SPDRSectorsHealth Care#37 of 264 by YTD

State Street Health Care Select Sector SPDR ETFXLV

1D 1M 3M YTD 1Y 3Y 5Y MAX

S&P 500 Bucket avg Compare

$184.80−0.1%

−$0.11 · Nov 6 close

Buy

AUM: $49.9B
Fee: 0.08%
Yield: 1.4%

Bumpy · 1Y: 1.2×S&P
Volume: 15.0M
NAV: $185

What's insideAll 64 →

LLY 16.3%JNJ 9.8%ABBV 7.6%MRK 5.4%

52-week range4% below the high

$142$192

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−0.1%	+9.9%	+10.1%	+20.9%	+29.0%	+55.7%	+49.8%	+688.4%
Peer average	+0.8%	+5.8%	+2.9%	+20.5%	+29.5%	+75.3%	+27.5%	—
S&P 500 · VOO	+0.3%	−5.0%	−4.6%	+8.7%	+9.8%	+80.8%	+71.8%	—

XLV in One Breath

XLV Among Health Care ETFs

YTD

#1IDNAiShares+62.2%$346M

#2ARKGARK+56.9%$2.2B

#3XHSSPDR+35.4%$243M

#4BBHVanEck+33.9%$524M

#5FTXHFirst Trust+32.4%$1.2B

#6BBPVirtus+28.3%$131M

#7IHEiShares+26.8%$1.7B

#8PSCHInvesco+26.5%$181M

#13XLVSPDR+20.9%$49.9B

End-of-day Nov 8, 2026 · 33 Health care ETFs by YTD

$10,000 in XLV

$10,000 in XLV became

$14,979

In the S&P 500 (VOO)

$17,177

Total return, dividends in · Oct 29, 2021 – Nov 6, 2026 · S&P 500 uses VOO

XLV’s Top Holdings

Today

LLYEli Lilly +16.3%JNJ9.8%ABBV7.6%MRK5.4%UNH5.3%TMO3.7%AMGN3.7%GILD3.1%ABT2.9%PFE2.5%ISRG2.5%DHR2.1%VRTX2.1%BMY1.9%MDT1.9%MCK1.9%SYK1.7%CVS1.6%ELV1.4%MRNAREGNCI39 more

LLYEli Lilly +16.3%JNJ9.8%ABBV7.6%MRK5.4%UNH5.3%TMO3.7%AMGN3.7%GILD3.1%ABT2.9%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 6, 2026

What XLV Holds

Today

Drug Manufacturers - General50.9%

LLY 16.3 · JNJ 9.8 · ABBV 7.6 · MRK 5.4 · AMGN 3.7 · GILD 3.1 · PFE 2.5

Medical - Diagnostics & Research11.0%

TMO 3.7 · DHR 2.1 · IDXX · A · WAT · IQV · MTD

Medical - Healthcare Plans10.7%

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

Medical - Devices10.1%

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

Biotechnology5.2%

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

Medical - Instruments & Supplies4.8%

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

Medical - Distribution3.9%

MCK 1.9 · COR · CAH · HSIC

SPDR XLV · share of the fund by industry · as of Nov 6, 2026

Eli’s Share of XLV

Today

16.3%

$163 of every $1,000 in XLV is Eli

Eli held by XLV

$8.1B

Most Eli per dollar

IHE26.4%

PPH22.4%

MEDI21.5%

MEDX20.5%

SPDR XLV · each square = $10 of $1,000 · as of Nov 6, 2026

XLV’s Share of Health Care ETFs

Today

45.4%

of the $110B in 39 Health care ETFs

XLV$49.9B45.4%

VHT$19.1B17.3%

XBI$10.0B9.1%

36 others$31.0B28.2%

Health care ETF AUM · Nov 8, 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 8, 2026

Inside XLV

61 holdings · as of Nov 6, 2026

XLV

State Street Health Care Select Sector SPDR ETF

Today

Drug Manufacturers - General50.9%LLYELI Lilly +16.3%JNJ9.8%ABBV7.6%MRK5.4%AMGN3.7%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.0%TMO3.7%DHRIDXXA WATIQVMTDILMNMedical - Healthcare Plans10.7%UNH5.3%CVSELVCI HUMCNCMedical - Devices10.1%ABTMDTSYKBSXEW DXCMZBHBiotechnology5.2%VRTX2.1%MRNAREGNMedical - Instruments4.8%ISRGBDXRMDMedical - Distribution3.9%MCKCORCAHHCAZTSVEEVSTE

Drug Manufacturers - General50.9%LLY16.3%JNJ9.8%ABBV7.6%MRK5.4%AMGNGILD3 moreMedical - Diagnostics11.0%TMODHRIDXXA WAT6 moreMedical - Healthcare Plans10.7%UNH5.3%CVSELVCI HUMCNCMedical - Devices10.1%ABT2.9%MDTSYKBiotechnology5.2%VRTXMRNAREGNMedical - Instruments4.8%ISRGBDXMedical - Distribution3.9%MCKCORCAHHCAVEEV

