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IYHvsXLVIETF Comparison
The Health Care Select Sector SPDR Premium Income Fund
iShares U.S. Healthcare ETF (IYH) belongs to the US Health Care segment. The Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. 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 0.35% for XLVI. IYH is down -1.84% year-to-date (YTD) with -$496M in YTD flows. XLVI performs better with 0.28% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of IYH and XLVI 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 XLVI performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH XLVI | -2.08%-1.07% | -0.90%+1.89% | -1.84%+0.28% | +6.00%n/a | +25.78%n/a | +36.39%n/a |
| Flows | IYH XLVI | -$245M+$788K | -$580M+$3M | -$496M+$2M | -$318M- | -$643M- | -$164M- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH XLVI | +13.70%+10.15% | +17.71%n/a | +13.80%n/a | +14.71%n/a |
| Max drawdown | IYH XLVI | -5.23%-3.26% | -12.43%n/a | -17.89%n/a | -17.89%n/a |
| Max drawdown duration | IYH XLVI | 63d10d | 211dn/a | 445dn/a | 445dn/a |
IYH | XLVI | |
Last sale 3/11/2026 at 1:30 PM | $63.88 | $25.92 |
| Previous close 03/11/2026 | $64.05 | $25.98 |
| 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 | XLVI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
IYH | XLVI | |
|---|---|---|
| Last price | $63.88 | $25.92 |
| 1D performance | -0.27% | -0.23% |
| AuM | $3.02 B | $13.24 M |
| E/R | 0.38% | 0.35% |
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 XLVI ETFs performed in 2026?
As of March 11, 2026, IYH is down -1.84% year-to-date (YTD), while XLVI has returned 0.28%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: IYH or XLVI?
Year-to-date, the IYH ETF saw -$496M in flows, compared to +$2M for XLVI.
Which ETF is bigger: IYH or XLVI?
As of March 11, 2026, IYH holds $3.02 B in assets under management (AUM), while XLVI manages $13.24 M.
What sectors do the IYH and XLVI ETFs invest in?
IYH leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.
What are the top holdings of the IYH ETF and XLVI ETF?
IYH top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IYH or XLVI?
IYH holds 104 securities with 67.75% of its assets in the top 15. XLVI has 60 securities and a top 15 weight of 69.69%.
Health Care Sector Down After a Cyberattack on UnitedHealth
Healthcare Stocks Rebound
Continued tightening of the U.S. labor market
U.S. labor market facing tight conditions
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