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XLVvsBBHETF Comparison
State Street Health Care Select Sector SPDR ETF (XLV) and VanEck Biotech ETF (BBH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.35% for BBH. XLV is down -2.96% year-to-date (YTD) with +$900M in YTD flows. BBH performs better with 1.49% YTD performance, and -$2M in YTD flows. Run a side-by-side ETF comparison of XLV and BBH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
XLV vs BBH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV BBH | -3.74%-1.90% | -2.07%+0.58% | -2.96%+1.49% | +5.69%+19.17% | +25.97%+25.33% | +41.91%+12.69% |
| Flows | XLV BBH | -$710M-$2M | -$28M-$2M | +$900M-$2M | -$38M-$58M | -$4.95B-$190M | +$6.87B-$121M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV BBH | +14.03%+19.85% | +17.46%+22.37% | +13.62%+18.42% | +14.49%+21.47% |
| Max drawdown | XLV BBH | -6.25%-6.07% | -12.43%-14.98% | -17.05%-22.78% | -17.05%-39.88% |
| Max drawdown duration | XLV BBH | 11d43d | 211d128d | 444d440d | 444d1675d |
XLV | BBH | |
Last sale 3/13/2026 at 3:27 PM | $150.33 | $188.44 |
| Previous close 03/12/2026 | $150.16 | $192.04 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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XLV | BBH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLV | BBH | |
|---|---|---|
| Last price | $150.33 | $188.44 |
| 1D performance | +0.11% | -1.87% |
| AuM | $39.37 B | $379.50 M |
| E/R | 0.08% | 0.35% |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the XLV and BBH ETFs performed in 2026?
As of March 12, 2026, XLV is down -2.96% year-to-date (YTD), while BBH has returned 1.49%. That puts BBH better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or BBH?
Year-to-date, the XLV ETF saw +$900M in flows, compared to -$2M for BBH.
Which ETF is more volatile: XLV or BBH?
Over the past year, XLV had a volatility of 17.46%, while BBH experienced 22.37%.
Which ETF is bigger: XLV or BBH?
As of March 12, 2026, XLV holds $39.37 B in assets under management (AUM), while BBH manages $379.50 M.
What sectors do the XLV and BBH ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, BBH focuses on Health Care.
What are the top holdings of the XLV ETF and BBH ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. BBH holds in its top three: GILEAD SCIENCES, AMGEN-T and VERTEX PHARMACEUTICALS.
Which ETF is more diversified: XLV or BBH?
XLV holds 60 securities with 70.12% of its assets in the top 15. BBH has 25 securities and a top 15 weight of 84.43%.
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