Data as of Oct 28, 2026.
TLT vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, TLT returned −7.9% to XLV's +25.6%; 0% of their weight is in the same names.
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Net assets on Oct 27, 2026: $47.4bn for iShares 20+ Year Treasury Bond ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
XLV costs 0.07 points a year less; their one-year returns differ by 33.5 points.
| Measure | TLT | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | −7.9% | +25.6% |
| Drawdown | ||
| Below its high | 42.6%, high on Aug 4, 2020 | |
| Benchmark | ||
| What it tracks | ICE U.S. Treasury 20+ Year Bond Index | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.15% | 0.08% |
| Net assets, as of Oct 27, 2026 | $47.4bn | $47.0bn |
| Holdings | ||
| Holdings in common | 0% | |
| In the S&P 500, by weight | 100% | |
| Top ten holdings, share of the fund | 60.6% | |
Holdings in common uses holdings dated Oct 27, 2026. Method
What they share
By the books each fund has filed, TLT and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.
half
0% in common
Only in one fund ↓
Side by side
TLT and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
TLT
TLT tracks an index of 20+ year Treasuries. Over the year to Oct 28, 2026 it returned −7.9% with distributions reinvested, against −7.8% for its benchmark, the ICE U.S. Treasury 20+ Year Bond Index. The prospectus expense ratio is 0.15% a year. It sat 42.6% below its high of Aug 4, 2020 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, TLT or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, TLT returned −7.9% and XLV +25.6%.
- Which is cheaper, TLT 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.
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.
Cite this pageCitation, APA and Markdown
ETFIQ, TLT against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/tlt-vs-xlv
ETFIQ. (Oct 28, 2026). TLT against XLV. Retrieved from https://etfiq.com/compare/any/tlt-vs-xlv
[TLT against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/tlt-vs-xlv)
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