State Street Health Care Select Sector SPDR ETF (XLV)


Market Price (9/26/2026): $170.56

State Street Health Care Select Sector SPDR ETF (XLV)


Market Price (9/26/2026): $170.56

Key Takeaways

  • XLV has returned +11.2% YTD vs +13.7% for SPY; +28.9% over the past 12 months (SPY +18.2%). details →
  • Priced in gold, XLV has returned -39.4% over the past 3 years, vs +37.8% in dollars — its dollar gains have lagged gold. details →
  • Over the past month, XLV has seen net inflows of +$138M (+0.3% of assets). details →
  • XLV's portfolio trades at 18.2x forward earnings — a 137% premium to SPY (7.7x). details →
  • Risk-adjusted returns trail SPY: 3-year Sharpe ratio of 0.5 vs 1.0. details →
Last updated: 9/25/2026.

Price Chart

Asset Allocation with XLV

Risk Tolerance:
ConservativeModerateAggressive
Moderate — 55% equity / 25% bonds / 20% alternatives
10Y Return (ann.)
+9.6%
Volatility
10.0%
Sharpe
0.69
YTD
+7.7%
Modeled with monthly rebalancing to target weights; 10-year figures are annualized from monthly returns. Illustrative only — past performance is not indicative of future results.

Learn More →
Tailored Asset Allocation
[1] Personalized 5 Level Risk Tolerance Assessment
[2] Asset Allocation for My Risk Tolerance
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Protect Wealth
[1] Defensive Portfolios
[2] Tax-Efficient Strategies

Valuation & Yield

 Forward [4,5]NowHistorical (CYE & TTM)
 9/30/279/26/2620252024202320222021
Share Price CYE $170.70$153.49$134.05$130.81$128.16$130.88
Dividend/Share TTM $1.91$2.48$2.29$2.17$1.99$1.87

Valuation [1]
       
P/S2.442.561.942.602.232.392.74
P/E 31.0627.6529.8531.6226.4025.60
P/E (Non-GAAP) [2]18.6321.3820.8120.5435.3125.8527.77
P/FCF 23.2624.7923.9624.7420.5620.46

Yields TTM
       
Earnings Yield5.37%3.22%3.62%3.35%3.16%3.79%3.91%
Dividend Yield1.12%1.12%1.61%1.71%1.66%1.55%1.43%
Total Yield (TY)6.49%4.34%5.23%5.06%4.82%5.34%5.34%

Risk Premium [3]
       
Risk Free Rate (Rf)5.18%5.18%4.18%4.58%3.88%3.88%1.52%
Risk Prem. (TY - Rf)1.31%-0.84%1.05%0.48%0.94%1.46%3.82%

Growth Rates [6]
       
Sales Growth4.4%3.5%10.3%8.5%6.4%8.8% 
Earnings Growth [7]16.5%-7.0%23.8%-15.7%-14.9%-1.9% 

[1] P/E uses the aggregate method over profitable constituents; P/FCF aggregates net free cash flow across all constituents (negative-FCF names reduce it); P/S uses all constituents. Ratios reflect current ETF holdings at current weights. P/FCF has no Forward column (no analyst FCF estimate).
[2] P/E (Non-GAAP) uses analyst consensus net income (adjusted basis) for all periods. The standard P/E row above uses GAAP net income.
[3] The premium above the risk free rate (US 10Y) offered by the investment. Negative premiums can indicate stretched valuations.
Show more
[4] Forward P/S and Forward P/E determined as:
  (a) Aggregate using constituent analyst consensus. FY1/FY2 blended by months of overlap to the 12-month window ending 9/30/27.
  (b) Uses current weights and market caps. Shown only when ≥90% of weight has estimates.
[5] Forward dividend yield and risk-free rate are carried at current, not projected.
[6] Growth Rates:
  (a) Weighted by current constituent weights. Shown when ≥90% of weight is covered.
  (b) Now and Historical columns show realized year-over-year change.
  (c) Forward growth rates using next fiscal year (FY2) vs. current fiscal year (FY1) consensus. This differs from the blended target date used for calculating Forward P/S and P/E.
[7] Earnings Growth reflects:
  (a) Non-GAAP earnings growth for forward earnings using next fiscal year (FY2) vs. current fiscal year (FY1) consensus.
  (b) GAAP earnings growth for Now and Historical growth rates.

