Data as of Sep 13, 2026. Both funds on the fields they both publish, from the same sources.
IAU vs XLV: how they differ
IAU is a commodity fund and XLV an equity index fund, and over the year XLV returned more, +20.4% against +19.2%.
iShares Gold Trust and State Street(R) Health Care Select Sector SPDR(R) ETF.
| IAU iShares Gold Trust | XLV State Street(R) Health Care Select Sector SPDR(R) ETF | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | iShares | State Street |
| What it is | Gold | Health care |
| Total return, 1 year | +19.2% | +20.4% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +1.7 pts | +2.9 pts |
| Expense ratio | 0.25% | 0.08% |
| Holdings | not filed | 63 |
IAU in plain words
IAU is a commodity fund tracking the Gold. Over the year to Sep 11, 2026 it returned +19.2% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.25% a year. It sat 19.6% below its high of Jan 29, 2026 on Sep 11, 2026.
XLV in plain words
XLV is an index equity fund tracking the Health care. Over the year to Sep 11, 2026 it returned +20.4% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.08% a year. By its holdings filed for Sep 10, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 63 positions, with the top ten at 60.9%. It sat 5.9% below its high of Aug 19, 2026 on Sep 11, 2026.
Questions people ask
- Which returned more over the last year, IAU or XLV?
- In the year to Sep 13, 2026, with distributions reinvested, IAU returned +19.2% and XLV returned +20.4%, so XLV returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, IAU or XLV?
- IAU charges 0.25% a year and XLV charges 0.08%, so XLV is cheaper. Fees come from each fund's prospectus.
Other comparisons
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Where these figures came from
ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.
Cite this page. ETFIQ, IAU against XLV, data as of Sep 13, 2026. https://etfiq.com/compare/any/iau-vs-xlv Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources