XLV
The Health Care Select Sector SPDR Fund
Select Sector SPDR® holding S&P 500 stocks in the Health Care sector. Component industries include Health Care Equipment & Services; and Pharmaceutical & Biotechnology. The fund seeks investment results that, before expenses, generally correspond to the price and yield performance of the benchmark index.
US
EQUITY
Passive
MANAGEMENT STYLE
$ 41.9 B
ASSETS UNDER MGMT
8 bp
EXPENSES
Fund Basics
| Fund sponsor | State Street Global Advisors |
| Category | US |
| Asset class | Equity |
| Website | link... |
| Inception date | Dec 16, 1998 |
| Assets (mns) | $41,881 |
| Expense ratio | 8 bp |
| Currency | USD |
Sector Breakdown
Fund Structure
| Regulation | Open-Ended Fund |
| Distributions | Quarterly |
| Taxation | 1099 |
| Stock selection | Committee |
| Weighting | Market Cap |
| Holdings Transparency | Full |
| Derivatives-based | No |
| Options available | Yes |
| Currency hedged | No |
| Fund of funds | No |
Top 10 Holdings
Complete list +
| ELI LILLY & CO | 14.7 % |
| JOHNSON & JOHNSON | 10.1 % |
| ABBVIE INC | 6.9 % |
| MERCK & CO. INC. | 5.3 % |
| UNITEDHEALTH GROUP INC | 4.4 % |
| AMGEN INC | 3.6 % |
| THERMO FISHER SCIENTIFIC INC | 3.6 % |
| ABBOTT LABORATORIES | 3.4 % |
| GILEAD SCIENCES INC | 3.3 % |
| INTUITIVE SURGICAL INC | 3.0 % |
Constituent Breakdown
| Number of holdings | 60 |
| Herfindahl-Hirschman Index | 524 |
| Wgt avg mkt cap (mns) | $317,400 |
| Large cap (>$10bn) | 98.9% |
| Mid cap ($2-10bn) | 0.9% |
| Small cap (<$2bn) | 0.0% |
| Developed mkts. | 99.7% |
| Emerging mkts. | 0.0% |
Country Exposure
 |
UNITED STATES | 97.1 % |
 |
IRELAND | 2.7 % |
Historical Performance
Standardized Performance (as of 01/31/2026)
| YTD | 1 YR | 2 YR | 3 YR | 5 YR | 10 YR | 20 YR | Incep. | |
|---|---|---|---|---|---|---|---|---|
| Price Returns | 0.0% | 5.4% | 5.0% | 5.1% | 6.1% | 8.8% | 8.2% | 7.0% |
| Dividend Yield | 0.0% | 1.9% | 1.8% | 1.8% | 1.7% | 1.8% | 1.9% | 1.6% |
| Total Returns | 0.0% | 7.2% | 6.7% | 6.8% | 7.8% | 10.6% | 10.0% | 8.5% | Ann. Volatility | 14.4% | 17.2% | 14.6% | 13.6% | 14.4% | 16.6% | 16.9% | 17.9% |
Market Correlations
| versus... | Beta | R-squared |
| S&P 500 | 0.50 | 31% |
| MSCI EAFE | 0.61 | 34% |
| MSCI Emg Mkts | 0.40 | 17% |
Liquidity Measures
| Avg. volume (000) | 13,419 |
| ADV traded (mns) | $2,098 |
| Turnover | 5.0% |
| Avg. Bid/Ask (% of price) | 0.01% |
Technical Indicators
| 30d moving avg. (EMA) | $155.61 |
| Relative strength (RSI) | 56 |
| MACD/Signal | 0.11/0.24 |
| Bollinger Bands (Upper/Lower) | $159.19/$153.43 |
| Short interest (% of AUM) | 6.4% |
Distributions
Assets Under Management (mns)
Money Flows (mns)
Short Interest (as % of shares outstanding)
Long Money Flows (mns)
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Comparable ETFs Based on Overlap
| Ticker | Fund Name | Overlap vs. XLV |
Expenses vs. XLV |
ALTAR Score™ vs. XLV |
|---|---|---|---|---|
| IYH | iShares U.S. Healthcare ETF | 92.0% | +32 bp | -0.7% |
| FHLC | Fidelity MSCI Health Care Index ETF | 84.5% | +0 bp | -1.1% |
| VHT | Vanguard Health Care ETF | 81.9% | +1 bp | -1.4% |
| IXJ | iShares Global Healthcare ETF | 70.4% | +34 bp | -0.4% |
| HRTS | Tema Heart & Health ETF | 55.5% | +67 bp | -3.8% |
| RSPH | Invesco S&P 500 Equal Weight Health Care ETF | 53.1% | +32 bp | +0.1% |
| MEDX | Horizon Kinetics Medical ETF | 42.2% | +77 bp | -5.3% |
| FTXH | First Trust Nasdaq Pharmaceuticals ETF | 41.8% | +52 bp | +0.7% |
| PJP | Invesco Pharmaceuticals ETF | 38.2% | +49 bp | +0.7% |
| PPH | VanEck Pharmaceutical ETF | 38.2% | +28 bp | +0.5% |
Risk and Returns: XLV vs. Comps (1 YR)
Notes: Top 10 overlapping ETFs. Funds with insufficient history not shown. Some funds may overlap. Hover over data point for ticker symbol.
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Results & Estimates (USD)
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | 2027 | ||
|---|---|---|---|---|---|---|---|---|---|
| Sales per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- | ||
| Earnings per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- | ||
| Dividends per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- | ||
| Book value per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- |
Return on Equity
Net Margins
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Valuation Metrics
| Fwd Est | 2025 | 2026 | 2027 | |
| Price-to-sales | --x | --x | --x | --x |
| Price-to-earnings | --x | --x | --x | --x |
| Price-to-cash flow | --x | --x | --x | --x |
| Price-to-growth | --x | --x | --x | --x |
| Price-to-book value | --x | --x | --x | --x |
| Yield | --% | --% | --x | --% |
Based on closing prices from 2/10/2026
Peer Group Comparison Sample data. Subscribe for access.
Price-to-Earnings
Price-to-Sales
Price-to-Book Value
Price-to-Cash Flow
Price-to-Growth
Dividend Yield
Historical Valuation Trends Sample data. Subscribe for access.
SHOWING:
Price-to-Earnings
Price-to-Earnings
Notes: Based on adjusted historical results for current fund constituents. May differ from results achieved by past fund constituents. Max P/E of 100x.
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ETF Research Center Rating
OVERWEIGHT
Above average appreciation potential. A rating of OVERWEIGHT is assigned to ETFs with ALTAR Scores in the 4th quintile (ranking higher than 60%-80%) of their category. Typically, funds in this category consist of stocks trading at attractive valuations and/or having above-average fundamentals.
ALTAR Score™
XLV
6.7%
Cat. Avg
5.4%
ALTAR Score™ Calculation
Category Overview
There are 1164 funds in the US Equity category, with an average ALTAR Score™
of 5.4% and a standard deviation of
2.0%. XLV's ALTAR Score™ is approximately
0.6 standard deviations
above
the category average. This places XLV in the 73rd percentile among funds in the category.
Sell Side Consensus Rating
Sell-side recommendations on the ETF's individual constituents
XLVSELL
U/W
HOLD
O/W
BUY