Highlights
YIELD
XLV's earnings yield is 3.22%, based on its 31.1x trailing P/E. With a 1.12% dividend yield, XLV is yielding 4.34% in total.
RISK
Compared to US Treasuries at 5.18%, XLV's total yield implies a -0.84% risk premium. A negative risk premium means investors earn less than risk-free Treasuries — valuations are historically stretched, though expectations of falling interest rates or fast earnings growth can justify such levels.
FORWARD EXPECTATIONS
Based on analyst estimates, XLV's forward total yield is 6.49%, implying a 1.31% risk premium assuming stable Treasury rates.

Top 20 Holdings for XLV

Total Weights
Top 5: 44.9% | Top 10: 60.9% | Top 20: 79.6%

TickerHoldingETF WeightSales WeightEarnings WeightFwd P/SFwd P/EFwd Sales GrowthFwd Earnings Growth
Total99.61%100.00%100.00%1.518.2+4.4%+16.5%
Top 2079.55%58.30%75.03%2.118.7+4.8%+18.0%
LLYEli Lilly14.98%1.83%12.35%10.726.6+15.5%+27.8%
JNJJohnson & Johnson10.69%2.60%11.23%6.122.3+7.5%+10.9%
ABBVAbbVie7.67%1.71%3.37%6.516.8+8.6%+15.8%
MRKMerck5.97%1.75%1.68%5.319.0+4.5%+246.8%
UNHUnitedHealth5.60%12.01%7.59%0.717.2+3.0%+12.9%
TMOThermo Fisher Scientific4.02%1.20%3.65%5.025.1+5.1%+7.3%
AMGNAmgen3.37%0.93%4.29%5.617.2+3.6%+5.6%
GILDGilead Sciences3.08%0.81%—5.820.7+6.5%—
ABTAbbott Laboratories2.93%1.25%2.94%3.317.0+8.7%+9.7%
PFEPfizer2.59%1.63%2.24%2.79.8-4.0%-3.1%
ISRGIntuitive Surgical2.23%0.28%1.59%11.134.2+12.9%+11.9%
DHRDanaher2.20%0.56%1.81%5.724.6+8.0%+9.1%
VRTXVertex Pharmaceuticals2.15%0.33%2.32%9.426.5+10.5%+9.0%
BMYBristol-Myers Squibb2.11%1.31%4.97%2.69.4-3.0%-5.8%
MDTMedtronic1.96%1.05%2.94%2.914.3+3.1%+6.3%
CVSCVS Health1.89%11.16%2.65%0.310.5+3.1%+6.3%
MCKMcKesson1.74%11.24%2.53%0.217.6+7.0%+10.3%
SYKStryker1.59%0.64%1.85%3.616.6+8.7%+12.7%
ELVElevance Health1.48%5.60%2.78%0.413.3+2.2%+11.9%
REGNRegeneron Pharmaceuticals1.30%0.40%2.26%4.412.6+9.1%+12.7%
[1] Total and Top 20 rows are weighted aggregates across constituents.
[2] Forward P/S and P/E ratios use consensus sales and earnings for the 12 months ending 9/30/27. Individual constituent FY1 and FY2 consensus figures adjusted to align with 9/30/27.
[3] Forward Sales and Non-GAAP Earnings Growth are calculated as next fiscal year (FY2) consensus growth over current fiscal year (FY1) consensus. They are not derived from the forward P/S and P/E multiples shown.

