XLV · State Street Health Care Select Sector SPDR ETF
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XLV tracks an index of Health care and returned +25.6% over the past year.
XLV has 62 holdings by its book of Oct 27, 2026 and returned +25.6% over the year to Oct 28, 2026.
Promise check: Not measuredNo other ETF tracks the index it names, so its tracking cannot be measured.
XLV risk and return scorecard
vs its own holdings
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records; risk-free rate: U.S. Treasury, Daily Treasury Bill Rates, 13-week coupon equivalent Method · Data
Money in and out
Net fund flows · Oct 22, 2026What you earned
How concentrated, and what does it cost?
Health Care Select Sector IndexMore on XLV
Every number below is on this page. Open what you need.Price, 1 year
$179.72+0.3%1 day, priceClose, Oct 28, 2026
Price only. Total return over the same days, distributions reinvested, was +25.6%. Computed by ETFIQ from Tiingo daily prices.
Source: Tiingo end-of-day prices. Data as of Oct 28, 2026. Updated every trading night. Last checked Oct 26, 2026. Report a data error
| Window | Total return | S&P 500 (SPY) |
|---|---|---|
| 1M Sep 28 – Oct 28, 2026 | +4.9% | +0.9% |
| 3M Jul 29 – Oct 28, 2026 | +8.5% | +6.1% |
| 6M Apr 29 – Oct 28, 2026 | +26.8% | +9.1% |
| YTD Dec 31, 2025 – Oct 28, 2026 | +17.5% | +14.1% |
| 1Y Oct 28, 2025 – Oct 28, 2026 | +25.6% | +13.6% |
| 3Y Oct 27, 2023 – Oct 28, 2026 | +53.4% | +95.0% |
| 5Y Oct 29, 2021 – Oct 28, 2026 | +45.6% | +79.8% |
| 10Y Oct 28, 2016 – Oct 28, 2026 | +213.5% | +325.8% |
| Since launch Dec 22, 1998 – Oct 28, 2026 | +981.4% | +935.6% |
| Since launch, annualised Dec 22, 1998 – Oct 28, 2026 | +8.9% | – |
Total returns, distributions reinvested.
Source: Tiingo end-of-day prices, with distributions reinvested.
Money in and out
Daily data · as of Oct 22, 2026XLV: in the year to Oct 22, 2026, net $1.8bn came in; in the month to Oct 22, 2026, $998m came in.
Oct 21, 2026 to Oct 22, 2026
Sep 28, 2026 to Oct 22, 2026
Jul 28, 2026 to Oct 22, 2026
Jan 2, 2026 to Oct 22, 2026
Oct 28, 2025 to Oct 22, 2026
SEC filings, then daily counts
XLV, net flow each trading day over the 62 sessions from Jul 28, 2026 to Oct 22, 2026: money came in on 34 days and went out on 27 days.
Money in on 34 of the 62 trading days, out on 27.
XLV, net flow each trading day over the 248 sessions from Oct 28, 2025 to Oct 22, 2026: money came in on 122 days and went out on 121 days.
Money in on 122 of the 248 trading days, out on 121.
XLV, net flow each trading day over the 400 sessions from Mar 21, 2025 to Oct 22, 2026: money came in on 199 days and went out on 190 days.
Money in on 199 of the 400 trading days, out on 190.
Computed by ETFIQ from State Street’s daily data: each day’s change in shares outstanding times the previous day’s net asset value.
How this is computed
Percentages are of net assets at the start of each window. Numbers are net: money in less money out. Checked against the filing: The month’s daily sum and the filing’s B.6 number agree within rounding or, where the filing’s is larger, within rounding plus the fund’s creation and redemption fees. The full rule is in the fund’s flows file. Every day and month ETFIQ holds for XLV, back to Jul 2019, is in its flows file. Flows across every fund · How these flows are computed · Compare XLV with other funds in the flows tool
Every trading day, last 3 months62 days
Most recent first.
Week by week, last year52 weeks
Net flow into XLV each week, Oct 28, 2025 to Oct 22, 2026, most recent first, each week named by its last trading day with data. Computed by ETFIQ.
Month by month, money in and money outNov 2023 to Oct 2026
XLV, money in and money out each month from Nov 2023 to Sep 2026: two bars a month, money in above the line and money out below. Bars for Nov 2023 to Jun 2026 are from XLV’s SEC filings (N-PORT item B.6), and for Jul 2026 to Sep 2026 ETFIQ’s sums of its days. Oct 2026 is still in progress, so it is in the list and not drawn. Of the 36 months listed, money came in on net in 15 and went out in 21.
Bars for Nov 2023 to Jun 2026 are from XLV’s SEC filings (N-PORT item B.6), and for Jul 2026 to Sep 2026 ETFIQ’s sums of its days. Of the 36 months listed, money came in on net in 15 and went out in 21.
Most recent first.
How this is computed
N-PORT months: money in is sales plus reinvestments; money out is redemptions. Months summed from daily data: money in adds the days money came in; money out adds the days it went out.
N-PORT months are the filed sales plus reinvestments less redemptions. Later months add up the daily data; the Source column names any missing day.
Source: ETFIQ, from the fund’s daily share counts and net asset values, and its SEC N-PORT filings. Data as of Oct 22, 2026.
XLV key stats
Trading
as of Oct 27, 2026
XLV top ten by weight, 60.6% of the fund, of its 62 equity positions, from the holdings published by its issuer for Oct 27, 2026. An index fund holds what the index holds, so this is the index. Source: the issuer’s own daily file.
Source: State Street’s daily holdings file. Data as of Oct 27, 2026. Updated each trading day. Last checked Oct 28, 2026.
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About XLV
12 seats on XLV, as of Oct 28, 2026: 1 Supports, 1 Mixed, 8 Challenges, 2 Not enough data.
Questions people ask about XLV
- How has XLV performed?
- Over the year to Oct 28, 2026, XLV returned +25.6% with distributions reinvested. Over three years the number is +53.4%.
- What does XLV cost?
- The prospectus expense ratio is 0.08% a year.
- What does XLV hold?
- 62 positions as published by its issuer for Oct 27, 2026, with the top ten at 60.6% of the fund. 100% of its weight is in stocks the S&P 500 also holds.
- How far is XLV below its high?
- 0.9% below its high of Oct 22, 2026, measured on the reinvested series to Oct 28, 2026.
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ETFIQ, XLV, stock fund, data as of Oct 28, 2026. https://etfiq.com/funds/xlv
ETFIQ. (Oct 28, 2026). XLV, stock fund. Retrieved from https://etfiq.com/funds/xlv
[XLV, stock fund (ETFIQ, Oct 28, 2026)](https://etfiq.com/funds/xlv)
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<figure style="margin:0;max-width:640px">
<a href="https://etfiq.com/funds/xlv"><img src="https://etfiq.com/assistant/api/embed/core/xlv.svg" alt="XLV: XLV over 1 year: total return +25.6%. Data to Oct 28, 2026." width="640" style="max-width:100%;height:auto"></a>
<figcaption style="font:13px/1.5 sans-serif">XLV: XLV over 1 year: total return +25.6%. Data to Oct 28, 2026. Data: <a href="https://etfiq.com/funds/xlv">ETFIQ</a></figcaption>
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