XLVvsIYHETF Comparison
VS
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 -6.72% year-to-date (YTD) with +$1.08B in YTD flows. IYH performs worse with -7.01% YTD performance, and -$520M 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.
Find out how industry players manage ETF portfolios. Discover our library of Model portfolios
XLV vs IYH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IYH | -0.01%+0.46% | -6.43%-7.52% | -6.72%-7.01% | +5.58%+5.74% | +13.22%+12.29% | +27.56%+20.21% |
| Flows | XLV IYH | -$38M-$21M | -$253M-$485M | +$1.08B-$520M | +$950M-$251M | -$4.45B-$652M | +$7.32B-$137M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IYH | +14.86%+15.39% | +15.80%+16.02% | +13.69%+13.94% | +14.58%+14.83% |
| Max drawdown | XLV IYH | -10.19%-9.88% | -10.19%-10.54% | -17.05%-17.89% | -17.05%-17.89% |
| Max drawdown duration | XLV IYH | 58d57d | 58d110d | 444d445d | 444d445d |
Trading data
XLV | IYH | |
Last sale 4/29/2026 at 3:24 PM | $142.63 | $59.89 |
| Previous close 04/28/2026 | $143.84 | $60.39 |
| Consolidated volume 04/28/2026 | ||
| 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
Create an account to view replication metrics
Join for free
XLV | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
Advertisement
Main metrics
Last update 4/29/2026 at 3:24 PM
Live
Closed
XLV | IYH | |
|---|---|---|
| Last price | $142.63 | $59.89 |
| 1D performance | -0.84% | -0.84% |
| AuM | $37.86 B | $2.82 B |
| E/R | 0.08% | 0.38% |
Characteristics
XLV | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | iShares |
| Benchmark | S&P Health Care Select Sector Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 56 | 95 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | June 12, 2000 |
| ESG | No | No |
Advertisement
Exposure
Countries
XLV
USA
97.26%
Other
2.74%
IYH
USA
96.6%
Other
3.4%
Sectors
XLV
Health Care
98.29%
Other
1.71%
IYH
Health Care
97.84%
Other
2.16%
Advertisement
Diversification
XLV
Total weight of top 15 holdings out of 15
70.96%
IYH
Total weight of top 15 holdings out of 15
68.58%
Top 15 holdings
Data as of March 31, 2026
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
IYH
LILLY
13.39%
JOHNSON&JOHNSON
10.69%
ABBVIE
7.00%
MERCK & CO INC
5.43%
UNITEDHEALTH GRP
4.48%
AMGEN-T
3.44%
THERMO FISHER SCIENTIFIC
3.37%
ABBOTT LABS
3.23%
GILEAD SCIENCES
3.15%
INTUITIVE SURGICAL
2.96%
PFIZER
2.90%
BRISTOL-MYERS SQUIBB
2.25%
DANAHER
2.17%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
Frequently asked questions about XLV and IYH
How have the XLV and IYH ETFs performed in 2026?
As of April 28, 2026, XLV is down -6.72% year-to-date (YTD), while IYH has lost -7.01%. 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 +$1.08B in flows, compared to -$520M for IYH.
Which ETF is more volatile: XLV or IYH?
Over the past year, XLV had a volatility of 15.8%, while IYH experienced 16.02%.
Which ETF is bigger: XLV or IYH?
As of April 28, 2026, XLV holds $37.86 B in assets under management (AUM), while IYH manages $2.82 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 59 securities with 70.96% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 68.58%.
Advertisement
Latest news about XLV & IYH
ETF Model Portfolios: The Cockroach Portfolio
March 20, 2026
XLV
ETF Central's Guide to Defensive Sector Investing
March 13, 2026
XLV
Chinese Artificial Intelligence (AI) DeepSeek: ETF Winners & Losers
January 27, 2025
XLV
Investing in Sector ETFs: Consumer Staples, Healthcare, & Utilities
August 21, 2024
XLV
Advertisement
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
XLV
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
XLV
Advertisement