Performance for XLV Top Holdings

TickerHoldingWeightMkt Price
9/25
1D Rtn1M RtnYTD Rtn1Y Rtn3Y Rtn5Y Rtn10Y Rtn
XLVState Street Health Care Select Sector SPDR ETF100.00%170.700.5%-1.6%11.2%28.9%37.8%39.8%177.4%
LLYEli Lilly14.98%1,183.460.1%-0.5%10.7%66.7%119.6%434.5%1,611.1%
JNJJohnson & Johnson10.69%271.220.2%0.5%33.2%56.0%85.7%89.7%198.6%
ABBVAbbVie7.67%264.34-0.3%0.5%18.4%24.7%90.5%196.6%517.1%
MRKMerck5.97%148.780.5%-2.2%44.3%97.4%54.7%135.5%237.9%
UNHUnitedHealth5.60%376.590.4%-5.5%16.3%11.9%-20.7%1.3%216.0%
TMOThermo Fisher Scientific4.02%675.00-0.5%6.6%16.8%47.5%35.9%12.3%337.0%
AMGNAmgen3.37%414.612.1%-5.8%29.3%57.1%68.6%126.8%228.0%
GILDGilead Sciences3.08%150.930.8%2.5%25.2%39.3%119.6%153.3%171.3%
ABTAbbott Laboratories2.93%101.290.2%-11.2%-17.7%-22.3%12.0%-10.2%188.9%
PFEPfizer2.59%28.670.9%1.3%21.1%30.0%7.3%-15.0%33.5%
ISRGIntuitive Surgical2.23%405.181.4%9.4%-28.5%-7.5%39.4%16.5%406.3%
DHRDanaher2.20%224.490.3%4.2%-1.5%24.6%4.0%-20.2%242.6%
VRTXVertex Pharmaceuticals2.15%526.190.7%-3.9%16.1%37.8%49.6%186.6%490.4%
BMYBristol-Myers Squibb2.11%62.862.2%-7.0%20.5%51.8%23.7%28.1%60.4%
MDTMedtronic1.96%88.641.0%-2.9%-5.4%-2.1%23.9%-20.0%33.9%
CVSCVS Health1.89%89.134.8%-5.5%14.9%23.3%40.1%24.2%34.0%
MCKMcKesson1.74%866.64-0.3%-3.2%6.0%18.1%98.0%337.1%462.6%
SYKStryker1.59%272.361.0%-17.4%-22.1%-25.4%2.5%3.7%158.2%
ELVElevance Health1.48%396.09-0.5%-1.2%14.6%27.6%-7.1%11.7%259.9%
REGNRegeneron Pharmaceuticals1.30%788.04-1.0%-3.3%2.5%42.6%-4.4%24.5%88.7%

Guidance Updates for XLV Top Holdings

 TickerCompanyEarnings DateGuidance MetricMidpoint Value% ChangeGuidance Change
BMY_7302026BMYBristol-Myers Squibb7/30/20262026 Revenue49.50 Bil5.9%RaisedRaised Prior Guidance of 46.75 Bil for 2026

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
XLV Return26%-2%2%2%15%11%64%
Peers Return35%-2%28%21%18%24%198%
S&P 500 Return27%-19%24%23%16%13%105%

Monthly Win Rates [3]
XLV Win Rate75%42%50%67%58%56% 
Peers Win Rate70%42%62%62%65%47% 
S&P 500 Win Rate75%42%67%75%67%56% 

Max Drawdowns [4]
XLV Max Drawdown-8%-16%-9%-13%-14%-10% 
Peers Max Drawdown-11%-28%-14%-12%-21%-14% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: VGT, XLK, XLF, XLE, XLI.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 9/25/2026 (YTD)

Sharpe Ratios Compared

One measure of reward vs. risk is a Sharpe ratio. A higher ratio indicates better risk-adjusted returns. Most funds have Sharpe ratios < 1.0.

Ticker1Y3Y5Y
XLV1.250.450.24
Equity Top Results (3Y)   
IALT2.082.082.08
VLUE2.531.420.74
SPMO0.941.370.79
CORO1.351.331.33
CGDV1.281.310.94

Results as of 8312026.

