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 3 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IYH's top sector exposures are Healthcare and Non-Corporate. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.38% for IYH. XLV is up 5.91% year-to-date (YTD) with +$963M in YTD flows. IYH performs worse with 5.7% YTD performance, and -$362M 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 07/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV IYH | +6.02%+5.82% | +13.21%+13.09% | +5.91%+5.70% | +21.88%+21.44% | +25.71%+24.36% | +34.93%+28.54% |
| Flows | XLV IYH | +$1.43B+$40M | -$177M+$152M | +$963M-$362M | +$2.15B+$71M | -$5.26B-$426M | +$3.47B+$33M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV IYH | +18.26%+18.28% | +15.69%+15.81% | +14.32%+14.55% | +14.97%+15.22% |
| Max drawdown | XLV IYH | -3.83%-4.09% | -10.51%-10.72% | -17.05%-17.89% | -17.05%-17.89% |
| Max drawdown duration | XLV IYH | 17d17d | 116d169d | 444d445d | 444d445d |
Trading data
XLV | IYH | |
Last sale 7/24/2026 at 1:30 PM | $162.57 | $68.41 |
| Previous close 07/24/2026 | $161.44 | $67.98 |
| Consolidated volume 07/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 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 7/24/2026 at 1:30 PM
Live
Closed
XLV | IYH | |
|---|---|---|
| Last price | $162.57 | $68.41 |
| 1D performance | +0.70% | +0.63% |
| AuM | $42.54 B | $3.37 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 | 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
97.92%
Other
2.08%
IYH
USA
97.03%
Other
2.97%
Sectors
XLV
Healthcare
97.73%
Other
2.27%
IYH
Healthcare
99.86%
Other
0.14%
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Diversification
XLV
Total weight of top 15 holdings out of 15
72.82%
IYH
Total weight of top 15 holdings out of 15
69.73%
Top 15 holdings
Data as of June 30, 2026
XLV
Eli Lilly & Co.
16.57%
Johnson & Johnson
10.68%
AbbVie, Inc.
7.76%
UnitedHealth Group, Inc.
6.59%
Merck & Co., Inc.
5.54%
Amgen, Inc.
3.41%
Thermo Fisher Scientific, Inc.
3.25%
Abbott Laboratories
2.76%
Gilead Sciences, Inc.
2.74%
Intuitive Surgical, Inc.
2.46%
Pfizer Inc.
2.40%
CVS Health Corp.
2.31%
Vertex Pharmaceuticals, Inc.
2.20%
Danaher Corp.
2.10%
Bristol Myers Squibb Co.
2.05%
IYH
Eli Lilly & Co.
16.07%
Johnson & Johnson
10.27%
AbbVie, Inc.
7.48%
UnitedHealth Group, Inc.
6.30%
Merck & Co., Inc.
5.34%
Amgen, Inc.
3.28%
Thermo Fisher Scientific, Inc.
3.13%
Abbott Laboratories
2.64%
Gilead Sciences, Inc.
2.63%
Intuitive Surgical, Inc.
2.35%
Pfizer Inc.
2.30%
Vertex Pharmaceuticals, Inc.
2.12%
Danaher Corp.
2.02%
Bristol Myers Squibb Co.
1.97%
Stryker Corp.
1.83%
Frequently asked questions about XLV and IYH
How have the XLV and IYH ETFs performed in 2026?
As of July 24, 2026, XLV is up 5.91% year-to-date (YTD), while IYH has returned 5.7%. 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 +$963M in flows, compared to -$362M for IYH.
Which ETF is more volatile: XLV or IYH?
Over the past year, XLV had a volatility of 15.69%, while IYH experienced 15.81%.
Which ETF is bigger: XLV or IYH?
As of July 24, 2026, XLV holds $42.54 B in assets under management (AUM), while IYH manages $3.37 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 72.82% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 69.73%.
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