State Street Health Care Select Sector SPDR ETFXLV

SPDRSectorsHealth Care#45 of 264 by YTD

$189.66

+3.1% last session

+24.0% YTD

Data as of 11/4/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 4, 2026XLVS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	+3.1%	+13.5%	+15.8%	+24.0%	+33.5%	+61.0%	+56.5%	+709.1%
Peer average	+2.7%	+8.5%	+8.9%	+24.4%	+33.4%	+84.3%	+34.0%	—
S&P 500 · VOO	+1.6%	−1.6%	0.0%	+13.4%	+13.5%	+91.7%	+81.2%	—

Key Statistics

Open all fund facts →

AUM: $49.1B
Expense ratio: 0.08%
Distribution yield: 1.3%
NAV: $184.04
Volume: 16.8M
Avg. volume 30D: 9.6M
High today: $190.21
Low today: $185.33
Previous close: $184.02
52-week high: $190.21
52-week low: $141.97
Our risk indicator: 4/5

XLV in One Breath

XLV Among Health Care ETFs

YTD

#1ARKGARK+71.5%$2.2B

#2IDNAiShares+69.3%$354M

#3XHSSPDR+40.0%$231M

#4BBHVanEck+38.2%$538M

#5FTXHFirst Trust+36.8%$1.2B

#6PSCHInvesco+31.7%$179M

#7XBISPDR+30.6%$10.6B

#8IHEiShares+29.8%$1.7B

#14XLVSPDR+24.0%$49.1B

End-of-day Nov 5, 2026 · 33 Health care ETFs by YTD

$10,000 in XLV

$10,000 in XLV became

$15,652

In the S&P 500 (VOO)

$18,115

Total return, dividends in · Oct 27, 2021 – Nov 4, 2026 · S&P 500 uses VOO

XLV’s Top Holdings

Today

LLYEli Lilly +16.9%JNJ9.6%ABBV7.6%UNH5.4%MRK5.3%TMO3.9%AMGN3.7%GILD3.1%ABT2.8%PFE2.6%ISRG2.3%DHR2.2%VRTX2.0%BMY1.9%MDT1.8%CVS1.8%MCK1.7%SYK1.6%REGN1.4%ELVMRNACI39 more

LLYEli Lilly +16.9%JNJ9.6%ABBV7.6%UNH5.4%MRK5.3%TMO3.9%AMGN3.7%GILD3.1%ABT2.8%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 4, 2026

What XLV Holds

Today

Drug Manufacturers - General51.3%

LLY 16.9 · JNJ 9.6 · ABBV 7.6 · MRK 5.3 · AMGN 3.7 · GILD 3.1 · PFE 2.6

Medical - Diagnostics & Research11.3%

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

Medical - Healthcare Plans11.0%

UNH 5.4 · CVS 1.8 · ELV 1.3 · CI 1.2 · HUM · CNC

Medical - Devices9.6%

ABT 2.8 · MDT 1.8 · SYK 1.6 · BSX · EW · GEHC · DXCM

Biotechnology5.2%

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

Medical - Instruments & Supplies4.6%

ISRG 2.3 · 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 4, 2026

Eli’s Share of XLV

Today

16.9%

$169 of every $1,000 in XLV is Eli

Eli held by XLV

$8.3B

Most Eli per dollar

IHE27.0%

PPH23.3%

MEDI22.2%

MEDX21.0%

SPDR XLV · each square = $10 of $1,000 · as of Nov 4, 2026

XLV’s Share of Health Care ETFs

Today

44.7%

of the $110B in 39 Health care ETFs

XLV$49.1B44.7%

VHT$19.1B17.4%

XBI$10.6B9.6%

36 others$31.0B28.3%

Health care ETF AUM · Nov 5, 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 5, 2026

