Data as of Oct 28, 2026.

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VTIP vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VTIP returned +2.2% to XLV's +25.6%; 0% of their weight is in the same names.

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Net assets: $20.9bn on Sep 30, 2026 for Vanguard Short-Term Inflation-Protected Securities Index Fund ETF Shares, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+2.2%
VTIP total return, 1 year
+25.6%
XLV total return, 1 year
0.03%
VTIP expense ratio
0.08%
XLV expense ratio

Pair scorecard

VTIP costs 0.05 points a year less; their one-year returns differ by 23.4 points; XLV is 2.1 times larger.

VTIP vs XLV: Differences, Returns & Fees
MeasureVTIPXLV
Return
Total return, 1 year+2.2%+25.6%
Benchmark
What it tracksBloomberg U.S. Treasury Inflation-Protected Securities (TIPS) 0-5 Years IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.03%0.08%
Net assets, as of Sep 30, 2026$20.9bn$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

Risk and return

Oct 26, 2012 to Oct 23, 2026 · 730 weekly returns
VTIP XLV
Return
Total return edge XLV +35.7% +459.6%
Annualized edge XLV +2.2% +13.1%
Price return edge XLV −2.1% +344.6%
Risk
Volatility edge VTIP 2.3% 16.0%
Max drawdown edge VTIP −5.5% −24.3%
Risk-adjusted
Sharpe edge XLV 0.17 0.73
Sortino edge XLV 0.22 1.07
Calmar edge XLV 0.40 0.54
Reading

XLV returned more: +459.6% to +35.7%. VTIP swung less: 2.3% to 16.0%. VTIP fell less at its worst: −5.5% to −24.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: VTIP vs XLV: Differences, Returns & Fees
MeasureVTIPXLVEdgeHow it is measured
Return
Total return+35.7%+459.6%XLVPrice change plus distributions, reinvested.
Annualized+2.2%+13.1%XLVTotal return as a yearly rate.
Price return−2.1%+344.6%XLVPrice change alone, distributions left out.
Risk
Volatility2.3%16.0%VTIPSpread of weekly returns, annualized. Lower is steadier.
Downside deviation1.7%11.0%VTIPLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−5.5%−24.3%VTIPDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.170.73XLVReturn above Treasury bills per unit of volatility.
Sortino0.221.07XLVReturn above Treasury bills per unit of downside deviation.
Calmar0.400.54XLVAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 730 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

0%

By the books each fund has filed, VTIP 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 VTIP XLV
Only in one fund ↓
Only in VTIP
United States Treasury Inflation Indexed Bonds 5.30%
United States Treasury Inflation Indexed Bonds 5.22%
United States Treasury Inflation Indexed Bonds 5.22%
United States Treasury Inflation Indexed Bonds 5.14%
United States Treasury Inflation Indexed Bonds 4.97%
United States Treasury Inflation Indexed Bonds 4.96%
United States Treasury Inflation Indexed Bonds 4.87%
United States Treasury Inflation Indexed Bonds 4.83%
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

VTIP Vanguard Short-Term Inflation-Protected Securities Index Fund ETF Shares XLV State Street Health Care Select Sector SPDR ETF
Where it sits Bond ETF Stock ETF
What it is Tracks an index of Short-Term Inflation-Protected Securities Tracks an index of Health care
Total return, 1 year +2.2% +25.6%
Expense ratio 0.03% 0.08%
Holdings 26 62
Net assets, VTIP as of Sep 30, 2026 and XLV as of Oct 27, 2026 $20.9bn $47.0bn

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

Client brief · page 1 of 2 Report BR-1C69E1F3DD

VTIP and XLV do different jobs. What does each one do in a portfolio?

  1. What each follows. VTIP follows Bloomberg U.S. Treasury Inflation-Protected Securities (TIPS) 0-5 Years Index and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 0% of the weight is in the same securities (holdings dated Sep 30, 2026 and Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 VTIP returned +2.2% and XLV +25.6% with distributions reinvested, a gap of 23.4 points.

Data as of Oct 28, 2026.

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About each fund
VTIP

VTIP tracks an index of Short-Term Inflation-Protected Securities. Over the year to Oct 28, 2026 it returned +2.2% with distributions reinvested. The prospectus expense ratio is 0.03% 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, VTIP or XLV?
In the year to Oct 28, 2026, with distributions reinvested, VTIP returned +2.2% and XLV +25.6%.
Which is cheaper, VTIP or XLV?
VTIP is cheaper, by 0.05 percentage points a year. That is about $5 on $10,000 held for a year. Fees come from each fund's prospectus.
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ETFIQ, VTIP against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vtip-vs-xlv

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