XLVIvsIXJETF Comparison
ETF 1
XLVI
State Street Health Care Select Sector SPDR Premium Income Fund
This fund is part of
Options Strategies
+0.4%
VS
State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) belongs to the Options Strategies 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. XLVI is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.4% for IXJ. XLVI is up 2.27% year-to-date (YTD) with +$4M in YTD flows. IXJ performs worse with -1.11% YTD performance, and -$738M in YTD flows. Run a side-by-side ETF comparison of XLVI 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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XLVI 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. | XLVI IXJ | +4.57%+3.77% | +3.73%+1.57% | +2.27%-1.11% | n/a+10.18% | n/a+18.34% | n/a+23.67% |
| Flows | XLVI IXJ | +$2M-$9M | +$2M-$50M | +$4M-$738M | --$480M | --$812M | -+$9M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI IXJ | +13.13%+16.12% | n/a+14.86% | n/a+13.53% | n/a+14.10% |
| Max drawdown | XLVI IXJ | -4.28%-5.11% | n/a-10.83% | n/a-18.04% | n/a-18.04% |
| Max drawdown duration | XLVI IXJ | 65d61d | n/a103d | n/a490d | n/a490d |
Trading data
XLVI | IXJ | |
Last sale 6/12/2026 at 1:30 PM | $25.64 | $96.25 |
| Previous close 06/11/2026 | $25.60 | $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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XLVI
is actively managed and doesn’t replicate an indexXLVI | 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
XLVI | IXJ | |
|---|---|---|
| Last price | $25.64 | $96.25 |
| 1D performance | +0.14% | -0.24% |
| AuM | $15.12 M | $3.73 B |
| E/R | 0.35% | 0.4% |
Characteristics
XLVI | IXJ | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | State Street Investment Management | iShares |
| Benchmark | - | S&P Global 1200 Health Care (Sector) Capped Index |
| N° of holdings | 55 | 102 |
| Asset class | - | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | July 30, 2025 | November 13, 2001 |
| ESG | No | No |
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Exposure
Countries
XLVI
USA
96.67%
Other
3.33%
IXJ
USA
68.29%
Switzerland
10.43%
Other
21.27%
Sectors
XLVI
Health Care
97.69%
Other
2.31%
IXJ
Health Care
90.1%
Other
9.9%
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Diversification
XLVI
Total weight of top 15 holdings out of 15
70.39%
IXJ
Total weight of top 15 holdings out of 15
56.81%
Top 15 holdings
Data as of April 30, 2026
XLVI
LILLY
13.98%
JOHNSON&JOHNSON
10.46%
ABBVIE
7.05%
UNITEDHEALTH GRP
6.34%
MERCK & CO INC
5.12%
AMGEN-T
3.52%
THERMO FISHER SCIENTIFIC
3.40%
INTUITIVE SURGICAL
3.07%
GILEAD SCIENCES
3.06%
ABBOTT LABS
2.98%
PFIZER
2.87%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.13%
VERTEX PHARMACEUTICALS
2.05%
STRYKER
2.05%
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 XLVI and IXJ
How have the XLVI and IXJ ETFs performed in 2026?
As of June 12, 2026, XLVI is up 2.27% year-to-date (YTD), while IXJ has lost -1.11%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: XLVI or IXJ?
Year-to-date, the XLVI ETF saw +$4M in flows, compared to -$738M for IXJ.
Which ETF is bigger: XLVI or IXJ?
As of June 12, 2026, XLVI holds $15.12 M in assets under management (AUM), while IXJ manages $3.73 B.
What sectors do the XLVI and IXJ ETFs invest in?
XLVI leans toward sectors like Health Care. Meanwhile, IXJ focuses on Health Care.
What are the top holdings of the XLVI ETF and IXJ ETF?
XLVI top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IXJ holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: XLVI or IXJ?
XLVI holds 58 securities with 70.39% of its assets in the top 15. IXJ has 113 securities and a top 15 weight of 56.81%.
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Latest news about XLVI & IXJ
Healthcare Funds on the Rise
January 9, 2024
IXJ
Healthcare Stocks Rebound
August 14, 2023
IXJ
Continued tightening of the U.S. labor market
September 23, 2022
IXJ
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