XLV vs. BTEC

Last updated Jun 4, 2026

XLV (State Street Health Care Select Sector SPDR ETF) and BTEC (Principal Healthcare Innovators Index ETF) are both Health & Biotech Equities funds - XLV tracks the Health Care Select Sector Index while BTEC tracks the NASDAQ U.S. Health Care Innovators Index. Both are passively managed. XLV charges 0.08%/yr vs 0.42%/yr for BTEC.

Performance

XLV vs. BTEC - 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 Principal Healthcare Innovators Index ETF (BTEC). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

XLV

• 1D: 0.79%
• 1M: 1.95%
• YTD: -4.29%
• 6M: -4.06%
• 1Y: 12.89%
• 3Y*: 5.98%
• 5Y*: 5.55%
• 10Y*: 9.20%

BTEC

• 1D: 0.00%
• 1M: 0.00%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

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

XLV vs. BTEC - Yearly Performance Comparison

	2026 (YTD)
XLV State Street Health Care Select Sector SPDR ETF	-6.06%
BTEC Principal Healthcare Innovators Index ETF	0.00%

XLV vs. BTEC - Sectors Allocation Comparison

Sectors	XLV	BTEC
Healthcare	100.0%	99.4%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	0.6%
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

XLV vs. BTEC — Risk / Return Rank

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

XLV

XLV Risk / Return Rank: 24
XLV Sharpe Ratio Rank: 24
XLV Sortino Ratio Rank: 26
XLV Omega Ratio Rank: 23
XLV Calmar Ratio Rank: 26
XLV Martin Ratio Rank: 23

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. BTEC - 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 Principal Healthcare Innovators Index ETF (BTEC). 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.

	XLV	BTEC	Difference
Sharpe ratio: Return per unit of total volatility	0.88	—	—
Sortino ratio: Return per unit of downside risk	1.42	—	—
Omega ratio: Gain probability vs. loss probability	1.16	—	—
Calmar ratio: Return relative to maximum drawdown	1.24	—	—
Martin ratio: Return relative to average drawdown	2.99	—	—
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

Sharpe Ratios by Period

	XLV	BTEC	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.88	—	—
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.38	—	—
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.56	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.46	—	—

Drawdowns

XLV vs. BTEC - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, which is greater than BTEC's maximum drawdown of 0.00%. Use the drawdown chart below to compare losses from any high point for XLV and BTEC.

Drawdown Indicators

	XLV	BTEC	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	0.00%	-39.17%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	—	—
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	-7.52%	0.00%	-7.52%
Average Drawdown Average peak-to-trough decline	-7.12%	0.00%	-7.12%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.32%	—	—

Volatility

Volatility by Period

	XLV	BTEC	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.10%	—	—
Volatility (6M) Calculated over the trailing 6-month period	10.24%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	14.67%	0.00%	+14.67%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.69%	0.00%	+14.69%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.55%	0.00%	+16.55%

XLV vs. BTEC - Expense Ratio Comparison

XLV has a 0.08% expense ratio, which is lower than BTEC's 0.42% expense ratio.

Dividends

XLV vs. BTEC - Dividend Comparison

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

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
BTEC Principal Healthcare Innovators Index 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%

Frequently Asked Questions

Which ETF is better, XLV or BTEC?

On fees, XLV is cheaper at 0.08% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, XLV or BTEC?

XLV is cheaper with a 0.08% expense ratio, compared with 0.42% for BTEC.

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

XLV has the higher dividend yield at 1.70%, compared with 0.00% for BTEC.

What is the main difference between XLV and BTEC?

XLV tracks Health Care Select Sector Index, while BTEC tracks NASDAQ U.S. Health Care Innovators Index. They also come from different issuers: State Street and Principal. Their fees differ too: 0.08% for XLV and 0.42% for BTEC.