Which paid more, MDST or XLVI?

Over the year to Nov 4, 2026, MDST paid 10.8% of its starting price in cash and XLVI paid 13.0%, so XLVI paid more. Cash paid is not the same as money made: the price change matters too.

Which returned more once distributions are counted, MDST or XLVI?

With every distribution reinvested, MDST returned +22.6% and XLVI +20.7% over the year to Nov 4, 2026.

Which is cheaper, MDST or XLVI?

MDST charges 0.80% a year and XLVI charges 0.35%, so XLVI is cheaper. Fees come from each fund's prospectus.

Data as of Nov 4, 2026.

Income ETFs

MDST vs XLVI: Dividend Yield & Total Return

Share on X Download as PDF

Over the year to Nov 4, 2026, XLVI paid 13.0% of its price in cash against MDST’s 10.8%, though MDST returned more with it reinvested.

askIQ about this page

askIQ about MDST and XLVI

Net assets: $287m on Jul 31, 2026 for Westwood Salient Enhanced Midstream Income ETF, and $38m on Nov 3, 2026 for State Street Health Care Select Sector SPDR Premium Income ETF.

MDST on its own →XLVI on its own →

At a glance

10.8%

MDST cash paid, 1 year

13.0%

XLVI cash paid, 1 year

+22.6%

MDST total return, 1 year

+20.7%

XLVI total return, 1 year

MDST · 1 year to Nov 4, 2026 9.1 pts behind ENFR

MDST

+22.6%

ENFR

+31.7%

9.1 pts behind ENFR

MDST over 1 year: paid 10.8%, price +11.5%, total +22.6%, ENFR +31.7%, −9.1 pts. Data to Nov 4, 2026.

ENFR

+31.7%

MDST

+22.6%

10.8% of it arrived as cash

9.1 pts behind ENFR

Total return, distributions reinvested

9.1 pts behind ENFR

MDST over 1 year: paid 10.8%, price +11.5%, total +22.6%, ENFR +31.7%, −9.1 pts. Data to Nov 4, 2026.

ENFR

+31.7%

MDST

+22.6%

9.1 pts behind ENFR

10.8% of it arrived as cash. Total return, distributions reinvested. MDST over 1 year: paid 10.8%, price +11.5%, total +22.6%, ENFR +31.7%, −9.1 pts. Data to Nov 4, 2026.

Data to Nov 4, 2026.

XLVI · 1 year to Nov 4, 2026 12.2 pts behind XLV

XLVI

+20.7%

XLV

+32.9%

12.2 pts behind XLV

XLVI over 1 year: paid 13.0%, price +6.1%, total +20.7%, XLV +32.9%, −12.2 pts. Data to Nov 4, 2026.

XLV

+32.9%

XLVI

+20.7%

13.0% of it arrived as cash

12.2 pts behind XLV

Total return, distributions reinvested

12.2 pts behind XLV

XLVI over 1 year: paid 13.0%, price +6.1%, total +20.7%, XLV +32.9%, −12.2 pts. Data to Nov 4, 2026.

XLV

+32.9%

XLVI

+20.7%

12.2 pts behind XLV

13.0% of it arrived as cash. Both charts share one scale, 0 to +32.9%. XLVI over 1 year: paid 13.0%, price +6.1%, total +20.7%, XLV +32.9%, −12.2 pts. Data to Nov 4, 2026.

Both charts share one scale, 0 to +32.9%. Data to Nov 4, 2026.

Pair scorecard

XLVI costs 0.45 points a year less; their one-year returns differ by 1.9 points.

Points (pts) are percentage points.

MDST vs XLVI: Dividend Yield & Total Return
Measure	MDST	XLVI
Paid and earned
Measure	MDST	XLVI
Total return, 1 year	+22.6%	+20.7%
Price change, 1 year	rose 11.5%	rose 6.1%
Return of capital, issuer estimate	100% of the Oct 5, 2026 payment	100% of the Nov 5, 2026 payment
Against its benchmark
Measure	MDST	XLVI
Benchmark	Alerian Energy Infrastructure ETF, measured through ENFR	Health care sector, measured through XLV
Cost and size
Measure	MDST	XLVI
Expense ratio	0.80%	0.35%
Net assets, MDST as of Jul 31, 2026 and XLVI as of Nov 3, 2026	$287m	$38m
Holdings
Measure	MDST	XLVI
Holdings in common	0%

ETFIQ Distribution Coverage Score · MDST scores higher How much of what it paid out did its total return cover?

IQ Income Score87.7MDST79.3XLVI

How much of its payouts the fund's total return covered, ranked against 167 income ETFs not writing on a single company. 100 is best. How it is computed

MDST 87.7

XLVI 79.3

0.3, the lowest in this set 99.7, the highest

One year only, and a ratio of two published numbers: it says nothing about where a distribution came from. All income ETFs ranked by it →

Method

What they share

By the books each fund has filed, MDST and XLVI hold 0% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Nov 3, 2026.

