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VHTvsXLVETF Comparison

ETF 1

VHT

Vanguard Health Care ETF

This fund is part of

US Health Care

-0.28%

Full VHT fund page

VS

ETF 2

XLV

State Street Health Care Select Sector SPDR ETF

This fund is part of

US Health Care

-0.28%

Full XLV fund page

Vanguard Health Care ETF (VHT) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. VHT is more expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.08% for XLV. VHT is down -5.05% year-to-date (YTD) with -$225M in YTD flows. XLV performs worse with -5.12% YTD performance, and +$1.08B in YTD flows. Run a side-by-side ETF comparison of VHT and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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VHT vs XLV performance and flow charts

Performance

Cumulative Flows

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Data Services

Historic performance and flows

Data as of 04/06/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	VHT XLV	-3.23%-3.88%	-7.05%-7.08%	-5.05%-5.12%	+13.70%+10.67%	+16.33%+15.12%	+27.75%+35.72%
Flows	VHT XLV	-$66M-$366M	-$232M+$922M	-$225M+$1.08B	-$675M+$266M	-$2.67B-$4.39B	-$262M+$7.32B

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	VHT XLV	+14.58%+14.53%	+16.71%+16.76%	+13.69%+13.62%	+15.04%+14.53%
Max drawdown	VHT XLV	-10.39%-10.19%	-10.39%-10.19%	-16.88%-17.05%	-17.77%-17.05%
Max drawdown duration	VHT XLV	89d36d	89d36d	435d444d	767d444d

Trading data

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	VHT	XLV
Last sale 4/7/2026 at 1:30 PM	$272.82	$146.57
Previous close 04/06/2026	$272.11	$146.28
Consolidated volume 04/06/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of March 31, 2026

1-year trailing difference

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	VHT	XLV
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 4/7/2026 at 1:30 PM

Live

Closed

	VHT	XLV
Last price	$272.82	$146.57
1D performance	+0.26%	+0.20%
AuM	$16.18 B	$38.52 B
E/R	0.09%	0.08%

Characteristics

	VHT	XLV
Management strategy	Passive	Passive
Provider	Vanguard	SPDR
Benchmark	MSCI US IMI Health Care 25/50 Index	S&P Health Care Select Sector Index
N° of holdings	350	57
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	January 26, 2004	December 16, 1998
ESG	No	No

More VHT data on Trackinsight

More XLV data on Trackinsight

Exposure

Countries

VHT

USA

96.69%

Other

3.31%

XLV

USA

97.21%

Other

2.79%

Sectors

VHT

Health Care

97.13%

Other

2.87%

XLV

Health Care

98.24%

Other

1.76%

Diversification

VHT

Total weight of top 15 holdings out of 15

60.35%

XLV

Total weight of top 15 holdings out of 15

70.09%

Top 15 holdings

Data as of February 28, 2026

VHT

LILLY

12.54%

JOHNSON&JOHNSON

8.76%

ABBVIE

6.09%

MERCK & CO INC

4.56%

UNITEDHEALTH GRP

3.94%

AMGEN-T

3.10%

ABBOTT LABS

3.00%

THERMO FISHER SCIENTIFIC

2.91%

GILEAD SCIENCES

2.74%

INTUITIVE SURGICAL

2.65%

PFIZER

2.33%

DANAHER

1.99%

STRYKER

1.98%

BRISTOL-MYERS SQUIBB

1.88%

VERTEX PHARMACEUTICALS

1.87%

XLV

LILLY

14.41%

JOHNSON&JOHNSON

10.32%

ABBVIE

7.07%

MERCK & CO INC

5.30%

UNITEDHEALTH GRP

4.58%

AMGEN-T

3.61%

ABBOTT LABS

3.49%

THERMO FISHER SCIENTIFIC

3.38%

GILEAD SCIENCES

3.19%

INTUITIVE SURGICAL

3.08%

PFIZER

2.71%

STRYKER

2.30%

DANAHER

2.28%

BRISTOL-MYERS SQUIBB

2.19%

VERTEX PHARMACEUTICALS

2.17%

Frequently asked questions about VHT and XLV

VHTvsXLVETF Comparison

Vanguard Health Care ETF

State Street Health Care Select Sector SPDR ETF

VHT vs XLV performance and flow charts

Performance

Cumulative Flows

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Countries

Sectors

Diversification

Top 15 holdings

How have the VHT and XLV ETFs performed in 2026?

As of April 6, 2026, VHT is down -5.05% year-to-date (YTD), while XLV has lost -5.12%. That puts VHT better performer ahead so far this year.

Which ETF is attracting more investor money: VHT or XLV?

Year-to-date, the VHT ETF saw -$225M in flows, compared to +$1.08B for XLV.

Which ETF is more volatile: VHT or XLV?

Over the past year, VHT had a volatility of 16.71%, while XLV experienced 16.76%.

Which ETF is bigger: VHT or XLV?

As of April 6, 2026, VHT holds $16.18 B in assets under management (AUM), while XLV manages $38.52 B.

What sectors do the VHT and XLV ETFs invest in?

VHT leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.

What are the top holdings of the VHT ETF and XLV ETF?

VHT top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: VHT or XLV?

VHT holds 406 securities with 60.35% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.09%.

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