In the context of this series of interconnected finance-related queries and the additional information provided by the pretext, table data, and posttext from a company's financial filings, please provide a response to the final question. This may require extracting information from the context and performing mathematical calculations. Please take into account the information provided in the preceding questions and their answers when formulating your response:
Context: 2mar201707015999 ( c ) in october 2016 , our accelerated share repurchase ( 2018 2018asr 2019 2019 ) agreement concluded and we received an additional 44 thousand shares of our common stock . shares purchased pursuant to the asr agreement are presented in the table above in the periods in which they were received . performance graph the following graph compares the performance of our common stock with that of the s&p 500 index and the s&p 500 healthcare equipment index . the cumulative total return listed below assumes an initial investment of $ 100 at the market close on december 30 , 2011 and reinvestment of dividends . comparison of 5 year cumulative total return 2011 2012 2016201520142013 edwards lifesciences corporation s&p 500 s&p 500 healthcare equipment index december 31 . <table class='wikitable'><tr><td>1</td><td>total cumulative return</td><td>2012</td><td>2013</td><td>2014</td><td>2015</td><td>2016</td></tr><tr><td>2</td><td>edwards lifesciences</td><td>$ 127.54</td><td>$ 93.01</td><td>$ 180.17</td><td>$ 223.42</td><td>$ 265.06</td></tr><tr><td>3</td><td>s&p 500</td><td>116.00</td><td>153.58</td><td>174.60</td><td>177.01</td><td>198.18</td></tr><tr><td>4</td><td>s&p 500 healthcare equipment index</td><td>117.42</td><td>150.28</td><td>181.96</td><td>194.37</td><td>207.46</td></tr></table> .
Conversations: 
q0: what is the value of an investment in edwards lifesciences in 2016? 265.06
Question: what is the net change from the initial investment?
Answer: