Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
VOOG vs XLV: how they differ
VOOG and XLV hold 6% of their weight in the same names, and XLV returned more over the year.
Vanguard S&P 500 Growth 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, VOOG and XLV hold 6% of their money in the same securities at the same weight.
| Holding | VOOG | XLV |
|---|---|---|
| Eli Lilly & Co | 2.44% | 16.56% |
| Johnson & Johnson | 0.89% | 10.67% |
| AbbVie Inc | 0.49% | 7.76% |
| Intuitive Surgical Inc | 0.42% | 2.46% |
| Amgen Inc | 0.34% | 3.41% |
| Gilead Sciences Inc | 0.25% | 2.74% |
| HCA Healthcare Inc | 0.17% | 1.06% |
| Boston Scientific Corp | 0.13% | 1.11% |
| IDEXX Laboratories Inc | 0.12% | 0.72% |
| Stryker Corp | 0.12% | 1.90% |
| Edwards Lifesciences Corp | 0.06% | 0.91% |
| Incyte Corp | 0.04% | 0.33% |
| Only in VOOG | Only in XLV |
|---|---|
| NVIDIA Corp 14.29% | UnitedHealth Group Inc 6.59% |
| Microsoft Corp 9.31% | Merck & Co Inc 5.54% |
| Apple Inc 6.38% | Thermo Fisher Scientific Inc 3.25% |
| Alphabet Inc 6.17% | Abbott Laboratories 2.76% |
| Broadcom Inc 5.90% | Pfizer Inc 2.40% |
| Alphabet Inc 4.90% | CVS Health Corp 2.30% |
| Amazon.com Inc 3.90% | Vertex Pharmaceuticals Inc 2.20% |
| Meta Platforms Inc 3.85% | Danaher Corp 2.10% |
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 and May 31, 2026.
| VOOG Vanguard S&P 500 Growth 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 | S&P 500 Growth | Health care |
| Total return, 1 year | +17.8% | +20.4% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +0.3 pts | +2.9 pts |
| Expense ratio | 0.05% | 0.08% |
| Already in the S&P 500 | 100.0% | 100.0% |
| Holdings | 146 | 59 |
VOOG in plain words
VOOG is an index equity fund tracking the S&P 500 Growth. Over the year to Sep 11, 2026 it returned +17.8% 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 May 31, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 146 positions, with the top ten at 60.2%.
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, VOOG or XLV?
- In the year to Sep 12, 2026, with distributions reinvested, VOOG returned +17.8% and XLV returned +20.4%, so XLV returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, VOOG or XLV?
- VOOG charges 0.05% a year and XLV charges 0.08%, so VOOG is cheaper. Fees come from each fund's prospectus.
- How much do VOOG and XLV overlap with the S&P 500?
- By their latest filed holdings, 100% of VOOG and 100% of XLV by weight is stocks the S&P 500 already holds. Between the two funds, 6% of their books are the same securities at the same weight.
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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, VOOG against XLV, data as of Sep 12, 2026. https://etfiq.com/compare/any/VOOG-XLV Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources