IYHvsXLVETF Comparison
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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 16.78% year-to-date (YTD) with +$387M in YTD flows. XLV performs better with 17.24% YTD performance, and +$1.03B 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 10/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH XLV | +5.36%+6.22% | +11.17%+11.46% | +16.78%+17.24% | +23.97%+24.79% | +46.86%+48.03% | +40.28%+47.51% |
| Flows | IYH XLV | +$409M+$1.21B | +$749M+$92M | +$387M+$1.03B | +$853M+$1.68B | +$375M-$3.62B | +$602M+$4.34B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH XLV | +17.64%+17.60% | +16.47%+16.35% | +15.20%+14.97% | +15.52%+15.25% |
| Max drawdown | IYH XLV | -5.88%-5.81% | -10.72%-10.51% | -17.89%-17.05% | -17.89%-17.05% |
| Max drawdown duration | IYH XLV | 56d56d | 169d116d | 445d444d | 445d444d |
Trading data
IYH | XLV | |
Last sale 10/23/2026 at 1:30 PM | $75.40 | $179.28 |
| Previous close 10/22/2026 | $76.22 | $181.30 |
| Consolidated volume 10/22/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 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 10/23/2026 at 1:30 PM
Live
Closed
IYH | XLV | |
|---|---|---|
| Last price | $75.40 | $179.28 |
| 1D performance | -1.08% | -1.11% |
| AuM | $4.51 B | $46.98 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 |
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Exposure
Countries
IYH
USA
96.86%
Other
3.14%
XLV
USA
97.52%
Other
2.48%
Sectors
IYH
Healthcare
99.79%
Other
0.21%
XLV
Healthcare
97.84%
Other
2.16%
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Diversification
IYH
Total weight of top 15 holdings out of 15
68.68%
XLV
Total weight of top 15 holdings out of 15
71.32%
Top 15 holdings
Data as of August 31, 2026
IYH
Eli Lilly & Co.
14.45%
Johnson & Johnson
10.02%
AbbVie, Inc.
7.10%
Merck & Co., Inc.
5.72%
UnitedHealth Group, Inc.
5.50%
Amgen, Inc.
3.63%
Thermo Fisher Scientific, Inc.
3.59%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.84%
Pfizer Inc.
2.53%
Vertex Pharmaceuticals, Inc.
2.17%
Bristol Myers Squibb Co.
2.13%
Danaher Corp.
2.11%
Intuitive Surgical, Inc.
2.08%
Medtronic Plc
1.82%
XLV
Eli Lilly & Co.
14.88%
Johnson & Johnson
10.41%
AbbVie, Inc.
7.37%
Merck & Co., Inc.
5.93%
UnitedHealth Group, Inc.
5.75%
Amgen, Inc.
3.77%
Thermo Fisher Scientific, Inc.
3.73%
Abbott Laboratories
3.13%
Gilead Sciences, Inc.
2.95%
Pfizer Inc.
2.64%
Vertex Pharmaceuticals, Inc.
2.25%
Bristol Myers Squibb Co.
2.22%
Danaher Corp.
2.19%
Intuitive Surgical, Inc.
2.17%
CVS Health Corp.
1.95%
Frequently asked questions about IYH and XLV
How have the IYH and XLV ETFs performed in 2026?
As of October 23, 2026, IYH is up 16.78% year-to-date (YTD), while XLV has returned 17.24%. 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 +$387M in flows, compared to +$1.03B for XLV.
Which ETF is more volatile: IYH or XLV?
Over the past year, IYH had a volatility of 16.47%, while XLV experienced 16.35%.
Which ETF is bigger: IYH or XLV?
As of October 23, 2026, IYH holds $4.51 B in assets under management (AUM), while XLV manages $46.98 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 68.68% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 71.32%.
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