HLTH.L vs. XLV

Last updated Apr 2, 2026

Compare and contrast key facts about SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) and State Street Health Care Select Sector SPDR ETF (XLV).

HLTH.L and XLV are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. HLTH.L is a passively managed fund by State Street that tracks the performance of the MSCI World/Health Care NR USD. It was launched on Dec 5, 2014. XLV is a passively managed fund by State Street that tracks the performance of the Health Care Select Sector Index. It was launched on Dec 16, 1998. Both HLTH.L and XLV are passive ETFs, meaning that they are not actively managed but aim to replicate the performance of the underlying index as closely as possible.

Performance

HLTH.L vs. XLV - Performance Comparison

The chart below illustrates the hypothetical performance of a €10,000 investment in SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) and State Street Health Care Select Sector SPDR ETF (XLV). The values are adjusted to include any dividend payments, if applicable.

HLTH.L vs. XLV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
HLTH.L SPDR® MSCI Europe Health Care UCITS ETF	0.48%	7.01%	4.14%	7.61%	-3.78%	25.28%	-1.76%	30.59%	-0.44%	3.42%
XLV State Street Health Care Select Sector SPDR ETF	-2.70%	0.92%	9.24%	-0.99%	3.99%	35.46%	3.96%	23.17%	11.27%	6.81%

Different Trading Currencies

HLTH.L is traded in EUR, while XLV is traded in USD. To make them comparable, the XLV values have been converted to EUR using the latest available exchange rates.

Returns By Period

In the year-to-date period, HLTH.L achieves a 0.48% return, which is significantly higher than XLV's -2.70% return. Over the past 10 years, HLTH.L has underperformed XLV with an annualized return of 7.06%, while XLV has yielded a comparatively higher 9.63% annualized return.

HLTH.L

• 1D: 1.56%
• 1M: -4.67%
• YTD: 0.48%
• 6M: 5.52%
• 1Y: 5.37%
• 3Y*: 5.03%
• 5Y*: 7.33%
• 10Y*: 7.06%

XLV

• 1D: 0.66%
• 1M: -5.44%
• YTD: -2.70%
• 6M: 5.31%
• 1Y: -2.12%
• 3Y*: 3.98%
• 5Y*: 6.97%
• 10Y*: 9.63%

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

HLTH.L vs. XLV - Expense Ratio Comparison

HLTH.L has a 0.18% 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%.

HLTH.L

SPDR® MSCI Europe Health Care UCITS ETF

XLV

State Street Health Care Select Sector SPDR ETF

Return for Risk

HLTH.L vs. XLV — Risk / Return Rank

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

HLTH.L

HLTH.L Risk / Return Rank: 20
HLTH.L Sharpe Ratio Rank: 19
HLTH.L Sortino Ratio Rank: 18
HLTH.L Omega Ratio Rank: 18
HLTH.L Calmar Ratio Rank: 24
HLTH.L Martin Ratio Rank: 22

XLV

XLV Risk / Return Rank: 18
XLV Sharpe Ratio Rank: 19
XLV Sortino Ratio Rank: 18
XLV Omega Ratio Rank: 18
XLV Calmar Ratio Rank: 17
XLV Martin Ratio Rank: 16

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.

HLTH.L vs. XLV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) 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.

	HLTH.L	XLV	Difference
Sharpe ratio Return per unit of total volatility	0.28	-0.11	+0.39
Sortino ratio Return per unit of downside risk	0.51	-0.02	+0.53
Omega ratio Gain probability vs. loss probability	1.07	1.00	+0.07
Calmar ratio Return relative to maximum drawdown	0.59	-0.22	+0.81
Martin ratio Return relative to average drawdown	1.60	-0.41	+2.02
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

HLTH.L vs. XLV - Sharpe Ratio Comparison

The current HLTH.L Sharpe Ratio is 0.28, which is higher than the XLV Sharpe Ratio of -0.11. The chart below compares the historical Sharpe Ratios of HLTH.L and XLV, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	HLTH.L	XLV	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.28	-0.11	+0.39
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.48	0.47	+0.01
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.45	0.56	-0.11
Sharpe Ratio (All Time) Calculated using the full available price history	0.37	0.58	-0.20

Correlation

The correlation between HLTH.L and XLV is 0.47, which is considered to be moderate. This suggests that the two assets have some degree of positive relationship in their price movements. Moderate correlation can be acceptable for portfolio diversification, offering a balance between risk and potential returns.

Dividends

HLTH.L vs. XLV - Dividend Comparison

HLTH.L has not paid dividends to shareholders, while XLV's dividend yield for the trailing twelve months is around 1.70%.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
HLTH.L SPDR® MSCI Europe Health Care UCITS ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
XLV State Street Health Care Select Sector SPDR ETF	1.70%	1.60%	1.67%	1.59%	1.47%	1.33%	1.49%	2.17%	1.57%	1.47%	1.60%	1.43%

Drawdowns

HLTH.L vs. XLV - Drawdown Comparison

The maximum HLTH.L drawdown since its inception was -26.57%, smaller than the maximum XLV drawdown of -33.88%. Use the drawdown chart below to compare losses from any high point for HLTH.L and XLV.

Drawdown Indicators

	HLTH.L	XLV	Difference
Max Drawdown Largest peak-to-trough decline	-26.57%	-39.17%	+12.60%
Max Drawdown (1Y) Largest decline over 1 year	-13.26%	-10.76%	-2.50%
Max Drawdown (5Y) Largest decline over 5 years	-26.57%	-17.11%	-9.46%
Max Drawdown (10Y) Largest decline over 10 years	-26.57%	-28.40%	+1.83%
Current Drawdown Current decline from peak	-9.13%	-7.41%	-1.72%
Average Drawdown Average peak-to-trough decline	-9.36%	-7.12%	-2.24%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.58%	5.11%	-0.53%

Volatility

HLTH.L vs. XLV - Volatility Comparison

SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) has a higher volatility of 4.86% compared to State Street Health Care Select Sector SPDR ETF (XLV) at 4.25%. This indicates that HLTH.L's price experiences larger fluctuations and is considered to be riskier than XLV based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	HLTH.L	XLV	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.86%	4.25%	+0.61%
Volatility (6M) Calculated over the trailing 6-month period	10.12%	10.64%	-0.52%
Volatility (1Y) Calculated over the trailing 1-year period	19.04%	19.12%	-0.08%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.35%	14.92%	+0.43%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	15.64%	17.35%	-1.71%