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ETF analysis

State Street® Health Care Select Sector SPDR® ETF (XLV) holdings & weights

Per-holding contribution · concentration · sector skew — a deep read

US-listedAs of 2026-10-16
IndexS&P Health Care Select Sector
Annual fee0.08%
Net assets$46.3B
InceptionDec 16, 1998

Fund overview

This is a US-listed ETF from State Street. It tracks the S&P Health Care Select Sector. Key facts — expense ratio 0.08%; net assets about $46.3B; inception Dec 16, 1998. Its 1-year return is +26.12%.

Index tracked
S&P Health Care Select Sector
Provider
State Street
Expense ratio
0.08%
Net assets (AUM)
$46.3B
Inception
Dec 16, 1998
1-year return
+26.12%
Holdings
64
52-week range
$141.97–$178.86
Fund details

Fund overview

This is a US-listed ETF from State Street. It tracks the S&P Health Care Select Sector. Key facts — expense ratio 0.08%; net assets about $46.3B; inception Dec 16, 1998. Its 1-year return is +26.12%.

Index tracked
S&P Health Care Select Sector
Provider
State Street
Expense ratio
0.08%
Net assets (AUM)
$46.3B
Inception
Dec 16, 1998
1-year return
+26.12%
Holdings
64
52-week range
$141.97–$178.86

61 identified stocks · net exposure / NAV 99.74%. Display weights are normalized to 100%; calculations retain original exposures without an additional leverage multiplier. Cash and unallocated contracts are excluded from stock attribution.

Weight and calculation basis

61 identified stocks · net exposure / NAV 99.74%. Display weights are normalized to 100%; calculations retain original exposures without an additional leverage multiplier. Cash and unallocated contracts are excluded from stock attribution.

—
Holdings not priced
60.6%
Top-10 weight
569
Concentration HHI (Low)
Health Care
Top sector

We have this ETF's holdings, but the prices for those particular listings are outside our quote coverage (currently Korea- and US-listed securities). So today's contribution and return are not computed — showing 0% would claim it did not move, which is a different statement. The holdings and weights below follow the calculation basis above.

Today's summary

Its top 10 holdings make up about 60.6% of the fund. The concentration index (HHI) is 569 — Low — evenly diversified, and the largest sector is Health Care (99%). The higher the concentration, the more one stock or sector drives the whole ETF's return.

Structural health

A five-axis read on how this fund is built. It is not a return forecast or a recommendation, and a low score does not mean a bad fund — leveraged products score low by design. Each axis shows the figure behind it.

74/ 100
BSound structure
DiversificationHHI 56975

Concentration is below 1,500 (569), so no single holding dominates.

Sector balanceHealth Care 99%0

Health Care alone is 99%. This is effectively a bet on that one industry — if the sector falls, diversification will not help.

Cost0.08%/yr97

At 0.08% a year this is a low-cost fund — little drag over a long hold.

Fund size$46.3B100

Net assets of $46.3B — liquid enough to trade, and unlikely to be wound down.

Structural simplicityPhysical, 1x100

A plain 1x physical fund holding the shares themselves — no structural drift from how long you hold it.

Concentration and diversification

Structural health

A five-axis read on how this fund is built. It is not a return forecast or a recommendation, and a low score does not mean a bad fund — leveraged products score low by design. Each axis shows the figure behind it.

74/ 100
BSound structure
DiversificationHHI 56975

Concentration is below 1,500 (569), so no single holding dominates.

Sector balanceHealth Care 99%0

Health Care alone is 99%. This is effectively a bet on that one industry — if the sector falls, diversification will not help.

Cost0.08%/yr97

At 0.08% a year this is a low-cost fund — little drag over a long hold.

Fund size$46.3B100

Net assets of $46.3B — liquid enough to trade, and unlikely to be wound down.

Structural simplicityPhysical, 1x100

A plain 1x physical fund holding the shares themselves — no structural drift from how long you hold it.