How Low Can It Go

EventXLVS&P 500
2025 US Tariff Shock
  % Loss-11.7%-18.8%
  % Gain to Breakeven13.3%23.1%
  Time to Breakeven142 days79 days
2022 Inflation Shock & Fed Tightening
  % Loss-13.8%-24.5%
  % Gain to Breakeven15.9%32.4%
  Time to Breakeven166 days427 days
2020 COVID-19 Crash
  % Loss-27.9%-33.7%
  % Gain to Breakeven38.8%50.9%
  Time to Breakeven77 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-15.0%-19.2%
  % Gain to Breakeven17.6%23.8%
  Time to Breakeven191 days105 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-15.9%-12.2%
  % Gain to Breakeven18.9%13.9%
  Time to Breakeven165 days62 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-15.8%-17.9%
  % Gain to Breakeven18.8%21.8%
  Time to Breakeven153 days123 days

Compare to VGT, XLK, XLF, XLE, XLI

In The Past

State Street Health Care Select Sector SPDR ETF's stock fell -11.7% during the 2025 US Tariff Shock. Such a loss loss requires a 13.3% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventXLVS&P 500
2020 COVID-19 Crash
  % Loss-27.9%-33.7%
  % Gain to Breakeven38.8%50.9%
  Time to Breakeven77 days140 days
2008-2009 Global Financial Crisis
  % Loss-37.9%-53.4%
  % Gain to Breakeven61.1%114.4%
  Time to Breakeven767 days1085 days

Compare to VGT, XLK, XLF, XLE, XLI

In The Past

State Street Health Care Select Sector SPDR ETF's stock fell -11.7% during the 2025 US Tariff Shock. Such a loss loss requires a 13.3% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

XLV Dip Buy History


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Alerts when dip buy opportunities arise.
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Current Dip Buy Opportunities Across ETFs

ETFs currently down 5% or more from trailing 6M peaks.

