State Street Health Care Select Sector SPDR ETFXLV

SPDRSectorsHealth Care#62 of 264 by YTD

$184.02

−0.3% last session

+20.4% YTD

Data as of 11/3/20264:00 PM ET · End-of-day

Dividend-adjusted total return · Dec 31, 2025 – Nov 3, 2026XLVSectors average

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−0.3%	+9.9%	+12.5%	+20.4%	+29.7%	+57.1%	+50.7%	+685.1%
Peer average	+0.6%	+4.0%	+6.1%	+21.0%	+29.0%	+81.2%	+28.9%	—
S&P 500 · VOO	+0.3%	−2.6%	−1.7%	+11.5%	+11.9%	+90.9%	+77.5%	—

Key Statistics

Open all fund facts →

AUM: $49.1B
Expense ratio: 0.08%
Distribution yield: 1.4%
NAV: $184.59
Volume: 11.3M
Avg. volume 30D: 9.3M
High today: $185.72
Low today: $183.57
Previous close: $184.60
52-week high: $187.99
52-week low: $141.97
Our risk indicator: 4/5

XLV in One Breath

XLV Among Health Care ETFs

YTD

#1ARKGARK+70.9%$2.2B

#2IDNAiShares+62.8%$340M

#3BBHVanEck+35.0%$525M

#4FTXHFirst Trust+33.8%$1.2B

#5XHSSPDR+32.9%$229M

#6BBPVirtus+29.5%$132M

#7XBISPDR+27.2%$10.5B

#8IHEiShares+26.9%$1.6B

#15XLVSPDR+20.4%$49.1B

End-of-day Nov 4, 2026 · 33 Health care ETFs by YTD

$10,000 in XLV

$10,000 in XLV became

$15,068

In the S&P 500 (VOO)

$17,749

Total return, dividends in · Oct 26, 2021 – Nov 3, 2026 · S&P 500 uses VOO

XLV’s Top Holdings

Today

LLYEli Lilly +16.5%JNJ9.9%ABBV7.7%UNH5.5%MRK5.4%TMO3.9%AMGN3.7%GILD3.1%ABT2.7%PFE2.6%ISRG2.4%DHR2.2%VRTX2.1%BMY1.9%MDT1.8%CVS1.7%MCK1.7%SYK1.6%ELV1.4%MRNAREGNCI39 more

LLYEli Lilly +16.5%JNJ9.9%ABBV7.7%UNH5.5%MRK5.4%TMO3.9%AMGN3.7%GILD3.1%ABT2.7%PFE2.6%ISRGDHR49 more

Drug Manufacturers - GeneralMedical - DiagnosticsMedical - Healthcare PlansMedical - DevicesBiotechnologyMedical - InstrumentsOther

SPDR XLV · 61 holdings · tile size = share of the fund · as of Nov 1, 2026

What XLV Holds

Today

Drug Manufacturers - General51.3%

LLY 16.5 · JNJ 9.9 · ABBV 7.7 · MRK 5.4 · AMGN 3.7 · GILD 3.1 · PFE 2.6

Medical - Diagnostics & Research11.6%

TMO 3.9 · DHR 2.2 · A · WAT · IDXX · IQV · ILMN

Medical - Healthcare Plans11.1%

UNH 5.5 · CVS 1.7 · ELV 1.4 · CI 1.2 · HUM · CNC

Medical - Devices9.4%

ABT 2.7 · MDT 1.8 · SYK 1.6 · BSX · EW · GEHC · DXCM

Biotechnology5.0%

VRTX 2.1 · MRNA 1.2 · REGN 1.2 · INCY · TECH

Medical - Instruments & Supplies4.7%

ISRG 2.4 · BDX · RMD · WST · BAX · SOLV · COO

Medical - Distribution3.7%

MCK 1.7 · COR · CAH · HSIC

SPDR XLV · share of the fund by industry · as of Nov 1, 2026

Eli’s Share of XLV

Today

16.5%

$165 of every $1,000 in XLV is Eli

Eli held by XLV

$8.1B

Most Eli per dollar

IHE26.9%

PPH23.2%

MEDI22.2%

MEDX21.0%

SPDR XLV · each square = $10 of $1,000 · as of Nov 1, 2026

XLV’s Share of Health Care ETFs

Today

45.0%

of the $109B in 39 Health care ETFs

XLV$49.1B45.0%

VHT$19.1B17.5%

XBI$10.5B9.6%

36 others$30.3B27.8%

Health care ETF AUM · Nov 4, 2026

XLV Fee per $100 vs Peers

Today

$0.08a year
per $100

$8 a year on $10,000

XLV$0.08

VHT$0.09

XBI$0.35

IYH$0.37

IHI$0.37

IXJ$0.38

Expense ratio · Health care peers · Nov 4, 2026

Inside XLV

61 holdings · as of Nov 1, 2026

XLV

State Street Health Care Select Sector SPDR ETF

Today

Drug Manufacturers - General51.3%LLYELI Lilly +16.5%JNJ9.9%ABBV7.7%MRK5.4%AMGN3.7%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.6%TMO3.9%DHRA WATIDXXIQVILMNMTDLH DGXMedical - Healthcare Plans11.1%UNH5.5%CVSELVCI HUMCNCMedical - Devices9.4%ABTMDTSYKBSXEW DXCMZBHBiotechnology5.0%VRTX2.1%MRNAREGNMedical - Instruments4.7%ISRGBDXRMDWSTMedical - Distribution3.7%MCKCORCAHHCAZTSVEEVSTE

