XLV vs RSPH: Holdings Overlap
XLVState Street® Health Care Select Sector SPDR® ETF
State Street (SPDR) · 61 holdings · $41.9B · as of 2026-08-06
RSPHInvesco S&P 500 Equal Weight Health Care ETF
Invesco · 59 holdings · $776M · as of 2026-04-30
Holdings snapshots are 98 days apart (XLV: 2026-08-06, RSPH: 2026-04-30). 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 XLV and RSPH?
State Street® Health Care Select Sector SPDR® ETF (XLV, by State Street (SPDR)) holds 61 positions; Invesco S&P 500 Equal Weight Health Care ETF (RSPH, by Invesco) holds 59. They have 59 holdings in common, and by portfolio weight the two funds are 52.6% identical. In practical terms the pair is moderately overlapping; they share a meaningful core, but each fund adds distinct exposure.
- Overlap by Weight
- 52.6%Sum of the smaller weight of each shared holding
- Shared Holdings
- 59XLV holds 61 · RSPH holds 59
- Weight in Shared Holdings
- XLV 99%·RSPH 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
Sector Breakdown
| Sector | XLV | RSPH |
|---|---|---|
| Health Care | 99.8% | 100.5% |
| 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 |
|---|---|---|---|---|---|---|---|
| XLV | +0.8% | +7.9% | +30.7% | +9.2% | +6.2% | +10.0% | 1.53% |
| RSPH | +3.0% | +12.0% | +28.4% | +7.0% | +3.5% | +8.9% | 0.65% |
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 XLV vs RSPH →
Shared Holdings(59)
The top 10 shared positions account for 34% of the overlap, led by UNH, CVS and BMY.
 UNHUnitedHealth Group Inc. COM | 6.18% | 2.31% | 2.31% |
|---|---|---|---|
 CVSCVS Health Corp COM | 2.07% | 1.96% | 1.96% |
 BMYBristol-Myers Squibb Company COM | 2.21% | 1.80% | 1.80% |
 PFEPfizer Inc. COM | 2.52% | 1.74% | 1.74% |
 TMOThermo Fisher Scientific Inc COM | 3.63% | 1.72% | 1.72% |
 JNJJohnson & Johnson COM | 10.42% | 1.68% | 1.68% |
 MRKMerck & Co., Inc COM | 5.34% | 1.67% | 1.67% |
 LLYEli Lilly & Co. COM | 15.88% | 1.66% | 1.66% |
 ISRGIntuitive Surgical Inc. COM NEW | 2.23% | 1.65% | 1.65% |
 ABBVAbbVie Inc. COM | 7.26% | 1.65% | 1.65% |
 AMGNAmgen Inc. COM | 3.68% | 1.63% | 1.63% |
 DHRDanaher Corporation COM | 2.12% | 1.63% | 1.63% |
 SYKStryker Corporation COM | 1.96% | 1.62% | 1.62% |
 MDTMedtronic PLC USD0.0001 | 1.86% | 1.62% | 1.62% |
 GILDGilead Sciences Inc. COM | 2.74% | 1.59% | 1.59% |
 MCKMckesson Corp. COM | 1.76% | 1.55% | 1.55% |
 VRTXVertex Pharmaceuticals Incorporated COM | 2.07% | 1.54% | 1.54% |
 ABTAbbott Laboratories COM | 3.17% | 1.46% | 1.46% |
 ELVElevance Health Inc. COM | 1.43% | 2.31% | 1.43% |
 REGNRegeneron Pharmaceuticals, Inc. COM | 1.30% | 1.62% | 1.30% |
 BSXBoston Scientific Corporation COM | 1.23% | 1.47% | 1.23% |
 CIThe Cigna Group COM | 1.23% | 1.98% | 1.23% |
 HCAHCA Healthcare Inc COM | 1.07% | 1.44% | 1.07% |
 CORCencora Inc COM | 1.06% | 1.56% | 1.06% |
 CAHCardinal Health, Inc. COM | 0.94% | 1.59% | 0.94% |
Frequently Asked Questions
How much do XLV and RSPH overlap?
XLV and RSPH overlap by 52.6% of portfolio weight. They share 59 holdings (XLV holds 61 positions and RSPH holds 59), based on each fund's latest SEC-reported holdings.
Is it redundant to own both XLV and RSPH?
The two portfolios are 52.6% identical by weight. Owning both is defensible: they share a meaningful core, but each fund adds exposure the other lacks.
What are the biggest shared holdings of XLV and RSPH?
The largest positions held by both funds are UNH, CVS, BMY, PFE and TMO. Together the top 10 shared positions account for 34% of the total overlap.
What does XLV own that RSPH doesn't?
2 positions (0.6% of XLV) are unique to XLV, led by VEEV and IXCU6. In the other direction, 0 positions (0.0% of RSPH) are unique to RSPH.