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Data as of .

MDST vs XLVI: which paid, and which earned it?

Over the year XLVI paid 13.0% of its price in cash against MDST’s 10.0%, though MDST returned more with it reinvested.

Westwood Salient Enhanced Midstream Income ETF and State Street(R) Health Care Select Sector SPDR(R) Premium Income ETF.

10.0%MDST cash paid, 1 year
13.0%XLVI cash paid, 1 year
+19.2%MDST total return, 1 year
+17.9%XLVI total return, 1 year

ETFIQ Return Stability Score: XLVI scores higher

Was the payout funded by returns, or by your own capital?

MDST 43.1XLVI 57.33.8, the lowest in this set96.8, the highest

A percentile among the 173 income ETFs writing on an index or proxy. It is a position in a set, not a rating, and neither end of it is a recommendation. All income ETFs ranked by it · How it is computed

MDST28.6 pts behind XLE · 1 year to Sep 18, 2026
XLE+47.8%MDST+19.2%10.0% as cash28.6 pts behind XLETotal return, distributions reinvestedXLE+47.8%MDST+19.2%28.6 pts behind XLE
XLVI6.7 pts behind XLV · 1 year to Sep 18, 2026
XLV+24.6%XLVI+17.9%13.0% as cash6.7 pts behind XLVTotal return, distributions reinvestedXLV+24.6%XLVI+17.9%6.7 pts behind XLV

What they hold in common

By the books each fund has filed, MDST and XLVI hold 0% of their money in the same securities at the same weight.

Only in each
Only in MDSTOnly in XLVI
ENERGY TRANSFER LP 8.97%STATE STREET HEALTH CARE SELEC 100.60%
ENBRIDGE INC 8.79%SSI US GOV MONEY MARKET CLASS 0.40%
WILLIAMS COMPANIES INC (THE) 8.61%STATE STREET HEALTH CARE SELEC OCT26 173 -0.02%
ENTERPRISE PRODUCTS PARTNERS LP 6.87%STATE STREET HEALTH CARE SELEC OCT26 170 -0.04%
DT MIDSTREAM INC 6.43%STATE STREET HEALTH CARE SELEC OCT26 172 -0.93%
KINDER MORGAN INC 5.64%
CHENIERE ENERGY INC 5.05%
ONEOK INC 5.00%

Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated Apr 30, 2026 and Sep 17, 2026.

Performance, window by window

MDST and XLVI over each window. Every figure is an ETFIQ calculation with distributions reinvested. Source: ETFIQ.
WindowTotal returnCash paidAgainst the benchmark
MDSTXLVIMDSTXLVIMDSTXLVI
3 months+4.6%+6.9%2.4%3.1%−15.9 pts−6.3 pts
6 months+5.8%+12.2%4.7%6.4%−4.2 pts−4.6 pts
1 year+19.2%+17.9%10.0%13.0%−28.6 pts−6.7 pts
Since launch+48.9%+21.1%26.1%14.7%+7.3 pts−6.5 pts
Open the live comparison on ETFIQ
MDST and XLVI on the same fields, as of Sep 18, 2026. Source: ETFIQ.
MDST
Westwood Salient Enhanced Midstream Income ETF
Option income on XLE, paying monthly
XLVI
State Street(R) Health Care Select Sector SPDR(R) Premium Income ETF
Covered call on XLV, paying monthly
IssuerWestwoodState Street
Strategyoption incomecovered call
BenchmarkEnergy sector (XLE), used as the energy proxyHealth care sector (XLV)
Paysmonthlymonthly
Payout rate, annualized9.3%13.1%
Expense ratio0.80%0.35%
Cash paid, 1 year10.0%13.0%
Price change, 1 year+8.2%+4.0%
Total return, 1 year+19.2%+17.9%
Benchmark return, 1 year+47.8%+24.6%
Ahead or behind−28.6 pts−6.7 pts
Return of capital, latest estimatenot publishednot published
Age892 days415 days
Net assets$247m$27m

MDST in plain words

Over the year to Sep 18, 2026, MDST paid 10.0% of its starting value in cash distributions while its price rose 8.2%. With every distribution reinvested, the fund returned +19.2%. Energy sector (XLE), used as the energy proxy returned +47.8% over the same days, so a holder was behind by 28.6 pts. At its price on Sep 18, 2026 the latest distribution annualizes to 9.3%, paid monthly.

XLVI in plain words

Over the year to Sep 18, 2026, XLVI paid 13.0% of its starting value in cash distributions while its price rose 4.0%. With every distribution reinvested, the fund returned +17.9%. Health care sector (XLV) returned +24.6% over the same days, so a holder was behind by 6.7 pts. At its price on Sep 18, 2026 the latest distribution annualizes to 13.1%, paid monthly.

Questions people ask

Which paid more, MDST or XLVI?
Over the year to Sep 18, 2026, MDST paid 10.0% 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 +19.2% and XLVI returned +17.9% over the year to Sep 18, 2026, so MDST returned more.
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

Where these figures came from

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

MDST against XLVI, ETFIQ, data as of Sep 18, 2026. Every figure is calculated from a named public source; the method is at etfiq.com/methodology. A comparison is not a recommendation.

Cite this page. ETFIQ, MDST against XLVI, data as of Sep 18, 2026. https://etfiq.com/compare/income/mdst-vs-xlvi Free to use with attribution; the underlying files are at Open data.

How every figure is computed · Standards and sources