XHE vs. XLV

Last updated Jun 23, 2026

XHE (SPDR S&P Health Care Equipment ETF) and XLV (State Street Health Care Select Sector SPDR ETF) are both Health & Biotech Equities funds from State Street - XHE tracks the S&P Health Care Equipment Select Industry Index while XLV tracks the Health Care Select Sector Index. Both are passively managed. Over the past 10 years, XHE returned 6.02%/yr vs 9.86%/yr for XLV. A 0.67 correlation means they provide meaningful diversification when combined. XHE charges 0.35%/yr vs 0.08%/yr for XLV.

Performance

XHE vs. XLV - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in SPDR S&P Health Care Equipment ETF (XHE) 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, XHE achieves a -8.91% return, which is significantly lower than XLV's -2.23% return. Over the past 10 years, XHE has underperformed XLV with an annualized return of 6.02%, while XLV has yielded a comparatively higher 9.86% annualized return.

XHE

• 1D: -2.39%
• 1M: -0.92%
• YTD: -8.91%
• 6M: -10.99%
• 1Y: 1.37%
• 3Y*: -5.83%
• 5Y*: -8.97%
• 10Y*: 6.02%

XLV

• 1D: 0.88%
• 1M: 0.56%
• YTD: -2.23%
• 6M: -2.55%
• 1Y: 15.69%
• 3Y*: 6.13%
• 5Y*: 5.50%
• 10Y*: 9.86%

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

XHE vs. XLV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
XHE SPDR S&P Health Care Equipment ETF	-8.91%	-0.23%	5.08%	-6.23%	-23.34%	3.04%	32.91%	22.30%	8.90%	30.51%
XLV State Street Health Care Select Sector SPDR ETF	-2.23%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	6.28%	21.77%

Correlation

The correlation between XHE and XLV is 0.59, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.59
Correlation (3Y) Calculated over the trailing 3-year period	0.59
Correlation (5Y) Calculated over the trailing 5-year period	0.64
Correlation (10Y) Calculated over the trailing 10-year period	0.68
Correlation (All Time) Calculated using the full available price history since Jan 27, 2011	0.67

The correlation between XHE and XLV has been stable across timeframes, ranging from 0.59 to 0.68 - a consistent structural relationship.

XHE vs. XLV - Sectors Allocation Comparison

Sectors	XHE	XLV
Healthcare	98.2%	100.0%
Financial Services	1.8%	-
Industrials	1.7%	-
Communication Services	1.4%	-
Basic Materials	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

XHE vs. XLV — Risk / Return Rank

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

XHE

XHE Risk / Return Rank: 9
XHE Sharpe Ratio Rank: 9
XHE Sortino Ratio Rank: 9
XHE Omega Ratio Rank: 9
XHE Calmar Ratio Rank: 9
XHE Martin Ratio Rank: 9

XLV

XLV Risk / Return Rank: 30
XLV Sharpe Ratio Rank: 30
XLV Sortino Ratio Rank: 32
XLV Omega Ratio Rank: 28
XLV Calmar Ratio Rank: 31
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.

XHE vs. XLV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Equipment ETF (XHE) 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.

	XHE	XLV	Difference
Sharpe ratio: Return per unit of total volatility	0.06	1.05	-0.99
Sortino ratio: Return per unit of downside risk	0.25	1.67	-1.42
Omega ratio: Gain probability vs. loss probability	1.03	1.19	-0.16
Calmar ratio: Return relative to maximum drawdown	0.08	1.51	-1.43
Martin ratio: Return relative to average drawdown	0.16	3.56	-3.40

XHE vs. XLV - Sharpe Ratio Comparison

The current XHE Sharpe Ratio is 0.06, which is lower than the XLV Sharpe Ratio of 1.05. The chart below compares the historical Sharpe Ratios of XHE 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

XHE vs. XLV - Drawdown Comparison

The maximum XHE drawdown since its inception was -49.92%, which is greater than XLV's maximum drawdown of -39.17%. Use the drawdown chart below to compare losses from any high point for XHE and XLV.

Drawdown Indicators

	XHE	XLV	Difference
Max Drawdown Largest peak-to-trough decline	-49.92%	-39.17%	-10.75%
Max Drawdown (1Y) Largest decline over 1 year	-18.29%	-10.47%	-7.82%
Max Drawdown (3Y) Largest decline over 3 years	-32.62%	-17.11%	-15.51%
Max Drawdown (5Y) Largest decline over 5 years	-49.92%	-17.11%	-32.81%
Max Drawdown (10Y) Largest decline over 10 years	-49.92%	-28.40%	-21.52%
Current Drawdown Current decline from peak	-39.61%	-5.53%	-34.08%
Average Drawdown Average peak-to-trough decline	-13.34%	-7.12%	-6.22%
Ulcer Index Depth and duration of drawdowns from previous peaks	8.42%	4.42%	+4.00%

Volatility

XHE vs. XLV - Volatility Comparison

SPDR S&P Health Care Equipment ETF (XHE) has a higher volatility of 7.40% compared to State Street Health Care Select Sector SPDR ETF (XLV) at 5.14%. This indicates that XHE'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

	XHE	XLV	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.40%	5.14%	+2.26%
Volatility (6M) Calculated over the trailing 6-month period	16.50%	10.58%	+5.92%
Volatility (1Y) Calculated over the trailing 1-year period	22.12%	15.06%	+7.06%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	24.56%	14.76%	+9.80%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	23.00%	16.59%	+6.41%

XHE vs. XLV - Expense Ratio Comparison

XHE has a 0.35% expense ratio, which is higher than XLV's 0.08% expense ratio.

Dividends

XHE vs. XLV - Dividend Comparison

XHE's dividend yield for the trailing twelve months is around 0.09%, less than XLV's 2.11% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
XHE SPDR S&P Health Care Equipment ETF	0.06%	0.08%	0.04%	0.03%	0.04%	0.00%	0.00%	0.05%	0.09%	0.78%	0.17%	7.22%
XLV State Street Health Care Select Sector SPDR ETF	1.69%	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 XHE and XLV in my portfolio?

XHE and XLV have a correlation of 0.59, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, XHE or XLV?

XHE has higher volatility (7.40%) compared to XLV (5.14%). In terms of maximum drawdown, XHE dropped -49.92% vs XLV's -39.17%.

Which ETF is better, XHE or XLV?

On 10-year performance, XLV leads with 9.86% vs 6.02% for XHE. On fees, XLV is cheaper at 0.08% per year. On volatility, XLV has been the lower-risk option at 5.14%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XHE or XLV?

Over the 10-year period, XLV has performed better with a 9.86% return vs 6.02%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XHE or XLV?

XLV is cheaper with a 0.08% expense ratio, compared with 0.35% for XHE.

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

XLV has the higher dividend yield at 2.11%, compared with 0.09% for XHE.

What is the main difference between XHE and XLV?

XHE tracks S&P Health Care Equipment Select Industry Index, while XLV tracks Health Care Select Sector Index. Their fees differ too: 0.35% for XHE and 0.08% for XLV.

Which has better risk-adjusted returns?

XLV currently has the higher Sharpe Ratio (1.05 vs 0.06), 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.