Health Care Select Sector SPDR Fund (XLV)

NYSE Arca: XLVExchange-traded fund from State Street Investment Management.

  • Expense ratio0.09%
  • Net assets$44.31B
  • Dividend yield1.56%
  • 1-year return+26.02%
  • Holdings60

XLV ETF price chart

XLV quote & trading statistics

XLV performance

Total return · as of October 17, 2026
  • YTD+15.42%
  • 1 year+26.02%
  • 3 years+12.36%/yr
  • 5 years+8.59%/yr
  • 10 years+11.13%/yr
1Y volatility
15.40%
3Y volatility
14.22%
3Y Sharpe ratio
0.47

Returns include reinvested distributions; 3-, 5- and 10-year figures are annualized.

XLV top 10 holdings

Health Care Select Sector SPDR Fund largest holdings by weight
#SymbolNameWeight
1LLYEli Lilly and Company16.32%
2JNJJohnson & Johnson9.35%
3ABBVAbbVie Inc7.64%
4UNHUnitedHealth Group Incorporated5.78%
5MRKMerck & Company Inc5.74%
6TMOThermo Fisher Scientific Inc4.14%
7AMGNAmgen Inc3.46%
8GILDGilead Sciences Inc2.98%
9ABTAbbott Laboratories2.71%
10PFEPfizer Inc2.57%

The top 10 holdings make up 60.7% of the fund (60 holdings in total). As of October 17, 2026.

XLV sector weights

Healthcare
100.0%

XLV region weights

North America
100.0%

XLV asset allocation

U.S. stocks
99.4%
Cash
0.2%

XLV market-cap breakdown

Large cap
59.8%
Mid cap
21.5%
Mega cap
15.9%
Small cap
1.6%

About Health Care Select Sector SPDR Fund

In seeking to track the performance of the index, the fund employs a replication strategy. It generally invests substantially all, but at least 95%, of its total assets in the securities comprising the index. The index includes companies from the following industries: pharmaceuticals; health care equipment & supplies; health care providers & services; biotechnology; life sciences tools & services; and health care technology. The fund is non-diversified.

XLV ETF FAQ

What is the XLV expense ratio?

Health Care Select Sector SPDR Fund has a net expense ratio of 0.09%, or $9.00 a year for every $10,000 invested.

How much money is in XLV?

Health Care Select Sector SPDR Fund has about $44.31B in net assets.

What are the top holdings of XLV?

The largest positions in XLV are Eli Lilly and Company (16.32%), Johnson & Johnson (9.35%), AbbVie Inc (7.64%). The fund holds 60 securities in total.

How has XLV performed?

XLV returned +26.02% over the past year and +8.59% a year over the past five years, including reinvested distributions.

Does XLV pay dividends?

XLV has a dividend yield of 1.56% and pays distributions na.

When was XLV launched?

Health Care Select Sector SPDR Fund began trading on December 16, 1998.

ETFs similar to XLV

Funds that track the same index or whose top-10 holdings overlap most with XLV's. Overlap: shared top-10 weight as a share of the larger top-10 total of the two funds.

ETFs with holdings most similar to XLV, compared by expense ratio, assets and 1-year return
SymbolFundOverlapExpense ratioNet assets1-year return
XLVHealth Care Select Sector SPDR Fund—0.09%$44.31B+26.02%
TRUHVanEck Healthcare TruSector ETF97%—$615,962—
IYHiShares U.S. Healthcare ETF96%0.39%$4.34B+25.12%
VHTVanguard Health Care ETF86%0.10%$19.67B+23.71%
FHLCFidelity MSCI Health Care ETF86%0.07%$3.54B+25.78%
PBPHPortfolio Building Block World Pharma and…79%—$1.09B—
RXLProShares Ultra Health Care63%0.93%$102.7M+49.40%
JDOCJPMorgan Healthcare Leaders ETF63%0.68%$9.4M+17.75%
FTXHFirst Trust Nasdaq Pharmaceuticals ETF61%0.57%$1.11B+47.07%