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
InstitutionLevel Four Advisory Services, Llc
Latest Disclosed Ownership31,142 shares
Latest Disclosed Value $ 4,565,822
Level Four Advisory Services, Llc reports 2.06% increase in ownership of XLV / The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF

On May 14, 2026 - Level Four Advisory Services, Llc filed a 13F-HR form disclosing ownership of 31,142 shares of The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF (US:XLV) valued at $4,565,729 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 13, 2026 disclosing 30,512 shares of The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF. This represents a change in shares of 2.06% during the quarter. The current value of the position is $4,595,002 USD.

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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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)
2026-05-14 2026-03-31 13F SELECT SECTOR SPDR TR STATE STREET HEA 81369Y209 31,142 630 2.06 4,566 -3.35 0.1499
2026-02-13 2025-12-31 13F SELECT SECTOR SPDR TR STATE STREET HEA 81369Y209 30,512 -2,874 -8.61 4,723 1.66 0.1545
2025-11-12 2025-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 33,386 -21,808 -39.51 4,646 -37.55 0.1591
2025-08-13 2025-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 55,194 33,013 148.83 7,440 129.74 0.2742
2025-05-14 2025-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 22,181 169 0.77 3,239 6.94 0.1332
2025-02-12 2024-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 22,012 -1,929 -8.06 3,028 -13.88 0.1238
2024-11-14 2024-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 23,941 -845 -3.41 3,516 -2.66 0.1480
2024-08-09 2024-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 24,786 4,988 25.19 3,613 33.78 0.1628
2024-05-13 2024-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 19,798 0 0.00 2,700 0.00 0.1483
2024-02-08 2023-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 19,798 895 4.73 2,700 10.97 0.1515
2023-11-13 2023-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 18,903 -3,206 -14.50 2,434 -17.08 0.1569
2023-07-10 2023-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 22,109 304 1.39 2,935 3.97 0.1763
2023-06-05 2023-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 21,805 1,333 6.51 2,823 1.47 0.1852
2023-02-13 2022-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 20,472 11,494 128.02 2,781 155.84 0.2064
2022-11-07 2022-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 8,978 248 2.84 1,087 -2.95 0.1056
2022-08-08 2022-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 8,730 -260 -2.89 1,120 -9.02 0.1056
2022-05-10 2022-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 8,990 -1,404 -13.51 1,231 -15.92 0.0964
2022-02-11 2021-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 10,394 10,394 1,464 0.1116
2021-10-12 2021-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 0 -19,103 -100.00 0 -100.00
2021-08-09 2021-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 19,103 -779 -3.92 2,406 3.66 0.1664
2021-05-10 2021-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 19,882 -9,471 -32.27 2,321 -30.30 0.1802
2021-02-10 2020-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 29,353 -12,034 -29.08 3,330 -23.73 0.2673
2020-11-02 2020-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 41,387 -5,022 -10.82 4,366 -6.71 0.3363
2020-08-17 2020-06-30 13F/A-1 SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 46,409 29,440 173.49 4,680 216.64 0.3620
2020-05-13 2020-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 16,969 -8,619 -33.68 1,478 -43.42 0.1773
2020-02-13 2019-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 25,588 -177 -0.69 2,612 12.44 0.1034
2019-11-12 2019-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 25,765 -501 -1.91 2,323 -4.52 0.2404
2019-08-14 2019-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 26,266 -47,856 -64.56 2,433 -64.23 0.2456
2019-05-15 2019-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 74,122 6,259 9.22 6,801 15.84 0.7491
2019-02-07 2018-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 67,863 45,705 206.27 5,871 178.51 0.7321
2018-11-14 2018-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 22,158 -92,627 -80.70 2,108 -78.00 0.2278
2018-08-14 2018-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 114,785 3,043 2.72 9,580 5.32 0.6979
2018-05-14 2018-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 111,742 5,642 5.32 9,096 3.69 0.7053
2018-02-13 2017-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 106,100 4,904 4.85 8,772 6.06 0.6824
2018-04-03 2017-09-30 13F/A-1 SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 101,196 4,109 4.23 8,271 14.89 0.7332
2017-11-15 2017-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 103,066 5,979 8,489
2017-09-20 2017-06-30 13F/A-1 SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 97,087 0 0.00 7,199 0.00 1.1083
2017-07-12 2017-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 97,087 7,199
2017-09-20 2017-03-31 13F/A-1 SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 97,087 87,843 950.27 7,199 1,030.14 0.7333
2017-05-15 2017-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 97,087 87,843 7,199
2017-02-14 2016-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 9,244 9,244 637 0.0813
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.