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XLVvsXLVIETF Comparison
The Health Care Select Sector SPDR Premium Income Fund
State Street Health Care Select Sector SPDR ETF (XLV) belongs to the US Health Care segment. The 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. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.35% for XLVI. XLV is down -1.03% year-to-date (YTD) with +$1.01B in YTD flows. XLVI performs better with 0.43% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of XLV 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.
XLV vs XLVI performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV XLVI | -1.40%-0.34% | +1.13%+2.91% | -1.03%+0.43% | +5.51%n/a | +29.64%n/a | +45.96%n/a |
| Flows | XLV XLVI | -$720M+$788K | +$376M+$3M | +$1.01B+$2M | +$304M- | -$4.79B- | +$7.07B- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV XLVI | +13.70%+10.28% | +17.44%n/a | +13.60%n/a | +14.47%n/a |
| Max drawdown | XLV XLVI | -4.63%-3.26% | -12.44%n/a | -17.05%n/a | -17.05%n/a |
| Max drawdown duration | XLV XLVI | 9d9d | 225dn/a | 444dn/a | 444dn/a |
XLV | XLVI | |
Last sale 3/11/2026 at 1:30 PM | $152.85 | $25.92 |
| Previous close 03/10/2026 | $153.15 | $25.98 |
| Consolidated volume 03/10/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Create an account to view replication metrics
XLV | XLVI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLV | XLVI | |
|---|---|---|
| Last price | $152.85 | $25.92 |
| 1D performance | -0.20% | -0.23% |
| AuM | $40.26 B | $13.26 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 XLVI ETFs performed in 2026?
As of March 10, 2026, XLV is down -1.03% year-to-date (YTD), while XLVI has returned 0.43%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or XLVI?
Year-to-date, the XLV ETF saw +$1.01B in flows, compared to +$2M for XLVI.
Which ETF is bigger: XLV or XLVI?
As of March 10, 2026, XLV holds $40.26 B in assets under management (AUM), while XLVI manages $13.26 M.
What sectors do the XLV and XLVI ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.
What are the top holdings of the XLV ETF and XLVI ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: XLV or XLVI?
XLV holds 60 securities with 70.12% of its assets in the top 15. XLVI has 60 securities and a top 15 weight of 69.69%.
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