State Street SPDR S&P Health Care Services ETF
XHS
62 hedge funds and large institutions have $50.3M invested in State Street SPDR S&P Health Care Services ETF in 2026 Q1 according to their latest regulatory filings, with 6 funds opening new positions, 12 increasing their positions, 14 reducing their positions, and 5 closing their positions.
20% more first-time investments, than exits
New positions opened: 6 | Existing positions closed: 5
2% more funds holding
Funds holding: 61 → 62 (+1)
4% less capital invested
Capital invested by funds: $52.3M → $50.3M (-$1.97M)
3.62% less ownership
Funds ownership: 62.6% → 58.98% (-3.6%)
14% less repeat investments, than reductions
Existing positions increased: 12 | Existing positions reduced: 14
Top Buyers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Goldman Sachs
New York
|
+$10.8M |
| 2 |
HF
HRT Financial
New York
|
+$1.15M |
| 3 |
Two Sigma Investments
New York
|
+$1.13M |
| 4 |
Susquehanna International Group
Bala Cynwyd,
Pennsylvania
|
+$960K |
| 5 |
Jane Street
New York
|
+$340K |
Top Sellers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Citigroup
New York
|
-$3.2M |
| 2 |
Morgan Stanley
New York
|
-$3.06M |
| 3 |
LPL Financial
San Diego,
California
|
-$2.18M |
| 4 |
Bank of America
Charlotte,
North Carolina
|
-$1.78M |
| 5 |
GAG
Goodman Advisory Group
Needham,
Massachusetts
|
-$1.13M |
XHS Hedge Fund Activity: Q1 2026 in Review
62 of the 8,127 institutional investors tracked by Wall St. Rank reported a position in State Street SPDR S&P Health Care Services ETF (XHS) for Q1 2026, worth a combined $50.3M — down 3.8% from $52.3M a quarter earlier.
Buyers outnumbered sellers: 6 funds opened new XHS positions and 5 closed out — a net gain of 1 holder — while 12 added to existing stakes and 14 trimmed.
The largest buyer was Goldman Sachs, adding an estimated $10.8M. The largest seller was Citigroup, cutting an estimated $3.2M.
- 62 institutional investors held State Street SPDR S&P Health Care Services ETF (XHS) as of Q1 2026, up from 61 in Q4 2025.
- Funds reported $50.3M of State Street SPDR S&P Health Care Services ETF stock for Q1 2026, down 3.8% quarter-over-quarter.
- 6 funds opened new State Street SPDR S&P Health Care Services ETF positions in Q1 2026 and 5 closed out, a net change of +1 holder.
- The largest State Street SPDR S&P Health Care Services ETF buyer in Q1 2026 was Goldman Sachs, an estimated $10.8M added.
- The largest State Street SPDR S&P Health Care Services ETF seller in Q1 2026 was Citigroup, an estimated $3.2M sold.
Based on aggregated 13F filings for Q1 2026.