ETF · Health

State Street Health Care Select Sector SPDR ETF(XLV)

$161.09
-0.44%
Expense Ratio
$38.6B
Total AUM
Holdings
Inception
Active Share vs VOO
Truly Active
0%20%60%100%
90.5%

AI Look-Through Summary

AI Generated

The portfolio's sector tilt is heavily skewed towards healthcare, with an overwhelming 96.5% allocation to this category, leaving little room for diversification across other sectors. Geographically, it's likely that the majority of holdings are US-based given the dominance of large-cap pharmaceutical and biotechnology companies. The market-capitalization profile is also concentrated at the upper end, with no small-cap or mid-cap representation in the top 10 holdings.

Concentration risk is elevated due to the significant weightings of individual stocks, particularly Eli Lilly (16.2%) and Johnson & Johnson (10.6%), which together account for nearly a quarter of the portfolio's assets. Compared to the broader market, this ETF has an even heavier skew towards healthcare, which may be beneficial in a sector-specific growth environment but could prove detrimental during periods of weakness in the industry. A favorable macro environment would likely involve sustained demand for pharmaceuticals and biotechnology products, while increased regulatory scrutiny or patent expirations could have negative implications for the portfolio's performance.

Generated by Qwen-32B from constituent-level data. Not investment advice. Updated: 2026-07-14 07:46:08.498609+00

🔍 Theme Alignment Audit

AI GeneratedPurity: 98/100

The investment theme implied by the name, which targets a specific select sector of healthcare, is executed with near-perfect fidelity in this fund's composition. Every single top holding listed falls squarely within the healthcare industry, ranging from pharmaceutical giants and biotechnology firms to medical device companies and hospital operators. There are no unrelated holdings or diversification into technology or consumer sectors that would dilute the thematic focus, ensuring a strict adherence to the stated investment objective without deviation toward broad market stability through non-sector names.

Sector coherence is exceptionally high given that healthcare constitutes 96.6% of the total portfolio across forty-eight distinct positions, creating a tightly defined exposure profile. While the top-ten concentration sits at nearly sixty percent, driven largely by large-cap leaders like Eli Lilly and Johnson & Johnson, this weighting reflects the natural market capitalization distribution within the industry rather than an artificial reliance on mega-caps to obscure strategy. The fund appears genuinely differentiated from a broad market index due to its exclusion of non-healthcare equities entirely, offering investors pure sector exposure without the need for additional filtering or thematic interpretation beyond the label provided.

AI analysis of holdings alignment vs fund theme. Not investment advice. Updated: 2026-05-22 13:25:15.780181+00

🏢 Sector Analysis

AI Generated

The State Street Health Care Select Sector SPDR ETF exhibits an exceptionally high degree of sector purity, with healthcare holdings comprising 96.6% of the total portfolio across forty-eight constituents. This near-total dedication to a single industry underscores an investment thesis strictly focused on capturing returns from the medical services and pharmaceutical sectors while deliberately excluding exposure to other economic drivers such as technology or consumer discretionary growth. The fund's structure is designed to isolate the performance dynamics specific to healthcare, meaning that its valuation trajectory will be inextricably linked to broader trends within this industry rather than diversified market movements.

Concentration risk remains a defining characteristic of this vehicle, highlighted by the fact that the top ten holdings account for over 60% of assets under management. This heavy weighting is further intensified at the individual stock level, where Eli Lilly alone represents more than fifteen percent and Johnson & Johnson exceeds ten percent. Such a distribution indicates a significant factor tilt toward large-cap stability within the healthcare space, as these five names collectively form nearly half of the entire portfolio value. Consequently, the fund's performance will be disproportionately influenced by the fortunes of these specific mega-caps; any material adverse event affecting one or more of these leaders could exert outsized pressure on overall returns compared to a more broadly diversified peer group.

The dominance of traditional pharmaceutical and healthcare conglomerates suggests that the underlying index methodology prioritizes market capitalization within this sector, resulting in a portfolio heavily weighted toward established industry giants rather than emerging biotech firms or smaller specialized players. This composition reveals an implicit bet on the resilience and revenue generation capabilities of these large entities during various economic cycles. While this approach offers potential stability through brand recognition and diversified product pipelines inherent to these companies, it simultaneously limits exposure to high-growth segments that might be underrepresented due to their relative size compared to the top-tier incumbents held in such significant quantities.

AI-generated sector analysis from constituent-level data. Not investment advice. Updated: 2026-05-23 22:23:26.965088+00

Flow Driver Analysis

2-Step Circle

Which larger ETFs share XLV's holdings — and mechanically drive its price through index rebalancing flows?

