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XLVvsIHEETF Comparison
State Street Health Care Select Sector SPDR ETF (XLV) and iShares U.S. Pharmaceuticals ETF (IHE) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.38% for IHE. XLV is down -2.96% year-to-date (YTD) with +$900M in YTD flows. IHE performs better with 2.22% YTD performance, and +$129M in YTD flows. Run a side-by-side ETF comparison of XLV and IHE below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
XLV vs IHE performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IHE | -3.74%-3.87% | -2.07%+2.93% | -2.96%+2.22% | +5.69%+27.13% | +25.97%+60.07% | +41.91%+57.13% |
| Flows | XLV IHE | -$710M+$9M | -$28M+$146M | +$900M+$129M | -$38M+$248M | -$4.95B+$359M | +$6.87B+$393M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IHE | +14.03%+16.35% | +17.46%+20.48% | +13.62%+15.97% | +14.49%+15.82% |
| Max drawdown | XLV IHE | -6.25%-5.64% | -12.43%-14.18% | -17.05%-16.04% | -17.05%-16.12% |
| Max drawdown duration | XLV IHE | 11d11d | 211d150d | 444d210d | 444d669d |
XLV | IHE | |
Last sale 3/12/2026 at 1:30 PM | $150.16 | $86.66 |
| Previous close 03/12/2026 | $152.85 | $88.40 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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XLV | IHE | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLV | IHE | |
|---|---|---|
| Last price | $150.16 | $86.66 |
| 1D performance | -1.76% | -1.97% |
| AuM | $39.37 B | $996.54 M |
| E/R | 0.08% | 0.38% |
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 XLV and IHE ETFs performed in 2026?
As of March 12, 2026, XLV is down -2.96% year-to-date (YTD), while IHE has returned 2.22%. That puts IHE better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or IHE?
Year-to-date, the XLV ETF saw +$900M in flows, compared to +$129M for IHE.
Which ETF is more volatile: XLV or IHE?
Over the past year, XLV had a volatility of 17.46%, while IHE experienced 20.48%.
Which ETF is bigger: XLV or IHE?
As of March 12, 2026, XLV holds $39.37 B in assets under management (AUM), while IHE manages $996.54 M.
What sectors do the XLV and IHE ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, IHE focuses on Health Care.
What are the top holdings of the XLV ETF and IHE ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IHE holds in its top three: JOHNSON&JOHNSON, LILLY and MERCK & CO INC.
Which ETF is more diversified: XLV or IHE?
XLV holds 60 securities with 70.12% of its assets in the top 15. IHE has 56 securities and a top 15 weight of 84.8%.
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