XLV vs. FZILX

Last updated Jun 16, 2026

XLV (State Street Health Care Select Sector SPDR ETF) and FZILX (Fidelity ZERO International Index Fund) are both funds - XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index, while FZILX is a Foreign Large Cap Equities fund tracking the Fidelity Global ex U.S. Index. Both are passively managed. Over the past 5 years, XLV returned 5.93%/yr vs 8.89%/yr for FZILX. A 0.53 correlation means they provide meaningful diversification when combined. XLV charges 0.08%/yr vs 0.00%/yr for FZILX.

Performance

XLV vs. FZILX - 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 Fidelity ZERO International Index Fund (FZILX). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLV achieves a -0.83% return, which is significantly lower than FZILX's 14.46% return.

XLV

• 1D: -0.60%
• 1M: 5.37%
• YTD: -0.83%
• 6M: -1.24%
• 1Y: 14.31%
• 3Y*: 6.73%
• 5Y*: 5.93%
• 10Y*: 9.89%

FZILX

• 1D: 0.60%
• 1M: 3.44%
• YTD: 14.46%
• 6M: 15.88%
• 1Y: 31.18%
• 3Y*: 19.17%
• 5Y*: 8.89%
• 10Y*: —

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

XLV vs. FZILX - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018
XLV State Street Health Care Select Sector SPDR ETF	-0.83%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	-2.99%
FZILX Fidelity ZERO International Index Fund	14.46%	33.52%	5.32%	16.28%	-15.96%	8.19%	11.06%	21.69%	-9.38%

Correlation

The correlation between XLV and FZILX is 0.37, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.37
Correlation (3Y) Calculated over the trailing 3-year period	0.40
Correlation (5Y) Calculated over the trailing 5-year period	0.47
Correlation (All Time) Calculated using the full available price history since Aug 16, 2018	0.53

The correlation between XLV and FZILX shifts across timeframes, from 0.37 (1 year) to 0.53 (all time), reflecting how their relationship changes across market environments.

Return for Risk

XLV vs. FZILX — Risk / Return Rank

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

XLV

XLV Risk / Return Rank: 29
XLV Sharpe Ratio Rank: 29
XLV Sortino Ratio Rank: 31
XLV Omega Ratio Rank: 27
XLV Calmar Ratio Rank: 31
XLV Martin Ratio Rank: 26

FZILX

FZILX Risk / Return Rank: 58
FZILX Sharpe Ratio Rank: 58
FZILX Sortino Ratio Rank: 53
FZILX Omega Ratio Rank: 59
FZILX Calmar Ratio Rank: 61
FZILX Martin Ratio Rank: 58

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. FZILX - 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 Fidelity ZERO International Index Fund (FZILX). 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	FZILX	Difference
Sharpe ratio: Return per unit of total volatility	0.96	1.90	-0.95
Sortino ratio: Return per unit of downside risk	1.54	2.60	-1.05
Omega ratio: Gain probability vs. loss probability	1.17	1.36	-0.18
Calmar ratio: Return relative to maximum drawdown	1.37	2.64	-1.26
Martin ratio: Return relative to average drawdown	3.28	10.15	-6.87

XLV vs. FZILX - Sharpe Ratio Comparison

The current XLV Sharpe Ratio is 0.96, which is lower than the FZILX Sharpe Ratio of 1.90. The chart below compares the historical Sharpe Ratios of XLV and FZILX, 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. FZILX - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, which is greater than FZILX's maximum drawdown of -34.37%. Use the drawdown chart below to compare losses from any high point for XLV and FZILX.

Drawdown Indicators

	XLV	FZILX	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	-34.37%	-4.80%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	-11.24%	+0.77%
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	-13.47%	-3.64%
Max Drawdown (5Y) Largest decline over 5 years	-17.11%	-29.87%	+12.76%
Max Drawdown (10Y) Largest decline over 10 years	-28.40%	—	—
Current Drawdown Current decline from peak	-4.17%	-1.58%	-2.59%
Average Drawdown Average peak-to-trough decline	-7.12%	-6.68%	-0.44%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.37%	2.92%	+1.45%

Volatility

XLV vs. FZILX - Volatility Comparison

The current volatility for State Street Health Care Select Sector SPDR ETF (XLV) is 4.96%, while Fidelity ZERO International Index Fund (FZILX) has a volatility of 6.65%. This indicates that XLV experiences smaller price fluctuations and is considered to be less risky than FZILX based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	FZILX	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.96%	6.65%	-1.69%
Volatility (6M) Calculated over the trailing 6-month period	10.58%	13.40%	-2.82%
Volatility (1Y) Calculated over the trailing 1-year period	15.05%	15.59%	-0.54%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.75%	15.70%	-0.95%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.58%	17.39%	-0.81%

XLV vs. FZILX - Expense Ratio Comparison

XLV has a 0.08% expense ratio, which is higher than FZILX's 0.00% expense ratio. However, 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. FZILX - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 1.64%, less than FZILX's 2.34% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
FZILX Fidelity ZERO International Index Fund	2.34%	2.67%	3.00%	2.98%	2.71%	2.61%	1.64%	2.37%	0.02%	0.00%	0.00%	0.00%
XLV State Street Health Care Select Sector SPDR ETF	1.64%	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 FZILX in my portfolio?

XLV and FZILX have a correlation of 0.37, 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 FZILX?

FZILX has higher volatility (6.65%) compared to XLV (4.96%). In terms of maximum drawdown, XLV dropped -39.17% vs FZILX's -34.37%.

Which has better risk-adjusted returns?

FZILX currently has the higher Sharpe Ratio (1.90 vs 0.96), 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.