XLVI vs. XHE

Last updated Jul 17, 2026

XLVI (State Street Health Care Select Sector SPDR Premium Income ETF) and XHE (SPDR S&P Health Care Equipment ETF) are both exchange-traded funds - XLVI is a Derivative Income fund actively managed by State Street, while XHE is a Health & Biotech Equities fund tracking the S&P Health Care Equipment Select Industry Index. XLVI is actively managed, while XHE is passively managed. A 0.56 correlation means they provide meaningful diversification when combined. Both charge a 0.35% expense ratio.

Performance

XLVI vs. XHE - 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 SPDR S&P Health Care Equipment ETF (XHE). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLVI achieves a 6.29% return, which is significantly higher than XHE's 1.16% return.

XLVI

• 1D: 1.77%
• 1M: 3.84%
• 6M: 5.18%
• YTD: 6.29%
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

XHE

• 1D: 2.62%
• 1M: 9.08%
• 6M: -0.46%
• YTD: 1.16%
• 1Y: 14.27%
• 3Y*: -3.33%
• 5Y*: -6.11%
• 10Y*: 6.29%

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

XLVI vs. XHE - Yearly Performance Comparison

	2026 (YTD)	2025
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	6.29%	12.41%
XHE SPDR S&P Health Care Equipment ETF	1.16%	11.79%

Correlation

The correlation between XLVI and XHE is 0.56, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (All Time) Calculated using the full available price history since Jul 30, 2025	0.56

XLVI vs. XHE - Sectors Allocation Comparison

Sectors	XLVI	XHE
Financial Services	101.4%	1.8%
Healthcare	100.0%	98.2%
Basic Materials	-	-
Communication Services	-	1.5%
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Industrials	-	1.7%
Real Estate	-	-
Technology	-	1.7%
Utilities	-	-

Return for Risk

XLVI vs. XHE — Risk / Return Rank

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

XLVI

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

XHE

XHE Risk / Return Rank: 21
XHE Sharpe Ratio Rank: 22
XHE Sortino Ratio Rank: 23
XHE Omega Ratio Rank: 21
XHE Calmar Ratio Rank: 21
XHE Martin Ratio Rank: 19

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. XHE - 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 SPDR S&P Health Care Equipment ETF (XHE). 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.

	XLVI	XHE	Difference
Sharpe ratio: Return per unit of total volatility	—	0.63	—
Sortino ratio: Return per unit of downside risk	—	1.07	—
Omega ratio: Gain probability vs. loss probability	—	1.12	—
Calmar ratio: Return relative to maximum drawdown	—	0.78	—
Martin ratio: Return relative to average drawdown	—	1.68	—

Drawdowns

XLVI vs. XHE - Drawdown Comparison

The maximum XLVI drawdown since its inception was -8.14%, smaller than the maximum XHE drawdown of -49.92%. Use the drawdown chart below to compare losses from any high point for XLVI and XHE.

Drawdown Indicators

	XLVI	XHE	Difference
Max Drawdown Largest peak-to-trough decline	-8.14%	-49.92%	+41.78%
Max Drawdown (1Y) Largest decline over 1 year	—	-18.29%	—
Max Drawdown (3Y) Largest decline over 3 years	—	-32.62%	—
Max Drawdown (5Y) Largest decline over 5 years	—	-49.92%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-49.92%	—
Current Drawdown Current decline from peak	0.00%	-32.94%	+32.94%
Average Drawdown Average peak-to-trough decline	-1.83%	-13.44%	+11.61%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	8.53%	—

Volatility

Volatility by Period

	XLVI	XHE	Difference
Volatility (1M) Calculated over the trailing 1-month period	—	8.62%	—
Volatility (6M) Calculated over the trailing 6-month period	—	17.31%	—
Volatility (1Y) Calculated over the trailing 1-year period	11.06%	22.71%	-11.65%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	11.06%	24.73%	-13.67%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	11.06%	23.06%	-12.00%

XLVI vs. XHE - Expense Ratio Comparison

Both XLVI and XHE have an expense ratio of 0.35%.

Dividends

XLVI vs. XHE - Dividend Comparison

XLVI's dividend yield for the trailing twelve months is around 11.89%, more than XHE's 0.06% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
XHE SPDR S&P Health Care Equipment ETF	0.06%	0.08%	0.04%	0.03%	0.04%	0.00%	0.00%	0.05%	0.09%	0.78%	0.17%	7.22%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	11.89%	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 XHE in my portfolio?

XLVI and XHE have a correlation of 0.56, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, XLVI or XHE?

Both ETFs have the same 0.35% expense ratio. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, XLVI or XHE?

XLVI and XHE have the same expense ratio: 0.35% per year.

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

XLVI has the higher dividend yield at 11.89%, compared with 0.06% for XHE.

What is the main difference between XLVI and XHE?

XLVI is categorized as Derivative Income, while XHE is Health & Biotech Equities.