Drug Manufacturers - General51.3%LLY16.5%JNJ9.9%ABBV7.7%MRK5.4%AMGN3.7%GILD3 moreMedical - Diagnostics11.6%TMODHRA WATIDXX6 moreMedical - Healthcare Plans11.1%UNH5.5%CVSELVCI HUMMedical - Devices9.4%ABTMDTSYKBiotechnology5.0%VRTXMRNAREGNMedical - Instruments4.7%ISRGBDXMedical - Distribution3.7%MCKCORCAHHCAZTSVTRS

#	Ticker	Company	Weight ▼
1	LLY	ELI Lilly +	16.46%
2	JNJ	Johnson + Johnson	9.93%
3	ABBV	Abbvie	7.70%
4	UNH	Unitedhealth Group	5.52%
5	MRK	Merck +	5.41%
6	TMO	Thermo Fisher Scientific	3.93%
7	AMGN	Amgen	3.73%
8	GILD	Gilead Sciences	3.08%
9	ABT	Abbott Laboratories	2.71%
10	PFE	Pfizer	2.56%

Drug Manufacturers - GeneralMedical - DiagnosticsMedical - Healthcare PlansMedical - DevicesBiotechnologyMedical - InstrumentsMedical - DistributionMedical - Care FacilitiesDrug Manufacturers - SpecialtySoftware - ApplicationMedical - SpecialtiesOther

SPDR XLV · current holdings by weight · as of Nov 1, 2026 · each tile is one holding · top 20 = 79.0%

How It Compares

XLV

State Street Health Care Select Sector SPDR ETF’s Peers

YTD


XLV	SPDRThis fundRead Desk	0.08%	+20.4%	+29.7%	$49.1B
VHT	VanguardRead Desk	0.09%	+19.6%	+28.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+27.2%	+38.1%	$10.5B
IYH	iSharesRead Desk	0.37%	+19.8%	+28.6%	$4.7B
IXJ	iSharesRead Desk	0.38%	+16.0%	+24.7%	$4.6B
IHI	iSharesRead Desk	0.37%	−8.9%	−5.8%	$3.9B

Health care peers · YTD and past-year returns · as of Nov 4, 2026 · sorted by AUM

Head to Head

Put XLV head to head with VHT →

VHT vs XLV

YTD

VHTVanguard · Health careXLVSPDR · Health care

Year to date

+19.6%

+20.4%

XLV wins+0.7 pts

Past year

+28.1%

+29.7%

XLV wins+1.6 pts

Fee

0.09%

0.08%

XLV winslower fee

Yield

1.4%

Level

AUM

$19.1B

$49.1B

XLV2.6× more

3–0XLV wins

Vanguard VHT and SPDR XLV · year-to-date · as of Nov 4, 2026 · AUM not scored

XLV vs VOO

YTD

XLV · Health Care Select Sector SPDR

+20.4%

VOO · S&P 500

+11.5%

Gap

8.8 pts

SPDR XLV and Vanguard VOO · YTD total return · as of Nov 4, 2026

XLV vs Its Peer Average

YTD

XLVAvsBPeer average

1D−0.3%+0.6%

1M+9.9%+4.0%

3M+12.5%+6.1%

YTD+20.4%+21.0%

1Y+29.7%+29.0%

3Y+57.1%+81.2%

5Y+50.7%+28.9%

4–3XLV wins

38 Health care peers · each row scaled to its leader

The Details

XLV

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y16.38%

Deepest drop · 1Y−10.5%

Lowest point · 5Y−8.4%

52-week range

$184.02

$141.97−2.1% from the high$187.99

SPDR XLV · past-year price moves · as of Nov 4, 2026

XLV

Fund Facts

Today

1998launched Dec 16

Tracks[…]

Exchange · CUSIPAMEX · 81369Y209

StructureETF

Leverage1x

Cost on $10,000$8 a year

Go deeper

Prospectus & documents Trading & liquidity Fees & costs Distributions

SPDR XLV · fund facts · as of Nov 4, 2026

XLV

Payouts by Year

13Y

$0.64per share, Sep 2026

Distribution yield1.4%

PaidEvery quarter

Latest ex-date · paidSep 21 · Sep 23, 2026

12 payouts added up$7.26 a share

SPDR XLV · distributions by ex-date · 2014–2026

All Fund FactsDocuments · trading · fees · every payout

Prospectus & Documents

Trading & Liquidity

Net asset value$184.59

Premium / discount[…]

Median spread · 30D[…]

Volume today11.3M

Average volume · 30D9.3M

Shares outstanding[…]

Options[…]

Fees & Costs

Net expense ratio0.08%

Gross expense ratio[…]

Management fee[…]

Cost on $10,000 a year$8.00

Our risk indicator4/5

Estimated yearly cost excludes trading costs and assumes constant assets.

Distributions

Ex-date	Paid	Per share
Sep 21, 2026	Sep 23, 2026	$0.64
Jun 22, 2026	Jun 24, 2026	$0.66
Mar 23, 2026	Mar 25, 2026	$0.59
Dec 22, 2025	Dec 24, 2025	$0.66
Sep 22, 2025	Sep 24, 2025	$0.62
Jun 23, 2025	Jun 25, 2025	$0.63
Mar 24, 2025	Mar 26, 2025	$0.56
Dec 23, 2024	Dec 26, 2024	$0.62
Sep 23, 2024	Sep 25, 2024	$0.58
Jun 24, 2024	Jun 26, 2024	$0.57
Mar 18, 2024	Mar 21, 2024	$0.52
Dec 18, 2023	Dec 21, 2023	$0.60

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