Data as of Sep 13, 2026. Both funds on the fields they both publish, from the same sources.
QQQ vs XLV: how they differ
QQQ and XLV hold 4% of their weight in the same names, and QQQ returned more over the year.
Invesco QQQ Trust and State Street(R) Health Care Select Sector SPDR(R) ETF.
What they hold in common
By the books each fund has filed, QQQ and XLV hold 4% of their money in the same securities at the same weight.
| Holding | QQQ | XLV |
|---|---|---|
| Amgen Inc | 0.92% | 3.46% |
| Gilead Sciences Inc | 0.80% | 3.01% |
| Vertex Pharmaceuticals Inc | 0.58% | 2.19% |
| Intuitive Surgical Inc | 0.57% | 2.14% |
| Regeneron Pharmaceuticals Inc | 0.36% | 1.33% |
| IDEXX Laboratories Inc | 0.18% | 0.67% |
| Dexcom Inc | 0.14% | 0.55% |
| GE HealthCare Technologies Inc | 0.13% | 0.49% |
| Only in QQQ | Only in XLV |
|---|---|
| NVIDIA Corp 8.52% | ELI LILLY + CO 14.87% |
| Apple Inc 7.72% | JOHNSON + JOHNSON 10.73% |
| Microsoft Corp 5.89% | ABBVIE INC 7.54% |
| Micron Technology Inc 4.90% | MERCK + CO. INC. 5.98% |
| Amazon.com Inc 4.36% | UNITEDHEALTH GROUP INC 5.90% |
| Advanced Micro Devices Inc 3.65% | THERMO FISHER SCIENTIFIC INC 3.75% |
| Alphabet Inc 3.12% | ABBOTT LABORATORIES 3.01% |
| Meta Platforms Inc 3.07% | PFIZER INC 2.64% |
Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated Sep 10, 2026.
| QQQ Invesco QQQ Trust | XLV State Street(R) Health Care Select Sector SPDR(R) ETF | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | Invesco | State Street |
| What it is | Nasdaq-100 | Health care |
| Total return, 1 year | +23.0% | +20.4% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +5.5 pts | +2.9 pts |
| Expense ratio | 0.18% | 0.08% |
| Already in the S&P 500 | 96.7% | 100.0% |
| Holdings | 105 | 63 |
QQQ in plain words
QQQ is an index equity fund tracking the Nasdaq-100. Over the year to Sep 11, 2026 it returned +23.0% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.18% a year. By its holdings filed for Sep 10, 2026, 97% of the fund by weight is stocks the S&P 500 also holds, across 105 positions, with the top ten at 47.0%. It sat 4.1% below its high of Jun 2, 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, QQQ or XLV?
- In the year to Sep 13, 2026, with distributions reinvested, QQQ returned +23.0% and XLV returned +20.4%, so QQQ returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, QQQ or XLV?
- QQQ charges 0.18% a year and XLV charges 0.08%, so XLV is cheaper. Fees come from each fund's prospectus.
- How much do QQQ and XLV overlap with the S&P 500?
- By their latest filed holdings, 97% of QQQ and 100% of XLV by weight is stocks the S&P 500 already holds. Between the two funds, 4% of their books are the same securities at the same weight.
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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, QQQ against XLV, data as of Sep 13, 2026. https://etfiq.com/compare/any/qqq-vs-xlv Free to use with attribution; the underlying files are at Open data.
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