XLVI vs. XLV

Last updated Jun 3, 2026

XLVI (State Street Health Care Select Sector SPDR Premium Income ETF) and XLV (State Street Health Care Select Sector SPDR ETF) are both exchange-traded funds - XLVI is a Derivative Income fund actively managed by State Street, while XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index. XLVI is actively managed, while XLV is passively managed. With a 0.96 correlation, they move nearly in lockstep. XLVI charges 0.35%/yr vs 0.08%/yr for XLV.

Performance

XLVI vs. XLV - 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 State Street Health Care Select Sector SPDR ETF (XLV). 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 XLV's -5.04% return.

XLVI

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

XLV

• 1D: -0.97%
• 1M: 0.85%
• YTD: -5.04%
• 6M: -4.36%
• 1Y: 12.27%
• 3Y*: 5.70%
• 5Y*: 5.45%
• 10Y*: 9.12%

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

XLVI vs. XLV - Yearly Performance Comparison

	2026 (YTD)	2025
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	-1.33%	12.79%
XLV State Street Health Care Select Sector SPDR ETF	-5.04%	16.38%

Correlation

The correlation between XLVI and XLV is 0.96 - these two move nearly in lockstep. At this level, holding both provides almost no diversification benefit. If you already own one, adding the other does little to reduce portfolio risk.

	Correlation
Correlation (All Time) Calculated using the full available price history since Jul 31, 2025	0.96

XLVI vs. XLV - Sectors Allocation Comparison

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

Return for Risk

XLVI vs. XLV — Risk / Return Rank

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

XLV

XLV Risk / Return Rank: 24
XLV Sharpe Ratio Rank: 24
XLV Sortino Ratio Rank: 25
XLV Omega Ratio Rank: 23
XLV Calmar Ratio Rank: 25
XLV Martin Ratio Rank: 22

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. XLV - 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 State Street Health Care Select Sector SPDR ETF (XLV). 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	XLV	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	—	0.84	—
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	—	0.37	—
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	—	0.55	—
Sharpe Ratio (All Time) Calculated using the full available price history	1.25	0.46	+0.79

Drawdowns

XLVI vs. XLV - Drawdown Comparison

The maximum XLVI drawdown since its inception was -8.14%, smaller than the maximum XLV drawdown of -39.17%. Use the drawdown chart below to compare losses from any high point for XLVI and XLV.

Drawdown Indicators

	XLVI	XLV	Difference
Max Drawdown Largest peak-to-trough decline	-8.14%	-39.17%	+31.03%
Max Drawdown (1Y) Largest decline over 1 year	—	-10.47%	—
Max Drawdown (3Y) Largest decline over 3 years	—	-17.11%	—
Max Drawdown (5Y) Largest decline over 5 years	—	-17.11%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-28.40%	—
Current Drawdown Current decline from peak	-4.66%	-8.24%	+3.58%
Average Drawdown Average peak-to-trough decline	-1.94%	-7.12%	+5.18%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	4.30%	—

Volatility

Volatility by Period

	XLVI	XLV	Difference
Volatility (1M) Calculated over the trailing 1-month period	—	4.05%	—
Volatility (6M) Calculated over the trailing 6-month period	—	10.32%	—
Volatility (1Y) Calculated over the trailing 1-year period	10.94%	14.65%	-3.71%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	10.94%	14.69%	-3.75%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	10.94%	16.55%	-5.61%

XLVI vs. XLV - Expense Ratio Comparison

XLVI has a 0.35% expense ratio, which is higher than XLV's 0.08% expense ratio.

Dividends

XLVI vs. XLV - Dividend Comparison

XLVI's dividend yield for the trailing twelve months is around 11.61%, more than XLV's 1.71% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
XLV State Street Health Care Select Sector SPDR ETF	1.71%	1.60%	1.67%	1.59%	1.47%	1.33%	1.49%	2.17%	1.57%	1.47%	1.60%	1.43%
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 XLV in my portfolio?

With a correlation of 0.96, XLVI and XLV 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 XLV?

On fees, XLV is cheaper at 0.08% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, XLVI or XLV?

XLV is cheaper with a 0.08% expense ratio, compared with 0.35% for XLVI.

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

XLVI has the higher dividend yield at 11.61%, compared with 1.71% for XLV.

What is the main difference between XLVI and XLV?

XLVI is categorized as Derivative Income, while XLV is Health & Biotech Equities. Their fees differ too: 0.35% for XLVI and 0.08% for XLV.