XLVvsIYHETF Comparison
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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. XLV's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IYH's top sector exposures are Healthcare, Non-Corporate and Finance. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.37% for IYH. XLV is up 17% year-to-date (YTD) with +$1.62B in YTD flows. IYH performs worse with 16.54% YTD performance, and +$360M 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.
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XLV vs IYH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 10/21/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IYH | +5.88%+5.05% | +12.04%+11.83% | +17.00%+16.54% | +25.36%+24.54% | +47.72%+46.56% | +47.89%+40.49% |
| Flows | XLV IYH | +$1.26B+$386M | +$871M+$982M | +$1.62B+$360M | +$2.34B+$818M | -$3.03B+$348M | +$4.98B+$576M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IYH | +17.46%+17.52% | +16.26%+16.39% | +14.96%+15.19% | +15.24%+15.50% |
| Max drawdown | XLV IYH | -5.81%-5.88% | -10.51%-10.72% | -17.05%-17.89% | -17.05%-17.89% |
| Max drawdown duration | XLV IYH | 56d56d | 116d169d | 444d445d | 444d445d |
Trading data
XLV | IYH | |
Last sale 10/22/2026 at 1:30 PM | $181.30 | $76.22 |
| Previous close 10/21/2026 | $178.94 | $75.22 |
| Consolidated volume 10/21/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 2026
1-year trailing difference
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XLV | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 10/22/2026 at 1:30 PM
Live
Closed
XLV | IYH | |
|---|---|---|
| Last price | $181.30 | $76.22 |
| 1D performance | +1.32% | +1.33% |
| AuM | $47.46 B | $4.48 B |
| E/R | 0.08% | 0.37% |
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 | 59 | 101 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
XLV
USA
97.52%
Other
2.48%
IYH
USA
96.86%
Other
3.14%
Sectors
XLV
Healthcare
97.84%
Other
2.16%
IYH
Healthcare
99.79%
Other
0.21%
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Diversification
XLV
Total weight of top 15 holdings out of 15
71.32%
IYH
Total weight of top 15 holdings out of 15
68.68%
Top 15 holdings
Data as of August 31, 2026
XLV
Eli Lilly & Co.
14.88%
Johnson & Johnson
10.41%
AbbVie, Inc.
7.37%
Merck & Co., Inc.
5.93%
UnitedHealth Group, Inc.
5.75%
Amgen, Inc.
3.77%
Thermo Fisher Scientific, Inc.
3.73%
Abbott Laboratories
3.13%
Gilead Sciences, Inc.
2.95%
Pfizer Inc.
2.64%
Vertex Pharmaceuticals, Inc.
2.25%
Bristol Myers Squibb Co.
2.22%
Danaher Corp.
2.19%
Intuitive Surgical, Inc.
2.17%
CVS Health Corp.
1.95%
IYH
Eli Lilly & Co.
14.45%
Johnson & Johnson
10.02%
AbbVie, Inc.
7.10%
Merck & Co., Inc.
5.72%
UnitedHealth Group, Inc.
5.50%
Amgen, Inc.
3.63%
Thermo Fisher Scientific, Inc.
3.59%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.84%
Pfizer Inc.
2.53%
Vertex Pharmaceuticals, Inc.
2.17%
Bristol Myers Squibb Co.
2.13%
Danaher Corp.
2.11%
Intuitive Surgical, Inc.
2.08%
Medtronic Plc
1.82%
Frequently asked questions about XLV and IYH
How have the XLV and IYH ETFs performed in 2026?
As of October 21, 2026, XLV is up 17% year-to-date (YTD), while IYH has returned 16.54%. 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 +$1.62B in flows, compared to +$360M for IYH.
Which ETF is more volatile: XLV or IYH?
Over the past year, XLV had a volatility of 16.26%, while IYH experienced 16.39%.
Which ETF is bigger: XLV or IYH?
As of October 21, 2026, XLV holds $47.46 B in assets under management (AUM), while IYH manages $4.48 B.
What sectors do the XLV and IYH ETFs invest in?
XLV leans toward sectors like Healthcare. Meanwhile, IYH focuses on Healthcare.
What are the top holdings of the XLV ETF and IYH ETF?
XLV top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. IYH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: XLV or IYH?
XLV holds 59 securities with 71.32% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 68.68%.
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