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. Both ETFs have the same top 3 sector exposures: and Health Care. IYH is more expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.08% for XLV. IYH is down -5.28% year-to-date (YTD) with -$513M in YTD flows. XLV performs better with -5.14% YTD performance, and +$1.14B 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.
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IYH vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH XLV | +1.26%+1.01% | -6.82%-6.76% | -5.28%-5.14% | +10.12%+9.65% | +12.07%+13.83% | +21.78%+28.17% |
| Flows | IYH XLV | -$12M+$56M | -$513M-$417M | -$513M+$1.14B | -$257M+$1.11B | -$661M-$4.42B | -$131M+$7.08B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH XLV | +15.43%+15.03% | +15.99%+15.78% | +13.94%+13.70% | +14.82%+14.57% |
| Max drawdown | IYH XLV | -9.88%-10.19% | -10.54%-10.19% | -17.89%-17.05% | -17.89%-17.05% |
| Max drawdown duration | IYH XLV | 53d53d | 106d53d | 445d444d | 445d444d |
Trading data
IYH | XLV | |
Last sale 4/24/2026 at 1:30 PM | $60.66 | $144.18 |
| Previous close 04/23/2026 | $61.44 | $146.24 |
| Consolidated volume 04/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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IYH | 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 4/24/2026 at 1:30 PM
Live
Closed
IYH | XLV | |
|---|---|---|
| Last price | $60.66 | $144.18 |
| 1D performance | -1.27% | -1.41% |
| AuM | $2.88 B | $38.57 B |
| E/R | 0.38% | 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 | 95 | 56 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 12, 2000 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
IYH
USA
96.6%
Other
3.4%
XLV
USA
97.26%
Other
2.74%
Sectors
IYH
Health Care
97.84%
Other
2.16%
XLV
Health Care
98.29%
Other
1.71%
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Diversification
IYH
Total weight of top 15 holdings out of 15
68.58%
XLV
Total weight of top 15 holdings out of 15
70.96%
Top 15 holdings
Data as of March 31, 2026
IYH
LILLY
13.39%
JOHNSON&JOHNSON
10.69%
ABBVIE
7.00%
MERCK & CO INC
5.43%
UNITEDHEALTH GRP
4.48%
AMGEN-T
3.44%
THERMO FISHER SCIENTIFIC
3.37%
ABBOTT LABS
3.23%
GILEAD SCIENCES
3.15%
INTUITIVE SURGICAL
2.96%
PFIZER
2.90%
BRISTOL-MYERS SQUIBB
2.25%
DANAHER
2.17%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
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 IYH and XLV
How have the IYH and XLV ETFs performed in 2026?
As of April 23, 2026, IYH is down -5.28% year-to-date (YTD), while XLV has lost -5.14%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: IYH or XLV?
Year-to-date, the IYH ETF saw -$513M in flows, compared to +$1.14B for XLV.
Which ETF is more volatile: IYH or XLV?
Over the past year, IYH had a volatility of 15.99%, while XLV experienced 15.78%.
Which ETF is bigger: IYH or XLV?
As of April 23, 2026, IYH holds $2.88 B in assets under management (AUM), while XLV manages $38.57 B.
What sectors do the IYH and XLV ETFs invest in?
IYH leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the IYH ETF and XLV ETF?
IYH top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IYH or XLV?
IYH holds 104 securities with 68.58% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.
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