State Street Health Care Select Sector SPDR ETFXLV

SPDRSectorsHealth Care#39 of 264 by YTD

$184.91

−2.5% last session

+20.9% YTD

Data as of 11/5/20264:00 PM ET · End-of-day

Dividend-adjusted return from the previous close · S&P 500 uses VOOXLVS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−2.5%	+9.5%	+12.0%	+20.9%	+29.6%	+56.1%	+51.3%	+688.9%
Peer average	−3.4%	+4.6%	+3.5%	+19.7%	+29.0%	+75.3%	+27.3%	—
S&P 500 · VOO	−4.4%	−5.7%	−4.9%	+8.4%	+9.8%	+82.2%	+71.6%	—

Key Statistics

Open all fund facts →

AUM: $50.9B
Expense ratio: 0.08%
Distribution yield: 1.4%
NAV: $189.65
Volume: 23.9M
Avg. volume 30D: 10.1M
High today: $192.31
Low today: $184.82
Previous close: $189.66
52-week high: $192.31
52-week low: $141.97
Our risk indicator: 4/5

XLV in One Breath

XLV Among Health Care ETFs

YTD

#1IDNAiShares+58.8%$335M

#2ARKGARK+54.0%$2.2B

#3XHSSPDR+37.9%$243M

#4BBHVanEck+32.6%$519M

#5FTXHFirst Trust+31.5%$1.2B

#6BBPVirtus+26.9%$134M

#7PSCHInvesco+26.6%$187M

#8IHEiShares+25.6%$1.6B

#14XLVSPDR+20.9%$50.9B

End-of-day Nov 6, 2026 · 33 Health care ETFs by YTD

$10,000 in XLV

$10,000 in XLV became

$15,134

In the S&P 500 (VOO)

$17,156

Total return, dividends in · Oct 28, 2021 – Nov 5, 2026 · S&P 500 uses VOO

XLV’s Top Holdings

Today

LLYEli Lilly +16.5%JNJ9.7%ABBV7.6%MRK5.4%UNH5.3%TMO3.8%AMGN3.8%GILD3.1%ABT2.9%PFE2.6%ISRG2.5%DHR2.1%VRTX2.0%BMY1.9%MDT1.9%MCK1.8%SYK1.7%CVS1.5%MRNA1.4%ELVREGNCI39 more

LLYEli Lilly +16.5%JNJ9.7%ABBV7.6%MRK5.4%UNH5.3%TMO3.8%AMGN3.8%GILD3.1%ABT2.9%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 5, 2026

What XLV Holds

Today

Drug Manufacturers - General51.1%

LLY 16.5 · JNJ 9.7 · ABBV 7.6 · MRK 5.4 · AMGN 3.8 · GILD 3.1 · PFE 2.6

Medical - Diagnostics & Research11.1%

TMO 3.8 · DHR 2.1 · IDXX · A · WAT · IQV · MTD

Medical - Healthcare Plans10.7%

UNH 5.3 · CVS 1.5 · ELV 1.4 · CI 1.2 · HUM · CNC

Medical - Devices10.0%

ABT 2.9 · MDT 1.9 · SYK 1.7 · BSX · EW · GEHC · DXCM

Biotechnology5.2%

VRTX 2.0 · MRNA 1.4 · REGN 1.3 · INCY · TECH

Medical - Instruments & Supplies4.8%

ISRG 2.5 · BDX · RMD · WST · BAX · SOLV · COO

Medical - Distribution3.8%

MCK 1.8 · COR · CAH · HSIC

SPDR XLV · share of the fund by industry · as of Nov 5, 2026

Eli’s Share of XLV

Today

16.5%

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

Eli held by XLV

$8.4B

Most Eli per dollar

IHE26.5%

PPH22.7%

MEDI21.4%

MEDX20.7%

SPDR XLV · each square = $10 of $1,000 · as of Nov 5, 2026

XLV’s Share of Health Care ETFs

Today

45.4%

of the $112B in 39 Health care ETFs

XLV$50.9B45.4%

VHT$19.1B17.0%

XBI$10.9B9.7%

36 others$31.2B27.8%

Health care ETF AUM · Nov 6, 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 6, 2026

Inside XLV

61 holdings · as of Nov 5, 2026

XLV

State Street Health Care Select Sector SPDR ETF

Today

Drug Manufacturers - General51.1%LLYELI Lilly +16.5%JNJ9.7%ABBV7.6%MRK5.4%AMGN3.8%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.1%TMO3.8%DHRIDXXA WATIQVMTDILMNMedical - Healthcare Plans10.7%UNH5.3%CVSELVCI HUMCNCMedical - Devices10.0%ABTMDTSYKBSXEW DXCMBiotechnology5.2%VRTX2.0%MRNAREGNMedical - Instruments4.8%ISRGBDXRMDWSTMedical - Distribution3.8%MCKCORCAHHCAZTSVEEVSTE