TickerNameDip %Mkt PricePrice DatePeak PricePeak Date# Days
IJHiShares Core S&P Mid-Cap ETF-7.2%72.99925202678.67816202640
VOVanguard Mid-Cap ETF-5.3%79.99925202684.46816202640
IWRiShares Russell Mid-Cap ETF-5.7%108.309252026114.82816202640
MDYState Street SPDR S&P MIDCAP 400 ETF Trust-7.1%665.879252026716.91816202640
SCHMSchwab U.S. Mid-Cap ETF-6.3%34.54925202636.87630202687
IVOOVanguard S&P Mid-Cap 400 ETF-6.9%123.529252026132.68816202640
IJRiShares Core S&P Small-Cap ETF-8.1%138.299252026150.44816202640
VBVanguard Small-Cap ETF-6.3%289.709252026309.29816202640
IWMiShares Russell 2000 ETF-7.6%281.979252026305.09816202640
SCHASchwab U.S. Small-Cap ETF-8.3%33.13925202636.13630202687
VTWOVanguard Russell 2000 ETF-7.3%113.889252026122.90816202640
DFASDimensional U.S. Small Cap ETF-6.9%78.63925202684.48816202640
ESMLiShares ESG Aware MSCI USA Small-Cap ETF-6.6%52.89925202656.64816202640
NUSCNuveen ESG Small-Cap ETF-7.5%49.28925202653.27816202640
AKREAkre Focus ETF-11.4%54.79925202661.85830202626
IWPiShares Russell Mid-Cap Growth ETF-5.6%139.489252026147.70817202639
VOTVanguard Mid-Cap Growth ETF-5.3%297.309252026314.02816202640
IJKiShares S&P Mid-Cap 400 Growth ETF-7.2%110.579252026119.11817202639
MDYGState Street SPDR S&P 400 Mid Cap Growth ETF-7.2%105.539252026113.69817202639
IWOiShares Russell 2000 Growth ETF-9.0%360.159252026395.65816202640
VBKVanguard Small-Cap Growth ETF-6.8%341.369252026366.24817202639
IJTiShares S&P Small-Cap 600 Growth ETF-9.2%162.669252026179.07804202652
SLYGState Street SPDR S&P 600 Small Cap Growth ETF-9.1%108.629252026119.50804202652
VOEVanguard Mid-Cap Value ETF-5.3%199.859252026211.01816202640
IWSiShares Russell Mid-Cap Value ETF-5.9%163.259252026173.44816202640
IJJiShares S&P Mid-Cap 400 Value ETF-7.4%140.499252026151.67816202640
MDYVState Street SPDR S&P 400 Mid Cap Value ETF-7.3%90.29925202697.39816202640
VBRVanguard Small-Cap Value ETF-6.0%236.519252026251.66816202640
AVUVAvantis U.S. Small Cap Value ETF-6.5%120.419252026128.74804202652
IWNiShares Russell 2000 Value ETF-6.1%213.499252026227.43816202640
IJSiShares S&P Small-Cap 600 Value ETF-7.3%130.489252026140.68816202640
SLYVState Street SPDR S&P 600 Small Cap Value ETF-7.3%103.999252026112.22816202640
VIOVVanguard S&P Small-Cap 600 Value ETF-6.8%112.059252026120.28816202640
ASHRXtrackers Harvest CSI 300 China A-Shares ETF-11.3%33.09925202637.30622202695
EWYiShares MSCI South Korea ETF-14.6%187.189252026219.20621202696
EWZiShares MSCI Brazil ETF-11.8%36.82925202641.734142026164
FXIiShares China Large-Cap ETF-11.2%33.96925202638.265132026135
ILFiShares Latin America 40 ETF-8.8%34.75925202638.104142026164
KWEBKraneShares CSI China Internet ETF-19.6%24.58925202630.595132026135
SCHDSchwab US Dividend Equity ETF-5.7%33.21925202635.21824202632
VYMVanguard High Dividend Yield ETF-5.1%157.689252026166.11813202643
DVYiShares Select Dividend ETF-6.5%154.739252026165.50816202640
SDYState Street SPDR S&P Dividend ETF-6.7%148.599252026159.18824202632
NOBLProShares S&P 500 Dividend Aristocrats ETF-6.9%54.97925202659.07824202632
SCHYSchwab International Dividend Equity ETF-5.0%32.09925202633.78825202631
RSPInvesco S&P 500 Equal Weight ETF-5.2%211.119252026222.77816202640
COWZPacer US Cash Cows 100 ETF-6.5%67.73925202672.40830202626
MTUMiShares MSCI USA Momentum Factor ETF-7.7%318.509252026345.22622202695
SPHQInvesco S&P 500 Quality ETF-5.7%84.92925202690.10630202687
FNDASchwab Fundamental U.S. Small Company ETF-7.8%35.53925202638.52816202640
SPMOInvesco S&P 500 Momentum ETF-5.4%152.929252026161.66622202695
URAGlobal X Uranium ETF-29.8%40.91925202658.265062026142
BOTZGlobal X Funds Global X Robotics & Artificial Intelligence ETF-15.0%35.40925202641.635132026135
ROBOROBO Global Robotics & Automation Index ETF-10.3%81.06925202690.346022026115
LITGlobal X Lithium & Battery Tech ETF-24.7%69.02925202691.625112026137
ICLNiShares Global Clean Energy ETF-27.5%17.23925202623.756022026115
ARKQARK Autonomous Technology & Robotics ETF-13.5%124.429252026143.825282026120
ARKXARK Space & Defense Innovation ETF-13.4%32.70925202637.745282026120
