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XLVvsVHTETF Comparison

ETF 1

XLV

State Street Health Care Select Sector SPDR ETF

This fund is part of

US Health Care

-0.28%

Full XLV fund page

VS

ETF 2

VHT

Vanguard Health Care ETF

This fund is part of

US Health Care

-0.28%

Full VHT fund page

State Street Health Care Select Sector SPDR ETF (XLV) and Vanguard Health Care ETF (VHT) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.09% for VHT. XLV is down -5.12% year-to-date (YTD) with +$1.08B in YTD flows. VHT performs better with -5.05% YTD performance, and -$225M in YTD flows. Run a side-by-side ETF comparison of XLV and VHT 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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XLV vs VHT performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 04/06/2026

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

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	XLV VHT	+14.53%+14.58%	+16.76%+16.71%	+13.62%+13.69%	+14.53%+15.04%
Max drawdown	XLV VHT	-10.19%-10.39%	-10.19%-10.39%	-17.05%-16.88%	-17.05%-17.77%
Max drawdown duration	XLV VHT	36d89d	36d89d	444d435d	444d767d

Trading data

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	XLV	VHT
Last sale 4/7/2026 at 1:30 PM	$146.57	$272.82
Previous close 04/06/2026	$146.28	$272.11
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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	XLV	VHT
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

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

Characteristics

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

More XLV data on Trackinsight

More VHT data on Trackinsight

Exposure

Countries

XLV

USA

97.21%

Other

2.79%

VHT

USA

96.69%

Other

3.31%

Sectors

XLV

Health Care

98.24%

Other

1.76%

VHT

Health Care

97.13%

Other

2.87%

Diversification

XLV

Total weight of top 15 holdings out of 15

70.09%

VHT

Total weight of top 15 holdings out of 15

60.35%

Top 15 holdings

Data as of February 28, 2026

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%

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%

Frequently asked questions about XLV and VHT

XLVvsVHTETF Comparison

State Street Health Care Select Sector SPDR ETF

Vanguard Health Care ETF

XLV vs VHT performance and flow charts

Performance

Cumulative Flows

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Countries

Sectors

Diversification

Top 15 holdings

How have the XLV and VHT ETFs performed in 2026?

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

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

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

Which ETF is more volatile: XLV or VHT?

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

Which ETF is bigger: XLV or VHT?

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

What sectors do the XLV and VHT ETFs invest in?

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

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

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

Which ETF is more diversified: XLV or VHT?

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

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