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ETF·NYSE

State Street Health Care Select Sector SPDR ETF (XLV)

$184.80 -0.11 (-0.06%)
At close: Nov 6, 4:00 PM EST
Strong Buy
95 / 100
CleaRank Financial AI scorei
Net assets
$43.39B
Expense ratio
0.08%
Yield
1.52%
52-week range
$141.97 $192.32
01

XLV ETF outlook today

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

XLV at a glance

State Street Health Care Select Sector SPDR ETF (XLV): Strong Buy, 95/100 on CleaRank's AI score.

  • Trend Up: the price is above both its 50- and 200-day moving averages ($173.38 and $159.39).
  • Fund Expense ratio 0.08%, $43.4B in net assets, price up 26.6% over 1 year.

Figures as of November 6, 2026.

CleaRank Financial AI

CleaRank rates State Street Health Care Select Sector SPDR ETF (XLV) Strong Buy, with a model score of 95/100.

The trend lifts the score most: the price is 15.94% above its 200-day average and 6.59% above its 50-day average, and the 50-day average is 8.78% above the 200-day. The 50-day average stands at $173.38 and the 200-day at $159.39. Over the past year the price rose 26.63%.

Only on CleaRank

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

02

XLV ETF 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 $184.80 is 6.6% above the 50-day simple moving average of $173.38.
  • Price above its 200-day average ›
    The price is 15.9% above the 200-day simple moving average of $159.39.
  • 50-day average above the 200-day ›
    The 50-day average ($173.38) is 8.8% above the 200-day average ($159.39), the arrangement of a rising longer-term trend.
  • In the upper half of its 52-week range ›
    The price sits at 85% of its 52-week range, between $141.97 and $192.32.

XLV share price

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

Dec '25Feb '26Apr '26Jul '26Sep '26Nov '26
Start $145.94 Nov 6, 2025
Latest close $184.80 Nov 6, 2026
High $189.66 Nov 4, 2026
Low $142.84 Apr 29, 2026

Today's trading

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

Day range 2.63% wide
$184.80
$181.14 $185.90
52-week range 85% of the way up
$184.80
$141.97 $192.32
Open
$181.28
Previous close
$184.91
Volume
15.00M
7% above average
03

XLV 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.
  • One 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%.
  • Price up over one year ›
    The price rose 26.63% over the past year, before the fund's 1.52% distribution yield.

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 total return to Sep 30 (fund family)
10.08%
Turnover
2.00%

Sector weights

Healthcare 100.0%

Total returns to Sep 30, 2026, as the fund family reports them

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 Nov 8, 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 Nov 8, 2026. Expense ratio and net assets are reported by the fund. The trailing returns are the fund family's own month-end total returns, to Sep 30, 2026, with distributions included, so they can differ from the price changes elsewhere on this page.

Key statistics

The headline figures for XLV.

Net Assets
43.39B
Expense Ratio
0.08%
Yield
1.52%
Day High
$185.90
Day Low
$181.14
52 Week High
192.32
52 Week Low
141.97

What the numbers say

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

The fund

Healthcare makes up 100.0% of the fund, so XLV moves almost entirely with that one sector. XLV is a Health fund run by State Street Investment Management and was launched on December 16, 1998.

Owning XLV carries an annual expense ratio of 0.08%, which comes to $8.00 a year on every $10,000 placed in the fund. The fund's net assets total $43.4B, and its distribution yield is 1.52%. Portfolio turnover is 2%.

Key risks

XLV's typical daily move is 1.30%. With 100.0% of its holdings in Healthcare, the fund depends heavily on one sector.

04

XLV AI analysis and technical indicators

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 62.9, showing bullish momentum without being overbought.
  • RSI above 50 ›
    An RSI of 62.9 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 Financial AI analysis of XLV

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

AI analyst consensus
95/100
Strong Buy
What the AI sees

Trading at $184.80, State Street Health Care Select Sector SPDR ETF (XLV) holds above both of its main moving averages: 6.59% above the 50-day ($173.38) and 15.94% above the 200-day ($159.39). The price sits near the top of its 52-week range, 3.91% below the high of $192.32 and 30.17% above the low of $141.97. With the 50-day average 8.78% above the 200-day, the averages themselves are lined up for an uptrend.

