VOO vs XHE
Vanguard S&P 500 ETF vs State Street SPDR S&P Health Care Equipment ETF
Which is better, VOO or XHE?
Large Cap Blend against Mid Cap Growth.
VOO has a lower expense ratio. VOO led over 1Y, 3Y, 5Y and the full window. XHE is less concentrated, with 21.5% of the fund in its ten largest positions against 37.6%.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | VOO | XHE |
|---|---|---|
| Expense Ratio | 0.03%Best | 0.35% |
| AUM | $997.4B | $179M |
| Dividend Yield | 1.04% | 0.06% |
| Holdings | 509 | 69 |
| YTD Return | +13.31%Best | +4.28% |
| 1Y Return | +17.07%Best | +14.28% |
| 3Y Return (annualized) | +22.72%Best | +5.48% |
| 5Y Return (annualized) | +13.19%Best | -7.00% |
| Volatility (annualized) | 14.2%Best | 18.8% |
| Max Drawdown | -34.3%Best | -49.9% |
| $10,000 over 5 years | $18,580Best | $6,957 |
| Top 10 Weight | 37.6% | 21.5%Best |
| Fund Family | Vanguard (US) | State Street Investment Management |
| Category | Equity | Equity |
| Style | Large Cap Blend | Mid Cap Growth |
| Inception | Sep 7, 2010 | Jan 26, 2011 |
Volatility and max drawdown are measured over the window both funds cover: Jan 27, 2011 to Sep 23, 2026 (15.7 years).
VOO vs XHE growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view covers the 15.7 years both funds cover.
VOO vs XHE Performance
Vanguard S&P 500 ETF (VOO) is an ETF from Vanguard (US) and State Street SPDR S&P Health Care Equipment ETF (XHE) is an ETF from State Street Investment Management. Over the past year VOO returned +17.07% while XHE returned +14.28%. Year to date, VOO is up 13.31% versus a gain of 4.28% for XHE.
Over three years, VOO compounded at +22.72% per year against +5.48% for XHE; over five years the annualized figures are +13.19% and -7.00% respectively. Across the full 16-year window we track, VOO has the edge at +12.63% annualized vs +9.50%.
Past performance does not guarantee future results.
Risk: Volatility and Drawdowns
XHE has been the more volatile fund, with annualized monthly volatility of 18.8% compared with 14.2% for VOO. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -34.3% for VOO and -49.9% for XHE. Drawdown depth is what each fund did in the worst stretch of the window measured above.
The two funds' monthly returns correlate at 0.70. They usually move together, but the gap leaves some room for diversification.
Fees and Cost Over Time
VOO charges 0.03% per year while XHE charges 0.35%. On a $10,000 position that is $3 vs $35 annually, a gap of $32 per year that compounds over a long holding period. On income, VOO currently yields 1.04% against 0.06% for XHE.
Holdings Overlap
1.5% of VOO's money is in holdings XHE also owns. 29.2% of XHE's money is in holdings VOO also owns.
XHE and VOO share little of their money.
18 positions in common, counted across the 494 positions we hold weights for in VOO and 70 in XHE, against full books of 509 and 69.
What only one of them owns
Our book lists 49 positions for XHE that do not appear in our book for VOO (69.7% of the fund), and 470 for VOO that do not appear in XHE (97.7%).
Some of those will be the same company recorded under a different code in one of the two books, so the real difference in what you would own is no larger than this and may be smaller. We do not name the individual positions here for that reason.
Top Shared Holdings
| Stock | Weight in VOO | Weight in XHE | Difference |
|---|---|---|---|
| ABTAbbott Laboratories | 0.29% | 1.82% | 1.53% |
| BDXBecton Dickinson And Co. | 0.07% | 1.87% | 1.80% |
| BAXBaxter International Inc. | 0.02% | 1.88% | 1.86% |
| RMDResmed Inc. | 0.05% | 1.83% | 1.78% |
| DXCMDexcom Inc. | 0.05% | 1.79% | 1.74% |
| MDTMedtronic Plc Ordinary Shares | 0.17% | 1.66% | 1.49% |
| SYKStryker Corp 3.375 11/25 | 0.17% | 1.54% | 1.37% |
| ZBHZimmer Biomet Holdings | 0.03% | 1.67% | 1.64% |
| GEHCGe Healthcare Technologies Inc | 0.05% | 1.64% | 1.59% |
| STE:IESteris Plc Ordinary Shares | 0.03% | 1.65% | 1.62% |
29.2% of XHE is already inside VOO.
You probably hold more than these two. Add the rest and see how much of the whole book is the same companies twice.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, VOO or XHE?
VOO has an expense ratio of 0.03% while XHE charges 0.35%. VOO is the cheaper option, by $32 a year on a $10,000 investment.
Which performed better, VOO or XHE?
Over the past year VOO returned +17.07% vs +14.28% for XHE, so VOO leads on 1-year performance. Over the longest common window we track (16 years), VOO annualized +12.63% vs +9.50% for XHE. Past performance does not guarantee future results. This is information, not a recommendation.
Which is riskier, VOO or XHE?
XHE has been the more volatile fund at 18.8% annualized versus 14.2% for VOO. Worst drawdown: VOO -34.3% vs XHE -49.9%.
Should I hold both VOO and XHE?
VOO and XHE have a monthly-return correlation of 0.70, so their returns are far enough apart for the mix to behave differently from either one alone. This is information, not a recommendation.
What is the holdings overlap between VOO and XHE?
29.2% of XHE's money is in holdings VOO also owns. 29.2% of XHE's is in holdings VOO also owns. They hold 18 positions in common, counted across the 494 positions we hold weights for in VOO and 70 in XHE.
Which pays a higher dividend, VOO or XHE?
VOO yields 1.04% while XHE yields 0.06%, so VOO currently pays the higher dividend yield.
Is XHE better than VOO?
VOO has a lower expense ratio. VOO led over 1Y, 3Y, 5Y and the full window. XHE is less concentrated, with 21.5% of the fund in its ten largest positions against 37.6%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.