Who owns State Street(R) Health Care Select Sector SPDR(R) ETF (XLV)
Which tracked institutional funds hold XLV, how they are positioned, and who is buying versus exiting — from SEC Form 13F-HR filings. See XLV company fundamentals →
Ownership as of the 2026-Q1 13F filings (latest filed 2026-05-18). 13F is disclosed up to 45 days after quarter-end, so the most recent quarter fills in over the following weeks.
How the tape is positioned
The tracked-fund tape on XLV is one-sided between 2026-Q1 and 2026-Q2: 10 added or opened and 1081 trimmed or exited — on balance reducing.
A prompt to read the filings, not a verdict. 13F is a quarter-end snapshot disclosed up to 45 days late; a fund adds or exits for mandate, benchmark, and timing reasons that have nothing to do with a view on the stock. This is a starting question, not a signal to trade.
Conviction spread
XLV’s largest tracked holder by dollar value, BANK OF AMERICA CORP /DE/, sizes it at 0.3% of its own reported 13F book, while the median holder sizes it at 0.3% of theirs — a 0.1pp conviction gap — its largest holder concentrates the name more heavily than the typical one.
Book-share is each fund’s reported value in XLV divided by its whole reported 13F book, so it is comparable across funds of different sizes and is unaffected by stock splits. A higher share means a fund has committed more of its book to the name — a starting question about conviction, not a verdict or a signal to trade.
Institutional & insider positioning
Between 2025-Q4 and 2026-Q1, across 1799 tracked filers holding XLV, 827 increased or opened the position and 893 reduced or closed it; over the same quarter, there were no open-market insider Form 4s.
This fuses two public signals for the same quarter — how tracked institutions changed their positions and whether insiders bought or sold in the open market. It describes what was filed; it is a starting question, not a verdict or a signal to trade.
New buyers & exits
Funds opening or closing a position in XLV between the 2026-Q1 and 2026-Q2 13F filings, and the largest changes among funds holding it in both. New buyers and exits are counted on fund presence (split-invariant); adds and trims are measured on reported value.
New buyers 4
- MARSHALL WACE, LLP$7M
- BALYASNY ASSET MANAGEMENT L.P.$6M
- Brevan Howard Capital Management LP$5M
- ExodusPoint Capital Management, LP$2M
Full exits 1076
- BANK OF AMERICA CORP /DE/$4.5B
- JPMORGAN CHASE & CO$2.3B
- MORGAN STANLEY$1.7B
- GOLDMAN SACHS GROUP INC$1.1B
- WELLS FARGO & COMPANY/MN$936M
- LPL Financial LLC$928M
Largest adds
- TUDOR INVESTMENT CORP ET AL$141M
- RENAISSANCE TECHNOLOGIES LLC$86M
- TWO SIGMA INVESTMENTS, LP$68M
- AQR CAPITAL MANAGEMENT LLC$3M
- FMR LLC$3M
- Verition Fund Management LLC$1M
Largest trims
- CITADEL ADVISORS LLC$213M
- STATE STREET CORP$148M
- MILLENNIUM MANAGEMENT LLC$56M
- BlackRock, Inc.$6M
- Point72 Asset Management, L.P.$5M
Institutional holders
One row per tracked fund, largest reported value first. “% of value” is the fund’s share of this security’s tracked institutional value — not of shares outstanding. Rows marked stale are from an earlier filing than the security’s latest quarter — that fund is absent from the newest snapshot (position exited, or reported under a different name).
