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XLVvsIXJETF Comparison
State Street Health Care Select Sector SPDR ETF (XLV) belongs to the US Health Care segment. iShares Global Healthcare ETF (IXJ) is part of the Global Large Cap segment. 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 0.4% for IXJ. XLV is down -2.96% year-to-date (YTD) with +$900M in YTD flows. IXJ performs better with -2.64% YTD performance, and -$688M in YTD flows. Run a side-by-side ETF comparison of XLV and IXJ 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 IXJ performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IXJ | -3.74%-5.34% | -2.07%-1.68% | -2.96%-2.64% | +5.69%+5.89% | +25.97%+24.23% | +41.91%+34.09% |
| Flows | XLV IXJ | -$710M-$599M | -$28M-$664M | +$900M-$688M | -$38M-$427M | -$4.95B-$883M | +$6.87B+$219M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IXJ | +14.03%+13.35% | +17.46%+16.82% | +13.62%+13.09% | +14.49%+13.81% |
| Max drawdown | XLV IXJ | -6.25%-6.98% | -12.43%-10.89% | -17.05%-18.04% | -17.05%-18.04% |
| Max drawdown duration | XLV IXJ | 11d11d | 211d196d | 444d490d | 444d490d |
XLV | IXJ | |
Last sale 3/13/2026 at 1:30 PM | $149.79 | $94.30 |
| Previous close 03/12/2026 | $150.16 | $94.78 |
| 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 | IXJ | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLV | IXJ | |
|---|---|---|
| Last price | $149.79 | $94.30 |
| 1D performance | -0.25% | -0.51% |
| AuM | $39.37 B | $3.73 B |
| E/R | 0.08% | 0.4% |
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 IXJ ETFs performed in 2026?
As of March 12, 2026, XLV is down -2.96% year-to-date (YTD), while IXJ has lost -2.64%. That puts IXJ better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or IXJ?
Year-to-date, the XLV ETF saw +$900M in flows, compared to -$688M for IXJ.
Which ETF is more volatile: XLV or IXJ?
Over the past year, XLV had a volatility of 17.46%, while IXJ experienced 16.82%.
Which ETF is bigger: XLV or IXJ?
As of March 12, 2026, XLV holds $39.37 B in assets under management (AUM), while IXJ manages $3.73 B.
What sectors do the XLV and IXJ ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, IXJ focuses on Health Care.
What are the top holdings of the XLV ETF and IXJ ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IXJ holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: XLV or IXJ?
XLV holds 60 securities with 70.12% of its assets in the top 15. IXJ has 115 securities and a top 15 weight of 55.7%.
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