

VOO vs XLV
Two funds, one decision: we compare cost, performance and what each ETF actually holds in October 2026.
This page compares Vanguard’s S&P 500 ETF (VOO) and Health Care Select Sector SPDR (XLV), examining fees, holdings, dividends, and how each fund tracks its market. VOO has an expense ratio of 0.03% and net assets of $1.08 trillion, while XLV charges 0.08% with $43.5 billion in assets. Their top holdings differ entirely, offering distinct exposures. Educational content, not financial advice.
This page compares Vanguard’s S&P 500 ETF (VOO) and Health Care Select Sector SPDR (XLV), examining fees, holdings, dividends, and how each fund tracks its market. VOO has an expense ratio of 0.03% an...
Investment Analysis

VOO
VOO
Pros
- VOO charges a very low expense ratio of 0.03%.
- It holds approximately $1.08 trillion in net assets, providing substantial scale.
- Investors gain exposure to 500 large US companies across major sectors.
Considerations
- The portfolio has meaningful concentration, with the top ten holdings accounting for significant assets.
- The dividend yield is relatively modest at 1.03%.
- The specific sector weights for the fund are currently unavailable.

XLV
XLV
Pros
- XLV provides targeted exposure to the health care sector with a dividend yield of 1.51%.
- It manages $43.5 billion in assets, indicating strong investor interest.
- The fund benefits from being one of the longest-established sector ETFs available.
Considerations
- The expense ratio of 0.08% is higher than broad market alternatives.
- Top holdings like LLY at 15.17% create considerable single-stock concentration risk.
- The fund's sector weights are not currently available for detailed analysis.
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