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ETF·NYSE

State Street Health Care Select Sector SPDR ETF (XLV)

$177.19 3.230 (1.86%)
Latest Price
Buy
75 / 100
CleaRank AI scorei
Net assets
$43.39B
Expense ratio
0.08%
Yield
1.52%
52-week range
$141.39 $178.86
01

The short version

Where XLV stands today, in four lines, and what CleaRank Financial AI makes of it.

XLV at a glance

State Street Health Care Select Sector SPDR ETF (XLV): Buy, 75/100 on CleaRank's AI score.

  • Trend Up: the price is above both its 50- and 200-day moving averages ($169.75 and $157.41).
  • Fund Expense ratio 0.08%, $43.4B in net assets, +22.9% total return over 1 year.

Figures as of October 16, 2026.

CleaRank Financial AI

The State Street Health Care Select Sector SPDR ETF (XLV) is currently trading at $177.19, showing a strong upward trend.

The ETF is positioned above its 20-day EMA ($170.28), 50-day SMA ($169.75), and 200-day SMA ($157.41), signaling positive momentum. Its Year-to-Date return stands at 10.08%, reflecting the sector's performance in the current market environment. The fund's strategy focuses on providing broad exposure to U.S. health care companies across various sub-sectors, including pharmaceuticals, biotechnology, and health care services.

Only on CleaRank

Figures we compute ourselves from XLV's own price history. Tap one to see it in context.

02

Price and trading

The chart, today's range and how far the price has moved over each period.

2.0

Trend checks

4/4
  • Price above its 50-day average ›
    The price of $177.19 is 4.4% above the 50-day simple moving average of $169.75.
  • Price above its 200-day average ›
    The price is 12.6% above the 200-day simple moving average of $157.41.
  • 50-day average above the 200-day ›
    The 50-day average ($169.75) is 7.8% above the 200-day average ($157.41), the arrangement of a rising longer-term trend.
  • In the upper half of its 52-week range ›
    The price sits at 96% of its 52-week range, between $141.39 and $178.86.

XLV share price

Pick a period: each tab shows how far XLV has moved over it, to the last close.

Nov '25Jan '26Mar '26Jun '26Aug '26Oct '26
Start $142.56 Oct 15, 2025
Latest close $177.19 Oct 15, 2026
High $177.19 Oct 15, 2026
Low $142.32 Oct 16, 2025

Today's trading

Where XLV sits inside today's range and its 52-week range.

Day range 1.50% wide
$177.19
$176.22 $178.86
52-week range 96% of the way up
$177.19
$141.39 $178.86
Open
$176.43
Previous close
$173.96
Volume
11.47M
32% above average
03

Fund facts and valuation

What the fund holds, what it costs and how it is valued.

3.0

Fund checks

4/5
  • Expense ratio at or below 0.20% ›
    The fund charges 0.08% a year, $8.00 on a $10,000 holding.
  • Over $1B in net assets ›
    Net assets total $43.4B.
  • No sector above 35% of the fund ›
    The largest sector, Healthcare, makes up 100.0% of the fund.
  • Pays a distribution ›
    The distribution yield is 1.52%.
  • Positive return over one year ›
    The fund family reports a one-year total return of 22.90%.

XLV Fund Facts

State Street Health Care Select Sector SPDR ETF is a sector-focused exchange-traded fund that provides broad exposure to U.S. health care companies. The fund is designed to track the Health Care Select Sector Index, giving investors access to a diversified mix of large-cap businesses across pharmaceuticals, biotechnology, health care equipment and supplies, health care providers and services, life sciences tools and services, and health care technology.

Issuer
State Street Investment Management
Category
Health
Inception
Dec 16, 1998
Expense ratio
0.08%
Net assets
$43.39B
Distribution yield
1.52%
YTD return
10.08%
Turnover
2.00%

Sector weights

Healthcare 100.0%

Trailing total returns

Period XLV
YTD 10.08%
1 month -0.90%
3 months 6.44%
1 year 22.90%
3 years 11.18%
5 years 7.48%
10 years 10.69%

As of Oct 16, 2026, XLV has an expense ratio of 0.08%, $43.39B in net assets and a distribution yield of 1.52%.

Fund reference data as of Oct 16, 2026. Expense ratio and net assets are reported by the fund; returns are total returns and can differ from price change.

Key statistics

The headline figures for XLV.

Net Assets
43.39B
Expense Ratio
0.08%
Yield
1.52%
Day High
$178.86
Day Low
$176.22
52 Week High
178.86
52 Week Low
141.39

What the numbers say

CleaRank Financial AI's reading of XLV's holdings, performance and risks.

