XLV · State Street(R) Health Care Select Sector SPDR(R) ETF · Holdings ETF

$181.28 +2.34 (+1.31%)

Volume · Oct 22 7.59M Avg daily vol (3M) 8.43M

Institutional ownership from SEC Form 13F filings. Investment managers with more than $100 million in U.S. equities must disclose their positions every quarter, within 45 days of quarter-end, so the holdings shown can lag the market by up to a quarter.

Use institutional holdings through the 13F API or MCP →

Institutional holdings are being reconciled with SEC filings. Holder totals and changes may be incomplete until reconciliation finishes.

Quarter:

Holders: 517

Total Value: $1,578,470,380

Total Shares: 9,372,228

Showing 1–100 of 522 holdings by value · page 1 of 6

Institutional Ownership Trend

27 quarters

Holder Concentration

Across 517 13F filers · Δ vs Jun 30, 2026

Top Holder

4.7%

−10.2 pts

Top 5

17.7%

−18.3 pts

Top 10

27.9%

−21.8 pts

HHI

130

Broadly held−272

Who Holds XLV

Last 8 quarters through Sep 30, 2026 (filing window open)

Each kind of 13F filer's share of the common shares 13F filers report. Holder type comes from regulatory records, never the filer's name; style, turnover and horizon are measured from each filer's own 13F book. The quarter selector does not change this card.

Jun 30, 2026, the newest closed quarter: 1,867 filers, like-for-like change -1.1%; actively managed books -0.6%; index-like books -4.7%.

Holder type	Share	Filers	Change	New	Exited
Registered adviser	24.7%	1,238	-1.1%	105	81
Exempt adviser	0.3%	9	-7.2%	4	2
Adviser	2.9%	12	+0.9%	1	1
Bank	38.0%	49	+1.2%	1	0
Insurer	0.1%	1	0.0%	0	0
Broker-dealer	3.2%	2	-7.2%	1	0
Benefit plan	0.0%	1	-98.8%	0	1
Non-US	0.8%	8	-27.9%	0	0
Holding company	12.7%	11	+3.7%	0	0
Unknown	17.4%	536	-5.4%	53	31

Style	Share	Filers	Change	New	Exited
Index-like	11.0%	15	-4.7%	2	1
Systematic-like	2.3%	25	+91.1%	6	4
Concentrated	12.4%	710	-4.5%	65	59
Diversified active	74.2%	1,114	-1.5%	90	51
Unknown	0.0%	3	-73.1%	2	1
Not measured	0.0%	0	—	0	0

Turnover	Share	Filers	Change	New	Exited
Low turnover	77.6%	1,272	-3.2%	69	56
Medium turnover	17.2%	317	+0.8%	47	33
High turnover	4.2%	80	+39.1%	29	18
Unknown	1.0%	198	+17.9%	20	9
Not measured	0.0%	0	—	0	0

Holding horizon	Share	Filers	Change	New	Exited
Short horizon	2.5%	209	+66.6%	41	17
Medium horizon	9.4%	443	+4.0%	45	48
Long horizon	85.7%	1,149	-1.9%	67	36
Unknown	2.3%	66	-26.0%	12	15
Not measured	0.0%	0	—	0	0

13F book size	Share	Filers	Change	New	Exited
Under $1B	7.4%	1,087	+9.5%	110	80
$1B to $10B	14.0%	590	-3.3%	41	23
$10B to $100B	19.8%	140	-3.7%	10	12
$100B or more	58.9%	50	-0.9%	4	1
Not measured	0.0%	0	—	0	0

Client base	Share	Filers	Change	New	Exited
Individuals and high net worth	18.2%	1,069	-2.8%	79	61
Pooled investment vehicles	3.5%	39	+89.2%	11	10
Registered funds and BDCs	1.7%	26	-45.6%	8	8
Pension and profit sharing plans	0.2%	15	+26.3%	2	0
Insurance companies	0.3%	5	+0.2%	0	0
Charitable organizations	0.0%	3	-1.3%	0	0
Governments and sovereign funds	0.0%	5	+33.0%	2	0
Banks and thrifts	0.0%	3	+3.7%	0	0
Corporations	0.1%	10	-8.7%	0	0
Other investment advisers	0.1%	17	+5.0%	1	0
Other	0.1%	4	-8.3%	1	1
Diversified	0.3%	39	-9.8%	1	1
Unknown	75.3%	632	-1.1%	60	35

