SPDRSectorsHealth Care#39 of 264 by YTD

State Street Health Care Select Sector SPDR ETFXLV

S&P 500 Compare

$188.33+1.9%

+$3.53 · Nov 9 close

Buy

AUM: $49.7B
Fee: 0.08%
Yield: 1.4%

Bumpy · 1Y: 1.2×S&P
Volume: 10.0M
NAV: $185

What's insideAll 64 →

LLY 16.2%JNJ 9.9%ABBV 7.7%MRK 5.4%

52-week range2% below the high

$142$192

Returns	Today	1W	1M	3M	YTD	1Y	3Y	5Y	Max
Total return	+1.9%	+2.0%	+10.3%	+12.5%	+23.2%	+31.2%	+56.2%	+52.8%	+703.5%
Peer average	+2.4%	+2.8%	+6.4%	+5.5%	+23.4%	+33.1%	+76.7%	+28.9%	—
S&P 500 · VOO	+2.3%	+0.1%	−3.3%	−2.1%	+11.3%	+13.6%	+81.6%	+75.4%	—

XLV in One Breath

XLV Among Health Care ETFs

YTD

#1IDNAiShares+67.1%$363M

#2ARKGARK+66.6%$2.2B

#3XHSSPDR+37.5%$241M

#4BBHVanEck+37.1%$524M

#5FTXHFirst Trust+35.3%$1.2B

#6BBPVirtus+30.8%$133M

#7PSCHInvesco+29.7%$181M

#8XBISPDR+28.8%$10.3B

#13XLVSPDR+23.2%$49.7B

End-of-day Nov 10, 2026 · 33 Health care ETFs by YTD

$10,000 in XLV

$10,000 in XLV became

$15,284

In the S&P 500 (VOO)

$17,543

Total return, dividends in · Nov 1, 2021 – Nov 9, 2026 · S&P 500 uses VOO

XLV’s Top Holdings

Today

LLYEli Lilly +16.2%JNJ9.9%ABBV7.7%MRK5.4%UNH5.3%TMO3.8%AMGN3.7%GILD3.1%ABT2.8%PFE2.5%ISRG2.4%DHR2.2%VRTX2.1%BMY1.9%MDT1.9%MCK1.8%SYK1.7%CVS1.6%MRNA1.4%ELVREGNCI39 more

LLYEli Lilly +16.2%JNJ9.9%ABBV7.7%MRK5.4%UNH5.3%TMO3.8%AMGN3.7%GILD3.1%ABT2.8%PFE2.5%ISRGDHR49 more

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

SPDR XLV · 61 holdings · tile size = share of the fund · as of Nov 9, 2026

What XLV Holds

Today

Drug Manufacturers - General51.0%

LLY 16.2 · JNJ 9.9 · ABBV 7.7 · MRK 5.4 · AMGN 3.7 · GILD 3.1 · PFE 2.5

Medical - Diagnostics & Research11.2%

TMO 3.8 · DHR 2.2 · IDXX · A · WAT · IQV · MTD

Medical - Healthcare Plans10.7%

UNH 5.3 · CVS 1.6 · ELV 1.4 · CI 1.2 · HUM · CNC

Medical - Devices9.8%

ABT 2.8 · MDT 1.9 · SYK 1.7 · BSX · EW · GEHC · DXCM

Biotechnology5.3%

VRTX 2.1 · MRNA 1.4 · REGN 1.3 · INCY · TECH

Medical - Instruments & Supplies4.8%

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

Medical - Distribution3.9%

MCK 1.8 · COR · CAH · HSIC

SPDR XLV · share of the fund by industry · as of Nov 9, 2026

Eli’s Share of XLV

Today

16.2%

$162 of every $1,000 in XLV is Eli

Eli held by XLV

$8.0B

Most Eli per dollar

IHE26.0%

PPH22.3%

MEDI21.1%

MEDX20.3%

SPDR XLV · each square = $10 of $1,000 · as of Nov 9, 2026

XLV’s Share of Health Care ETFs

Today

45.0%

of the $110B in 39 Health care ETFs

XLV$49.7B45.0%

VHT$19.1B17.3%

XBI$10.3B9.3%

36 others$31.3B28.4%

Health care ETF AUM · Nov 10, 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 10, 2026

