XLVvsFTXHETF Comparison
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State Street Health Care Select Sector SPDR ETF (XLV) and First Trust Nasdaq Pharmaceuticals ETF (FTXH) 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 0.6% for FTXH. XLV is down -0.21% year-to-date (YTD) with -$14M in YTD flows. FTXH performs better with 9.46% YTD performance, and +$10M in YTD flows. Run a side-by-side ETF comparison of XLV and FTXH 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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XLV vs FTXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV FTXH | +5.52%+4.89% | +2.83%+6.69% | -0.21%+9.46% | +14.42%+38.27% | +23.56%+43.75% | +33.70%+46.87% |
| Flows | XLV FTXH | -$27M-$2M | -$937M+$3M | -$14M+$10M | +$63M+$7M | -$7.15B-$3M | +$4.72B+$5M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV FTXH | +15.97%+17.83% | +15.00%+17.06% | +13.96%+16.29% | +14.72%+15.91% |
| Max drawdown | XLV FTXH | -5.04%-4.47% | -10.51%-7.50% | -17.05%-19.32% | -17.05%-19.32% |
| Max drawdown duration | XLV FTXH | 72d32d | 103d99d | 444d393d | 444d393d |
Trading data
XLV | FTXH | |
Last sale 6/12/2026 at 1:30 PM | $153.81 | $36.01 |
| Previous close 06/11/2026 | $154.09 | $36.09 |
| 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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XLV | FTXH | |
|---|---|---|
| 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
XLV | FTXH | |
|---|---|---|
| Last price | $153.81 | $36.01 |
| 1D performance | -0.18% | -0.21% |
| AuM | $39.35 B | $34.18 M |
| E/R | 0.08% | 0.6% |
Characteristics
XLV | FTXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | First Trust |
| Benchmark | S&P Health Care Select Sector Index | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 55 | 47 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | September 20, 2016 |
| ESG | No | No |
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Exposure
Countries
XLV
USA
97.39%
Other
2.61%
FTXH
USA
93.7%
Other
6.3%
Sectors
XLV
Health Care
98.41%
Other
1.59%
FTXH
Health Care
97.61%
Other
2.39%
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Diversification
XLV
Total weight of top 15 holdings out of 15
70.92%
FTXH
Total weight of top 15 holdings out of 15
69.57%
Top 15 holdings
Data as of April 30, 2026
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
FTXH
BRISTOL-MYERS SQUIBB
7.25%
JOHNSON&JOHNSON
7.12%
MERCK & CO INC
6.90%
ABBVIE
6.61%
LILLY
6.45%
VIATRIS INC
3.85%
PFIZER
3.72%
BIOGEN INC
3.71%
REGENERON PHARMACEUTICALS
3.63%
CARDINAL HEALTH
3.48%
ZOETIS INC
3.45%
AMGEN-T
3.40%
GILEAD SCIENCES
3.37%
VERTEX PHARMACEUTICALS
3.36%
UTD THERAPEUT
3.26%
Frequently asked questions about XLV and FTXH
How have the XLV and FTXH ETFs performed in 2026?
As of June 12, 2026, XLV is down -0.21% year-to-date (YTD), while FTXH has returned 9.46%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or FTXH?
Year-to-date, the XLV ETF saw -$14M in flows, compared to +$10M for FTXH.
Which ETF is more volatile: XLV or FTXH?
Over the past year, XLV had a volatility of 15%, while FTXH experienced 17.06%.
Which ETF is bigger: XLV or FTXH?
As of June 12, 2026, XLV holds $39.35 B in assets under management (AUM), while FTXH manages $34.18 M.
What sectors do the XLV and FTXH ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the XLV ETF and FTXH ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. FTXH holds in its top three: BRISTOL-MYERS SQUIBB, JOHNSON&JOHNSON and MERCK & CO INC.
Which ETF is more diversified: XLV or FTXH?
XLV holds 58 securities with 70.92% of its assets in the top 15. FTXH has 47 securities and a top 15 weight of 69.57%.
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