XLV
Health Care Select Sector SPDR
Select Sector SPDR® holding S&P 500 stocks in the Health Care sector. Component industries include Health Care Equipment & Services; and Pharmaceutical & Biotechnology. The fund seeks investment results that, before expenses, generally correspond to the price and yield performance of the benchmark index.
US
EQUITY
Passive
MANAGEMENT STYLE
$ 38.7 B
ASSETS UNDER MGMT
8 bp
EXPENSES
Fund Basics
| Inception date | Dec 16, 1998 |
| Regulation | Open-Ended Fund |
| Fund Website | link... |
| Distributions | Quarterly |
| Currency | USD |
| Holdings Transparency | Full |
| Derivatives-based | No |
| Options available | Yes |
| Currency hedged | No |
| Fund of funds | No |
Top 10 Holdings
Complete list +
| ELI LILLY & CO | 13.4 % |
| JOHNSON & JOHNSON | 11.2 % |
| ABBVIE INC | 7.1 % |
| MERCK & CO. INC. | 5.7 % |
| UNITEDHEALTH GROUP INC | 4.5 % |
| AMGEN INC | 3.6 % |
| ABBOTT LABORATORIES | 3.5 % |
| THERMO FISHER SCIENTIFIC INC | 3.4 % |
| GILEAD SCIENCES INC | 3.2 % |
| INTUITIVE SURGICAL INC | 3.1 % |
Constituent Breakdown
| Number of holdings | 59 |
| Herfindahl-Hirschman Index | 530 |
| Wgt avg mkt cap (mns) | $314,964 |
| Large cap (>$10bn) | 98.9% |
| Mid cap ($2-10bn) | 0.8% |
| Small cap (<$2bn) | 0.0% |
| Developed mkts. | 99.8% |
| Emerging mkts. | 0.0% |
Sector Breakdown
Country Exposure
 |
UNITED STATES | 97.2 % |
 |
IRELAND | 2.6 % |
Historical Performance
Standardized Performance (as of 02/28/2026)
| YTD | 1 YR | 2 YR | 3 YR | 5 YR | 10 YR | 20 YR | Incep. | |
|---|---|---|---|---|---|---|---|---|
| Price Returns | 3.5% | 7.6% | 5.2% | 8.0% | 7.3% | 9.2% | 8.3% | 7.1% |
| Dividend Yield | 0.0% | 1.9% | 1.8% | 1.8% | 1.7% | 1.8% | 1.9% | 1.6% |
| Total Returns | 3.5% | 9.5% | 6.9% | 9.8% | 9.0% | 11.1% | 10.2% | 8.6% | Ann. Volatility | 14.1% | 17.4% | 14.7% | 13.6% | 14.5% | 16.5% | 16.9% | 17.9% |
Market Correlations
| versus... | Beta | R-squared |
| S&P 500 | 0.49 | 30% |
| MSCI EAFE | 0.62 | 35% |
| MSCI Emg Mkts | 0.40 | 17% |
Liquidity Measures
| Avg. volume (000) | 16,376 |
| ADV traded (mns) | $2,404 |
| Turnover | 6.2% |
| Avg. Bid/Ask (% of price) | 0.01% |
Technical Indicators
| 30d moving avg. (EMA) | $150.31 |
| Relative strength (RSI) | 37 |
| MACD/Signal | -2.89/-2.40 |
| Bollinger Bands (Upper/Lower) | $158.30/$141.14 |
| Short interest (% of AUM) | 6.4% |
Distributions
Assets Under Management (mns)
Money Flows (mns)
Short Interest (as % of shares outstanding)
Long Money Flows (mns)
Top Ten Comparable ETFs only shown here. For an extended list become an Individual or Professional subscriber. Start your FREE trial
Comparable ETFs Based on Overlap
| Ticker | Fund Name | Overlap vs. XLV |
Expenses vs. XLV |
ALTAR Score™ vs. XLV |
|---|---|---|---|---|
| IYH | iShares U.S. Healthcare ETF | 91.8% | +32 bp | -0.8% |
| VHT | Vanguard Health Care ETF | 86.1% | +1 bp | -1.5% |
| FHLC | Fidelity MSCI Health Care Index ETF | 84.4% | +0 bp | -1.3% |
| IXJ | iShares Global Healthcare ETF | 70.5% | +34 bp | -0.4% |
| HRTS | Tema Heart & Health ETF | 55.3% | +67 bp | -3.9% |
| RSPH | Invesco S&P 500 Equal Weight Health Care ETF | 52.6% | +32 bp | +0.1% |
| FTXH | First Trust Nasdaq Pharmaceuticals ETF | 42.5% | +52 bp | +0.3% |
| MEDX | Horizon Kinetics Medical ETF | 42.5% | +77 bp | -5.6% |
| PPH | VanEck Pharmaceutical ETF | 38.5% | +28 bp | +0.6% |
| PJP | Invesco Pharmaceuticals ETF | 38.4% | +49 bp | +1.0% |
Risk and Returns: XLV vs. Comps (1 YR)
Notes: Top 10 overlapping ETFs. Funds with insufficient history not shown. Some funds may overlap. Hover over data point for ticker symbol.
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Results & Estimates (USD)
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | 2027 | ||
|---|---|---|---|---|---|---|---|---|---|
| Sales per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- | ||
| Earnings per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- | ||
| Dividends per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- | ||
| Book value per share | -- | -- | -- | -- | -- | -- | -- | ||
| change (%) | -- | -- | -- | -- | -- | -- | -- |
Return on Equity
Net Margins
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Valuation Metrics
| Fwd Est | 2025 | 2026 | 2027 | |
| Price-to-sales | --x | --x | --x | --x |
| Price-to-earnings | --x | --x | --x | --x |
| Price-to-cash flow | --x | --x | --x | --x |
| Price-to-growth | --x | --x | --x | --x |
| Price-to-book value | --x | --x | --x | --x |
| Yield | --% | --% | --x | --% |
Based on closing prices from 4/3/2026
Peer Group Comparison Sample data. Subscribe for access.
Price-to-Earnings
Price-to-Sales
Price-to-Book Value
Price-to-Cash Flow
Price-to-Growth
Dividend Yield
Historical Valuation Trends Sample data. Subscribe for access.
SHOWING:
Price-to-Earnings
Price-to-Earnings
Notes: Based on adjusted historical results for current fund constituents. May differ from results achieved by past fund constituents. Max P/E of 100x.
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ETF Research Center Rating
7.1%
ALTAR SCORE™
75th
PERCENTILE
OVERWEIGHT
ETFRC RATING
There are 1,196 funds in the US Equity category with an average
ALTAR Score™ of 5.7% and a standard deviation
of 2.1%. XLV's ALTAR Score™ is approximately 0.7 standard
deviations above the category average. This places XLV in the 75th percentile
among funds in the category.
Sell-Side Consensus
$179.95
PRICE TARGET
+22.6%
UPSIDE