XLVIvsXLVETF Comparison
ETF 1
XLVI
State Street Health Care Select Sector SPDR Premium Income Fund
This fund is part of
Options Strategies
-0.17%
VS
State Street 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: Healthcare and Consumer Non-Cyclicals. XLVI is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.08% for XLV. XLVI is up 5.2% year-to-date (YTD) with +$7M in YTD flows. XLV performs worse with 3.84% YTD performance, and +$943M 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
Cumulative Flows
Historic performance and flows
Data as of 07/22/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLVI XLV | +3.88%+6.19% | +7.81%+9.37% | +5.20%+3.84% | n/a+21.40% | n/a+23.25% | n/a+33.00% |
| Flows | XLVI XLV | +$2M+$1.12B | +$5M-$467M | +$7M+$943M | -+$2.38B | --$5.28B | -+$3.47B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI XLV | +12.38%+18.37% | n/a+15.76% | n/a+14.31% | n/a+14.97% |
| Max drawdown | XLVI XLV | -2.06%-3.83% | n/a-10.51% | n/a-17.05% | n/a-17.05% |
| Max drawdown duration | XLVI XLV | 7d15d | n/a116d | n/a444d | n/a444d |
Trading data
XLVI | XLV | |
Last sale 7/24/2026 at 1:30 PM | $26.52 | $162.57 |
| Previous close 07/23/2026 | $26.33 | $161.44 |
| Consolidated volume 07/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 2026
1-year trailing difference
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XLVI
is actively managed and doesn’t replicate an indexXLVI | 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 7/24/2026 at 1:30 PM
Live
Closed
XLVI | XLV | |
|---|---|---|
| Last price | $26.52 | $162.57 |
| 1D performance | +0.72% | +0.70% |
| AuM | $18.27 M | $41.69 B |
| E/R | 0.35% | 0.08% |
Characteristics
XLVI | XLV | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | - | S&P Health Care Select Sector Index |
| N° of holdings | 59 | 59 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | July 30, 2025 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
XLVI
USA
100.53%
Other
-0.53%
XLV
USA
97.92%
Other
2.08%
Sectors
XLVI
Healthcare
100.33%
Other
-0.33%
XLV
Healthcare
97.73%
Other
2.27%
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Diversification
XLVI
Total weight of top 15 holdings out of 15
74.76%
XLV
Total weight of top 15 holdings out of 15
72.82%
Top 15 holdings
Data as of June 30, 2026
XLVI
Eli Lilly & Co.
17.01%
Johnson & Johnson
10.96%
AbbVie, Inc.
7.97%
UnitedHealth Group, Inc.
6.77%
Merck & Co., Inc.
5.69%
Amgen, Inc.
3.50%
Thermo Fisher Scientific, Inc.
3.34%
Abbott Laboratories
2.83%
Gilead Sciences, Inc.
2.81%
Intuitive Surgical, Inc.
2.53%
Pfizer Inc.
2.46%
CVS Health Corp.
2.37%
Vertex Pharmaceuticals, Inc.
2.26%
Danaher Corp.
2.15%
Bristol Myers Squibb Co.
2.11%
XLV
Eli Lilly & Co.
16.57%
Johnson & Johnson
10.68%
AbbVie, Inc.
7.76%
UnitedHealth Group, Inc.
6.59%
Merck & Co., Inc.
5.54%
Amgen, Inc.
3.41%
Thermo Fisher Scientific, Inc.
3.25%
Abbott Laboratories
2.76%
Gilead Sciences, Inc.
2.74%
Intuitive Surgical, Inc.
2.46%
Pfizer Inc.
2.40%
CVS Health Corp.
2.31%
Vertex Pharmaceuticals, Inc.
2.20%
Danaher Corp.
2.10%
Bristol Myers Squibb Co.
2.05%
Frequently asked questions about XLVI and XLV
How have the XLVI and XLV ETFs performed in 2026?
As of July 22, 2026, XLVI is up 5.2% year-to-date (YTD), while XLV has returned 3.84%. 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 +$7M in flows, compared to +$943M for XLV.
Which ETF is bigger: XLVI or XLV?
As of July 22, 2026, XLVI holds $18.27 M in assets under management (AUM), while XLV manages $41.69 B.
What sectors do the XLVI and XLV ETFs invest in?
XLVI leans toward sectors like Healthcare. Meanwhile, XLV focuses on Healthcare.
What are the top holdings of the XLVI ETF and XLV ETF?
XLVI top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. XLV holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: XLVI or XLV?
XLVI holds 59 securities with 74.76% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 72.82%.
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