22% of their portfolio ZURICH, V8 99,71999.7k $6.2m $6.2m 5.22% Added +11.3k +11,303
52 PEAPACK GLADSTONE FINANCIAL CORP 0.09% of their portfolio BEDMINSTER, NJ 96,43996.4k $6.0m $6.0m 0.09% Reduced -903 -903
53 Millington Financial Advisors, LLC 2.93% of their portfolio NAPERVILLE, IL 94,79294.8k $5.8m $5.8m 2.93% Added +8.4k +8,425
54 PRINCIPAL SECURITIES, INC. 0.11% of their portfolio DES MOINES, IA 90,41890.4k $5.7m $5.7m 0.11% Reduced -2.3k -2,264
55 CITIGROUP INC 0.00% of their portfolio NEW YORK, NY 89,02089.0k $5.6m $5.6m 0.00% Reduced -18.1k -18,104
56 VALICENTI ADVISORY SERVICES INC 1.28% of their portfolio ELMIRA, NY 87,26787.3k $5.5m $5.5m 1.28% Added +695 +695
57 Rockefeller Capital Management L.P. 0.01% of their portfolio NEW YORK, NY 87,20287.2k $5.5m $5.5m 0.01% Added +47.4k +47,381
58 Mariner, LLC 0.01% of their portfolio Overland Park, KS 86,85886.9k $5.4m $5.4m 0.01% Added +7.3k +7,257
59 ALTFEST L J & CO INC 0.63% of their portfolio NEW YORK, NY 85,39285.4k $5.3m $5.3m 0.63% Reduced -19.4k -19,396
60 Capital Analysts, LLC 0.18% of their portfolio FORT WASHINGTON, PA 84,62984.6k $5.3m $5.3m 0.18% Reduced -513 -513
61 Fifth Third Securities, Inc. 0.37% of their portfolio Cincinnati, OH 79,58679.6k $5.0m $5.0m 0.37% Reduced -2.1k -2,136
62 Northeast Financial Consultants Inc 0.20% of their portfolio WESTPORT, CT 79,05979.1k $5.0m $5.0m 0.20% Reduced -4.8k -4,831
63 CENTAURUS FINANCIAL, INC. 0.28% of their portfolio ANAHEIM, CA 77,66477.7k $4.9m $4.9m 0.28% Added +1.2k +1,215
64 NewEdge Advisors, LLC 0.02% of their portfolio NEW ORLEANS, LA 75,25175.3k $4.7m $4.7m 0.02% Reduced -3.5k -3,499
65 Hamilton Wealth, LLC 1.05% of their portfolio LOS ANGELES, CA 74,86674.9k $4.7m $4.7m 1.05% Added +540 +540
66 VIEWPOINT INVESTMENT PARTNERS CORP 2.56% of their portfolio CALGARY, A0 74,61174.6k $4.7m $4.7m 2.56% Added +45.3k +45,309
67 J. Goldman & Co LP 0.14% of their portfolio NEW YORK, NY 73,33873.3k $4.6m $4.6m 0.14% Unchanged
68 Geneos Wealth Management Inc. 0.11% of their portfolio ENGLEWOOD, CO 72,27072.3k $4.5m $4.5m 0.11% Reduced -55.6k -55,638
69 TRUIST FINANCIAL CORP 0.01% of their portfolio CHARLOTTE, NC 71,24271.2k $4.5m $4.5m 0.01% Reduced -6.3k -6,264
70 PNC Financial Services Group, Inc. 0.00% of their portfolio Pittsburgh, PA 70,94470.9k $4.4m $4.4m 0.00% Reduced -3.0k -2,953
71 LM Advisors LLC 0.55% of their portfolio SAN DIEGO, CA 67,77867.8k $4.2m $4.2m 0.55% Reduced -3.2k -3,184
72 J.W. COLE ADVISORS, INC. 0.09% of their portfolio TAMPA, FL 67,03067.0k $4.2m $4.2m 0.09% Added +1.6k +1,590
73 NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO 0.00% of their portfolio MILWAUKEE, WI 62,80162.8k $3.9m $3.9m 0.00% Reduced -4.6k -4,561
74 CREATIVE FINANCIAL DESIGNS INC /ADV 0.28% of their portfolio KOKOMO, IN 62,05762.1k $3.9m $3.9m 0.28% Added +4.1k +4,115
75 CIBC WORLD MARKET INC. 0.01% of their portfolio TORONTO, A6 61,79161.8k $3.9m $3.9m 0.01% Added +1.2k +1,163
