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

XLV tracks the Health care and returned +20.4% over the past year.

Index equity fund · Health care · data as of

Key facts

+20.4%Total return, 1 year
0.08%Expense ratio
63Holdings
−5.9%Below its high

Its ten largest equity positions

XLV top ten by weight, 60.9% of its 63 equity positions, from the holdings published by its issuer for Sep 10, 2026. An index fund holds what the index holds, so this is the index. Source: the issuer’s own daily file.
HoldingTickerWeight
ELI LILLY + COLLY14.87%
JOHNSON + JOHNSONJNJ10.73%
ABBVIE INCABBV7.54%
MERCK + CO. INC.MRK5.98%
UNITEDHEALTH GROUP INCUNH5.90%
THERMO FISHER SCIENTIFIC INCTMO3.75%
AMGEN INCAMGN3.46%
ABBOTT LABORATORIESABT3.01%
GILEAD SCIENCES INCGILD3.01%
PFIZER INCPFE2.64%

Compare XLV

Also against BIL, BINC, BITO, BND, BNDX, BOND, BOXX, BSV, BWET, CGBL, CGDV, CGGR, COWZ, CTA, DBMF, DFUS, DGRO, DGRW, DIA, DVY, DYNF, EDV, EEM, EFA, EMB, EMXC, EWJ, EWT, EWY, EWZ, EZU, FBCG, FDVV, FENI, FLKR, FNDX, FTEC, FXI, GARP, GDX, GLD, GLDM, GOVT, GRNY, HDV, HGER, HYG, HYMB, IALT, IAU, IBB, IDEV, IEF, IEFA, IEI, IEMG, IGIB, IGM, IGSB, IJH, IJR, IJS, IJT, ILF, INDA, ITOT, IUSB, IVV, IWB, IWC, IWD, IWF, IWM, IWO, IXUS, IYE, IYR, IYW, JAAA, JNK, KRE, LQD, LYTE, MAGS, MBB, MDY, MGK, MINT, MOAT, MTUM, MUB, NOBL, ONEQ, PDBC, PFF, PULS, PVAL, QQQ, QQQM, QUAL, RDVY, REMX, RSP, SCHB, SCHD, SCHF, SCHG, SCHH, SCHP, SCHX, SDY, SGOV, SHV, SHY, SIVR, SLV, SPHD, SPHQ, SPMO, SPSB, SPY, SPYD, SPYG, SPYM, TIP, TLT, URTH, USFR, USHY, USMV, USO, VB, VBIL, VBK, VBR, VCIT, VCLT, VCSH, VDC, VDE, VEA, VEU, VGIT, VGK, VGLT, VGSH, VGT, VHT, VIG, VLUE, VNQ, VO, VOE, VONG, VOO, VOOG, VOX, VPL, VPU, VT, VTEB, VTI, VTIP, VTV, VTWO, VUG, VUSB, VWO, VXF, VXUS, VYM, VYMI, XBI, XHB, XLB, XLC, XLE, XLF, XLG, XLI, XLK, XLP, XLRE, XLU, XLY, XOP, XOVR, XRT.

Period by period

XLV over each window to Sep 11, 2026. Every figure is an ETFIQ calculation. Source: ETFIQ.
WindowTotal returnS&P 500Gap to S&P 500Gap to Nasdaq-100
3 months+8.0%+3.3%+4.7 pts+8.8 pts
6 months+11.3%+16.0%−4.7 pts−9.4 pts
1 year+20.4%+17.5%+2.9 pts−2.6 pts
3 years+30.9%+77.9%−47.0 pts−64.2 pts
Since listing+592.6%+804.4%−211.8 pts−1081.4 pts

In plain words

XLV is an index equity fund tracking the Health care. Over the year to Sep 11, 2026 it returned +20.4% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.08% a year. By its holdings filed for Sep 10, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 63 positions, with the top ten at 60.9%. It sat 5.9% below its high of Aug 19, 2026 on Sep 11, 2026.

What it tracksHealth care
Fund typeIndex equity fund
Expense ratio (485BPOS XBRL, Jan 28, 2026)0.08%
Price$165.36
Listed sinceJan 4, 2010
Net assets (the issuer own daily fund list, as of Sep 10, 2026)$43.0bn
Below its high (ETFIQ)−5.9%
Holdings63
Top ten weight60.9%
Holdings as of (SEC N-PORT)Sep 10, 2026
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 11, 2026, XLV returned +20.4% with distributions reinvested, against +17.5% for the S&P 500. Over three years the figure is +30.9%.
What does XLV cost?
The prospectus expense ratio is 0.08% a year.
What does XLV hold?
63 positions as filed for Sep 10, 2026, with the top ten at 60.9% of the fund. 100% of its weight is in stocks the S&P 500 also holds.
How far is XLV below its high?
5.9% below its high of Aug 19, 2026, measured on the reinvested series to Sep 11, 2026.

Where these figures came from

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

Funds near this one

Where XLV is written about

XLV, core index fund, ETFIQ, data as of Sep 11, 2026. Every figure is arithmetic on a named public source; the method is at etfiq.com/methodology. ETFIQ is an independent publisher, is not a fund issuer, broker-dealer or investment adviser, and makes no recommendations.

Cite this page. ETFIQ, XLV, core index fund, data as of Sep 11, 2026. https://etfiq.com/funds/xlv Free to use with attribution; the underlying files are at Open data.

ETFIQ covers leveraged and inverse, thematic, buffer, option-income, core index and spot crypto ETFs. This fund is here because the other funds here are measured against it and portfolios hold it. ETFIQ is an independent publisher and makes no recommendations. Standards and sources