Approximately 100% of XLV's weight flows through these larger ETFs

Driver ETFAUMExpenseShared StocksWeight Overlap
SPTMSPTM$12B6199.8%
SPYState Street SPDR S&P 500 ETF Trust$640B0.09%6199.8%
VOOVanguard S&P 500 ETF$1.5T0.03%5999.8%
VHTVHT$19B5999.8%
ONEOONEO$25M6099.4%

100% of XLV's portfolio by weight is also held by SPTM. When SPTM receives inflows, it mechanically buys these shared stocks — dragging XLV's NAV along regardless of any thematic or sector catalyst. Combined, the top 5 overlapping ETFs control exposure to 100% ofXLV's weight.

Overlap computed from constituent-level holdings data across 5 ETFs. Price co-movement with driver ETFs is structural, not coincidental. Not investment advice.

ETF Look-Through Dashboard

Peer through the ETF wrapper to see exactly what you own. Every metric is computed from constituent-level data.

29.6x
Weighted P/E
9.64x
Weighted P/B
$364B
Wtd Avg Market Cap

Weighted metrics calculated based on 98% of fund assets with available data.

Herfindahl-Hirschman Concentration Index

01000200030004000586
Well Diversified
Top 5: 45.8%Top 10: 60.9%

Morningstar-Style Box

Value
Blend
Growth
Large
Mid
Small
Large Growth

Sector & Cap Explorer

Healthcare96.7%
Visualization Mode

ETF Fundamental Radar

Total Analysis
100% Weight
Market Cap
Large
Risk Profile
Low Risk

Operational health is mixed, with the bulk of weight in the mid-range (4–6) Piotroski scores.

Piotroski F-Score (Operational Health)

Score 0-9: Measures Profitability, Leverage, and Efficiency

↑ Weight (%)100%80%60%40%20%
2%
0–3 Weak
55%
4–6 Average
42%
7–9 Strong

Computed by rolling up individual stock Piotroski F-Scores, Altman Z-Scores, and Beneish M-Scores weighted by each constituent's allocation.

Dividend Safety True-Up

Deterministic
57%
Wtd FCF Payout Ratio
1.24%
TTM Yield
Safe
Dividend Durability
57% of FCF
0% (retains all cash)50%100% (pays out everything)

The dividend-paying companies inside XLV collectively pay out 57% of their Free Cash Flow to maintain the current yield. This is a sustainable payout level with moderate room for dividend growth. Based on 86% of fund weight in dividend-paying stocks.

FCF Payout Ratio = Dividends Paid / Free Cash Flow, weighted by constituent allocation. Not investment advice.

Earnings vs. Price Decomposition

Proprietary
+23.3%
ETF 1Y Return
+30.4%
Wtd Earnings Growth
-7.2%
Multiple Contraction
Earnings

XLV is up 23.3% over the last 12 months. The underlying weighted earnings growth of its constituents is +30.4%. Despite earnings growth, valuations have contracted by 7.2% — the market is paying less per dollar of earnings than a year ago.

Earnings growth = weighted average YoY EPS growth of all constituents (capped at ±500% to limit outlier distortion). Based on 94% of fund weight with earnings data. Not investment advice.

Value Creation Map

ROIC vs WACC

What percentage of XLV's weight is allocated to companies that create economic value (ROIC > WACC) vs. destroy it?

69% Creators
31% Destroyers
Value Creators (ROIC > WACC)66.9%
Value Destroyers29.6%

Of XLV's analyzed weight, 69% is invested in companies earning more than their cost of capital — genuine value creators. The remaining 31% consists of companies whose ROIC falls below their WACC, effectively destroying shareholder value with every dollar invested.

ROIC-WACC spread for 96% of fund weight with available data. Not investment advice.

Concentration Risk Monitor

HIGH
15.8%
Largest Holding
LLY
33.8%
Top 3 Weight
17
Effective # of Stocks
43%
Top Stock Var. Share
Portfolio weight concentration
LLY
JNJ
ABBV
UNH
Other 45 stocks

LLY at 15.8% contributes an estimated 43% of portfolio variance.XLV holds 50 stocks but behaves like an 17-stock portfolio due to weight concentration in the top holdings.

Effective # of Stocks = 1 / HHI (Herfindahl-Hirschman Index). Variance share approximated as w² / Σw². Not investment advice.

Passive Crowding Score

MODERATE

How much of each constituent's market cap is structurally locked in passive ETFs — a proxy for liquidity fragility during sell-offs.

41/ 100
Wtd Avg Passive Ownership12.2%
Most Crowded HoldingGEHC (18.4%)
Least CrowdedDVA (5.4%)
Coverage99% of fund weight
0 — Low255075100 — Extreme

XLV has a Passive Crowding Score of 41/100. On average, 12.2% of the market capitalization of XLV's underlying holdings is structurally locked in passive ETF vehicles. This indicates moderate passive ownership density. Index rebalances and ETF creation/redemption activity can amplify short-term volatility in the underlying holdings.

