Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
VOE vs XLV: how they differ
VOE and XLV hold 7% of their weight in the same names.
Vanguard Mid-Cap Value Index Fund and State Street(R) Health Care Select Sector SPDR(R) ETF.
What they hold in common
By the books each fund has filed, VOE and XLV hold 7% of their money in the same securities at the same weight.
| Holding | VOE | XLV |
|---|---|---|
| Cardinal Health Inc | 0.96% | 0.97% |
| Cencora Inc | 0.91% | 0.96% |
| Humana Inc | 0.83% | 0.83% |
| Becton Dickinson & Co | 0.72% | 0.73% |
| IQVIA Holdings Inc | 0.56% | 0.56% |
| Regeneron Pharmaceuticals Inc | 0.56% | 1.09% |
| Biogen Inc | 0.55% | 0.56% |
| GE HealthCare Technologies Inc | 0.51% | 0.51% |
| Quest Diagnostics Inc | 0.41% | 0.41% |
| Labcorp Holdings Inc | 0.40% | 0.40% |
| Centene Corp | 0.28% | 0.53% |
| Zimmer Biomet Holdings Inc | 0.14% | 0.29% |
| Only in VOE | Only in XLV |
|---|---|
| Cummins Inc 1.71% | Eli Lilly & Co 16.56% |
| Valero Energy Corp 1.34% | Johnson & Johnson 10.67% |
| Marathon Petroleum Corp 1.29% | AbbVie Inc 7.76% |
| CRH PLC 1.24% | UnitedHealth Group Inc 6.59% |
| United Rentals Inc 1.23% | Merck & Co Inc 5.54% |
| General Motors Co 1.21% | Amgen Inc 3.41% |
| SLB Ltd 1.21% | Thermo Fisher Scientific Inc 3.25% |
| Simon Property Group Inc 1.20% | 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 Jun 30, 2026.
| VOE Vanguard Mid-Cap Value Index Fund | XLV State Street(R) Health Care Select Sector SPDR(R) ETF | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | Vanguard | State Street |
| What it is | Mid-Cap Value | Health care |
| Total return, 1 year | +20.2% | +20.4% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +2.7 pts | +2.9 pts |
| Expense ratio | 0.05% | 0.08% |
| Already in the S&P 500 | 96.6% | 100.0% |
| Holdings | 170 | 59 |
VOE in plain words
VOE is an index equity fund tracking the Mid-Cap Value. Over the year to Sep 11, 2026 it returned +20.2% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.05% a year. By its holdings filed for Jun 30, 2026, 97% of the fund by weight is stocks the S&P 500 also holds, across 170 positions, with the top ten at 12.7%.
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
- Which returned more over the last year, VOE or XLV?
- In the year to Sep 12, 2026, with distributions reinvested, VOE returned +20.2% and XLV returned +20.4%, so XLV returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, VOE or XLV?
- VOE charges 0.05% a year and XLV charges 0.08%, so VOE is cheaper. Fees come from each fund's prospectus.
- How much do VOE and XLV overlap with the S&P 500?
- By their latest filed holdings, 97% of VOE and 100% of XLV by weight is stocks the S&P 500 already holds. Between the two funds, 7% 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, VOE against XLV, data as of Sep 12, 2026. https://etfiq.com/compare/any/VOE-XLV Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources