VHTvsXLV

Vanguard Health Care ETF or State Street Health Care Select Sector SPDR ETF, side by side from their own SEC filings. 85% of their stock holdings are the same at the same weight, across 59 stocks in both. XLV costs 0.08% a year against 0.09% for VHT, $1 a year less on $10,000. Over the last twelve months VHT returned +16.7% and XLV +19.8%.

85%of the two portfolios is the same stocks at the same weight
VHT85% in stocks the other holds too
XLV100% in stocks the other holds too
stocks in bothstocks only in that fundbonds, cash and unmatched shares

The two funds

From each fund's latest N-PORT filing and its prospectus.

VHTXLVYearly cost0.09%0.08%Net assets$19.0B$40.6BPositions40765Last 12 months+16.7%+19.8%3 years, a year+7.5%+7.9%5 years, a year+4.6%+6.4%Largest holdingLLY 14.0%LLY 16.5%Main sectorHealthcare 99%Healthcare 100%Holdings as ofMay 31, 2026Jun 30, 2026

Returns are total returns with dividends reinvested, from the funds’ own monthly figures; “(price)” marks a fund whose filing record is younger than a year, whose twelve months are its price change. The stronger figure in each row is set in bold. Past returns say what happened, not what will.

Growth of $100

Both funds from September 2019, the first month both report, dividends reinvested.

VHT$182XLV$185
September 2019May 2026

More comparisons

From each fund’s Form N-PORT (VHT: May 2026, XLV: June 2026) and prospectus, via the SEC’s public data sets. Overlap counts only the stocks we can match to a listing: stock by stock, the smaller of the two weights, added up.