All charts and data below are CPI-U inflation-adjusted and with dividends reinvested. (Why?)

Total Real Returns

XLV: Total Real Return Chart (Dividends Reinvested, Inflation Adjusted)

XLV real return snapshot: after CPI-U inflation, XLV returned +20.64% over the past year and +18.43% YTD, with dividends reinvested. Since Dec. 22, 1998, XLV is up +451.12% in real purchasing-power return, or +6.31%/yr, and is currently −0.51% below its real total-return high on Nov. 4, 2026.

Data ending Fri Nov. 13, 2026

Growth of $10,000

Tue 1998-12-22💬 to Fri 2026-11-13 Overall
Return
Exponential
Trendline
XLV
×
+451.12%
+6.31%/yr
+7.00%/yr
R2=0.862
Health Care Select Sector SPDR Fund Exchange-Traded Fund

Growth of $10,000 Summary

Tue 1998-12-22💬 to Fri 2026-11-13 Start
Value
End
Value
XLV
×
$10,000.00
1998-12-22
$55,111.62
2026-11-13

This Year’s Performance

through 2026-11-13

  YTD YoY
XLV
×
+18.43% +20.64%

Drawdowns

  Current
Drawdown
Worst
Drawdown
XLV
×
−0.51%
on 2026-11-13
from 2026-11-04 peak
−41.69%
on 2009-03-09
from 2000-01-10 peak

Rolling Returns

Period ending Fri 2026-11-13 1 yr 2 yr 3 yr 5 yr 10 yr
XLV
×
+20.64% +24.30%
+11.49%/yr
+42.19%
+12.45%/yr
+25.53%
+4.65%/yr
+126.40%
+8.51%/yr

Annual Returns

Year XLV
2026 (YTD) +18.43%
2025 +11.52%
2024 −0.40%
2023 −1.24%
2022 −8.04%
2021 +17.75%
2020 +11.77%
2019 +17.76%
2018 +4.29%
2017 +19.25%
2016 −4.73%
2015 +6.05%
2014 +24.20%
2013 +39.31%
2012 +15.37%
2011 +9.16%
2010 +1.78%
2009 +16.35%
2008 −23.38%
2007 +2.95%
2006 +4.42%
2005 +2.89%
2004 −1.92%
2003 +12.81%
2002 −3.04%
2001 −2.34%
2000 −14.50%
1999 +16.38%
1998 +3.89%