Vault-13

ISHARES TR IHI

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

559 institutional holders +30 vs Q3 2025
27,621,57827.6m shares reported held*
$1.7bnreported value*
42 new 148 added 195 reduced 30 sold out net sold ≈ $111.0m (-1.8m 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 ($155.5k this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $62.12. Options: 6 managers hold calls ($15.9m notional), 4 hold puts ($6.4m).

Trends to Q4 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: 551Q3 25: 529Q4 25: 559559Q3 22Q2 23Q1 24Q4 24Q4 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
Q3 2025529
Q4 2025559

Buyers vs sellers

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

Bought or addedCut or sold out
4000400Q1 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 25Q3 25: 148 bought or addedQ3 25: 281 cut or sold outQ4 25: 190 bought or addedQ4 25: 225 cut or sold outQ4 25
Numbers
QuarterBought or addedCut or sold out
Q1 2024225277
Q2 2024170316
Q3 2024177271
Q4 2024184277
Q1 2025200263
Q2 2025171270
Q3 2025148281
Q4 2025190225

Calls vs puts

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

CallsPuts
$0$10m$20m$30mQ1 25 calls: $10.5mQ1 25 puts: $28.8mQ1 25P/C 2.75Q2 25 calls: $16.2mQ2 25 puts: $7.9mQ2 25P/C 0.49Q3 25 calls: $13.4mQ3 25 puts: $5.0mQ3 25P/C 0.37Q4 25 calls: $15.9mQ4 25 puts: $6.4mQ4 25P/C 0.40
Numbers
QuarterCallsPutsP/C
Q1 2025$10.5m$28.8m2.75
Q2 2025$16.2m$7.9m0.49
Q3 2025$13.4m$5.0m0.37
Q4 2025$15.9m$6.4m0.40

Biggest buyers

MORGAN STANLEY Added +432,620+432.6k
Foundations Investment Advisors, LLC New +285,784+285.8k
BNP PARIBAS FINANCIAL MARKETS Added +242,966+243.0k
TUDOR INVESTMENT CORP ET AL New +207,281+207.3k
CITIGROUP INC Added +156,046+156.0k
Point72 Asset Management, L.P. New +110,605+110.6k
VALICENTI ADVISORY SERVICES INC New +94,525+94.5k
ST GERMAIN D J CO INC New +59,858+59.9k
Anfield Capital Management, LLC Added +49,489+49.5k
GTS SECURITIES LLC Added +36,003+36.0k

Biggest sellers

MENORA MIVTACHIM HOLDINGS LTD. Reduced -1,385,000-1.4m
JPMORGAN CHASE & CO Reduced -863,904-863.9k
Harel Insurance Investments & Financial Services Ltd. Reduced -689,900-689.9k
Nan Shan Life Insurance Co., Ltd. Sold out -248,710-248.7k
Millington Financial Advisors, LLC Sold out -94,810-94.8k
ALLIANCEBERNSTEIN L.P. Sold out -66,693-66.7k
LM Advisors LLC Reduced -59,267-59.3k
J.W. COLE ADVISORS, INC. Reduced -41,901-41.9k
Qube Research & Technologies Ltd Reduced -41,597-41.6k
TWO SIGMA INVESTMENTS, LP Reduced -39,200-39.2k

Biggest calls

SUSQUEHANNA INTERNATIONAL GROUP, LLP Reduced $9.6m153.9k shares
CITADEL ADVISORS LLC Added $3.4m55.2k shares
JANE STREET GROUP, LLC New $1.2m19.9k shares
Squarepoint Ops LLC Unchanged $882.5k14.2k shares
PEAK6 LLC New $745.8k12.0k shares
MAI Capital Management Unchanged $18.6k300 shares

Biggest puts

CITADEL ADVISORS LLC Reduced $2.6m41.7k shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP Added $2.2m35.8k shares
Walleye Trading LLC Added $963.3k15.5k shares
JANE STREET GROUP, LLC New $571.8k9.2k 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 2025

