Which returned more over the last year, XLV or XRT?

In the year to Oct 28, 2026, with distributions reinvested, XLV returned +25.6% and XRT +2.4%.

Which is cheaper, XLV or XRT?

XLV is cheaper, by 0.27 percentage points a year. That is about $27 on $10,000 held for a year. Fees come from each fund's prospectus.

How much do XLV and XRT overlap with the S&P 500?

By their latest filed holdings, 100% of XLV and 22% of XRT by weight is stocks the S&P 500 already holds.

Data as of Oct 28, 2026.

Across categories

XLV vs XRT: Differences, Returns & Fees

Share on X Download as PDF

Over the year to Oct 28, 2026, XLV returned +25.6% to XRT's +2.4%; 0% of their weight is in the same names.

askIQ about this page

askIQ about XLV and XRT

Net assets on Oct 27, 2026: $47.0bn for State Street Health Care Select Sector SPDR ETF and $362m for State Street SPDR S&P Retail ETF.

XLV on its own →XRT on its own →

At a glance

+25.6%

XLV total return, 1 year

+2.4%

XRT total return, 1 year

0.08%

XLV expense ratio

0.35%

XRT expense ratio

Pair scorecard

XLV costs 0.27 points a year less; their one-year returns differ by 23.2 points; XLV is far larger, $47.0bn against $362m.

XLV vs XRT: Differences, Returns & Fees
Measure	XLV	XRT
Return
Measure	XLV	XRT
Total return, 1 year	+25.6%	+2.4%
Drawdown
Measure	XLV	XRT
Below its high		9.9%, high on Nov 16, 2021
Benchmark
Measure	XLV	XRT
What it tracks	Health Care Select Sector Index	S&P Retail Select Industry Index
Cost and size
Measure	XLV	XRT
Expense ratio	0.08%	0.35%
Net assets, as of Oct 27, 2026	$47.0bn	$362m
Holdings
Measure	XLV	XRT
Holdings in common	0%
Top ten holdings, share of the fund	60.6%	16.6%

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

What they share

By the books each fund has filed, XLV and XRT hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

50%

0 half 100%

half

0% in common

Positions both hold · largest shared weight first XLV XRT

Only in one fund ↓

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%

Only in XRT

KOHLS CORP 1.85%

MAPLEBEAR INC 1.76%

BATH + BODY WORKS INC 1.69%

ETSY INC 1.68%

VICTORIA S SECRET + CO 1.66%

BJ S WHOLESALE CLUB HOLDINGS 1.62%

GAMESTOP CORP CLASS A 1.60%

OLLIE S BARGAIN OUTLET HOLDI 1.60%

Check overlap with more funds →

Side by side

XLV State Street Health Care Select Sector SPDR ETF XRT State Street SPDR S&P Retail ETF

Where it sits Stock ETF Stock ETF

Issuer State Street State Street

What it is Tracks an index of Health care Tracks the S&P Retail

Total return, 1 year +25.6% +2.4%

Expense ratio 0.08% 0.35%

Already in the S&P 500 99.7% 22.5%

Holdings 62 74

Net assets, as of Oct 27, 2026 $47.0bn $362m

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

Alert

About each fund

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%.

XRT

XRT tracks the S&P Retail. Over the year to Oct 28, 2026 it returned +2.4% with distributions reinvested. The prospectus expense ratio is 0.35% a year. By its holdings published by its issuer for Oct 27, 2026, 22% of the fund by weight is stocks the S&P 500 also holds, across 74 positions, with the top ten at 16.6%. It sat 9.9% below its high of Nov 16, 2021 on Oct 28, 2026.

Questions people ask

Which returned more over the last year, XLV or XRT?: In the year to Oct 28, 2026, with distributions reinvested, XLV returned +25.6% and XRT +2.4%.
Which is cheaper, XLV or XRT?: XLV is cheaper, by 0.27 percentage points a year. That is about $27 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do XLV and XRT overlap with the S&P 500?: By their latest filed holdings, 100% of XLV and 22% of XRT by weight is stocks the S&P 500 already holds.

Other comparisons

XHB vs XLV XLV vs XLY PPH vs XLV FXH vs XLV VHT vs XRT IYE vs XRT XHB vs XRT XLE vs XRT

Where to next

XLV on its own →XRT on its own →Hold both: look the portfolio through →Rankings →XLV dividend history →XLV holdings →XRT dividend history →XRT holdings →Standards and sources →

Sources and dates

XLV filings on SEC EDGAR ↗

XLV prospectus with the expense ratio (SEC) ↗

State Street website ↗

XRT filings on SEC EDGAR ↗

XRT prospectus with the expense ratio (SEC) ↗

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.

Cite this pageCitation, APA and Markdown

ETFIQ, XLV against XRT, data as of Oct 28, 2026. https://etfiq.com/compare/any/xlv-vs-xrt

Open data →

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