Which returned more over the last year, URTH or XLV?

In the year to Oct 28, 2026, with distributions reinvested, URTH returned +13.1% and XLV +25.6%.

Which is cheaper, URTH or XLV?

XLV is cheaper, by 0.16 percentage points a year. That is about $16 on $10,000 held for a year. Fees come from each fund's prospectus.

How much do URTH and XLV overlap with the S&P 500?

By their latest filed holdings, 69% of URTH and 100% of XLV by weight is stocks the S&P 500 already holds.

Data as of Oct 28, 2026.

Across categories

URTH vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, URTH returned +13.1% to XLV's +25.6%; 7% of their weight is in the same names.

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Net assets: $8.9bn on Oct 28, 2026 for iShares MSCI World ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

URTH on its own →XLV on its own →

At a glance

+13.1%

URTH total return, 1 year

+25.6%

XLV total return, 1 year

0.24%

URTH expense ratio

0.08%

XLV expense ratio

Pair scorecard

XLV costs 0.16 points a year less; their one-year returns differ by 12.5 points; XLV is 5.3 times larger.

URTH vs XLV: Differences, Returns & Fees
Measure	URTH	XLV
Return
Measure	URTH	XLV
Total return, 1 year	+13.1%	+25.6%
Benchmark
Measure	URTH	XLV
What it tracks	MSCI World Index	Health Care Select Sector Index
Cost and size
Measure	URTH	XLV
Expense ratio	0.24%	0.08%
Net assets, as of Oct 27, 2026	$8.8bn	$47.0bn
Holdings
Measure	URTH	XLV
Holdings in common	7%
Top ten holdings, share of the fund	27.2%	60.6%

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

What they share

By the books each fund has filed, URTH and XLV hold 7% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

50%

0 half 100%

half

7% in common

Positions both hold · largest shared weight first URTH XLV

ELI LILLY 1.13% 15.77%

JOHNSON & JOHNSON 0.71% 9.96%

ABBVIE 0.56% 7.78%

UNITEDHEALTH GROUP 0.41% 5.66%

MERCK & CO INC 0.38% 5.38%

THERMO FISHER SCIENTIFIC 0.28% 3.94%

AMGEN INC 0.26% 3.72%

GILEAD SCIENCES 0.22% 3.03%

ABBOTT LABORATORIES 0.20% 2.74%

PFIZER 0.19% 2.61%

INTUITIVE SURGICAL 0.17% 2.42%

DANAHER 0.16% 2.23%

Only in one fund ↓

Only in URTH

APPLE 5.60%

NVIDIA 5.50%

MICROSOFT 4.12%

AMAZON.COM INC 2.69%

ALPHABET CLASS A 2.07%

BROADCOM INC 1.70%

ALPHABET CLASS C 1.62%

META PLATFORMS CLASS A 1.49%

Only in XLV

MODERNA INC 1.19%

VIATRIS INC 0.33%

REVVITY INC 0.28%

CHARLES RIVER LABORATORIES INTERNATIONAL INC 0.26%

BAXTER INTERNATIONAL INC 0.20%

SOLVENTUM CORP 0.18%

BIO TECHNE CORP 0.17%

INSULET CORP 0.16%

Check overlap with more funds →

Side by side

URTH iShares MSCI World ETF XLV State Street Health Care Select Sector SPDR ETF

Where it sits Stock ETF Stock ETF

Issuer iShares State Street

What it is Tracks the MSCI World Tracks an index of Health care

Total return, 1 year +13.1% +25.6%

Its benchmark over the same days +13.4% (ACWI) not measured

Gap to its benchmark −0.3 pts vs ACWI not measured

Expense ratio 0.24% 0.08%

Already in the S&P 500 69.1% 99.7%

Holdings 1254 62

Net assets, URTH as of Oct 28, 2026 and XLV as of Oct 27, 2026 $8.9bn $47.0bn

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

Alert

About each fund

URTH

URTH tracks the MSCI World. Over the year to Oct 28, 2026 it returned +13.1% with distributions reinvested, against +13.4% for its benchmark, the MSCI All Country World Index. The prospectus expense ratio is 0.24% a year. By its holdings published by its issuer for Oct 27, 2026, 69% of the fund by weight is stocks the S&P 500 also holds, across 1,254 positions, with the top ten at 27.2%.

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, URTH or XLV?: In the year to Oct 28, 2026, with distributions reinvested, URTH returned +13.1% and XLV +25.6%.
Which is cheaper, URTH or XLV?: XLV is cheaper, by 0.16 percentage points a year. That is about $16 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do URTH and XLV overlap with the S&P 500?: By their latest filed holdings, 69% of URTH and 100% of XLV by weight is stocks the S&P 500 already holds.

Other comparisons

URTH vs VHT URTH vs XLE URTH vs XLF URTH vs XLU ACWI vs XLV VT vs XLV VPL vs XLV AVDV vs XLV

Where to next

URTH on its own →XLV on its own →Hold both: look the portfolio through →Rankings →URTH dividend history →URTH holdings →XLV dividend history →XLV holdings →Standards and sources →

Sources and dates

URTH filings on SEC EDGAR ↗

URTH prospectus with the expense ratio (SEC) ↗

iShares page for URTH ↗

XLV filings on SEC EDGAR ↗

XLV prospectus with the expense ratio (SEC) ↗

State Street website ↗

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.

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ETFIQ, URTH against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/urth-vs-xlv

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Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.