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StockVS

NYSE Arca · Health · USD · ETF

State Street Health Care Select Sector SPDR ETF (XLV) ETF Analysis

XLV
Expense ratio 0.08% Yield 1.52% Assets $43.39B Since December 16, 1998 Family State Street Investment Management

Last Updated: October 21, 2026

$178.94
−$0.88 (−0.49%)

October 21, 2026 · Market close

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Price History

Hover for the daily close. The dotted line marks the period open.

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Key facts

As of October 21, 2026, the annualized return for XLV over 10 years is +11.74%.

XLV charges an expense ratio of 0.08%.

XLV has $43.39B in net assets.

XLV Annualized Returns

PeriodAnnualized$100 becomes
1 year+25.36%$125.36
3 years+13.68%$146.89
5 years+8.16%$148.01
10 years+11.74%$303.45

Returns are total returns computed from daily closes, with dividends reinvested. As of October 21, 2026.

XLV Return by Calendar Year

2016 and 2026 are partial years

View as table ↓View as chart ↑
YearReturn
2026 (partial year)+17.03%
2025+14.50%
2024+2.47%
2023+2.07%
2022−2.08%
2021+26.04%
2020+13.30%
2019+20.45%
2018+6.28%
2017+21.77%
2016 (partial year)−7.19%

XLV Monthly Returns

−10%+13%
YearJanFebMarAprMayJunJulAugSepOctNovDec
2026−0.0+3.5−8.1−0.4+2.4+6.6+2.5+4.9−0.9+6.2——
2025+6.8+1.4−1.6−3.8−5.6+2.1−3.2+5.4+1.7+3.7+9.3−1.4
2024+2.9+3.2+2.4−5.0+2.4+1.8+2.7+5.1−1.7−4.6+0.4−6.3
2023−1.8−4.6+2.2+3.1−4.3+4.3+1.1−0.7−3.0−3.3+5.4+4.3
2022−6.9−1.0+5.7−4.9+1.5−2.6+3.2−5.8−2.5+9.6+4.7−1.9
2021+1.4−2.1+4.0+3.9+1.9+2.3+4.9+2.3−5.5+5.1−3.1+9.0
2020−2.7−6.6−3.9+12.6+3.3−2.4+5.5+2.6−2.2−3.6+7.9+3.8
2019+4.8+1.1+0.5−2.7−2.2+6.6−1.6−0.6−0.1+5.1+5.0+3.5
2018+6.6−4.5−2.9+1.1+0.2+1.6+6.6+4.3+3.0−6.8+8.1−9.4
2017+2.3+6.3−0.5+1.5+0.8+4.6+0.8+1.8+0.9−0.8+2.9−0.6

Monthly total returns with dividends reinvested; each cell prints its signed value.

XLV Volatility & Risk

Volatility: 10 yrs · Beta: 3 yrs
Annualized volatility
16.76%
Beta (3y)
0.52
Best year
+26.04%

2021

Worst year
−2.08%

2022

Volatility is the annualized standard deviation of daily returns. As of October 21, 2026.

Recent News

News provided by third-party sources. Not financial advice.

Top Holdings

# Symbol Name Weight
1 LLY Eli Lilly and Co 15.1%
2 JNJ Johnson & Johnson 10.41%
3 ABBV AbbVie Inc 7.54%
4 MRK Merck & Co Inc 5.85%
5 UNH UnitedHealth Group Inc 5.38%
6 TMO Thermo Fisher Scientific Inc 4.07%
7 AMGN Amgen Inc 3.72%
8 GILD Gilead Sciences Inc 3.02%
9 ABT Abbott Laboratories 2.79%
10 PFE Pfizer Inc 2.65%

Analysis

Data-derived

Fund Overview

State Street Health Care Select Sector SPDR ETF (XLV) is an exchange-traded fund in the Health category. The fund is issued by State Street Investment Management. The inception date on file is December 16, 1998. The fund holds $43.39B in total net assets. The expense ratio is 0.08%. On a $10,000 position that is $8.00 a year.

Its biggest positions are Eli Lilly and Co (LLY), Johnson & Johnson (JNJ), and AbbVie Inc (ABBV). Eli Lilly and Co alone accounts for 15.1% of the portfolio. The ten largest positions together make up 60.52% of the fund.

Performance Analysis

XLV last closed at $178.94 on October 21, 2026. The trailing one-year total return is +25.36%. Across 10 years the annualized return works out at +11.74%. The trailing distribution yield is 1.52%.

So far in 2026 the total return is +17.03%. The strongest complete calendar year on file is 2021 at +26.04%; the weakest is 2022 at −2.08%. Of the 9 complete calendar years on file, 8 finished higher.

Price & Risk Profile

Daily returns over the trailing 10 years annualize to a volatility of 16.76%. Beta against the wider market is reported at 0.52. The 52-week range on file runs from $141.97 to $178.86. The latest close sits 26.04% above that 52-week low. The volatility figure is calculated from the stored daily closes, the same series the charts on this page use.

Every figure above is read from this page's own data on each daily rebuild. Informational only, not financial advice. As of October 21, 2026.

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