NASATema Space Innovators ETF-41.4%24.54925202641.895272026121
DRSKAptus Defined Risk ETF-6.9%27.61925202629.676012026116
YYYAmplify CEF High Income ETF-8.2%10.61925202611.56712202675
GDEWisdomTree Efficient Gold Plus Equity Strategy Fund-7.2%66.17925202671.30825202631
RAAXVanEck Real Assets ETF-5.0%40.55925202642.705112026137
XLFState Street Financial Select Sector SPDR ETF-6.4%54.84925202658.56903202622
XLEState Street Energy Select Sector SPDR ETF-5.9%62.04925202665.93915202610
XLIState Street Industrial Select Sector SPDR ETF-8.6%170.439252026186.51816202640
XLYState Street Consumer Discretionary Select Sector SPDR ETF-9.2%110.569252026121.825282026120
XLPState Street Consumer Staples Select Sector SPDR ETF-6.2%82.06925202687.45824202632
XLUState Street Utilities Select Sector SPDR ETF-15.7%39.51925202646.854092026169
XLBState Street Materials Select Sector SPDR ETF-7.2%49.80925202653.67826202630
IYJiShares U.S. Industrials ETF-7.7%156.729252026169.86804202652
IYMiShares U.S. Basic Materials ETF-7.0%182.679252026196.45825202631
FXNFirst Trust Energy AlphaDEX Fund-8.1%22.37925202624.35915202610
SMHVanEck Semiconductor ETF-9.3%606.569252026668.91622202695
SOXXiShares Semiconductor ETF-12.6%572.689252026655.01622202695
XBIState Street SPDR S&P Biotech ETF-8.6%155.039252026169.55819202637
ITAiShares U.S. Aerospace & Defense ETF-15.6%213.819252026253.22816202640
XOPState Street SPDR S&P Oil & Gas Exploration & Production ETF-9.1%181.509252026199.70915202610
IYTiShares U.S. Transportation ETF-11.8%79.35925202690.01716202671
IAIiShares U.S. Broker-Dealers & Securities Exchanges ETF-8.7%180.889252026198.06903202622
KREState Street SPDR S&P Regional Banking ETF-8.2%71.55925202677.93816202640
MISLFirst Trust Indxx Aerospace & Defense ETF-13.3%42.64925202649.195282026120
RINGiShares MSCI Global Gold Miners ETF-12.7%81.35925202693.17825202631
SOXQInvesco PHLX Semiconductor ETF-13.4%99.689252026115.11622202695
IGOViShares International Treasury Bond ETF-5.1%40.11925202642.275102026138
LQDiShares iBoxx $ Investment Grade Corporate Bond ETF-5.2%103.219252026108.85629202688
TLTiShares 20+ Year Treasury Bond ETF-8.6%79.32925202686.78629202688
VGLTVanguard Long-Term Treasury ETF-7.5%50.98925202655.12629202688
SPTLState Street SPDR Portfolio Long Term Treasury ETF-7.9%24.26925202626.33629202688
TLHiShares 10-20 Year Treasury Bond ETF-7.1%93.389252026100.56629202688
EDVVanguard World Funds Extended Duration ETF-12.3%57.37925202665.43624202693
VCLTVanguard Long-Term Corporate Bond ETF-7.0%69.62925202674.85629202688
SPLBState Street SPDR Portfolio Long Term Corporate Bond ETF-7.5%20.72925202622.40629202688
IGLBiShares 10+ Year Investment Grade Corporate Bond ETF-7.3%46.40925202650.05629202688
MUBiShares National Muni Bond ETF-5.7%101.179252026107.28706202681
VTEBVanguard Tax-Exempt Bond Index Fund-5.5%47.48925202650.25706202681
TFIState Street SPDR Nuveen ICE Municipal Bond ETF-6.0%42.86925202645.59705202682
ITMVanEck Intermediate Muni ETF-5.9%43.99925202646.77706202681
LMUBiShares Long-Term National Muni Bond ETF-8.3%46.78925202651.00705202682
GLDSPDR Gold Trust-11.8%393.419252026445.934192026159
IAUiShares Gold Trust-12.1%80.30925202691.344192026159
GLDMSPDR Gold MiniShares Trust-11.6%84.89925202696.044192026159
SLViShares Silver Trust-27.4%57.62925202679.355132026135
PPLTETFS Physical Platinum Shares-17.7%16.09925202619.555132026135
PALLETFS Physical Palladium Shares-20.5%22.98925202628.894142026164
USOUnited States Oil Fund LP-8.4%148.339252026161.86915202610
UNGUnited States Natural Gas Fund LP-9.4%11.13925202612.283292026180
BNOUnited States Brent Oil Fund LP ETV-7.1%55.85925202660.135042026144
VNQVanguard Real Estate ETF-9.1%90.999252026100.08728202659
XLREState Street Real Estate Select Sector SPDR ETF-9.7%41.56925202646.01728202659
SCHHSchwab U.S. REIT ETF-10.3%22.31925202624.86726202661
IYRiShares U.S. Real Estate ETF-9.9%96.639252026107.26728202659
REETiShares Global REIT ETF-9.8%26.06925202628.89726202661
USRTiShares Core U.S. REIT ETF-10.7%62.37925202669.82726202661