The fund

The State Street Health Care Select Sector SPDR ETF (XLV) holds 100.00% in Healthcare stocks, offering concentrated exposure to this vital sector.

The fund's strategy, managed by State Street Investment Management, aims to mirror the Health Care Select Sector Index, providing a diversified mix of large-cap U.S. health care companies. This includes businesses involved in pharmaceuticals, biotechnology, health care equipment, and services. The sector's performance is a key driver for the ETF's returns, and its broad exposure makes it a significant tool for investors seeking targeted healthcare sector allocation within the S&P 500.

Performance
The underlying healthcare sector, which XLV tracks, is influenced by the earnings trends of its constituent companies. Leading firms in pharmaceuticals, biotechnology, and health services typically drive the sector's aggregate performance. Positive earnings reports from major healthcare companies generally translate to upward pressure on XLV's price, reflecting the overall health and growth prospects of the industry.
Key risks
The primary risk for XLV lies in its sector concentration; a downturn in the healthcare industry could significantly impact the ETF's performance. Regulatory changes affecting pharmaceuticals or healthcare providers represent another key risk. Additionally, while the ETF shows strong current momentum, a shift in market sentiment away from growth sectors could lead to increased volatility.
04

AI analysis and technicals

CleaRank's score and reasoning, the indicators behind it, and what the price moves with.

4.0

Momentum checks

3/3
  • RSI not overbought or oversold ›
    The 14-day RSI is 67.5, showing bullish momentum without being overbought.
  • RSI above 50 ›
    An RSI of 67.5 is above the 50 midpoint, so buyers have had the upper hand over the last 14 days.
  • MACD line above zero ›
    The MACD line is positive, so the 12-day average is above the 26-day average.

CleaRank AI analysis of XLV

The score, the reasoning behind it, and what could move the price next.

AI analyst consensus
75/100
Buy
What the AI sees
XLV is exhibiting strong technical signals, trading above its key moving averages. The price is currently above the 20-day EMA at $170.28, the 50-day SMA at $169.75, and the 200-day SMA at $157.41. The 14-day RSI is at 67.5, indicating strong momentum but not yet overbought territory. The Commodity Channel Index (CCI) is at 230.73, further confirming a strong bullish trend. The Stochastic Oscillator is at 87.78, suggesting the ETF is in overbought territory on that indicator.
Market outlook
The outlook for XLV remains positive, driven by the defensive characteristics and consistent innovation within the healthcare sector. With the ETF trading above key moving averages and showing strong momentum, it is well-positioned for continued performance over the next 6-12 months. Potential headwinds include regulatory shifts and sector-specific challenges, but the overall trend suggests resilience. The sector's role in addressing global health needs provides a long-term tailwind.

Technical indicators

Momentum and trend for XLV, from its daily closes.

Technical rating Bullish 4 of 4 signals bullish
  • RSI Bullish
  • SMA cross Bullish
  • Price vs SMA Bullish
  • MACD Bullish
Momentum Bullish
67.514-day RSI
Oversold <30 Neutral Overbought >70
MACD (12, 26) 1.16 Bullish
Trend Golden cross
+4.4%price against the 50-day average
200-day $157.41 50-day $169.75 Price $177.19
Price against the 200-day +12.6% Bullish

As of October 16, 2026, with XLV at $177.19, its 14-day RSI is 67.5 (showing bullish momentum without being overbought), its 50-day simple moving average is $169.75 and its 200-day is $157.41.

Calculated by CleaRank on daily closes as of October 16, 2026: Wilder's 14-day RSI, 50- and 200-day simple moving averages, MACD line (12, 26).

What XLV moves with

Correlation of daily returns over one year: +1 moves in step, 0 has no link, -1 moves the opposite way.

-1 0 +1
S&P 500 (SPY) +0.43 Moderate
Nasdaq 100 (QQQ) +0.24 Weak
Bitcoin (BTC) +0.08 Weak
Gold (XAU) +0.10 Weak

As of October 16, 2026, XLV's 1-year correlation of daily returns is +0.43 with S&P 500 (SPY), +0.24 with Nasdaq 100 (QQQ), +0.08 with Bitcoin (BTC) and +0.10 with gold (XAU).

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05

A trade plan, if you want one

Entry, stop and target levels from the moving averages and recent volatility. Educational, not advice.

XLV trade plan

Entry, stop and target levels, sized to your account. Change the bias or the risk and every level updates.

