Data as of Sep 13, 2026. Both funds on the fields they both publish, from the same sources.
ACWX vs XLV: how they differ
ACWX and XLV hold 0% of their weight in the same names, and ACWX returned more over the year.
iShares MSCI ACWI ex U.S. ETF and State Street(R) Health Care Select Sector SPDR(R) ETF.
What they hold in common
By the books each fund has filed, ACWX and XLV hold 0% of their money in the same securities at the same weight.
| Only in ACWX | Only in XLV |
|---|---|
| TAIWAN SEMICONDUCTOR MANUFACTURING 5.09% | ELI LILLY + CO 14.87% |
| SAMSUNG ELECTRONICS LTD 2.50% | JOHNSON + JOHNSON 10.73% |
| SK HYNIX 2.04% | ABBVIE INC 7.54% |
| ASML HOLDING 1.77% | MERCK + CO. INC. 5.98% |
| HSBC HOLDINGS PLC 0.94% | UNITEDHEALTH GROUP INC 5.90% |
| TENCENT HOLDINGS 0.88% | THERMO FISHER SCIENTIFIC INC 3.75% |
| ROCHE PS PAR AG 0.79% | AMGEN INC 3.46% |
| ROYAL BANK OF CANADA 0.76% | ABBOTT LABORATORIES 3.01% |
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 Sep 10, 2026.
| ACWX iShares MSCI ACWI ex U.S. 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 | MSCI ACWI ex U.S. | Health care |
| Total return, 1 year | +23.0% | +20.4% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +5.5 pts | +2.9 pts |
| Expense ratio | 0.32% | 0.08% |
| Already in the S&P 500 | 0.0% | 100.0% |
| Holdings | 1515 | 63 |
ACWX in plain words
ACWX is an index equity fund tracking the MSCI ACWI ex U.S.. Over the year to Sep 11, 2026 it returned +23.0% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.32% a year. By its holdings filed for Sep 10, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 1515 positions, with the top ten at 16.1%.
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 Sep 10, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 63 positions, with the top ten at 60.9%. 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, ACWX or XLV?
- In the year to Sep 13, 2026, with distributions reinvested, ACWX returned +23.0% and XLV returned +20.4%, so ACWX returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, ACWX or XLV?
- ACWX charges 0.32% a year and XLV charges 0.08%, so XLV is cheaper. Fees come from each fund's prospectus.
- How much do ACWX and XLV overlap with the S&P 500?
- By their latest filed holdings, 0% of ACWX 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.
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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, ACWX against XLV, data as of Sep 13, 2026. https://etfiq.com/compare/any/acwx-vs-xlv Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources