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XLV vs XLVI

State Street Health Care Select Sector SPDR ETF vs State Street Health Care Select Sector SPDR Premium Income ETF

XLV

State Street Health Care Select Sector SPDR ETF

State Street Investment Management

Annual cost

0.08%

Fund size

$37.9B

XLVI

State Street Health Care Select Sector SPDR Premium Income ETF

State Street Investment Management

Annual cost

0.35%

Fund size

$14M

Key differences

  • XLV costs 0.27% less per year.
  • XLV is significantly larger than XLVI — larger funds tend to be more liquid and less likely to close.
  • XLV is classified as equity, while XLVI is alternative — different risk/return profiles.
  • XLV follows a index tracking strategy; XLVI uses option income.
  • XLV has a longer track record, which may reduce uncertainty around long-term behavior.

Side-by-side comparison

XLVXLVI
Annual cost (TER)0.08%0.35%
Fund size (AUM)$37.9B$14M
Since19982025
Dividend yield1.72%
Asset classequityalternative
Regionnorth americanorth america
Strategyindex trackingoption income
CAGR 1Y+16.2%N/A
CAGR 3Y+6.0%N/A
CAGR 5Y+5.6%N/A
Sharpe 3Y0.24N/A
Volatility 1Y14.56%
Max drawdown-28.40%-8.15%

Green dot indicates the better value for that metric. Performance data is historical and does not predict future results.

Similar to XLV and XLVI