XLVI vs. VHT

Last updated Jun 3, 2026

XLVI (State Street Health Care Select Sector SPDR Premium Income ETF) and VHT (Vanguard Health Care ETF) are both exchange-traded funds - XLVI is a Derivative Income fund actively managed by State Street, while VHT is a Health & Biotech Equities fund tracking the MSCI US Investable Market Health Care 25/50 Index. XLVI is actively managed, while VHT is passively managed. Their correlation of 0.95 suggests significant overlap in exposure. XLVI charges 0.35%/yr vs 0.10%/yr for VHT.

Performance

XLVI vs. VHT - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in State Street Health Care Select Sector SPDR Premium Income ETF (XLVI) and Vanguard Health Care ETF (VHT). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLVI achieves a -1.33% return, which is significantly higher than VHT's -4.81% return.

XLVI

• 1D: -0.73%
• 1M: 1.42%
• YTD: -1.33%
• 6M: 0.46%
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

VHT

• 1D: -1.21%
• 1M: 0.62%
• YTD: -4.81%
• 6M: -4.41%
• 1Y: 13.73%
• 3Y*: 5.85%
• 5Y*: 4.42%
• 10Y*: 9.17%

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

XLVI vs. VHT - Yearly Performance Comparison

	2026 (YTD)	2025
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	-1.33%	12.79%
VHT Vanguard Health Care ETF	-4.81%	17.45%

Correlation

The correlation between XLVI and VHT is 0.95, indicating a strong positive relationship between their price movements. Combining them offers limited diversification - they tend to fall together during downturns.

	Correlation
Correlation (All Time) Calculated using the full available price history since Jul 31, 2025	0.95

XLVI vs. VHT - Sectors Allocation Comparison

Sectors	XLVI	VHT
Financial Services	100.6%	0.0%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Healthcare	-	100.0%
Industrials	-	0.0%
Real Estate	-	-
Technology	-	0.0%
Utilities	-	-

Return for Risk

XLVI vs. VHT — Risk / Return Rank

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

VHT

VHT Risk / Return Rank: 27
VHT Sharpe Ratio Rank: 27
VHT Sortino Ratio Rank: 28
VHT Omega Ratio Rank: 25
VHT Calmar Ratio Rank: 28
VHT Martin Ratio Rank: 25

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.

XLVI vs. VHT - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for State Street Health Care Select Sector SPDR Premium Income ETF (XLVI) and Vanguard Health Care ETF (VHT). 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.

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

Sharpe Ratios by Period

	XLVI	VHT	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	—	0.96	—
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	—	0.30	—
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	—	0.54	—
Sharpe Ratio (All Time) Calculated using the full available price history	1.25	0.56	+0.69

Drawdowns

XLVI vs. VHT - Drawdown Comparison

The maximum XLVI drawdown since its inception was -8.14%, smaller than the maximum VHT drawdown of -39.12%. Use the drawdown chart below to compare losses from any high point for XLVI and VHT.

Drawdown Indicators

	XLVI	VHT	Difference
Max Drawdown Largest peak-to-trough decline	-8.14%	-39.12%	+30.98%
Max Drawdown (1Y) Largest decline over 1 year	—	-10.40%	—
Max Drawdown (3Y) Largest decline over 3 years	—	-16.91%	—
Max Drawdown (5Y) Largest decline over 5 years	—	-17.71%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-28.85%	—
Current Drawdown Current decline from peak	-4.66%	-7.83%	+3.17%
Average Drawdown Average peak-to-trough decline	-1.94%	-5.99%	+4.05%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	4.12%	—

Volatility

Volatility by Period

	XLVI	VHT	Difference
Volatility (1M) Calculated over the trailing 1-month period	—	4.00%	—
Volatility (6M) Calculated over the trailing 6-month period	—	10.14%	—
Volatility (1Y) Calculated over the trailing 1-year period	10.94%	14.32%	-3.38%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	10.94%	14.96%	-4.02%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	10.94%	16.94%	-6.00%

XLVI vs. VHT - Expense Ratio Comparison

XLVI has a 0.35% expense ratio, which is higher than VHT's 0.10% expense ratio.

Dividends

XLVI vs. VHT - Dividend Comparison

XLVI's dividend yield for the trailing twelve months is around 11.61%, more than VHT's 1.72% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
VHT Vanguard Health Care ETF	1.72%	1.61%	1.53%	1.36%	1.33%	1.14%	1.21%	1.89%	1.38%	1.31%	1.45%	1.22%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	11.61%	5.73%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both XLVI and VHT in my portfolio?

With a correlation of 0.95, XLVI and VHT move almost identically. Holding both adds very little diversification - you're essentially doubling your position in the same market segment. Choosing one is usually more capital-efficient.

Which ETF is better, XLVI or VHT?

On fees, VHT is cheaper at 0.10% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, XLVI or VHT?

VHT is cheaper with a 0.10% expense ratio, compared with 0.35% for XLVI.

Which ETF pays a higher dividend yield, XLVI or VHT?

XLVI has the higher dividend yield at 11.61%, compared with 1.72% for VHT.

What is the main difference between XLVI and VHT?

XLVI is categorized as Derivative Income, while VHT is Health & Biotech Equities. They also come from different issuers: State Street and Vanguard. Their fees differ too: 0.35% for XLVI and 0.10% for VHT.