IXJvsXLVETF Comparison
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iShares Global Healthcare ETF (IXJ) belongs to the Global Large Cap segment. State Street Health Care Select Sector SPDR ETF (XLV) is part of the US Health Care segment. IXJ's top 3 sector exposures are Health Care, Consumer Discretionary and Consumer Staples. In contrast, XLV's top sector exposures are Health Care, IXJ is more expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.08% for XLV. IXJ is down -4.49% year-to-date (YTD) with -$729M in YTD flows. XLV performs worse with -5.33% YTD performance, and +$532M in YTD flows. Run a side-by-side ETF comparison of IXJ 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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IXJ vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/30/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IXJ XLV | +1.26%+1.48% | -5.89%-5.31% | -4.49%-5.33% | +5.80%+5.70% | +11.92%+14.25% | +24.82%+30.40% |
| Flows | IXJ XLV | +$19M-$581M | -$917M-$735M | -$729M+$532M | -$450M+$358M | -$1.07B-$4.87B | +$201M+$6.71B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IXJ XLV | +15.93%+15.56% | +15.56%+15.94% | +13.31%+13.74% | +13.98%+14.61% |
| Max drawdown | IXJ XLV | -10.83%-10.51% | -10.83%-10.51% | -18.04%-17.05% | -18.04%-17.05% |
| Max drawdown duration | IXJ XLV | 60d60d | 60d60d | 490d444d | 490d444d |
Trading data
IXJ | XLV | |
Last sale 5/1/2026 at 1:30 PM | $92.41 | $145.16 |
| Previous close 04/29/2026 | $92.93 | $145.99 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 30, 2026
1-year trailing difference
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IXJ | 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 5/1/2026 at 1:30 PM
Live
Closed
IXJ | XLV | |
|---|---|---|
| Last price | $92.41 | $145.16 |
| 1D performance | -0.56% | -0.57% |
| AuM | $3.61 B | $37.88 B |
| E/R | 0.4% | 0.08% |
Characteristics
IXJ | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | State Street Investment Management |
| Benchmark | S&P Global 1200 Health Care (Sector) Capped Index | S&P Health Care Select Sector Index |
| N° of holdings | 104 | 56 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | November 13, 2001 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
IXJ
USA
68.5%
Switzerland
10.22%
Other
21.28%
XLV
USA
97.26%
Other
2.74%
Sectors
IXJ
Health Care
90.51%
Other
9.49%
XLV
Health Care
98.29%
Other
1.71%
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Diversification
IXJ
Total weight of top 15 holdings out of 15
56.56%
XLV
Total weight of top 15 holdings out of 15
70.96%
Top 15 holdings
Data as of March 31, 2026
IXJ
LILLY
9.50%
JOHNSON&JOHNSON
7.68%
ABBVIE
5.01%
ASTRAZENECA
4.01%
MERCK & CO INC
3.98%
NOVARTIS
3.81%
CH1499059983
3.67%
UNITEDHEALTH GRP
3.27%
AMGEN-T
2.53%
THERMO FISHER SCIENTIFIC
2.46%
ABBOTT LABS
2.38%
GILEAD SCIENCES
2.31%
INTUITIVE SURGICAL
2.18%
PFIZER
2.13%
BRISTOL-MYERS SQUIBB
1.65%
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
Frequently asked questions about IXJ and XLV
How have the IXJ and XLV ETFs performed in 2026?
As of April 30, 2026, IXJ is down -4.49% year-to-date (YTD), while XLV has lost -5.33%. That puts IXJ better performer ahead so far this year.
Which ETF is attracting more investor money: IXJ or XLV?
Year-to-date, the IXJ ETF saw -$729M in flows, compared to +$532M for XLV.
Which ETF is more volatile: IXJ or XLV?
Over the past year, IXJ had a volatility of 15.56%, while XLV experienced 15.94%.
Which ETF is bigger: IXJ or XLV?
As of April 30, 2026, IXJ holds $3.61 B in assets under management (AUM), while XLV manages $37.88 B.
What sectors do the IXJ and XLV ETFs invest in?
IXJ leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the IXJ ETF and XLV ETF?
IXJ top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IXJ or XLV?
IXJ holds 114 securities with 56.56% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.
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