---
ticker: "XLV"
name: "State Street Health Care Select Sector SPDR ETF"
url: "https://etf.net/etf/XLV"
grade: "A"
score: 84
graded_at: "2026-10-12"
category: "Health Care (Broad)"
category_rank: "1 of 25"
methodology: "https://etf.net/methodology"
---

# XLV: State Street Health Care Select Sector SPDR ETF

Grade **A**, Score 84 of 100. Rank 1 of 25 in Health Care (Broad).

Graded Oct 12, 2026.

## Grade pillars

| Pillar | Score | Category rank |
| --- | --- | --- |
| Cost | 98 | 1 of 25 |
| Mission | 84 | 1 of 11 |
| Risk | 73 | 6 of 24 |
| Tradability | 99 | 1 of 25 |
| Holdings | 39 | 20 of 25 |
| Durability | 87 | 2 of 25 |

## Top holdings

The fund holds 64 positions. These are the largest 30, by weight.

| # | Ticker | Name | Weight |
| --- | --- | --- | --- |
| 1 | LLY | Eli Lilly & Co | 15.20% |
| 2 | JNJ | Johnson & Johnson | 10.15% |
| 3 | ABBV | AbbVie Inc | 7.87% |
| 4 | MRK | Merck & Co. Inc. | 5.79% |
| 5 | UNH | UnitedHealth Group Inc | 5.48% |
| 6 | TMO | Thermo Fisher Scientific Inc | 3.92% |
| 7 | AMGN | Amgen Inc | 3.61% |
| 8 | GILD | Gilead Sciences Inc | 3.02% |
| 9 | ABT | Abbott Laboratories | 2.78% |
| 10 | PFE | Pfizer Inc | 2.60% |
| 11 | ISRG | Intuitive Surgical Inc | 2.41% |
| 12 | DHR | Danaher Corp | 2.22% |
| 13 | VRTX | Vertex Pharmaceuticals Inc | 2.08% |
| 14 | BMY | Bristol Myers Squibb Co | 1.95% |
| 15 | MDT | Medtronic PLC | 1.82% |
| 16 | CVS | Cvs Health Corp | 1.78% |
| 17 | MCK | Mckesson Corp | 1.76% |
| 18 | SYK | Stryker Corp | 1.56% |
| 19 | ELV | Elevance Health Inc | 1.44% |
| 20 | MRNA | Moderna Inc | 1.35% |
| 21 | CI | The Cigna Group | 1.20% |
| 22 | REGN | Regeneron Pharmaceuticals | 1.18% |
| 23 | HCA | Hca Healthcare Inc | 1.07% |
| 24 | BSX | Boston Scientific Corp | 1.00% |
| 25 | COR | Cencora Inc | 1.00% |
| 26 | CAH | Cardinal Health Inc | 0.89% |
| 27 | HUM | Humana Inc | 0.84% |
| 28 | BDX | Becton Dickinson and Co | 0.81% |
| 29 | EW | Edwards Lifesciences Corp | 0.79% |
| 30 | A | Agilent Technologies Inc | 0.78% |

Source: etf.net, https://etf.net/etf/XLV. Please cite the page URL.