Top 20 holdings

Weights are normalized to 100% of absolute exposures across analysed positions, including positions outside this top list. Cash, collateral and unverified assets are excluded. Contributions retain original signed NAV exposures; leverage is not applied twice.

Normalized to 100% of analysed positions

Weights are normalized to 100% of absolute exposures across analysed positions, including positions outside this top list. Cash, collateral and unverified assets are excluded. Contributions retain original signed NAV exposures; leverage is not applied twice.

Tile size = weight, colour = the day's return (deeper = larger). Covers the top 30 holdings, 88.3% of the fund. Labels are dropped where a tile is too small; hover any tile for its name and figures.
#HoldingWeight
1ELI LILLY +LLY15.72%
2JOHNSON + JOHNSONJNJ9.63%
3ABBVIEABBV7.88%
4UNITEDHEALTHUNH5.63%
5MERCK +MRK5.63%
6THERMO FISHER SCIENTIFICTMO3.99%
7AMGENAMGN3.66%
8GILEAD SCIENCESGILD3.03%
9ABBOTT LABORATORIESABT2.84%
10PFIZERPFE2.64%
11INTUITIVE SURGICALISRG2.36%
12DANAHERDHR2.24%
13VERTEX PHARMACEUTICALSVRTX1.98%
14BRISTOL MYERS SQUIBBBMY1.91%
15CVS HEALTHCVS1.85%
16MCKESSONMCK1.83%
17MEDTRONICMDT1.81%
18STRYKERSYK1.61%
19ELEVANCE HEALTHELV1.45%
20MODERNAMRNA1.27%

Holdings below 0.5% or outside the top list are folded into “Others” and omitted above.

Where the weight sits — sector mix

Listed equity weights summed by sector and normalized to 100%. Each band is one sector's share.

Health Care99.3%
Information Technology0.7%
Unclassified0.0%
Industry breakdown
Biotechnology: Pharmaceutical Preparations50.3%
Medical Specialities11.2%
Biotechnology: Biological Products (No Diagnostic Substances)8.7%
Industrial Machinery/Components6.2%
Medical/Dental Instruments5.5%
Industrial Specialties3.9%
Other Pharmaceuticals3.8%
Biotechnology: Laboratory Analytical Instruments2.2%
Retail-Drug Stores and Proprietary Stores1.9%
Biotechnology: Electromedical & Electrotherapeutic Apparatus1.8%
Hospital/Nursing Management1.2%
Biotechnology: Commercial Physical & Biological Resarch1.2%
Computer Software: Prepackaged Software0.7%
Biotechnology: In Vitro & In Vivo Diagnostic Substances0.7%
Medical Electronics0.5%
Ophthalmic Goods0.2%
Misc Health and Biotechnology Services0.1%
Unclassified0.0%
Concentration at a glanceHHI 569well spread
spread1,0001,8002,500concentrated

HHI sums the squared weights. The more it leans on a few names, the higher it goes — and the more the whole ETF moves with them.

How concentrated is it

Concentration (HHI) is low at 569, with the top 10 holdings at just 60.6% of equity weight. No single name can dominate the fund.

Good for damping single-stock risk — and equally, a big winner inside gets diluted.

HHI squares each weight and sums them: 10,000 means one stock is everything, and the more evenly spread the holdings, the closer it falls to zero.

Where the sector weight sits

By sector, Health Care alone is 99% — whatever the fund is called, this is a bet on that industry.

Bad news for the sector moves the whole fund. Worth checking against anything else you hold in the same space.

Weights above sum the individually listed equities and normalize that equity total to 100%.

How much it overlaps others

It shares 79% of its holdings with IYH (24 names in common) — close to half the same companies.

Own both and the diversification is thinner than it looks.

What it is made of

The fund holds 64 positions in total; this page lists the largest 61 and folds the rest into "Others".

The expense ratio is 0.08% a year. Funds tracking the same index tend to perform alike, which makes the fee one of the few things that reliably separates them over time.

This page is not investment advice. Investment decisions and responsibility are your own.

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