State Street Health Care Select Sector SPDR ETF

XLV

Market cap $41.4B

XLV Hedge Fund Activity: Q1 2026 in Review

1,802 of the 8,126 institutional investors tracked by Wall St. Rank reported a position in State Street Health Care Select Sector SPDR ETF (XLV) for Q1 2026, worth a combined $27.7B — down 7.5% from $29.9B a quarter earlier.

Sellers outnumbered buyers: 163 funds closed out of XLV and 160 opened new positions — a net loss of 3 holders — while 694 trimmed existing stakes and 672 added.

The largest buyer was Bank of America, adding an estimated $503M. The largest seller was Prudential Financial, exiting entirely with an estimated $221M sold.

• 1,802 institutional investors held State Street Health Care Select Sector SPDR ETF (XLV) as of Q1 2026, down from 1,832 in Q4 2025.
• Funds reported $27.7B of State Street Health Care Select Sector SPDR ETF stock for Q1 2026, down 7.5% quarter-over-quarter.
• 160 funds opened new State Street Health Care Select Sector SPDR ETF positions in Q1 2026 and 163 closed out, a net change of -3 holders.
• The largest State Street Health Care Select Sector SPDR ETF buyer in Q1 2026 was Bank of America, an estimated $503M added.
• The largest State Street Health Care Select Sector SPDR ETF seller in Q1 2026 was Prudential Financial, an estimated $221M sold.

Based on aggregated 13F filings for Q1 2026.