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XLVIvsXLVETF 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
XLV

State Street Health Care Select Sector SPDR ETF

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

The Health Care Select Sector SPDR Premium Income Fund (XLVI) belongs to the Options Strategies segment. State Street Health Care Select Sector SPDR ETF (XLV) 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 0.08% for XLV. XLVI is up 0.43% year-to-date (YTD) with +$2M in YTD flows. XLV performs worse with -1.03% YTD performance, and +$1.01B in YTD flows. Run a side-by-side ETF comparison of XLVI and XLV 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 XLV performance and flow charts

Performance

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

Cumulative Flows

-800 M-600 M-400 M-200 M0 M200 MFeb 10Feb 18Feb 25Mar 4

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Historic performance and flows
Data as of 03/10/2026
1M3MYTD1Y3Y5Y
Perf.
XLVI
XLV
-0.34%-1.40%
+2.91%+1.13%
+0.43%-1.03%
n/a+5.51%
n/a+29.64%
n/a+45.96%
Flows
XLVI
XLV
+$788K-$720M
+$3M+$376M
+$2M+$1.01B
-+$304M
--$4.79B
-+$7.07B
Volatility and drawdown
3M1Y3Y5Y
Volatility
XLVI
XLV
+10.28%+13.70%
n/a+17.44%
n/a+13.60%
n/a+14.47%
Max drawdown
XLVI
XLV
-3.26%-4.63%
n/a-12.44%
n/a-17.05%
n/a-17.05%
Max drawdown duration
XLVI
XLV
9d9d
n/a225d
n/a444d
n/a444d
Trading data

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XLVI
XLV
Last sale
3/11/2026 at 1:30 PM
$25.92
$152.85
Previous close
03/10/2026
$25.98
$153.15
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
XLV
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
XLV
Last price
$25.92
$152.85
1D performance
-0.23%
-0.20%
AuM$13.26 M$40.26 B
E/R0.35%0.08%
Characteristics
XLVI
XLV
Management strategyActivePassive
ProviderSPDRSPDR
Benchmark-S&P Health Care Select Sector Index
N° of holdings5757
Asset class-Equities
Trailing 12m distribution yield
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Inception dateJuly 30, 2025December 16, 1998
ESGNoNo
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Exposure

Countries

XLVI
USA
96.37%
Other
3.63%
XLV
USA
96.98%
Other
3.02%

Sectors

XLVI
Health Care
97.65%
Other
2.35%
XLV
Health Care
98.26%
Other
1.74%
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Diversification

XLVI

Total weight of top 15 holdings out of 15

69.69%
XLV

Total weight of top 15 holdings out of 15

70.12%

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%
XLV
LILLY
14.69%
JOHNSON&JOHNSON
9.77%
ABBVIE
7.03%
MERCK & CO INC
4.88%
UNITEDHEALTH GRP
4.64%
THERMO FISHER SCIENTIFIC
3.88%
ABBOTT LABS
3.39%
AMGEN-T
3.28%
INTUITIVE SURGICAL
3.19%
GILEAD SCIENCES
3.14%
PFIZER
2.68%
BOSTON SCIENTIFIC
2.47%
DANAHER
2.45%
MEDTRONIC PLC
2.36%
STRYKER
2.27%
Frequently asked questions about XLVI and XLV

How have the XLVI and XLV ETFs performed in 2026?

As of March 10, 2026, XLVI is up 0.43% year-to-date (YTD), while XLV has lost -1.03%. That puts XLVI better performer ahead so far this year.

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

Year-to-date, the XLVI ETF saw +$2M in flows, compared to +$1.01B for XLV.

Which ETF is bigger: XLVI or XLV?

As of March 10, 2026, XLVI holds $13.26 M in assets under management (AUM), while XLV manages $40.26 B.

What sectors do the XLVI and XLV ETFs invest in?

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

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

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

Which ETF is more diversified: XLVI or XLV?

XLVI holds 60 securities with 69.69% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.

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