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XLV

ETF

Health Care Select Sector SPDR Fund

State Street · equity

Recent · holdings 2026-10-22
1

Fund snapshot

The basics: what it costs, how big it is, and how it's moved lately.

Short-term · Daily
Gross expense ratio
Net assets
$43.39B
Yield
1.52%
Positions
63
Return · 1 yr
+23.9%
Return · 3 yr
+12.9%
+1.5%this week

+1.9% vs the broad market

2

What you actually own

The biggest positions, and where the money is concentrated.

Intermediate · Weekly

Asset mix

63 positions across 2 asset types
Common Stock99.8%
Other0.2%

Top holdings

Top 10 = 60% of the fund
  • 1LLYELI LILLY + CO15.90%
  • 2JNJJOHNSON + JOHNSON9.81%
  • 3ABBVABBVIE INC7.67%
  • 4UNHUNITEDHEALTH GROUP INC5.80%
  • 5MRKMERCK + CO. INC.5.53%
  • 6TMOTHERMO FISHER SCIENTIFIC INC3.80%
  • 7AMGNAMGEN INC3.68%
  • 8GILDGILEAD SCIENCES INC2.96%
  • 9ABTABBOTT LABORATORIES2.70%
  • 10PFEPFIZER INC2.64%
Show all 63 positions
  • 11ISRGINTUITIVE SURGICAL INC2.39%
  • 12DHRDANAHER CORP2.19%
  • 13VRTXVERTEX PHARMACEUTICALS INC2.06%
  • 14BMYBRISTOL MYERS SQUIBB CO1.96%
  • 15CVSCVS HEALTH CORP1.84%
  • 16MDTMEDTRONIC PLC1.80%
  • 17MCKMCKESSON CORP1.80%
  • 18SYKSTRYKER CORP1.63%
  • 19ELVELEVANCE HEALTH INC1.47%
  • 20CITHE CIGNA GROUP1.27%
  • 21REGNREGENERON PHARMACEUTICALS1.22%
  • 22MRNAMODERNA INC1.14%
  • 23HCAHCA HEALTHCARE INC1.05%
  • 24BSXBOSTON SCIENTIFIC CORP1.01%
  • 25CORCENCORA INC0.98%
  • 26CAHCARDINAL HEALTH INC0.90%
  • 27BDXBECTON DICKINSON AND CO0.83%
  • 28EWEDWARDS LIFESCIENCES CORP0.79%
  • 29HUMHUMANA INC0.77%
  • 30AAGILENT TECHNOLOGIES INC0.75%
  • 31VEEVVEEVA SYSTEMS INC CLASS A0.73%
  • 32IQVIQVIA HOLDINGS INC0.70%
  • 33WATWATERS CORP0.68%
  • 34IDXXIDEXX LABORATORIES INC0.68%
  • 35ILMNILLUMINA INC0.62%
  • 36BIIBBIOGEN INC0.57%
  • 37RMDRESMED INC0.56%
  • 38CNCCENTENE CORP0.54%
  • 39ZTSZOETIS INC0.52%
  • 40MTDMETTLER TOLEDO INTERNATIONAL0.51%
  • 41GEHCGE HEALTHCARE TECHNOLOGY0.49%
  • 42DXCMDEXCOM INC0.45%
  • 43WSTWEST PHARMACEUTICAL SERVICES0.42%
  • 44DGXQUEST DIAGNOSTICS INC0.41%
  • 45LHLABCORP HOLDINGS INC0.41%
  • 46STESTERIS PLC0.34%
  • 47VTRSVIATRIS INC0.32%
  • 48INCYINCYTE CORP0.30%
  • 49ZBHZIMMER BIOMET HOLDINGS INC0.29%
  • 50RVTYREVVITY INC0.27%
  • 51CRLCHARLES RIVER LABORATORIES0.25%
  • 52BAXBAXTER INTERNATIONAL INC0.20%
  • 53SOLVSOLVENTUM CORP0.19%
  • 54COOCOOPER COS INC/THE0.18%
  • 55SSI US GOV MONEY MARKET CLASS0.17%
  • 56TECHBIO TECHNE CORP0.17%
  • 57ALGNALIGN TECHNOLOGY INC0.16%
  • 58PODDINSULET CORP0.16%
  • 59UHSUNIVERSAL HEALTH SERVICES B0.15%
  • 60HSICHENRY SCHEIN INC0.13%
  • 61DVADAVITA INC0.10%
  • 62IXCZ6XAV HEALTH CARE DEC260.02%
  • 632602335DTPG INC0.00%

Sector mix

Health Care99.8%
More breakdowns

Company size

Mega52.2%
Large47.5%
Mid0.1%

Country

US99.8%

Industry

Pharmaceuticals36.7%
Biotechnology19.6%
Health Care Equipment14.6%
Life Sciences Tools & Services9.7%
Managed Health Care8.6%
Health Care Services4.0%
3

What could move this fund

The forces this fund tends to react to: broad economic shifts, leading sectors, and its biggest single names.

Long-term · 1–3 yr

Economic forces

  • Labor markettends to falls with it
  • Interest ratestends to falls with it
  • Economic growthtends to rises with it

Leading sectors

  • Health Care100%

Biggest names

4

Concentration & overlap

How spread out the fund is, and how much it shares with other funds.

Intermediate · Weekly

Concentration

concentrated

The top 10 holdings make up 60% of the fund, and the single largest is 15.9%.

Show details

Concentration score (HHI): 573. Higher means more of the fund sits in fewer holdings.

Overlap with another fund

Pick a fund to see how many of the same holdings they share.

Overlap with the broad market

  • DIA13% shared · 4 names
  • FIWGX0% shared · 14 names
  • FXAIX8% shared · 58 names
  • XOVR1% shared · 2 names
  • ROBO2% shared · 2 names
  • VTSAX8% shared · 60 names
  • FCTDX3% shared · 59 names
  • VTI8% shared · 60 names
  • VOO9% shared · 59 names
  • FXNAX0% shared · 33 names
  • VFIAX9% shared · 59 names
  • SPY10% shared · 60 names
  • IVV9% shared · 59 names
  • QQQ3% shared · 8 names
  • FBGRX5% shared · 10 names
  • FBALX4% shared · 21 names
  • ACWI6% shared · 49 names
  • FCNTX7% shared · 24 names
5

Insight summary

A clear read on this fund, written from the data above.

Long-term · 1–3 yr

XLV holds 63 investments, with nearly all its assets in US health care stocks. Its top 10 holdings make up 60.5% of the fund, so a relatively small group of companies has a large influence.

State Street's Health Care Select Sector SPDR Fund is 99.8% common stock and 99.8% US exposure. Pharmaceuticals account for 36.7%, biotechnology 19.6%, and health care equipment 14.6%. Mega-cap stocks make up 52.2% and large-cap stocks 47.5%. Eli Lilly is the largest named company driver at 15.9%; holdings data is dated 2026-10-22 and was reported as three days old.

What to watch: The largest industry groups are pharmaceuticals, biotechnology, and health care equipment. The supplied factor data points to labor-market and interest-rate sensitivity, with smaller positive sensitivity to economic growth.

6

Data freshness

How current the numbers on this page are.

Short-term · Daily

Holdings as of 2026-10-22.

Holdings as of 2026-10-22 · Prices as of 2026-10-23 · 3 day(s) since last disclosure

Not investment advice. Scores describe historical and current data; they are not forecasts of future returns. Consult a licensed advisor before making investment decisions.