ETF Research

XLV: STATE STREET(R) HEALTH CARE SELECT SECTOR SPDR(R) ETF

Generated from StockValueFinder data · Updated Oct 11, 2026 8:10 PM
Educational content only. This is not financial advice and is not a recommendation to buy, sell, or hold any ETF.

ETF Education Report: STATE STREET(R) HEALTH CARE SELECT SECTOR SPDR(R) ETF (XLV)

What this ETF is trying to do

The XLV ETF is designed to track the health care sector. Instead of buying just one company, this ETF allows investors to own a small piece of many different health care companies at once. This includes large businesses involved in medicine, medical tools, and health insurance.

What the numbers show

When looking at an ETF, it is important to know the difference between "price return" and "total return."

• Price return only tracks how much the share price changed.

• Total return includes both the price change and any cash payments (distributions) made to investors.

For XLV, the numbers show growth:

• Year-to-Date (YTD): The price return is approximately 7.94%, while the total return is approximately 9.27%.

• One Year: The price return was approximately 15.94%, and the total return was approximately 17.86%.

• Three Years: The price return was approximately 28.52%, and the total return was approximately 35.08%.

To visualize this, the estimated price from roughly one year ago was $144.12. The current price is $167.09.

Top Holdings

This ETF holds many companies. Because the list provided is partial, these are just the largest ones:

• Eli Lilly and Co (15.10%)

• Johnson & Johnson (10.41%)

• AbbVie Inc (7.54%)

• Merck & Co Inc (5.85%)

• UnitedHealth Group Inc (5.38%)

• Thermo Fisher Scientific Inc (4.07%)

• Amgen Inc (3.72%)

• Gilead Sciences Inc (3.01%)

• Abbott Laboratories (2.79%)

• Pfizer Inc (2.65%)

Income and distribution explanation

Some investors look for "distributions," which are cash payments made by the ETF. XLV has a distribution yield of approximately 1.53%. This means the cash payments represent about 1.53% of the ETF's price. These distributions usually happen quarterly, and over the last year, there were 4 payments.

NAV erosion explanation

"NAV erosion" is a term used to describe when the value of an ETF's underlying assets drops significantly over time. It is important to watch for this if you want your investment to stay stable. For XLV, the erosion-risk score is 100, and the label shows "No price erosion detected." There is no severe erosion-risk flag for this ETF.

Pros

• The ETF has shown positive price returns and total returns over the last one, three, and five years.

• It provides exposure to many large, well-known health care companies.

Cons

• The distribution yield is relatively low compared to some other types of income-focused investments.

Beginner takeaway

XLV is an ETF that focuses on the health care sector. It has grown in both share price and total value over several years. While it pays out some cash through distributions, its main movement comes from the changing prices of the health care companies it holds.

Top Holdings

Structured portfolio holdings supplied by the ETF data provider. These figures are not generated by the AI article.

64 holdings available
# Holding Ticker Weight
1 ELI LILLY AND CO LLY 15.10%
2 JOHNSON & JOHNSON JNJ 10.41%
3 ABBVIE INC ABBV 7.54%
4 MERCK & CO INC MRK 5.85%
5 UNITEDHEALTH GROUP INC UNH 5.38%
6 THERMO FISHER SCIENTIFIC INC TMO 4.07%
7 AMGEN INC AMGN 3.72%
8 GILEAD SCIENCES INC GILD 3.01%
9 ABBOTT LABORATORIES ABT 2.79%
10 PFIZER INC PFE 2.65%
Show all 64 holdings
1. ELI LILLY AND CO LLY 15.10%
2. JOHNSON & JOHNSON JNJ 10.41%
3. ABBVIE INC ABBV 7.54%
4. MERCK & CO INC MRK 5.85%
5. UNITEDHEALTH GROUP INC UNH 5.38%
6. THERMO FISHER SCIENTIFIC INC TMO 4.07%
7. AMGEN INC AMGN 3.72%
8. GILEAD SCIENCES INC GILD 3.01%
9. ABBOTT LABORATORIES ABT 2.79%
10. PFIZER INC PFE 2.65%
11. INTUITIVE SURGICAL INC ISRG 2.34%
12. DANAHER CORP DHR 2.26%
13. VERTEX PHARMACEUTICALS INC VRTX 2.16%
14. BRISTOL-MYERS SQUIBB CO BMY 2.08%
15. MEDTRONIC PLC MDT 1.80%
16. CVS HEALTH CORP CVS 1.79%
17. MCKESSON CORP MCK 1.62%
18. STRYKER CORP SYK 1.57%
19. ELEVANCE HEALTH INC ELV 1.38%
20. REGENERON PHARMACEUTICALS INC REGN 1.21%
21. MODERNA INC MRNA 1.17%
22. THE CIGNA GROUP CI 1.17%
23. BOSTON SCIENTIFIC CORP BSX 1.03%
24. HCA HEALTHCARE INC HCA 1.02%
25. CENCORA INC COR 0.93%
26. CARDINAL HEALTH INC CAH 0.84%
27. EDWARDS LIFESCIENCES CORP EW 0.81%
28. BECTON DICKINSON & CO BDX 0.80%
29. AGILENT TECHNOLOGIES INC A 0.79%
30. HUMANA INC HUM 0.75%
31. IQVIA HOLDINGS INC IQV 0.72%
32. VEEVA SYSTEMS INC CLASS A VEEV 0.70%
33. WATERS CORP WAT 0.70%
34. IDEXX LABORATORIES INC IDXX 0.67%
35. ILLUMINA INC ILMN 0.67%
36. BIOGEN INC BIIB 0.54%
37. DEXCOM INC DXCM 0.53%
38. RESMED INC RMD 0.52%
39. CENTENE CORP CNC 0.50%
40. METTLER-TOLEDO INTERNATIONAL INC MTD 0.49%
41. n/a GEHC 0.48%
42. ZOETIS INC CLASS A ZTS 0.47%
43. WEST PHARMACEUTICAL SERVICES INC WST 0.43%
44. QUEST DIAGNOSTICS INC DGX 0.42%
45. LABCORP HOLDINGS INC LH 0.41%
46. INCYTE CORP INCY 0.34%
47. STERIS PLC STE 0.33%
48. VIATRIS INC VTRS 0.33%
49. REVVITY INC RVTY 0.28%
50. ZIMMER BIOMET HOLDINGS INC ZBH 0.28%
51. n/a CRL 0.23%
52. XAV HEALTH CARE DEC26 XCME 20261218 n/a 0.23%
53. SOLVENTUM CORP SOLV 0.21%
54. BAXTER INTERNATIONAL INC BAX 0.20%
55. n/a n/a 0.20%
56. BIO-TECHNE CORP TECH 0.19%
57. THE COOPER COMPANIES INC COO 0.18%
58. ALIGN TECHNOLOGY INC ALGN 0.16%
59. INSULET CORP PODD 0.15%
60. UNIVERSAL HEALTH SERVICES INC CLASS B UHS 0.15%
61. HENRY SCHEIN INC HSIC 0.13%
62. DAVITA INC DVA 0.10%
63. US DOLLAR n/a 0.01%
64. TPG INC COMMON STOCK n/a 0.00%
Holdings data last updated Oct 7, 2026 6:06 AM .
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