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Data as of . Returns from exchange end-of-day prices with distributions reinvested; holdings from the fund's latest SEC filing.

XLV · State Street(R) Health Care Select Sector SPDR(R) ETF

Index equity fund · Health care

XLV is a index equity fund tracking Health care. Over the year to Sep 4, 2026 it returned +26.9% with distributions reinvested, against +20.0% for the S&P 500 and +25.6% for the Nasdaq-100. The prospectus expense ratio is 0.08% a year. By its holdings filed for Jun 30, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 59 positions, with the top ten at 61.7%.

What it tracksHealth care
Fund typeIndex equity fund
Expense ratio (prospectus XBRL)0.08%
Price$171.45
Listed sinceJan 4, 2010
3 months: total return / S&P 500 / gap / Nasdaq-100 gap (ETFIQ)+12.5% / +4.7% / +7.8 pts / +10.5 pts
6 months: total return / S&P 500 / gap / Nasdaq-100 gap (ETFIQ)+13.2% / +15.2% / −1.9 pts / −6.9 pts
1 year: total return / S&P 500 / gap / Nasdaq-100 gap (ETFIQ)+26.9% / +20.0% / +7.0 pts / +1.3 pts
3 years: total return / S&P 500 / gap / Nasdaq-100 gap (ETFIQ)+36.4% / +78.0% / −41.6 pts / −57.1 pts
since listing: total return / S&P 500 / gap / Nasdaq-100 gap (ETFIQ)+618.1% / +811.4% / −193.3 pts / −1066.0 pts
Below its high (ETFIQ)−2.4%
Holdings59
Top ten weight61.7%
Holdings as of (SEC filing)Jun 30, 2026
Top holdingsEli Lilly & Co 16.6%, Johnson & Johnson 10.7%, AbbVie Inc 7.8%, UnitedHealth Group Inc 6.6%, Merck & Co Inc 5.5%, Amgen Inc 3.4%, Thermo Fisher Scientific Inc 3.2%, Abbott Laboratories 2.8%, Gilead Sciences Inc 2.7%, Intuitive Surgical Inc 2.5%
Already in the S&P 500, by weight (ETFIQ)100.0%
Active share vs the S&P 500 (ETFIQ)91.1%
Already in the Nasdaq-100, by weight (ETFIQ)13.6%

Questions people ask

How has XLV performed?
Over the year to Sep 4, 2026, XLV returned +26.9% with distributions reinvested, against +20.0% for the S&P 500. Over three years the figure is +36.4%.
What does XLV cost?
The prospectus expense ratio is 0.08% a year.
What does XLV hold?
59 positions as filed for Jun 30, 2026, with the top ten at 61.7% of the fund. 100% of its weight is in stocks the S&P 500 also holds.
How far is XLV below its high?
2.4% below its high of Aug 19, 2026, measured on the reinvested series to Sep 4, 2026.

Where these figures came from

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Cite this page. ETFIQ, XLV, core index fund, data as of Sep 4, 2026. https://etfiq.com/funds/XLV.html Free to use with attribution; the underlying files are at Open data.

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