Passive $ = Σ(ETF AUM × holding weight) across all 36 tracked ETFs. Actual passive ownership is higher (includes mutual funds, pension funds). Not investment advice.

Under the Hood — Top 15 Constituents

Top 10 Concentration60.9%
#TickerCompanyWeightP/EF-Score
1LLY
ELI LILLY + CO
Healthcare
15.82%
41.5x7/9
2JNJ
JOHNSON + JOHNSON
Healthcare
10.29%
29.0x4/9
3ABBV
ABBVIE INC
Healthcare
7.69%
124.8x7/9
4UNH
UNITEDHEALTH GROUP INC
Healthcare
6.58%
31.8x6/9
5MRK
MERCK + CO. INC.
Healthcare
5.39%
36.0x4/9
6TMO
THERMO FISHER SCIENTIFIC INC
Healthcare
3.45%
29.8x4/9
7AMGN
AMGEN INC
Healthcare
3.43%
25.8x7/9
8ABT
ABBOTT LABORATORIES
Healthcare
2.94%
27.7x5/9
9GILD
GILEAD SCIENCES INC
Healthcare
2.89%
18.5x8/9
10PFE
PFIZER INC
Healthcare
2.45%
19.1x5/9
11ISRG
INTUITIVE SURGICAL INC
Healthcare
2.44%
46.1x7/9
12CVS
CVS HEALTH CORP
Healthcare
2.32%
46.7x6/9
13DHR
DANAHER CORP
Healthcare
2.21%
39.7x4/9
14BMY
BRISTOL MYERS SQUIBB CO
Healthcare
2.11%
17.0x9/9
15VRTX
VERTEX PHARMACEUTICALS INC
Healthcare
2.11%
28.8x6/9
The bottom 47 stocks in XLV account for only 27.9% of the total fund weight.

Historical Holdings Snapshots

Browse how XLV’s holdings have changed across SEC filing dates. Showing top holdings per snapshot.

2026-07-18

15 holdings · 72.1% tracked weight
#TickerWeightSharesMarket Value
1LLY15.82%5,681,528
2JNJ10.29%17,289,034
3ABBV7.69%12,689,384
4UNH6.58%6,522,410
5MRK5.39%17,738,666
6TMO3.45%2,669,023
7AMGN3.43%3,876,285
8ABT2.94%12,510,023
9GILD2.89%8,917,136
10PFE2.45%40,934,264
11ISRG2.44%2,543,668
12CVS2.32%9,163,913
13DHR2.21%4,524,198
14BMY2.11%14,666,503
15VRTX2.11%1,822,891

2026-07-17

15 holdings · 72.0% tracked weight
#TickerWeightSharesMarket Value
1LLY15.99%5,665,073
2JNJ10.39%17,238,964
3ABBV7.54%12,652,634
4UNH6.64%6,503,525
5MRK5.34%17,687,291
6TMO3.48%2,661,298
7AMGN3.38%3,865,065
8GILD2.86%8,891,306
9ABT2.72%12,473,783
10PFE2.47%40,815,704
11ISRG2.41%2,536,303
12CVS2.36%9,137,378
13DHR2.21%4,511,088
14VRTX2.12%1,817,611
15BMY2.10%14,624,023

2026-07-16

15 holdings · 71.9% tracked weight
#TickerWeightSharesMarket Value
1LLY15.93%5,615,017
2JNJ10.68%17,086,588
3ABBV7.50%12,540,866
4UNH6.75%6,446,027
5MRK5.21%17,530,948
6TMO3.47%2,637,783
7AMGN3.35%3,830,877
8GILD2.82%8,812,745
9ABT2.69%12,363,409
10PFE2.42%40,454,986
11CVS2.37%9,056,590
12ISRG2.35%2,513,892
13DHR2.19%4,471,195
14VRTX2.11%1,801,539
15BMY2.03%14,494,693

2026-07-15

15 holdings · 71.9% tracked weight
#TickerWeightSharesMarket Value
1LLY16.03%5,625,977
2JNJ10.64%17,119,948
3ABBV7.51%12,565,346
4UNH6.68%6,458,607
5MRK5.25%17,565,178
6TMO3.37%2,642,933
7AMGN3.34%3,838,357
8GILD2.80%8,829,955
9ABT2.75%12,387,549
10ISRG2.47%2,518,802
11PFE2.39%40,533,966
12CVS2.32%9,074,270
13DHR2.16%4,479,925
14VRTX2.09%1,805,059
15BMY2.08%14,522,993