Drug Manufacturers - General51.1%LLY16.5%JNJ9.7%ABBV7.6%MRK5.4%AMGNGILD3 moreMedical - Diagnostics11.1%TMODHRIDXXA WAT6 moreMedical - Healthcare Plans10.7%UNH5.3%CVSELVCI HUMCNCMedical - Devices10.0%ABTMDTSYKBiotechnology5.2%VRTXMRNAREGNMedical - Instruments4.8%ISRGBDXMedical - Distribution3.8%MCKCORCAHHCAVEEV

#	Ticker	Company	Weight ▼
1	LLY	ELI Lilly +	16.50%
2	JNJ	Johnson + Johnson	9.69%
3	ABBV	Abbvie	7.58%
4	MRK	Merck +	5.40%
5	UNH	Unitedhealth Group	5.34%
6	TMO	Thermo Fisher Scientific	3.80%
7	AMGN	Amgen	3.76%
8	GILD	Gilead Sciences	3.15%
9	ABT	Abbott Laboratories	2.91%
10	PFE	Pfizer	2.55%

See all 64 holdings ↓

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

SPDR XLV · current holdings by weight · as of Nov 5, 2026 · each tile is one holding · top 20 = 78.9%

All XLV Holdings

64 holdings · as of Nov 5, 2026

XLV

XLV’s Holdings

Today

#
1	LLYELI Lilly +	Healthcare	16.50%	$1,650.38	6.0M	$8.45B
2	JNJJohnson + Johnson	Healthcare	9.69%	$968.61	17.9M	$4.96B
3	ABBVAbbvie	Healthcare	7.58%	$757.84	13.2M	$3.88B
4	MRKMerck +	Healthcare	5.40%	$539.60	18.4M	$2.76B
5	UNHUnitedhealth Group	Healthcare	5.34%	$534.50	6.7M	$2.74B
6	TMOThermo Fisher Scientific	Healthcare	3.80%	$379.79	2.8M	$1.94B
7	AMGNAmgen	Healthcare	3.76%	$376.28	4.0M	$1.93B
8	GILDGilead Sciences	Healthcare	3.15%	$314.69	9.2M	$1.61B
9	ABTAbbott Laboratories	Healthcare	2.91%	$290.74	12.9M	$1.49B
10	PFEPfizer	Healthcare	2.55%	$255.27	42.4M	$1.31B
11	ISRGIntuitive Surgical	Healthcare	2.48%	$247.74	2.6M	$1.27B
12	DHRDanaher	Healthcare	2.14%	$213.80	4.7M	$1.09B
13	VRTXVertex Pharmaceuticals	Healthcare	2.02%	$202.42	1.9M	$1.04B
14	BMYBristol Myers Squibb	Healthcare	1.91%	$190.73	15.2M	$976.3M
15	MDTMedtronic	Healthcare	1.87%	$186.89	9.1M	$956.7M

SPDR XLV · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 5, 2026

How It Compares

XLV

State Street Health Care Select Sector SPDR ETF’s Peers

YTD


XLV	SPDRThis fundRead Desk	0.08%	+20.9%	+29.6%	$50.9B
VHT	VanguardRead Desk	0.09%	+19.7%	+28.0%	$19.1B
XBI	SPDRRead Desk	0.35%	+21.8%	+37.9%	$10.9B
IYH	iSharesRead Desk	0.37%	+20.3%	+28.8%	$4.7B
IXJ	iSharesRead Desk	0.38%	+19.7%	+28.6%	$4.6B
IHI	iSharesRead Desk	0.37%	−2.7%	−0.4%	$4.1B

Health care peers · YTD and past-year returns · as of Nov 6, 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

+19.7%

+20.9%

XLV wins+1.2 pts

Past year

+28.0%

+29.6%

XLV wins+1.5 pts

Fee

0.09%

0.08%

XLV winslower fee

Yield

1.4%

Level

AUM

$19.1B

$50.9B

XLV2.7× more

3–0XLV wins

Vanguard VHT and SPDR XLV · year-to-date · as of Nov 6, 2026 · AUM not scored

XLV vs VOO

YTD

XLV · Health Care Select Sector SPDR

+20.9%

VOO · S&P 500

+8.4%

Gap

12.5 pts

SPDR XLV and Vanguard VOO · YTD total return · as of Nov 6, 2026

XLV vs Its Peer Average

YTD

XLVAvsBPeer average

1D−2.5%−3.4%

1M+9.5%+4.6%

3M+12.0%+3.5%

YTD+20.9%+19.7%

1Y+29.6%+29.0%

3Y+56.1%+75.3%

5Y+51.3%+27.3%

6–1XLV wins

38 Health care peers · each row scaled to its leader

The Details

XLV

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y16.84%

Deepest drop · 1Y−10.5%

Lowest point · 5Y−8.9%

52-week range

$184.91

$141.97−3.8% from the high$192.31

SPDR XLV · past-year price moves · as of Nov 6, 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 6, 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$189.65

Premium / discount[…]

Median spread · 30D[…]

Volume today23.9M

Average volume · 30D10.1M

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

Issuer contentFrom SPDRHear the strategy from the people behind XLV.No issuer videos have been published for this fund.Are you the issuer? Claim this fund →