Data as of Sep 13, 2026. Both funds on the fields they both publish, from the same sources.
QQQM vs XLV: how they differ
QQQM and XLV hold 4% of their weight in the same names, and QQQM returned more over the year.
Invesco NASDAQ 100 ETF and State Street(R) Health Care Select Sector SPDR(R) ETF.
What they hold in common
By the books each fund has filed, QQQM and XLV hold 4% of their money in the same securities at the same weight.
| Holding | QQQM | 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 QQQM | 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.
| QQQM Invesco NASDAQ 100 ETF | 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 | 0.15% | 0.08% |
| Already in the S&P 500 | 96.7% | 100.0% |
| Holdings | 106 | 63 |
QQQM in plain words
QQQM 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 0.15% 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 106 positions, with the top ten at 47.1%. 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, QQQM or XLV?
- In the year to Sep 13, 2026, with distributions reinvested, QQQM returned +23.0% and XLV returned +20.4%, so QQQM returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, QQQM or XLV?
- QQQM charges 0.15% a year and XLV charges 0.08%, so XLV is cheaper. Fees come from each fund's prospectus.
- How much do QQQM and XLV overlap with the S&P 500?
- By their latest filed holdings, 97% of QQQM 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.
Other comparisons
Where to next
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, QQQM against XLV, data as of Sep 13, 2026. https://etfiq.com/compare/any/qqqm-vs-xlv Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources