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State Street® Health Care Select Sector SPDR® ETF

SPDR · US81369Y2090

State Street® Health Care Select Sector SPDR® ETF is an exchange-traded fund (ETF) from SPDR, traded under the ticker XLV (ISIN US81369Y2090). In a single purchase you get a diversified basket of holdings rather than a stake in just one business. In plain terms it is about owning small slices of companies, so you share in their growth when they…

· Tracks the Health Care Select Sector Index index ?
Equity ?Unknown Physical ?United States ?
Low yearly feeOwns the shares directlyOtherConcentrated in a few names
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SPDR fundsDomiciled in United StatesUnknownPhysically replicatedOther stocksYearly fee under 0.25%

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Fund size (AUM) ?
€37.3B
1-year return ?
+24.9%
Price Return · to 2026-08-18
Yearly fee (TER) ?
0.08%
All-in cost ≈ 0.00%

About this fund

What you own

The Health Care Select Sector Index index is the benchmark this fund aims to copy. By holding it, this fund gives you a stake in around 63 companies across Other in a single purchase.

How it works

The fund actually buys every share in the index it tracks (full replication).

Read more

Owning every holding keeps things transparent — what is in the index is what the fund actually owns. It can be a touch costlier to run for indexes with thousands of tiny positions, since the fund has to buy and maintain them all. There is no swap bank involved, so there is no extra “what if the partner fails” question to weigh.

Cost

0.08%Yearly fee (TER)
0.00%All-in cost

The yearly running cost of the fund, shown as a % of your money. Lower is cheaper.

Read more

For example, a 0.20% fee works out at €0.20 a year for every €100 invested — that’s a generic illustration of the mechanic, not this fund’s own fee. It is skimmed quietly from inside the fund a little each day, so you never get a bill — but it drags on your return every year you hold. On a broad index ETF it is usually a small fraction of a percent; the gap between a cheap and a pricey fund looks tiny on day one but compounds over decades, which is why it is worth a glance.

Fund facts

Index tracked ?
Health Care Select Sector Index
Replication ?
Physical
Full — buys every share
Launched
Dec 1998
28-year track record

Performance

84.795.3106116127202120242026

Growth of $100 invested — the line starts at $100.

State Street® Health Care Select Sector SPDR® ETF

End-of-day prices, rebased to a common start so the shapes are comparable. Past performance does not predict future results.

YTD+9.6%
1 year+24.9%
3 years+8.3%
5 years+4.6%

Return, year by year

-3.6
+0.4
+0.9
+12.5
'22'23'24'25
3 of 4 up yearsBest: 2025 +12.5%Worst: 2022 -3.6%Calendar-year total returns, in USD

How bumpy has it been?

15.5%
Volatility (1y) ?
How much the price swings year to year — lower is calmer.
-18.1%
Worst drop (3y) ?
The biggest fall from a peak over the last three years.
0.57
Return for the risk (3y) ?
Reward earned per unit of bumpiness.

The bigger picture

+30.6%
Since inception
Total growth since launch — about +5.4% a year.
+29.4%
Best 12 months
The strongest one-year stretch on record.
-13.2%
Worst 12 months
The weakest one-year stretch on record.
-18.1%
Worst fall on record ?
It clawed back in about 7 months.

What's inside

By sector ?

Cash/Other32.7%
Consumer Staples31.0%
Health Care21.9%
Financials8.9%
Corporate5.5%

The 10 biggest holdings make up 61.2% of the fund — the rest is spread across roughly 53 more companies.

Top 10 holdings

#CompanyWeight
1ELI LILLY + CO16.2%
2JOHNSON + JOHNSON10.7%
3ABBVIE INC7.7%
4UNITEDHEALTH GROUP INC6.5%
5MERCK + CO. INC.5.3%
6AMGEN INC3.4%
7THERMO FISHER SCIENTIFIC INC3.3%
8ABBOTT LABORATORIES2.8%
9GILEAD SCIENCES INC2.7%
10INTUITIVE SURGICAL INC2.6%

Where to buy this fund

Set from your language & location — change it if it's wrong.

Where it trades

ExchangeTickerCurrency
NYSEXLVUSD★ Primary
EUR listings
FrankfurtSD7CEUR
USD listings
B2XLVUSDUSD
B3XLVNUSD
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E1XLVUSD
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L1XLVNUSD
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MFXLV*USD
MMXLV*USD
MUXLV*USD
NYSE ArcaXLVUSD
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XZXLVUSD
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For serious comparison — full data holdings, percentiles, advanced risk, tilt, flows

Full holdings

As of 2026-08-18 · the fund's own published holdings.

