QQQ vs XLV: Performance, Holdings, Fees & Risk
QQQ and XLV are ETFs, but they can differ materially in exposure, yield, fees and risk. QQQ is Invesco QQQ Trust, Series 1, while XLV is State Street Health Care Select Sector SPDR ETF. QQQ is broader by holdings count, with 107 positions versus 63 for XLV. XLV is more concentrated at the top, based on top-10 holdings weight. Current AlgovestIQ evidence has XLV ahead on AIQ Score, 60 versus 51.
What is the main difference between QQQ and XLV?
QQQ and XLV have little in common: 4% of their weight is in the same securities.
| Metric | QQQ | XLV |
|---|---|---|
| Fund | ||
| Expense ratio | 0.18% | 0.08% |
| Holdings | 107 | 63 |
| Top-10 concentration | 47% | 60.9% |
| Distribution yieldTrailing 12 months | 0.43% | 1.42% |
| Average volume | 37,968,274 | 9,083,511 |
| Performance | ||
| 1Y return | +19.6% | +26.3% |
| YTD return | +16.8% | +16.1% |
| 5Y annualized returnTotal return, distributions reinvested | +14.6% | +8.2% |
| Risk | ||
| Annualized volatility | 19.9% | 16.2% |
| Max drawdown (1Y) | -12.2% | -10.8% |
| Max drawdown (5Y)Total return, distributions reinvested | -35.1% | -17.1% |
| Beta | 1.45 | 0.24 |
| Sharpe ratio | 0.77 | 1.24 |
| Sortino ratio | 1.20 | 2.48 |
| AlgovestIQ | ||
| AIQ Score | 51/100 | 60/100 |
| AIQ Edge Score | 4/10 | 8/10 |
| Momentum | 21/100 | 82/100 |
| Risk Resilience | 72/100 | 62/100 |
AlgovestIQ AIQ Comparison
Invesco QQQ Trust, Series 1 vs State Street Health Care Select Sector SPDR ETF
XLV leads
XLV leads by 9 AIQ points, primarily on Momentum, having only recently taken the lead back from QQQ.
Fragile: 2 of 4 evidence groups support XLV, the lead recently changed hands, and its current signal state is conflicted.
Invesco QQQ Trust, Series 1
State Street Health Care Select Sector SPDR ETF
The Algovestiq AIQ Score currently favors XLV over QQQ, 60 versus 51 as of Oct 21, 2026. XLV's advantage is driven primarily by stronger momentum, while QQQ holds the stronger quality profile. XLV also shows the stronger technical structure relative to its 50-day moving average. 2 of 4 covered evidence groups favor XLV today, and the comparison is rated Fragile on stability: only 2 of 4 covered evidence groups agree. XLV lead: Reversed — QQQ led by 5 AIQ points 30 sessions ago; XLV now leads by 9.
Compare Invesco QQQ Trust, Series 1 and State Street Health Care Select Sector SPDR ETF across performance, expense ratio, dividend yield, drawdown, volatility and the Algovestiq AIQ Score.
QQQ vs XLV: which fits what
Each row is settled by a single measure. Where the gap is too small to matter it reads Similar, and no row decides the comparison as a whole.
| If you want | QQQ | XLV | Fits |
|---|---|---|---|
| Lower costExpense ratio | 0.18% | 0.08% | XLV |
| Broader diversificationNumber of holdings | 107 | 63 | QQQ |
| Lower concentrationWeight of the 10 largest holdings | 47% | 60.9% | QQQ |
| Higher incomeTrailing 12-month distribution yield | 0.43% | 1.42% | XLV |
| Smaller drawdownsMax drawdown, 5 years | -35.1% | -17.1% | XLV |
| Lower volatilityAnnualized volatility, 1 year | 19.9% | 16.2% | XLV |
Similar means the gap is within 0.01 percentage points of expense ratio, 25% more holdings, 3 points of top-10 weight, 0.2 points of yield, 2 points of drawdown or 1 point of volatility. Past drawdowns and volatility describe the funds’ history, not their future.
Performance over time
Total return with distributions reinvested, from daily closes for both ETFs.
Total return comparison
Growth of $10,000, distributions reinvested
Split-adjusted closes; each distribution is reinvested at the close on its ex-dividend date. Taxes and trading costs are not modeled.
