XLV vs SPY
Comparison between STATE STREET(R) HEALTH CARE SELECT SECTOR SPDR(R) ETF (XLV, ETF) and SPDR S&P 500 ETF Trust (SPY, ETF).
5-Year PerformanceSPY has outperformed XLV, delivering a return of +13.2% compared to +5.8%
XLV vs SPY - Performance Comparison
Key Characteristics
Financial metrics and valuation ratios
Net Assets
XLV
$38B
Winner
SPY
$784B
Expense Ratio
Winner
XLV
0.08%
SPY
0.09%
Max Drawdown
Winner
XLV
40.58%
SPY
56.47%
Sharpe Ratio
XLV
0.89
Winner
SPY
1.54
5Y Beta
Winner
XLV
0.46
SPY
1.00
P/E Ratio
XLV
28.28
Winner
SPY
27.62
Forward P/E
Winner
XLV
17.88
SPY
21.11
5Y Dividends CAGR
Winner
XLV
7.67%
SPY
6.00%
5Y EPS CAGR
XLV
12.23%
Winner
SPY
25.30%
Debt to Equity
XLV
53.53%
Winner
SPY
31.11%
P/S Ratio
Winner
XLV
1.47
SPY
3.49
P/B Ratio
Winner
XLV
4.62
SPY
5.30
XLV vs SPY - Holdings Comparison
XLV and SPY have 60 common holdings. Overlap is 8.53%
XLV's top 25 holdings weight is 85.54%. SPY's top 25 holdings weight is 51.24%.
| Rank | XLV | SPY |
|---|---|---|
| #1 | ELI LILLY AND CO (LLY) - 16.16% | NVIDIA CORP (NVDA) - 7.81% |
| #2 | JOHNSON & JOHNSON (JNJ) - 10.35% | APPLE INC (AAPL) - 6.81% |
| #3 | ABBVIE INC (ABBV) - 7.17% | MICROSOFT CORP (MSFT) - 4.53% |
| #4 | UNITEDHEALTH GROUP INC (UNH) - 6.64% | AMAZON.COM INC (AMZN) - 3.72% |
| #5 | MERCK & CO INC (MRK) - 5.25% | ALPHABET INC CLASS A (GOOGL) - 3.39% |
| #6 | AMGEN INC (AMGN) - 3.37% | BROADCOM INC (AVGO) - 2.77% |
| #7 | THERMO FISHER SCIENTIFIC INC (TMO) - 3.18% | ALPHABET INC CLASS C (GOOG) - 2.72% |
| #8 | GILEAD SCIENCES INC (GILD) - 2.85% | META PLATFORMS INC CLASS A (META) - 2.03% |
| #9 | ABBOTT LABORATORIES (ABT) - 2.82% | MICRON TECHNOLOGY INC (MU) - 1.78% |
| #10 | PFIZER INC (PFE) - 2.70% | TESLA INC (TSLA) - 1.76% |
| #11 | INTUITIVE SURGICAL INC (ISRG) - 2.62% | BERKSHIRE HATHAWAY INC CLASS B (BRK-B) - 1.41% |
| #12 | CVS HEALTH CORP (CVS) - 2.31% | JPMORGAN CHASE & CO (JPM) - 1.38% |
| #13 | VERTEX PHARMACEUTICALS INC (VRTX) - 2.14% | ELI LILLY AND CO (LLY) - 1.38% |
| #14 | BRISTOL-MYERS SQUIBB CO (BMY) - 2.06% | ADVANCED MICRO DEVICES INC (AMD) - 1.28% |
| #15 | DANAHER CORP (DHR) - 2.05% | EXXON MOBIL CORP (XOM) - 0.92% |
| #16 | STRYKER CORP (SYK) - 1.90% | JOHNSON & JOHNSON (JNJ) - 0.88% |
| #17 | MEDTRONIC PLC (MDT) - 1.84% | VISA INC CLASS A (V) - 0.87% |
| #18 | MCKESSON CORP (MCK) - 1.75% | INTEL CORP (INTC) - 0.85% |
| #19 | ELEVANCE HEALTH INC (ELV) - 1.58% | WALMART INC (WMT) - 0.82% |
| #20 | THE CIGNA GROUP (CI) - 1.38% | CISCO SYSTEMS INC (CSCO) - 0.73% |
| #21 | BOSTON SCIENTIFIC CORP (BSX) - 1.22% | LAM RESEARCH CORP (LRCX) - 0.71% |
| #22 | REGENERON PHARMACEUTICALS INC (REGN) - 1.12% | APPLIED MATERIALS INC (AMAT) - 0.70% |
| #23 | HCA HEALTHCARE INC (HCA) - 1.11% | CATERPILLAR INC (CAT) - 0.68% |
| #24 | CENCORA INC (COR) - 0.99% | COSTCO WHOLESALE CORP (COST) - 0.68% |
| #25 | CARDINAL HEALTH INC (CAH) - 0.98% | MASTERCARD INC CLASS A (MA) - 0.63% |
| Total Holdings | 63 | 505 |
XLV vs SPY - Historical Returns
Returns include dividend reinvestment.
