Data as of Oct 28, 2026.

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ONEQ vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, ONEQ returned +12.7% to XLV's +25.6%; 2% of their weight is in the same names.

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Net assets: $10.9bn on Sep 30, 2026 for Fidelity Nasdaq Composite Index ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+12.7%
ONEQ total return, 1 year
+25.6%
XLV total return, 1 year
0.21%
ONEQ expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.13 points a year less; their one-year returns differ by 12.9 points; XLV is 4.0 times larger.

ONEQ vs XLV: Differences, Returns & Fees
MeasureONEQXLV
Return
Total return, 1 year+12.7%+25.6%
Drawdown
Below its high3.8%, high on Oct 6, 2026
Benchmark
What it tracksNasdaq Composite IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.21%0.08%
Net assets, as of Sep 30, 2026$10.9bn$43.4bn
Holdings
Holdings in common2%
Top ten holdings, share of the fund56.0%60.6%

Holdings in common uses holdings dated Aug 31, 2026 and Oct 27, 2026. Method

Risk and return

Oct 10, 2003 to Oct 23, 2026 · 1,202 weekly returns
ONEQ XLV
Return
Total return edge ONEQ +1,558.1% +836.9%
Annualized edge ONEQ +12.9% +10.2%
Price return edge ONEQ +1,232.7% +538.9%
Risk
Volatility edge XLV 19.5% 16.0%
Max drawdown edge XLV −53.5% −37.9%
Risk-adjusted
Sharpe edge ONEQ (slight) 0.63 0.57
Sortino edge ONEQ 0.91 0.81
Calmar edge XLV (slight) 0.24 0.27
Reading

ONEQ returned more: +1,558.1% to +836.9%. XLV swung less: 16.0% to 19.5%. XLV fell less at its worst: −37.9% to −53.5%.

Full scorecard

9 measures, with how each is measured
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Risk and return: ONEQ vs XLV: Differences, Returns & Fees
MeasureONEQXLVEdgeHow it is measured
Return
Total return+1,558.1%+836.9%ONEQPrice change plus distributions, reinvested.
Annualized+12.9%+10.2%ONEQTotal return as a yearly rate.
Price return+1,232.7%+538.9%ONEQPrice change alone, distributions left out.
Risk
Volatility19.5%16.0%XLVSpread of weekly returns, annualized. Lower is steadier.
Downside deviation13.5%11.3%XLVLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−53.5%−37.9%XLVDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.630.57ONEQ (slight)Return above Treasury bills per unit of volatility.
Sortino0.910.81ONEQReturn above Treasury bills per unit of downside deviation.
Calmar0.240.27XLV (slight)Annualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,202 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

2%

By the books each fund has filed, ONEQ and XLV hold 2% of their money in the same securities at the same weight. Holdings dated Aug 31, 2026 and Oct 27, 2026.

0 half 100%

half

2% in common

Positions both hold · largest shared weight first ONEQ XLV
AMGEN INC 0.50% 3.72%
GILEAD SCIENCES INC 0.39% 3.03%
VERTEX PHARMACEUTICALS INC 0.30% 2.03%
INTUITIVE SURGICAL INC 0.29% 2.42%
REGENERON PHARMACEUTICALS INC 0.18% 1.23%
MODERNA INC 0.13% 1.19%
IDEXX LABORATORIES INC 0.09% 0.68%
DEXCOM INC 0.07% 0.46%
ILLUMINA INC 0.07% 0.65%
BIOGEN INC 0.07% 0.57%
INCYTE CORP 0.05% 0.30%
VIATRIS INC 0.04% 0.33%
Only in one fund ↓
Only in ONEQ
NVIDIA CORP 11.57%
APPLE INC 10.08%
MICROSOFT CORP 8.16%
AMAZON.COM INC 6.05%
ALPHABET INC 4.28%
ALPHABET INC 3.96%
BROADCOM INC 3.80%
TESLA INC 2.99%
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%
ABBOTT LABORATORIES 2.74%
PFIZER INC 2.61%
Check overlap with more funds →

Side by side

ONEQ Fidelity Nasdaq Composite Index ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the Nasdaq Composite Tracks an index of Health care
Total return, 1 year +12.7% +25.6%
Expense ratio 0.21% 0.08%
Already in the S&P 500 84.6% 99.7%
Holdings 1026 62
Net assets, ONEQ as of Sep 30, 2026 and XLV as of Oct 27, 2026 $10.9bn $47.0bn

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

Client brief · page 1 of 2 Report BR-20C034DC30

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

  1. What each follows. ONEQ follows Nasdaq Composite Index and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 2% of the weight is in the same securities (holdings dated Aug 31, 2026 and Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 ONEQ returned +12.7% and XLV +25.6% with distributions reinvested, a gap of 12.9 points.

Data as of Oct 28, 2026.

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About each fund
ONEQ

ONEQ tracks the Nasdaq Composite. Over the year to Oct 28, 2026 it returned +12.7% with distributions reinvested. The prospectus expense ratio is 0.21% a year. By its holdings filed for Aug 31, 2026, 85% of the fund by weight is stocks the S&P 500 also holds, across 1,026 positions, with the top ten at 56.0%. It sat 3.8% 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, ONEQ or XLV?
In the year to Oct 28, 2026, with distributions reinvested, ONEQ returned +12.7% and XLV +25.6%.
Which is cheaper, ONEQ or XLV?
XLV is cheaper, by 0.13 percentage points a year. That is about $13 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do ONEQ and XLV overlap with the S&P 500?
By their latest filed holdings, 85% of ONEQ and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, ONEQ against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/oneq-vs-xlv

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