XLV vs. AVIV

Last updated Jun 13, 2026

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

Performance

XLV vs. AVIV - 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 International Large Cap Value ETF (AVIV). 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 AVIV's 12.06% 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%

AVIV

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

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

XLV vs. AVIV - Yearly Performance Comparison

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

Correlation

The correlation between XLV and AVIV 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

XLV vs. AVIV - Sectors Allocation Comparison

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

Return for Risk

XLV vs. AVIV — 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

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

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. AVIV - 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 International Large Cap Value ETF (AVIV). 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	AVIV	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	2.96	-1.40
Omega ratio: Gain probability vs. loss probability	1.17	1.39	-0.22
Calmar ratio: Return relative to maximum drawdown	1.38	2.91	-1.52
Martin ratio: Return relative to average drawdown	3.31	11.35	-8.04

XLV vs. AVIV - Sharpe Ratio Comparison

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

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

Drawdown Indicators

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

Volatility

XLV vs. AVIV - Volatility Comparison

State Street Health Care Select Sector SPDR ETF (XLV) and Avantis International Large Cap Value ETF (AVIV) have volatilities of 4.90% and 5.13%, 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

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

XLV vs. AVIV - Expense Ratio Comparison

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

Dividends

XLV vs. AVIV - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 1.63%, less than AVIV's 3.95% 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 XLV and AVIV in my portfolio?

XLV and AVIV 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, XLV or AVIV?

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

Which ETF is better, XLV or AVIV?

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, XLV or AVIV?

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, XLV or AVIV?

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

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

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

What is the main difference between XLV and AVIV?

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

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.