ALL DATA AS OF 9/30/23

XLV
FUND DETAILS
THE HEALTH CARE SELECT SECTOR SPDR consists of companies whose primary business
may include health care equipment and supplies, health care services, biotechnology, and
pharmaceuticals. There are 65 companies in the Health Care Select Sector SPDR.

PERFORMANCE AS OF 9/30/23
Trading Symbol XLV
ANNUALIZED
Price $128.72 YEAR TO SINCE
LATEST QTR. 1 YR. 3 YR. 5 YR. 10 YR.
DATE INCEPTION*
Distributions Quarterly
Total Returns (Net Asset Value) -2.64% -4.11% 8.11% 8.49% 8.09% 11.58% 8.57%
Expense Ratio 0.10%

Number of Holdings 65 Total Returns (Market Close) -2.58% -4.10% 8.05% 8.53% 8.09% 11.58% 8.58%

Short Selling Yes

Health Care Select Sector Index -2.65% -4.09% 8.18% 8.61% 8.21% 11.73% 8.79%
Options Yes
S&P 500 Index -3.27% 13.07% 21.62% 10.15% 9.92% 11.91% 7.38%

INDEX DETAILS AFTER-TAX Pre-Liquidation Total Returns -2.81% -4.59% 7.47% 8.02% 7.58% 11.11% 8.24%
(Net Asset Value)
Index Symbol IXV
AFTER-TAX Post-Liquidation Total Returns
Index Dividend Yield 1.77%† -1.56% -2.43% 4.88% 6.51% 6.25% 9.51% 7.39%
(Net Asset Value)

†
Yield as of 9/30/23

All total return figures assume reinvestment of dividends and capital gains at net asset value; actual returns may differ.
Performance data quoted represents past performance. Past performance does not guarantee future results. Investment return and principal value of an investment will fluctuate so
that an investor’s shares, when sold or redeemed, may be worth more or less than the original cost. Current performance data may be higher or lower than actual data quoted. For the
most current month-end performance data please visit www.sectorspdrs.com.
Select Sector SPDR Funds bear a higher level of risk than more broadly diversified funds.
After-tax returns are calculated using the historical highest individual federal marginal income tax rates and do not reflect the impact of state and local taxes. Actual after-tax returns depend on the
investor’s tax situation and may differ from those shown. The after-tax returns shown are not relevant to investors who hold their fund shares through tax-deferred arrangements such as 401(k) plans
or individual retirement accounts.
Market price returns are based on the midpoint of the bid/ask spread at 4 p.m. ET and do not represent the returns an investor would receive if shares were traded at other times.
*† Fund Inception date is December 16, 1998.
Index Dividend Yield Calculation - The sum of gross dividend per share amounts that have gone ex-dividend over the prior 12 months, divided by 1/10th of the Index value. All Cash Dividend types
are included in this yield calculation.
Source: Bloomberg
 HOLDINGS AND WEIGHTINGS
Unitedhealth (UNH) 9.73% Agilent Technologies (A) 0.69%

Eli Lilly (LLY) 8.92% Cencora (COR) 0.62%

Johnson & Johnson (JNJ) 7.81% West Pharmaceutical Services (WST) 0.58%

13.36% AbbVie (ABBV)

Merck (MRK)

Thermo Fisher Scientific (TMO)

5.48% GE Healthcare Technologies (GEHC)
5.44% Mettler-Toledo (MTD)
4.07% Zimmer Biomet (ZBH)
0.55%

0.50%

0.49%

Pfizer (PFE) 3.90% Cardinal Health (CAH) 0.46%

Abbott Labs (ABT) 3.50% Align Technology (ALGN) 0.45%

Danaher (DHR) 3.40% Illumina (ILMN) 0.45%

Amgen (AMGN) 2.99% ResMed (RMD) 0.45%

Bristol-Myers Squibb (BMY) 2.53% STERIS (STE) 0.45%

Percentage is the estimate weight of the index components
in the S&P 500 as of 9/30/23. Medtronic (MDT) 2.17% Molina Healthcare (MOH) 0.40%

Intuitive Surgical (ISRG) 2.14% Baxter Intl (BAX) 0.40%

Elevance Health (ELV) 2.14% Laboratory Corporation of America (LH) 0.37%

PORTFOLIO STATS Gilead Sciences (GILD) 1.94% Hologic (HOLX) 0.35%

Stryker (SYK) 1.92% Waters (WAT) 0.34%

P/E Ratio 18.12 Vertex Pharmaceuticals (VRTX) 1.87% Cooper Companies (COO) 0.33%

P/B Ratio 4.38 CVS Health (CVS) 1.87% Revvity (RVTY) 0.29%

Median Market Cap 36.02B Regeneron Pharmaceuticals (REGN) 1.83% Quest Diagnostics (DGX) 0.28%

