XLVvsIXJETF Comparison
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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 -0.21% year-to-date (YTD) with -$14M in YTD flows. IXJ performs worse with -1.11% YTD performance, and -$738M 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.
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XLV vs IXJ 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 IXJ | +5.52%+3.77% | +2.83%+1.57% | -0.21%-1.11% | +14.42%+10.18% | +23.56%+18.34% | +33.70%+23.67% |
| Flows | XLV IXJ | -$27M-$9M | -$937M-$50M | -$14M-$738M | +$63M-$480M | -$7.15B-$812M | +$4.72B+$9M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IXJ | +15.97%+16.12% | +15.00%+14.86% | +13.96%+13.53% | +14.72%+14.10% |
| Max drawdown | XLV IXJ | -5.04%-5.11% | -10.51%-10.83% | -17.05%-18.04% | -17.05%-18.04% |
| Max drawdown duration | XLV IXJ | 72d61d | 103d103d | 444d490d | 444d490d |
Trading data
XLV | IXJ | |
Last sale 6/12/2026 at 1:30 PM | $153.81 | $96.25 |
| Previous close 06/11/2026 | $154.09 | $96.48 |
| Consolidated volume 06/11/2026 | ||
| 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 | IXJ | |
|---|---|---|
| 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 | IXJ | |
|---|---|---|
| Last price | $153.81 | $96.25 |
| 1D performance | -0.18% | -0.24% |
| AuM | $39.35 B | $3.73 B |
| E/R | 0.08% | 0.4% |
Characteristics
XLV | IXJ | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | iShares |
| Benchmark | S&P Health Care Select Sector Index | S&P Global 1200 Health Care (Sector) Capped Index |
| N° of holdings | 55 | 102 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | November 13, 2001 |
| ESG | No | No |
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Exposure
Countries
XLV
USA
97.39%
Other
2.61%
IXJ
USA
68.29%
Switzerland
10.43%
Other
21.27%
Sectors
XLV
Health Care
98.41%
Other
1.59%
IXJ
Health Care
90.1%
Other
9.9%
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Diversification
XLV
Total weight of top 15 holdings out of 15
70.92%
IXJ
Total weight of top 15 holdings out of 15
56.81%
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%
IXJ
LILLY
9.71%
JOHNSON&JOHNSON
7.26%
ABBVIE
4.89%
UNITEDHEALTH GRP
4.50%
ASTRAZENECA
3.94%
CH1499059983
3.84%
NOVARTIS
3.78%
MERCK & CO INC
3.64%
AMGEN-T
2.50%
THERMO FISHER SCIENTIFIC
2.41%
INTUITIVE SURGICAL
2.18%
GILEAD SCIENCES
2.18%
ABBOTT LABS
2.12%
PFIZER
2.04%
DK0062498333
1.83%
Frequently asked questions about XLV and IXJ
How have the XLV and IXJ ETFs performed in 2026?
As of June 12, 2026, XLV is down -0.21% year-to-date (YTD), while IXJ has lost -1.11%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or IXJ?
Year-to-date, the XLV ETF saw -$14M in flows, compared to -$738M for IXJ.
Which ETF is more volatile: XLV or IXJ?
Over the past year, XLV had a volatility of 15%, while IXJ experienced 14.86%.
Which ETF is bigger: XLV or IXJ?
As of June 12, 2026, XLV holds $39.35 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 58 securities with 70.92% of its assets in the top 15. IXJ has 113 securities and a top 15 weight of 56.81%.
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