76 Prestige Wealth Management Group LLC 0.78% of their portfolio FLEMINGTON, NJ 60,79760.8k $3.8m $3.8m 0.78% Added +1.7k +1,690
77 CMH Wealth Management LLC 0.86% of their portfolio PORTSMOUTH, NH 59,19059.2k $3.7m $3.7m 0.86% Reduced -2.6k -2,639
78 Charter Oak Capital Management, LLC 0.31% of their portfolio PORTSMOUTH, NH 58,03158.0k $3.6m $3.6m 0.31% Reduced -1.6k -1,646
79 Private Advisor Group, LLC 0.02% of their portfolio MORRISTOWN, NJ 56,98457.0k $3.6m $3.6m 0.02% Reduced -491 -491
80 JANE STREET GROUP, LLC 0.01% of their portfolio NEW YORK, NY 55,56955.6k $3.5m $3.5m 0.01% Added +40.3k +40,312
81 Walleye Trading LLC 0.08% of their portfolio NEW YORK, NY 54,76154.8k $3.4m $3.4m 0.08% Added +14.8k +14,758
82 Somerset Group LLC 2.88% of their portfolio WAYZATA, MN 54,20054.2k $3.4m $3.4m 2.88% Added +422 +422
83 Apollon Financial, LLC 0.69% of their portfolio MOUNT PLEASANT, SC 52,93652.9k $3.3m $3.3m 0.69% Reduced -582 -582
84 Diversified Enterprises, LLC 0.24% of their portfolio Wilmington, DE 50,86650.9k $3.2m $3.2m 0.24% Reduced -239 -239
85 AXXCESS WEALTH MANAGEMENT, LLC 0.08% of their portfolio CARLSBAD, CA 50,50450.5k $3.2m $3.2m 0.08% Reduced -25.2k -25,220
86 Capital Asset Advisory Services LLC 0.15% of their portfolio Williamston, MI 50,38950.4k $3.1m $3.1m 0.15% Reduced -25.3k -25,349
87 NORTHSTAR ASSET MANAGEMENT Co 0.72% of their portfolio BLUE BELL, PA 49,62049.6k $3.1m $3.1m 0.72% Reduced -5.0k -5,025
88 Integrated Advisors Network LLC 0.14% of their portfolio DALLAS, TX 48,70348.7k $3.1m $3.1m 0.14% Added +21.8k +21,829
89 Chicago Partners Investment Group LLC 0.08% of their portfolio CHICAGO, IL 48,11848.1k $2.9m $2.9m 0.08% Reduced -475 -475
90 ORLEANS CAPITAL MANAGEMENT CORP/LA 1.54% of their portfolio MANDEVILLE, LA 46,29546.3k $2.9m $2.9m 1.54% Reduced -1.1k -1,105
91 Madden Advisory Services, Inc. 1.21% of their portfolio Jacksonville, FL 45,30945.3k $2.8m $2.8m 1.21% Reduced -238 -238
92 Modern Wealth Management, LLC 0.07% of their portfolio KANSAS CITY, MO 42,91342.9k $2.7m $2.7m 0.07% Added +1.7k +1,655
93 CITADEL ADVISORS LLC 0.00% of their portfolio MIAMI, FL 41,29841.3k $2.6m $2.6m 0.00% Reduced -56.7k -56,706
94 Money Design Co.,Ltd. 0.12% of their portfolio TOKYO, M0 41,12241.1k $2.6m $2.6m 0.12% Reduced -1.0k -1,003
95 Creative Planning 0.00% of their portfolio OVERLAND PARK, KS 40,03440.0k $2.5m $2.5m 0.00% Added +9.5k +9,537
96 WCG Wealth Advisors LLC 0.16% of their portfolio LAS VEGAS, NV 38,93038.9k $2.4m $2.4m 0.16% Reduced -5.0k -5,004
97 Armor Investment Advisors, LLC 0.92% of their portfolio RALEIGH, NC 38,90838.9k $2.4m $2.4m 0.92% Reduced -981 -981
98 Kestra Advisory Services, LLC 0.01% of their portfolio AUSTIN, TX 38,10138.1k $2.4m $2.4m 0.01% Reduced -8.8k -8,756
99 &PARTNERS 0.02% of their portfolio NASHVILLE, TN 37,62637.6k $2.4m $2.4m 0.02% Added +5.1k +5,102
100 VALLEY WEALTH MANAGERS, INC. 0.17% of their portfolio PARAMUS, NJ 37,56337.6k $2.4m $2.4m 0.17% Added +1.6k +1,587