| Fund | Shares | Reported value | % of value | Quarter |
|---|---|---|---|---|
| BANK OF AMERICA CORP /DE/ added | 31,021,559 | $4.5B | 18.7% | 2026-Q1 |
| JPMORGAN CHASE & CO trimmed | 15,794,063 | $2.3B | 9.3% | 2026-Q1 |
| MORGAN STANLEY trimmed | 11,432,079 | $1.7B | 6.9% | 2026-Q1 |
| GOLDMAN SACHS GROUP INC added | 7,180,417 | $1.1B | 4.3% | 2026-Q1 |
| WELLS FARGO & COMPANY/MN added | 6,383,962 | $936M | 3.8% | 2026-Q1 |
| LPL Financial LLC trimmed | 6,333,092 | $928M | 3.8% | 2026-Q1 |
| ENVESTNET ASSET MANAGEMENT INC added | 5,176,030 | $759M | 3.1% | 2026-Q1 |
| RAYMOND JAMES FINANCIAL INC trimmed | 4,787,128 | $702M | 2.9% | 2026-Q1 |
| UBS Group AG trimmed | 4,528,081 | $664M | 2.7% | 2026-Q1 |
| Focus Partners Wealth trimmed | 3,081,363 | $452M | 1.9% | 2026-Q1 |
| Harel Insurance Investments & Financial Services Ltd. trimmed | 2,838,549 | $416M | 1.7% | 2026-Q1 |
| AMERIPRISE FINANCIAL INC trimmed | 2,727,813 | $411M | 1.7% | 2026-Q1 |
| NISSAY ASSET MANAGEMENT CORP /JAPAN trimmed | 2,702,894 | $396M | 1.6% | 2026-Q1 |
| ROYAL BANK OF CANADA trimmed | 2,646,004 | $388M | 1.6% | 2026-Q1 |
| Main Management ETF Advisors, LLC trimmed | 2,543,237 | $373M | 1.5% | 2026-Q1 |
| Janney Montgomery Scott LLC trimmed | 2,361,183 | $346M | 1.4% | 2026-Q1 |
| TRUIST FINANCIAL CORP added | 2,323,059 | $341M | 1.4% | 2026-Q1 |
| Caisse de depot et placement du Quebec added | 2,144,058 | $314M | 1.3% | 2026-Q1 |
| BARCLAYS PLC added | 1,947,906 | $286M | 1.2% | 2026-Q1 |
| WestEnd Advisors, LLC added | 1,878,114 | $275M | 1.1% | 2026-Q1 |
| MENORA MIVTACHIM HOLDINGS LTD. trimmed | 1,734,213 | $254M | 1.0% | 2026-Q1 |
| MEITAV INVESTMENT HOUSE LTD trimmed | 1,586,797 | $233M | 1.0% | 2026-Q1 |
| OSAIC HOLDINGS, INC. added | 1,541,744 | $226M | 0.9% | 2026-Q1 |
| Phoenix Financial Ltd. added | 1,529,577 | $224M | 0.9% | 2026-Q1 |
| BNP PARIBAS FINANCIAL MARKETS trimmed | 1,391,792 | $204M | 0.8% | 2026-Q1 |
| Jordan Park Group LLC new | 1,370,536 | $201M | 0.8% | 2026-Q1 |
| TUDOR INVESTMENT CORP ET AL added | 983,436 | $156M | 0.6% | 2026-Q2 |
| Rokos Capital Management LLP trimmed | 1,036,116 | $152M | 0.6% | 2026-Q1 |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC added | 1,003,611 | $147M | 0.6% | 2026-Q1 |
| PGIM Custom Harvest LLC trimmed | 961,249 | $141M | 0.6% | 2026-Q1 |
| Cetera Investment Advisers trimmed | 867,939 | $127M | 0.5% | 2026-Q1 |
| STIFEL FINANCIAL CORP added | 770,348 | $113M | 0.5% | 2026-Q1 |
| NEUBERGER BERMAN GROUP LLC trimmed | 740,343 | $109M | 0.4% | 2026-Q1 |
| AGF MANAGEMENT LTD trimmed | 726,050 | $106M | 0.4% | 2026-Q1 |
| Migdal Insurance & Financial Holdings Ltd. added | 680,149 | $100M | 0.4% | 2026-Q1 |
| RENAISSANCE TECHNOLOGIES LLC added | 628,300 | $100M | 0.4% | 2026-Q2 |
| BANK OF NOVA SCOTIA added | 679,740 | $100M | 0.4% | 2026-Q1 |
| VICTORY CAPITAL MANAGEMENT INC added | 652,174 | $96M | 0.4% | 2026-Q1 |
