XLVvsIHIETF Comparison
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State Street Health Care Select Sector SPDR ETF (XLV) and iShares U.S. Medical Devices ETF (IHI) 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 IHI. XLV is down -4.13% year-to-date (YTD) with +$1.25B in YTD flows. IHI performs worse with -13.98% YTD performance, and -$309M in YTD flows. Run a side-by-side ETF comparison of XLV and IHI 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 IHI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/01/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IHI | -6.44%-10.34% | -4.57%-13.62% | -4.13%-13.98% | +4.89%-10.55% | +18.65%+0.85% | +37.55%-0.82% |
| Flows | XLV IHI | -$742M-$19M | +$1.25B-$309M | +$1.25B-$309M | +$514M-$1.03B | -$4.18B-$2.92B | +$7.50B-$4.92B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IHI | +15.08%+16.92% | +17.60%+19.02% | +13.64%+16.62% | +14.53%+18.79% |
| Max drawdown | XLV IHI | -10.19%-18.28% | -10.69%-18.31% | -17.05%-22.87% | -17.05%-33.07% |
| Max drawdown duration | XLV IHI | 31d85d | 181d127d | 444d210d | 444d1666d |
Trading data
XLV | IHI | |
Last sale 4/2/2026 at 1:30 PM | $146.81 | $53.24 |
| Previous close 04/01/2026 | $147.73 | $53.43 |
| Consolidated volume 04/01/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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XLV | IHI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/2/2026 at 1:30 PM
Live
Closed
XLV | IHI | |
|---|---|---|
| Last price | $146.81 | $53.24 |
| 1D performance | -0.62% | -0.36% |
| AuM | $39.08 B | $3.20 B |
| E/R | 0.08% | 0.38% |
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Exposure
Countries
XLV
USA
97.21%
Other
2.79%
IHI
USA
91.73%
Ireland
7.63%
Other
0.65%
Sectors
XLV
Health Care
98.24%
Other
1.76%
IHI
Health Care
95.17%
Other
4.83%
Diversification
XLV
Total weight of top 15 holdings out of 15
70.09%
IHI
Total weight of top 15 holdings out of 15
87.32%
Top 15 holdings
Data as of February 28, 2026
XLV
LILLY
14.41%
JOHNSON&JOHNSON
10.32%
ABBVIE
7.07%
MERCK & CO INC
5.30%
UNITEDHEALTH GRP
4.58%
AMGEN-T
3.61%
ABBOTT LABS
3.49%
THERMO FISHER SCIENTIFIC
3.38%
GILEAD SCIENCES
3.19%
INTUITIVE SURGICAL
3.08%
PFIZER
2.71%
STRYKER
2.30%
DANAHER
2.28%
BRISTOL-MYERS SQUIBB
2.19%
VERTEX PHARMACEUTICALS
2.17%
IHI
ABBOTT LABS
17.01%
INTUITIVE SURGICAL
15.01%
BOSTON SCIENTIFIC
9.58%
STRYKER
5.15%
EDWARDS LIFESCIENCES
4.84%
US36266G1076
4.69%
RESMED
4.64%
MEDTRONIC PLC
4.56%
IDEXX LABORATORIES
4.40%
BECTON DICKINSON AND CO
4.18%
DEXCOM
3.55%
STERIS
3.07%
ZIMMER BIOMET HOLDINGS INC
2.42%
INSULET
2.15%
HOLOGIC
2.08%
Frequently asked questions about XLV and IHI
How have the XLV and IHI ETFs performed in 2026?
As of April 1, 2026, XLV is down -4.13% year-to-date (YTD), while IHI has lost -13.98%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or IHI?
Year-to-date, the XLV ETF saw +$1.25B in flows, compared to -$309M for IHI.
Which ETF is more volatile: XLV or IHI?
Over the past year, XLV had a volatility of 17.6%, while IHI experienced 19.02%.
Which ETF is bigger: XLV or IHI?
As of April 1, 2026, XLV holds $39.08 B in assets under management (AUM), while IHI manages $3.20 B.
What sectors do the XLV and IHI ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, IHI focuses on Health Care.
What are the top holdings of the XLV ETF and IHI ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IHI holds in its top three: ABBOTT LABS, INTUITIVE SURGICAL and BOSTON SCIENTIFIC.
Which ETF is more diversified: XLV or IHI?
XLV holds 60 securities with 70.09% of its assets in the top 15. IHI has 48 securities and a top 15 weight of 87.32%.
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