IHFvsXLVETF Comparison
VS
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. Both ETFs have the same top 3 sector exposures: and Health Care. IHF is more expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.08% for XLV. IHF is up 9.47% year-to-date (YTD) with +$291M in YTD flows. XLV performs worse with -3.06% YTD performance, and -$172M 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 06/18/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF XLV | +2.70%+2.58% | +20.99%+1.94% | +9.47%-3.06% | +10.72%+14.15% | +7.97%+18.98% | +5.05%+30.94% |
| Flows | IHF XLV | +$249M-$756M | +$268M-$1.09B | +$291M-$172M | +$360M+$83M | +$13M-$7.25B | -$240M+$4.82B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF XLV | +18.87%+15.85% | +21.96%+15.00% | +19.07%+13.96% | +19.15%+14.73% |
| Max drawdown | IHF XLV | -5.16%-4.56% | -19.68%-10.51% | -29.86%-17.05% | -29.86%-17.05% |
| Max drawdown duration | IHF XLV | 19d43d | 196d109d | 653d444d | 653d444d |
Trading data
IHF | XLV | |
Last sale 6/18/2026 at 1:30 PM | $52.29 | $149.40 |
| Previous close 06/18/2026 | $52.43 | $150.71 |
| Consolidated volume 06/18/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 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 6/18/2026 at 1:30 PM
Live
Closed
IHF | XLV | |
|---|---|---|
| Last price | $52.29 | $149.40 |
| 1D performance | -0.27% | -0.87% |
| AuM | $1.11 B | $38.07 B |
| E/R | 0.38% | 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 | 53 | 55 |
| 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
99.91%
Other
0.09%
XLV
USA
97.39%
Other
2.61%
Sectors
IHF
Health Care
94.06%
Other
5.94%
XLV
Health Care
98.41%
Other
1.59%
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Diversification
IHF
Total weight of top 15 holdings out of 15
84.41%
XLV
Total weight of top 15 holdings out of 15
70.92%
Top 15 holdings
Data as of April 30, 2026
IHF
UNITEDHEALTH GRP
26.74%
CVS HEALTH CORP
12.90%
HCA HEALTHCARE
7.16%
ELEVANCE HEALTH INC
5.35%
CIGNA
4.59%
HUMANA
4.49%
CENTENE
3.95%
VEEVA SYSTEMS IN
3.43%
QUEST DIAGNOSTICS
3.37%
US5049221055
3.35%
TENET HEALTHCARE
2.45%
GUARDANT HEALTH INC
1.77%
ENSIGN GROUP
1.70%
ENCOMPASS HEALTH CORP
1.58%
MOLINA HLTHCRE
1.58%
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
Frequently asked questions about IHF and XLV
How have the IHF and XLV ETFs performed in 2026?
As of June 18, 2026, IHF is up 9.47% year-to-date (YTD), while XLV has lost -3.06%. 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 +$291M in flows, compared to -$172M for XLV.
Which ETF is more volatile: IHF or XLV?
Over the past year, IHF had a volatility of 21.96%, while XLV experienced 15%.
Which ETF is bigger: IHF or XLV?
As of June 18, 2026, IHF holds $1.11 B in assets under management (AUM), while XLV manages $38.07 B.
What sectors do the IHF and XLV ETFs invest in?
IHF leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the IHF ETF and XLV ETF?
IHF top holdings include UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IHF or XLV?
IHF holds 61 securities with 84.41% of its assets in the top 15. XLV has 58 securities and a top 15 weight of 70.92%.
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