XLV vs. IEMG

Last updated Jun 23, 2026

XLV (State Street Health Care Select Sector SPDR ETF) and IEMG (iShares Core MSCI Emerging Markets ETF) are both exchange-traded funds - XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index, while IEMG is a Emerging Markets Diversified fund tracking the MSCI Emerging Markets Investable Market Index (USD) (Net). Both are passively managed. Over the past 10 years, XLV returned 9.86%/yr vs 11.00%/yr for IEMG. At a 0.45 correlation, their price movements are largely independent. XLV charges 0.08%/yr vs 0.09%/yr for IEMG.

Performance

XLV vs. IEMG - 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 iShares Core MSCI Emerging Markets ETF (IEMG). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLV achieves a -2.23% return, which is significantly lower than IEMG's 28.97% return. Over the past 10 years, XLV has underperformed IEMG with an annualized return of 9.86%, while IEMG has yielded a comparatively higher 11.00% annualized return.

XLV

• 1D: 0.88%
• 1M: 0.56%
• YTD: -2.23%
• 6M: -2.55%
• 1Y: 15.69%
• 3Y*: 6.13%
• 5Y*: 5.50%
• 10Y*: 9.86%

IEMG

• 1D: 0.43%
• 1M: 7.60%
• YTD: 28.97%
• 6M: 30.48%
• 1Y: 53.20%
• 3Y*: 24.44%
• 5Y*: 8.45%
• 10Y*: 11.00%

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

XLV vs. IEMG - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
XLV State Street Health Care Select Sector SPDR ETF	-2.23%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	6.28%	21.77%
IEMG iShares Core MSCI Emerging Markets ETF	28.97%	32.56%	6.50%	11.52%	-19.98%	-0.64%	17.87%	17.81%	-14.92%	37.38%

Correlation

The correlation between XLV and IEMG is 0.20, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.20
Correlation (3Y) Calculated over the trailing 3-year period	0.26
Correlation (5Y) Calculated over the trailing 5-year period	0.33
Correlation (10Y) Calculated over the trailing 10-year period	0.42
Correlation (All Time) Calculated using the full available price history since Oct 24, 2012	0.45

Over the past year, the correlation between XLV and IEMG has dropped to 0.20 - well below their long-term average of 0.45, suggesting their price drivers have been diverging.

XLV vs. IEMG - Sectors Allocation Comparison

Sectors	XLV	IEMG
Healthcare	100.0%	3.2%
Basic Materials	-	6.3%
Communication Services	-	5.6%
Consumer Cyclical	-	8.5%
Consumer Defensive	-	2.8%
Energy	-	3.3%
Financial Services	-	16.7%
Industrials	-	8.0%
Real Estate	-	1.6%
Technology	-	42.1%
Utilities	-	1.9%

Return for Risk

XLV vs. IEMG — 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: 32
XLV Omega Ratio Rank: 28
XLV Calmar Ratio Rank: 31
XLV Martin Ratio Rank: 27

IEMG

IEMG Risk / Return Rank: 79
IEMG Sharpe Ratio Rank: 82
IEMG Sortino Ratio Rank: 74
IEMG Omega Ratio Rank: 82
IEMG Calmar Ratio Rank: 80
IEMG 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. IEMG - 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 iShares Core MSCI Emerging Markets ETF (IEMG). 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	IEMG	Difference
Sharpe ratio: Return per unit of total volatility	1.05	2.50	-1.45
Sortino ratio: Return per unit of downside risk	1.67	3.18	-1.51
Omega ratio: Gain probability vs. loss probability	1.19	1.47	-0.28
Calmar ratio: Return relative to maximum drawdown	1.51	4.05	-2.54
Martin ratio: Return relative to average drawdown	3.56	14.87	-11.30

XLV vs. IEMG - Sharpe Ratio Comparison

The current XLV Sharpe Ratio is 1.05, which is lower than the IEMG Sharpe Ratio of 2.50. The chart below compares the historical Sharpe Ratios of XLV and IEMG, 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. IEMG - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, roughly equal to the maximum IEMG drawdown of -38.71%. Use the drawdown chart below to compare losses from any high point for XLV and IEMG.

Drawdown Indicators

	XLV	IEMG	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	-38.71%	-0.46%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	-13.21%	+2.74%
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	-17.21%	+0.10%
Max Drawdown (5Y) Largest decline over 5 years	-17.11%	-35.75%	+18.64%
Max Drawdown (10Y) Largest decline over 10 years	-28.40%	-38.71%	+10.31%
Current Drawdown Current decline from peak	-5.53%	0.00%	-5.53%
Average Drawdown Average peak-to-trough decline	-7.12%	-12.94%	+5.82%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.42%	3.59%	+0.83%

Volatility

XLV vs. IEMG - Volatility Comparison

The current volatility for State Street Health Care Select Sector SPDR ETF (XLV) is 5.14%, while iShares Core MSCI Emerging Markets ETF (IEMG) has a volatility of 10.67%. This indicates that XLV experiences smaller price fluctuations and is considered to be less risky than IEMG based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	IEMG	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.14%	10.67%	-5.53%
Volatility (6M) Calculated over the trailing 6-month period	10.58%	19.30%	-8.72%
Volatility (1Y) Calculated over the trailing 1-year period	15.06%	21.44%	-6.38%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.76%	18.84%	-4.08%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.59%	20.21%	-3.62%

XLV vs. IEMG - Expense Ratio Comparison

XLV has a 0.08% expense ratio, which is lower than IEMG's 0.09% 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. IEMG - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 2.11%, which matches IEMG's 2.09% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IEMG iShares Core MSCI Emerging Markets ETF	2.09%	2.75%	3.20%	2.89%	2.71%	3.06%	1.87%	3.15%	2.76%	2.35%	2.28%	2.53%
XLV State Street Health Care Select Sector SPDR ETF	2.11%	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 IEMG in my portfolio?

XLV and IEMG have a correlation of 0.20, 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 IEMG?

IEMG has higher volatility (10.67%) compared to XLV (5.14%). In terms of maximum drawdown, XLV dropped -39.17% vs IEMG's -38.71%.

Which ETF is better, XLV or IEMG?

On 10-year performance, IEMG leads with 11.00% vs 9.86% for XLV. On fees, XLV is cheaper at 0.08% per year. On volatility, XLV has been the lower-risk option at 5.14%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XLV or IEMG?

Over the 10-year period, IEMG has performed better with a 11.00% return vs 9.86%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XLV or IEMG?

XLV is cheaper with a 0.08% expense ratio, compared with 0.09% for IEMG.

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

XLV has the higher dividend yield at 2.11%, compared with 2.09% for IEMG.

What is the main difference between XLV and IEMG?

XLV is categorized as Health & Biotech Equities, while IEMG is Emerging Markets Diversified. XLV tracks Health Care Select Sector Index, while IEMG tracks MSCI Emerging Markets Investable Market Index (USD) (Net). They also come from different issuers: State Street and iShares. Their fees differ too: 0.08% for XLV and 0.09% for IEMG.

Which has better risk-adjusted returns?

IEMG currently has the higher Sharpe Ratio (2.50 vs 1.05), 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.