Data as of Oct 28, 2026.

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COWZ vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, COWZ returned +24.4% to XLV's +25.6%; 16% of their weight is in the same names.

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Net assets on Oct 27, 2026: $19.5bn for Pacer US Cash Cows 100 ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.

At a glance
+24.4%
COWZ total return, 1 year
+25.6%
XLV total return, 1 year
0.49%
COWZ expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.41 points a year less; their one-year returns differ by 1.2 points; XLV is 2.4 times larger.

COWZ vs XLV: Differences, Returns & Fees
MeasureCOWZXLV
Return
Total return, 1 year+24.4%+25.6%
Benchmark
What it tracksPacer US Cash Cows 100 IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.49%0.08%
Net assets, as of Oct 27, 2026$19.5bn$47.0bn
Holdings
Holdings in common16%
Top ten holdings, share of the fund20.4%60.6%

Holdings in common uses holdings dated Jul 31, 2026 and Oct 27, 2026. Method

Risk and return

Dec 30, 2016 to Oct 23, 2026 · 512 weekly returns
COWZ XLV
Return
Total return edge COWZ +251.9% +206.1%
Annualized edge COWZ +13.6% +12.0%
Price return edge COWZ +188.5% +160.1%
Risk
Volatility edge XLV 19.6% 17.0%
Max drawdown edge XLV −36.3% −24.3%
Risk-adjusted
Sharpe edge COWZ (slight) 0.62 0.60
Sortino edge Tie 0.89 0.87
Calmar edge XLV 0.38 0.49
Reading

COWZ returned more: +251.9% to +206.1%. XLV swung less: 17.0% to 19.6%. XLV fell less at its worst: −24.3% to −36.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: COWZ vs XLV: Differences, Returns & Fees
MeasureCOWZXLVEdgeHow it is measured
Return
Total return+251.9%+206.1%COWZPrice change plus distributions, reinvested.
Annualized+13.6%+12.0%COWZTotal return as a yearly rate.
Price return+188.5%+160.1%COWZPrice change alone, distributions left out.
Risk
Volatility19.6%17.0%XLVSpread of weekly returns, annualized. Lower is steadier.
Downside deviation13.8%11.8%XLVLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−36.3%−24.3%XLVDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.620.60COWZ (slight)Return above Treasury bills per unit of volatility.
Sortino0.890.87TieReturn above Treasury bills per unit of downside deviation.
Calmar0.380.49XLVAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 512 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

16%

By the books each fund has filed, COWZ and XLV hold 16% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Oct 27, 2026.

0 half 100%

half

16% in common

Positions both hold · largest shared weight first COWZ XLV
Bristol-Myers Squibb Co 2.18% 1.93%
Gilead Sciences Inc 1.93% 3.03%
Pfizer Inc 1.84% 2.61%
McKesson Corp 1.79% 1.73%
Regeneron Pharmaceuticals Inc 1.36% 1.23%
HCA Healthcare Inc 2.07% 1.02%
Cardinal Health Inc 1.47% 0.88%
Becton Dickinson & Co 1.00% 0.82%
IQVIA Holdings Inc 0.81% 0.69%
Veeva Systems Inc 0.58% 0.72%
Biogen Inc 0.72% 0.57%
ResMed Inc 0.56% 0.56%
Only in one fund ↓
Only in COWZ
Booking Holdings Inc 2.23%
Marathon Petroleum Corp 2.06%
General Dynamics Corp 2.05%
Intuit Inc 2.04%
Verizon Communications Inc 1.97%
AT&T Inc 1.95%
Comcast Corp 1.92%
Adobe Inc 1.91%
Only in XLV
ELI LILLY + CO 15.77%
JOHNSON + JOHNSON 9.96%
ABBVIE INC 7.78%
UNITEDHEALTH GROUP INC 5.66%
MERCK + CO. INC. 5.38%
THERMO FISHER SCIENTIFIC INC 3.94%
AMGEN INC 3.72%
ABBOTT LABORATORIES 2.74%
Check overlap with more funds →

Side by side

COWZ Pacer US Cash Cows 100 ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of US Cash Cows 100 Tracks an index of Health care
Total return, 1 year +24.4% +25.6%
Expense ratio 0.49% 0.08%
Already in the S&P 500 94.7% 99.7%
Holdings 100 62
Net assets, as of Oct 27, 2026 $19.5bn $47.0bn

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

Client brief · page 1 of 2 Report BR-FE0F7989C5

COWZ and XLV do different jobs. What does each one do in a portfolio?

  1. What each follows. COWZ follows Pacer US Cash Cows 100 Index and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 16% of the weight is in the same securities (holdings dated Jul 31, 2026 and Oct 27, 2026).
  3. Cost. COWZ charges 0.49% of assets a year and XLV 0.08%, a gap of 0.41 points.

Data as of Oct 28, 2026.

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About each fund
COWZ

COWZ tracks an index of US Cash Cows 100. Over the year to Oct 28, 2026 it returned +24.4% with distributions reinvested. The prospectus expense ratio is 0.49% a year. By its holdings filed for Jul 31, 2026, 95% of the fund by weight is stocks the S&P 500 also holds, across 100 positions, with the top ten at 20.4%.

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, COWZ or XLV?
In the year to Oct 28, 2026, with distributions reinvested, COWZ returned +24.4% and XLV +25.6%.
Which is cheaper, COWZ or XLV?
XLV is cheaper, by 0.41 percentage points a year. That is about $41 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do COWZ and XLV overlap with the S&P 500?
By their latest filed holdings, 95% of COWZ and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, COWZ against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/cowz-vs-xlv

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