#ManagerLocationShares Value% of their portfolioChangeShares change
1 MORGAN STANLEY 0.01% of their portfolio NEW YORK, NY 3,440,0233.4m $213.8m $213.8m 0.01% Added +432.6k +432,620
2 MENORA MIVTACHIM HOLDINGS LTD. 0.75% of their portfolio Ramat Gan, L3 2,561,4502.6m $159.2m $159.2m 0.75% Reduced -1.4m -1,385,000
3 BANK OF AMERICA CORP /DE/ 0.01% of their portfolio CHARLOTTE, NC 1,733,0871.7m $107.7m $107.7m 0.01% Added +22.4k +22,365
4 LPL Financial LLC 0.03% of their portfolio FORT MILL, SC 1,516,6471.5m $94.3m $94.3m 0.03% Reduced -10.7k -10,690
5 UBS Group AG 0.01% of their portfolio ZURICH, V8 1,022,5421.0m $63.6m $63.6m 0.01% Reduced -27.3k -27,318
6 WELLS FARGO & COMPANY/MN 0.01% of their portfolio SAN FRANCISCO, CA 990,933990.9k $61.6m $61.6m 0.01% Reduced -19.9k -19,867
7 ROYAL BANK OF CANADA 0.01% of their portfolio TORONTO, A6 762,405762.4k $47.4m $47.4m 0.01% Added +17.4k +17,355
8 RAYMOND JAMES FINANCIAL INC 0.01% of their portfolio ST. PETERSBURG, FL 654,330654.3k $40.7m $40.7m 0.01% Added +21.0k +21,022
9 ENVESTNET ASSET MANAGEMENT INC 0.01% of their portfolio Berwyn, PA 631,552631.6k $39.3m $39.3m 0.01% Reduced -12.7k -12,733
10 RiverFront Investment Group, LLC 0.43% of their portfolio RICHMOND, VA 418,622418.6k $26.0m $26.0m 0.43% Added +15.8k +15,790
11 AMERIPRISE FINANCIAL INC 0.00% of their portfolio MINNEAPOLIS, MN 328,593328.6k $20.5m $20.5m 0.00% Reduced -512 -512
12 Cetera Investment Advisers 0.02% of their portfolio SCHAUMBURG, IL 325,151325.2k $20.2m $20.2m 0.02% Reduced -6.3k -6,340
13 COMMONWEALTH EQUITY SERVICES, LLC 0.03% of their portfolio WALTHAM, MA 312,108312.1k $19.4m $19.4m 0.03% Reduced -18.4k -18,416
14 Wharton Business Group, LLC 0.71% of their portfolio MALVERN, PA 299,530299.5k $18.6m $18.6m 0.71% Reduced -2.9k -2,890
15 WEALTH ENHANCEMENT ADVISORY SERVICES, LLC 0.03% of their portfolio PLYMOUTH, MN 292,731292.7k $18.9m $18.9m 0.03% Added +1.4k +1,388
16 Foundations Investment Advisors, LLC 0.23% of their portfolio PHOENIX, AZ 285,784285.8k $17.8m $17.8m 0.23% New
17 BNP PARIBAS FINANCIAL MARKETS 0.01% of their portfolio PARIS, I0 252,529252.5k $15.7m $15.7m 0.01% Added +243.0k +242,966
18 Kingsview Wealth Management, LLC 0.23% of their portfolio GRANTS PASS, OR 252,479252.5k $15.7m $15.7m 0.23% Reduced -16.2k -16,209
19 Qube Research & Technologies Ltd 0.02% of their portfolio LONDON, X0 245,086245.1k $15.2m $15.2m 0.02% Reduced -41.6k -41,597
20 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 230,481230.5k $14.3m $14.3m 0.00% Reduced -17.7k -17,716
21 Baker Avenue Asset Management, LP 0.31% of their portfolio SAN FRANCISCO, CA 215,196215.2k $13.4m $13.4m 0.31% Added +22.0k +21,988
22 TUDOR INVESTMENT CORP ET AL 0.07% of their portfolio STAMFORD, CT 207,281207.3k $12.9m $12.9m 0.07% New
23 OSAIC HOLDINGS, INC. 0.02% of their portfolio SCOTTSDALE, AZ 204,944204.9k $12.7m $12.7m 0.02% Reduced -24.1k -24,054
24 CITIGROUP INC 0.01% of their portfolio NEW YORK, NY 203,032203.0k $12.6m $12.6m 0.01% Added +156.0k +156,046