1M
Winner
XLV
+1.97%
SPY
-1.37%
3M
XLV
+5.58%
Winner
SPY
+12.22%
6M
XLV
-0.98%
Winner
SPY
+7.20%
1Y
XLV
+17.15%
Winner
SPY
+23.58%
5Y(CAGR)
XLV
+5.80%
Winner
SPY
+13.19%
10Y(CAGR)
XLV
+9.69%
Winner
SPY
+15.12%
Max(CAGR)
XLV
+8.17%
Winner
SPY
+8.44%
XLV vs SPY - Annual Returns (1999 - 2026)
Returns include dividend reinvestment.
| Year | XLV | SPY |
|---|---|---|
| 2026 | -1.31% | +7.95% |
| 2025 | +14.46% | +18.00% |
| 2024 | +0.70% | +25.59% |
| 2023 | +2.36% | +26.72% |
| 2022 | -1.07% | -18.64% |
| 2021 | +26.58% | +30.52% |
| 2020 | +13.04% | +17.28% |
| 2019 | +22.30% | +31.09% |
| 2018 | +5.10% | -5.24% |
| 2017 | +20.20% | +20.78% |
| 2016 | -0.98% | +13.59% |
| 2015 | +6.45% | +1.31% |
| 2014 | +25.84% | +14.56% |
| 2013 | +38.67% | +29.00% |
| 2012 | +15.87% | +14.17% |
| 2011 | +11.38% | +0.85% |
| 2010 | +1.54% | +13.14% |
| 2009 | +17.13% | +22.67% |
| 2008 | -22.50% | -36.25% |
| 2007 | +7.12% | +5.32% |
| 2006 | +5.76% | +13.85% |
| 2005 | +7.66% | +5.32% |
| 2004 | +1.05% | +10.75% |
| 2003 | +11.89% | +24.18% |
| 2002 | -1.59% | -22.42% |
| 2001 | +3.39% | -10.13% |
| 2000 | -9.87% | -8.84% |
| 1999 | +10.22% | +8.61% |
XLV vs SPY Drawdown Comparison
The maximum drawdown for XLV was -39.17%, occurring on Mar 9, 2009. Recovery took 850 trading sessions.
The maximum drawdown for SPY was -55.20%, occurring on Mar 9, 2009. Recovery took 1224 trading sessions.
The current XLV drawdown is -4.20%. The current SPY drawdown is -3.18%.
| Rank | XLV | SPY |
|---|---|---|
| #1 | -39.17% Dec 10, 2007 - Apr 26, 2011 | -55.20% Oct 9, 2007 - Aug 16, 2012 |
| #2 | -33.13% Jan 10, 2000 - Jun 16, 2005 | -47.50% Mar 24, 2000 - Oct 26, 2006 |
| #3 | -28.39% Jan 22, 2020 - Jul 15, 2020 | -33.70% Feb 19, 2020 - Aug 10, 2020 |
| #4 | -17.34% May 18, 2011 - Jan 18, 2012 | -24.50% Jan 3, 2022 - Dec 13, 2023 |
| #5 | -17.11% Sep 16, 2024 - Nov 21, 2025 | -19.34% Sep 20, 2018 - Apr 12, 2019 |
| #6 | -17.08% Jul 20, 2015 - Mar 1, 2017 | -18.76% Feb 19, 2025 - Jun 26, 2025 |
| #7 | -16.06% Apr 8, 2022 - Jan 4, 2024 | -13.02% Jul 20, 2015 - Apr 18, 2016 |
| #8 | -15.44% Nov 30, 2018 - Oct 29, 2019 | -10.10% Jan 26, 2018 - Aug 6, 2018 |
| #9 | -12.79% Jan 26, 2018 - Aug 17, 2018 | -9.44% Sep 2, 2020 - Nov 11, 2020 |
| #10 | -10.56% Dec 30, 2021 - Apr 7, 2022 | -9.30% Jan 19, 2000 - Mar 17, 2000 |
| #11 | -10.47% Feb 27, 2026 - Apr 29, 2026 | -9.05% Jul 19, 2007 - Oct 5, 2007 |
| #12 | -9.85% Mar 22, 2006 - Aug 29, 2006 | -8.88% Jan 27, 2026 - Apr 14, 2026 |
| #13 | -8.71% Oct 1, 2018 - Nov 30, 2018 | -8.41% Jul 16, 2024 - Sep 19, 2024 |
| #14 | -8.21% May 7, 2007 - Nov 30, 2007 | -7.35% Sep 14, 2012 - Jan 2, 2013 |
| #15 | -8.08% Sep 3, 2021 - Dec 15, 2021 | -7.27% Sep 18, 2014 - Oct 31, 2014 |
Correlation
Correlation between XLV and SPY is 0.97 which considered as a very strong positive correlation - the stocks move almost identically together.
0.97
-101
Dividend Comparison (1999 - 2026)
XLV vs SPY dividend yield comparison.
| Year | XLV | SPY |
|---|---|---|
| 2026 | 0.82% | 0.50% |
| 2025 | 1.60% | 1.07% |
| 2024 | 1.67% | 1.21% |
| 2023 | 1.59% | 1.40% |
| 2022 | 1.47% | 1.65% |
| 2021 | 1.33% | 1.20% |
| 2020 | 1.49% | 1.52% |
| 2019 | 2.17% | 1.75% |
| 2018 | 1.57% | 2.04% |
| 2017 | 1.47% | 1.80% |
| 2016 | 1.60% | 2.03% |
| 2015 | 1.43% | 2.06% |
| 2014 | 1.35% | 1.87% |
| 2013 | 1.52% | 1.81% |
| 2012 | 2.01% | 2.18% |
| 2011 | 1.96% | 2.05% |
| 2010 | 1.83% | 1.80% |
| 2009 | 1.85% | 1.95% |
| 2008 | 2.19% | 3.02% |
| 2007 | 1.62% | 1.85% |
| 2006 | 1.35% | 1.73% |
| 2005 | 1.25% | 1.73% |
| 2004 | 1.13% | 1.82% |
| 2003 | 1.15% | 1.47% |
| 2002 | 0.74% | 1.70% |
| 2001 | 0.27% | 1.25% |
| 2000 | 0.22% | 1.15% |
| 1999 | 0.57% | 0.24% |
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