Data as of Oct 28, 2026.

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VBK vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VBK returned +10.3% to XLV's +25.6%; 1% of their weight is in the same names.

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Net assets: $22.8bn on Sep 30, 2026 for Vanguard Morningstar Small-Cap Growth ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+10.3%
VBK total return, 1 year
+25.6%
XLV total return, 1 year
0.05%
VBK expense ratio
0.08%
XLV expense ratio

Pair scorecard

VBK costs 0.03 points a year less; their one-year returns differ by 15.3 points; XLV is 1.9 times larger.

VBK vs XLV: Differences, Returns & Fees
MeasureVBKXLV
Return
Total return, 1 year+10.3%+25.6%
Drawdown
Below its high8.0%, high on Aug 17, 2026
Benchmark
What it tracksMorningstar US Small Cap Growth IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.05%0.08%
Net assets, as of Sep 30, 2026$22.8bn$43.4bn
Holdings
Holdings in common1%
Top ten holdings, share of the fund12.2%60.6%

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

What they share

1%

By the books each fund has filed, VBK and XLV hold 1% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

1% in common

Positions both hold · largest shared weight first VBK XLV
Illumina Inc 1.18% 0.65%
Incyte Corp 0.60% 0.30%
Bio-Techne Corp 0.32% 0.17%
Insulet Corp 0.26% 0.16%
Only in one fund ↓
Only in VBK
SLCMT1142 2.09%
Natera Inc 1.61%
Twilio Inc 1.28%
Revolution Medicines Inc 1.19%
Everpure Inc 1.18%
Okta Inc 1.00%
EMCOR Group Inc 0.95%
Credo Technology Group Holding Ltd 0.94%
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

VBK Vanguard Morningstar Small-Cap Growth ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of Small-Cap Growth Tracks an index of Health care
Total return, 1 year +10.3% +25.6%
Expense ratio 0.05% 0.08%
Already in the S&P 500 10.2% 99.7%
Holdings 554 62
Net assets, VBK as of Sep 30, 2026 and XLV as of Oct 27, 2026 $22.8bn $47.0bn

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

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About each fund
VBK

VBK tracks an index of Small-Cap Growth. Over the year to Oct 28, 2026 it returned +10.3% with distributions reinvested. The prospectus expense ratio is 0.05% a year. By its holdings published by its issuer as of Sep 30, 2026, 10% of the fund by weight is stocks the S&P 500 also holds, across 554 positions, with the top ten at 12.2%. It sat 8.0% below its high of Aug 17, 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, VBK or XLV?
In the year to Oct 28, 2026, with distributions reinvested, VBK returned +10.3% and XLV +25.6%.
Which is cheaper, VBK or XLV?
VBK is cheaper, by 0.03 percentage points a year. That is about $3 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do VBK and XLV overlap with the S&P 500?
By their latest filed holdings, 10% of VBK and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, VBK against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vbk-vs-xlv

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