Data as of Oct 28, 2026.
QQQ vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, QQQ returned +15.2% to XLV's +25.6%; 4% of their weight is in the same names.
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Net assets on Oct 27, 2026: $483.0bn for Invesco QQQ Trust, Series 1 and $47.0bn for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
XLV costs 0.10 points a year less; their one-year returns differ by 10.4 points; QQQ is 10.3 times larger.
| Measure | QQQ | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | +15.2% | +25.6% |
| Drawdown | ||
| Below its high | 4.5%, high on Oct 6, 2026 | |
| Benchmark | ||
| What it tracks | Nasdaq-100 Index | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.18% | 0.08% |
| Net assets, as of Oct 27, 2026 | $483.0bn | $47.0bn |
| Holdings | ||
| Holdings in common | 4% | |
| Top ten holdings, share of the fund | 46.7% | 60.6% |
Holdings in common uses holdings dated Oct 27, 2026. Method
Risk and return
Mar 19, 1999 to Oct 23, 2026 · 1,440 weekly returnsQQQ returned more: +1,532.3% to +851.1%. XLV swung less: 17.4% to 24.3%. XLV fell less at its worst: −37.9% to −82.7%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | QQQ | XLV | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +1,532.3% | +851.1% | QQQ | Price change plus distributions, reinvested. |
| Annualized | +10.6% | +8.5% | QQQ | Total return as a yearly rate. |
| Price return | +1,275.8% | +531.5% | QQQ | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 24.3% | 17.4% | XLV | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 17.0% | 12.3% | XLV | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −82.7% | −37.9% | XLV | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.46 | 0.45 | QQQ (slight) | Return above Treasury bills per unit of volatility. |
| Sortino | 0.66 | 0.64 | QQQ (slight) | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.13 | 0.22 | XLV | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,440 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, QQQ and XLV hold 4% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.
half
4% in common
Only in one fund ↓
Side by side
QQQ and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
QQQ and XLV do different jobs. What does each one do in a portfolio?
- What each follows. QQQ follows Nasdaq-100 Index and XLV follows Health Care Select Sector Index.
- Holdings in common. 4% of the weight is in the same securities (holdings dated Oct 27, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 QQQ returned +15.2% and XLV +25.6% with distributions reinvested, a gap of 10.4 points.
Data as of Oct 28, 2026.
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QQQ
QQQ tracks the Nasdaq-100. Over the year to Oct 28, 2026 it returned +15.2% with distributions reinvested, against +15.2% for its benchmark, the Nasdaq-100 Index. The prospectus expense ratio is 0.18% a year. By its holdings published by its issuer for Oct 27, 2026, 96% of the fund by weight is stocks the S&P 500 also holds, across 103 positions, with the top ten at 46.7%. It sat 4.5% 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, QQQ or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, QQQ returned +15.2% and XLV +25.6%.
- Which is cheaper, QQQ or XLV?
- XLV is cheaper, by 0.10 percentage points a year. That is about $10 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, QQQ against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/qqq-vs-xlv
ETFIQ. (Oct 28, 2026). QQQ against XLV. Retrieved from https://etfiq.com/compare/any/qqq-vs-xlv
[QQQ against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/qqq-vs-xlv)
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