50%

0 half 100%

half

0% in common

Positions both hold · largest shared weight first MDST XLVI

Only in one fund ↓

Only in MDST

ENERGY TRANSFER LP 9.17%

ENBRIDGE INC 8.76%

WILLIAMS COMPANIES INC (THE) 8.18%

ENTERPRISE PRODUCTS PARTNERS LP 6.85%

DT MIDSTREAM INC 6.08%

KINDER MORGAN INC 5.60%

CHENIERE ENERGY INC 4.90%

TC ENERGY CORP 4.82%

Only in XLVI

STATE STREET HEALTH CARE SELEC 103.76%

STATE STREET HEALTH CARE SELEC NOV26 183 CALL -0.03%

STATE STREET HEALTH CARE SELEC NOV26 189 CALL -0.04%

STATE STREET HEALTH CARE SELEC NOV26 181 CALL -0.04%

STATE STREET HEALTH CARE SELEC NOV26 185 CALL -0.17%

STATE STREET HEALTH CARE SELEC NOV26 175 CALL -0.19%

STATE STREET HEALTH CARE SELEC NOV26 179 CALL -3.29%

Check overlap with more funds →

Side by side

MDST Westwood Salient Enhanced Midstream Income ETF · Option income on ENFR, paying monthly XLVI State Street Health Care Select Sector SPDR Premium Income ETF · Covered call on XLV, paying monthly

Issuer Westwood State Street

Strategy option income covered call

Benchmark Alerian Energy Infrastructure ETF (ENFR) Health care sector (XLV)

Pays monthly monthly

Payout rate, annualized 9.7% 14.0%

Expense ratio 0.80% 0.35%

Cash paid, 1 year 10.8% 13.0%

Price change, 1 year +11.5% +6.1%

Total return, 1 year +22.6% +20.7%

Benchmark return, 1 year +31.7% +32.9%

Ahead or behind −9.1 pts −12.2 pts

Return of capital, latest estimate 100% 100%

Age 2.6 years 1.3 years

Net assets, MDST as of Jul 31, 2026 and XLVI as of Nov 3, 2026 $287m $38m

As of Nov 4, 2026. Source: ETFIQ. Cash paid: distributions over the window, as a share of the starting price. Payout rate: the latest payment, annualized, over today’s price.

Window by window

Window by window: MDST vs XLVI: Dividend Yield & Total Return
	Total return		Cash paid		Against the benchmark
Window	MDST	XLVI	MDST	XLVI	MDST	XLVI
3 months	−0.5%	+6.8%	2.4%	3.5%	+0.7 pts	−9.2 pts
6 months	+1.9%	+18.1%	4.7%	6.5%	+0.6 pts	−13.4 pts
1 year	+22.6%	+20.7%	10.8%	13.0%	−9.1 pts	−12.2 pts
Since launchNot the same days: MDST Apr 2024 · XLVI Jul 2025	+44.5%	+29.9%	27.9%	17.2%	−21.5 pts	−14.4 pts

Open this comparison in the app →

Alert

About each fund

MDST

Over the year to Nov 4, 2026, MDST paid 10.8% of its starting value in cash distributions while its price rose 11.5%. With every distribution reinvested, the fund returned +22.6%. Alerian Energy Infrastructure ETF (ENFR) returned +31.7% over the same days, so a holder was behind by 9.1 pts. At its price on Nov 4, 2026 the latest distribution annualizes to 9.7%, paid monthly. Westwood estimates that 100% of the distribution paid Oct 5, 2026 was a return of capital (its 19a-1 notice). That is a tax label, not a measure of erosion.

XLVI

Over the year to Nov 4, 2026, XLVI paid 13.0% of its starting value in cash distributions while its price rose 6.1%. With every distribution reinvested, the fund returned +20.7%. Health care sector (XLV) returned +32.9% over the same days, so a holder was behind by 12.2 pts. At its price on Nov 4, 2026 the latest distribution annualizes to 14.0%, paid monthly. State Street estimates that 100% of the distribution paid Nov 5, 2026 was a return of capital (its 19a-1 notice).

Questions people ask

Which paid more, MDST or XLVI?: Over the year to Nov 4, 2026, MDST paid 10.8% of its starting price in cash and XLVI paid 13.0%, so XLVI paid more. Cash paid is not the same as money made: the price change matters too.
Which returned more once distributions are counted, MDST or XLVI?: With every distribution reinvested, MDST returned +22.6% and XLVI +20.7% over the year to Nov 4, 2026.
Which is cheaper, MDST or XLVI?: MDST charges 0.80% a year and XLVI charges 0.35%, so XLVI is cheaper. Fees come from each fund's prospectus.

Other comparisons

MDST vs XLUI MDST vs WEPN MDST vs XLCI MDST vs BIOY XLVI vs TDVI XLVI vs XLYI XLVI vs NDIV XLVI vs YRAM

Where to next

Alerian Energy Infrastructure ETF (ENFR) →Health care sector (XLV) →MDST on its own →XLVI on its own →MDST dividend history →MDST holdings →XLVI dividend history →XLVI holdings →Method →Standards and sources →

Sources and dates

MDST filings on SEC EDGAR ↗

MDST prospectus with the expense ratio (SEC) ↗

MDST 19a-1 distribution notice ↗

Westwood website ↗

XLVI filings on SEC EDGAR ↗

XLVI prospectus with the expense ratio (SEC) ↗

XLVI 19a-1 distribution notice ↗

State Street website ↗

Links are sources, not endorsements. A comparison is not a recommendation.

How this is computed

It is a place in a set, not a rating or a recommendation.

Overlap adds up the smaller of the two weights for each security both funds hold.

Every number is an ETFIQ calculation with distributions reinvested.

Cite this pageCitation, APA and Markdown

ETFIQ, MDST against XLVI, data as of Nov 4, 2026. https://etfiq.com/compare/income/mdst-vs-xlvi

Open data →

Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.