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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) ?
€39.4B
1-year return ?
+25.6%
Price Return · to 2026-09-29
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).

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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

90.3103115127140202120242026

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+10.3%
1 year+25.6%
3 years+9.9%
5 years+6.0%

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?

16.0%
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.
0.67
Return for the risk (3y) ?
Reward earned per unit of bumpiness.

The bigger picture

+31.4%
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 + CO15.6%
2JOHNSON + JOHNSON10.4%
3ABBVIE INC7.4%
4MERCK + CO. INC.5.9%
5UNITEDHEALTH GROUP INC5.7%
6AMGEN INC3.8%
7THERMO FISHER SCIENTIFIC INC3.7%
8ABBOTT LABORATORIES3.2%
9GILEAD SCIENCES INC2.9%
10PFIZER INC2.5%

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
B4XLVUSDUSD
E1XLVUSD
E1XLVGBPUSD
E1XLVRUBUSD
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EPXLVUSDUSD
EPXLVRUBUSD
EUXLVUSD
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EZXLVUSDUSD
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GHSD7CUSD
GISD7CUSD
L1XLVNUSD
L3XLVNUSD
LASD7CUSD
LUSD7CUSD
MFXLV*USD
MMXLV*USD
MUXLV*USD
NYSE ArcaXLVUSD
OCXLVUSD
PEXLVUSD
POXLVNUSD
THSD7CUSD
UAXLVUSD
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UDXLVUSD
UFXLVUSD
UMXLVUSD
USXLVUSD
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UXXLVUSD
VFXLVUSD
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VYXLVUSD
X1XLVRUBUSD
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XXXLVUSDUSD
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XZXLVUSD
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XZXLVRUBUSD
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For serious comparison — full data holdings, percentiles, advanced risk, tilt, flows

Full holdings

As of 2026-09-29 · the fund's own published holdings.

#CompanyWeight
1ELI LILLY + CO15.6%
2JOHNSON + JOHNSON10.4%
3ABBVIE INC7.4%
4MERCK + CO. INC.5.9%
5UNITEDHEALTH GROUP INC5.7%
6AMGEN INC3.8%
7THERMO FISHER SCIENTIFIC INC3.7%
8ABBOTT LABORATORIES3.2%
9GILEAD SCIENCES INC2.9%
10PFIZER INC2.5%
11VERTEX PHARMACEUTICALS INC2.2%
12BRISTOL MYERS SQUIBB CO2.2%
13DANAHER CORP2.1%
14INTUITIVE SURGICAL INC2.1%
15CVS HEALTH CORP1.9%
16MEDTRONIC PLC1.9%
17STRYKER CORP1.8%
18MCKESSON CORP1.7%
19ELEVANCE HEALTH INC1.4%
20REGENERON PHARMACEUTICALS1.3%
21THE CIGNA GROUP1.2%
22BOSTON SCIENTIFIC CORP1.2%
23HCA HEALTHCARE INC1.1%
24CENCORA INC1.0%
25CARDINAL HEALTH INC0.9%
26BECTON DICKINSON AND CO0.8%
27EDWARDS LIFESCIENCES CORP0.8%
28MODERNA INC0.8%
29HUMANA INC0.7%
30IDEXX LABORATORIES INC0.7%
31IQVIA HOLDINGS INC0.7%
32AGILENT TECHNOLOGIES INC0.7%
33WATERS CORP0.6%
34VEEVA SYSTEMS INC CLASS A0.6%
35DEXCOM INC0.6%
36GE HEALTHCARE TECHNOLOGY0.5%
37RESMED INC0.5%
38ZOETIS INC0.5%
39BIOGEN INC0.5%
40CENTENE CORP0.5%
41METTLER TOLEDO INTERNATIONAL0.4%
42LABCORP HOLDINGS INC0.4%
43QUEST DIAGNOSTICS INC0.4%
44WEST PHARMACEUTICAL SERVICES0.4%
45STERIS PLC0.4%
46INCYTE CORP0.3%
47ZIMMER BIOMET HOLDINGS INC0.3%
48VIATRIS INC0.3%
49COOPER COS INC/THE0.2%
50CHARLES RIVER LABORATORIES0.2%
51REVVITY INC0.2%
52BAXTER INTERNATIONAL INC0.2%
53SOLVENTUM CORP0.2%
54BIO TECHNE CORP0.2%
55ALIGN TECHNOLOGY INC0.2%
56SSI US GOV MONEY MARKET CLASS0.2%
57INSULET CORP0.2%
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 81% of similar ETFs📈 Higher 1-yr return than 81%📈 Higher 3-yr return than 31%📈 Higher 5-yr return than 60%📊 Beat its category by 10.8% (1-yr) (category average +14.8%)📊 Behind its category by 2.6% (3-yr) (category average +12.5%)📊 Beat its category by 0.9% (5-yr) (category average +5.2%)

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

Advanced risk

0.98
Sortino (3y) ?
0.55
Calmar (3y) ?
9.4%
Downside deviation ?
67%
Up months (hit rate) ?
$175.68
52-week high ?
$135.90
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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StocksUnknownPhysical
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Index trackedHealth Care Select Sector IndexTechnology Select Sector IndexFTSE Developed ex US IndexFinancial Select Sector IndexEnergy Select Sector IndexIndustrial Select Sector IndexS&P MidCap 400 Index
Yearly fee (TER)0.08%0.08%0.03%0.08%0.08%0.08%0.23%
All-in cost0.00%0.00%0.00%0.00%0.00%0.00%0.00%
Fund size€39.4B€115.1B€58.5B€46.4B€35.2B€27B€22.7B
DomicileUnited StatesUnited StatesUnited StatesUnited StatesUnited StatesUnited StatesUnited States
ReplicationPhysical (full)Physical (full)Physical (full)Physical (full)Physical (full)Physical (full)Physical (full)
3-yr return p.a.+9.9%+34.9%+13.9%+17.6%+10.8%+18.6%+14.7%
5-yr return p.a.+6.0%+21.4%+6.7%+7.6%+18.8%+11.6%+6.5%
# holdings63771,494802486401

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Data as of 2026-09-29 · Source: issuer data, compiled by Finance Hamster

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