Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
IALT vs XLV: how they differ
IALT and XLV hold 0% of their weight in the same names.
iShares Systematic Alternatives Active ETF and State Street(R) Health Care Select Sector SPDR(R) ETF.
What they hold in common
By the books each fund has filed, IALT and XLV hold 0% of their money in the same securities at the same weight.
| Only in IALT | Only in XLV |
|---|---|
| Intercontinental Exchange, Inc. 17.26% | Eli Lilly & Co 16.56% |
| PRIME SECSRVC BRW/FINANC 1.29% | Johnson & Johnson 10.67% |
| PHINIA INC 0.94% | AbbVie Inc 7.76% |
| DISH DBS CORP 0.21% | UnitedHealth Group Inc 6.59% |
| DISH DBS CORP 0.19% | Merck & Co Inc 5.54% |
| DISH DBS CORP 0.10% | Amgen Inc 3.41% |
| Thermo Fisher Scientific Inc 3.25% | |
| Abbott Laboratories 2.76% |
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 Jun 30, 2026.
| IALT iShares Systematic Alternatives Active ETF | XLV State Street(R) Health Care Select Sector SPDR(R) ETF | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | iShares | State Street |
| What it is | Systematic Alternatives Active | Health care |
| Total return, 1 year | +17.4% | +20.4% |
| S&P 500 over the same days | +12.1% | +17.5% |
| Gap to the S&P 500 | +5.4 pts | +2.9 pts |
| Expense ratio | not published | 0.08% |
| Already in the S&P 500 | 54.9% | 100.0% |
| Holdings | 8 | 59 |
IALT in plain words
IALT is an index equity fund tracking the Systematic Alternatives Active. By its holdings filed for Apr 30, 2026, 55% of the fund by weight is stocks the S&P 500 also holds, across 8 positions, with the top ten at 100.0%.
XLV in plain words
XLV is an index equity fund tracking the Health care. Over the year to Sep 11, 2026 it returned +20.4% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.08% a year. By its holdings filed for Jun 30, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 59 positions, with the top ten at 61.7%. It sat 5.9% below its high of Aug 19, 2026 on Sep 11, 2026.
Questions people ask
- How much do IALT and XLV overlap with the S&P 500?
- By their latest filed holdings, 55% of IALT and 100% of XLV by weight is stocks the S&P 500 already holds. Between the two funds, 0% of their books are the same securities at the same weight.
Other comparisons
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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.
Cite this page. ETFIQ, IALT against XLV, data as of Sep 12, 2026. https://etfiq.com/compare/any/IALT-XLV Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources