Health Care Select Sector SPDR Fund · XLV
etfHealthcare
Last updated: February 26, 2026
Money flow in Health Care Select Sector SPDR Fund is balanced, with neither strong accumulation nor distribution. The Flow & Accumulation Score reads 59/100 — a neutral reading with no clear directional bias. The trend picture is neutral — the Trend & Momentum Score sits at 59/100, suggesting no clear directional conviction. The Risk Profile Score sits at 50/100, reflecting a mediocre return-to-risk balance.
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Where is money flowing?
VWAP: Above 50d ($156.36) and 200d ($143.25)
Money flow in Health Care Select Sector SPDR Fund is neutral. The Flow & Accumulation Score reads 59/100 — neither buyers nor sellers are dominating, and capital commitment is balanced. Chaikin Money Flow at -0.01 and On-Balance Volume (flat) provide a mixed picture of flow dynamics.
What is the trend?
| MA Period | Value | Price vs MA | Distance |
|---|---|---|---|
| 10-day | 157.45 | Below | -0.0% |
| 21-day | 156.36 | Above | +0.7% |
| 50-day | 156.26 | Above | +0.7% |
| 100-day | 152.19 | Above | +3.4% |
| 200-day | 142.84 | Above | +10.2% |
Health Care Select Sector SPDR Fund is in a neutral or transitioning phase. The Trend & Momentum Score sits at 59/100, with mixed moving average alignment — no clear trend signal is present.
Is momentum building or fading?
Momentum is positive across all timeframes — 10-day (0.7%), 21-day (1.3%), and 63-day (1.8%) rate of change are all in positive territory — though the alignment suggests the pace of gains is stabilising rather than accelerating. RSI at 53 sits near the midline — momentum is essentially neutral, with neither buyers nor sellers showing clear dominance. The MACD histogram is positive, confirming the momentum picture — trend strength and directional indicators are in agreement.
How extended is this move?
Price is 0.7% above the 50-day moving average — a mild extension within the normal range (41st percentile of its historical range). There is no significant stretch to flag. Bollinger Band %B at 0.67 shows price in the upper half of its recent volatility range. Bollinger Bandwidth has compressed to 0.035 — volatility is unusually low, a condition often referred to as a squeeze. Historically, periods of compressed volatility tend to precede significant moves in one direction.
Where are the key levels?
$155.97 – $161.07
$142.25 – $146.02
The strongest support zone is $142 — $146, 9% below current price, where 8 independent signals converge — major swing at $143, double bottom at $143, double bottom at $144, double bottom at $145, and 4 other signals. Overhead, a strong resistance cluster at $156 — $161 (1% above) needs to clear — double top at $158, major swing at $159, double top at $159, major swing at $160, and 6 other signals. The volume profile shows the highest activity around $136 (Point of Control), with the 70% value area spanning $128 to $152. Price is within 2% of the 52-week high at $161.
How does this compare?
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What risk am I taking?
The risk-return profile of Health Care Select Sector SPDR Fund is mediocre. The Risk Profile Score sits at 50/100 — the return-to-risk trade-off is unremarkable, suggesting caution with position sizing. The 1-year Sortino Ratio of 0.4 is below average — returns have barely compensated for the downside volatility. The largest drawdown over the past year reached -13.6%.
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Direction Assessment
Confirmed uptrend with capital inflow
Uptrend without volume support
Capital flowing in, trend not yet established
Downtrend with capital outflow
Average. Standard positioning appropriate.
The combined signal is neutral. With trend at 59/100 and flow at 59/100, neither dimension provides a clear directional reading — the asset is in a transitional or range-bound state. The Risk Profile Score at 50/100 sits in unremarkable territory — in a neutral directional environment, the risk metrics become important for sizing decisions.
Conclusion
Health Care Select Sector SPDR Fund is in a transitional phase. The data does not support a strong directional view — indicators are mixed, and the asset could resolve in either direction. No single indicator is at an extreme — the readings are within normal ranges across the framework, which itself is informative. These scores update daily as new data arrives. Flipside does not predict what happens next — it shows what is happening now, grounded in the data.