| BlackRock, Inc. trimmed | 581,605 | $92M | 0.4% | 2026-Q2 |
| TWO SIGMA INVESTMENTS, LP added | 562,031 | $89M | 0.4% | 2026-Q2 |
| CITIGROUP INC trimmed | 607,605 | $89M | 0.4% | 2026-Q1 |
| Rockefeller Capital Management L.P. trimmed | 584,921 | $86M | 0.4% | 2026-Q1 |
| Qube Research & Technologies Ltd trimmed | 565,210 | $83M | 0.3% | 2026-Q1 |
| CITADEL ADVISORS LLC trimmed | 515,327 | $82M | 0.3% | 2026-Q2 |
| SRB CORP | 556,818 | $82M | 0.3% | 2026-Q1 |
| CIBC WORLD MARKET INC. trimmed | 553,159 | $81M | 0.3% | 2026-Q1 |
| HighTower Advisors, LLC added | 526,922 | $77M | 0.3% | 2026-Q1 |
| RiverFront Investment Group, LLC added | 521,112 | $76M | 0.3% | 2026-Q1 |
| NORTHERN TRUST CORP added | 486,168 | $71M | 0.3% | 2026-Q1 |
| BANK OF MONTREAL /CAN/ trimmed | 480,893 | $71M | 0.3% | 2026-Q1 |
| Conservest Capital Advisors, Inc. trimmed | 471,537 | $69M | 0.3% | 2026-Q1 |
| GREENWOOD GEARHART LLC added | 462,504 | $68M | 0.3% | 2026-Q1 |
| US BANCORP \DE\ added | 459,185 | $67M | 0.3% | 2026-Q1 |
| J.Safra Asset Management Corp added | 446,627 | $65M | 0.3% | 2026-Q1 |
| Main Management LLC trimmed | 436,462 | $64M | 0.3% | 2026-Q1 |
| STATE OF MICHIGAN RETIREMENT SYSTEM added | 404,788 | $59M | 0.2% | 2026-Q1 |
| NATIXIS added | 403,455 | $59M | 0.2% | 2026-Q1 |
| ALPS ADVISORS INC added | 398,570 | $58M | 0.2% | 2026-Q1 |
| Gerber Kawasaki Wealth & Investment Management trimmed | 387,824 | $57M | 0.2% | 2026-Q1 |
| SIGNATURE ESTATE & INVESTMENT ADVISORS LLC added | 382,859 | $56M | 0.2% | 2026-Q1 |
| Advisory Alpha, LLC added | 376,473 | $55M | 0.2% | 2026-Q1 |
| COMMONWEALTH EQUITY SERVICES, LLC trimmed | 368,885 | $54M | 0.2% | 2026-Q1 |
| MML INVESTORS SERVICES, LLC trimmed | 363,690 | $53M | 0.2% | 2026-Q1 |
| Capital Investment Advisors, LLC trimmed | 345,759 | $51M | 0.2% | 2026-Q1 |
| SCHRODER INVESTMENT MANAGEMENT GROUP trimmed | 335,996 | $48M | 0.2% | 2026-Q1 |
| Farther Finance Advisors, LLC added | 326,935 | $48M | 0.2% | 2026-Q1 |
| KCM INVESTMENT ADVISORS LLC trimmed | 326,615 | $48M | 0.2% | 2026-Q1 |
| Cambridge Investment Research Advisors, Inc. added | 317,799 | $47M | 0.2% | 2026-Q1 |
| GRIMES & Co WEALTH MANAGEMENT, LLC trimmed | 312,037 | $46M | 0.2% | 2026-Q1 |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND trimmed | 300,000 | $44M | 0.2% | 2026-Q1 |
| ASSETMARK, INC added | 299,153 | $44M | 0.2% | 2026-Q1 |
| TD Waterhouse Canada Inc. added | 292,323 | $43M | 0.2% | 2026-Q1 |
| MERCER GLOBAL ADVISORS INC /ADV added | 289,403 | $42M | 0.2% | 2026-Q1 |
| ADAMS DIVERSIFIED EQUITY FUND, INC. added | 285,000 | $42M | 0.2% | 2026-Q1 |
| Private Advisor Group, LLC trimmed | 278,763 | $41M | 0.2% | 2026-Q1 |
| Wellspring Financial Advisors, LLC trimmed | 272,211 | $40M | 0.2% | 2026-Q1 |
| Cerity Partners LLC trimmed | 270,453 | $40M | 0.2% | 2026-Q1 |
| Kranot Hishtalmut Le Morim Ve Gananot Havera Menahelet LTD trimmed | 269,341 | $39M | 0.2% | 2026-Q1 |
