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HLTH vs XLV

Tema Healthcare AI ETF

HLTHDNasdaq

State Street Health Care Select Sector SPDR ETF

XLVANYSE Arca

Overlap

Expense ratio

XLV −0.67pt a year

HLTH0.75%XLV0.08%

Avg volume · 30D

XLV 890.5×the volume

HLTH10.2KXLV9.1M

HLTH vs XLV Performance

Jul 31, 2026 – Nov 2, 2026

+7.4%HLTH+14.0%XLV

Jul 31, 2026 to Nov 2, 2026. HLTH +7.4%. XLV +14.0%. Use the arrow keys to read each point.0%5%10%20%Jul 2026Sep 2026Nov 2026
Expense ratio
HLTH 0.75%
XLV 0.08%, better
Fund size
HLTH $12M
XLV $48.5B
1Y total return
HLTH No data
XLV +30.1%
Yield (12M)
HLTH No data
XLV 1.38%
Holdings
HLTH 33
XLV 64
Avg volume (30D)
HLTH 10.2K sh
XLV 9.1M sh, better
NAV per share
HLTH $28.63
XLV $184.09
52W range

ETF.net Grade

HLTH: Cost 8, Risk 49, Mission not scored, Tradability 29, Holdings 62, Durability 27. XLV: Cost 98, Risk 78, Mission 84, Tradability 100, Holdings 39, Durability 87.
Pillar letters and Scores for HLTH, XLV, with each pillar’s weight
PillarHLTHXLV
Cost30% weightF8A98Higher
Mission25% weightNot scoredA84
Risk15% weightC49A78Higher
Tradability15% weightD29A100Higher
Holdings10% weightB62HigherD39
Durability5% weightD27A87Higher

Rank among Health Care (Broad) funds

How we build Categories ›
Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. HLTH and XLV are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

XLV ranks 1st and HLTH 21st of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 20DHRTSTema Heart & Health ETFScore 31
  4. Rank 21DHLTHTema Healthcare AI ETFScore 28
  5. Rank 22DMDEVFirst Trust Indxx Medical Devices ETFScore 27

Our read on each fund

ETF.net Research

HLTHDTema Healthcare AI ETF

XLVAState Street Health Care Select Sector SPDR ETF

In short

HLTH No data

XLV Live since 1998, XLV is the original way to own health care: about 60 S&P 500 names, a 0.08% fee, and one of the busiest tickers in the sector. Big pharma and device makers, not small-cap biotech.

Stated mandate

HLTH No data

XLV The fund seeks to track, before expenses, the price and yield performance of the Health Care Select Sector Index, which represents the health care sector of the S&P 500 Index.

Why people hold it

HLTH No data

  • XLV 0.08% a year against a cohort median of 0.50%. That ties it with FHLC as the cheapest in the group and edges VHT at 0.09%.
  • One of the most actively traded funds in its category, which generally keeps bid-ask spreads thin whether you trade 10 shares or 10,000.
  • Launched December 1998 as one of the first US sector funds, and it has tracked its S&P 500 health care index closely ever since.
  • Covers the whole sector in one line: pharma, devices, providers, biotech, life-science tools and health tech. Pays quarterly.ssga.com

Worth knowing

HLTH No data

  • XLV Cap-weighted and about 60 names deep, so the largest drug and device makers carry most of the weight.ssga.com
  • S&P 500 members only. Mid- and small-cap health care names sit outside the mandate.
  • One sector, one set of headlines: drug pricing rules, patent expirations and policy shifts move the whole basket together.

Full HLTH profile⁠

Full XLV profile⁠

HLTH vs XLV Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

HLTH vs XLV Cost

Overpaying HLTH vs XLV

$12,793

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • HLTH 0.75%

    $14,482

  • XLV 0.08%

    $1,689

$10,000
30 years

Cost over time

  • HLTH 0.75%
  • XLV 0.08%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K051015202530HLTH $14,482XLV $1,689

Year by year

YearHLTHXLVOverpaying
10$1,336$147$1,189
20$5,078$575$4,503
30$14,482$1,689$12,793

Expense ratio

  • 0.75%HLTH
  • 0.08%XLV, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

XLV cheapest of 25 funds

HLTH 22nd cheapest of 25 funds

HLTH vs XLV Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
HLTH No data
XLV 1.38%
Payout (12M)
HLTH None
XLV $2.55
Last payment
HLTH No data
XLV $0.64
Ex-dividend
HLTH No data
XLV Sep 21, 2026
Paid on
HLTH No data
XLV Sep 23, 2026
Frequency
HLTH No data
XLV Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

HLTHAll HLTH payments⁠

No distribution history available.

XLVQuarterly · 40 paymentsAll XLV payments⁠
One bar per payment. 40 payments from 2017 to 2026 YTD. Mar 17, 2017 $0.27; Jun 16, 2017 $0.31; Sep 15, 2017 $0.30; Dec 15, 2017 $0.33; Mar 16, 2018 $0.30; Jun 15, 2018 $0.32; Sep 21, 2018 $0.37; Dec 21, 2018 $0.38; Mar 15, 2019 $0.34; Jun 21, 2019 $0.40; Sep 20, 2019 $0.38; Dec 20, 2019 $0.42; Dec 30, 2019 $0.67; Mar 23, 2020 $0.38; Jun 22, 2020 $0.42; Sep 21, 2020 $0.42; Dec 21, 2020 $0.46; Mar 22, 2021 $0.40; Jun 21, 2021 $0.48; Sep 20, 2021 $0.47; Dec 20, 2021 $0.53; Mar 21, 2022 $0.43; Jun 21, 2022 $0.50; Sep 19, 2022 $0.51; Dec 19, 2022 $0.56; Mar 20, 2023 $0.49; Jun 20, 2023 $0.54; Sep 18, 2023 $0.54; Dec 18, 2023 $0.60; Mar 18, 2024 $0.52; Jun 24, 2024 $0.57; Sep 23, 2024 $0.58; Dec 23, 2024 $0.62; Mar 24, 2025 $0.56; Jun 23, 2025 $0.63; Sep 22, 2025 $0.62; Dec 22, 2025 $0.66; Mar 23, 2026 $0.59; Jun 22, 2026 $0.66; Sep 21, 2026 $0.64. Use the arrow keys to read each point.$0$0.502017202020232026YTD

HLTH vs XLV Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
HLTH No dataXLV 14.8%
Return per unit of riskSharpe ratio, 3 years
HLTH No dataXLV 0.78
Worst fallMax drawdown, 5 years
HLTH No dataXLV −17.1%
Market sensitivityBeta, 5 years
HLTH 3.41XLV 0.56

HLTH and XLV in the news

All news⁠

Popular comparisons

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