Data as of Oct 28, 2026.

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GARP vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, GARP returned +18.0% to XLV's +25.6%; 3% of their weight is in the same names.

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Net assets on Oct 27, 2026: $3.6bn for iShares MSCI USA Quality GARP ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.

At a glance
+18.0%
GARP total return, 1 year
+25.6%
XLV total return, 1 year
0.15%
GARP expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.07 points a year less; their one-year returns differ by 7.6 points; XLV is 13.1 times larger.

GARP vs XLV: Differences, Returns & Fees
MeasureGARPXLV
Return
Total return, 1 year+18.0%+25.6%
Drawdown
Below its high7.0%, high on Oct 6, 2026
Benchmark
What it tracksMSCI USA Quality GARP Select IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.15%0.08%
Net assets, as of Oct 27, 2026$3.6bn$47.0bn
Holdings
Holdings in common3%
Top ten holdings, share of the fund43.5%60.6%

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

Risk and return

Jan 24, 2020 to Oct 23, 2026 · 352 weekly returns
GARP XLV
Return
Total return edge GARP +232.4% +95.2%
Annualized edge GARP +19.4% +10.4%
Price return edge GARP +215.4% +75.0%
Risk
Volatility edge XLV 22.3% 17.8%
Max drawdown edge XLV −30.1% −23.9%
Risk-adjusted
Sharpe edge GARP 0.78 0.48
Sortino edge GARP 1.16 0.69
Calmar edge GARP 0.65 0.43
Reading

GARP returned more: +232.4% to +95.2%. XLV swung less: 17.8% to 22.3%. XLV fell less at its worst: −23.9% to −30.1%.

Full scorecard

9 measures, with how each is measured
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Risk and return: GARP vs XLV: Differences, Returns & Fees
MeasureGARPXLVEdgeHow it is measured
Return
Total return+232.4%+95.2%GARPPrice change plus distributions, reinvested.
Annualized+19.4%+10.4%GARPTotal return as a yearly rate.
Price return+215.4%+75.0%GARPPrice change alone, distributions left out.
Risk
Volatility22.3%17.8%XLVSpread of weekly returns, annualized. Lower is steadier.
Downside deviation14.9%12.3%XLVLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−30.1%−23.9%XLVDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.780.48GARPReturn above Treasury bills per unit of volatility.
Sortino1.160.69GARPReturn above Treasury bills per unit of downside deviation.
Calmar0.650.43GARPAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 352 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

3%

By the books each fund has filed, GARP and XLV hold 3% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

3% in common

Positions both hold · largest shared weight first GARP XLV
ELI LILLY 1.78% 15.77%
IDEXX LABORATORIES 0.54% 0.68%
MCKESSON CORP 0.39% 1.73%
RESMED 0.13% 0.56%
CENTENE CORP 0.12% 0.52%
DEXCOM INC 0.11% 0.46%
INCYTE CORP 0.07% 0.30%
Only in one fund ↓
Only in GARP
MICROSOFT 5.67%
APPLE 5.66%
NVIDIA 5.18%
VISA CLASS A 5.13%
META PLATFORMS CLASS A 4.72%
MICRON TECHNOLOGY 4.61%
LAM RESEARCH 3.31%
CATERPILLAR INC 3.29%
Only in XLV
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%
ABBOTT LABORATORIES 2.74%
Check overlap with more funds →

Side by side

GARP iShares MSCI USA Quality GARP ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the MSCI USA Quality GARP Tracks an index of Health care
Total return, 1 year +18.0% +25.6%
Its benchmark over the same days +13.3% (PBUS) not measured
Gap to its benchmark +4.7 pts vs PBUS not measured
Expense ratio 0.15% 0.08%
Already in the S&P 500 94.4% 99.7%
Holdings 131 62
Net assets, as of Oct 27, 2026 $3.6bn $47.0bn

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

Client brief · page 1 of 2 Report BR-F77D93FC9B

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

  1. What each follows. GARP follows MSCI USA Quality GARP Select Index and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 3% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 GARP returned +18.0% and XLV +25.6% with distributions reinvested, a gap of 7.6 points.

Data as of Oct 28, 2026.

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About each fund
GARP

GARP tracks the MSCI USA Quality GARP. Over the year to Oct 28, 2026 it returned +18.0% with distributions reinvested, against +13.3% for its benchmark, the MSCI USA Index. The prospectus expense ratio is 0.15% a year. By its holdings published by its issuer for Oct 27, 2026, 94% of the fund by weight is stocks the S&P 500 also holds, across 131 positions, with the top ten at 43.5%. It sat 7.0% below its high of Oct 6, 2026 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, GARP or XLV?
In the year to Oct 28, 2026, with distributions reinvested, GARP returned +18.0% and XLV +25.6%.
Which is cheaper, GARP or XLV?
XLV is cheaper, by 0.07 percentage points a year. That is about $7 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do GARP and XLV overlap with the S&P 500?
By their latest filed holdings, 94% of GARP and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, GARP against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/garp-vs-xlv

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