Compare QQQ and XLV against another ticker
Open a multi-ticker workspace without changing this focused pair page.
AIQ Factor Divergence
Where the two separate, on the four dimensions behind the AIQ Score. Bars read outward from a shared zero: further from the centre is a wider gap.
- Momentum21 vs 82XLV +61
- Quality82 vs 70QQQ +12
- Risk Resilience72 vs 62QQQ +10
- Value35 vs 31QQQ +4
2 of 4 evidence groups favor XLV. XLV’s edge is concentrated in momentum; QQQ keeps a meaningful quality edge.
What changed since the last close
Latest scored session 2026-10-20, compared against the prior scored session 2026-10-19.
Largest factor move: Momentum -2
No signal started or stopped since the prior session; its 3 active signals are unchanged.
Largest factor move: Momentum +9
New signals
- BB Upper Band Breach — bearish, volatility, short horizon
- Keltner Channel Breakout — bullish, volatility, short horizon
- RSI Overbought — bearish, momentum, short horizon
XLV's lead widened by 3 AIQ points in the latest session.
Deeper signal detail for each name lives on its own signals page — QQQ and XLV both carry a full feed there.
The central trade-off
XLV (State Street Health Care Select Sector SPDR ETF): the stronger current systematic profile, led by momentum.
QQQ (Invesco QQQ Trust, Series 1): the counter-case, on quality, risk resilience, value.
Fund facts, side by side
Two funds tracking overlapping universes are separated by cost and risk far more than by holdings. Those lead here.
| Measure | QQQ | XLV | Why it matters |
|---|---|---|---|
| Expense ratio | 0.18% | 0.08% | Lower is better — it compounds against you every year you hold. |
| Holdings | 107 | 63 | More holdings means broader diversification, not better returns. |
| Average volume | 37,968,274 | 9,083,511 | Liquidity — matters most if you trade size. |
| Annualized volatility | 19.9% | 16.2% | Lower is a steadier ride for the same exposure. |
| Max drawdown (1Y) | -12.2% | -10.8% | The worst peak-to-trough loss over the past year. |
| Sharpe ratio | 0.77 | 1.24 | Return per unit of risk. Higher is better. |
| Beta | 1.45 | 0.24 | Sensitivity to the broad market. Neither direction is better — it depends on the role in your portfolio. |
Where the exposure actually sits
Sector exposure for each fund, ordered by the size of the difference.
How much of the same holdings they own
QQQ and XLV share 3.67% of their weighted exposure across 8 common holdings.
94 holdings are unique to QQQ, and 53 holdings are unique to XLV. Owning both is genuinely additive — most of the capital sits in different securities.
XLV is the more concentrated of the two: its ten largest positions are 60.88% of the fund, against 46.96% for QQQ (63 holdings vs 107). Concentration cuts both ways — it is what drives outperformance when the top names work, and what makes the drawdown deeper when they do not.
Largest shared positions
| Holding | QQQ | XLV | Shared |
|---|---|---|---|
| AMGNAMGEN INC | 0.92% | 3.46% | 0.92% |
| GILDGILEAD SCIENCES INC | 0.8% | 3.01% | 0.8% |
| VRTXVERTEX PHARMACEUTICALS INC | 0.58% | 2.19% | 0.58% |
| ISRGINTUITIVE SURGICAL INC | 0.57% | 2.14% | 0.57% |
| REGNREGENERON PHARMACEUTICALS | 0.36% | 1.33% | 0.36% |
| IDXXIDEXX LABORATORIES INC | 0.18% | 0.67% | 0.18% |
| DXCMDEXCOM INC | 0.14% | 0.55% | 0.14% |
| GEHCGE HEALTHCARE TECHNOLOGY | 0.13% | 0.49% | 0.13% |
Shared weight is the lower of the two positions — the portion of capital both funds genuinely have in the same security.