25 ARKANSAS FINANCIAL GROUP, INC. 1.82% of their portfolio LITTLE ROCK, AR 202,744202.7k $12.6m $12.6m 1.82% Added +1.4k +1,439
26 HighTower Advisors, LLC 0.01% of their portfolio CHICAGO, IL 189,419189.4k $11.8m $11.8m 0.01% Added +22.4k +22,362
27 JONES FINANCIAL COMPANIES LLLP 0.01% of their portfolio DES PERES, MO 187,253187.3k $11.6m $11.6m 0.01% Added +9.7k +9,725
28 Gerber Kawasaki Wealth & Investment Management 0.38% of their portfolio SANTA MONICA, CA 173,273173.3k $10.8m $10.8m 0.38% Reduced -7.3k -7,294
29 TWO SIGMA INVESTMENTS, LP 0.02% of their portfolio NEW YORK, NY 167,200167.2k $10.4m $10.4m 0.02% Reduced -39.2k -39,200
30 SAVA PENZISKO DRUSHTVO A.D. SKOPJE 2.91% of their portfolio SKOPJE, 1U 145,148145.1k $9.0m $9.0m 2.91% Unchanged
31 REDSTONE WEALTH MANAGEMENT, LLC 6.99% of their portfolio OKLAHOMA CITY, OK 142,349142.3k $8.8m $8.8m 6.99% First filing
32 Equitable Holdings, Inc. 0.06% of their portfolio NEW YORK, NY 140,818140.8k $8.8m $8.8m 0.06% Reduced -2.7k -2,711
33 Cambridge Investment Research Advisors, Inc. 0.02% of their portfolio FAIRFIELD, IA 140,187140.2k $8.7m $8.7m 0.02% Reduced -2.5k -2,475
34 MERCER GLOBAL ADVISORS INC /ADV 0.01% of their portfolio DENVER, CO 137,575137.6k $8.6m $8.6m 0.01% Added +4.1k +4,149
35 Certified Advisory Corp 0.78% of their portfolio ALTAMONTE SPRINGS, FL 136,883136.9k $8.5m $8.5m 0.78% Reduced -891 -891
36 CUMBERLAND ADVISORS INC 3.07% of their portfolio SARASOTA, FL 130,475130.5k $8.1m $8.1m 3.07% Reduced -475 -475
37 MML INVESTORS SERVICES, LLC 0.02% of their portfolio SPRINGFIELD, MA 125,892125.9k $7.8m $7.8m 0.02% Added +4.3k +4,313
38 Wealth Advisory Solutions, LLC 1.71% of their portfolio ZIONSVILLE, IN 117,866117.9k $7.3m $7.3m 1.71% Added +25 +25
39 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 117,844117.8k $7.3m $7.3m 0.00% Reduced -863.9k -863,904
40 Anchor Investment Management, LLC 0.56% of their portfolio COLUMBIA, SC 110,690110.7k $6.9m $6.9m 0.56% Added +3.3k +3,292
41 Point72 Asset Management, L.P. 0.01% of their portfolio STAMFORD, CT 110,605110.6k $6.9m $6.9m 0.01% New
42 BLAIR WILLIAM & CO/IL 0.02% of their portfolio CHICAGO, IL 109,850109.8k $6.8m $6.8m 0.02% Reduced -435 -435
43 Federation des caisses Desjardins du Quebec 0.03% of their portfolio LEVIS, A8 109,644109.6k $6.8m $6.8m 0.03% Added +2.0k +1,981
44 Safeguard Investment Advisory Group, LLC 1.71% of their portfolio Corona, CA 107,345107.3k $6.7m $6.7m 1.71% Reduced -5.9k -5,911
45 LYNX CAPITAL GROUP LTD /ADV 2.92% of their portfolio BEACHWOOD, OH 102,523102.5k $6.4m $6.4m 2.92% Added +257 +257
46 Janney Montgomery Scott LLC 0.01% of their portfolio PHILADELPHIA, PA 101,260101.3k $6.3m $6.3m 0.01% Reduced -2.4k -2,441
47 Baird Financial Group, Inc. 0.01% of their portfolio MILWAUKEE, WI 101,032101.0k $6.3m $6.3m 0.01% Reduced -2.7k -2,668
48 Moors & Cabot, Inc. 0.27% of their portfolio BOSTON, MA 101,007101.0k $6.3m $6.3m 0.27% Added +1.5k +1,505
49 EP Wealth Advisors, LLC 0.03% of their portfolio TORRANCE, CA 95,98996.0k $6.0m $6.0m 0.03% First filing
