Data as of Oct 28, 2026.

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VUG vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VUG returned +6.6% to XLV's +25.6%; 4% of their weight is in the same names.

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Net assets: $232.9bn on Sep 30, 2026 for Vanguard Morningstar Growth ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.

At a glance
+6.6%
VUG total return, 1 year
+25.6%
XLV total return, 1 year
0.03%
VUG expense ratio
0.08%
XLV expense ratio

Pair scorecard

VUG costs 0.05 points a year less; their one-year returns differ by 19.0 points; VUG is 5.4 times larger.

VUG vs XLV: Differences, Returns & Fees
MeasureVUGXLV
Return
Total return, 1 year+6.6%+25.6%
Drawdown
Below its high4.1%, high on Oct 6, 2026
Benchmark
What it tracksMorningstar US Large Cap Growth IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.03%0.08%
Net assets, as of Sep 30, 2026$232.9bn$43.4bn
Holdings
Holdings in common4%
Top ten holdings, share of the fund63.1%60.6%

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

What they share

4%

By the books each fund has filed, VUG and XLV hold 4% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

4% in common

Positions both hold · largest shared weight first VUG XLV
Eli Lilly & Co 2.60% 15.77%
Intuitive Surgical Inc 0.41% 2.42%
Vertex Pharmaceuticals Inc 0.37% 2.03%
Veeva Systems Inc 0.14% 0.72%
IDEXX Laboratories Inc 0.13% 0.68%
Dexcom Inc 0.11% 0.46%
Mettler-Toledo International Inc 0.11% 0.52%
West Pharmaceutical Services Inc 0.10% 0.43%
Waters Corp 0.09% 0.71%
ResMed Inc 0.07% 0.56%
Only in one fund ↓
Only in VUG
NVIDIA Corp 13.49%
Apple Inc 12.51%
Microsoft Corp 9.74%
Alphabet Inc 5.16%
Broadcom Inc 4.34%
Amazon.com Inc 4.26%
Meta Platforms Inc 4.23%
Alphabet Inc 4.09%
Only in XLV
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%
ABBOTT LABORATORIES 2.74%
Check overlap with more funds →

Side by side

VUG Vanguard Morningstar Growth 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 growth Tracks an index of Health care
Total return, 1 year +6.6% +25.6%
Expense ratio 0.03% 0.08%
Already in the S&P 500 97.3% 99.7%
Holdings 137 62
Net assets, VUG as of Sep 30, 2026 and XLV as of Oct 27, 2026 $232.9bn $47.0bn

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

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About each fund
VUG

VUG tracks an index of US growth. Over the year to Oct 28, 2026 it returned +6.6% with distributions reinvested. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer as of Sep 30, 2026, 97% of the fund by weight is stocks the S&P 500 also holds, across 137 positions, with the top ten at 63.1%. It sat 4.1% below its high of Oct 6, 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, VUG or XLV?
In the year to Oct 28, 2026, with distributions reinvested, VUG returned +6.6% and XLV +25.6%.
Which is cheaper, VUG or XLV?
VUG 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 VUG and XLV overlap with the S&P 500?
By their latest filed holdings, 97% of VUG and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, VUG against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vug-vs-xlv

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