XLVvsIHFETF Comparison
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State Street Health Care Select Sector SPDR ETF (XLV) and iShares U.S. Healthcare Providers ETF (IHF) 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 IHF. XLV is down -0.21% year-to-date (YTD) with -$14M in YTD flows. IHF performs better with 11.88% YTD performance, and +$262M in YTD flows. Run a side-by-side ETF comparison of XLV and IHF 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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XLV vs IHF performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IHF | +5.52%+4.14% | +2.83%+23.61% | -0.21%+11.88% | +14.42%+12.47% | +23.56%+7.55% | +33.70%+5.44% |
| Flows | XLV IHF | -$27M+$215M | -$937M+$244M | -$14M+$262M | +$63M+$324M | -$7.15B-$29M | +$4.72B-$72M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IHF | +15.97%+18.61% | +15.00%+21.89% | +13.96%+19.24% | +14.72%+19.16% |
| Max drawdown | XLV IHF | -5.04%-6.30% | -10.51%-19.68% | -17.05%-29.86% | -17.05%-29.86% |
| Max drawdown duration | XLV IHF | 72d20d | 103d196d | 444d647d | 444d647d |
Trading data
XLV | IHF | |
Last sale 6/12/2026 at 1:30 PM | $153.81 | $53.48 |
| Previous close 06/12/2026 | $154.09 | $53.01 |
| Consolidated volume 06/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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XLV | IHF | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/12/2026 at 1:30 PM
Live
Closed
XLV | IHF | |
|---|---|---|
| Last price | $153.81 | $53.48 |
| 1D performance | -0.18% | +0.89% |
| AuM | $39.35 B | $1.10 B |
| E/R | 0.08% | 0.38% |
Characteristics
XLV | IHF | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | iShares |
| Benchmark | S&P Health Care Select Sector Index | Dow Jones U.S. Select Health Care Providers Index |
| N° of holdings | 55 | 53 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
XLV
USA
97.39%
Other
2.61%
IHF
USA
99.91%
Other
0.09%
Sectors
XLV
Health Care
98.41%
Other
1.59%
IHF
Health Care
94.06%
Other
5.94%
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Diversification
XLV
Total weight of top 15 holdings out of 15
70.92%
IHF
Total weight of top 15 holdings out of 15
84.41%
Top 15 holdings
Data as of April 30, 2026
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
IHF
UNITEDHEALTH GRP
26.74%
CVS HEALTH CORP
12.90%
HCA HEALTHCARE
7.16%
ELEVANCE HEALTH INC
5.35%
CIGNA
4.59%
HUMANA
4.49%
CENTENE
3.95%
VEEVA SYSTEMS IN
3.43%
QUEST DIAGNOSTICS
3.37%
US5049221055
3.35%
TENET HEALTHCARE
2.45%
GUARDANT HEALTH INC
1.77%
ENSIGN GROUP
1.70%
ENCOMPASS HEALTH CORP
1.58%
MOLINA HLTHCRE
1.58%
Frequently asked questions about XLV and IHF
How have the XLV and IHF ETFs performed in 2026?
As of June 12, 2026, XLV is down -0.21% year-to-date (YTD), while IHF has returned 11.88%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or IHF?
Year-to-date, the XLV ETF saw -$14M in flows, compared to +$262M for IHF.
Which ETF is more volatile: XLV or IHF?
Over the past year, XLV had a volatility of 15%, while IHF experienced 21.89%.
Which ETF is bigger: XLV or IHF?
As of June 12, 2026, XLV holds $39.35 B in assets under management (AUM), while IHF manages $1.10 B.
What sectors do the XLV and IHF ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, IHF focuses on Health Care.
What are the top holdings of the XLV ETF and IHF ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IHF holds in its top three: UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE.
Which ETF is more diversified: XLV or IHF?
XLV holds 58 securities with 70.92% of its assets in the top 15. IHF has 61 securities and a top 15 weight of 84.41%.
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