Data as of Oct 28, 2026.
VTWO vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, VTWO returned +14.3% to XLV's +25.6%; 0% of their weight is in the same names.
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Net assets: $16.6bn on Sep 30, 2026 for Vanguard Russell 2000 ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
VTWO costs 0.02 points a year less; their one-year returns differ by 11.3 points; XLV is 2.6 times larger.
| Measure | VTWO | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | +14.3% | +25.6% |
| Drawdown | ||
| Below its high | 7.5%, high on Aug 14, 2026 | |
| Benchmark | ||
| What it tracks | Russell 2000 Index | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.06% | 0.08% |
| Net assets, as of Sep 30, 2026 | $16.6bn | $43.4bn |
| Holdings | ||
| Holdings in common | 0% | |
| Top ten holdings, share of the fund | 5.4% | 60.6% |
Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method
Risk and return
Oct 1, 2010 to Oct 23, 2026 · 838 weekly returnsXLV returned more: +670.9% to +409.2%. XLV swung less: 15.7% to 21.0%. XLV fell less at its worst: −24.3% to −40.2%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | VTWO | XLV | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +409.2% | +670.9% | XLV | Price change plus distributions, reinvested. |
| Annualized | +10.6% | +13.5% | XLV | Total return as a yearly rate. |
| Price return | +315.9% | +488.0% | XLV | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 21.0% | 15.7% | XLV | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 14.5% | 10.8% | XLV | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −40.2% | −24.3% | XLV | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.51 | 0.78 | XLV | Return above Treasury bills per unit of volatility. |
| Sortino | 0.74 | 1.15 | XLV | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.26 | 0.56 | XLV | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 838 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, VTWO 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
VTWO and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
VTWO and XLV do different jobs. What does each one do in a portfolio?
- What each follows. VTWO follows Russell 2000 Index 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 VTWO returned +14.3% and XLV +25.6% with distributions reinvested, a gap of 11.3 points.
Data as of Oct 28, 2026.
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VTWO
VTWO tracks the Russell 2000. Over the year to Oct 28, 2026 it returned +14.3% with distributions reinvested, against +14.1% for its benchmark, the Russell 2000 Index. The prospectus expense ratio is 0.06% 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 2,002 positions, with the top ten at 5.4%. It sat 7.5% below its high of Aug 14, 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, VTWO or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, VTWO returned +14.3% and XLV +25.6%.
- Which is cheaper, VTWO or XLV?
- VTWO is cheaper, by 0.02 percentage points a year. That is about $2 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.
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ETFIQ, VTWO against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vtwo-vs-xlv
ETFIQ. (Oct 28, 2026). VTWO against XLV. Retrieved from https://etfiq.com/compare/any/vtwo-vs-xlv
[VTWO against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/vtwo-vs-xlv)
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