| CAPITAL FUND MANAGEMENT S.A. trimmed | 267,734 | $39M | 0.2% | 2026-Q1 |
| Krilogy Financial LLC added | 246,922 | $36M | 0.1% | 2026-Q1 |
| Mivtachim The Workers Social Insurance Fund Ltd. (Under Special Management) | 245,800 | $36M | 0.1% | 2026-Q1 |
| JONES FINANCIAL COMPANIES LLLP added | 244,391 | $35M | 0.1% | 2026-Q1 |
| MAI Capital Management added | 236,929 | $35M | 0.1% | 2026-Q1 |
| Baird Financial Group, Inc. added | 236,708 | $35M | 0.1% | 2026-Q1 |
| Wharton Business Group, LLC trimmed | 232,563 | $34M | 0.1% | 2026-Q1 |
| FIFTH THIRD BANCORP added | 223,713 | $33M | 0.1% | 2026-Q1 |
| Kingsview Wealth Management, LLC trimmed | 221,599 | $32M | 0.1% | 2026-Q1 |
| PNC FINANCIAL SERVICES GROUP, INC. added | 220,815 | $32M | 0.1% | 2026-Q1 |
| FMR LLC added | 200,648 | $32M | 0.1% | 2026-Q2 |
| CHURCHILL MANAGEMENT Corp trimmed | 2,305,920 | $311M | 1.3% | 2025-Q2 stale |
| PRUDENTIAL FINANCIAL INC | 1,418,516 | $221M | 0.9% | 2025-Q4 stale |
| VOYA INVESTMENT MANAGEMENT LLC new | 1,186,774 | $173M | 0.7% | 2025-Q1 stale |
| TD Asset Management Inc trimmed | 887,121 | $130M | 0.5% | 2025-Q1 stale |
| Main Management Fund Advisors LLC added | 671,500 | $104M | 0.4% | 2025-Q4 stale |
| CW Advisors, LLC added | 535,405 | $72M | 0.3% | 2025-Q2 stale |
| Alaska Permanent Fund Corp trimmed | 363,906 | $51M | 0.2% | 2025-Q1 stale |
| GOLDENTREE ASSET MANAGEMENT LP new | 350,000 | $47M | 0.2% | 2025-Q2 stale |
| 1832 Asset Management L.P. trimmed | 260,673 | $40M | 0.2% | 2025-Q4 stale |
| CANTOR FITZGERALD, L. P. | 260,000 | $40M | 0.2% | 2025-Q4 stale |
| Elo Mutual Pension Insurance Co trimmed | 257,540 | $40M | 0.2% | 2025-Q4 stale |
Ownership over time
Tracked institutional holder count and total shares held by filing quarter (independent scales). The curated-era tail and any mid-ingest latest quarter are handled honestly — a partial quarter is not drawn as a collapse.
Reading this table
Funds hold the same stock for different reasons — an index fund “holds” almost everything, an active manager sizes a name to a mandate and a benchmark, and each fund entered at its own price and time. Because 13F is filed up to 45 days after quarter-end, every row is a backward-looking snapshot; a manager may have traded since. Share-class siblings (a company’s A and C shares) are rolled up to one line so a dual-class name is never double-counted. Compare like-for-like. A large holder is not an endorsement, and a fund exiting is not a warning — this is a starting question, not a verdict.
About 13F filings
A Form 13F is a quarterly disclosure that institutional investment managers with over $100 million in US-listed equities must file with the SEC. In plain English: it is a snapshot of the long stock positions a fund held at the end of a quarter. It covers long US-listed equities only — not short positions, options, cash, or private holdings — and the funds shown are the large sample we track, not the complete 13F universe.