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XLV ETF · State Street Health Care Select Sector SPDR ETF
The XLV Exchange Traded Fund (ETF) is provided by SPDR. It is built to track an index: S&P Health Care Select Sector Index. The XLV ETF provides physical exposure, so by buying it you actually own parts of all the 60 underlying holdings. This share class generates a stream of income by distributing dividends.
Last update Yesterday at 1:30 PM UTC
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This fund is part ofUS Health Care1M perf.-3.88%
Last price
$149.79
1M perf.
-3.74%
1M flows
-€607M
AuM
€34.2B
E/R
0.08%
Rating
ESG Consensus®
XLV
$149.79
Performance & flows
Segment for quartile rank
December 12, 2025 → March 12, 2026
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XLV
$150.20
-2.07%
US Health Care
-2.59%
Historic performance and flows
| 1M | 3M | 1Y | 3Y | 5Y | MTD | QTD | YTD | ||
|---|---|---|---|---|---|---|---|---|---|
| Perf. | -3.74%  | -2.07% | +5.69%  | +25.97% | +41.91%  | -6.25% | -2.96% | -2.96% | |
| Flows |
Key fund info
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This ETF's jurisdiction country is not in your region (Europe and Middle East) ·
Main characteristics
More details
NAV
3/12/2026
$150.20
1D NAV change
-1.76%
Dividend policy
Replication method
Direct (Physical)
Replication model
Full replication
No. of holdings
60
Inception date
12/16/1998
Jurisdiction
United States
Distribution
United States
Legal structure
Unit Investment Trust
Base currency
USD
Dividend distribution
Trailing 12-month distr. yield
Distribution frequency
Last distribution
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Classification
Investment strategy
The State Street® Health Care Select Sector SPDR® ETF seeks to provide investment results that, before expenses, correspond generally to the price and yield performance of the Health Care Select Sector Index (the "Index").
Tax optimisation
PEA
France
UK Reporting Status
United Kingdom
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Enterprise
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Learn more about Trackinsight EnterpriseSimilar ETFs in your region
SXLV
1M perf.
-3.76%
E/R
0.15%
453640
1M perf.
-0.33%
E/R
0.25%
XLVI
1M perf.
-2.60%
E/R
0.35%
ZXLV
1M perf.
-3.65%
E/R
0.21%
IUHC
1M perf.
-3.77%
E/R
0.15%
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Risk profile
Segment for quartile rank
Historical risk/return profile
| 3M | 1Y | 3Y | 5Y | |
|---|---|---|---|---|
| Returns | -2.07% | +5.69% | +25.97% | +41.91% |
| Volatility | ||||
| Perf./Volatility | ||||
| Max drawdown |
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Synthetic Risk and Reward Indicator (SRRI)
UCITS
N/A
PRIIPS
N/A
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Enterprise
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Learn more about Trackinsight EnterpriseExposure
Countries
USA
96.98%
Ireland
2.82%
Unavailable
0.21%
Sectors
Health Care
98.26%
Unavailable
1.74%
Diversification
Total weight of top 15 holdings out of 60
Top 15 holdings
Data as of January 31, 2026
LILLY
JOHNSON&JOHNSON
ABBVIE
MERCK & CO INC
UNITEDHEALTH GRP
THERMO FISHER SCIENTIFIC
ABBOTT LABS
AMGEN-T
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INTUITIVE SURGICAL
GILEAD SCIENCES
PFIZER
BOSTON SCIENTIFIC
DANAHER
MEDTRONIC PLC
STRYKER
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Built for professionals: access exclusive exposure metrics in Trackinsight Enterprise.
Enterprise
Trackinsight Enterprise helps professional and institutional ETF investors tackle operational, regulatory, and analytical challenges at every stage of the investment process.
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Integrates ESG criteria
No
SDG
ESG Consensus® by Conser
Data as of December 31, 2025
MethodologyOur partner Conser gathers the industry's consensus on the business practices of the underlying holdings. We have computed the following metrics about XLV ETF's sustainability, based on their methodology.
