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KURE vs XLV

KraneShares MSCI All China Health Care Index ETF

KUREDNYSE Arca

State Street Health Care Select Sector SPDR ETF

XLVANYSE Arca

Overlap

Expense ratio

XLV −0.57pt a year

KURE0.65%XLV0.08%

Avg volume · 30D

XLV 112.7×the volume

KURE80.8KXLV9.1M

5Y return · a year

XLV +17.6pt

KURE−9.3%XLV+8.3%

KURE vs XLV Performance

Nov 2, 2021 – Nov 2, 2026

−38.5%KURE+48.8%XLV

Nov 2, 2021 to Nov 2, 2026. KURE −38.5%. XLV +48.8%. Use the arrow keys to read each point.−60%−20%0%20%Nov 2021May 2024Nov 2026
Expense ratio
KURE 0.65%
XLV 0.08%, better
Fund size
KURE $108M
XLV $48.5B
1Y total return
KURE −6.6%
XLV +30.1%, better
Yield (12M)
KURE 4.12%, better
XLV 1.38%
Holdings
KURE 44
XLV 64
Avg volume (30D)
KURE 80.8K sh
XLV 9.1M sh, better
NAV per share
KURE $17.55
XLV $184.09
52W range

ETF.net Grade

KURE: Cost 27, Risk 9, Mission not scored, Tradability 24, Holdings 52, Durability 36. XLV: Cost 98, Risk 78, Mission 84, Tradability 100, Holdings 39, Durability 87.
Pillar letters and Scores for KURE, XLV, with each pillar’s weight
PillarKUREXLV
Cost30% weightD27A98Higher
Mission25% weightNot scoredA84
Risk15% weightF9A78Higher
Tradability15% weightF24A100Higher
Holdings10% weightC52HigherD39
Durability5% weightD36A87Higher

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. KURE 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 KURE 23rd 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 22DMDEVFirst Trust Indxx Medical Devices ETFScore 27
  4. Rank 23DKUREKraneShares MSCI All China Health Care Index ETFScore 26
  5. Rank 24DGDOCGoldman Sachs Future Health Care Equity ETFScore 25

Our read on each fund

ETF.net Research

KUREDKraneShares MSCI All China Health Care Index ETF

XLVAState Street Health Care Select Sector SPDR ETF

In short

KURE The US-listed route into China's health care sector in one ticker: about 50 Chinese pharma and medical names listed in the Mainland, Hong Kong and the US. A narrow, volatile slice of a huge market, not a broad pharma fund.

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

KURE KURE is designed to track the MSCI China All Shares Healthcare 10/40 Index, which represents Chinese companies engaged in the healthcare sector.

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

  • KURE One ticker spans Chinese health care across all three venues it trades in: Mainland A-shares, Hong Kong and US listings. Most funds in this category stop at US pharma.kraneshares.com
  • Rules-based mandate, not a manager's China hunch: it tracks a published MSCI China health care benchmark and has been listed since 2018.sec.gov
  • About 50 holdings keeps it a pure China health care basket, with no US mega-cap pharma diluting the exposure.
  • 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

  • KURE Costs 0.65% net of a waiver through August 1, 2028 (0.79% gross), above the health care category median. Broad US sector funds like XLV (0.08%) and VHT (0.09%) sit a tier below.
  • Single-country, single-sector, about 50 names: swings have run among the widest in its health care peer group, and Chinese policy shifts can move the whole basket.sec.gov
  • Moderately traded rather than a category heavyweight, so spreads and order type matter more. Distributions come once or twice a year, not monthly.
  • 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 KURE profile⁠

Full XLV profile⁠

KURE 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.

KURE vs XLV Cost

Overpaying KURE vs XLV

$11,028

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

  • KURE 0.65%

    $12,717

  • XLV 0.08%

    $1,689

$10,000
30 years

Cost over time

  • KURE 0.65%
  • 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$15K051015202530KURE $12,717XLV $1,689

Year by year

YearKUREXLVOverpaying
10$1,163$147$1,016
20$4,440$575$3,865
30$12,717$1,689$11,028

Expense ratio

  • 0.65%KURE
  • 0.08%XLV, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

XLV cheapest of 25 funds

KURE 18th cheapest of 25 funds

KURE vs XLV Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
KURE 4.12%, better
XLV 1.38%
Payout (12M)
KURE $0.71
XLV $2.55
Last payment
KURE $0.71
XLV $0.64
Ex-dividend
KURE Dec 22, 2025
XLV Sep 21, 2026
Paid on
KURE Dec 23, 2025
XLV Sep 23, 2026
Frequency
KURE Annual
XLV Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

KUREAnnual · 8 paymentsAll KURE payments⁠
One bar per payment. 8 payments from 2017 to 2026 YTD. Dec 26, 2018 $0.08; Dec 27, 2019 $0.06; Dec 29, 2020 $0.00011; Dec 29, 2021 $4.05; Dec 28, 2022 $0.01; Dec 18, 2023 $0.11; Dec 17, 2024 $0.18; Dec 22, 2025 $0.71. Use the arrow keys to read each point.$0$2.502017202020232026YTD
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$2.502017202020232026YTD

KURE vs XLV Risk

Fall from peak · 5 years

  • KURE
  • XLV
Nov 2, 2021 to Nov 2, 2026. Worst fall: KURE −58.6% · Jul 2024. Use the arrow keys to read each point.−60%−40%−20%0%Nov 2021May 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
KURE 26.5%XLV 14.8%, better
Return per unit of riskSharpe ratio, 3 years
KURE −0.02XLV 0.78, better
Worst fallMax drawdown, 5 years
KURE −58.6%XLV −17.1%, better
Market sensitivityBeta, 5 years
KURE 0.30XLV 0.56

KURE and XLV in the news

All news⁠

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