Data as of Sep 13, 2026. Both funds on the fields they both publish, from the same sources.
SPHQ vs XLV: how they differ
SPHQ and XLV hold 3% of their weight in the same names, and XLV returned more over the year.
Invesco S&P 500 Quality ETF and State Street(R) Health Care Select Sector SPDR(R) ETF.
What they hold in common
By the books each fund has filed, SPHQ and XLV hold 3% of their money in the same securities at the same weight.
| Holding | SPHQ | XLV |
|---|---|---|
| Intuitive Surgical Inc | 1.27% | 2.14% |
| IDEXX Laboratories Inc | 0.54% | 0.67% |
| Dexcom Inc | 0.47% | 0.55% |
| ResMed Inc | 0.31% | 0.53% |
| Zoetis Inc | 0.30% | 0.51% |
| STERIS PLC | 0.18% | 0.35% |
| Incyte Corp | 0.17% | 0.35% |
| Solventum Corp | 0.14% | 0.22% |
| Bio-Techne Corp | 0.11% | 0.19% |
| Only in SPHQ | Only in XLV |
|---|---|
| Mastercard Inc 5.78% | ELI LILLY + CO 14.87% |
| Visa Inc 5.68% | JOHNSON + JOHNSON 10.73% |
| Apple Inc 5.60% | ABBVIE INC 7.54% |
| Lam Research Corp 4.10% | MERCK + CO. INC. 5.98% |
| Netflix Inc 4.00% | UNITEDHEALTH GROUP INC 5.90% |
| GE Vernova Inc 3.92% | THERMO FISHER SCIENTIFIC INC 3.75% |
| Costco Wholesale Corp 3.85% | AMGEN INC 3.46% |
| General Electric Co 3.62% | ABBOTT LABORATORIES 3.01% |
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.
| SPHQ Invesco S&P 500 Quality 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 | S&P 500 Quality | Health care |
| Total return, 1 year | +17.4% | +20.4% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | −0.1 pts | +2.9 pts |
| Expense ratio | 0.15% | 0.08% |
| Already in the S&P 500 | 99.9% | 100.0% |
| Holdings | 100 | 63 |
SPHQ in plain words
SPHQ is an index equity fund tracking the S&P 500 Quality. Over the year to Sep 11, 2026 it returned +17.4% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.15% 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 100 positions, with the top ten at 43.4%. It sat 6.1% below its high of Jun 30, 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, SPHQ or XLV?
- In the year to Sep 13, 2026, with distributions reinvested, SPHQ returned +17.4% and XLV returned +20.4%, so XLV returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, SPHQ or XLV?
- SPHQ charges 0.15% a year and XLV charges 0.08%, so XLV is cheaper. 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. Between the two funds, 3% 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, SPHQ against XLV, data as of Sep 13, 2026. https://etfiq.com/compare/any/sphq-vs-xlv Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources