XLV vs. GERM

Last updated Jun 4, 2026

XLV (State Street Health Care Select Sector SPDR ETF) and GERM (Amplify Treatments, Testing and Advancements ETF) are both Health & Biotech Equities funds - XLV tracks the Health Care Select Sector Index while GERM tracks the Prime Treatments, Testing and Advancements Index. Both are passively managed. Over the past year, XLV returned 12.89% vs 0.00% for GERM. XLV charges 0.08%/yr vs 0.68%/yr for GERM.

Performance

XLV vs. GERM - 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 Amplify Treatments, Testing and Advancements ETF (GERM). 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%

GERM

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

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

XLV vs. GERM - Yearly Performance Comparison

	2026 (YTD)	2025	2024
XLV State Street Health Care Select Sector SPDR ETF	-4.29%	14.50%	-9.90%
GERM Amplify Treatments, Testing and Advancements ETF	0.00%	0.00%	0.00%

XLV vs. GERM - Sectors Allocation Comparison

Sectors	XLV	GERM
Healthcare	100.0%	99.3%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	0.4%
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

XLV vs. GERM — 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. GERM - 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 Amplify Treatments, Testing and Advancements ETF (GERM). 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	GERM	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	GERM	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. GERM - Drawdown Comparison

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

Drawdown Indicators

	XLV	GERM	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	0.00%	-39.17%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	0.00%	-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%	0.00%	+4.32%

Volatility

XLV vs. GERM - Volatility Comparison

State Street Health Care Select Sector SPDR ETF (XLV) has a higher volatility of 4.10% compared to Amplify Treatments, Testing and Advancements ETF (GERM) at 0.00%. This indicates that XLV's price experiences larger fluctuations and is considered to be riskier than GERM based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	GERM	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.10%	0.00%	+4.10%
Volatility (6M) Calculated over the trailing 6-month period	10.24%	0.00%	+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. GERM - Expense Ratio Comparison

XLV has a 0.08% expense ratio, which is lower than GERM's 0.68% expense ratio.

Dividends

XLV vs. GERM - Dividend Comparison

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

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
GERM Amplify Treatments, Testing and Advancements 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 is riskier, XLV or GERM?

XLV has higher volatility (4.10%) compared to GERM (0.00%). In terms of maximum drawdown, XLV dropped -39.17% vs GERM's 0.00%.

Which ETF is better, XLV or GERM?

On 1-year performance, XLV leads with 12.89% vs 0.00% for GERM. On fees, XLV is cheaper at 0.08% per year. On volatility, GERM has been the lower-risk option at 0.00%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XLV or GERM?

Over the 1-year period, XLV has performed better with a 12.89% return vs 0.00%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XLV or GERM?

XLV is cheaper with a 0.08% expense ratio, compared with 0.68% for GERM.

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

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

What is the main difference between XLV and GERM?

XLV tracks Health Care Select Sector Index, while GERM tracks Prime Treatments, Testing and Advancements Index. They also come from different issuers: State Street and Amplify. Their fees differ too: 0.08% for XLV and 0.68% for GERM.