VHT vs XLV: Holdings Overlap
VHTVanguard Health Care Index Fund
Vanguard · 402 holdings · $18.3B · as of 2026-05-31
XLVState Street® Health Care Select Sector SPDR® ETF
State Street (SPDR) · 61 holdings · $41.9B · as of 2026-08-06
Holdings snapshots are 67 days apart (VHT: 2026-05-31, XLV: 2026-08-06). Weights and index membership change between snapshots, so the true current overlap is typically higher than shown. For funds tracking the same index, the gap can be 5–15 points.
How similar are VHT and XLV?
Vanguard Health Care Index Fund (VHT, by Vanguard) holds 402 positions; State Street® Health Care Select Sector SPDR® ETF (XLV, by State Street (SPDR)) holds 61. They have 59 holdings in common, and by portfolio weight the two funds are 85.3% identical. In practical terms the pair is essentially interchangeable, so holding both adds little diversification.
- Overlap by Weight
- 85.3%Sum of the smaller weight of each shared holding
- Shared Holdings
- 59VHT holds 402 · XLV holds 61
- Weight in Shared Holdings
- VHT 85%·XLV 100%Share of each fund's weight in stocks both funds own
Based on each fund's latest official holdings. How is this calculated?
What makes each fund different
Only in VHT
343 of 402 positions (14.3% of the fund) are not held by XLV. Showing the top 30 by weight.
Sector Breakdown
| Sector | VHT | XLV |
|---|---|---|
| Health Care | 99.8% | 99.8% |
| Other Sectors | 0.0% | 0.0% |
Share of each fund's portfolio weight by GICS-style sector, compiled from issuer fund data and our own classification of the holdings, not the issuers' published sector charts.
Performance
| Fund | 1M | YTD | 1Y | 3Y (ann.) | 5Y (ann.) | 10Y (ann.) | Yield |
|---|---|---|---|---|---|---|---|
| VHT | +0.6% | +9.2% | +32.8% | +10.0% | +5.4% | +10.2% | 1.51% |
| XLV | +0.8% | +7.9% | +30.7% | +9.2% | +6.2% | +10.0% | 1.53% |
Total returns including dividends, from adjusted daily closes as of 2026-08-07. 3Y/5Y/10Y are annualized. Yield is trailing-12-month distributions over the last close. Past performance does not predict future results.
Project the growth of $10,000 in VHT vs XLV →
Shared Holdings(59)
The top 10 shared positions account for 61% of the overlap, led by LLY, JNJ and ABBV.
 LLYEli Lilly & Co. COM | 14.04% | 15.88% | 14.04% |
|---|---|---|---|
 JNJJohnson & Johnson COM | 8.47% | 10.42% | 8.47% |
 ABBVAbbVie Inc. COM | 6.09% | 7.26% | 6.09% |
 UNHUnitedHealth Group Inc. COM | 5.45% | 6.18% | 5.45% |
 MRKMerck & Co., Inc COM | 4.66% | 5.34% | 4.66% |
 TMOThermo Fisher Scientific Inc COM | 2.93% | 3.63% | 2.93% |
 AMGNAmgen Inc. COM | 2.87% | 3.68% | 2.87% |
 GILDGilead Sciences Inc. COM | 2.64% | 2.74% | 2.64% |
 PFEPfizer Inc. COM | 2.35% | 2.52% | 2.35% |
 ABTAbbott Laboratories COM | 2.35% | 3.17% | 2.35% |
 ISRGIntuitive Surgical Inc. COM NEW | 2.38% | 2.23% | 2.23% |
 BMYBristol-Myers Squibb Company COM | 1.84% | 2.21% | 1.84% |
 DHRDanaher Corporation COM | 1.84% | 2.12% | 1.84% |
 CVSCVS Health Corp COM | 1.83% | 2.07% | 1.83% |
 VRTXVertex Pharmaceuticals Incorporated COM | 1.80% | 2.07% | 1.80% |
 SYKStryker Corporation COM | 1.66% | 1.96% | 1.66% |
 MDTMedtronic PLC USD0.0001 | 1.50% | 1.86% | 1.50% |
 MCKMckesson Corp. COM | 1.45% | 1.76% | 1.45% |
 ELVElevance Health Inc. COM | 1.35% | 1.43% | 1.35% |
 CIThe Cigna Group COM | 1.17% | 1.23% | 1.17% |
 BSXBoston Scientific Corporation COM | 1.13% | 1.23% | 1.13% |
 REGNRegeneron Pharmaceuticals, Inc. COM | 1.00% | 1.30% | 1.00% |
 HCAHCA Healthcare Inc COM | 0.96% | 1.07% | 0.96% |
 EWEdwards Lifesciences Corporation COM | 0.79% | 0.87% | 0.79% |
 CORCencora Inc COM | 0.79% | 1.06% | 0.79% |
Frequently Asked Questions
How much do VHT and XLV overlap?
VHT and XLV overlap by 85.3% of portfolio weight. They share 59 holdings (VHT holds 402 positions and XLV holds 61), based on each fund's latest SEC-reported holdings.
Is it redundant to own both VHT and XLV?
The two portfolios are 85.3% identical by weight. Owning both is largely redundant: they are close to the same portfolio, so a second position mostly duplicates the first.
What are the biggest shared holdings of VHT and XLV?
The largest positions held by both funds are LLY, JNJ, ABBV, UNH and MRK. Together the top 10 shared positions account for 61% of the total overlap.
What does VHT own that XLV doesn't?
343 positions (14.3% of VHT) are unique to VHT, led by ALNY, NTRA and RVMD. In the other direction, 2 positions (0.0% of XLV) are unique to XLV.