Data as of Oct 28, 2026.

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FXI vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, FXI returned −19.1% to XLV's +25.6%; 0% of their weight is in the same names.

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Net assets: $3.7bn on Oct 28, 2026 for iShares China Large-Cap ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
−19.1%
FXI total return, 1 year
+25.6%
XLV total return, 1 year
0.73%
FXI expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.65 points a year less; their one-year returns differ by 44.7 points; XLV is 12.6 times larger.

FXI vs XLV: Differences, Returns & Fees
MeasureFXIXLV
Return
Total return, 1 year−19.1%+25.6%
Drawdown
Below its high32.7%, high on Feb 17, 2021
Benchmark
What it tracksFTSE China 50 IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.73%0.08%
Net assets, as of Oct 26, 2026$3.7bn$46.7bn
Holdings
Holdings in common0%
Top ten holdings, share of the fund58.4%60.6%

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

What they share

0%

By the books each fund has filed, FXI and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

0% in common

Positions both hold · largest shared weight first FXI XLV
Only in one fund ↓
Only in FXI
CHINA CONSTRUCTION BANK CORP H 9.81%
ALIBABA GROUP HOLDING 8.63%
TENCENT HOLDINGS 8.60%
INDUSTRIAL AND COMMERCIAL BANK OF 6.69%
XIAOMI 4.86%
BANK OF CHINA LTD H 4.76%
MEITUAN 4.58%
NETEASE 3.85%
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%
GILEAD SCIENCES INC 3.03%
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Side by side

FXI iShares China Large-Cap ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of China Large-Cap Tracks an index of Health care
Total return, 1 year −19.1% +25.6%
Expense ratio 0.73% 0.08%
Already in the S&P 500 0.0% 99.7%
Holdings 51 62
Net assets, FXI as of Oct 28, 2026 and XLV as of Oct 27, 2026 $3.7bn $47.0bn

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

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About each fund
FXI

FXI tracks an index of China Large-Cap. Over the year to Oct 28, 2026 it returned −19.1% with distributions reinvested. The prospectus expense ratio is 0.73% a year. By its holdings published by its issuer for Oct 27, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 51 positions, with the top ten at 58.4%. It sat 32.7% below its high of Feb 17, 2021 on Oct 28, 2026.

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, FXI or XLV?
In the year to Oct 28, 2026, with distributions reinvested, FXI returned −19.1% and XLV +25.6%.
Which is cheaper, FXI or XLV?
XLV is cheaper, by 0.65 percentage points a year. That is about $65 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do FXI and XLV overlap with the S&P 500?
By their latest filed holdings, 0% of FXI and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, FXI against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/fxi-vs-xlv

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