ETF comparison
VHT vs XLV
Both Healthcare.
Vanguard Health Care Index Fund ETF Shares · State Street Health Care Select Sector SPDR ETF
Holdings overlap
59 positions appear in both funds. Buying equal dollars of VHT and XLV would leave roughly 85.4% of each dollar exposed to the same underlying securities.
Unmatched is the part of a fund's weight the other fund doesn't match: names only it holds, plus any extra weight it puts in names both funds hold.
Side by side
Sub-score comparison
Tracking quality isn't part of the composite — see what we don't score for why.
Cost difference
XLV is 1 bps cheaper than VHT. On a $100,000 position that's about $10/yr more in fees for VHT.
Fee figure is the annual expense charged on $100,000. To see how the gap compounds over a multi-decade holding period, open the cost calculator pre-filled with VHT vs XLV.
Top shared holdings
59 shared in total| # | Holding | In VHT | In XLV | Overlap |
|---|---|---|---|---|
| 1 | Eli Lilly & Co | 14.04% | 16.51% | 14.04% |
| 2 | Johnson & Johnson | 8.47% | 10.64% | 8.47% |
| 3 | AbbVie Inc | 6.09% | 7.74% | 6.09% |
| 4 | UnitedHealth Group Inc | 5.45% | 6.57% | 5.45% |
| 5 | Merck & Co Inc | 4.66% | 5.52% | 4.66% |
| 6 | Thermo Fisher Scientific Inc | 2.93% | 3.24% | 2.93% |
| 7 | Amgen Inc | 2.87% | 3.40% | 2.87% |
| 8 | Gilead Sciences Inc | 2.64% | 2.73% | 2.64% |
| 9 | Intuitive Surgical Inc | 2.38% | 2.45% | 2.38% |
| 10 | Pfizer Inc | 2.35% | 2.39% | 2.35% |
| 11 | Abbott Laboratories | 2.35% | 2.75% | 2.35% |
| 12 | Bristol-Myers Squibb Co | 1.84% | 2.05% | 1.84% |
Only in VHT
339 total- Alnylam Pharmaceuticals Inc 0.63%
- Natera Inc 0.46%
- REVOLUTION Medicines Inc 0.40%
- Illumina Inc 0.39%
- Insmed Inc 0.36%
- United Therapeutics Corp 0.36%
- Neurocrine Biosciences Inc 0.25%
- Tenet Healthcare Corp 0.24%
- Guardant Health Inc 0.23%
- Jazz Pharmaceuticals PLC 0.20%
Only in XLV
1 total- CONTRA HOLOGIC INCORPO 0.00%
Related comparisons
More comparisons with VHT
- VHT vs IXJ · iShares Global Healthcare ETF 70.8%
- VHT vs IBB · iShares Biotechnology ETF 17.6%
- VHT vs IHF · iShares U.S. Healthcare Providers ETF 15.5%
- VHT vs IHI · iShares U.S. Medical Devices ETF 14.6%
- VHT vs XBI · State Street SPDR S&P Biotech ETF 12.9%
- VHT vs VGT · Vanguard Information Technology Index Fund ETF Shares 0.0%
More comparisons with XLV
- XLV vs FHLC · Fidelity MSCI Health Care Index ETF 85.0%
- XLV vs IXJ · iShares Global Healthcare ETF 70.9%
- XLV vs IHF · iShares U.S. Healthcare Providers ETF 15.5%
- XLV vs IHI · iShares U.S. Medical Devices ETF 14.8%
- XLV vs IBB · iShares Biotechnology ETF 11.1%
- XLV vs XBI · State Street SPDR S&P Biotech ETF 6.3%
Percentages are holdings overlap with the named fund.
Open VHT or XLV at a brokerage
Both funds trade commission-free at major US brokerages.
Affiliate links — opening an account through these earns PlainIndex a one-time referral. Scoring is computed before any affiliate consideration; see our methodology and funding disclosure.
Holdings overlap is the sum of min(weight_a, weight_b) over positions
matched on ISIN (CUSIP fallback). Methodology: see
/methodology/.
Comparing two funds doesn't endorse swapping one for the other. Tax-lot history, account type, and personal goals matter — PlainIndex publishes data and methodology, not investment advice.