50 VALICENTI ADVISORY SERVICES INC 1.23% of their portfolio ELMIRA, NY 94,52594.5k $5.9m $5.9m 1.23% New
51 MEANS INVESTMENT CO., INC. 0.49% of their portfolio BANGOR, ME 93,16593.2k $5.8m $5.8m 0.49% Reduced -1.8k -1,766
52 B. Riley Wealth Advisors, Inc. 0.27% of their portfolio MEMPHIS, TN 91,40691.4k $5.7m $5.7m 0.27% Reduced -5.0k -5,031
53 STIFEL FINANCIAL CORP 0.01% of their portfolio ST. LOUIS, MO 91,34591.3k $5.7m $5.7m 0.01% Reduced -5.9k -5,875
54 PEAPACK GLADSTONE FINANCIAL CORP 0.07% of their portfolio BEDMINSTER, NJ 90,90790.9k $5.6m $5.6m 0.07% Reduced -1.8k -1,815
55 Corient Private Wealth LP 0.00% of their portfolio MIAMI, FL 90,73290.7k $5.6m $5.6m 0.00% Added +16.3k +16,339
56 Fisher Asset Management, LLC 0.00% of their portfolio PLANO, TX 90,52690.5k $5.6m $5.6m 0.00% Reduced -7.9k -7,934
57 Mariner, LLC 0.01% of their portfolio Overland Park, KS 84,68784.7k $5.3m $5.3m 0.01% Reduced -1.1k -1,141
58 J. Goldman & Co LP 0.20% of their portfolio NEW YORK, NY 83,94283.9k $5.2m $5.2m 0.20% Added +10.6k +10,604
59 Capital Analysts, LLC 0.14% of their portfolio FORT WASHINGTON, PA 81,85981.9k $5.1m $5.1m 0.14% Added +2.3k +2,331
60 Hamilton Wealth, LLC 0.97% of their portfolio LOS ANGELES, CA 81,74081.7k $5.1m $5.1m 0.97% Added +3.0k +3,005
61 CENTAURUS FINANCIAL, INC. 0.22% of their portfolio ANAHEIM, CA 77,63377.6k $4.8m $4.8m 0.22% Added +1.3k +1,339
62 VIEWPOINT INVESTMENT PARTNERS CORP 2.20% of their portfolio CALGARY, A0 74,35474.4k $4.6m $4.6m 2.20% Reduced -257 -257
63 Geneos Wealth Management Inc. 0.11% of their portfolio ENGLEWOOD, CO 71,24471.2k $4.4m $4.4m 0.11% Reduced -1.0k -1,026
64 PRINCIPAL SECURITIES, INC. 0.07% of their portfolio DES MOINES, IA 68,84268.8k $4.3m $4.3m 0.07% Added +10.7k +10,711
65 TRUIST FINANCIAL CORP 0.01% of their portfolio CHARLOTTE, NC 68,76768.8k $4.3m $4.3m 0.01% Reduced -2.9k -2,937
66 NewEdge Advisors, LLC 0.02% of their portfolio NEW ORLEANS, LA 67,67767.7k $4.2m $4.2m 0.02% Reduced -4.8k -4,845
67 PNC Financial Services Group, Inc. 0.00% of their portfolio Pittsburgh, PA 67,25967.3k $4.2m $4.2m 0.00% Reduced -4.1k -4,060
68 CREATIVE FINANCIAL DESIGNS INC /ADV 0.26% of their portfolio KOKOMO, IN 65,83665.8k $4.1m $4.1m 0.26% Added +630 +630
69 Capital Investment Advisory Services, LLC 0.29% of their portfolio RALEIGH, NC 65,42565.4k $4.1m $4.1m 0.29% Added +1.8k +1,785
70 Segment Wealth Management, LLC 0.23% of their portfolio HOUSTON, TX 63,38663.4k $3.9m $3.9m 0.23% Reduced -430 -430
71 ST GERMAIN D J CO INC 0.14% of their portfolio SPRINGFIELD, MA 59,85859.9k $3.7m $3.7m 0.14% New
72 Prestige Wealth Management Group LLC 0.71% of their portfolio FLEMINGTON, NJ 59,80559.8k $3.7m $3.7m 0.71% Added +151 +151
73 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.01% of their portfolio BALA CYNWYD, PA 59,78759.8k $3.7m $3.7m 0.01% Added +7.3k +7,270
74 Tower Research Capital LLC (TRC) 0.09% of their portfolio NEW YORK, NY 59,01659.0k $3.7m $3.7m 0.09% Added +26.6k +26,555