ETF Fund Flows

Largest fund inflows and outflows across ETFs, with the asset-allocation rotation they imply.

Net fund flows · as of 2026-09-25

Asset allocation rotation · Past month

  • Equity ETFs drew the largest net inflows (+$37.8B), followed by Bond (+$16.4B), with every major asset class in net inflows.
  • Within the mix, money rotated into Short Treasury (+$7.9B) and out of Intermediate Corporate (−$5.4B).
  • Relative to fund size, CORO drew the largest inflow (+54.2% of AUM) and XOVR the largest outflow (−26.4%).
Largest inflows
#TickerNameTypeNet flow% of AUM
1VTIVanguard Morningstar Total Stock Market ETFEquity US Total Market+$7.36B+1.1%
2SPYState Street SPDR S&P 500 ETFEquity US Large Cap Core+$6.61B+0.8%
3SGOViShares 0-3 Month Treasury Bond ETFCash+$6.59B+6.0%
4IUSBiShares Core Universal USD Bond ETFBond Core Plus Multisector+$5.34B+12.2%
5SPYMState Street SPDR Portfolio S&P 500 ETFEquity US Large Cap Core+$4.69B+2.8%
6COROiShares International Country Rotation Active ETFEquity International Broad+$4.57B+54.2%
7ACWXiShares MSCI ACWI ex U.S. ETFOther+$4.45B+35.6%
8VGSHVanguard Short-Term Treasury ETFBond Short Treasury+$4.43B+12.7%
9SCHDSchwab U.S. Dividend Equity ETFEquity Dividend Income+$3.61B+3.2%
10BNDVanguard Total Bond Market ETFBond US Aggregate Core+$2.68B+1.6%
Largest outflows
#TickerNameTypeNet flow% of AUM
1VOOVanguard S&P 500 ETFEquity US Large Cap Core-$11.0B-1.0%
2MTUMiShares MSCI USA Momentum Factor ETFEquity Factor Smart Beta-$5.16B-21.3%
3LQDiShares iBoxx $ Investment Grade Corporate Bond ETFBond Intermediate Corporate-$4.82B-17.1%
4QQQInvesco QQQ Trust, Series 1Equity US Nasdaq Growth-$4.45B-0.9%
5VGITVanguard Intermediate-Term Treasury ETFBond Intermediate Treasury-$2.63B-6.6%
6DRAMRoundhill Memory ETFOther-$1.92B-7.4%
7GOVTiShares U.S. Treasury Bond ETFBond Intermediate Treasury-$1.85B-4.5%
8EWYiShares MSCI South Korea ETFEquity Emerging Markets-$1.69B-6.2%
9MBBiShares MBS ETFBond Mortgage Backed-$1.64B-4.2%
10USHYiShares Broad USD High Yield Corporate Bond ETFBond High Yield Corporate-$1.58B-5.6%

Largest ETF fund flows across ~2652 funds (min AUM $100M). Net creations/redemptions; leveraged & inverse ETFs excluded. A ⚠ marks a day excluded as a suspected data error.

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About XLV

0Holdings Count: 60
Expense Ratio: 0.08%
Inception Date: 1998-12-16
State Street Health Care Select Sector SPDR ETF
The State Street Health Care Select Sector SPDR ETF (XLV) is designed to reflect, before expenses, the price and yield performance of the Health Care Select Sector Index. This benchmark offers a clear representation of the healthcare industry within the S&P 500. The fund provides focused exposure to companies across diverse healthcare fields, such as pharmaceuticals, medical equipment and supplies, healthcare providers and services, biotechnology, life sciences tools and services, and health technology. It allows investors to make targeted strategic or tactical allocations that are more precise than those offered by traditional style-based investment vehicles.
Asset Class: Equity | ETF Website

Recent Active Movers

Peer Comparisons

Peers to compare with:

