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Constituent dispersion · breadth vs the index

XLV — Health Care Select Sector

59/59 covered · 100% by weight · benchmark: XLV price · closes through 2026-06-18 ·holdings as of 2026-06-16

Concentration 45.88% in top 5 16.81 effective names · HHI 595
RS vs S&P 500 21d -0.36pp sector return − SPY
RS vs Nasdaq-100 21d -4.16pp sector return − QQQ
Weakening below the surface - the A/D line is falling while price holds up; leadership is narrowing. Last 21 sessions — price +1.41% · A/D -26 (-0.44/name)
XLV price
Cumulative advance / decline of constituents — rises when more names are up than down; turns before price at inflections

Divergence over time — price vs breadth, by horizon

The hero read is the 1-month picture; here the same price↔breadth divergence across 1 week / 1 month / 1 quarter, computed over the 126-session history. A/D /name is net advancers-minus-decliners per covered constituent; % beating Δ and median−ETF Δ show how participation shifted. Price rising while those fall = the move is narrowing under the surface.

HorizonPriceA/D /name% beating ΔMedian−ETF ΔRead
1 week -3.04% -0.83 +9pp +1.84pp Confirming ↓
1 month +1.41% -0.44 +21pp +5.82pp Weakening
1 quarter -0.66% -1.53 +14pp +2.09pp Weakening

Over the last 126 sessions: price down -2.21%, breadth down (-2.37/name) · % beating 42→53 · median−ETF -1.12pp→+0.71pp.

Stocks above their moving average — participation breadth

Of the 59 covered constituents, the share trading above each simple moving average — the classic breadth gauge. A firm index price with a low %-above-MA is a narrow, top-heavy tape. As of 2026-06-18.

5-day 10.17% 6/59 above
20-day 37.29% 22/59 above
50-day 49.15% 29/59 above
100-day 44.07% 26/59 above
150-day 45.76% 27/59 above
200-day 50.85% 30/59 above
% of constituents above their 50-day average — breadth over the last year; 50% is the participation midpoint

New highs & new lows — by horizon

How many of the 59 covered constituents closed today at a new high (or low) over each window, and the net. A shrinking net as the index holds up = fewer names leading.

HorizonNew highsNew lowsNet
5-Day 3 (5%) 27 (46%) -24
1-Month 3 (5%) 5 (8%) -2
3-Month 1 (2%) 3 (5%) -2
6-Month 1 (2%) 1 (2%) +0
52-Week 1 (2%) 1 (2%) +0
YTD 1 (2%) 1 (2%) +0

Dispersion by window

WindowETFMedianMedian − ETF Up / DownBeat / Lag±1% bandDispersion
1d -0.87% -0.06% +0.81pp 29 / 30 38 / 21 20 of 59 ±1.92%
5d -3.04% -2.22% +0.82pp 11 / 48 36 / 23 18 of 59 ±4.84%
21d +1.41% +2.13% +0.71pp 36 / 23 31 / 28 7 of 59 ±9.43%
YTD -3.09% -1.16% +1.93pp 27 / 32 31 / 28 1 of 59 ±27.58%

Median − ETF below zero means the typical name is lagging the cap-weighted index — the move is top-heavy. "Beat" counts constituents outperforming the ETF over the window. Dispersion is the cross-sectional standard deviation of constituent returns — high = a stock-picker's tape, low = pure beta.

What drove the move — contribution = weight × return

Today (1d)

  • SYK+2.21%+0.04pp
  • ISRG+1.14%+0.03pp
  • MDT+1.54%+0.03pp
  • IDXX+2.93%+0.02pp
  • UNH+0.36%+0.02pp
  • JNJ-2.48%-0.26pp
  • LLY-1.21%-0.2pp
  • ABBV-2.14%-0.16pp
  • PFE-2.74%-0.07pp
  • MRK-1.36%-0.07pp

This month (21d)

  • LLY+7.55%+1.22pp
  • UNH+3.01%+0.2pp
  • HUM+16.13%+0.13pp
  • DHR+6.06%+0.12pp
  • MRNA+39.90%+0.12pp
  • BSX-20.28%-0.25pp
  • ISRG-7.88%-0.21pp
  • BMY-7.39%-0.15pp
  • GILD-5.16%-0.14pp
  • HCA-7.29%-0.08pp

Each name's contribution = its index weight × its return — the percentage points it added to (green) or subtracted from (red) the ETF's move. Computed across covered names.

