XLV vs. ZBH

Last updated Jun 14, 2026

XLV (State Street Health Care Select Sector SPDR ETF) is Health & Biotech Equities fund tracking the Health Care Select Sector Index, while ZBH (Zimmer Biomet Holdings, Inc.) is a stock. Over the past 10 years, XLV returned 9.81%/yr vs -1.64%/yr for ZBH. A 0.55 correlation means they provide meaningful diversification when combined.

Performance

XLV vs. ZBH - 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 Zimmer Biomet Holdings, Inc. (ZBH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLV achieves a -0.23% return, which is significantly higher than ZBH's -1.23% return. Over the past 10 years, XLV has outperformed ZBH with an annualized return of 9.81%, while ZBH has yielded a comparatively lower -1.64% annualized return.

XLV

• 1D: -0.18%
• 1M: 4.90%
• YTD: -0.23%
• 6M: 0.67%
• 1Y: 15.00%
• 3Y*: 7.12%
• 5Y*: 6.00%
• 10Y*: 9.81%

ZBH

• 1D: 1.64%
• 1M: 7.16%
• YTD: -1.23%
• 6M: -2.78%
• 1Y: -1.95%
• 3Y*: -12.72%
• 5Y*: -9.68%
• 10Y*: -1.64%

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

XLV vs. ZBH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
XLV State Street Health Care Select Sector SPDR ETF	-0.23%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	6.28%	21.77%
ZBH Zimmer Biomet Holdings, Inc.	-1.23%	-14.03%	-12.46%	-3.81%	4.24%	-17.02%	3.77%	45.37%	-13.30%	17.86%

Correlation

The correlation between XLV and ZBH is 0.48, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.48
Correlation (3Y) Calculated over the trailing 3-year period	0.48
Correlation (5Y) Calculated over the trailing 5-year period	0.51
Correlation (10Y) Calculated over the trailing 10-year period	0.55
Correlation (All Time) Calculated using the full available price history since Jul 25, 2001	0.55

The correlation between XLV and ZBH has been stable across timeframes, ranging from 0.48 to 0.55 - a consistent structural relationship.

Return for Risk

XLV vs. ZBH — 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: 33
XLV Omega Ratio Rank: 28
XLV Calmar Ratio Rank: 32
XLV Martin Ratio Rank: 27

ZBH

ZBH Risk / Return Rank: 36
ZBH Sharpe Ratio Rank: 38
ZBH Sortino Ratio Rank: 33
ZBH Omega Ratio Rank: 33
ZBH Calmar Ratio Rank: 38
ZBH Martin Ratio Rank: 38

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. ZBH - 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 Zimmer Biomet Holdings, Inc. (ZBH). 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	ZBH	Difference
Sharpe ratio: Return per unit of total volatility	0.97	-0.13	+1.10
Sortino ratio: Return per unit of downside risk	1.55	0.03	+1.53
Omega ratio: Gain probability vs. loss probability	1.17	1.00	+0.17
Calmar ratio: Return relative to maximum drawdown	1.38	-0.16	+1.54
Martin ratio: Return relative to average drawdown	3.31	-0.31	+3.62

XLV vs. ZBH - Sharpe Ratio Comparison

The current XLV Sharpe Ratio is 0.97, which is higher than the ZBH Sharpe Ratio of -0.13. The chart below compares the historical Sharpe Ratios of XLV and ZBH, 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. ZBH - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, smaller than the maximum ZBH drawdown of -65.03%. Use the drawdown chart below to compare losses from any high point for XLV and ZBH.

Drawdown Indicators

	XLV	ZBH	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	-65.03%	+25.86%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	-25.54%	+15.07%
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	-43.94%	+26.83%
Max Drawdown (5Y) Largest decline over 5 years	-17.11%	-48.62%	+31.51%
Max Drawdown (10Y) Largest decline over 10 years	-28.40%	-52.14%	+23.74%
Current Drawdown Current decline from peak	-3.59%	-46.73%	+43.14%
Average Drawdown Average peak-to-trough decline	-7.12%	-20.08%	+12.96%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.37%	13.04%	-8.67%

Volatility

XLV vs. ZBH - Volatility Comparison

The current volatility for State Street Health Care Select Sector SPDR ETF (XLV) is 4.90%, while Zimmer Biomet Holdings, Inc. (ZBH) has a volatility of 5.90%. This indicates that XLV experiences smaller price fluctuations and is considered to be less risky than ZBH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	ZBH	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.90%	5.90%	-1.00%
Volatility (6M) Calculated over the trailing 6-month period	10.60%	20.40%	-9.80%
Volatility (1Y) Calculated over the trailing 1-year period	15.03%	30.57%	-15.54%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.75%	26.65%	-11.90%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.58%	28.45%	-11.87%

Dividends

XLV vs. ZBH - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 1.63%, more than ZBH's 1.08% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
XLV State Street Health Care Select Sector SPDR ETF	1.63%	1.60%	1.67%	1.59%	1.47%	1.33%	1.49%	2.17%	1.57%	1.47%	1.60%	1.43%
ZBH Zimmer Biomet Holdings, Inc.	1.08%	1.07%	0.91%	0.79%	0.75%	0.76%	0.62%	0.64%	0.93%	0.80%	0.93%	0.86%

Frequently Asked Questions

Can I hold both XLV and ZBH in my portfolio?

XLV and ZBH have a correlation of 0.48, 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 ZBH?

ZBH has higher volatility (5.90%) compared to XLV (4.90%). In terms of maximum drawdown, XLV dropped -39.17% vs ZBH's -65.03%.

Which has better risk-adjusted returns?

XLV currently has the higher Sharpe Ratio (0.97 vs -0.13), 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.