Data as of Oct 28, 2026.

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IWB vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IWB returned +13.1% to XLV's +25.6%; 9% of their weight is in the same names.

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Net assets: $49.1bn on Oct 28, 2026 for iShares Russell 1000 ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+13.1%
IWB total return, 1 year
+25.6%
XLV total return, 1 year
0.15%
IWB expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.07 points a year less; their one-year returns differ by 12.5 points.

IWB vs XLV: Differences, Returns & Fees
MeasureIWBXLV
Return
Total return, 1 year+13.1%+25.6%
Benchmark
What it tracksRussell 1000 IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.15%0.08%
Net assets, as of Oct 26, 2026$48.7bn$46.7bn
Holdings
Holdings in common9%
Top ten holdings, share of the fund35.3%60.6%

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

What they share

9%

By the books each fund has filed, IWB and XLV hold 9% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

9% in common

Positions both hold · largest shared weight first IWB XLV
ELI LILLY 1.44% 15.77%
JOHNSON & JOHNSON 0.91% 9.96%
ABBVIE 0.71% 7.78%
UNITEDHEALTH GROUP 0.52% 5.66%
MERCK & CO INC 0.49% 5.38%
THERMO FISHER SCIENTIFIC 0.36% 3.94%
AMGEN INC 0.34% 3.72%
GILEAD SCIENCES 0.28% 3.03%
ABBOTT LABORATORIES 0.25% 2.74%
PFIZER 0.24% 2.61%
INTUITIVE SURGICAL 0.22% 2.42%
DANAHER 0.21% 2.23%
Only in one fund ↓
Only in IWB
NVIDIA 7.15%
APPLE 7.06%
MICROSOFT 5.56%
AMAZON.COM INC 3.46%
ALPHABET CLASS A 2.63%
BROADCOM INC 2.24%
ALPHABET CLASS C 2.12%
META PLATFORMS CLASS A 1.92%
Only in XLV
XAV HEALTH CARE DEC26 0.01%
CONTRA HOLOGIC INCORPO 0.00%
Check overlap with more funds →

Side by side

IWB iShares Russell 1000 ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the Russell 1000 Tracks an index of Health care
Total return, 1 year +13.1% +25.6%
Its benchmark over the same days +13.2% (VONE) not measured
Gap to its benchmark −0.1 pts vs VONE not measured
Expense ratio 0.15% 0.08%
Already in the S&P 500 91.7% 99.7%
Holdings 1025 62
Net assets, IWB as of Oct 28, 2026 and XLV as of Oct 27, 2026 $49.1bn $47.0bn

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

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About each fund
IWB

IWB tracks the Russell 1000. Over the year to Oct 28, 2026 it returned +13.1% with distributions reinvested, against +13.2% for its benchmark, the Russell 1000 Index. The prospectus expense ratio is 0.15% a year. By its holdings published by its issuer for Oct 27, 2026, 92% of the fund by weight is stocks the S&P 500 also holds, across 1,025 positions, with the top ten at 35.3%.

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, IWB or XLV?
In the year to Oct 28, 2026, with distributions reinvested, IWB returned +13.1% and XLV +25.6%.
Which is cheaper, IWB 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 IWB and XLV overlap with the S&P 500?
By their latest filed holdings, 92% of IWB and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, IWB against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/iwb-vs-xlv

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