Leaders & laggards (21-day)

  • MRNA+39.90%
  • TECH+27.42%
  • CRL+21.37%
  • ALGN+17.35%
  • HUM+16.13%
  • BSX-20.28%
  • UHS-15.19%
  • RMD-9.22%
  • ISRG-7.88%
  • BMY-7.39%

XLV — constituent leadership race

$100 in each covered XLV constituent at 2025-12-11, rebased to 100. Watch leadership change hands.

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Each covered constituent started at $100 at the window open; the bars race by total return (top 12 shown). Decision-support, not investment advice.

Constituents — 59 covered · click a column to sort

Symbol Weight Last 1d 5d 21d YTD RS rank
LLY Eli Lilly and Company 16.15% 1098.57 -1.21% -5.37% +7.55% +2.39% 78
JNJ Johnson & Johnson 10.44% 228.39 -2.48% -4.17% -0.12% +10.95% 37
ABBV Abbvie Inc 7.24% 216.49 -2.14% -3.68% +1.28% -3.70% 46
UNH Unitedhealth Group 6.62% 400.96 +0.36% -0.57% +3.01% +22.41% 58
MRK Merck & Company 5.28% 113.87 -1.36% -5.03% -0.32% +8.98% 34
AMGN Amgen Inc 3.44% 337.60 -1.19% -4.65% +2.07% +3.86% 47
TMO Thermo Fisher Scientific 3.17% 464.61 +0.63% -2.23% +3.75% -19.74% 63
GILD Gilead Sciences Inc 2.78% 123.76 -1.35% -1.03% -5.16% +1.40% 15
ABT Abbott Laboratories 2.76% 88.41 -0.10% -1.38% -0.46% -28.63% 32
PFE Pfizer Inc 2.68% 25.21 -2.74% -3.67% -1.75% +2.94% 29
ISRG Intuitive Surg Inc 2.63% 406.78 +1.14% -1.48% -7.88% -28.18% 5
CVS CVS Corp 2.33% 98.32 -0.85% -2.15% +4.40% +26.01% 68
BMY Bristol-Myers Squibb Company 2.09% 54.00 -2.32% -5.10% -7.39% +2.34% 7
DHR Danaher Corp 2.04% 177.17 -0.33% -2.00% +6.06% -22.44% 69
VRTX Vertex Pharmaceutic 2.03% 451.63 -1.60% +1.48% +3.99% -0.38% 64
SYK Stryker Corp 1.93% 307.80 +2.21% +0.71% -3.13% -12.19% 22
MDT Medtronic Inc 1.85% 79.34 +1.54% -1.23% +0.97% -16.73% 42
MCK Mckesson Corp 1.73% 750.63 -3.74% -4.64% -1.37% -8.31% 31
ELV Elevance Health Inc 1.60% 388.50 -0.71% -2.68% -3.42% +11.51% 20
CI The Cigna Group 1.41% 279.27 -2.04% -5.28% -3.57% +2.62% 19
BSX Boston Scientific Corp 1.25% 45.29 +0.76% -3.99% -20.28% -52.50% 0
REGN Regeneron Pharmaceuticals 1.11% 609.94 +0.33% -0.25% -3.09% -20.88% 25
HCA Hca Holdings Inc 1.09% 375.17 -3.35% -0.68% -7.29% -19.52% 8
COR Cencora Inc 0.99% 271.83 -1.90% -3.43% +2.13% -19.19% 49
CAH Cardinal Health 0.95% 221.77 -1.99% +0.28% +10.68% +8.45% 88
EW Edwards Lifesciences Corp 0.89% 87.36 +0.78% +1.87% +6.33% +2.48% 71
HUM Humana Inc 0.82% 360.65 -0.37% -2.18% +16.13% +41.52% 92
IDXX Idexx Laboratories 0.81% 562.09 +2.93% +0.75% +2.85% -16.92% 56
