Data as of Oct 28, 2026.
BITO vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, BITO returned −30.5% to XLV's +25.6%, and XLV charges 0.08% to BITO's 0.95%.
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Net assets: $1.6bn on Oct 28, 2026 for ProShares Bitcoin ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
XLV costs 0.87 points a year less; their one-year returns differ by 56.1 points; XLV is far larger, $47.0bn against $1.6bn.
| Measure | BITO | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | −30.5% | +25.6% |
| Benchmark | ||
| What it tracks | Bitcoin futures and swaps on Bitcoin | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.95% | 0.08% |
| Net assets, as of Oct 27, 2026 | $1.6bn | $47.0bn |
| Holdings | ||
| Holdings in common | 0% | |
| In the S&P 500, by weight | 100% | |
| Top ten holdings, share of the fund | 60.6% | |
Holdings in common uses holdings dated Oct 27, 2026. Method
What they share
By the books each fund has filed, BITO and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.
half
0% in common
Only in one fund ↓
Side by side
BITO and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
BITO is a registered fund that reaches Bitcoin through what its N-PORT for Aug 31, 2026 lists: Bitcoin futures and swaps on Bitcoin. Over the year to Oct 28, 2026, Bitcoin moved −28.3% and BITO returned −30.5%. That leaves it 2.2 percentage points behind. BITO is a registered investment company: it files a monthly N-PORT rather than a 10-K. Its N-PORT for Aug 31, 2026 puts 67.9% of its net assets in ProShares GENIUS Money Market ETF.
A holder gets exposure to Bitcoin without the fund holding the coin itself. That difference is the fee, the cost of rolling the futures from one month to the next, what the futures traded at against Bitcoin, and what the market paid for the shares, all of it together. It is the only number on this page the sponsor does not publish itself.
XLV
XLV tracks an index of Health care. Over the year to Oct 28, 2026 it returned +25.6% with distributions reinvested. The prospectus expense ratio is 0.08% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 60.6%.
Questions people ask
- Are BITO and XLV in the same category?
- BITO is a crypto futures ETF and XLV is a stock ETF, so they do different jobs. The table compares what both publish: return, cost and holdings.
- Which returned more over the last year, BITO or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, BITO returned −30.5% and XLV +25.6%.
- Which is cheaper, BITO or XLV?
- XLV is cheaper, by 0.87 percentage points a year. That is about $87 on $10,000 held for a year. Fees come from each fund's prospectus.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, BITO against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/bito-vs-xlv
ETFIQ. (Oct 28, 2026). BITO against XLV. Retrieved from https://etfiq.com/compare/any/bito-vs-xlv
[BITO against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/bito-vs-xlv)
Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.