AVIV vs. XLV

Last updated Jun 13, 2026

AVIV (Avantis International Large Cap Value ETF) and XLV (State Street Health Care Select Sector SPDR ETF) are both exchange-traded funds - AVIV is a Foreign Large Cap Equities fund tracking the MSCI World ex-U.S. Value Index, while XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index. Both are passively managed. Over the past 3 years, AVIV returned 21.41%/yr vs 7.12%/yr for XLV. At a 0.48 correlation, their price movements are largely independent. AVIV charges 0.25%/yr vs 0.08%/yr for XLV.

Performance

AVIV vs. XLV - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Avantis International Large Cap Value ETF (AVIV) and State Street Health Care Select Sector SPDR ETF (XLV). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, AVIV achieves a 12.06% return, which is significantly higher than XLV's -0.23% return.

AVIV

• 1D: 0.59%
• 1M: 0.54%
• YTD: 12.06%
• 6M: 13.52%
• 1Y: 32.22%
• 3Y*: 21.41%
• 5Y*: —
• 10Y*: —

XLV

• 1D: -0.18%
• 1M: 4.90%
• YTD: -0.23%
• 6M: 0.67%
• 1Y: 15.00%
• 3Y*: 7.12%
• 5Y*: 6.00%
• 10Y*: 9.81%

*Multi-year figures are annualized to reflect compound growth (CAGR)

AVIV vs. XLV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021
AVIV Avantis International Large Cap Value ETF	12.06%	41.80%	4.30%	18.47%	-8.26%	1.83%
XLV State Street Health Care Select Sector SPDR ETF	-0.23%	14.50%	2.47%	2.07%	-2.08%	9.74%

Correlation

The correlation between AVIV and XLV is 0.43, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.43
Correlation (3Y) Calculated over the trailing 3-year period	0.42
Correlation (All Time) Calculated using the full available price history since Sep 30, 2021	0.48

AVIV vs. XLV - Sectors Allocation Comparison

Sectors	AVIV	XLV
Financial Services	27.5%	-
Industrials	17.3%	-
Energy	14.2%	-
Basic Materials	12.4%	-
Consumer Cyclical	10.2%	-
Healthcare	4.8%	100.0%
Communication Services	4.6%	-
Technology	3.5%	-
Consumer Defensive	3.4%	-
Utilities	1.1%	-
Real Estate	1.0%	-

Return for Risk

AVIV vs. XLV — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

AVIV

AVIV Risk / Return Rank: 74
AVIV Sharpe Ratio Rank: 77
AVIV Sortino Ratio Rank: 77
AVIV Omega Ratio Rank: 77
AVIV Calmar Ratio Rank: 66
AVIV Martin Ratio Rank: 71

XLV

XLV Risk / Return Rank: 30
XLV Sharpe Ratio Rank: 30
XLV Sortino Ratio Rank: 33
XLV Omega Ratio Rank: 28
XLV Calmar Ratio Rank: 32
XLV Martin Ratio Rank: 27

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

AVIV vs. XLV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Avantis International Large Cap Value ETF (AVIV) and State Street Health Care Select Sector SPDR ETF (XLV). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	AVIV	XLV	Difference
Sharpe ratio: Return per unit of total volatility	2.15	0.97	+1.18
Sortino ratio: Return per unit of downside risk	2.96	1.55	+1.40
Omega ratio: Gain probability vs. loss probability	1.39	1.17	+0.22
Calmar ratio: Return relative to maximum drawdown	2.91	1.38	+1.52
Martin ratio: Return relative to average drawdown	11.35	3.31	+8.04

AVIV vs. XLV - Sharpe Ratio Comparison

The current AVIV Sharpe Ratio is 2.15, which is higher than the XLV Sharpe Ratio of 0.97. The chart below compares the historical Sharpe Ratios of AVIV and XLV, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

AVIV vs. XLV - Drawdown Comparison

The maximum AVIV drawdown since its inception was -27.69%, smaller than the maximum XLV drawdown of -39.17%. Use the drawdown chart below to compare losses from any high point for AVIV and XLV.

Drawdown Indicators

	AVIV	XLV	Difference
Max Drawdown Largest peak-to-trough decline	-27.69%	-39.17%	+11.48%
Max Drawdown (1Y) Largest decline over 1 year	-10.78%	-10.47%	-0.31%
Max Drawdown (3Y) Largest decline over 3 years	-14.13%	-17.11%	+2.98%
Max Drawdown (5Y) Largest decline over 5 years	—	-17.11%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-28.40%	—
Current Drawdown Current decline from peak	-0.89%	-3.59%	+2.70%
Average Drawdown Average peak-to-trough decline	-5.10%	-7.12%	+2.02%
Ulcer Index Depth and duration of drawdowns from previous peaks	2.76%	4.37%	-1.61%

Volatility

AVIV vs. XLV - Volatility Comparison

Avantis International Large Cap Value ETF (AVIV) and State Street Health Care Select Sector SPDR ETF (XLV) have volatilities of 5.13% and 4.90%, respectively, indicating that both stocks experience similar levels of price fluctuations. This suggests that the risk associated with both stocks, as measured by volatility, is nearly the same. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	AVIV	XLV	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.13%	4.90%	+0.23%
Volatility (6M) Calculated over the trailing 6-month period	12.33%	10.60%	+1.73%
Volatility (1Y) Calculated over the trailing 1-year period	14.61%	15.03%	-0.42%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.93%	14.75%	+2.18%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.93%	16.58%	+0.35%

AVIV vs. XLV - Expense Ratio Comparison

AVIV has a 0.25% expense ratio, which is higher than XLV's 0.08% expense ratio. However, both funds are considered low-cost compared to the broader market, where average expense ratios usually range from 0.3% to 0.9%.

Dividends

AVIV vs. XLV - Dividend Comparison

AVIV's dividend yield for the trailing twelve months is around 3.95%, more than XLV's 1.63% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
AVIV Avantis International Large Cap Value ETF	3.95%	3.01%	3.46%	3.64%	2.84%	0.57%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
XLV State Street Health Care Select Sector SPDR ETF	1.63%	1.60%	1.67%	1.59%	1.47%	1.33%	1.49%	2.17%	1.57%	1.47%	1.60%	1.43%

Frequently Asked Questions

Can I hold both AVIV and XLV in my portfolio?

AVIV and XLV have a correlation of 0.43, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, AVIV or XLV?

AVIV has higher volatility (5.13%) compared to XLV (4.90%). In terms of maximum drawdown, AVIV dropped -27.69% vs XLV's -39.17%.

Which ETF is better, AVIV or XLV?

On 3-year performance, AVIV leads with 21.41% vs 7.12% for XLV. On fees, XLV is cheaper at 0.08% per year. On volatility, XLV has been the lower-risk option at 4.90%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, AVIV or XLV?

Over the 3-year period, AVIV has performed better with a 21.41% return vs 7.12%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, AVIV or XLV?

XLV is cheaper with a 0.08% expense ratio, compared with 0.25% for AVIV.

Which ETF pays a higher dividend yield, AVIV or XLV?

AVIV has the higher dividend yield at 3.95%, compared with 1.63% for XLV.

What is the main difference between AVIV and XLV?

AVIV is categorized as Foreign Large Cap Equities, while XLV is Health & Biotech Equities. AVIV tracks MSCI World ex-U.S. Value Index, while XLV tracks Health Care Select Sector Index. They also come from different issuers: Avantis and State Street. Their fees differ too: 0.25% for AVIV and 0.08% for XLV.

Which has better risk-adjusted returns?

AVIV currently has the higher Sharpe Ratio (2.15 vs 0.97), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.