Data as of Oct 28, 2026.

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VEU vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VEU returned +14.4% to XLV's +25.6%; 0% of their weight is in the same names.

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Net assets: $68.1bn on Sep 30, 2026 for Vanguard FTSE All World Ex US ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+14.4%
VEU total return, 1 year
+25.6%
XLV total return, 1 year
0.04%
VEU expense ratio
0.08%
XLV expense ratio

Pair scorecard

VEU costs 0.04 points a year less; their one-year returns differ by 11.2 points; VEU is 1.6 times larger.

VEU vs XLV: Differences, Returns & Fees
MeasureVEUXLV
Return
Total return, 1 year+14.4%+25.6%
Drawdown
Below its high5.0%, high on Sep 4, 2026
Benchmark
What it tracksFTSE All-World ex US IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.04%0.08%
Net assets, as of Sep 30, 2026$68.1bn$43.4bn
Holdings
Holdings in common0%
Top ten holdings, share of the fund15.2%60.6%

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, VEU 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 VEU XLV
Only in one fund ↓
Only in VEU
Taiwan Semiconductor Manufacturing Co Ltd 4.70%
Samsung Electronics Co Ltd 2.24%
SK hynix Inc 1.83%
ASML Holding NV 1.71%
SLBBH1142 0.91%
Tencent Holdings Ltd 0.84%
HSBC Holdings PLC 0.84%
Roche Holding AG 0.72%
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

VEU Vanguard FTSE All World Ex US ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the FTSE All-World ex-US Tracks an index of Health care
Total return, 1 year +14.4% +25.6%
Expense ratio 0.04% 0.08%
Already in the S&P 500 0.0% 99.7%
Holdings 3816 62
Net assets, VEU as of Sep 30, 2026 and XLV as of Oct 27, 2026 $68.1bn $47.0bn

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

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About each fund
VEU

VEU tracks the FTSE All-World ex-US. Over the year to Oct 28, 2026 it returned +14.4% with distributions reinvested. The prospectus expense ratio is 0.04% a year. By its holdings published by its issuer as of Sep 30, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 3,816 positions, with the top ten at 15.2%. It sat 5.0% below its high of Sep 4, 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, VEU or XLV?
In the year to Oct 28, 2026, with distributions reinvested, VEU returned +14.4% and XLV +25.6%.
Which is cheaper, VEU or XLV?
VEU is cheaper, by 0.04 percentage points a year. That is about $4 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do VEU and XLV overlap with the S&P 500?
By their latest filed holdings, 0% of VEU and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, VEU against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/veu-vs-xlv

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