IHIvsXLVETF Comparison
VS
iShares U.S. Medical Devices ETF (IHI) 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. IHI is more expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.08% for XLV. IHI is down -19.97% year-to-date (YTD) with -$188M in YTD flows. XLV performs better with -0.21% YTD performance, and -$14M in YTD flows. Run a side-by-side ETF comparison of IHI 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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IHI vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHI XLV | +2.07%+5.52% | -9.55%+2.83% | -19.97%-0.21% | -18.50%+14.42% | -6.45%+23.56% | -12.44%+33.70% |
| Flows | IHI XLV | +$15M-$27M | +$122M-$937M | -$188M-$14M | -$752M+$63M | -$2.70B-$7.15B | -$3.65B+$4.72B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHI XLV | +21.91%+15.97% | +17.38%+15.00% | +17.26%+13.96% | +19.09%+14.72% |
| Max drawdown | IHI XLV | -15.06%-5.04% | -26.18%-10.51% | -26.72%-17.05% | -33.07%-17.05% |
| Max drawdown duration | IHI XLV | 87d72d | 199d103d | 492d444d | 1738d444d |
Trading data
IHI | XLV | |
Last sale 6/12/2026 at 1:30 PM | $49.67 | $153.81 |
| Previous close 06/11/2026 | $49.67 | $154.09 |
| Consolidated volume 06/11/2026 | ||
| 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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IHI | 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 6/12/2026 at 1:30 PM
Live
Closed
IHI | XLV | |
|---|---|---|
| Last price | $49.67 | $153.81 |
| 1D performance | +0.00% | -0.18% |
| AuM | $3.09 B | $39.35 B |
| E/R | 0.38% | 0.08% |
Characteristics
IHI | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | State Street Investment Management |
| Benchmark | Dow Jones U.S. Select Medical Equipment Index | S&P Health Care Select Sector Index |
| N° of holdings | 45 | 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
IHI
USA
91.54%
Ireland
7.71%
Other
0.75%
XLV
USA
97.39%
Other
2.61%
Sectors
IHI
Health Care
95.74%
Other
4.26%
XLV
Health Care
98.41%
Other
1.59%
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Diversification
IHI
Total weight of top 15 holdings out of 15
87.76%
XLV
Total weight of top 15 holdings out of 15
70.92%
Top 15 holdings
Data as of April 30, 2026
IHI
INTUITIVE SURGICAL
16.53%
ABBOTT LABS
16.06%
STRYKER
11.04%
EDWARDS LIFESCIENCES
4.98%
IDEXX LABORATORIES
4.74%
BECTON DICKINSON AND CO
4.64%
MEDTRONIC PLC
4.62%
RESMED
4.52%
BOSTON SCIENTIFIC
4.20%
US36266G1076
4.02%
DEXCOM
3.33%
STERIS
3.09%
ZIMMER BIOMET HOLDINGS INC
2.37%
PENUMBRA
1.86%
INSULET
1.76%
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 IHI and XLV
How have the IHI and XLV ETFs performed in 2026?
As of June 12, 2026, IHI is down -19.97% year-to-date (YTD), while XLV has lost -0.21%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: IHI or XLV?
Year-to-date, the IHI ETF saw -$188M in flows, compared to -$14M for XLV.
Which ETF is more volatile: IHI or XLV?
Over the past year, IHI had a volatility of 17.38%, while XLV experienced 15%.
Which ETF is bigger: IHI or XLV?
As of June 12, 2026, IHI holds $3.09 B in assets under management (AUM), while XLV manages $39.35 B.
What sectors do the IHI and XLV ETFs invest in?
IHI leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the IHI ETF and XLV ETF?
IHI top holdings include INTUITIVE SURGICAL, ABBOTT LABS and STRYKER. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IHI or XLV?
IHI holds 48 securities with 87.76% of its assets in the top 15. XLV has 58 securities and a top 15 weight of 70.92%.
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