What QQQ adds that XLV doesn’t
| Holding | QQQ | XLV |
|---|---|---|
| NVDANVIDIA Corp | 8.49% | Not held |
| AAPLApple Inc | 7.71% | Not held |
| MSFTMicrosoft Corp | 5.88% | Not held |
| MUMicron Technology Inc | 4.89% | Not held |
| AMZNAmazon.com Inc | 4.36% | Not held |
| AMDAdvanced Micro Devices Inc | 3.64% | Not held |
What XLV adds that QQQ doesn’t
| Holding | XLV | QQQ |
|---|---|---|
| LLYELI LILLY + CO | 14.87% | Not held |
| JNJJOHNSON + JOHNSON | 10.73% | Not held |
| ABBVABBVIE INC | 7.54% | Not held |
| MRKMERCK + CO. INC. | 5.98% | Not held |
| UNHUNITEDHEALTH GROUP INC | 5.9% | Not held |
| TMOTHERMO FISHER SCIENTIFIC INC | 3.75% | Not held |
Each list is a fund’s largest positions by weight that the other fund does not hold, or holds at less than half the weight.
QQQ vs XLV: five-year payout growth
QQQ grew its split-adjusted payout faster over 2020-2025 — 9.99% a year against XLV's 7.96%. XLV never reduced its annual distribution in the window; QQQ did in 2 years. XLV: The 2020 payout was 23.5% below 2019, so the growth rate measures a recovery from a weak starting year.
| Dividend metric | QQQ | XLV |
|---|---|---|
| 5Y payout CAGR | 9.99% | 7.96% |
| 2020 annual payout | $1.737 | $1.689 |
| 2025 annual payout | $2.795 | $2.477 |
| Calendar-year declines | 2 | 0 |
| Peer rank | #56 of 138 | #71 of 138 |
Split-adjusted annual distributions, 2020–2025. Research as of Sep 19, 2026. Yield and expense ratio above are current values, not part of this window.
AIQ Agreement Matrix
2 of 4 covered evidence groups favor XLV. A wide gap backed by one group is a weaker case than a narrow gap backed by five.
| Evidence group | Favors | Reading |
|---|---|---|
| AIQ Score | XLV | 51 vs 60 |
| Fundamentals | Not covered | Not covered |
| Valuation | QQQ | Value 35 vs 31 |
| Technicals | XLV | Price vs 50-day -0.2% vs 5%; vs 200-day 6.2% vs 13.9% |
| Risk Resilience | QQQ | Risk Resilience 72 vs 62 |
| Analyst expectations | Not covered | Not covered |
✓ agrees with the overall verdict · ✕ points the other way. Groups marked “not covered” lack data on one or both of QQQ and XLV and are excluded from the count.
AIQ Decision Stability
The conclusion is sensitive to small changes. Treat the lead as provisional and watch the flip conditions below.
- The AIQ gap is moderate at 9 points.
- Only 2 of 4 covered evidence groups agree. (argues the conclusion is provisional)
- The lead has already changed hands inside the comparison window. (argues the conclusion is provisional)
- The lead has swung materially session to session. (argues the conclusion is provisional)
- The leader is throwing conflicting signals. (argues the conclusion is provisional)
Stability combines the score gap, how broadly the evidence agrees, how steady the lead has been across daily snapshots, the current signal state on both names, and analyst dispersion on XLV.
How the comparison changed
120 daily snapshots · Jun 21 – Oct 20XLV lead: Reversed — QQQ led by 5 AIQ points 30 sessions ago; XLV now leads by 9.
- Today
- XLV +9
- 51 vs 60
- 7 sessions ago
- XLV +2
- 57 vs 59
- 30 sessions ago
- QQQ +5
- 65 vs 60
- 90 sessions ago
- QQQ +6
- 67 vs 61
The lead changed hands 9 times in this window, most recently on Sep 8 when QQQ moved ahead of XLV.
AIQ Signal Divergence
Only the signals that bear on the head-to-head. A conflicted name is carrying bullish and bearish rules at the same time — the technical evidence is not pointing one way.
1 bullish / 2 bearish, conflicted
Only QQQ
- Keltner Channel Breakdown — bearish, volatility, short horizon
- MACD Bearish Crossover — bearish, momentum, short horizon
6 bullish / 2 bearish, conflicted
Only XLV
- BB Upper Band Breach — bearish, volatility, short horizon
- Keltner Channel Breakout — bullish, volatility, short horizon
- RSI Overbought — bearish, momentum, short horizon
- EMA Ribbon Expansion Bullish — bullish, trend, medium horizon
- 52-Week High Proximity — bullish, risk, long horizon (0.0%)
- Uptrend Structure Active — bullish, trend, long horizon
- MACD Bullish Crossover — bullish, momentum, short horizon
Both carry 1 more signal that do not separate them: Golden Cross Active.