75 CMH Wealth Management LLC 0.76% of their portfolio PORTSMOUTH, NH 57,05557.1k $3.5m $3.5m 0.76% Reduced -819 -819
76 Econ Financial Services Corp 1.77% of their portfolio HARRISBURG, PA 56,80756.8k $3.5m $3.5m 1.77% Reduced -4.3k -4,280
77 Walleye Trading LLC 0.05% of their portfolio NEW YORK, NY 54,39654.4k $3.4m $3.4m 0.05% Reduced -265 -265
78 Somerset Group LLC 2.61% of their portfolio WAYZATA, MN 53,93753.9k $3.5m $3.5m 2.61% Reduced -135 -135
79 Integrated Advisors Network LLC 0.14% of their portfolio DALLAS, TX 51,50051.5k $3.2m $3.2m 0.14% Added +2.6k +2,622
80 Diversified Enterprises, LLC 0.19% of their portfolio Wilmington, DE 50,84650.8k $3.2m $3.2m 0.19% Added +460 +460
81 CIBC WORLD MARKET INC. 0.01% of their portfolio TORONTO, A6 50,14550.1k $3.1m $3.1m 0.01% Reduced -8.6k -8,622
82 Chicago Partners Investment Group LLC 0.07% of their portfolio CHICAGO, IL 50,11350.1k $3.0m $3.0m 0.07% Added +2.5k +2,520
83 GTS SECURITIES LLC 0.11% of their portfolio NEW YORK, NY 50,03150.0k $3.1m $3.1m 0.11% Added +36.0k +36,003
84 Capital Asset Advisory Services LLC 0.13% of their portfolio Williamston, MI 49,85249.9k $3.2m $3.2m 0.13% Reduced -1.2k -1,170
85 AXXCESS WEALTH MANAGEMENT, LLC 0.06% of their portfolio CARLSBAD, CA 49,61349.6k $3.1m $3.1m 0.06% Reduced -1.7k -1,679
86 Anfield Capital Management, LLC 0.97% of their portfolio IRVINE, CA 49,55749.6k $3.1m $3.1m 0.97% Added +49.5k +49,489
87 CITADEL ADVISORS LLC 0.00% of their portfolio MIAMI, FL 49,55249.6k $3.1m $3.1m 0.00% Added +12.1k +12,135
88 Apollon Financial, LLC 0.45% of their portfolio MOUNT PLEASANT, SC 49,36149.4k $3.1m $3.1m 0.45% Reduced -1.3k -1,297
89 NORTHSTAR ASSET MANAGEMENT Co 0.65% of their portfolio BLUE BELL, PA 48,97049.0k $3.0m $3.0m 0.65% Reduced -150 -150
90 Charter Oak Capital Management, LLC 0.23% of their portfolio PORTSMOUTH, NH 48,86348.9k $3.0m $3.0m 0.23% Reduced -5.2k -5,208
91 &PARTNERS 0.02% of their portfolio NASHVILLE, TN 47,51647.5k $3.0m $3.0m 0.02% Added +6.1k +6,107
92 Private Advisor Group, LLC 0.01% of their portfolio MORRISTOWN, NJ 46,27346.3k $2.9m $2.9m 0.01% Reduced -5.9k -5,916
93 NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO 0.00% of their portfolio MILWAUKEE, WI 45,90345.9k $2.9m $2.9m 0.00% Reduced -7.1k -7,125
94 Evergreen Wealth Partners LLC 2.27% of their portfolio KALISPELL, MT 43,30343.3k $2.7m $2.7m 2.27% First filing
95 Concord Investment Counsel Inc. 0.86% of their portfolio IRVINE, CA 42,84942.8k $2.7m $2.7m 0.86% Reduced -1.6k -1,601
96 FMR LLC 0.00% of their portfolio BOSTON, MA 40,98141.0k $2.5m $2.5m 0.00% Added +8.5k +8,475
97 Creative Planning 0.00% of their portfolio OVERLAND PARK, KS 40,29340.3k $2.5m $2.5m 0.00% Added +128 +128
98 Madden Advisory Services, Inc. 1.01% of their portfolio Jacksonville, FL 40,25240.3k $2.5m $2.5m 1.01% Reduced -5.0k -4,951
99 TD Waterhouse Canada Inc. 0.01% of their portfolio TORONTO, A6 38,73638.7k $2.4m $2.4m 0.01% Added +31.4k +31,392
100 D. E. Shaw & Co., Inc. 0.00% of their portfolio New York, NY 37,10137.1k $2.3m $2.3m 0.00% Reduced -29.1k -29,083