Data as of Oct 28, 2026.

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VBIL vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VBIL returned +3.7% to XLV's +25.6%; 0% of their weight is in the same names.

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Net assets: $12.8bn on Sep 30, 2026 for Vanguard 0-3 Month Treasury Bill ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+3.7%
VBIL total return, 1 year
+25.6%
XLV total return, 1 year
0.06%
VBIL expense ratio
0.08%
XLV expense ratio

Pair scorecard

VBIL costs 0.02 points a year less; their one-year returns differ by 21.9 points; XLV is 3.4 times larger.

VBIL vs XLV: Differences, Returns & Fees
MeasureVBILXLV
Return
Total return, 1 year+3.7%+25.6%
Benchmark
What it tracksBloomberg U.S. Treasury Bills 0-3 Months IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.06%0.08%
Net assets, as of Sep 30, 2026$12.8bn$43.4bn
Holdings
Holdings in common0%
In the S&P 500, by weight100%
Top ten holdings, share of the fund60.6%

Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method

What they share

0%

By the books each fund has filed, VBIL and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

0% in common

Positions both hold · largest shared weight first VBIL XLV
Only in one fund ↓
Only in VBIL
United States Treasury Bill 5.76%
United States Treasury Bill 5.74%
United States Treasury Bill 5.21%
United States Treasury Bill 5.21%
United States Treasury Bill 5.19%
United States Treasury Bill 5.11%
United States Treasury Bill 5.04%
United States Treasury Bill 4.95%
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%
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Side by side

VBIL Vanguard 0-3 Month Treasury Bill ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Bond ETF Stock ETF
What it is Tracks an index of 0-3 Month Treasury Bill Tracks an index of Health care
Total return, 1 year +3.7% +25.6%
Expense ratio 0.06% 0.08%
Holdings 28 62
Net assets, VBIL as of Sep 30, 2026 and XLV as of Oct 27, 2026 $12.8bn $47.0bn

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

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About each fund
VBIL

VBIL tracks an index of 0-3 Month Treasury Bill. Over the year to Oct 28, 2026 it returned +3.7% with distributions reinvested. The prospectus expense ratio is 0.06% a year.

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, VBIL or XLV?
In the year to Oct 28, 2026, with distributions reinvested, VBIL returned +3.7% and XLV +25.6%.
Which is cheaper, VBIL or XLV?
VBIL is cheaper, by 0.02 percentage points a year. That is about $2 on $10,000 held for a year. Fees come from each fund's prospectus.
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ETFIQ, VBIL against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vbil-vs-xlv

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