Inside XLV

61 holdings · as of Nov 4, 2026

XLV

State Street Health Care Select Sector SPDR ETF

Today

Drug Manufacturers - General51.3%LLYELI Lilly +16.9%JNJ9.6%ABBV7.6%MRK5.3%AMGN3.7%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.3%TMO3.9%DHRIDXXA WATIQVILMNMTDMedical - Healthcare Plans11.0%UNH5.4%CVSELVCI HUMCNCMedical - Devices9.6%ABTMDTSYKBSXEW DXCMBiotechnology5.2%VRTX2.0%REGNMRNAMedical - Instruments4.6%ISRGBDXRMDWSTMedical - Distribution3.7%MCKCORCAHHCAZTSVEEVSTE

Drug Manufacturers - General51.3%LLY16.9%JNJ9.6%ABBV7.6%MRK5.3%AMGN3.7%GILD3 moreMedical - Diagnostics11.3%TMODHRIDXXA WAT6 moreMedical - Healthcare Plans11.0%UNH5.4%CVSELVCI HUMMedical - Devices9.6%ABTMDTSYKBiotechnology5.2%VRTXREGNMRNAMedical - Instruments4.6%ISRGBDXMedical - Distribution3.7%MCKCORCAHHCAZTS

#	Ticker	Company	Weight ▼
1	LLY	ELI Lilly +	16.90%
2	JNJ	Johnson + Johnson	9.61%
3	ABBV	Abbvie	7.58%
4	UNH	Unitedhealth Group	5.44%
5	MRK	Merck +	5.35%
6	TMO	Thermo Fisher Scientific	3.87%
7	AMGN	Amgen	3.74%
8	GILD	Gilead Sciences	3.11%
9	ABT	Abbott Laboratories	2.84%
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 4, 2026 · each tile is one holding · top 20 = 79.1%

How It Compares

XLV

State Street Health Care Select Sector SPDR ETF’s Peers

Today


XLV	SPDRThis fundRead Desk	0.08%	+3.1%	+33.5%	$49.1B
VHT	VanguardRead Desk	0.09%	+3.1%	+32.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+2.7%	+45.4%	$10.6B
IYH	iSharesRead Desk	0.37%	+3.3%	+32.8%	$4.9B
IXJ	iSharesRead Desk	0.38%	+3.2%	+28.6%	$4.7B
IHI	iSharesRead Desk	0.37%	+6.7%	−0.4%	$4.1B

Health care peers · Today’s and past-year returns · as of Nov 5, 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

+23.3%

+24.0%

XLV wins+0.8 pts

Past year

+32.1%

+33.5%

XLV wins+1.4 pts

Fee

0.09%

0.08%

XLV winslower fee

Yield

1.3%

Level

AUM

$19.1B

$49.1B

XLV2.6× more

3–0XLV wins

Vanguard VHT and SPDR XLV · year-to-date · as of Nov 5, 2026 · AUM not scored

XLV vs VOO

YTD

XLV · Health Care Select Sector SPDR

+24.0%

VOO · S&P 500

+13.4%

Gap

10.7 pts

SPDR XLV and Vanguard VOO · Today total return · as of Nov 5, 2026

XLV vs Its Peer Average

YTD

XLVAvsBPeer average

1D+3.1%+2.7%

1M+13.5%+8.5%

3M+15.8%+8.9%

YTD+24.0%+24.4%

1Y+33.5%+33.4%

3Y+61.0%+84.3%

5Y+56.5%+34.0%

5–2XLV wins

38 Health care peers · each row scaled to its leader

The Details

XLV

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y16.64%

Deepest drop · 1Y−10.5%

Lowest point · 5Y−6.7%

52-week range

$189.66

$141.97−0.3% from the high$190.21

SPDR XLV · past-year price moves · as of Nov 5, 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 5, 2026

XLV

Payouts by Year

13Y

$0.64per share, Sep 2026

Distribution yield1.3%

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$184.04

Premium / discount[…]

Median spread · 30D[…]

Volume today16.8M

Average volume · 30D9.6M

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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