XLV leads the comparison while carrying a conflicted signal state, which is one reason the stability rating is not higher.
Price vs model alignment
Whether the latest session's price move confirms what the model did over the same session, or contradicts it.
Price is up while the AIQ Score moved down 1 points over the same session — price and model disagree (price +1.05%, AIQ -1 points).
Price is down while the AIQ Score moved up 2 points over the same session — price and model disagree (price -0.49%, AIQ +2 points).
What would flip this result
A state, not a forecast. These are the specific, observable changes that would reverse the verdict — not a price prediction.
- 1QQQ closes the Momentum gap — currently 61 points behind, the largest single contributor to XLV's edge.
- 2QQQ's Keltner Channel Breakdown resolves — a bearish volatility rule currently active against it.
- 3XLV's conflicting signal state resolves bearish — it currently carries 6 bullish and 2 bearish rules at once.
- 4A regime shift changes factor weighting — Quality and Value carry the heaviest weights in the composite, so a rotation toward either would move the result most.
The full evidence
Every number behind the verdict. The leader is called above each group so you are not left to solve it from the table.
Performance
XLV leads 5 of 6 windows| Metric | QQQ | XLV |
|---|---|---|
| 1 week (5 sessions) | -3.5% | 6% |
| 1 month (20 sessions) | -4% | 5.8% |
| 3 months (63 sessions) | 1.7% | 12.8% |
| 6 months (126 sessions) | 11.4% | 20.9% |
| Year to date | 16.8% | 16.1% |
| 1 year (252 sessions) | 19.6% | 26.3% |
Technicals
XLV has the stronger structure| Metric | QQQ | XLV |
|---|---|---|
| RSI (14) | 37.2 | 72.4 |
| ADX (14) | 20.3 | 16 |
| Price vs 50-day | -0.2% | 5% |
| Price vs 200-day | 6.2% | 13.9% |
| Volatility (1M, annualized) | 15.4% | 18.4% |
Risk
QQQ is the more resilient| Metric | QQQ | XLV |
|---|---|---|
| Beta | 1.45 | 0.24 |
| Sharpe ratio | 0.77 | 1.24 |
| Sortino ratio | 1.2 | 2.48 |
| Max drawdown | -12.2% | -10.8% |
| Current drawdown | -5.5% | 0% |
| Annualized volatility | 19.9% | 16.2% |
| Value at risk (95%) | -1.9% | -1.4% |
Straight answers
Short answers to the questions fund investors ask about this pair, from the figures above.
What is the difference between QQQ and XLV?
QQQ and XLV have little in common: 4% of their weight is in the same securities.
How much do QQQ and XLV overlap?
QQQ and XLV share 3.67% of their weighted exposure across 8 common holdings. 94 holdings are unique to QQQ, and 53 holdings are unique to XLV. Owning both is genuinely additive — most of the capital sits in different securities.
Which ETF is more diversified, QQQ or XLV?
QQQ holds more positions: 107 versus 63 for XLV.
Which has the lower expense ratio?
XLV has the lower expense ratio, 0.08% a year against 0.18% for QQQ.
Which ETF has the higher distribution yield?
XLV, with a trailing 12-month distribution yield of 1.42% against 0.43% for QQQ.
Which ETF has been more volatile?
QQQ has been more volatile over the past year, at 19.9% annualized against 16.2% for XLV.
Which ETF has had the smaller drawdown?
XLV fell less from peak to trough over the past five years: -17.1% against -35.1% for QQQ.
Compare QQQ and XLV with others
Continue your research
This page answers which of the two. These answer the questions on either side of it.
How this comparison is scored
The Algovestiq AIQ Score composites four factors — Quality, Value, Momentum and Risk, each carrying a fixed weight. Sentiment is reported separately as SentimentPulse and is not folded into the composite. Scores refresh every trading day, and this page regenerates from the latest snapshot rather than being written once.
The verdict names a leader, states how broadly six independent evidence groups agree, and rates how durable that conclusion is given the score gap, its recent trajectory and the current signal state on both names.
How to use side-by-side comparison →This comparison is informational and educational, not investment advice. AIQ scores update daily; re-check after earnings, guidance or macro data that materially changes either name’s factor profile.