2026-07-14

15 holdings · 71.9% tracked weight
#TickerWeightSharesMarket Value
1LLY16.16%5,624,881
2JNJ10.63%17,116,612
3ABBV7.53%12,562,898
4UNH6.63%6,457,348
5MRK5.24%17,561,755
6AMGN3.37%3,837,609
7TMO3.37%2,642,418
8ABT2.81%12,385,135
9GILD2.77%8,828,234
10ISRG2.48%2,518,311
11PFE2.37%40,526,068
12CVS2.28%9,072,502
13DHR2.15%4,479,052
14VRTX2.12%1,804,707
15BMY2.02%14,520,163

2026-07-13

15 holdings · 72.2% tracked weight
#TickerWeightSharesMarket Value
1LLY16.41%5,643,513
2JNJ10.63%17,173,324
3ABBV7.53%12,604,514
4UNH6.68%6,478,751
5MRK5.27%17,619,946
6AMGN3.35%3,850,325
7TMO3.32%2,651,173
8GILD2.85%8,857,491
9ABT2.80%12,426,173
10ISRG2.48%2,526,658
11PFE2.36%40,660,334
12CVS2.24%9,102,558
13VRTX2.15%1,810,691
14DHR2.10%4,493,893
15BMY2.02%14,568,273

Source: SEC filings and fund provider disclosures. Shows last 6 snapshot dates, top 15 holdings per date by weight.

Risk Profile

17.5%
Annual Volatility
0.98
Sharpe (1Y)
-12.5%
Max Drawdown (5Y)

Sharpe = risk-adjusted return (higher is better). Computed from 1,200+ trading days with 5% risk-free rate.

Fama-French 5-Factor Exposure

Academic factor model decomposition — what's really driving this ETF's returns.

0.49
Market β
-0.010
Size (SMB)
Neutral
+0.013
Value (HML)
Neutral
-0.186
Profit (RMW)
Weak
+0.763
Invest (CMA)
Conservative
Alpha (annual): -4.03%
R²: 40.7%of variance explained by 5 factors

Fama-French 5-Factor Model. Data: Kenneth French Data Library. Regression over 3 years of daily returns.

Price Chart with Moving Averages

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What Drove XLV Today?

Daily return attribution — which holdings contributed most (and least) to the fund's move.

Fund move:-0.44%(2026-07-17)

Top Contributors

+0.134%
+0.126%
+0.055%

Top Detractors

-0.067%
-0.068%
-0.345%

Attribution = holding weight × stock daily return. Only the top contributors and detractors are shown.

Technical Setup

AI Generated

XLV's current price is trading below its 50-day simple moving average but above the 200-day, suggesting a recent downturn in short-term momentum. With an RSI of 37.1, indicating it’s near oversold territory, this could imply that the security may be due for some relief or recovery from current levels if past patterns hold true.

Underwater (Drawdown from Peak)

How far below the all-time high the price has been over time. Deeper = more pain for holders.

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Rolling 60-Day Beta vs S&P 500 (VOO)

How the ETF's sensitivity to market moves changes over time. β > 1 = more volatile than the market.

Loading beta chart...
Rolling Beta Market (β = 1.0)

Yield & Income

1.24%
TTM Yield
30-Day SEC Yield
5Y Div CAGR

Sector Drift Over Time

How XLV’s sector allocation has shifted across snapshots. Use the slider to travel through time.

2026-07-1894 snapshots
Healthcare96.7%
Other3.3%
Change since 2026-03-26
Other
+0.5%
Healthcare
-0.5%
2026-03-262026-07-18

Active Conviction Tracker

Shares bought and sold between the latest two data snapshots — reveals what the fund manager is actually doing.

Comparing 2026-07-172026-07-1850 buys, 0 sells

Positions Increased (50)

BUYPFE
40.8M40.9M+119K (+0.3%)
2.45%(-0.02)
BUYMRK
17.7M17.7M+51K (+0.3%)
5.39%(+0.05)
BUYJNJ
17.2M17.3M+50K (+0.3%)
10.29%(-0.10)
BUYBMY
14.6M14.7M+42K (+0.3%)
2.11%(+0.02)
BUYABBV
12.7M12.7M+37K (+0.3%)
7.69%(+0.15)
BUYABT
12.5M12.5M+36K (+0.3%)
2.94%(+0.23)
BUYBSX
10.6M10.7M+31K (+0.3%)
1.13%(+0.02)
BUYMDT
9.2M9.2M+27K (+0.3%)
1.83%(+0.03)

Positions Decreased (0)

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Quant metrics computed deterministically from financial statements and price data. Updated: 2026-07-17.

SecuritiesDB is for informational purposes only. Not investment advice.