IHFvsXLVIETF Comparison
VS
ETF 2
XLVI
State Street Health Care Select Sector SPDR Premium Income Fund
This fund is part of
Options Strategies
-0.08%
iShares U.S. Healthcare Providers ETF (IHF) belongs to the US Health Care segment. State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. IHF's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, XLVI's top sector exposures are Healthcare, Consumer Non-Cyclicals IHF is more expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.35% for XLVI. IHF is up 21.72% year-to-date (YTD) with +$354M in YTD flows. XLVI performs worse with 8.68% YTD performance, and +$8M in YTD flows. Run a side-by-side ETF comparison of IHF and XLVI 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 XLVI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 07/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF XLVI | +5.00%+3.09% | +22.02%+12.75% | +21.72%+8.68% | +37.98%+22.64% | +14.84%n/a | +13.27%n/a |
| Flows | IHF XLVI | +$46M+$3M | +$317M+$5M | +$354M+$8M | +$405M+$19M | +$139M- | +$25M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF XLVI | +18.41%+12.42% | +20.76%+11.10% | +19.21%n/a | +19.27%n/a |
| Max drawdown | IHF XLVI | -3.86%-2.03% | -19.68%-8.21% | -29.86%n/a | -29.86%n/a |
| Max drawdown duration | IHF XLVI | 22d7d | 196d115d | 671dn/a | 671dn/a |
Trading data
IHF | XLVI | |
Last sale 7/29/2026 at 1:30 PM | $57.06 | $26.97 |
| Previous close 07/28/2026 | $58.11 | $26.62 |
| Consolidated volume 07/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 2026
1-year trailing difference
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XLVI
is actively managed and doesn’t replicate an indexIHF | XLVI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 7/29/2026 at 1:30 PM
Live
Closed
IHF | XLVI | |
|---|---|---|
| Last price | $57.06 | $26.97 |
| 1D performance | -1.81% | +1.35% |
| AuM | $1.29 B | $19.95 M |
| E/R | 0.38% | 0.35% |
Characteristics
IHF | XLVI | |
|---|---|---|
| Management strategy | Passive | Active |
| Provider | iShares | State Street Investment Management |
| Benchmark | Dow Jones U.S. Select Health Care Providers Index | - |
| N° of holdings | 62 | 59 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 1, 2006 | July 30, 2025 |
| ESG | No | No |
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Exposure
Countries
IHF
USA
100.01%
Other
-0.01%
XLVI
USA
100.53%
Other
-0.53%
Sectors
IHF
Healthcare
84%
Consumer Non-Cycl.
14.79%
Other
1.2%
XLVI
Healthcare
100.33%
Other
-0.33%
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Diversification
IHF
Total weight of top 15 holdings out of 15
82.44%
XLVI
Total weight of top 15 holdings out of 15
74.76%
Top 15 holdings
Data as of June 30, 2026
IHF
UnitedHealth Group, Inc.
21.91%
CVS Health Corp.
14.79%
Elevance Health, Inc.
7.13%
Humana, Inc.
4.68%
HCA Healthcare, Inc.
4.49%
Centene Corp.
4.22%
The Cigna Group
4.00%
Veeva Systems, Inc.
3.98%
Quest Diagnostics, Inc.
3.51%
Labcorp Holdings, Inc.
3.43%
Guardant Health, Inc.
2.97%
Tenet Healthcare Corp.
2.41%
Molina Healthcare, Inc.
1.78%
BrightSpring Health Services, Inc.
1.65%
Encompass Health Corp.
1.50%
XLVI
Eli Lilly & Co.
17.01%
Johnson & Johnson
10.96%
AbbVie, Inc.
7.97%
UnitedHealth Group, Inc.
6.77%
Merck & Co., Inc.
5.69%
Amgen, Inc.
3.50%
Thermo Fisher Scientific, Inc.
3.34%
Abbott Laboratories
2.83%
Gilead Sciences, Inc.
2.81%
Intuitive Surgical, Inc.
2.53%
Pfizer Inc.
2.46%
CVS Health Corp.
2.37%
Vertex Pharmaceuticals, Inc.
2.26%
Danaher Corp.
2.15%
Bristol Myers Squibb Co.
2.11%
Frequently asked questions about IHF and XLVI
How have the IHF and XLVI ETFs performed in 2026?
As of July 28, 2026, IHF is up 21.72% year-to-date (YTD), while XLVI has returned 8.68%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: IHF or XLVI?
Year-to-date, the IHF ETF saw +$354M in flows, compared to +$8M for XLVI.
Which ETF is more volatile: IHF or XLVI?
Over the past year, IHF had a volatility of 20.76%, while XLVI experienced 11.1%.
Which ETF is bigger: IHF or XLVI?
As of July 28, 2026, IHF holds $1.29 B in assets under management (AUM), while XLVI manages $19.95 M.
What sectors do the IHF and XLVI ETFs invest in?
IHF leans toward sectors like Healthcare and Consumer Non-Cyclicals. Meanwhile, XLVI focuses on Healthcare.
What are the top holdings of the IHF ETF and XLVI ETF?
IHF top holdings include UnitedHealth Group, Inc., CVS Health Corp. and Elevance Health, Inc.. XLVI holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: IHF or XLVI?
IHF holds 62 securities with 82.44% of its assets in the top 15. XLVI has 59 securities and a top 15 weight of 74.76%.
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Latest news about IHF & XLVI
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
IHF
Investing in the Aging Demographics Megatrend
February 28, 2023
IHF
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