XLV vs. AVEM

Last updated Jun 13, 2026

XLV (State Street Health Care Select Sector SPDR ETF) and AVEM (Avantis Emerging Markets Equity ETF) are both exchange-traded funds - XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index, while AVEM is a Emerging Markets Equities fund actively managed by Avantis. XLV is passively managed, while AVEM is actively managed. Over the past 5 years, XLV returned 6.00%/yr vs 9.66%/yr for AVEM. At a 0.40 correlation, their price movements are largely independent. XLV charges 0.08%/yr vs 0.33%/yr for AVEM.

Performance

XLV vs. AVEM - Performance Comparison

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

Returns By Period

In the year-to-date period, XLV achieves a -0.23% return, which is significantly lower than AVEM's 25.08% return.

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%

AVEM

• 1D: 0.42%
• 1M: 1.30%
• YTD: 25.08%
• 6M: 27.86%
• 1Y: 47.18%
• 3Y*: 24.04%
• 5Y*: 9.66%
• 10Y*: —

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

XLV vs. AVEM - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019
XLV State Street Health Care Select Sector SPDR ETF	-0.23%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	13.05%
AVEM Avantis Emerging Markets Equity ETF	25.08%	34.48%	7.49%	15.30%	-18.15%	5.16%	14.39%	10.40%

Correlation

The correlation between XLV and AVEM is 0.22, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.22
Correlation (3Y) Calculated over the trailing 3-year period	0.26
Correlation (5Y) Calculated over the trailing 5-year period	0.34
Correlation (All Time) Calculated using the full available price history since Sep 19, 2019	0.40

The correlation between XLV and AVEM shifts across timeframes, from 0.22 (1 year) to 0.40 (all time), reflecting how their relationship changes across market environments.

XLV vs. AVEM - Sectors Allocation Comparison

Sectors	XLV	AVEM
Healthcare	100.0%	2.8%
Basic Materials	-	8.1%
Communication Services	-	5.4%
Consumer Cyclical	-	9.2%
Consumer Defensive	-	3.1%
Energy	-	5.1%
Financial Services	-	20.7%
Industrials	-	9.2%
Real Estate	-	1.6%
Technology	-	32.3%
Utilities	-	2.6%

Return for Risk

XLV vs. AVEM — Risk / Return Rank

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

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

AVEM

AVEM Risk / Return Rank: 77
AVEM Sharpe Ratio Rank: 78
AVEM Sortino Ratio Rank: 72
AVEM Omega Ratio Rank: 79
AVEM Calmar Ratio Rank: 77
AVEM Martin Ratio Rank: 79

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.

XLV vs. AVEM - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for State Street Health Care Select Sector SPDR ETF (XLV) and Avantis Emerging Markets Equity ETF (AVEM). 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.

	XLV	AVEM	Difference
Sharpe ratio: Return per unit of total volatility	0.97	2.15	-1.18
Sortino ratio: Return per unit of downside risk	1.55	2.78	-1.23
Omega ratio: Gain probability vs. loss probability	1.17	1.40	-0.23
Calmar ratio: Return relative to maximum drawdown	1.38	3.46	-2.07
Martin ratio: Return relative to average drawdown	3.31	13.15	-9.84

XLV vs. AVEM - Sharpe Ratio Comparison

The current XLV Sharpe Ratio is 0.97, which is lower than the AVEM Sharpe Ratio of 2.15. The chart below compares the historical Sharpe Ratios of XLV and AVEM, 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

XLV vs. AVEM - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, which is greater than AVEM's maximum drawdown of -36.05%. Use the drawdown chart below to compare losses from any high point for XLV and AVEM.

Drawdown Indicators

	XLV	AVEM	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	-36.05%	-3.12%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	-13.13%	+2.66%
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	-18.02%	+0.91%
Max Drawdown (5Y) Largest decline over 5 years	-17.11%	-33.88%	+16.77%
Max Drawdown (10Y) Largest decline over 10 years	-28.40%	—	—
Current Drawdown Current decline from peak	-3.59%	-3.33%	-0.26%
Average Drawdown Average peak-to-trough decline	-7.12%	-10.07%	+2.95%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.37%	3.45%	+0.92%

Volatility

XLV vs. AVEM - Volatility Comparison

The current volatility for State Street Health Care Select Sector SPDR ETF (XLV) is 4.90%, while Avantis Emerging Markets Equity ETF (AVEM) has a volatility of 10.91%. This indicates that XLV experiences smaller price fluctuations and is considered to be less risky than AVEM based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	AVEM	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.90%	10.91%	-6.01%
Volatility (6M) Calculated over the trailing 6-month period	10.60%	18.79%	-8.19%
Volatility (1Y) Calculated over the trailing 1-year period	15.03%	21.17%	-6.14%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.75%	18.71%	-3.96%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.58%	20.76%	-4.18%

XLV vs. AVEM - Expense Ratio Comparison

XLV has a 0.08% expense ratio, which is lower than AVEM's 0.33% expense ratio.

Dividends

XLV vs. AVEM - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 1.63%, less than AVEM's 2.59% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
AVEM Avantis Emerging Markets Equity ETF	2.59%	2.45%	3.17%	3.06%	2.77%	2.61%	1.60%	0.35%	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 XLV and AVEM in my portfolio?

XLV and AVEM have a correlation of 0.22, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, XLV or AVEM?

AVEM has higher volatility (10.91%) compared to XLV (4.90%). In terms of maximum drawdown, XLV dropped -39.17% vs AVEM's -36.05%.

Which ETF is better, XLV or AVEM?

On 5-year performance, AVEM leads with 9.66% vs 6.00% 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, XLV or AVEM?

Over the 5-year period, AVEM has performed better with a 9.66% return vs 6.00%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XLV or AVEM?

XLV is cheaper with a 0.08% expense ratio, compared with 0.33% for AVEM.

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

AVEM has the higher dividend yield at 2.59%, compared with 1.63% for XLV.

What is the main difference between XLV and AVEM?

XLV is categorized as Health & Biotech Equities, while AVEM is Emerging Markets Equities. They also come from different issuers: State Street and Avantis. Their fees differ too: 0.08% for XLV and 0.33% for AVEM.

Which has better risk-adjusted returns?

AVEM 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.