#CompanyWeight
1ELI LILLY + CO16.2%
2JOHNSON + JOHNSON10.7%
3ABBVIE INC7.7%
4UNITEDHEALTH GROUP INC6.5%
5MERCK + CO. INC.5.3%
6AMGEN INC3.4%
7THERMO FISHER SCIENTIFIC INC3.3%
8ABBOTT LABORATORIES2.8%
9GILEAD SCIENCES INC2.7%
10INTUITIVE SURGICAL INC2.6%
11PFIZER INC2.3%
12VERTEX PHARMACEUTICALS INC2.3%
13CVS HEALTH CORP2.2%
14DANAHER CORP2.1%
15BRISTOL MYERS SQUIBB CO2.0%
16STRYKER CORP1.9%
17MEDTRONIC PLC1.8%
18MCKESSON CORP1.6%
19ELEVANCE HEALTH INC1.5%
20THE CIGNA GROUP1.3%
21BOSTON SCIENTIFIC CORP1.1%
22REGENERON PHARMACEUTICALS1.1%
23HCA HEALTHCARE INC1.1%
24CENCORA INC1.0%
25CARDINAL HEALTH INC0.9%
26EDWARDS LIFESCIENCES CORP0.9%
27HUMANA INC0.8%
28IDEXX LABORATORIES INC0.8%
29BECTON DICKINSON AND CO0.7%
30WATERS CORP0.6%
31AGILENT TECHNOLOGIES INC0.6%
32IQVIA HOLDINGS INC0.6%
33RESMED INC0.5%
34ZOETIS INC0.5%
35CENTENE CORP0.5%
36BIOGEN INC0.5%
37GE HEALTHCARE TECHNOLOGY0.5%
38MODERNA INC0.5%
39VEEVA SYSTEMS INC CLASS A0.5%
40DEXCOM INC0.5%
41METTLER TOLEDO INTERNATIONAL0.4%
42WEST PHARMACEUTICAL SERVICES0.4%
43QUEST DIAGNOSTICS INC0.4%
44LABCORP HOLDINGS INC0.4%
45STERIS PLC0.4%
46VIATRIS INC0.3%
47INCYTE CORP0.3%
48ZIMMER BIOMET HOLDINGS INC0.3%
49COOPER COS INC/THE0.2%
50REVVITY INC0.2%
51ALIGN TECHNOLOGY INC0.2%
52BAXTER INTERNATIONAL INC0.2%
53SOLVENTUM CORP0.2%
54CHARLES RIVER LABORATORIES0.2%
55BIO TECHNE CORP0.2%
56INSULET CORP0.2%
57SSI US GOV MONEY MARKET CLASS0.2%
58UNIVERSAL HEALTH SERVICES B0.1%
59HENRY SCHEIN INC0.1%
60DAVITA INC0.1%
61XAV HEALTH CARE SEP260.0%
62CONTRA HOLOGIC INCORPO0.0%
63US DOLLAR0.0%

⭳ Download full holdings (CSV)

How it ranks vs peers

🪙 Cheaper than 82% of similar ETFs📈 Higher 1-yr return than 76%📈 Higher 3-yr return than 25%📈 Higher 5-yr return than 37%📊 Beat its category by 6.9% (1-yr) (category average +18.0%)📊 Behind its category by 4.1% (3-yr) (category average +12.4%)📊 Behind its category by 0.9% (5-yr) (category average +5.5%)

Versus the Equity (stocks) · Other · USD ETFs we track.

Advanced risk

0.84
Sortino (3y) ?
0.46
Calmar (3y) ?
9.1%
Downside deviation ?
67%
Up months (hit rate) ?
$169.73
52-week high ?
$134.13
52-week low ?

Concentration depth

~17 ?
Effective number of holdings

Roughly 63 companies are held, but the largest names carry most of the weight — so it behaves like ~17 equal-sized positions.

Tilt vs a world tracker

Cash/Other+32.6
Technology-29.2
Consumer Staples+25.9
Health Care+12.6
Industrials-11.6
Consumer Discretionary-9.0

Percentage points over / under a broad world-equity tracker (not a licensed benchmark).

Similar funds

We found 6 funds that do much the same job as this one. To pick them we matched this fund's asset class and region, then show how close each match is below.

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Index trackedHealth Care Select Sector IndexTechnology Select Sector IndexFTSE Developed ex US IndexFinancial Select Sector Index® ® S&p® 500 Hdg® ® S&p® 500 Mxn HdgEnergy Select Sector Index
Yearly fee (TER)0.08%0.08%0.03%0.08%0.05%0.05%0.08%
All-in cost0.00%0.00%0.00%0.00%0.06%0.06%0.00%
Fund size€37.3B€106.4B€56.1B€49.2B€38.1B€37.9B€35.8B
DomicileUnited StatesUnited StatesUnited StatesUnited StatesIrelandIrelandUnited States
ReplicationPhysical (full)Physical (full)Physical (full)Physical (full)Physical (full)Physical (full)Physical (full)
3-yr return p.a.+8.3%+31.3%+13.9%+19.4%+12.7%
5-yr return p.a.+4.6%+19.6%+6.7%+9.1%+22.6%
# holdings63761,4948050550524

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Data as of 2026-08-18 · Source: issuer data, compiled by Finance Hamster

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