Inside XLV

61 holdings · as of Nov 9, 2026

XLV

State Street Health Care Select Sector SPDR ETF

Today

Drug Manufacturers - General51.0%LLYELI Lilly +16.2%JNJ9.9%ABBV7.7%MRK5.4%AMGN3.7%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.2%TMO3.8%DHRIDXXA WATIQVMTDILMNMedical - Healthcare Plans10.7%UNH5.3%CVSELVCI HUMCNCMedical - Devices9.8%ABTMDTSYKBSXEW DXCMZBHBiotechnology5.3%VRTX2.1%MRNAREGNMedical - Instruments4.8%ISRGBDXRMDWSTMedical - Distribution3.9%MCKCORCAHHCAZTSVEEVSTE

Drug Manufacturers - General51.0%LLY16.2%JNJ9.9%ABBV7.7%MRK5.4%AMGN3.7%GILD3 moreMedical - Diagnostics11.2%TMODHRIDXXA WAT6 moreMedical - Healthcare Plans10.7%UNH5.3%CVSELVCI HUMMedical - Devices9.8%ABTMDTSYKBiotechnology5.3%VRTXMRNAREGNMedical - Instruments4.8%ISRGBDXMedical - Distribution3.9%MCKCORCAHHCAVEEV

#	Ticker	Company	Weight ▼
1	LLY	ELI Lilly +	16.18%
2	JNJ	Johnson + Johnson	9.94%
3	ABBV	Abbvie	7.69%
4	MRK	Merck +	5.41%
5	UNH	Unitedhealth Group	5.28%
6	TMO	Thermo Fisher Scientific	3.84%
7	AMGN	Amgen	3.72%
8	GILD	Gilead Sciences	3.09%
9	ABT	Abbott Laboratories	2.84%
10	PFE	Pfizer	2.50%

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 9, 2026 · each tile is one holding · top 20 = 78.8%

All XLV Holdings

64 holdings · as of Nov 9, 2026

XLV

XLV’s Holdings

Today

#
1	LLYELI Lilly +	Healthcare	16.18%	$1,618.15	5.9M	$8.01B
2	JNJJohnson + Johnson	Healthcare	9.94%	$994.22	17.8M	$4.92B
3	ABBVAbbvie	Healthcare	7.69%	$768.86	13.1M	$3.81B
4	MRKMerck +	Healthcare	5.41%	$540.68	18.3M	$2.68B
5	UNHUnitedhealth Group	Healthcare	5.28%	$528.41	6.6M	$2.62B
6	TMOThermo Fisher Scientific	Healthcare	3.84%	$383.68	2.7M	$1.90B
7	AMGNAmgen	Healthcare	3.72%	$371.78	4.0M	$1.84B
8	GILDGilead Sciences	Healthcare	3.09%	$309.07	9.2M	$1.53B
9	ABTAbbott Laboratories	Healthcare	2.84%	$284.11	12.8M	$1.41B
10	PFEPfizer	Healthcare	2.50%	$250.19	42.2M	$1.24B
11	ISRGIntuitive Surgical	Healthcare	2.39%	$238.92	2.6M	$1.18B
12	DHRDanaher	Healthcare	2.15%	$215.16	4.6M	$1.07B
13	VRTXVertex Pharmaceuticals	Healthcare	2.07%	$207.11	1.9M	$1.03B
14	BMYBristol Myers Squibb	Healthcare	1.90%	$189.59	15.1M	$939.0M
15	MDTMedtronic	Healthcare	1.86%	$186.12	9.1M	$921.8M

SPDR XLV · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 9, 2026

How It Compares

XLV

State Street Health Care Select Sector SPDR ETF’s Peers

YTD


XLV	SPDRThis fundRead Desk	0.08%	+23.2%	+31.2%	$49.7B
VHT	VanguardRead Desk	0.09%	+22.2%	+29.9%	$19.1B
XBI	SPDRRead Desk	0.35%	+28.8%	+44.2%	$10.3B
IYH	iSharesRead Desk	0.37%	+22.4%	+30.4%	$4.8B
IXJ	iSharesRead Desk	0.38%	+19.1%	+27.0%	$4.7B
IHI	iSharesRead Desk	0.37%	−5.4%	−3.0%	$4.1B

Health care peers · YTD and past-year returns · as of Nov 10, 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