Private funds	Share	Filers	Change	New	Exited
Hedge funds	4.4%	95	+64.9%	19	12
Private equity funds	1.5%	40	-3.9%	1	3
Venture capital funds	0.0%	4	+16.8%	0	0
Real estate funds	0.3%	20	+30.0%	1	0
Securitized asset funds	0.0%	1	-86.0%	0	0
Other private funds	3.2%	45	-1.1%	0	5
Mixed private funds	0.8%	15	-4.7%	1	0
Private funds, type not stated	0.2%	14	+50.8%	3	2
No private funds	14.5%	1,012	-11.7%	84	61
Liquidity funds	0.0%	0	—	0	0
Unknown	75.0%	621	-1.1%	56	33

Location	Share	Filers	Change	New	Exited
United States	84.2%	1,762	-0.7%	144	104
Outside the US	15.8%	105	-3.2%	21	12

The Sep 30, 2026 filing window is still open, so its bar shows only the filers that have filed so far.

How the mix is measured

Shares are 13F common shares restated to today's split basis; options and principal amounts are left out. The change compares only filers with a 13F in both quarters and keeps each filer in its bucket of the later quarter on both sides; a filer that continues under a new CIK is compared through its successor. Holder type comes from each filer's current regulatory profile; client base and private funds come from the Form ADV roster current at each quarter end (rosters from December 2019, so an earlier quarter reads Unknown). Style, turnover, horizon and book size are measured from each filer's 13F book in the newest measured quarter, and Not measured means none was. Actively managed books are those measured systematic-like, concentrated or diversified active.

Excluded 22 holders with no observed 2026-03-31 13F and 25 holders with no observed 2026-06-30 13F. Compared across CIK changes: 4 filers continue as Evelyn Partners Group Ltd; JANUS HENDERSON GROUP PLC continues as Jupiter Topco LLC; Trask Adam Roland continues as Burnham & Co LLC.

Conviction and Crowding

1,867 13F filers, quarter ended Jun 30, 2026

Measured across every 13F filer's common-share book once the quarter's filing window closed. Crowding counts filers with high turnover or that advise private funds on Form ADV.

Conviction holders

536

28.7% of filers hold it in their top 10

Mar 31, 2026: 548

Holders above 5%

median weight 0.102%

Mar 31, 2026: 34

Crowding

—

shares outstanding is an issuer-wide count, not one listing's

Private-fund advisers

—

of shares outstanding

Institutional ownership

—

shares outstanding is an issuer-wide count, not one listing's

Top 10 holders

51.1%

of 13F shares, Herfindahl 0.047

Active holders

-0.7%

like-for-like share change of active filers

5% stakes on record

0 13D, 0 13G

How long holders have held it value-weighted 21.3 quarters

Under 1 year 7.34% 1 to 3 years 11.1% 3 years or more 81.5% Since coverage start 0.000%

Managers in the top fifth by current three-year FundScore alpha were net buyers of $2,975 (1 buying, 0 selling).

Estimated Holder Cost Basis

Quarter ended Jun 30, 2026, on that quarter's share basis

Estimated, never filed: each 13F buy is costed at its quarter's average traded price and each sale keeps the average cost, so this is what holders paid on average if they traded evenly through each quarter.

Estimated avg cost

$150.40

estimated per share

Mar 31, 2026: $154.25

Quarter-end price

$158.60

implied by 13F values

Estimated gain or loss

+5.4%

price against the estimated cost

Estimated at a loss

0.000%

of costed 13F value

Estimated cost covers 5.41% of the 13F shares; positions already held when a filer's 13F history starts, or bought in a quarter without a trusted average price, have no estimate.

Fund Ownership of XLV by Fund Type

Registered funds' Form N-PORT reports for the quarter ended Jun 30, 2026

Index funds and index ETFs hold 177,010 shares.

