Data as of Oct 28, 2026.

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VTV vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VTV returned +23.5% to XLV's +25.6%; 17% of their weight is in the same names.

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Net assets: $184.2bn on Sep 30, 2026 for Vanguard Morningstar Value ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+23.5%
VTV total return, 1 year
+25.6%
XLV total return, 1 year
0.03%
VTV expense ratio
0.08%
XLV expense ratio

Pair scorecard

VTV costs 0.05 points a year less; their one-year returns differ by 2.1 points; VTV is 4.2 times larger.

VTV vs XLV: Differences, Returns & Fees
MeasureVTVXLV
Return
Total return, 1 year+23.5%+25.6%
Benchmark
What it tracksMorningstar US Large Cap Value IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.03%0.08%
Net assets, as of Sep 30, 2026$184.2bn$43.4bn
Holdings
Holdings in common17%
Top ten holdings, share of the fund23.6%60.6%

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

Risk and return

Feb 6, 2004 to Oct 23, 2026 · 1,185 weekly returns
VTV XLV
Return
Total return edge Tie +716.5% +724.9%
Annualized edge Tie +9.7% +9.7%
Price return edge XLV +353.0% +464.5%
Risk
Volatility edge XLV (slight) 17.2% 16.1%
Max drawdown edge XLV −59.1% −37.9%
Risk-adjusted
Sharpe edge XLV (slight) 0.52 0.55
Sortino edge XLV (slight) 0.73 0.77
Calmar edge XLV 0.16 0.26
Reading

VTV and XLV returned about the same: +716.5% and +724.9%. XLV swung slightly less: 16.1% to 17.2%. XLV fell less at its worst: −37.9% to −59.1%.

Full scorecard

9 measures, with how each is measured
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Risk and return: VTV vs XLV: Differences, Returns & Fees
MeasureVTVXLVEdgeHow it is measured
Return
Total return+716.5%+724.9%TiePrice change plus distributions, reinvested.
Annualized+9.7%+9.7%TieTotal return as a yearly rate.
Price return+353.0%+464.5%XLVPrice change alone, distributions left out.
Risk
Volatility17.2%16.1%XLV (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation12.2%11.3%XLV (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−59.1%−37.9%XLVDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.520.55XLV (slight)Return above Treasury bills per unit of volatility.
Sortino0.730.77XLV (slight)Return above Treasury bills per unit of downside deviation.
Calmar0.160.26XLVAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,185 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

17%

By the books each fund has filed, VTV and XLV hold 17% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

17% in common

Positions both hold · largest shared weight first VTV XLV
Johnson & Johnson 2.42% 9.96%
AbbVie Inc 1.75% 7.78%
Merck & Co Inc 1.36% 5.38%
UnitedHealth Group Inc 1.25% 5.66%
Thermo Fisher Scientific Inc 0.95% 3.94%
Amgen Inc 0.86% 3.72%
Gilead Sciences Inc 0.70% 3.03%
Abbott Laboratories 0.65% 2.74%
Pfizer Inc 0.62% 2.61%
Danaher Corp 0.53% 2.23%
Bristol-Myers Squibb Co 0.48% 1.93%
Medtronic PLC 0.42% 1.77%
Only in one fund ↓
Only in VTV
Micron Technology Inc 4.56%
JPMorgan Chase & Co 3.33%
Berkshire Hathaway Inc 2.92%
ExxonMobil Holdings Corp 2.56%
Walmart Inc 1.72%
Chevron Corp 1.45%
Cisco Systems Inc 1.45%
Caterpillar Inc 1.41%
Only in XLV
ELI LILLY + CO 15.77%
INTUITIVE SURGICAL INC 2.42%
VERTEX PHARMACEUTICALS INC 2.03%
VEEVA SYSTEMS INC CLASS A 0.72%
IDEXX LABORATORIES INC 0.68%
ILLUMINA INC 0.65%
METTLER TOLEDO INTERNATIONAL 0.52%
DEXCOM INC 0.46%
Check overlap with more funds →

Side by side

VTV Vanguard Morningstar Value ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of US value Tracks an index of Health care
Total return, 1 year +23.5% +25.6%
Expense ratio 0.03% 0.08%
Already in the S&P 500 98.1% 99.7%
Holdings 300 62
Net assets, VTV as of Sep 30, 2026 and XLV as of Oct 27, 2026 $184.2bn $47.0bn

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

Client brief · page 1 of 2 Report BR-C30809839D

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

  1. What each follows. VTV follows Morningstar US Large Cap Value Index and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 17% 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 VTV returned +23.5% and XLV +25.6% with distributions reinvested, a gap of 2.1 points.

Data as of Oct 28, 2026.

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About each fund
VTV

VTV tracks an index of US value. Over the year to Oct 28, 2026 it returned +23.5% with distributions reinvested. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer as of Sep 30, 2026, 98% of the fund by weight is stocks the S&P 500 also holds, across 300 positions, with the top ten at 23.6%.

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, VTV or XLV?
In the year to Oct 28, 2026, with distributions reinvested, VTV returned +23.5% and XLV +25.6%.
Which is cheaper, VTV or XLV?
VTV 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.
How much do VTV and XLV overlap with the S&P 500?
By their latest filed holdings, 98% of VTV and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, VTV against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vtv-vs-xlv

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