+22.2%

+23.2%

XLV wins+1.0 pt

Past year

+29.9%

+31.2%

XLV wins+1.3 pts

Fee

0.09%

0.08%

XLV winslower fee

Yield

1.3%

1.4%

XLV wins+0.0 pts

AUM

$19.1B

$49.7B

XLV2.6× more

4–0XLV wins

Vanguard VHT and SPDR XLV · year-to-date · as of Nov 10, 2026 · AUM not scored

XLV vs VOO

YTD

XLV · Health Care Select Sector SPDR

+23.2%

VOO · S&P 500

+11.3%

Gap

11.9 pts

SPDR XLV and Vanguard VOO · YTD total return · as of Nov 10, 2026

XLV vs Its Peer Average

YTD

XLVAvsBPeer average

1D+1.9%+2.4%

1M+10.3%+6.4%

3M+12.5%+5.5%

YTD+23.2%+23.4%

1Y+31.2%+33.1%

3Y+56.2%+76.7%

5Y+52.8%+28.9%

3–4Peer average wins

38 Health care peers · each row scaled to its leader

How Bumpy Is XLV?

View

XLV

How Bumpy

1.2×the S&P 500’s swings

CalmerBumpierS&P 1×XLV

Calm rank among 7 health care funds#4

Other health care funds1.2× to 2.2×

SPDR XLV · daily swings over the past year vs the S&P 500

XLV

Worst Drop

−10.5%from its Feb 27 high

Still below the high−0.7%

$10,000 at the high is now$9,930

SPDR XLV · fall from the highest close, past year

XLV

On a Bad Day

0.1×the S&P 500’s fall

XLV’s worst day: Tuesday, Sep 8

XLV

−2.5%

S&P 500

−0.5%

Up days47 of every 100

S&P 500 up days52 of every 100

SPDR XLV · average move on days the S&P 500 fell

XLV

Return for the Bumps

1Y#1 of 7 health care funds

#1XLVSPDR

most for the bumps

#2FHLCFidelity

#3VHTVanguard

#4IYHiShares

#5IXJiShares

calmest ride

#6XBISPDR

#7IHIiShares

lost money

Ranked by return above cash for each unit of bumpiness (Sharpe ratio) · cash = 3.8%

XLV

Cost

Today

$8a year per $10,000

XLV

FHLC

VHT

XBI

$35

IYH

$37

IHI

$37

IXJ

$38

Expense ratio 0.08%, taken from the fund’s value

XLV

Volatility & Beta

16.9%annual volatility

S&P 500 volatility13.7%

Downside volatility9.9%

Beta vs SPY0.31

Correlation vs SPY0.25

Lowest beta of 7 health care fundsXLV

Daily total returns × √252 · past 254 trading days

XLV

Max Drawdown

−10.5%peak to trough

Peak closeFeb 27, 2026

Current drawdown−0.7%

Worst day−2.52% · Sep 8

Closing prices, dividends in

XLV

Up / Down Capture

8%down capture vs SPY

Down days

Up days

40%

S&P 500

100%

Up ÷ down capture4.99

Up days47.2% (S&P 52.4%)

Average daily move on SPY up days and down days

XLV

Sharpe & Sortino vs Peers

Fund	Sharpe	Sortino	Volatility	Max DD	Beta	Fee / $10k
XLV	1.66	2.85	16.9%	−10.5%	0.31	$8
FHLC	1.64	2.79	16.5%	−10.4%	0.39	$8
VHT	1.63	2.77	16.4%	−10.4%	0.39	$9
IYH	1.61	2.73	17.0%	−10.6%	0.36	$37
IXJ	1.46	2.46	16.4%	−10.8%	0.36	$38
XBI	1.40	2.12	30.1%	−14.9%	1.15	$35
IHI	−0.33	−0.50	22.1%	−26.1%	0.47	$37

Sharpe = (return − 3.8% cash) ÷ volatility · Sortino uses downside volatility only

XLV

Trading

Today

+1.93%above its holdings’ value

Close$188.33

NAV$184.76

Fee per $10,000$8 a year

Avg. volume 30D10.6M shares

Premium / discount history starts once daily NAV is saved

Close vs net asset value, Nov 9

The Details

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 10, 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$184.76

Premium / discount[…]

Median spread · 30D[…]

Volume today10.0M

Average volume · 30D10.6M

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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