State Street Health Care Select Sector SPDR ETF (XLV)
Health Care ETF
State Street Health Care Select Sector SPDR ETF (XLV) is a Health Care ETF from State Street Investment Management. As of October 23, 2026, XLV closed at $179.28. It charges a 0.08% expense ratio, or $8 a year per $10,000 invested. Including dividends it returned +24.8% over the past year and +8.1% a year over five years.
- Assets under management: $43.4 billion
- Dividend yield: 1.42%
- Annualized return since 1998: 8.9%
- Worst peak-to-trough drop: -39%
XLV price chart
1Y price change: +22.8% (price only; total returns below include dividends)
| Total return | 1M | YTD | 1Y | 3Y | 5Y | 10Y | MAX |
|---|---|---|---|---|---|---|---|
| XLV | +6.2% | +17.2% | +24.8% | +14.0% | +8.1% | +11.8% | +8.9% |
Dividends reinvested. 3Y and longer are annualized; MAX is annualized since 1998.
XLV key facts
- Expense ratio
- 0.08%
- $8/yr per $10K
- Assets (AUM)
- $43.4B
- Dividend yield
- 1.42%
- Annualized return
- 8.9%
- since 1998
- Volatility
- 18%
- annualized
- Max drawdown
- -39%
- 52-week range
- $141.97 – $182.25
- Fund family
- State Street Investment Management
XLV dividend
- Dividend yield
- 1.42%
- Annual dividend
- $2.55
- Years of increases
- 21
- 5-yr dividend growth
- 8.0%
- per year
- Payments per year
- 4
Regular dividends per share by calendar year; special dividends excluded. Current year omitted until complete.
Similar ETFs
| Name | Today | 1Y | Yield |
|---|---|---|---|
 SPY State Street SPDR S&P 500 ETF Trust | -0.52% | +14% | 0.75% |
 VOO Vanguard S&P 500 ETF | -0.53% | +14% | 1.06% |
 IVV iShares Core S&P 500 ETF | -0.54% | +14% | 0.75% |
 SPYM State Street SPDR Portfolio S&P 500 ETF | -0.53% | +14% | 1.02% |
 RSP Invesco S&P 500 Equal Weight ETF | -0.77% | +15% | 1.47% |
 VTI Vanguard Morningstar Total Stock Market ETF | -0.50% | +14% | 1.06% |
 ITOT iShares Core S&P Total U.S. Stock Market ETF | -0.50% | +14% | 0.75% |
 SCHB Schwab U.S. Broad Market ETF | -0.48% | +14% | 1.05% |
XLV news
- Why Healthcare ETFs Are Hovering Around One-Year Highs · Oct 23, 2026
- What a Mixed Midterm Result Could Mean for These 2 Health Care ETFs · Oct 19, 2026
- Sector Update: Healthcare Stocks Softer Late Afternoon · Oct 21, 2026
- Sector Update: Healthcare Stocks Decline Wednesday Afternoon · Oct 21, 2026
- Sector Update: Healthcare Stocks Decline Late Afternoon · Oct 19, 2026
XLV ETF FAQ
What is XLV's expense ratio?
XLV has an expense ratio of 0.08%: $8 a year on a $10,000 investment.
What is XLV's dividend yield?
XLV yields 1.42% based on its trailing distributions of $2.55 per share.
What is XLV's historical return?
With dividends reinvested, XLV returned +24.8% over one year, +8.1% a year over five years, +11.8% a year over ten years through October 23, 2026.
How much can XLV fall?
XLV's largest peak-to-trough decline since 1998 was -39%. Past drawdowns don't cap future ones.
Sources: fund data and prices from Yahoo Finance (delayed); FI Handbook calculations. Last close October 23, 2026.