Data as of Oct 28, 2026.

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SPHQ vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, SPHQ returned +14.1% to XLV's +25.6%; 4% of their weight is in the same names.

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Net assets on Oct 27, 2026: $18.7bn for Invesco S&P 500 Quality ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.

At a glance
+14.1%
SPHQ total return, 1 year
+25.6%
XLV total return, 1 year
0.15%
SPHQ expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.07 points a year less; their one-year returns differ by 11.5 points; XLV is 2.5 times larger.

SPHQ vs XLV: Differences, Returns & Fees
MeasureSPHQXLV
Return
Total return, 1 year+14.1%+25.6%
Drawdown
Below its high6.4%, high on Jun 30, 2026
Benchmark
What it tracksS&P 500 Quality IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.15%0.08%
Net assets, as of Oct 27, 2026$18.7bn$47.0bn
Holdings
Holdings in common4%
Top ten holdings, share of the fund43.3%60.6%

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

What they share

4%

By the books each fund has filed, SPHQ and XLV hold 4% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

4% in common

Positions both hold · largest shared weight first SPHQ XLV
Intuitive Surgical Inc 1.58% 2.42%
IDEXX Laboratories Inc 0.60% 0.68%
Dexcom Inc 0.44% 0.46%
ResMed Inc 0.35% 0.56%
Zoetis Inc 0.32% 0.50%
STERIS PLC 0.20% 0.34%
Incyte Corp 0.17% 0.30%
Solventum Corp 0.13% 0.18%
Bio-Techne Corp 0.11% 0.17%
Only in one fund ↓
Only in SPHQ
Mastercard Inc 6.25%
Visa Inc 6.23%
Apple Inc 5.96%
Costco Wholesale Corp 4.24%
GE Vernova Inc 3.81%
Cisco Systems Inc 3.65%
General Electric Co 3.33%
Lam Research Corp 3.32%
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%
AMGEN INC 3.72%
GILEAD SCIENCES INC 3.03%
Check overlap with more funds →

Side by side

SPHQ Invesco S&P 500 Quality ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the S&P 500 Quality Tracks an index of Health care
Total return, 1 year +14.1% +25.6%
Its benchmark over the same days +13.7% (IVV) not measured
Gap to its benchmark +0.4 pts vs IVV not measured
Expense ratio 0.15% 0.08%
Already in the S&P 500 100.0% 99.7%
Holdings 102 62
Net assets, as of Oct 27, 2026 $18.7bn $47.0bn

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

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About each fund
SPHQ

SPHQ tracks the S&P 500 Quality. Over the year to Oct 28, 2026 it returned +14.1% with distributions reinvested, against +13.7% for its benchmark, the S&P 500 Index. The prospectus expense ratio is 0.15% 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 102 positions, with the top ten at 43.3%. It sat 6.4% below its high of Jun 30, 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, SPHQ or XLV?
In the year to Oct 28, 2026, with distributions reinvested, SPHQ returned +14.1% and XLV +25.6%.
Which is cheaper, SPHQ or XLV?
XLV is cheaper, by 0.07 percentage points a year. That is about $7 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do SPHQ and XLV overlap with the S&P 500?
By their latest filed holdings, 100% of SPHQ and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, SPHQ against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/sphq-vs-xlv

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