The 14-day RSI of 62.9 is in the bullish zone, below the overbought line, and the MACD line is positive. The price is up over each of these periods: 9.47% over the past month, 11.54% over the past three months and 26.63% over the past year.

ProTips
  1. Two levels matter most here: the 52-week high at $192.32 sits above the price, and the 20-day EMA at $180.48 sits below it.
  2. A 14-day RSI of 62.9 falls in the bullish zone, and the MACD line is positive. Readings above 70 or below 30 point to stretched momentum.
  3. Costs compound: at 0.08% a year, XLV charges $8.00 on every $10,000 invested.
Market outlook

The uptrend rests on XLV staying above its 50-day average at $173.38 and its 200-day average at $159.39; a close below the 50-day would be the first crack in it. On a pullback, the first level the price would meet is the 20-day EMA at $180.48.

XLV's next level overhead is the 52-week high of $192.32. The RSI sits in the bullish zone, which is the momentum behind the current move.

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
62.914-day RSI
Oversold <30 Neutral Overbought >70
MACD (12, 26) 3.92 Bullish
Trend Golden cross
+6.6%price against the 50-day average
200-day $159.39 50-day $173.38 Price $184.80
Price against the 200-day +15.9% Bullish

As of November 6, 2026, with XLV at $184.80, its 14-day RSI is 62.9 (showing bullish momentum without being overbought), its 50-day simple moving average is $173.38 and its 200-day is $159.39.

Calculated by CleaRank on daily closes as of November 6, 2026: Wilder's 14-day RSI, 50- and 200-day simple moving averages, MACD line (12, 26). How we calculate these

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) +0.42 Moderate
Nasdaq 100 (QQQ) +0.23 Weak
Bitcoin (BTC) +0.09 Weak
Gold (XAU) +0.09 Weak

As of November 6, 2026, XLV's 1-year correlation of daily returns is +0.42 with S&P 500 (SPY), +0.23 with Nasdaq 100 (QQQ), +0.09 with Bitcoin (BTC) and +0.09 with gold (XAU).

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05

XLV risk and volatility

How much it moves day to day, and how it stacks up against similar assets.

Risk profile

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

Daily volatility
1.30%
30-day standard deviation
52-week range
$184.80
$141.97 85% of the way up $192.32

Compare XLV

Put XLV side by side with other etfs and benchmarks.

06

XLV price history and drawdowns

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
  • Typical daily move under 2% ›
    A typical daily move is 1.30% (the standard deviation of the last 30 daily returns).
  • Recovered from its worst fall ›
    The worst fall was 28.2%, from January 2020 to March 2020, regained by July 2020.
  • Most 1-year holds ended higher ›
    84% of 1-year holding periods in the last 10 years ended with a gain.
  • Trailed the S&P 500 since December 2016 ›
    $10,000 invested in December 2016 is now worth $31,986, against $39,188 in the S&P 500 (SPY).

XLV Drawdowns & Recovery

Worst fall, last 10 years
-28.2%
January 2020 to March 2020
Recovery
4 months
back at the old peak by July 2020
From the 10-year high
-2.6%
peak with dividends reinvested, November 2026
1-year holds that gained
84%
of every 1-year window

As of November 6, 2026, XLV's worst peak-to-trough fall over the last 10 years with dividends reinvested was -28.2% (January 2020 to March 2020); it regained that peak by July 2020, 4 months after the low, and 84% 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 December 2016 is worth now, against the same amount in the S&P 500.

XLV today
$31,986
from $10,000 in December 2016, dividends reinvested
S&P 500 today
$39,188
the same $10,000 in SPY, dividends reinvested
Behind the index by
$7,201
0.8x the index result
Total change
+220%
3.2x the starting amount
20182020202220242026
XLV S&P 500 (SPY)

Against the market: XLV trailed the S&P 500 over this period: $31,986 against $39,188.

