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IHFvsXLVETF Comparison
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 down -8.86% year-to-date (YTD) with +$17M in YTD flows. XLV performs better with -3.21% YTD performance, and +$780M 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.
IHF vs XLV performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF XLV | -5.62%-4.99% | -10.70%-3.61% | -8.86%-3.21% | -12.32%+5.96% | -7.55%+25.64% | -9.17%+40.62% |
| Flows | IHF XLV | +$170K-$549M | +$31K-$87M | +$17M+$780M | +$92M-$57M | -$486M-$5.07B | -$355M+$6.93B |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF XLV | +25.53%+13.74% | +24.13%+17.46% | +19.04%+13.61% | +18.82%+14.49% |
| Max drawdown | IHF XLV | -13.77%-6.49% | -25.18%-12.43% | -29.86%-17.05% | -29.86%-17.05% |
| Max drawdown duration | IHF XLV | 66d12d | 334d211d | 556d444d | 556d444d |
IHF | XLV | |
Last sale 3/13/2026 at 1:30 PM | $43.69 | $149.79 |
| Previous close 03/12/2026 | $43.39 | $150.16 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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IHF | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
IHF | XLV | |
|---|---|---|
| Last price | $43.69 | $149.79 |
| 1D performance | +0.69% | -0.25% |
| AuM | $690.53 M | $39.15 B |
| E/R | 0.38% | 0.08% |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the IHF and XLV ETFs performed in 2026?
As of March 13, 2026, IHF is down -8.86% year-to-date (YTD), while XLV has lost -3.21%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: IHF or XLV?
Year-to-date, the IHF ETF saw +$17M in flows, compared to +$780M for XLV.
Which ETF is more volatile: IHF or XLV?
Over the past year, IHF had a volatility of 24.13%, while XLV experienced 17.46%.
Which ETF is bigger: IHF or XLV?
As of March 13, 2026, IHF holds $690.53 M in assets under management (AUM), while XLV manages $39.15 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 ELEVANCE HEALTH INC. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IHF or XLV?
IHF holds 63 securities with 82.41% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.
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