Fund type	Shares	Funds
Index funds	0	0
Index ETFs	177,010	2
Active ETFs	1,354,628	8
Active funds	200,039	5
Unclassified	71,039	3
All registered funds	1,802,716	18

How fund types are measured

Each fund series counts once, with its latest Form N-PORT report dated inside the quarter; only long share positions count, restated to today's split basis. The fund type is the series' latest Form N-CEN answer on or before the quarter end (the index-fund box and the exchange-traded flag), never its name. Unclassified funds have no usable N-CEN; unit investment trusts are among them, so index ownership is a floor. Funds sit inside their advisers' 13F reports, so these shares overlap the 13F figures and are never added to them.

Quarterly Activity

vs Jun 30, 2026

New

Increased

220

Decreased

165

Sold Out

Unchanged

New and Sold Out count only filers that reported a 13F for both quarters: a first-time filer's book is not a buy, and a fund that has not filed, or withheld its positions under confidential treatment, has not sold.

Holder count: -1,364

Institutional value: -95.4%

Shares held: -95.7%

Top Buyers

vs Jun 30, 2026

Institution	Added	Now Holds
Small Ayalon Insurance Comp Ltd.	+237,900	441,909
Small ELEMENT POINTE ADVISORS, LLC	+186,231	198,098
Mid Stonebridge Financial Group, LLC	+172,842	201,197
Mid Trilogy Capital Inc.	+146,530	173,175
Mid Atria Investments, Inc	+47,561	108,061

Top Sellers

vs Jun 30, 2026

Institution	Sold	Now Holds
Large Farther Finance Advisors, LLC	−292,229	115,280
Mid Diversify Advisory Services, LLC	−160,147	9,519
Mid DIVERSIFY WEALTH MANAGEMENT, LLC	−160,147	9,519
Small Econ Financial Services Corp	−38,070	3,010
Small Keystone Global Partners, LLC	−34,594	40,970

Top New Positions

vs Jun 30, 2026

Institution	Acquired	Value (USD)
Mid MIRAE ASSET SECURITIES (USA) INC.	300,852	$50,669,493
Small Onyx Bridge Wealth Group LLC	189,523	$31,919,463
Small Lake Hills Wealth Management, LLC	61,569	$10,369,450
Small Financial Enhancement Group LLC	43,630	$7,348,164
Small VMS Asset Management Limited	33,600	$5,658,912

Top Sold-Out Positions

vs Jun 30, 2026

Institution	Previously Held	Last Value (USD)
Small BNC WEALTH MANAGEMENT, LLC	25,135	$3,987,919
Small Retireful, LLC	17,039	$2,703,407
Mid Guardian Partners Inc.	7,000	$1,110,620
Small Cox Capital Mgt LLC	6,762	$1,072,858
Small NOVEM GROUP	6,170	$978,930

Filter: New 52 Increased 220 Reduced 165 Sold out 19 Unchanged 74

Holder type: Registered adviser 343 Adviser 1 Bank 5 Unknown 168

Showing 100 of 522

All Common Calls Puts

Compact Export CSV

Holder

Value (USD)

% of 13F

Ayalon Insurance Comp Ltd. XLV

$74,426,313

4.72%

441,909

TD Waterhouse Canada Inc. XLV

$63,273,204

4.01%

375,687

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
TORONTO DOMINION BANK	375,687	$63,273,204	100.0%	Defined

ASSETMARK, INC XLV

$48,632,959

3.08%

288,760

Krilogy Financial LLC XLV

$43,114,846

2.73%

255,996

Stonebridge Financial Group, LLC XLV

$33,885,598

2.15%

201,197

MIRAE ASSET SECURITIES (USA) INC. XLV

$33,827,493

2.14%

200,852

ELEMENT POINTE ADVISORS, LLC XLV

$33,363,665

2.11%

198,098

Onyx Bridge Wealth Group LLC XLV

$31,919,463

2.02%

189,523

Biltmore Wealth Management, LLC XLV

$30,460,778

1.93%

180,862

Concurrent Investment Advisors, LLC XLV

$29,961,075

1.90%

177,895

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Concurrent Asset Management, LLC	93	$15,663	0.1%	Sole
Held directly	177,802	$29,945,412	99.9%	Sole

