XPHvsXLVETF Comparison
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State Street 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 up 6.83% year-to-date (YTD) with +$110M in YTD flows. XLV performs worse with -0.05% YTD performance, and -$91M 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
Cumulative Flows
Historic performance and flows
Data as of 06/11/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XPH XLV | +2.68%+7.73% | +8.04%+1.18% | +6.83%-0.05% | +43.48%+15.53% | +52.11%+23.75% | +20.56%+34.09% |
| Flows | XPH XLV | -$8M-$533M | +$17M-$1.10B | +$110M-$91M | +$133M+$33M | +$51M-$7.23B | +$63M+$4.82B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XPH XLV | +25.99%+16.37% | +21.47%+15.02% | +19.90%+13.97% | +20.72%+14.72% |
| Max drawdown | XPH XLV | -8.13%-6.22% | -11.78%-10.51% | -23.45%-17.05% | -31.59%-17.05% |
| Max drawdown duration | XPH XLV | 36d85d | 50d102d | 322d444d | 1566d444d |
Trading data
XPH | XLV | |
Last sale 6/12/2026 at 3:47 PM | $60.62 | $153.98 |
| Previous close 06/11/2026 | $59.77 | $154.09 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 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 6/12/2026 at 3:47 PM
Live
Closed
XPH | XLV | |
|---|---|---|
| Last price | $60.62 | $153.98 |
| 1D performance | +1.42% | -0.07% |
| AuM | $362.12 M | $39.34 B |
| E/R | 0.35% | 0.08% |
Characteristics
XPH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Pharmaceuticals Select Industry Index | S&P Health Care Select Sector Index |
| N° of holdings | 48 | 55 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 19, 2006 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
XPH
USA
89.49%
Other
10.51%
XLV
USA
97.39%
Other
2.61%
Sectors
XPH
Health Care
82.05%
Other
17.95%
XLV
Health Care
98.41%
Other
1.59%
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Diversification
XPH
Total weight of top 15 holdings out of 15
33.31%
XLV
Total weight of top 15 holdings out of 15
70.92%
Top 15 holdings
Data as of April 30, 2026
XPH
ORGANON & CO
3.72%
CORCEPT THERAPEUTICS
2.48%
US29337E1029
2.41%
AXSOME THERA CMN STK
2.34%
OMEROS
2.20%
PERRIGO CO PLC
2.17%
US6402683063
2.08%
TREVI THERAPEUTICS
2.07%
TERNS PHARMACEUTICALS
2.03%
US45579U1097
2.01%
PACIRA BIOSCIENCES INC
2.00%
HARROW HEALTH
1.97%
JAZZ PHARMACEUTICALS
1.97%
HARMONY BIOSCIENCES HLDG
1.95%
ROYALTY PHARMA
1.93%
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
Frequently asked questions about XPH and XLV
How have the XPH and XLV ETFs performed in 2026?
As of June 11, 2026, XPH is up 6.83% year-to-date (YTD), while XLV has lost -0.05%. 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 +$110M in flows, compared to -$91M for XLV.
Which ETF is more volatile: XPH or XLV?
Over the past year, XPH had a volatility of 21.47%, while XLV experienced 15.02%.
Which ETF is bigger: XPH or XLV?
As of June 11, 2026, XPH holds $362.12 M in assets under management (AUM), while XLV manages $39.34 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 ORGANON & CO, CORCEPT THERAPEUTICS and US29337E1029. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: XPH or XLV?
XPH holds 58 securities with 33.31% of its assets in the top 15. XLV has 58 securities and a top 15 weight of 70.92%.
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