Data as of Oct 28, 2026.
VOX vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, VOX returned −5.7% to XLV's +25.6%; 0% of their weight is in the same names.
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Net assets: $6.0bn on Sep 30, 2026 for Vanguard Communication Services ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
XLV costs 0.01 points a year less; their one-year returns differ by 31.3 points; XLV is 7.2 times larger.
| Measure | VOX | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | −5.7% | +25.6% |
| Drawdown | ||
| Below its high | 10.8%, high on Jan 29, 2026 | |
| Benchmark | ||
| What it tracks | MSCI US Investable Market Index (IMI)/Communication Services 25/50 | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.09% | 0.08% |
| Net assets, as of Sep 30, 2026 | $6.0bn | $43.4bn |
| Holdings | ||
| Holdings in common | 0% | |
| Top ten holdings, share of the fund | 71.1% | 60.6% |
Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method
Risk and return
Oct 8, 2004 to Oct 23, 2026 · 1,150 weekly returnsXLV returned more: +827.3% to +478.6%. XLV swung less: 16.1% to 19.7%. XLV fell less at its worst: −37.9% to −54.8%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | VOX | XLV | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +478.6% | +827.3% | XLV | Price change plus distributions, reinvested. |
| Annualized | +8.3% | +10.6% | XLV | Total return as a yearly rate. |
| Price return | +252.8% | +539.8% | XLV | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 19.7% | 16.1% | XLV | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 13.6% | 11.4% | XLV | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −54.8% | −37.9% | XLV | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.41 | 0.59 | XLV | Return above Treasury bills per unit of volatility. |
| Sortino | 0.59 | 0.84 | XLV | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.15 | 0.28 | XLV | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,150 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, VOX and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.
half
0% in common
Only in one fund ↓
Side by side
VOX and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
VOX and XLV do different jobs. What does each one do in a portfolio?
- What each follows. VOX follows MSCI US Investable Market Index (IMI)/Communication Services 25/50 and XLV follows Health Care Select Sector Index.
- Holdings in common. 0% of the weight is in the same securities (holdings dated Sep 30, 2026 and Oct 27, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 VOX returned −5.7% and XLV +25.6% with distributions reinvested, a gap of 31.3 points.
Data as of Oct 28, 2026.
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VOX
VOX tracks an index of Communication Services. Over the year to Oct 28, 2026 it returned −5.7% with distributions reinvested, against −5.9% for its benchmark, the MSCI US Investable Market Index (IMI)/Communication Services 25/50. The prospectus expense ratio is 0.09% a year. By its holdings published by its issuer as of Sep 30, 2026, 84% of the fund by weight is stocks the S&P 500 also holds, across 113 positions, with the top ten at 71.1%. It sat 10.8% below its high of Jan 29, 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, VOX or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, VOX returned −5.7% and XLV +25.6%.
- Which is cheaper, VOX or XLV?
- XLV is cheaper, by 0.01 percentage points a year. That is about $1 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, VOX against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vox-vs-xlv
ETFIQ. (Oct 28, 2026). VOX against XLV. Retrieved from https://etfiq.com/compare/any/vox-vs-xlv
[VOX against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/vox-vs-xlv)
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