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ETF Comparison

HLTH vs XLV: Which Is the Better Pick in 2026?

A head-to-head comparison of Tema Healthcare AI ETF and State Street Health Care Select Sector SPDR ETF covering yield, cost, risk, and income potential.

Data updated July 24, 2026

ETFs12
Total AUM$3.60B

ETFs and AUM reflect what Dividend Vision tracks — the issuer's full lineup may be larger.

Tema ETFs specializes in thematic investing, focusing on innovative sectors and mega-trends rather than traditional asset classes. The firm's current lineup consists of a single actively managed fund, the NASA ETF (NASDAQ: NASA), which targets companies involved in space exploration, satellite technology, and related aerospace industries. This niche approach appeals to investors seeking concentrated exposure to emerging technology themes beyond conventional dividend or income strategies.

See our curated list of related YouTube videos on HLTH.

ETFs178
Total AUM$2025B

ETFs and AUM reflect what Dividend Vision tracks — the issuer's full lineup may be larger.

State Street Global Advisors (SSGA) is one of the largest ETF providers globally, known for its flagship SPDR suite of exchange-traded products that serve both institutional and retail investors across a broad range of asset classes. Their 88-fund lineup spans diverse strategies including sector exposure (Select Sector SPDR), income generation (Income and Select Sector SPDR Premium Income families), commodities (including the widely-held GLD gold ETF), bonds, ESG-focused investments, and thematic allocations, with popular tickers like DIA (Diamonds Trust), FEZ (Eurozone exposure), and JNK (high-yield bonds) among their most recognized funds. The issuer is characterized by its comprehensive coverage across multiple market segments and its emphasis on both traditional index-based products and specialized strategies like covered call income funds and factor-based investing.

See our curated list of related YouTube videos on XLV.

Side-by-side snapshot

HLTHXLV
Full nameTema Healthcare AI ETFState Street Health Care Select Sector SPDR ETF
IssuerTema ETFsState Street
Last Close$25.26 as of July 24, 2026$161.44 as of July 24, 2026
Distribution yield1.63%
Distribution Safety Score™ 100
Expense ratio0.75%0.09%
AUM$41.8B
Distribution frequencyQuarterly
Underlying indexHealth Care Select Sector Index
ObjectiveSeeks long-term capital appreciation through an actively managed portfolio of companies applying artificial intelligence across healthcare — including AI-driven drug discovery, diagnostics, medical imaging, medical devices, and healthcare IT platforms.Provide exposure to the fund's underlying index or strategy per issuer materials.
Asset classEquityEquity
Inception date07/21/202612/16/1998
Beta1.0860.51
Last dividend$0.6560
Ex-dividend date09/21/2026

— Distribution yield, last dividend, and ex-dividend date are not yet available because HLTH launched July 2026; these fields will populate after the first distribution.

Bottom lineChoose HLTH if you want broad equity exposure. Choose XLV if you want higher current income (1.63% while HLTH makes no distribution).

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Visual comparison

Key metrics

Projected income on $10K

Projections assume the current yield and share price remain constant. Actual results will vary.

Quick verdict

HLTH (Tema Healthcare AI ETF) and XLV (State Street Health Care Select Sector SPDR ETF) are both ETFs, but they take different approaches.

XLV currently shows a 1.63% distribution yield. HLTH has not yet established a full distribution history, so a comparable yield figure is not available.

XLV is cheaper with an expense ratio of 0.09% compared to 0.75%.

Deep dive

Yield & income

On a $10,000 investment, HLTH has no reported distribution yield yet, so a monthly income estimate is not available, while XLV would produce $13.58/month, at current distribution rates.

HLTH yield
XLV yield1.63%

Cost & efficiency

Over 10 years on $10,000, HLTH would cost approximately $750 in fees vs $90 for XLV (simplified, not compounded). The $660.00 difference may be offset by yield or performance.

HLTH ER0.75%
XLV ER0.09%

Strategy & risk

HLTH is an ETF, while XLV tracks Health Care Select Sector Index with an index approach. Beta is 1.086 for HLTH and 0.51 for XLV, indicating XLV is less volatile relative to the market.

HLTH beta1.086
XLV beta0.51

Fund details

HLTH is managed by Tema ETFs (launched 07/21/2026). XLV is managed by State Street (launched 12/16/1998) with $41.8B in assets.

XLV AUM$41.8B

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Frequently asked questions

Which of HLTH or XLV pays more dividend income?

XLV currently reports a distribution yield, while HLTH has not yet established a full distribution history. A direct income comparison is not yet meaningful — check back once both funds have published several consecutive distributions.

What is the difference between HLTH and XLV?

HLTH (Tema Healthcare AI ETF) is an ETF, while XLV (State Street Health Care Select Sector SPDR ETF) tracks Health Care Select Sector Index with an index approach. They are issued by Tema ETFs and State Street respectively.

Can I hold both HLTH and XLV?

Yes — nothing prevents holding both. Whether the combination actually diversifies depends on how much the underlying exposures overlap, which isn't fully measurable from the data on this page; review each security's holdings, sector, and strategy before treating them as complementary.

Which has lower fees, HLTH or XLV?

HLTH has an expense ratio of 0.75% while XLV charges 0.09%. Lower fees mean more of your investment returns stay in your pocket over time.

How much income does $10,000 in HLTH vs XLV generate?

At current rates, HLTH has not established a distribution history yet, so a monthly income estimate is not available. The same in XLV would produce about $13.58 per month ($163.00 annually).

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