State Street Health Care Select Sector SPDR ETF
1,813 hedge funds and large institutions have $27.7B invested in State Street Health Care Select Sector SPDR ETF in 2026 Q1 according to their latest regulatory filings, with 162 funds opening new positions, 677 increasing their positions, 694 reducing their positions, and 165 closing their positions.
2% less first-time investments, than exits
New positions opened: 162 | Existing positions closed: 165
2% less repeat investments, than reductions
Existing positions increased: 677 | Existing positions reduced: 694
1% less funds holding
Funds holding: 1,837 → 1,813 (-24)
3.4% less ownership
Funds ownership: 74.83% → 71.43% (-3.4%)
7% less capital invested
Capital invested by funds: $29.7B → $27.7B (-$2.04B)
15% less call options, than puts
Call options by funds: $1.76B | Put options by funds: $2.06B
18% less funds holding in top 10
Funds holding in top 10: 92 → 75 (-17)
Top Buyers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Bank of America
Charlotte,
North Carolina
|
+$503M |
| 2 |
JPG
Jordan Park Group
San Francisco,
California
|
+$211M |
| 3 |
Barclays
London,
United Kingdom
|
+$152M |
| 4 |
Caisse de Depot et Placement du Quebec (CDPQ)
Montreal,
Quebec, Canada
|
+$103M |
| 5 |
Qube Research & Technologies (QRT)
London,
United Kingdom
|
+$87.2M |
Top Sellers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
Prudential Financial
Newark,
New Jersey
|
-$221M |
| 2 |
HIIFS
Harel Insurance Investments & Financial Services
Ramat Gan,
Israel
|
-$214M |
| 3 |
Citigroup
New York
|
-$182M |
| 4 |
BNP Paribas Financial Markets
Paris,
France
|
-$171M |
| 5 |
JP Morgan Chase
New York
|
-$150M |
XLV Hedge Fund Activity: Q1 2026 in Review
1,813 of the 8,184 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 6.9% from $29.7B a quarter earlier.
Sellers outnumbered buyers: 165 funds closed out of XLV and 162 opened new positions — a net loss of 3 holders — while 694 trimmed existing stakes and 677 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.
- 1,813 institutional investors held State Street Health Care Select Sector SPDR ETF (XLV) as of Q1 2026, down from 1,837 in Q4 2025.
- Funds reported $27.7B of State Street Health Care Select Sector SPDR ETF stock for Q1 2026, down 6.9% quarter-over-quarter.
- 162 funds opened new State Street Health Care Select Sector SPDR ETF positions in Q1 2026 and 165 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.