Data as of Oct 28, 2026.

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XLG vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, XLG returned +6.4% to XLV's +25.6%; 7% of their weight is in the same names.

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Net assets on Oct 27, 2026: $11.9bn for Invesco S&P 500 Top 50 ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.

At a glance
+6.4%
XLG total return, 1 year
+25.6%
XLV total return, 1 year
0.20%
XLG expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.12 points a year less; their one-year returns differ by 19.2 points; XLV is 3.9 times larger.

XLG vs XLV: Differences, Returns & Fees
MeasureXLGXLV
Return
Total return, 1 year+6.4%+25.6%
Benchmark
What it tracksS&P 500 Top 50 IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.20%0.08%
Net assets, as of Oct 27, 2026$11.9bn$47.0bn
Holdings
Holdings in common7%
Top ten holdings, share of the fund60.3%60.6%

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

What they share

7%

By the books each fund has filed, XLG and XLV hold 7% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

7% in common

Positions both hold · largest shared weight first XLG XLV
Eli Lilly & Co 2.44% 15.77%
Johnson & Johnson 1.54% 9.96%
AbbVie Inc 1.21% 7.78%
UnitedHealth Group Inc 0.88% 5.66%
Merck & Co Inc 0.83% 5.38%
Only in one fund ↓
Only in XLG
NVIDIA Corp 12.54%
Apple Inc 12.04%
Microsoft Corp 9.38%
Amazon.com Inc 5.91%
Alphabet Inc 4.47%
Broadcom Inc 3.87%
Alphabet Inc 3.58%
Meta Platforms Inc 3.25%
Only in XLV
THERMO FISHER SCIENTIFIC INC 3.94%
AMGEN INC 3.72%
GILEAD SCIENCES INC 3.03%
ABBOTT LABORATORIES 2.74%
PFIZER INC 2.61%
INTUITIVE SURGICAL INC 2.42%
DANAHER CORP 2.23%
VERTEX PHARMACEUTICALS INC 2.03%
Check overlap with more funds →

Side by side

XLG Invesco S&P 500 Top 50 ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the S&P 500 top 50 Tracks an index of Health care
Total return, 1 year +6.4% +25.6%
Its benchmark over the same days +13.7% (IVV) not measured
Gap to its benchmark −7.3 pts vs IVV not measured
Expense ratio 0.20% 0.08%
Already in the S&P 500 98.4% 99.7%
Holdings 53 62
Net assets, as of Oct 27, 2026 $11.9bn $47.0bn

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

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About each fund
XLG

XLG tracks the S&P 500 top 50. Over the year to Oct 28, 2026 it returned +6.4% with distributions reinvested, against +13.7% for its benchmark, the S&P 500 Index. The prospectus expense ratio is 0.20% a year. By its holdings published by its issuer for Oct 27, 2026, 98% of the fund by weight is stocks the S&P 500 also holds, across 53 positions, with the top ten at 60.3%.

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, XLG or XLV?
In the year to Oct 28, 2026, with distributions reinvested, XLG returned +6.4% and XLV +25.6%.
Which is cheaper, XLG or XLV?
XLV is cheaper, by 0.12 percentage points a year. That is about $12 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do XLG and XLV overlap with the S&P 500?
By their latest filed holdings, 98% of XLG and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, XLG against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/xlg-vs-xlv

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