ESG Consensus®
ESG Consensus® is based on the Final Sustainability Grade, which itself consists of 10 grades. Our partner Conser calculates the exact grade, based on market intelligence, using their proprietary ESG Consensus® methodology.
XLV’s has a Final Sustainability Grade of either A+, A, or A-.
A+
A
A-
B+
B
B-
C+
C
C-
D
This fund’s exact Final Sustainability Grade is available in Trackinsight Enterprise.
Learn more about Trackinsight EnterpriseHoldings review
93.44% of holdings have positive scoring
6.76% of holdings have negative scoring
6.57%
70.23%
16.63%
6.08%
Consensus levels
Strong
Medium
Weak
Built for professionals: access exclusive sustainability metrics in Trackinsight Enterprise.
Enterprise
Trackinsight Enterprise helps professional and institutional ETF investors tackle operational, regulatory, and analytical challenges at every stage of the investment process.
Learn more about Trackinsight EnterpriseReplication
Trackinsight replication rating:
Replication quality
Calculated over 12m, as of February 27, 2026
Tracking error
Tracking difference
Replication information
Index
S&P Health Care Select Sector Total Return Index - USD
Index ticker
IXVTR Index
Index dividend policy
GTR
Replication method
Replication model
Built for professionals: access exclusive replication metrics in Trackinsight Enterprise.
Enterprise
Trackinsight Enterprise helps professional and institutional ETF investors tackle operational, regulatory, and analytical challenges at every stage of the investment process.
Learn more about Trackinsight EnterpriseIssuer
SPDR
SPDR ID Card
Number of funds
369
Total AuM
€1.75T
Expense ratio range
0.02% - 0.9%
Average expense ratio
0.2585%
Top 5 funds by SPDR
| AuM | ||
|---|---|---|
SPY | SPDR S&P 500 ETF Trust | €578.12B |
GLD | SPDR Gold Shares ETF | €155.9B |
SPYM | State Street SPDR Portfolio S&P 500 ETF | €91.09B |
XLK | State Street Technology Select Sector SPDR ETF | €75.8B |
XLF | State Street Financial Select Sector SPDR ETF | €39.54B |
Frequently asked questions about XLV
What does State Street Health Care Select Sector SPDR ETF, XLV, invest in?
XLV is a Passive ETF. This ETF provides exposure to Large Cap US Health Care Equities.
Which benchmark or index does XLV replicate?
XLV tracks the S&P Health Care Select Sector Total Return Index - USD, through a full replication replication method.
What is the Total Expense ratio (TER) of XLV?
XLV carries a total expense ratio (TER) of 0.08%, indicating the annual cost for holding the fund.
When was XLV launched?
XLV was introduced to the market on December 16, 1998. It trades on United States
Who is the ETF issuer of XLV?
State Street Health Care Select Sector SPDR ETF, XLV, is provided by SPDR. Learn more about SPDR here.
What is the current assets under management (AUM) of XLV?
XLV oversees €34.2B in assets as of March 12, 2026.
How has XLV performed lately?
Based on data from March 12, 2026, XLV returned -3.74% over the past month, -2.07% over the last three months and -2.96% year-to-date.
What are the latest inflows or outflows for XLV?
As of March 12, 2026, XLV recorded net flows of -€614M over the last month and +€768M year-to-date.
Does XLV distribute dividends?
XLV follows a distributing dividend policy, meaning it pays out income to investors. As of March 12, 2026, its 12-month trailing yield was 1.65%.
What are the main country or region exposures of XLV?
As of January 31, 2026, XLV has significant geographic allocations in USA and Ireland.
In which sector or theme does XLV invest in?
As of January 31, 2026, XLV focuses largely on Health Care.
How many securities does XLV hold and how diversified is it?
As of January 31, 2026, XLV holds 60 positions in its portfolio, with 70.12% of assets concentrated in its top 15 holdings.
What are the main positions in XLV?
As of January 31, 2026, XLV top three holdings include LILLY, JOHNSON&JOHNSON and ABBVIE.
What is the base currency of XLV?
The base currency of XLV is USD.
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