Health-care ETFs
XLV vs VHT.
Health Care Select Sector SPDR Fund (S&P 500 health-care sector) against Vanguard Health Care ETF (MSCI US IMI Health Care 25/50) — fees, long-horizon total returns, holdings overlap, and sector tilt, side by side.
Performance · total returndaily bars · as of 2026-07-16
| XLV | VHT | SPREAD | |
|---|---|---|---|
| YTD (cumulative) | +5.41% | — | — |
| 1Y CAGR | +22.6% | — | — |
| 3Y CAGR | +8.89% | — | — |
| 5Y CAGR | +6.41% | — | — |
| 10Y CAGR | +9.95% | — | — |
| Since inception CAGR | +8.58% | — | — |
Total return: dividend- and split-adjusted daily closes (distributions reinvested). Spread is XLV minus VHT. XLV since-inception measured from first available bar December 22, 1998. Since-inception spans differ — compare that row with care.
Fund facts
| XLV | VHT | |
|---|---|---|
| Name | State Street Health Care Select Sector SPDR ETF | Vanguard Health Care Index Fund ETF Shares |
| Category | Health | Health |
| Style | Passive | Passive |
| Expense ratio | 0.08% | 0.09% |
| Assets (AUM) | $40.6B | $20.4B |
| Dividend yield | 1.60% | 1.58% |
| Avg volume (3-mo) | 10.5M | 253K |
| Inception | December 16, 1998 | January 26, 2004 |
| Benchmark proxy | S&P 500 | S&P 500 |
XLV costs 0.01 pp less per year — about $1.00 per $10,000 invested.
Holdings overlaptop-25 holdings · coverage XLV 61.5% · VHT 52.1%
52.1%of portfolio weight overlaps10 shared of top 10
| Shared holding | XLV | VHT | MIN |
|---|---|---|---|
| LLYEli Lilly and Co | 16.48% | 14.16% | 14.16% |
| JNJJohnson & Johnson | 10.62% | 8.87% | 8.87% |
| ABBVAbbVie Inc | 7.72% | 6.54% | 6.54% |
| UNHUnitedHealth Group Inc | 6.56% | 5.55% | 5.55% |
| MRKMerck & Co Inc | 5.51% | 4.67% | 4.67% |
| AMGNAmgen Inc | 3.40% |
Sector tilt XLV VHT
Healthcare100.0% / 100.0%+0.0pp
Financial Services— / 0.0%
Technology— / 0.0%
Industrials— / 0.0%
More health-care etfs
ALAN GLOBAL INTELLIGENCE · alanglobalintelligence.comdaily bars as of 2026-07-16 · fund facts · issuer-verified · holdings · fund data provider
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For information and research only. Not investment advice. ALAN does not place trades or execute orders. Figures come from the sources shown and can lag the market; verify independently before making decisions. Past performance is not predictive of future results.