VHTvsXLVIETF Comparison
VS
ETF 2
XLVI
State Street Health Care Select Sector SPDR Premium Income Fund
This fund is part of
Options Strategies
+0.4%
Vanguard Health Care ETF (VHT) belongs to the US Health Care segment. State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. Both ETFs have the same top 3 sector exposures: and Health Care. VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.35% for XLVI. VHT is down -0.09% year-to-date (YTD) with -$247M in YTD flows. XLVI performs better with 2.27% YTD performance, and +$4M in YTD flows. Run a side-by-side ETF comparison of VHT and XLVI 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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VHT vs XLVI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | VHT XLVI | +5.01%+4.57% | +3.70%+3.73% | -0.09%+2.27% | +15.85%n/a | +23.91%n/a | +26.17%n/a |
| Flows | VHT XLVI | +$38M+$2M | -$96M+$2M | -$247M+$4M | -$686M- | -$2.57B- | -$408M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT XLVI | +16.17%+13.13% | +14.77%n/a | +14.00%n/a | +15.20%n/a |
| Max drawdown | VHT XLVI | -4.53%-4.28% | -10.39%n/a | -16.88%n/a | -17.77%n/a |
| Max drawdown duration | VHT XLVI | 22d65d | 156dn/a | 435dn/a | 767dn/a |
Trading data
VHT | XLVI | |
Last sale 6/12/2026 at 1:30 PM | $286.46 | $25.64 |
| Previous close 06/11/2026 | $286.80 | $25.60 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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XLVI
is actively managed and doesn’t replicate an indexVHT | XLVI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/12/2026 at 1:30 PM
Live
Closed
VHT | XLVI | |
|---|---|---|
| Last price | $286.46 | $25.64 |
| 1D performance | -0.12% | +0.14% |
| AuM | $17.00 B | $15.12 M |
| E/R | 0.09% | 0.35% |
Characteristics
VHT | XLVI | |
|---|---|---|
| Management strategy | Passive | Active |
| Provider | Vanguard | State Street Investment Management |
| Benchmark | MSCI US IMI Health Care 25/50 Index | - |
| N° of holdings | 343 | 55 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2004 | July 30, 2025 |
| ESG | No | No |
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Exposure
Countries
VHT
USA
96.73%
Other
3.27%
XLVI
USA
96.67%
Other
3.33%
Sectors
VHT
Health Care
96.88%
Other
3.12%
XLVI
Health Care
97.69%
Other
2.31%
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Diversification
VHT
Total weight of top 15 holdings out of 15
60.28%
XLVI
Total weight of top 15 holdings out of 15
70.39%
Top 15 holdings
Data as of April 30, 2026
VHT
LILLY
12.13%
JOHNSON&JOHNSON
8.82%
ABBVIE
6.03%
UNITEDHEALTH GRP
5.42%
MERCK & CO INC
4.38%
AMGEN-T
3.01%
THERMO FISHER SCIENTIFIC
2.91%
GILEAD SCIENCES
2.62%
INTUITIVE SURGICAL
2.62%
ABBOTT LABS
2.55%
PFIZER
2.45%
BRISTOL-MYERS SQUIBB
1.99%
DANAHER
1.84%
STRYKER
1.75%
VERTEX PHARMACEUTICALS
1.75%
XLVI
LILLY
13.98%
JOHNSON&JOHNSON
10.46%
ABBVIE
7.05%
UNITEDHEALTH GRP
6.34%
MERCK & CO INC
5.12%
AMGEN-T
3.52%
THERMO FISHER SCIENTIFIC
3.40%
INTUITIVE SURGICAL
3.07%
GILEAD SCIENCES
3.06%
ABBOTT LABS
2.98%
PFIZER
2.87%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.13%
VERTEX PHARMACEUTICALS
2.05%
STRYKER
2.05%
Frequently asked questions about VHT and XLVI
How have the VHT and XLVI ETFs performed in 2026?
As of June 12, 2026, VHT is down -0.09% year-to-date (YTD), while XLVI has returned 2.27%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: VHT or XLVI?
Year-to-date, the VHT ETF saw -$247M in flows, compared to +$4M for XLVI.
Which ETF is bigger: VHT or XLVI?
As of June 12, 2026, VHT holds $17.00 B in assets under management (AUM), while XLVI manages $15.12 M.
What sectors do the VHT and XLVI ETFs invest in?
VHT leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.
What are the top holdings of the VHT ETF and XLVI ETF?
VHT top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: VHT or XLVI?
VHT holds 401 securities with 60.28% of its assets in the top 15. XLVI has 58 securities and a top 15 weight of 70.39%.
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Latest news about VHT & XLVI
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