Data as of Oct 28, 2026.

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AVDV vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, AVDV returned +22.8% to XLV's +25.6%; 0% of their weight is in the same names.

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Net assets on Oct 27, 2026: $20.0bn for Avantis International Small Cap Value ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.

At a glance
+22.8%
AVDV total return, 1 year
+25.6%
XLV total return, 1 year
0.36%
AVDV expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.28 points a year less; their one-year returns differ by 2.8 points; XLV is 2.4 times larger.

AVDV vs XLV: Differences, Returns & Fees
MeasureAVDVXLV
Return
Total return, 1 year+22.8%+25.6%
Drawdown
Below its high5.7%, high on Sep 4, 2026
Benchmark
What it tracksNo index, actively managedHealth Care Select Sector Index
Cost and size
Expense ratio0.36%0.08%
Net assets, as of Oct 27, 2026$20.0bn$47.0bn
Holdings
Holdings in common0%
Top ten holdings, share of the fund6.2%60.6%

Holdings in common uses holdings dated Oct 27, 2026. Method

Risk and return

Oct 4, 2019 to Oct 23, 2026 · 368 weekly returns
AVDV XLV
Return
Total return edge AVDV +165.0% +124.3%
Annualized edge AVDV +14.8% +12.1%
Price return edge AVDV +115.2% +98.9%
Risk
Volatility edge XLV 21.1% 17.5%
Max drawdown edge XLV −41.8% −24.3%
Risk-adjusted
Sharpe edge AVDV (slight) 0.62 0.57
Sortino edge AVDV (slight) 0.87 0.83
Calmar edge XLV 0.35 0.50
Reading

AVDV returned more: +165.0% to +124.3%. XLV swung less: 17.5% to 21.1%. XLV fell less at its worst: −24.3% to −41.8%.

Full scorecard

9 measures, with how each is measured
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Risk and return: AVDV vs XLV: Differences, Returns & Fees
MeasureAVDVXLVEdgeHow it is measured
Return
Total return+165.0%+124.3%AVDVPrice change plus distributions, reinvested.
Annualized+14.8%+12.1%AVDVTotal return as a yearly rate.
Price return+115.2%+98.9%AVDVPrice change alone, distributions left out.
Risk
Volatility21.1%17.5%XLVSpread of weekly returns, annualized. Lower is steadier.
Downside deviation15.1%12.1%XLVLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−41.8%−24.3%XLVDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.620.57AVDV (slight)Return above Treasury bills per unit of volatility.
Sortino0.870.83AVDV (slight)Return above Treasury bills per unit of downside deviation.
Calmar0.350.50XLVAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 368 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

0%

By the books each fund has filed, AVDV and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

0% in common

Positions both hold · largest shared weight first AVDV XLV
Only in one fund ↓
Only in AVDV
AUSTRIA TECHNOLOGIE + SYSTEM COMMON STOCK 0.81%
WHITBREAD PLC COMMON STOCK GBP.767974 0.68%
CLAL INSURANCE ENTERPR HLDGS COMMON STOCK ILS1.0 0.67%
TAMARACK VALLEY ENERGY LTD COMMON STOCK 0.60%
PERSEUS MINING LTD COMMON STOCK 0.59%
B2GOLD CORP COMMON STOCK 0.58%
LION FINANCE GROUP PLC COMMON STOCK GBP.01 0.58%
JOHNSON MATTHEY PLC COMMON STOCK GBP1.478994 0.56%
Only in XLV
ELI LILLY + CO 15.77%
JOHNSON + JOHNSON 9.96%
ABBVIE INC 7.78%
UNITEDHEALTH GROUP INC 5.66%
MERCK + CO. INC. 5.38%
THERMO FISHER SCIENTIFIC INC 3.94%
AMGEN INC 3.72%
GILEAD SCIENCES INC 3.03%
Check overlap with more funds →

Side by side

AVDV Avantis International Small Cap Value ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Actively managed Tracks an index of Health care
Total return, 1 year +22.8% +25.6%
Expense ratio 0.36% 0.08%
Already in the S&P 500 0.0% 99.7%
Holdings 1732 62
Net assets, as of Oct 27, 2026 $20.0bn $47.0bn

AVDV and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

Client brief · page 1 of 2 Report BR-0FC73F40A4

AVDV and XLV do different jobs. What does each one do in a portfolio?

  1. What each follows. AVDV follows No index, actively managed and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 0% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 AVDV returned +22.8% and XLV +25.6% with distributions reinvested, a gap of 2.8 points.

Data as of Oct 28, 2026.

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About each fund
AVDV

AVDV is actively managed and tracks no index. Over the year to Oct 28, 2026 it returned +22.8% with distributions reinvested. The prospectus expense ratio is 0.36% a year. By its holdings published by its issuer for Oct 27, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 1,732 positions, with the top ten at 6.2%. It sat 5.7% below its high of Sep 4, 2026 on Oct 28, 2026.

XLV

XLV tracks an index of Health care. Over the year to Oct 28, 2026 it returned +25.6% with distributions reinvested. The prospectus expense ratio is 0.08% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 60.6%.

Questions people ask

Which returned more over the last year, AVDV or XLV?
In the year to Oct 28, 2026, with distributions reinvested, AVDV returned +22.8% and XLV +25.6%.
Which is cheaper, AVDV or XLV?
XLV is cheaper, by 0.28 percentage points a year. That is about $28 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do AVDV and XLV overlap with the S&P 500?
By their latest filed holdings, 0% of AVDV and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, AVDV against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/avdv-vs-xlv

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