The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF
US ˙ ARCA ˙ US81369Y2090

SecurityXLV / The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF
InstitutionCreative Planning
Latest Disclosed Ownership141,802 shares
Latest Disclosed Value $ 20,789,572
Creative Planning ownership in XLV / The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF

On May 12, 2026 - Creative Planning filed a 13F-HR form disclosing ownership of 141,802 shares of The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF (US:XLV) valued at $20,789,591 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 136,889 shares of The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF. This represents a change in shares of 3.59% during the quarter. The current value of the position is $20,922,885 USD.

Creative Planning has a history of taking positions in derivatives of the underlying security (XLV) in the form of stock options. The firm currently holds call options representing 0 of underlying shares valued at $0 USD and put options representing 0 of underlying shares valued at $0 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

XLV / The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-12 2026-03-31 13F SELECT SECTOR SPDR TR STATE STREET HEA 81369Y209 141,802 4,913 3.59 20,790 -1.89 0.0141
2026-02-17 2025-12-31 13F SELECT SECTOR SPDR TR STATE STREET HEA 81369Y209 136,889 8,123 6.31 21,190 18.25 0.0152
2025-11-14 2025-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 128,766 18,130 16.39 17,920 20.17 0.0137
2025-08-08 2025-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 110,636 -10,278 -8.50 14,913 -15.53 0.0127
2025-05-15 2025-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 120,914 20,601 20.54 17,655 27.93 0.0166
2025-02-14 2024-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 100,313 721 0.72 13,800 -10.03 0.0134
2024-10-11 2024-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 99,592 2,920 3.02 15,339 8.87 0.0152
2024-08-15 2024-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 96,672 5,533 6.07 14,090 4.65 0.0150
2024-05-13 2024-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 91,139 -3,496 -3.69 13,464 4.32 0.0149
2024-02-14 2023-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 94,635 -2,195 -2.27 12,906 3.54 0.0239
2023-11-16 2023-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 96,830 7,750 8.70 12,466 5.43 0.0166
2023-07-21 2023-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 89,080 1,795 2.06 11,824 4.64 0.0158
2023-05-15 2023-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 87,285 -3,111 -3.44 11,300 -7.99 0.0163
2023-02-10 2022-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 90,396 7,522 9.08 12,280 22.35 0.0185
2022-11-03 2022-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 82,874 -6,451 -7.22 10,037 -12.38 0.0174
2022-08-15 2022-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 89,325 18,730 26.53 11,455 18.46 0.0189
2022-05-16 2022-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 70,595 7,819 12.46 9,670 9.34 0.0150
2022-02-11 2021-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,776 -315 -0.50 8,844 10.12 0.0142
2021-11-10 2021-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 63,091 401 0.64 8,031 1.71 0.0142
2021-08-04 2021-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,690 -3,315 -5.02 7,896 2.48 0.0140
2021-04-30 2021-03-31 13F CreativePlanning SBI HEALTHCARE 81369Y209 66,005 2,902 4.60 7,705 7.64 0.0155
2021-01-29 2020-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 63,103 -1,039 -1.62 7,158 5.79 0.0157
2020-11-05 2020-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 64,142 5,115 8.67 6,766 14.54 0.0177
2020-07-23 2020-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 59,027 2,032 3.57 5,907 16.99 0.0171
2020-05-05 2020-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 56,995 -2,608 -4.38 5,049 -16.83 0.0179
2020-01-30 2019-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 59,603 2,168 3.77 6,071 17.27 0.0182
2019-11-01 2019-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 57,435 -2,384 -3.99 5,177 -6.59 0.0169
2019-07-26 2019-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 59,819 1,430 2.45 5,542 3.45 0.0186
2019-04-24 2019-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 58,389 5,858 11.15 5,357 17.89 0.0193
2019-02-12 2018-12-31 13F/A-1 SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 52,531 -1,912 -3.51 4,544 -12.28 0.0186
2019-02-01 2018-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 52,531 -1,912 4,544
2018-10-25 2018-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 54,443 3,055 5.94 5,180 20.77 0.0192
2018-07-20 2018-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 51,388 -693 -1.33 4,289 1.18 0.0168
2018-04-18 2018-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 52,081 -6,000 -10.33 4,239 -11.72 0.0173
2018-01-17 2017-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 58,081 6,654 12.94 4,802 14.25 0.0207
2017-10-17 2017-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 51,427 -1,941 -3.64 4,203 -0.61 0.0195
2017-07-12 2017-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 53,368 -1,847 -3.35 4,229 3.00 0.0214
2017-04-07 2017-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 55,215 -60 -0.11 4,106 7.74 0.0224
2017-01-09 2016-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 55,275 9,757 21.44 3,811 16.12 0.0232
2016-10-12 2016-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 45,518 8,566 23.18 3,282 23.85 0.0209
2016-07-12 2016-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 36,952 -13,578 -26.87 2,650 -22.63 0.0192
2016-04-08 2016-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 50,530 11,745 30.28 3,425 22.58 0.0267
2016-01-11 2015-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 38,785 -296 -0.76 2,794 7.96 0.0230
2015-10-09 2015-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 39,081 -95 -0.24 2,588 -11.19 0.0229
2015-07-09 2015-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 39,176 -461 -1.16 2,914 1.39 0.0264
2015-04-13 2015-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 39,637 39,637 0.00 2,874 0.0270
2015-01-29 2014-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 0 -16,608 -100.00 0 -100.00
2014-10-10 2014-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 16,608 -9,118 -35.44 1,061 -32.20 0.0123
2014-08-20 2014-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 25,726 2,280 9.72 1,565 14.15 0.0203
2014-04-11 2014-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 23,446 2,900 14.11 1,371 20.37 0.0206
2014-01-06 2013-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 20,546 2,080 11.26 1,139 21.95 0.0194
2013-10-10 2013-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 18,466 11,036 148.53 934 163.84 0.0185
2013-07-09 2013-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 7,430 7,430 354 0.0082
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2021-01-29 2020-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 0 -100.00 0 n/a n/a n/a
2020-11-05 2020-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 300 0 n/a n/a n/a
2020-05-05 2020-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-01-30 2019-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 100 1 n/a n/a n/a
2019-04-24 2019-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 0 -100.00 0 -100.00 n/a n/a n/a
2019-02-12 2018-12-31 13F/A SELECT SECTOR SPDR TR SBI HEALTHCARE Call 400 1 n/a n/a n/a
2019-02-01 2018-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 400 1 n/a n/a n/a
2017-04-07 2017-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 0 -100.00 0 n/a n/a n/a
2017-01-09 2016-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 1,000 0 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2020-05-05 2020-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Put 0 -100.00 0 -100.00 n/a n/a n/a
2020-01-30 2019-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Put 1,000 4 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.