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XLVvsIYHETF Comparison
State Street Health Care Select Sector SPDR ETF (XLV) and iShares U.S. Healthcare ETF (IYH) 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 IYH. XLV is down -1.22% year-to-date (YTD) with +$922M in YTD flows. IYH performs worse with -1.84% YTD performance, and -$496M in YTD flows. Run a side-by-side ETF comparison of XLV and IYH 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 IYH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IYH | -2.18%-2.08% | -0.02%-0.90% | -1.22%-1.84% | +6.49%+6.00% | +28.22%+25.78% | +44.77%+36.39% |
| Flows | XLV IYH | -$726M-$245M | +$102M-$580M | +$922M-$496M | +$101M-$318M | -$4.93B-$643M | +$6.94B-$164M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IYH | +13.57%+13.70% | +17.40%+17.71% | +13.59%+13.80% | +14.47%+14.71% |
| Max drawdown | XLV IYH | -4.63%-5.23% | -12.43%-12.43% | -17.05%-17.89% | -17.05%-17.89% |
| Max drawdown duration | XLV IYH | 10d63d | 211d211d | 444d445d | 444d445d |
XLV | IYH | |
Last sale 3/12/2026 at 1:30 PM | $150.17 | $62.65 |
| Previous close 03/11/2026 | $152.85 | $63.88 |
| Consolidated volume 03/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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XLV | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLV | IYH | |
|---|---|---|
| Last price | $150.17 | $62.65 |
| 1D performance | -1.75% | -1.93% |
| AuM | $40.10 B | $3.02 B |
| E/R | 0.08% | 0.38% |
XLV | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | SPDR | iShares |
| Benchmark | S&P Health Care Select Sector Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 57 | 96 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | June 12, 2000 |
| ESG | No | No |
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 IYH ETFs performed in 2026?
As of March 11, 2026, XLV is down -1.22% year-to-date (YTD), while IYH has lost -1.84%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or IYH?
Year-to-date, the XLV ETF saw +$922M in flows, compared to -$496M for IYH.
Which ETF is more volatile: XLV or IYH?
Over the past year, XLV had a volatility of 17.4%, while IYH experienced 17.71%.
Which ETF is bigger: XLV or IYH?
As of March 11, 2026, XLV holds $40.10 B in assets under management (AUM), while IYH manages $3.02 B.
What sectors do the XLV and IYH ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, IYH focuses on Health Care.
What are the top holdings of the XLV ETF and IYH ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IYH holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: XLV or IYH?
XLV holds 60 securities with 70.12% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 67.75%.
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