#	Ticker	Company	Weight ▼
1	LLY	ELI Lilly +	16.30%
2	JNJ	Johnson + Johnson	9.79%
3	ABBV	Abbvie	7.60%
4	MRK	Merck +	5.41%
5	UNH	Unitedhealth Group	5.30%
6	TMO	Thermo Fisher Scientific	3.74%
7	AMGN	Amgen	3.71%
8	GILD	Gilead Sciences	3.10%
9	ABT	Abbott Laboratories	2.93%
10	PFE	Pfizer	2.51%

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 6, 2026 · each tile is one holding · top 20 = 78.8%

All XLV Holdings

64 holdings · as of Nov 6, 2026

XLV

XLV’s Holdings

Today

#
1	LLYELI Lilly +	Healthcare	16.30%	$1,629.78	5.9M	$8.10B
2	JNJJohnson + Johnson	Healthcare	9.79%	$979.46	17.9M	$4.87B
3	ABBVAbbvie	Healthcare	7.60%	$760.20	13.1M	$3.78B
4	MRKMerck +	Healthcare	5.41%	$541.06	18.3M	$2.69B
5	UNHUnitedhealth Group	Healthcare	5.30%	$530.13	6.7M	$2.63B
6	TMOThermo Fisher Scientific	Healthcare	3.74%	$373.57	2.7M	$1.86B
7	AMGNAmgen	Healthcare	3.71%	$371.39	4.0M	$1.84B
8	GILDGilead Sciences	Healthcare	3.10%	$310.11	9.2M	$1.54B
9	ABTAbbott Laboratories	Healthcare	2.93%	$293.38	12.8M	$1.46B
10	PFEPfizer	Healthcare	2.51%	$250.52	42.3M	$1.24B
11	ISRGIntuitive Surgical	Healthcare	2.47%	$247.03	2.6M	$1.23B
12	DHRDanaher	Healthcare	2.11%	$211.35	4.6M	$1.05B
13	VRTXVertex Pharmaceuticals	Healthcare	2.05%	$205.22	1.9M	$1.02B
14	BMYBristol Myers Squibb	Healthcare	1.92%	$192.47	15.1M	$956.1M
15	MDTMedtronic	Healthcare	1.92%	$191.54	9.1M	$951.5M

SPDR XLV · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 6, 2026

How It Compares

XLV

State Street Health Care Select Sector SPDR ETF’s Peers


XLV	SPDRThis fundRead Desk	0.08%	+29.0%	+20.9%	$49.9B
VHT	VanguardRead Desk	0.09%	+27.4%	+19.8%	$19.1B
XBI	SPDRRead Desk	0.35%	+40.0%	+25.0%	$10.0B
IYH	iSharesRead Desk	0.37%	+27.9%	+20.0%	$4.7B
IXJ	iSharesRead Desk	0.38%	+25.1%	+17.0%	$4.6B
IHI	iSharesRead Desk	0.37%	−4.5%	−7.0%	$4.0B

Health care peers · Past-year and ytd returns · as of Nov 9, 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

+19.8%

+20.9%

XLV wins+1.1 pts

Past year

+27.4%

+29.0%

XLV wins+1.6 pts

Fee

0.09%

0.08%

XLV winslower fee

Yield

1.4%

Level

AUM

$19.1B

$49.9B

XLV2.6× more

3–0XLV wins

Vanguard VHT and SPDR XLV · year-to-date · as of Nov 9, 2026 · AUM not scored

XLV vs VOO

XLV · Health Care Select Sector SPDR

+29.0%

VOO · S&P 500

+9.8%

Gap

19.2 pts

SPDR XLV and Vanguard VOO · 1Y total return · as of Nov 9, 2026

XLV vs Its Peer Average

YTD

XLVAvsBPeer average

1D−0.1%+0.8%

1M+9.9%+5.8%

3M+10.1%+2.9%

YTD+20.9%+20.5%

1Y+29.0%+29.5%

3Y+55.7%+75.3%

5Y+49.8%+27.5%

4–3XLV 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−2.6%

$10,000 at the high is now$9,740

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

16.8%annual volatility

S&P 500 volatility13.6%

Downside volatility9.9%

Beta vs SPY0.29

Correlation vs SPY0.23

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−2.6%

Worst day−2.52% · Sep 8

Closing prices, dividends in

XLV

Up / Down Capture

7%down capture vs SPY

Down days

Up days

39%

S&P 500

100%

Up ÷ down capture5.33

Up days47.2% (S&P 52.0%)

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	1.56	2.66	16.8%	−10.5%	0.29	$8
FHLC	1.51	2.55	16.3%	−10.4%	0.37	$8
VHT	1.51	2.54	16.3%	−10.4%	0.37	$9
IYH	1.48	2.51	16.9%	−10.6%	0.34	$37
IXJ	1.35	2.26	16.3%	−10.8%	0.35	$38
XBI	1.18	1.78	30.0%	−14.9%	1.15	$35
IHI	−0.39	−0.58	22.1%	−26.1%	0.45	$37

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

XLV

Trading

Today

−0.05%below its holdings’ value

Close$184.80

NAV$184.90

Fee per $10,000$8 a year

Avg. volume 30D10.4M shares

Premium / discount history starts once daily NAV is saved

Close vs net asset value, Nov 6

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 9, 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$184.90

Premium / discount[…]

Median spread · 30D[…]

Volume today15.0M

Average volume · 30D10.4M

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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