Your bias
Risk per trade 2%
Conservative Aggressive
Portfolio value
$
Position size: Enter portfolio size →

Long entry pick an entry style

Conservative
$173.65
2% below current price (Pullback entry)
Lower risk, wait for pullback
Aggressive
$177.19
Buy at current price
Higher risk, immediate entry

Risk management

Stop loss
$168.44
Max loss
-3.0%
Volatility-adjusted stop Set from the RSI (67.5) and recent volatility.

Profit targets (Based on Conservative Entry)

Target 1
$182.33
+5% (Conservative) +2.9% (Aggressive)
Target 2
$191.01
+10% (Conservative) +7.8% (Aggressive)
Target 3
$199.69
+15% (Conservative) +12.7% (Aggressive)

These levels come from XLV's moving averages and recent volatility, not from a forecast. Educational levels, not financial advice; the full disclaimer is at the foot of the page.

Risk profile

How much XLV tends to move, against the market and on its own.

Daily volatility
1.05%
30-day standard deviation
52-week range
$177.19
$141.39 96% of the way up $178.86

Compare XLV

Put XLV side by side with other etfs and benchmarks.

06

The long record

XLV's worst falls and recoveries, what $10,000 became, and which months have been kind to it.

6.0

Track record checks

3/4
  • Average daily move under 2% ›
    The price has moved 1.05% on an average day (30-day standard deviation of daily returns).
  • Recovered from its worst fall ›
    The worst fall was 21.5%, from January 2020 to March 2020, regained by July 2020.
  • Most 1-year holds ended higher ›
    86% of 1-year holding periods in the last 10 years ended with a gain.
  • Beat the S&P 500 since the chart begins ›
    $10,000 invested in October 2016 is now worth $30,165, against $42,525 in the S&P 500 (SPY).

XLV Drawdowns & Recovery

Worst fall, last 10 years
-21.5%
January 2020 to March 2020
Recovery
4 months
back at the old peak by July 2020
From the 10-year high
At the high
highest close, October 2026
1-year holds that gained
86%
of every 1-year window

As of October 16, 2026, XLV's worst peak-to-trough fall over the last 10 years with dividends reinvested was -21.5% (January 2020 to March 2020); it regained that peak by July 2020, 4 months after the low, and 86% of 1-year holding periods ended with a gain.

From weekly closing values with dividends reinvested. A drawdown is the fall from the highest value reached so far to a later low.

Growth of $10,000

What $10,000 put into XLV in October 2016 is worth now, against the same amount in the S&P 500.

XLV today
$30,165
from $10,000 in October 2016, dividends reinvested
S&P 500 today
$42,525
the same $10,000 in SPY
Behind the index by
$12,360
0.7x the index result
Total change
+202%
3.0x the starting amount
20182020202220242026
XLV S&P 500 (SPY)

Against the market: XLV trailed the S&P 500 over this period: $30,165 against $42,525.

A $10,000 investment in XLV in October 2016 would be worth about $30,165 today with dividends reinvested, compared with about $42,525 for the same investment in the S&P 500 benchmark (also with dividends reinvested).

Seasonal patterns

Which calendar months have been kind to XLV, and which have not.

Jan8/10 upFeb4/10 upMar3/10 upApr5/10 upMay4/10 upJun8/10 upJul8/10 upAug7/10 upSep5/10 upOct5/9 upNov8/10 upDec5/10 up

Strongest month, November: an average of +3.57%, up in 8 of 10 years.

Weakest month, March: an average of -1.58%, up in 3 of 10 years.

This month, October: has averaged +0.56%, up in 5 of 9 years. Past seasonality does not repeat on schedule.

Over the last 10 years, XLV's strongest calendar month has been November (average +3.57%, up in 8 of 10 years) and its weakest March (average -1.58%, up in 3 of 10 years).

Average return for each calendar month over the last 10 years, from weekly closing prices with dividends included.

07

Long-term scenarios

Thousands of simulated paths from the price history. A range of outcomes, not a forecast.

Monte Carlo projection

Thousands of simulated paths for $10,000 in XLV, from its own past volatility. The shaded area holds 80% of them.

Downside, 2036
$10,619
10th percentile
Base case, 2036
$20,977
median path
Upside, 2036
$41,437
90th percentile
202620282030203220342036
Upside (90th) Base case (median) Downside (10th) 10th to 90th percentile

CleaRank's 10-year Monte Carlo simulation projects that a $10,000 investment in XLV today could grow to about $20,977 by 2036 in the base case, with a 90th-percentile outcome near $41,437 and a 10th-percentile outcome around $10,619 (above the amount invested: over ten years most simulated paths of a rising, moderately volatile asset end higher). The simulation models price only; at today's 1.52% yield, dividends would add to these figures. Projections are statistical simulations, not guarantees.

