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XLVIvsVHTETF Comparison

ETF 1
XLVI

The Health Care Select Sector SPDR Premium Income Fund

This fund is part of
Options Strategies
-0.11%
Full XLVI fund page
VS
ETF 2
VHT

Vanguard Health Care ETF

This fund is part of
US Health Care
-0.51%
Full VHT fund page

The Health Care Select Sector SPDR Premium Income Fund (XLVI) belongs to the Options Strategies segment. Vanguard Health Care ETF (VHT) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Health Care. XLVI is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.09% for VHT. XLVI is up 0.43% year-to-date (YTD) with +$2M in YTD flows. VHT performs worse with -1.5% YTD performance, and -$151M in YTD flows. Run a side-by-side ETF comparison of XLVI and VHT 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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XLVI vs VHT performance and flow charts

Performance

-2.0-1.00.01.02.03.0%Feb 10Feb 18Feb 25Mar 4

Cumulative Flows

-80 M-60 M-40 M-20 M0 MFeb 10Feb 18Feb 25Mar 4

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Historic performance and flows
Data as of 03/10/2026
1M3MYTD1Y3Y5Y
Perf.
XLVI
VHT
-0.34%-1.42%
+2.91%+0.11%
+0.43%-1.50%
n/a+7.50%
n/a+30.03%
n/a+36.00%
Flows
XLVI
VHT
+$788K-$76M
+$3M-$238M
+$2M-$151M
--$712M
--$2.54B
--$233M
Volatility and drawdown
3M1Y3Y5Y
Volatility
XLVI
VHT
+10.28%+13.17%
n/a+17.33%
n/a+13.63%
n/a+14.97%
Max drawdown
XLVI
VHT
-3.26%-5.00%
n/a-11.85%
n/a-16.88%
n/a-17.77%
Max drawdown duration
XLVI
VHT
9d62d
n/a190d
n/a435d
n/a767d
Trading data

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XLVI
VHT
Last sale
3/11/2026 at 1:30 PM
$25.92
$282.75
Previous close
03/10/2026
$25.98
$283.48
Consolidated volume
03/10/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 2026
1-year trailing difference

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XLVI
is actively managed and doesn’t replicate an index

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XLVI
VHT
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 3/11/2026 at 1:30 PM
Live
Closed
XLVI
VHT
Last price
$25.92
$282.75
1D performance
-0.23%
-0.26%
AuM$13.26 M$16.92 B
E/R0.35%0.09%
Characteristics
XLVI
VHT
Management strategyActivePassive
ProviderSPDRVanguard
Benchmark-MSCI US IMI Health Care 25/50 Index
N° of holdings57352
Asset class-Equities
Trailing 12m distribution yield
Join
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Inception dateJuly 30, 2025January 26, 2004
ESGNoNo
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Exposure

Countries

XLVI
USA
96.37%
Other
3.63%
VHT
USA
96.69%
Other
3.31%

Sectors

XLVI
Health Care
97.65%
Other
2.35%
VHT
Health Care
97.3%
Other
2.7%
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Diversification

XLVI

Total weight of top 15 holdings out of 15

69.69%
VHT

Total weight of top 15 holdings out of 15

60.02%

Top 15 holdings

Data as of January 31, 2026
XLVI
LILLY
14.60%
JOHNSON&JOHNSON
9.71%
ABBVIE
6.99%
MERCK & CO INC
4.85%
UNITEDHEALTH GRP
4.61%
THERMO FISHER SCIENTIFIC
3.85%
ABBOTT LABS
3.37%
AMGEN-T
3.26%
INTUITIVE SURGICAL
3.17%
GILEAD SCIENCES
3.12%
PFIZER
2.66%
BOSTON SCIENTIFIC
2.46%
DANAHER
2.44%
MEDTRONIC PLC
2.34%
STRYKER
2.25%
VHT
LILLY
12.70%
JOHNSON&JOHNSON
8.22%
ABBVIE
6.00%
MERCK & CO INC
4.19%
UNITEDHEALTH GRP
3.96%
THERMO FISHER SCIENTIFIC
3.33%
ABBOTT LABS
2.90%
AMGEN-T
2.80%
INTUITIVE SURGICAL
2.75%
GILEAD SCIENCES
2.68%
PFIZER
2.29%
DANAHER
2.15%
BOSTON SCIENTIFIC
2.11%
MEDTRONIC PLC
2.01%
STRYKER
1.94%
Frequently asked questions about XLVI and VHT

How have the XLVI and VHT ETFs performed in 2026?

As of March 10, 2026, XLVI is up 0.43% year-to-date (YTD), while VHT has lost -1.5%. That puts XLVI better performer ahead so far this year.

Which ETF is attracting more investor money: XLVI or VHT?

Year-to-date, the XLVI ETF saw +$2M in flows, compared to -$151M for VHT.

Which ETF is bigger: XLVI or VHT?

As of March 10, 2026, XLVI holds $13.26 M in assets under management (AUM), while VHT manages $16.92 B.

What sectors do the XLVI and VHT ETFs invest in?

XLVI leans toward sectors like Health Care. Meanwhile, VHT focuses on Health Care.

What are the top holdings of the XLVI ETF and VHT ETF?

XLVI top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. VHT holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: XLVI or VHT?

XLVI holds 60 securities with 69.69% of its assets in the top 15. VHT has 408 securities and a top 15 weight of 60.02%.

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