A $10,000 investment in XLV in December 2016 would be worth about $31,986 today with dividends reinvested, compared with about $39,188 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.

Jan6/10 upFeb6/10 upMar4/10 upApr5/10 upMay7/10 upJun8/10 upJul9/10 upAug6/10 upSep2/10 upOct5/10 upNov7/9 upDec6/9 up

Strongest month, November: an average of +4.10%, up in 7 of 9 years.

Weakest month, September: an average of -1.47%, up in 2 of 10 years.

This month, November: has averaged +4.10%, up in 7 of 9 years. Past seasonality does not repeat on schedule.

Across 10 calendar years of history, XLV's strongest calendar month has been November (average +4.10%, up in 7 of 9 years) and its weakest September (average -1.47%, up in 2 of 10 years).

Average return for each calendar month across 10 calendar years of history, from weekly closing prices with dividends included.

07

XLV long-term scenarios 2030

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, 2030
$8,806
10th percentile
Base case, 2030
$13,558
median path
Upside, 2030
$20,876
90th percentile
20262027202820292030
Upside (90th) Base case (median) Downside (10th) 10th to 90th percentile

CleaRank's 4-year Monte Carlo simulation, based on 10 years of price history, projects that a $10,000 investment in XLV today could grow to about $13,558 by 2030 in the base case, with a 90th-percentile outcome near $20,876 and a 10th-percentile outcome around $8,806. 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 prices, year by year.

Price today
$185
Base case, 2030
$251
1.4x over 4 years
Range, 2030
$163 to $386
10th to 90th percentile

CleaRank's simulation projects a price near $251 for XLV by 2030 in the base case, from $185 today (1.4x over 4 years). The 10th-percentile path ends near $163. 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 $161 $199 $247
2028 $159 $215 $292
2029 $160 $232 $337
2030 $163 $251 $386

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. How the simulation works

08

XLV ETF outlook: questions people ask

Answered from the figures on this page, as of November 6, 2026.

XLV Forecast: Frequently Asked Questions

Is State Street Health Care Select Sector SPDR ETF (XLV) a buy right now?
At 95/100, XLV lands in CleaRank's Strong Buy band. The trend does the most to lift the score, since the price is 15.94% above its 200-day average and 6.59% above its 50-day average, and the 50-day average is 8.78% above the 200-day. This describes the data on this page and is not a personal recommendation.
How has State Street Health Care Select Sector SPDR ETF (XLV) performed over the past year?
Over the past year the price rose 26.63%. Over shorter periods it rose 11.54% in three months and rose 9.47% in the past month. It now trades 3.91% below its 52-week high of $192.32.
What does XLV cost to own?
Running XLV costs 0.08% a year in expense ratio, or $8.00 on a $10,000 holding. That charge comes out of the fund's assets rather than being billed on its own.
What are the largest sectors in XLV?
Healthcare is the largest sector at 100.0% of the fund.
Does XLV pay a dividend?
Yes, XLV pays a distribution yield of 1.52%. Yield is the payout divided by the price, so the figure moves whenever either of those moves.
What are the key price levels for XLV?
The level above the price is the 52-week high at $192.32. Below the price, the levels are the 20-day EMA at $180.48 and the 50-day SMA at $173.38.
How volatile is XLV?
XLV's price moves 1.30% on a typical day, measured as the 30-day standard deviation of daily returns.
What is the 52-week range of XLV?
Over the past 52 weeks, XLV has traded between $141.97 and $192.32. At $184.80, the price sits at 85% of that span, 30.17% above the low and 3.91% below the high.
Is XLV in an uptrend?
Yes. State Street Health Care Select Sector SPDR ETF (XLV) trades at $184.80, above both its 50- and 200-day moving averages ($173.38 and $159.39). Its 14-day RSI on daily closes is 62.9, showing bullish momentum without being overbought.
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 -28.2%, 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, 84% of 1-year holding periods ended with a gain.

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. Simulated scenarios and historical performance figures shown are hypothetical and hindsight-based. 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 November 8, 2026.