Beta 0.65 Cigna (CI) 1.76% Viatris (VTRS) 0.25%

Average Daily Trading Volume 9,198,246 Zoetis (ZTS) 1.67% INSULET (PODD) 0.23%

Correlation to S&P 500^ 0.76 Boston Scientific (BSX) 1.61% Incyte (INCY) 0.22%
Source: Bloomberg, AltaVista Research Becton Dickinson (BDX) 1.56% Bio-Techne (TECH) 0.22%
^
3yr correlation: 9/30/20-9/30/23
Humana (HUM) 1.26% Charles River Laboratories (CRL) 0.21%

McKesson (MCK) 1.22% Henry Schein (HSIC) 0.20%

HCA Healthcare (HCA) 1.03% Teleflex (TFX) 0.19%

INDUSTRY BREAKDOWN Edwards Lifesciences (EW) 0.88% Catalent (CTLT) 0.17%

Centene (CNC) 0.78% Universal Health Services B (UHS) 0.16%

1. Pharmaceuticals 30.78% Biogen (BIIB) 0.78% Bio-Rad Labs A (BIO) 0.16%
2. Health Care Providers & Services 22.39% IDEXX Labs (IDXX) 0.76% Dentsply Sirona (XRAY) 0.15%
3. Health Care Equipment & Supplies 19.35% DexCom (DXCM) 0.75% DaVita (DVA) 0.11%
4. Biotechnology 15.83% IQVIA Holdings (IQV) 0.75% Organon (OGN) 0.09%
5. Life Sciences Tools & Services 11.65% Moderna (MRNA) 0.71%
Source: Bloomberg

There is no assurance that XLV currently holds these securities. Holdings and weightings are updated daily at www.sectorspdrs.com.
LEGAL DISCLOSURE
There are no sales loads on Select Sector SPDR shares Asset allocation cannot assure a profit nor protect
but ordinary brokerage commissions apply and this against a loss.
expense is not reflected in performance calculations.
Select Sector SPDRs are subject to risk similar to
The S&P 500 is a product of S&P Dow Jones Indices those of stocks including those regarding short-
LLC (“SPDJI”) and has been licensed for use by State selling and margin account maintenance.
Street Global Advisors (State Street). Standard &
Poor’s®, S&P®, S&P 500®, and SPDR® are registered All ETFs are subject to risk, including possible loss of
trademarks of Standard & Poor’s Financial Services principal. Sector ETF products are also subject to sector
LLC (“S&P”); and these trademarks have been licensed risk and non-diversification risk, which will result in
for use by SPDJI and sublicensed for certain purposes greater price fluctuations than the overall market.
by State Street. State Street’s Select Sector SPDRs are
not sponsored, endorsed, sold or promoted by SPDJI, An investor should consider investment
Dow Jones, S&P, their respective affiliates, and none of objectives, risks, charges and expenses carefully
such parties make any representation regarding the before investing. To obtain a prospectus,
advisability of investing in the Select Sector SPDRs which contains this and other information,
nor do they have any liability for any errors, omissions, call 1-866-SECTOR-ETF (866-732-8673) or visit
or interruptions of the S&P 500 Index. www.sectorspdrs.com. Read the prospectus
carefully before investing.
You cannot invest directly in an index.
ALPS Portfolio Solutions Distributor, Inc., a
The S&P 500 is an index of 500 common stocks that registered broker-dealer, is distributor for the
is generally considered representative of the U.S. Select Sector SPDR Trust.
stock market. The index is weighted toward stocks
with large market capitalizations and represents
approximately two-thirds of the total market value
of all domestic common stocks. The S&P 500 index
figures do not reflect any fees, expenses or taxes.

The Select Sector SPDR Trust consists of eleven

separate investment portfolios (each a “Select Sector
SPDR ETF”or an“ETF”and collectively the“Select Sector
SPDR ETFs” or the “ETFs”). Each Select Sector SPDR ETF
is an “index fund” that invests in a particular sector
or group of industries represented by a specified
Select Sector Index. The companies included in
each Select Sector Index are selected on the basis
of general industry classification from a universe of
companies defined by the S&P 500®. The investment
objective of each ETF is to provide investment
results that, before expenses, correspond generally
to the price and yield performance of publicly
traded equity securities of companies in a particular
sector or group of industries, as represented by a
specified market sector index.
 DEFINITIONS
P/E Ratio

A valuation ratio of a company’s current share price compared to its per-share earnings. It is calculated by dividing
the market value per share by earnings per share.

P/B Ratio

A ratio used to compare a stock’s market value to its book value. It is calculated by dividing the current closing
price of the stock by the latest quarter’s book value (book value is simply total assets minus intangible assets and
liabilities).

Median Market Cap

The midpoint of the range of the individual market capitalizations for each sector. The market capitalization is
defined as the value of a company, that is, the market value of its outstanding shares. This figure is found by taking
the stock price and multiplying it by the total number of shares outstanding.

Beta

A measure of a security’s or portfolio’s volatility, or systematic risk, in comparison to the market as a whole. Also
known as “beta coefficient”.

Volume

The number of shares or contracts traded in a security or an entire market during a given period of time. It is simply
the amount of shares that trade hands from sellers to buyers as a measure of activity.

Correlation

A measure that determines the degree to which two variable’s movements are associated.

Source: Investopedia SEL006951 Exp. 1/31/24