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
InstitutionToth Financial Advisory Corp
Latest Disclosed Ownership61,124 shares
Latest Disclosed Value $ 8,961,390
Toth Financial Advisory Corp ownership in XLV / The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF

On April 16, 2026 - Toth Financial Advisory Corp filed a 13F-HR form disclosing ownership of 61,124 shares of The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF (US:XLV) valued at $8,961,390 USD as of March 31, 2026. The entity filed a previous 13F-HR on January 20, 2026 disclosing 57,060 shares of The Select Sector SPDR Trust - State Street Health Care Select Sector SPDR ETF. This represents a change in shares of 7.12% during the quarter. The current value of the position is $9,352,583 USD.

Toth Financial Advisory Corp 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 .

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)
2026-04-16 2026-03-31 13F SELECT SECTOR SPDR TR STATE STREET HEA 81369Y209 61,124 4,064 7.12 8,961 1.46 0.9837
2026-01-20 2025-12-31 13F SELECT SECTOR SPDR TR STATE STREET HEA 81369Y209 57,060 17,271 43.41 8,833 59.51 0.9590
2025-10-09 2025-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 39,789 4,033 11.28 5,537 14.90 0.5970
2025-07-14 2025-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 35,756 -28,178 -44.07 4,820 -48.37 0.5623
2025-04-14 2025-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 63,934 -1,092 -1.68 9,335 4.35 1.1238
2025-01-21 2024-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 65,026 1,544 2.43 8,946 -8.51 1.0522
2024-10-21 2024-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 63,482 241 0.38 9,778 6.08 1.1545
2024-07-16 2024-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 63,241 86 0.14 9,217 -1.20 1.1715
2024-04-16 2024-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 63,155 1,041 1.68 9,330 10.13 1.1678
2024-01-26 2023-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,114 1 0.00 8,471 5.94 1.1489
2023-10-12 2023-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,113 -444 -0.71 7,996 -3.70 1.2178
2023-07-24 2023-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,557 482 0.78 8,303 3.32 1.2010
2023-04-24 2023-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,075 -785 -1.25 8,036 -5.89 1.2533
2023-01-24 2022-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 62,860 1,720 2.81 8,540 15.31 1.3851
2022-10-14 2022-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 61,140 1,260 2.10 7,405 -3.57 1.3404
2022-07-25 2022-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 59,880 2,362 4.11 7,679 -2.54 1.3380
2022-04-26 2022-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 57,518 1,884 3.39 7,879 0.52 1.1773
2022-01-31 2021-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 55,634 1,232 2.26 7,838 13.18 1.0685
2021-10-20 2021-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 54,402 1,309 2.47 6,925 3.56 1.0520
2021-07-26 2021-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 53,093 507 0.96 6,687 8.93 1.0212
2021-04-20 2021-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 52,586 2,963 5.97 6,139 9.06 0.9797
2021-01-25 2020-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 49,623 3,424 7.41 5,629 15.51 0.9648
2020-10-16 2020-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 46,199 14,666 46.51 4,873 54.45 0.9358
2020-07-14 2020-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 31,533 7,500 31.21 3,155 48.19 0.6832
2020-04-20 2020-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 24,033 -51,967 -68.38 2,129 -72.50 0.6148
2020-01-27 2019-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 76,000 3 0.00 7,741 13.01 1.5699
2019-10-15 2019-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 75,997 -494 -0.65 6,850 -3.33 1.5006
2019-07-17 2019-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 76,491 -806 -1.04 7,086 -0.08 1.5850
2019-04-15 2019-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 77,297 1,541 2.03 7,092 8.21 1.6604
2019-01-22 2018-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 75,756 3,000 4.12 6,554 -5.33 1.7920
2018-10-15 2018-09-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 72,756 663 0.92 6,923 15.06 1.5364
2018-07-23 2018-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 72,093 180 0.25 6,017 2.78 1.4108
2018-04-25 2018-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 71,913 2,135 3.06 5,854 1.47 1.4234
2018-02-06 2017-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 69,778 -18 -0.03 5,769 1.14 1.3668
2017-10-11 2017-09-30 13F Healthcare ETF 81369Y209 69,796 3,757 5.69 5,704 9.00 1.4400
2017-07-05 2017-06-30 13F Healthcare ETF 81369Y209 66,039 1,950 3.04 5,233 9.80 1.3665
2017-04-03 2017-03-31 13F Healthcare ETF 81369Y209 64,089 1,742 2.79 4,766 10.89 1.2661
2017-01-03 2016-12-31 13F Healthcare ETF 81369Y209 62,347 366 0.59 4,298 -3.83 1.2347
2016-10-13 2016-09-30 13F Healthcare ETF 81369Y209 61,981 577 0.94 4,469 1.50 1.3117
2016-07-01 2016-06-30 13F Healthcare ETF 81369Y209 61,404 -927 -1.49 4,403 4.21 1.3429
2016-04-07 2016-03-31 13F Healthcare ETF 81369Y209 62,331 -3,499 -5.32 4,225 -10.90 1.3814
2016-01-04 2015-12-31 13F Healthcare ETF 81369Y209 65,830 -183 -0.28 4,742 8.46 1.5696
2015-10-02 2015-09-30 13F Healthcare ETF 81369Y209 66,013 -2,242 -3.28 4,372 -13.90 1.6015
2015-07-01 2015-06-30 13F Healthcare ETF 81369Y209 68,255 -411 -0.60 5,078 2.01 1.6959
2015-04-10 2015-03-31 13F Healthcare ETF 81369Y209 68,666 -637 -0.92 4,978 5.04 1.6690
2015-01-06 2014-12-31 13F Healthcare ETF 81369Y209 69,303 -8,466 -10.89 4,739 -4.65 1.6427
2014-10-01 2014-09-30 13F Healthcare ETF 81369Y209 77,769 1,841 2.42 4,970 7.60 1.8758
2014-07-01 2014-06-30 13F Healthcare ETF 81369Y209 75,928 1,658 2.23 4,619 6.33 1.7544
2014-04-03 2014-03-31 13F Healthcare ETF 81369Y209 74,270 2,594 3.62 4,344 9.31 1.7598
2014-01-03 2013-12-31 13F Healthcare ETF 81369Y209 71,676 -452 -0.63 3,974 8.91 1.6860
2013-10-17 2013-09-30 13F Healthcare ETF 81369Y209 72,128 2,004 2.86 3,649 9.28 1.7097
2013-08-08 2013-06-30 13F Healthcare ETF 81369Y209 70,124 70,124 3,339 1.6435
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
(%)
2020-07-14 2020-06-30 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-04-20 2020-03-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 100 0.00 9 -10.00 n/a n/a n/a
2020-01-27 2019-12-31 13F SELECT SECTOR SPDR TR SBI HEALTHCARE Call 100 10 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.