Profile

XLVVGTXLKXLFXLEXLIMedian
NameState Stre.Vanguard I.State Stre.State Stre.State Stre.State Stre. 
Asset ClassEquityEquityEquityEquityEquityEquity-
AUM ($ Bil)43.6170.2121.953.641.830.548.6
Expense Ratio0.08%0.09%0.08%0.08%0.08%0.08%0.08%
10-D Avg Volume (Mil)9.744.4610.2433.5932.057.239.99
Latest Day Volume (Mil)3.912.693.9719.8729.665.194.58
Holdings Count603107376218374
Inception Date12/16/19981/26/200412/16/199812/16/199812/16/199812/16/1998-

Fundamentals

XLVVGTXLKXLFXLEXLIMedian
NameState Stre.Vanguard I.State Stre.State Stre.State Stre.State Stre. 
Net Asset Value168.81122.40188.0755.8764.46169169.00
Premium/Discount1.1%3.1%4.4%-1.8%-3.8%0.8%1.0%
Distribution Yield1.5%0.3%0.4%1.5%2.5%1.2%1.4%
Sales Yield61.9%77.9%95.3%30.5%58.3%34.3%60.1%
Earnings Yield3.1%10.1%12.2%6.6%5.8%3.7%6.2%

Valuation

XLVVGTXLKXLFXLEXLIMedian
NameState Stre.Vanguard I.State Stre.State Stre.State Stre.State Stre. 
P/S (TTM)1.6x1.3x1.0x3.3x1.7x2.9x1.7x
P/E (TTM)32.5x9.9x8.2x15.2x17.2x27.4x16.2x
P/FCF (TTM)22.5x4.5x3.5x32.2x16.7x26.9x19.6x
Forward P/E18.2x3.5x2.8x14.3x13.6x22.6x13.9x
Forward P/S1.5x0.9x0.8x3.2x1.6x2.7x1.6x

Risk

XLVVGTXLKXLFXLEXLIMedian
NameState Stre.Vanguard I.State Stre.State Stre.State Stre.State Stre. 
Volatility (1Y)16.2%24.9%26.4%14.7%22.0%17.2%19.6%
Volatility (3Y)14.8%24.6%25.1%16.2%21.9%16.7%19.3%
Volatility (5Y)15.2%26.0%26.0%18.4%25.6%17.6%22.0%
Beta (1Y)0.301.681.730.61-0.310.940.77
Beta (3Y)0.451.491.490.780.450.910.85
Beta (5Y)0.541.411.390.860.570.880.87
Sharpe Ratio (1Y)1.551.391.440.311.650.791.42
Sharpe Ratio (3Y)0.761.331.291.120.731.151.13
Sharpe Ratio (5Y)0.510.830.870.600.990.770.80
Max Drawdown (1Y)-10.5%-16.4%-15.9%-14.8%-15.0%-12.2%-14.9%
Max Drawdown (3Y)-17.1%-27.2%-25.7%-15.5%-20.1%-18.5%-19.3%
Max Drawdown (5Y)-17.1%-35.1%-33.6%-25.8%-26.0%-21.6%-25.9%

Returns

XLVVGTXLKXLFXLEXLIMedian
NameState Stre.Vanguard I.State Stre.State Stre.State Stre.State Stre. 
1M Return-1.6%7.1%7.3%-5.9%-0.6%-5.5%-1.1%
3M Return6.5%10.9%8.4%2.4%15.2%-5.9%7.4%
6M Return17.6%45.4%48.3%12.2%1.6%5.9%14.9%
YTD Return11.2%34.4%36.7%1.0%40.7%10.4%22.8%
1Y Return26.8%37.2%41.5%3.5%40.4%12.9%32.0%
2Y Return13.8%76.6%78.5%23.8%48.9%31.5%40.2%
3Y Return35.9%144.1%139.8%66.0%50.0%70.7%68.3%

Short Interest

Short Interest: As Of Date9152026
Short Interest: Shares Quantity17.6 Mil
Short Interest: % Change Since 83120264.6%
Average Daily Volume7.8 Mil
Days-to-Cover Short Interest2.2 days