KWMG, LLC XLV

$29,490,342

1.87%

175,100

Trilogy Capital Inc. XLV

$29,166,133

1.85%

173,175

Financial Advisory Corp XLV

$28,103,403

1.78%

166,865

WEALTH ENHANCEMENT ADVISORY SERVICES, LLC XLV

$26,567,076

1.68%

157,743

DAVENPORT & Co LLC XLV

$23,756,146

1.51%

141,053

Graves Light Lenhart Wealth, Inc. XLV

$23,337,454

1.48%

138,567

Farther Finance Advisors, LLC XLV

$19,415,457

1.23%

115,280

Atria Investments, Inc XLV

$18,199,633

1.15%

108,061

MIRAE ASSET SECURITIES (USA) INC. XLV

$16,842,000

1.07%

100,000

BAR HARBOR WEALTH MANAGEMENT XLV

$16,589,201

1.05%

98,499

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BAR HARBOR BANKSHARES joint	98,499	$16,589,201	100.0%	Defined

Galvin, Gaustad & Stein, LLC XLV

$15,692,870

0.99%

93,177

Pachira Investments Inc. XLV

$15,338,514

0.97%

91,073

Asset Advisors Investment Management, LLC XLV

$14,984,664

0.95%

88,972

Robertson Stephens Wealth Management, LLC XLV

$13,785,177

0.87%

81,850

MATHER GROUP, LLC. XLV

$13,353,348

0.85%

79,286

WESPAC Advisors SoCal, LLC XLV

$13,170,444

0.83%

78,200

OLD NATIONAL BANCORP /IN/ XLV

$13,155,117

0.83%

78,109

PETREDIS INVESTMENT ADVISORS LLC XLV

$12,974,571

0.82%

77,037

EAGLE WEALTH STRATEGIES LLC XLV

$12,642,447

0.80%

75,065

Hobart Private Capital, LLC XLV

$12,630,151

0.80%

74,992

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
AE Wealth Management LLC	2,940	$495,154	3.9%	Defined
Held directly	72,052	$12,134,997	96.1%	Sole

Carnegie Investment Counsel XLV

$12,481,943

0.79%

74,112

Sowell Financial Services LLC XLV

$12,444,890

0.79%

73,892

Parkside Investments, LLC XLV

$11,482,370

0.73%

68,177

INDEPENDENT FINANCIAL GROUP, LLC XLV

$11,150,077

0.71%

66,204

TOTH FINANCIAL ADVISORY CORP XLV

$10,951,342

0.69%

65,024

Lake Hills Wealth Management, LLC XLV

$10,369,450

0.66%

61,569

Capital Investment Counsel, LLC XLV

$10,347,556

0.66%

61,439

FORBES J M & CO LLP XLV

$10,335,935

0.65%

61,370

IFP Advisors, Inc XLV

$10,236,230

0.65%

60,778

TCV Trust & Wealth Management, Inc. XLV

$9,682,633

0.61%

57,491

FIRST MERCHANTS CORP XLV

$9,503,434

0.60%

56,427

Howard Capital Management Group, LLC XLV

$9,017,038

0.57%

53,539

Signal Advisors Wealth, LLC XLV

$8,752,113

0.55%

51,966

BigSur Wealth Management LLC XLV

$8,669,082

0.55%

51,473

Essex LLC XLV

$8,577,462

0.54%

50,929

McKinley Carter Wealth Services, Inc. XLV

$8,254,937

0.52%

49,014

Annex Advisory Services, LLC XLV

$7,581,594

0.48%

45,016

FORONJY FINANCIAL LLC XLV

$7,472,795

0.47%

44,370

Integrated Advisors Network LLC XLV

$7,363,827

0.47%

43,723

Financial Enhancement Group LLC XLV

$7,348,164

0.47%

43,630

Fifth Third Securities, Inc. XLV

$7,158,523

0.45%

42,504

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Fifth Third Bank, National Association	42,504	$7,158,523	100.0%	Defined

