IYHvsXLVETF Comparison
VS
iShares U.S. Healthcare ETF (IYH) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. IYH's top 3 sector exposures are Healthcare, Non-Corporate and Finance. In contrast, XLV's top sector exposures are Healthcare and Consumer Non-Cyclicals. IYH is more expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.08% for XLV. IYH is up 11.93% year-to-date (YTD) with -$253M in YTD flows. XLV performs worse with 11.74% YTD performance, and +$583M in YTD flows. Run a side-by-side ETF comparison of IYH 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.
Find out how industry players manage ETF portfolios. Discover our library of Model portfolios
IYH vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 09/04/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH XLV | +6.17%+5.84% | +13.51%+13.31% | +11.93%+11.74% | +26.56%+26.92% | +34.68%+36.33% | +30.52%+36.64% |
| Flows | IYH XLV | -$94M+$374M | +$106M+$699M | -$253M+$583M | +$221M+$2.02B | -$359M-$5.34B | -$77M+$1.95B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH XLV | +18.77%+18.82% | +16.18%+16.03% | +14.89%+14.66% | +15.41%+15.15% |
| Max drawdown | IYH XLV | -4.09%-3.83% | -10.72%-10.51% | -17.89%-17.05% | -17.89%-17.05% |
| Max drawdown duration | IYH XLV | 20d20d | 169d116d | 445d444d | 445d444d |
Trading data
IYH | XLV | |
Last sale 9/4/2026 at 1:30 PM | $72.40 | $171.45 |
| Previous close 09/03/2026 | $73.15 | $173.26 |
| Consolidated volume 09/03/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 31, 2026
1-year trailing difference
Create an account to view replication metrics
Join for free
IYH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
Advertisement
Main metrics
Last update 9/4/2026 at 1:30 PM
Live
Closed
IYH | XLV | |
|---|---|---|
| Last price | $72.40 | $171.45 |
| 1D performance | -1.03% | -1.04% |
| AuM | $3.69 B | $44.50 B |
| E/R | 0.37% | 0.08% |
Characteristics
IYH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | State Street Investment Management |
| Benchmark | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index | S&P Health Care Select Sector Index |
| N° of holdings | 101 | 59 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 12, 2000 | December 16, 1998 |
| ESG | No | No |
Advertisement
Exposure
Countries
IYH
USA
96.84%
Other
3.16%
XLV
USA
97.53%
Other
2.47%
Sectors
IYH
Healthcare
99.75%
Other
0.25%
XLV
Healthcare
97.51%
Other
2.49%
Advertisement
Diversification
IYH
Total weight of top 15 holdings out of 15
69.24%
XLV
Total weight of top 15 holdings out of 15
71.77%
Top 15 holdings
Data as of July 31, 2026
IYH
Eli Lilly & Co.
15.09%
Johnson & Johnson
10.09%
AbbVie, Inc.
7.46%
UnitedHealth Group, Inc.
6.23%
Merck & Co., Inc.
5.25%
Thermo Fisher Scientific, Inc.
3.51%
Amgen, Inc.
3.42%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.67%
Pfizer Inc.
2.32%
Bristol Myers Squibb Co.
2.17%
Intuitive Surgical, Inc.
2.04%
Danaher Corp.
2.03%
Vertex Pharmaceuticals, Inc.
2.00%
Stryker Corp.
1.97%
XLV
Eli Lilly & Co.
15.48%
Johnson & Johnson
10.51%
AbbVie, Inc.
7.55%
UnitedHealth Group, Inc.
6.41%
Merck & Co., Inc.
5.48%
Thermo Fisher Scientific, Inc.
3.64%
Amgen, Inc.
3.54%
Abbott Laboratories
3.14%
Gilead Sciences, Inc.
2.75%
Pfizer Inc.
2.43%
Bristol Myers Squibb Co.
2.27%
CVS Health Corp.
2.27%
Intuitive Surgical, Inc.
2.13%
Danaher Corp.
2.09%
Vertex Pharmaceuticals, Inc.
2.06%
Frequently asked questions about IYH and XLV
How have the IYH and XLV ETFs performed in 2026?
As of September 4, 2026, IYH is up 11.93% year-to-date (YTD), while XLV has returned 11.74%. That puts IYH better performer ahead so far this year.
Which ETF is attracting more investor money: IYH or XLV?
Year-to-date, the IYH ETF saw -$253M in flows, compared to +$583M for XLV.
Which ETF is more volatile: IYH or XLV?
Over the past year, IYH had a volatility of 16.18%, while XLV experienced 16.03%.
Which ETF is bigger: IYH or XLV?
As of September 4, 2026, IYH holds $3.69 B in assets under management (AUM), while XLV manages $44.50 B.
What sectors do the IYH and XLV ETFs invest in?
IYH leans toward sectors like Healthcare. Meanwhile, XLV focuses on Healthcare.
What are the top holdings of the IYH ETF and XLV ETF?
IYH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. XLV holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: IYH or XLV?
IYH holds 101 securities with 69.24% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 71.77%.
Advertisement
Latest news about IYH & XLV
ETF Model Portfolios: The Cockroach Portfolio
March 20, 2026
XLV
ETF Central's Guide to Defensive Sector Investing
March 13, 2026
XLV
Chinese Artificial Intelligence (AI) DeepSeek: ETF Winners & Losers
January 27, 2025
XLV
Investing in Sector ETFs: Consumer Staples, Healthcare, & Utilities
August 21, 2024
XLV
Advertisement
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
XLV
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
XLV
Advertisement
