HQH vs. XLV

Last updated Aug 1, 2026

HQH (Tekla Healthcare Investors) is a stock, while XLV (State Street Health Care Select Sector SPDR ETF) is Health & Biotech Equities fund tracking the Health Care Select Sector Index. Over the past 10 years, HQH returned 8.18%/yr vs 9.81%/yr for XLV. Their 0.59 correlation means they have sometimes moved together and sometimes differently.

Performance

HQH vs. XLV - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Tekla Healthcare Investors (HQH) 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, HQH achieves a 22.72% return, which is significantly higher than XLV's 5.90% return. Over the past 10 years, HQH has underperformed XLV with an annualized return of 8.18%, while XLV has yielded a comparatively higher 9.81% annualized return.

HQH

• 1D: -0.77%
• 1M: -0.73%
• 6M: 21.69%
• YTD: 22.72%
• 1Y: 57.10%
• 3Y*: 23.06%
• 5Y*: 7.66%
• 10Y*: 8.18%
• ALL TIME*: 10.59%

XLV

• 1D: -0.59%
• 1M: -0.73%
• 6M: 5.94%
• YTD: 5.90%
• 1Y: 26.13%
• 3Y*: 8.60%
• 5Y*: 5.93%
• 10Y*: 9.81%
• ALL TIME*: 8.63%

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

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
HQH Tekla Healthcare Investors	$4.99M	$5.83M	$4.15M
XLV State Street Health Care Select Sector SPDR ETF	$1.43B	$1.62B	$1.62B

HQH vs. XLV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
HQH Tekla Healthcare Investors	22.72%	34.12%	10.22%	1.22%	-17.27%	7.99%	24.82%	26.80%	-13.08%	15.97%
XLV State Street Health Care Select Sector SPDR ETF	5.90%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	6.28%	21.77%

Correlation

The correlation between HQH and XLV is 0.50, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.50
Correlation (3Y) Balances recent behavior with more history.	0.59
Correlation (5Y) Shows whether the relationship held over a longer period.	0.64
Correlation (10Y) Provides a long-term view across more market conditions.	0.67
Correlation (All Time) Calculated using the full available price history since Dec 22, 1998	0.59

The correlation between HQH and XLV shifts across timeframes, from 0.50 (1 year) to 0.67 (10 years), reflecting how their relationship changes across market environments.

Return for Risk

HQH vs. XLV — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

HQH

HQH Risk / Return Rank: 95
HQH Sharpe Ratio Rank: 97
HQH Sortino Ratio Rank: 96
HQH Omega Ratio Rank: 95
HQH Calmar Ratio Rank: 94
HQH Martin Ratio Rank: 96

XLV

XLV Risk / Return Rank: 72
XLV Sharpe Ratio Rank: 76
XLV Sortino Ratio Rank: 83
XLV Omega Ratio Rank: 72
XLV Calmar Ratio Rank: 74
XLV Martin Ratio Rank: 53

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

HQH vs. XLV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Tekla Healthcare Investors (HQH) 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.

	HQH	XLV	Difference
Sharpe ratio: Return per unit of total volatility	2.86	1.72	+1.14
Sortino ratio: Return per unit of downside risk	3.61	2.70	+0.91
Omega ratio: Gain probability vs. loss probability	1.45	1.30	+0.15
Calmar ratio: Return relative to maximum drawdown	4.48	2.57	+1.91
Martin ratio: Return relative to average drawdown	15.38	6.15	+9.23

HQH vs. XLV - Sharpe Ratio Comparison

The current HQH Sharpe Ratio is 2.86, which is higher than the XLV Sharpe Ratio of 1.72. The chart below compares the historical Sharpe Ratios of HQH 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

HQH vs. XLV - Drawdown Comparison

The maximum HQH drawdown since its inception was -62.36%, which is greater than XLV's maximum drawdown of -39.17%. Use the drawdown chart below to compare losses from any high point for HQH and XLV.

Drawdown Indicators

	HQH	XLV	Difference
Max Drawdown Largest peak-to-trough decline	-62.36%	-39.17%	-23.19%
Max Drawdown (1Y) Largest decline over 1 year	-13.01%	-10.47%	-2.54%
Max Drawdown (3Y) Largest decline over 3 years	-21.14%	-17.11%	-4.03%
Max Drawdown (5Y) Largest decline over 5 years	-37.55%	-17.11%	-20.44%
Max Drawdown (10Y) Largest decline over 10 years	-37.55%	-28.40%	-9.15%
Current Drawdown Current decline from peak	-1.13%	-2.82%	+1.69%
Average Drawdown Average peak-to-trough decline	-20.97%	-7.09%	-13.88%
Ulcer Index Depth and duration of drawdowns from previous peaks	3.78%	4.37%	-0.59%

Volatility

HQH vs. XLV - Volatility Comparison

The current volatility for Tekla Healthcare Investors (HQH) is 4.89%, while State Street Health Care Select Sector SPDR ETF (XLV) has a volatility of 6.03%. This indicates that HQH experiences smaller price fluctuations and is considered to be less risky than XLV based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	HQH	XLV	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.89%	6.03%	-1.14%
Volatility (6M) Calculated over the trailing 6-month period	14.75%	12.07%	+2.68%
Volatility (1Y) Calculated over the trailing 1-year period	20.45%	15.90%	+4.55%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.72%	15.04%	+4.68%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	21.38%	16.66%	+4.72%

Dividends

HQH vs. XLV - Dividend Comparison

HQH's dividend yield for the trailing twelve months is around 10.62%, more than XLV's 1.56% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
HQH Tekla Healthcare Investors	10.62%	11.56%	14.21%	9.66%	9.50%	8.59%	7.97%	8.24%	10.75%	8.78%	9.80%	11.97%
XLV State Street Health Care Select Sector SPDR ETF	1.56%	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 HQH and XLV in my portfolio?

HQH and XLV have a correlation of 0.50, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, HQH or XLV?

XLV has higher volatility (6.03%) compared to HQH (4.89%). In terms of maximum drawdown, HQH dropped -62.36% vs XLV's -39.17%.

Which has better risk-adjusted returns?

HQH currently has the higher Sharpe Ratio (2.86 vs 1.72), 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.