Keystone Global Partners, LLC XLV

$6,900,167

0.44%

40,970

TRITONPOINT WEALTH, LLC XLV

$6,690,316

0.42%

39,724

NVWM, LLC XLV

$6,528,463

0.41%

38,763

Cooksen Wealth, LLC XLV

$6,394,065

0.41%

37,965

Obermeyer Wealth Partners XLV

$6,115,498

0.39%

36,311

PINNACLE ASSOCIATES LTD XLV

$6,011,246

0.38%

35,692

Magnus Financial Group LLC XLV

$5,985,141

0.38%

35,537

TCP Asset Management, LLC XLV

$5,780,511

0.37%

34,322

Prime Capital Investment Advisors, LLC XLV

$5,759,458

0.36%

34,197

VMS Asset Management Limited XLV

$5,658,912

0.36%

33,600

Pacific Wealth Management XLV

$5,655,038

0.36%

33,577

SteelPeak Wealth, LLC XLV

$5,604,175

0.36%

33,275

KENNICOTT CAPITAL MANAGEMENT LLC XLV

$5,569,312

0.35%

33,068

HERBST GROUP, LLC XLV

$5,519,123

0.35%

32,770

Sage Capital Advisors,llc XLV

$5,513,565

0.35%

32,737

Accurate Wealth Management, LLC XLV

$5,383,545

0.34%

31,965

Premier Path Wealth Partners, LLC XLV

$5,221,188

0.33%

31,001

PFG Advisors XLV

$5,220,683

0.33%

30,998

Spectrum Asset Management, Inc. (NB/CA) XLV

$5,195,083

0.33%

30,846

Spinnaker Investment Group, LLC XLV

$4,662,202

0.30%

27,682

Procyon Advisors, LLC XLV

$4,600,055

0.29%

27,313

Vontobel Holding Ltd. XLV

$4,471,886

0.28%

26,552

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BANK VONTOBEL AG	10,826	$1,823,314	40.8%	Defined
Vontobel Asset Management Ltd	15,275	$2,572,615	57.5%	Defined
Vontobel Swiss Financial Advisers AG	451	$75,957	1.7%	Defined

COLTON GROOME FINANCIAL ADVISORS, LLC XLV

$4,358,372

0.28%

25,878

FIRST FINANCIAL BANK - TRUST DIVISION XLV

$4,314,751

0.27%

25,619

BENEDICT FINANCIAL ADVISORS INC XLV

$4,299,257

0.27%

25,527

Massachusetts Wealth Management XLV

$4,293,699

0.27%

25,494

Dynamic Advisor Solutions LLC XLV

$4,255,468

0.27%

25,267

Encompass More Asset Management XLV

$4,217,573

0.27%

25,042

COURIER CAPITAL LLC XLV

$4,093,279

0.26%

24,304

Vontobel Holding Ltd. XLV

$4,042,080

0.26%

24,000

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BANK VONTOBEL AG	24,000	$4,042,080	100.0%	Defined

Innova Wealth Partners XLV

$3,968,480

0.25%

23,563

Cannon Advisors, Inc. XLV

$3,940,859

0.25%

23,399

Focus Financial Network, Inc. XLV

$3,904,480

0.25%

23,183

Tandem Investment Partners LLC XLV

$3,898,923

0.25%

23,150

New England Private Wealth Advisors LLC XLV

$3,830,376

0.24%

22,743

CoreCap Advisors, LLC XLV

$3,787,260

0.24%

22,487

HBW ADVISORY SERVICES LLC XLV

$3,772,944

0.24%

22,402

FERGUSON WELLMAN CAPITAL MANAGEMENT, INC XLV

$3,740,102

0.24%

22,207

Capstone Wealth Management Group, Inc. XLV

$3,728,987

0.24%

22,141

NEW WAVE WEALTH ADVISORS LLC XLV

$3,695,134

0.23%

21,940

Apella Capital, LLC XLV

$3,659,766

0.23%

21,730

BUTENSKY & COHEN FINANCIAL SECURITY, INC XLV

$3,609,914

0.23%

21,434

CLARK FINANCIAL SERVICES GROUP INC /BD XLV

$3,534,293

0.22%

20,985

Connecticut Wealth Management, LLC XLV

$3,478,715

0.22%

20,655

Zullo Investment Group, Inc. XLV

$3,477,199

0.22%

20,646

Stegent Equity Advisors, Inc. XLV

$3,473,157

0.22%

20,622

CWC Advisors, LLC. XLV

$3,472,483

0.22%

20,618

Farmers & Merchants Trust Co of Chambersburg PA XLV

$3,411,010

0.22%

20,253

Boltwood Capital Management XLV

$3,393,157

0.21%

20,147

Showing the top 100 of 522 holders. Create a free account to see every holder, past quarters, search, filters and CSV export.