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IYHvsXLVETF Comparison
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 -1.84% year-to-date (YTD) with -$496M in YTD flows. XLV performs better with -1.22% YTD performance, and +$922M 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.
IYH vs XLV performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH XLV | -2.08%-2.18% | -0.90%-0.02% | -1.84%-1.22% | +6.00%+6.49% | +25.78%+28.22% | +36.39%+44.77% |
| Flows | IYH XLV | -$245M-$726M | -$580M+$102M | -$496M+$922M | -$318M+$101M | -$643M-$4.93B | -$164M+$6.94B |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH XLV | +13.70%+13.57% | +17.71%+17.40% | +13.80%+13.59% | +14.71%+14.47% |
| Max drawdown | IYH XLV | -5.23%-4.63% | -12.43%-12.43% | -17.89%-17.05% | -17.89%-17.05% |
| Max drawdown duration | IYH XLV | 63d10d | 211d211d | 445d444d | 445d444d |
IYH | XLV | |
Last sale 3/12/2026 at 1:30 PM | $62.65 | $150.18 |
| Previous close 03/11/2026 | $63.88 | $152.85 |
| Consolidated volume 03/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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IYH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
IYH | XLV | |
|---|---|---|
| Last price | $62.65 | $150.18 |
| 1D performance | -1.93% | -1.75% |
| AuM | $3.02 B | $40.10 B |
| E/R | 0.38% | 0.08% |
IYH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | SPDR |
| Benchmark | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index | S&P Health Care Select Sector Index |
| N° of holdings | 96 | 57 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 12, 2000 | December 16, 1998 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the IYH and XLV ETFs performed in 2026?
As of March 11, 2026, IYH is down -1.84% year-to-date (YTD), while XLV has lost -1.22%. 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 -$496M in flows, compared to +$922M for XLV.
Which ETF is more volatile: IYH or XLV?
Over the past year, IYH had a volatility of 17.71%, while XLV experienced 17.4%.
Which ETF is bigger: IYH or XLV?
As of March 11, 2026, IYH holds $3.02 B in assets under management (AUM), while XLV manages $40.10 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 67.75% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.
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