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XLV
Passive ETF
NYSE

State Street Health Care Select Sector SPDR ETF

The Health Care Select Sector SPDR Fund (XLV) seeks to track the performance of the Health Care Select Sector Index by using a replication strategy. This means the fund typically invests in substantially all of the securities in the index in roughly the same proportions. Under normal market conditions, it invests at least 95% of its assets in these securities, while the remainder may be placed in cash, cash equivalents, or money market instruments. The index itself is made up of health care companies from the S&P 500, spanning industries such as pharmaceuticals, biotechnology, health care equipment, providers and services,...

Passive ETF
Last update 3/12/2026 at 1:30 PM
Live
Closed
This fund is part of
US Health Care
-0.31%
Last Price
$150.18
% Change
-1.75%
1W flows
-$789M
1m flows
-$726M
AuM
$40.10B
E/R
0.08%
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Trading data

Last sale
3/12/2026 at 1:30 PM
$150.18
Previous close
$152.85
Consolidated volume
03/11/2026
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Average volume
30 days
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Average discount or premium
30 days
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Average Bid/Ask spread
30 days
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XLV performance and flow charts

Performance

-2.0-1.00.01.02.03.0%Feb 11Feb 19Feb 26Mar 5

Flows

-800 M-600 M-400 M-200 M0 M200 M400 M

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Historic performance and flows

Data as of March 11, 2026
1M3MYTD1Y3Y5Y
Perf.-2.18%-0.02%-1.22%+6.49%+28.22%+44.77%
Flows-$726M+$102M+$922M+$101M-$4.93B+$6.94B
Data as of March 11, 2026

Volatility and drawdown

3M1Y3Y5Y
Volatility+13.57%+17.40%+13.59%+14.47%
Max drawdown
-4.63%-12.43%-17.05%-17.05%
Max drawdown duration
10d211d444d444d
Time to recover
N/A161d191d191d

Replication quality

Data as of February 27, 2026
1-year trailing difference

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Tracking error
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Tracking difference
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1 year cumulative return difference
Best
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Worst
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daily return difference
Average
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Worst
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Exposure

Data as of January 31, 2026

Countries

USA
96.98%
Other
3.02%

Sectors

Health Care
98.26%
Other
1.74%

Diversification

Total weight of top 15 holdings out of 60

70.12%

Top 15 Holdings

LILLY
14.69%
JOHNSON&JOHNSON
9.77%
ABBVIE
7.03%
MERCK & CO INC
4.88%
UNITEDHEALTH GRP
4.64%
THERMO FISHER SCIENTIFIC
3.88%
ABBOTT LABS
3.39%
AMGEN-T
3.28%
INTUITIVE SURGICAL
3.19%
GILEAD SCIENCES
3.14%
PFIZER
2.68%
BOSTON SCIENTIFIC
2.47%
DANAHER
2.45%
MEDTRONIC PLC
2.36%
STRYKER
2.27%

Characteristics

The State Street Health Care Select Sector SPDR ETF is built to track the S&P Health Care Select Sector Total Return Index - USD. This ETF provides physical exposure - by owning its shares you earn the return of the securities composing the index (as the ETF holds them directly).

This share class generates a stream of income by distributing dividends.

Management strategyPassive
ProviderSPDR
N° of holdings60
Replication methodDirect (Physical)
Asset classEquities
Dividend policyDistributing
Trailing 12m distribution yield
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Inception dateDecember 16, 1998
ESGNo

The ETF Institute® is now affiliated with ETF Central

The CETF certification is the only FINRA listed professional designation focused on ETFs.

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Frequently asked questions about XLV

What type of ETF is XLV?

XLV is a Passive ETF that provides exposure to Equity assets. It is managed by SPDR.

What index does XLV track?

XLV tracks the S&P Health Care Select Sector Total Return Index - USD, aiming to replicate its performance through full replication.

What does XLV invest in?

This ETF provides exposure to Large Cap US Health Care Equities. It is part of the segment: US Health Care.

What is the expense ratio of XLV?

The total expense ratio (TER) of XLV is 0.08%, representing the annual fee charged by the fund manager.

When was XLV launched?

XLV was launched on December 16, 1998, marking its entry into the ETF market.

Who is the issuer of XLV?

XLV is issued by SPDR.

What is the AUM of XLV?

As of March 11, 2026, XLV manages $40.10 B, reflecting the total assets held in the fund.

How has XLV performed recently?

As of March 11, 2026, XLV delivered a return of -2.18% over the past month (1M performance), -0.02% over the past three months (3M), and -1.22% year-to-date (YTD).

What are the recent fund flows for XLV?

As of March 11, 2026, XLV has seen net flows of -$726M in the past month (1M flow) and +$922M year-to-date (YTD).

Does XLV pay dividends?

As of March 11, 2026, XLV has a trailing 12-month distribution yield of 1.62%.

How many holdings are in XLV

As of January 31, 2026, XLV holds 60 securities in its portfolio. This level of diversification can influence the fund’s risk profile and exposure to individual assets.

How diversified is XLV?

As of January 31, 2026, XLV holds 60 securities, with 70.12% of its assets concentrated in its top 15 holdings.

What are the top holdings of XLV?

As of January 31, 2026, XLV holds a portfolio of 60 underlyings, with its largest positions including LILLY, JOHNSON&JOHNSON and ABBVIE. These top holdings play a significant role in shaping the fund’s performance and exposure.

What countries or regions does XLV invest in?

As of January 31, 2026, XLV has its largest geographic exposures in USA.

What sectors or themes does XLV focus on?

As of January 31, 2026, XLV is primarily exposed to Health Care.

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