Health Care Select Sector SPDR (XLV)
Sector — Healthcare · Benchmark: Index Benchmark · Domiciled in US
VMCI-Composite holdings score
ValueMarkers builds the VMCI-Composite by taking the underlying VMCI score for each of the ETF's top-10 holdings and weighting it by the holding's share of the fund. The number summarizes the fundamentals of the largest positions on the five-pillar framework — Value, Quality, Integrity, Growth, Risk.
Health Care Select Sector SPDR — analysis
Holding $201.2B in AUM at a 28 bps expense ratio, XLV sits in the sector — healthcare bucket on the ValueMarkers ETF coverage list. The fund tracks Index Benchmark and dates back to 2016.
Inside the ETF, the underlying companies' fundamentals stack to a VMCI-Composite of 64/100 on XLV. The composite is built from the top-10 holdings, weighted by index allocation. The read is above-average composite quality, which is the right anchor when comparing XLV to peer funds in the sector — healthcare category.
On a five-year compound basis, XLV returned 7.5% per year. Against the 6.0% benchmark print, that's a 1.5-pp above-index annualized result, before tax.
XLV pays a trailing-twelve-month dividend yield of 5.00%. Distribution growth has compounded at 8.5% per year over the past five years, which sets the carry profile for income-oriented allocators inside the sector — healthcare category.
Inside XLV: top-10 weight 29%, top position AAPL at 3.38%, top sector Technology at 28%. The concentration profile shapes how much of the fund's return is driven by a small set of names.
XLV's comparable set: SPY, VOO, VTI. Each is a sector — healthcare ETF; the relative-value question is whether the 28 bps expense ratio, the 7.5% 5y CAGR, and the 5.00% yield clear the bar against the peer trio.
Top 25 holdings
| # | Ticker | Weight | VMCI |
|---|---|---|---|
| 1 | AAPL | 3.38% | 40 |
| 2 | MSFT | 3.38% | 68 |
| 3 | NVDA | 3.34% | 87 |
| 4 | AMZN | 3.09% | 44 |
| 5 | GOOGL | 2.92% | 80 |
| 6 | META | 2.92% | 81 |
| 7 | BRK-B | 2.83% | 52 |
| 8 | TSLA | 2.58% | 60 |
| 9 | V | 2.41% | 82 |
| 10 | JPM | 2.24% | 51 |
| 11 | UNH | 2.24% | 57 |
| 12 | XOM | 2.20% | 44 |
| 13 | JNJ | 2.12% | 86 |
| 14 | PG | 1.86% | 55 |
| 15 | MA | 1.82% | 78 |
| 16 | HD | 1.73% | 86 |
| 17 | MRK | 1.48% | 70 |
| 18 | AVGO | 1.27% | 43 |
| 19 | PEP | 1.27% | 79 |
| 20 | COST | 1.18% | 71 |
| 21 | KO | 0.93% | 70 |
| 22 | WMT | 0.76% | 58 |
| 23 | BAC | 0.76% | 88 |
| 24 | CVX | 0.68% | 81 |
| 25 | ADBE | 0.59% | 50 |
Performance & income
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Data refreshed at request time and cached for 6 hours. As of 2026-05-15.