BDX Becton Dickinson and Company 0.75% 143.98 +1.67% -2.29% -2.02% -5.03% 27
A Agilent Technologies 0.66% 127.06 +2.20% -1.92% +14.91% -6.24% 90
WAT Waters Corp 0.63% 355.44 -0.44% -1.20% +6.66% -6.42% 73
ZTS Zoetis Inc Cl A 0.60% 78.71 +1.88% -3.30% -0.27% -36.90% 36
IQV Iqvia Holdings Inc 0.55% 167.77 -1.70% -7.34% -3.12% -25.57% 24
CNC Centene Corp 0.55% 61.02 +0.63% -3.97% +3.16% +48.29% 61
GEHC GE Healthcare Technologies 0.53% 61.59 +0.72% -4.53% +0.02% -24.84% 39
BIIB Biogen Inc 0.53% 196.58 -1.05% -1.69% +3.16% +11.70% 59
DXCM Dexcom Inc 0.52% 72.47 +1.74% -3.69% +8.24% +9.19% 81
RMD Resmed Inc 0.51% 188.63 +1.26% -1.95% -9.22% -21.27% 3
VEEV Veeva Systems Inc 0.43% 153.30 -1.00% -5.11% -6.13% -31.33% 10
WST West Pharmaceutical Services 0.43% 327.95 +1.35% -0.72% +7.90% +19.39% 80
MTD Mettler-Toledo International 0.41% 1144.84 +1.36% +0.31% +8.95% -17.88% 85
DGX Quest Diagnostics Inc 0.40% 195.00 -1.40% -4.33% +2.42% +13.38% 53
LH Laboratory Corp of America 0.40% 255.82 -1.44% -3.56% +1.12% +2.51% 44
STE Steris Corp 0.37% 202.61 +1.61% -2.22% -5.51% -19.88% 14
VTRS Viatris Inc 0.34% 15.37 -2.29% -5.76% -4.25% +25.42% 17
INCY Incyte Corp 0.33% 98.22 -0.78% -8.91% +2.74% -0.56% 54
ZBH Zimmer Biomet Holdings 0.32% 87.97 +0.93% +0.95% +2.20% -1.90% 51
MRNA Moderna Inc 0.31% 63.96 +3.50% +28.85% +39.90% +116.89% 98
COO Cooper Companies 0.24% 65.91 +1.32% -2.37% +7.26% -19.58% 76
ALGN Align Technology 0.21% 182.08 +4.93% +3.16% +17.35% +16.61% 93
SOLV Solventum Corporation 0.21% 75.43 +1.17% -4.78% +0.94% -4.81% 41
RVTY Revvity Inc 0.20% 100.00 +2.23% -1.50% +4.31% +3.50% 66
BAX Baxter International 0.19% 19.89 +2.58% -2.93% +8.57% +4.19% 83
PODD Insulet Corp 0.19% 145.76 +1.56% -2.30% -5.72% -48.72% 12
CRL Charles River Laboratories 0.17% 185.00 +1.46% -1.63% +21.37% -7.26% 95
TECH Bio-Techne Corp 0.15% 57.94 +5.35% +7.26% +27.42% -1.16% 97
HSIC Henry Schein Inc 0.15% 79.92 -0.06% -0.37% +9.60% +5.74% 86
UHS Universal Health Services 0.15% 141.17 -0.06% -3.34% -15.19% -35.19% 2
DVA Davita Healthcare Partners 0.13% 207.91 -1.27% +2.00% +6.83% +83.00% 75

RS rank = the constituent's 21-day return percentile within the index (100 = strongest of the covered names). Weight is the index weight; returns use adjusted closes. Default sort: weight.

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Dispersion is computed across the constituents we cover in our data lake (see coverage badge). Decision-support, not investment advice.