IHFvsXLVETF Comparison
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iShares U.S. Healthcare Providers ETF (IHF) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. IHF's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, XLV's top sector exposures are Healthcare and Consumer Non-Cyclicals. IHF is more expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.08% for XLV. IHF is up 25.53% year-to-date (YTD) with +$405M in YTD flows. XLV performs worse with 17.23% YTD performance, and +$784M in YTD flows. Run a side-by-side ETF comparison of IHF and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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IHF vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 10/26/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF XLV | +7.45%+4.69% | +5.72%+10.12% | +25.53%+17.23% | +17.49%+24.47% | +24.87%+50.39% | +13.01%+46.71% |
| Flows | IHF XLV | -$80M+$579M | +$104M-$179M | +$405M+$784M | +$384M+$1.38B | +$265M-$3.74B | +$36M+$4.02B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF XLV | +16.70%+17.70% | +20.20%+16.38% | +19.42%+14.97% | +19.28%+15.25% |
| Max drawdown | IHF XLV | -6.27%-5.81% | -19.68%-10.51% | -29.86%-17.05% | -29.86%-17.05% |
| Max drawdown duration | IHF XLV | 77d56d | 196d116d | 671d444d | 671d444d |
Trading data
IHF | XLV | |
Last sale 10/27/2026 at 1:30 PM | $59.29 | $179.18 |
| Previous close 10/26/2026 | $59.84 | $179.28 |
| Consolidated volume 10/26/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 2026
1-year trailing difference
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IHF | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 10/27/2026 at 1:30 PM
Live
Closed
IHF | XLV | |
|---|---|---|
| Last price | $59.29 | $179.18 |
| 1D performance | -0.92% | -0.06% |
| AuM | $1.38 B | $46.72 B |
| E/R | 0.37% | 0.08% |
Characteristics
IHF | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | State Street Investment Management |
| Benchmark | Dow Jones U.S. Select Health Care Providers Index | S&P Health Care Select Sector Index |
| N° of holdings | 60 | 59 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 1, 2006 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
IHF
USA
100.02%
Other
-0.02%
XLV
USA
97.52%
Other
2.48%
Sectors
IHF
Healthcare
85.62%
Consumer Non-Cycl.
13.18%
Other
1.2%
XLV
Healthcare
97.84%
Other
2.16%
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Diversification
IHF
Total weight of top 15 holdings out of 15
82.93%
XLV
Total weight of top 15 holdings out of 15
71.32%
Top 15 holdings
Data as of August 31, 2026
IHF
UnitedHealth Group, Inc.
20.14%
CVS Health Corp.
13.18%
Elevance Health, Inc.
7.09%
Veeva Systems, Inc.
6.28%
HCA Healthcare, Inc.
4.67%
Humana, Inc.
4.43%
Centene Corp.
4.15%
Labcorp Holdings, Inc.
4.00%
The Cigna Group
3.93%
Quest Diagnostics, Inc.
3.90%
Tenet Healthcare Corp.
3.35%
Guardant Health, Inc.
3.09%
Encompass Health Corp.
1.75%
Molina Healthcare, Inc.
1.52%
The Ensign Group, Inc.
1.46%
XLV
Eli Lilly & Co.
14.88%
Johnson & Johnson
10.41%
AbbVie, Inc.
7.37%
Merck & Co., Inc.
5.93%
UnitedHealth Group, Inc.
5.75%
Amgen, Inc.
3.77%
Thermo Fisher Scientific, Inc.
3.73%
Abbott Laboratories
3.13%
Gilead Sciences, Inc.
2.95%
Pfizer Inc.
2.64%
Vertex Pharmaceuticals, Inc.
2.25%
Bristol Myers Squibb Co.
2.22%
Danaher Corp.
2.19%
Intuitive Surgical, Inc.
2.17%
CVS Health Corp.
1.95%
Frequently asked questions about IHF and XLV
How have the IHF and XLV ETFs performed in 2026?
As of October 26, 2026, IHF is up 25.53% year-to-date (YTD), while XLV has returned 17.23%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: IHF or XLV?
Year-to-date, the IHF ETF saw +$405M in flows, compared to +$784M for XLV.
Which ETF is more volatile: IHF or XLV?
Over the past year, IHF had a volatility of 20.2%, while XLV experienced 16.38%.
Which ETF is bigger: IHF or XLV?
As of October 26, 2026, IHF holds $1.38 B in assets under management (AUM), while XLV manages $46.72 B.
What sectors do the IHF and XLV ETFs invest in?
IHF leans toward sectors like Healthcare and Consumer Non-Cyclicals. Meanwhile, XLV focuses on Healthcare.
What are the top holdings of the IHF ETF and XLV ETF?
IHF top holdings include UnitedHealth Group, Inc., CVS Health Corp. and Elevance Health, Inc.. XLV holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: IHF or XLV?
IHF holds 60 securities with 82.93% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 71.32%.
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