Data as of Oct 28, 2026.
IXUS vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, IXUS returned +14.1% to XLV's +25.6%; 0% of their weight is in the same names.
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Net assets on Oct 27, 2026: $57.6bn for iShares Core MSCI Total International Stock ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
IXUS costs 0.01 points a year less; their one-year returns differ by 11.5 points; IXUS is 1.2 times larger.
| Measure | IXUS | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | +14.1% | +25.6% |
| Drawdown | ||
| Below its high | 4.9%, high on Sep 4, 2026 | |
| Benchmark | ||
| What it tracks | MSCI ACWI ex USA IMI | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.07% | 0.08% |
| Net assets, as of Oct 27, 2026 | $57.6bn | $47.0bn |
| Holdings | ||
| Holdings in common | 0% | |
| Top ten holdings, share of the fund | 13.5% | 60.6% |
Holdings in common uses holdings dated Oct 27, 2026. Method
What they share
By the books each fund has filed, IXUS and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.
half
0% in common
Only in one fund ↓
Side by side
IXUS and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
IXUS
IXUS tracks the MSCI Total International Stock. Over the year to Oct 28, 2026 it returned +14.1% with distributions reinvested, against +14.3% for its benchmark, the MSCI ACWI ex USA Index. The prospectus expense ratio is 0.07% 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 4,584 positions, with the top ten at 13.5%. It sat 4.9% below its high of Sep 4, 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, IXUS or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, IXUS returned +14.1% and XLV +25.6%.
- Which is cheaper, IXUS or XLV?
- IXUS is cheaper, by 0.01 percentage points a year. That is about $1 on $10,000 held for a year. Fees come from each fund's prospectus.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, IXUS against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/ixus-vs-xlv
ETFIQ. (Oct 28, 2026). IXUS against XLV. Retrieved from https://etfiq.com/compare/any/ixus-vs-xlv
[IXUS against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/ixus-vs-xlv)
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