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XPHvsXLVETF Comparison

ETF 1
XPH

SPDR S&P Pharmaceuticals ETF

This fund is part of
US Health Care
-0.31%
Full XPH fund page
VS
ETF 2
XLV

State Street Health Care Select Sector SPDR ETF

This fund is part of
US Health Care
-0.31%
Full XLV fund page

SPDR S&P Pharmaceuticals ETF (XPH) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XPH is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.08% for XLV. XPH is down -1.12% year-to-date (YTD) with +$88M in YTD flows. XLV performs worse with -1.22% YTD performance, and +$922M in YTD flows. Run a side-by-side ETF comparison of XPH 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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XPH vs XLV performance and flow charts

Performance

-4.0-2.00.02.0%Feb 11Feb 19Feb 26Mar 5

Cumulative Flows

-800 M-600 M-400 M-200 M0 M200 M400 MFeb 11Feb 19Feb 26Mar 5

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Historic performance and flows
Data as of 03/11/2026
1M3MYTD1Y3Y5Y
Perf.
XPH
XLV
-3.45%-2.18%
-1.36%-0.02%
-1.12%-1.22%
+29.22%+6.49%
+42.98%+28.22%
+9.16%+44.77%
Flows
XPH
XLV
+$12M-$726M
+$95M+$102M
+$88M+$922M
+$111M+$101M
+$48M-$4.93B
+$36M+$6.94B
Volatility and drawdown
3M1Y3Y5Y
Volatility
XPH
XLV
+20.33%+13.57%
+23.08%+17.40%
+19.01%+13.59%
+20.26%+14.47%
Max drawdown
XPH
XLV
-5.97%-4.63%
-17.10%-12.43%
-23.45%-17.05%
-33.10%-17.05%
Max drawdown duration
XPH
XLV
14d10d
140d211d
322d444d
1706d444d
Trading data

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XPH
XLV
Last sale
3/12/2026 at 1:30 PM
$53.64
$150.17
Previous close
03/11/2026
$55.49
$152.85
Consolidated volume
03/11/2026
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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XPH
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 3/12/2026 at 1:30 PM
Live
Closed
XPH
XLV
Last price
$53.64
$150.17
1D performance
-3.33%
-1.75%
AuM$313.37 M$40.10 B
E/R0.35%0.08%
Characteristics
XPH
XLV
Management strategyPassivePassive
ProviderSPDRSPDR
BenchmarkS&P Pharmaceuticals Select Industry IndexS&P Health Care Select Sector Index
N° of holdings4957
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateJune 19, 2006December 16, 1998
ESGNoNo
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Exposure

Countries

XPH
USA
85.59%
Other
14.41%
XLV
USA
96.98%
Other
3.02%

Sectors

XPH
Health Care
81.97%
Other
18.03%
XLV
Health Care
98.26%
Other
1.74%
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Diversification

XPH

Total weight of top 15 holdings out of 15

32.4%
XLV

Total weight of top 15 holdings out of 15

70.12%

Top 15 holdings

Data as of January 31, 2026
XPH
LIQUIDIA CORPORATION
2.45%
US55287L1017
2.41%
AXSOME THERA CMN STK
2.33%
ORGANON & CO
2.25%
EDGEWISE THERAPEUTICS
2.24%
ELANCO ANIMAL HEALTH INC
2.13%
MERCK & CO INC
2.13%
VIATRIS INC
2.13%
AMNEAL PHARMACEUTICALS INC
2.12%
JOHNSON&JOHNSON
2.08%
ROYALTY PHARMA
2.06%
AMYLYX PHARMACEUTICALS
2.04%
BRISTOL-MYERS SQUIBB
2.03%
XERIS BIOPHARMA HOLDINGS INC
2.00%
ZOETIS INC
2.00%
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 XPH and XLV

How have the XPH and XLV ETFs performed in 2026?

As of March 11, 2026, XPH is down -1.12% year-to-date (YTD), while XLV has lost -1.22%. That puts XPH better performer ahead so far this year.

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

Year-to-date, the XPH ETF saw +$88M in flows, compared to +$922M for XLV.

Which ETF is more volatile: XPH or XLV?

Over the past year, XPH had a volatility of 23.08%, while XLV experienced 17.4%.

Which ETF is bigger: XPH or XLV?

As of March 11, 2026, XPH holds $313.37 M in assets under management (AUM), while XLV manages $40.10 B.

What sectors do the XPH and XLV ETFs invest in?

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

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

XPH top holdings include LIQUIDIA CORPORATION, US55287L1017 and AXSOME THERA CMN STK. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: XPH or XLV?

XPH holds 57 securities with 32.4% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.

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