XLV vs. UNH

Last updated Jun 5, 2026

XLV (State Street Health Care Select Sector SPDR ETF) is Health & Biotech Equities fund tracking the Health Care Select Sector Index, while UNH (UnitedHealth Group Incorporated) is a stock. Over the past 10 years, XLV returned 9.48%/yr vs 12.95%/yr for UNH. A 0.52 correlation means they provide meaningful diversification when combined.

Performance

XLV vs. UNH - 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 UnitedHealth Group Incorporated (UNH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLV achieves a -1.35% return, which is significantly lower than UNH's 21.04% return. Over the past 10 years, XLV has underperformed UNH with an annualized return of 9.48%, while UNH has yielded a comparatively higher 12.95% annualized return.

XLV

• 1D: 3.07%
• 1M: 4.67%
• YTD: -1.35%
• 6M: -0.35%
• 1Y: 16.13%
• 3Y*: 6.92%
• 5Y*: 6.19%
• 10Y*: 9.48%

UNH

• 1D: 5.16%
• 1M: 8.96%
• YTD: 21.04%
• 6M: 20.61%
• 1Y: 35.71%
• 3Y*: -5.49%
• 5Y*: 1.26%
• 10Y*: 12.95%

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

XLV vs. UNH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
XLV State Street Health Care Select Sector SPDR ETF	-1.35%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	6.28%	21.77%
UNH UnitedHealth Group Incorporated	21.04%	-33.14%	-2.41%	0.80%	6.94%	45.20%	21.25%	20.00%	14.52%	39.83%

Correlation

The correlation between XLV and UNH is 0.42, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.42
Correlation (3Y) Calculated over the trailing 3-year period	0.41
Correlation (5Y) Calculated over the trailing 5-year period	0.54
Correlation (10Y) Calculated over the trailing 10-year period	0.58
Correlation (All Time) Calculated using the full available price history since Dec 23, 1998	0.52

The correlation between XLV and UNH shifts across timeframes, from 0.41 (3 years) to 0.58 (10 years), reflecting how their relationship changes across market environments.

Return for Risk

XLV vs. UNH — Risk / Return Rank

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

XLV

XLV Risk / Return Rank: 31
XLV Sharpe Ratio Rank: 31
XLV Sortino Ratio Rank: 34
XLV Omega Ratio Rank: 29
XLV Calmar Ratio Rank: 32
XLV Martin Ratio Rank: 27

UNH

UNH Risk / Return Rank: 66
UNH Sharpe Ratio Rank: 69
UNH Sortino Ratio Rank: 63
UNH Omega Ratio Rank: 67
UNH Calmar Ratio Rank: 66
UNH Martin Ratio Rank: 65

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. UNH - 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 UnitedHealth Group Incorporated (UNH). 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	UNH	Difference
Sharpe ratio: Return per unit of total volatility	1.08	0.89	+0.19
Sortino ratio: Return per unit of downside risk	1.72	1.36	+0.36
Omega ratio: Gain probability vs. loss probability	1.19	1.21	-0.01
Calmar ratio: Return relative to maximum drawdown	1.55	1.24	+0.31
Martin ratio: Return relative to average drawdown	3.73	2.72	+1.02
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

XLV vs. UNH - Sharpe Ratio Comparison

The current XLV Sharpe Ratio is 1.08, which is comparable to the UNH Sharpe Ratio of 0.89. The chart below compares the historical Sharpe Ratios of XLV and UNH, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	XLV	UNH	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.08	0.89	+0.19
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.42	0.04	+0.38
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.57	0.43	+0.14
Sharpe Ratio (All Time) Calculated using the full available price history	0.46	0.64	-0.17

Drawdowns

XLV vs. UNH - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, smaller than the maximum UNH drawdown of -74.37%. Use the drawdown chart below to compare losses from any high point for XLV and UNH.

Drawdown Indicators

	XLV	UNH	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	-74.37%	+35.20%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	-28.96%	+18.49%
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	-61.39%	+44.28%
Max Drawdown (5Y) Largest decline over 5 years	-17.11%	-61.39%	+44.28%
Max Drawdown (10Y) Largest decline over 10 years	-28.40%	-61.39%	+32.99%
Current Drawdown Current decline from peak	-4.68%	-34.27%	+29.59%
Average Drawdown Average peak-to-trough decline	-7.12%	-14.76%	+7.64%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.33%	13.19%	-8.86%

Volatility

XLV vs. UNH - Volatility Comparison

The current volatility for State Street Health Care Select Sector SPDR ETF (XLV) is 5.04%, while UnitedHealth Group Incorporated (UNH) has a volatility of 8.19%. This indicates that XLV experiences smaller price fluctuations and is considered to be less risky than UNH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	UNH	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.04%	8.19%	-3.15%
Volatility (6M) Calculated over the trailing 6-month period	10.67%	31.20%	-20.53%
Volatility (1Y) Calculated over the trailing 1-year period	14.97%	40.16%	-25.19%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.76%	31.87%	-17.11%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.57%	30.18%	-13.61%

Dividends

XLV vs. UNH - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 1.65%, less than UNH's 2.23% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
UNH UnitedHealth Group Incorporated	2.23%	2.64%	1.62%	1.38%	1.21%	1.12%	1.38%	1.41%	1.38%	1.30%	1.48%	1.59%
XLV State Street Health Care Select Sector SPDR ETF	1.65%	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 UNH in my portfolio?

XLV and UNH have a correlation of 0.42, 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 UNH?

UNH has higher volatility (8.19%) compared to XLV (5.04%). In terms of maximum drawdown, XLV dropped -39.17% vs UNH's -74.37%.

Which has better risk-adjusted returns?

XLV currently has the higher Sharpe Ratio (1.08 vs 0.89), 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.