BBHvsXLVETF Comparison
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VanEck Biotech ETF (BBH) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. BBH is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.08% for XLV. BBH is down -1.86% year-to-date (YTD) with -$4M in YTD flows. XLV performs worse with -6.44% YTD performance, and +$1.23B in YTD flows. Run a side-by-side ETF comparison of BBH and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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BBH vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | BBH XLV | +1.88%-0.41% | -7.18%-8.42% | -1.86%-6.44% | +24.34%+6.83% | +15.09%+12.26% | -0.59%+26.85% |
| Flows | BBH XLV | -$2M-$74M | -$4M-$228M | -$4M+$1.23B | -$52M+$1.16B | -$188M-$4.33B | -$130M+$7.32B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BBH XLV | +20.75%+15.20% | +20.44%+15.80% | +18.72%+13.72% | +21.44%+14.58% |
| Max drawdown | BBH XLV | -10.45%-10.19% | -10.45%-10.19% | -22.78%-17.05% | -39.88%-17.05% |
| Max drawdown duration | BBH XLV | 87d54d | 87d54d | 440d444d | 1719d444d |
Trading data
BBH | XLV | |
Last sale 4/27/2026 at 1:30 PM | $184.15 | $143.46 |
| Previous close 04/24/2026 | $185.67 | $144.18 |
| Consolidated volume 04/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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BBH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/27/2026 at 1:30 PM
Live
Closed
BBH | XLV | |
|---|---|---|
| Last price | $184.15 | $143.46 |
| 1D performance | -0.82% | -0.50% |
| AuM | $365.13 M | $38.13 B |
| E/R | 0.35% | 0.08% |
Characteristics
BBH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | VanEck | State Street Investment Management |
| Benchmark | MVIS US Listed Biotech 25 Index | S&P Health Care Select Sector Index |
| N° of holdings | 21 | 56 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 20, 2011 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
BBH
USA
97.6%
Other
2.4%
XLV
USA
97.26%
Other
2.74%
Sectors
BBH
Health Care
89.52%
Other
10.48%
XLV
Health Care
98.29%
Other
1.71%
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Diversification
BBH
Total weight of top 15 holdings out of 15
86.44%
XLV
Total weight of top 15 holdings out of 15
70.96%
Top 15 holdings
Data as of March 31, 2026
BBH
AMGEN-T
14.84%
GILEAD SCIENCES
14.71%
VERTEX PHARMACEUTICALS
8.23%
REGENERON PHARMACEUTICALS
7.49%
US04016X1019
5.23%
INSMED
4.42%
IQVIA HOLDINGS INC
4.30%
ALNYLAM PHARMACEUTICALS
4.04%
BIOGEN INC
3.92%
UTD THERAPEUT
3.89%
NATERA
3.82%
US07725L1026
3.20%
MODERNA INC
3.03%
REVOLUTION MEDICINES INC
2.81%
ILLUMINA
2.51%
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
Frequently asked questions about BBH and XLV
How have the BBH and XLV ETFs performed in 2026?
As of April 24, 2026, BBH is down -1.86% year-to-date (YTD), while XLV has lost -6.44%. That puts BBH better performer ahead so far this year.
Which ETF is attracting more investor money: BBH or XLV?
Year-to-date, the BBH ETF saw -$4M in flows, compared to +$1.23B for XLV.
Which ETF is more volatile: BBH or XLV?
Over the past year, BBH had a volatility of 20.44%, while XLV experienced 15.8%.
Which ETF is bigger: BBH or XLV?
As of April 24, 2026, BBH holds $365.13 M in assets under management (AUM), while XLV manages $38.13 B.
What sectors do the BBH and XLV ETFs invest in?
BBH leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the BBH ETF and XLV ETF?
BBH top holdings include AMGEN-T, GILEAD SCIENCES and VERTEX PHARMACEUTICALS. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: BBH or XLV?
BBH holds 24 securities with 86.44% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.
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