XLV 2030 Scenarios (Monte Carlo)

The same simulation in share prices, year by year.

Price today
$177
Base case, 2030
$238
1.3x over 4 years
Range, 2030
$155 to $367
10th to 90th percentile

CleaRank's simulation projects a price near $238 for XLV by 2030 in the base case, from $177 today (1.3x over 4 years). The 10th-percentile path ends near $155. These are outcomes of a Monte Carlo simulation run on XLV's historical return distribution, not price targets, and they assume no dividends are reinvested.

XLV simulated price paths by year
Year 10th percentile Base case 90th percentile range base today
2027 $154 $191 $237
2028 $152 $205 $279
2029 $152 $221 $321
2030 $155 $238 $367
2031 $159 $257 $415

Method: a lognormal simulation of XLV's own volatility and capped historical trend, re-run daily; base case is the median path, the outer columns the 10th and 90th percentiles.

08

Questions people ask

Answered from the figures on this page, as of October 16, 2026.

Frequently Asked Questions

What is the expense ratio for the State Street Health Care Select Sector SPDR ETF (XLV)?
The expense ratio for XLV is 0.08%, which translates to approximately $8.00 per $10,000 invested annually. This cost covers the fund's management and operational expenses.
What sectors does the XLV ETF hold and how concentrated is it?
XLV is exclusively concentrated in the Healthcare sector, holding 100.00% of its assets in this industry. Its strategy is to provide broad exposure to U.S. health care companies across pharmaceuticals, biotechnology, and health services.
What is the current dividend yield for XLV?
The current dividend yield for XLV is approximately 1.52%, with a dividend rate of $2.55. This provides income to investors in addition to potential capital appreciation.
What are the key technical indicators for XLV?
XLV's technical indicators show a bullish trend. The 14-day RSI is 67.5 (strong momentum), the CCI is 230.73 (strong bullish trend), and the Stochastic Oscillator is 87.78 (overbought territory).
What is the turnover rate for the State Street Health Care Select Sector SPDR ETF?
The turnover rate for XLV is 2.00%. This indicates that the fund's underlying holdings are rebalanced infrequently, suggesting a relatively stable investment strategy.
What is XLV's biggest drop in the last 10 years?
State Street Health Care Select Sector SPDR ETF (XLV)'s worst peak-to-trough fall over the last 10 years was -21.5%, from January 2020 to March 2020 (with dividends reinvested). It regained that peak by July 2020, 4 months after the low. Over the same period, 86% of 1-year holding periods ended with a gain.
What are XLV's best and worst months?
Over the last 10 years, November has been XLV's strongest month on average (+3.57%, rising in 8 of 10 years) and March its weakest (-1.58%, rising in 3 of 10 years). Seasonal averages describe the past and do not predict a given year.
How closely does XLV move with the stock market?
Over the past year XLV's daily returns were moderately correlated with the S&P 500 (SPY) (+0.43). Nasdaq 100 (QQQ): +0.24; Bitcoin (BTC): +0.08; Gold (XAU): +0.10. A figure near +1 means the two usually move together; near 0 means little relationship.
What would $10,000 invested in XLV be worth today?
$10,000 put into XLV in October 2016 would be worth about $30,165 today with dividends reinvested, against about $42,525 for the same amount in the S&P 500 on the same basis.
What does CleaRank's simulation show for XLV in 2030?
CleaRank's Monte Carlo simulation, built from XLV's own historical volatility, puts the 2030 base case near $238.30, with 10th and 90th percentile outcomes of $154.93 and $366.54. It is a range of simulated outcomes, not a price target.

Disclaimer: CleaRank.com is a financial data and analytics provider, not a registered investment advisor, broker-dealer, or financial regulatory body. The ETF analysis and AI-generated insights presented for XLV are for educational and informational purposes only and do not constitute financial advice, investment recommendations, or an offer to buy or sell any securities. ETFs are subject to market risk, including the possible loss of principal. ETF performance depends on the underlying index or assets it tracks, and past performance does not guarantee future results. Expense ratios, tracking error, and liquidity vary by fund. All trade setups and performance metrics shown are hypothetical, hindsight-based, and simulated. Market data is provided "as-is" and may be delayed by 15 minutes or more. Investors should read the fund prospectus carefully before investing. Consult a qualified financial advisor for personalized guidance. Analysis generated on October 16, 2026.

Disclaimer:

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