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Data as of Oct 28, 2026.

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BOXX vs XLV: Differences, Returns & Fees

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BOXX is an actively managed short-term fund and XLV an equity index fund, and over the year to Oct 28, 2026, XLV returned +25.6% against +4.0%.

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Net assets: $14.5bn on Oct 28, 2026 for Alpha Architect 1-3 Month Box ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

BOXX on its own →XLV on its own →
At a glance
+4.0%
BOXX total return, 1 year
+25.6%
XLV total return, 1 year
0.19%
BOXX expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.11 points a year less; their one-year returns differ by 21.6 points; XLV is 3.2 times larger.

BOXX vs XLV: Differences, Returns & Fees
MeasureBOXXXLV
Return
Total return, 1 year+4.0%+25.6%
Benchmark
What it tracksNo index, actively managedHealth Care Select Sector Index
Cost and size
Expense ratio0.19%0.08%
Net assets, as of Oct 26, 2026$14.4bn$46.7bn
Holdings
Holdings in commonnot published
In the S&P 500, by weight100%
Top ten holdings, share of the fund60.6%

Method

Side by side

BOXX Alpha Architect 1-3 Month Box ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Bond ETF Stock ETF
Issuer Alpha Architect State Street
What it is Actively managed Tracks an index of Health care
Total return, 1 year +4.0% +25.6%
Expense ratio 0.19% 0.08%
Holdings not counted 62
Net assets, BOXX as of Oct 28, 2026 and XLV as of Oct 27, 2026 $14.5bn $47.0bn

BOXX and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

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About each fund
BOXX

BOXX is actively managed and tracks no index. Over the year to Oct 28, 2026 it returned +4.0% with distributions reinvested. The prospectus expense ratio is 0.19% a year.

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

Which returned more over the last year, BOXX or XLV?
In the year to Oct 28, 2026, with distributions reinvested, BOXX returned +4.0% and XLV +25.6%.
Which is cheaper, BOXX or XLV?
XLV is cheaper, by 0.11 percentage points a year. That is about $11 on $10,000 held for a year. Fees come from each fund's prospectus.
Other comparisons
BOXX vs VHTBOXX vs XLEBOXX vs XLFBOXX vs XLIVBIL vs XLVMINT vs XLVUSFR vs XLVPULS vs XLV
Where to next
BOXX on its own →XLV on its own →Hold both: look the portfolio through →Rankings →BOXX dividend history →XLV dividend history →XLV holdings →Standards and sources →
Sources and dates
BOXX filings on SEC EDGAR ↗
BOXX prospectus with the expense ratio (SEC) ↗
Alpha Architect website ↗
XLV filings on SEC EDGAR ↗
XLV prospectus with the expense ratio (SEC) ↗
State Street website ↗

Links are sources, not endorsements. A comparison is not a recommendation.

Cite this pageCitation, APA and Markdown

ETFIQ, BOXX against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/boxx-vs-xlv

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Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.