Read the following texts and table with financial data from an S&P 500 earnings report carefully.Based on the question-answer history (if provided), answer the last question. The answer may require mathematical calculation based on the data provided.

Text: 12feb201521095992 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 on december 31 , 2009 and reinvestment of dividends . comparison of 5 year cumulative total return rs $ 200 2009 2010 2011 201420132012 edwards lifesciences corporation s&p 500 s&p 500 healthcare equipment december 31 . <table class='wikitable'><tr><td>1</td><td>total cumulative return</td><td>2010</td><td>2011</td><td>2012</td><td>2013</td><td>2014</td></tr><tr><td>2</td><td>edwards lifesciences</td><td>$ 186.16</td><td>$ 162.81</td><td>$ 207.65</td><td>$ 151.43</td><td>$ 293.33</td></tr><tr><td>3</td><td>s&p 500</td><td>115.06</td><td>117.49</td><td>136.30</td><td>180.44</td><td>205.14</td></tr><tr><td>4</td><td>s&p 500 healthcare equipment index</td><td>96.84</td><td>102.07</td><td>120.66</td><td>153.85</td><td>194.33</td></tr></table> .
Question: what is the value of an investment in edwards lifesciences in 2014?
Answer: 293.33
Question: what about the initial value?
Answer: 100.0
Question: what is the net change?
Answer: 193.33
Question: what is the initial value of the investment?
Answer: 100.0
Question: what rate of return does this represent?

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