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XLVIvsIYHETF Comparison
The Health Care Select Sector SPDR Premium Income Fund
The Health Care Select Sector SPDR Premium Income Fund (XLVI) belongs to the Options Strategies segment. iShares U.S. Healthcare ETF (IYH) is part of the US Health Care 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 0.38% for IYH. XLVI is down -1.41% year-to-date (YTD) with +$2M in YTD flows. IYH performs worse with -3.73% YTD performance, and -$496M in YTD flows. Run a side-by-side ETF comparison of XLVI 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.
XLVI vs IYH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLVI IYH | -2.60%-3.77% | -0.20%-3.07% | -1.41%-3.73% | n/a+4.93% | n/a+23.35% | n/a+33.50% |
| Flows | XLVI IYH | +$788K-$238M | +$3M-$580M | +$2M-$496M | --$322M | --$643M | --$164M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI IYH | +10.72%+14.25% | n/a+17.79% | n/a+13.83% | n/a+14.74% |
| Max drawdown | XLVI IYH | -4.68%-6.97% | n/a-12.43% | n/a-17.89% | n/a-17.89% |
| Max drawdown duration | XLVI IYH | 11d64d | n/a211d | n/a445d | n/a445d |
XLVI | IYH | |
Last sale 3/13/2026 at 1:30 PM | $25.46 | $62.51 |
| Previous close 03/12/2026 | $25.54 | $62.65 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Create an account to view replication metrics
XLVI | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLVI | IYH | |
|---|---|---|
| Last price | $25.46 | $62.51 |
| 1D performance | -0.32% | -0.22% |
| AuM | $13.01 M | $2.96 B |
| E/R | 0.35% | 0.38% |
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 XLVI and IYH ETFs performed in 2026?
As of March 12, 2026, XLVI is down -1.41% year-to-date (YTD), while IYH has lost -3.73%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: XLVI or IYH?
Year-to-date, the XLVI ETF saw +$2M in flows, compared to -$496M for IYH.
Which ETF is bigger: XLVI or IYH?
As of March 12, 2026, XLVI holds $13.01 M in assets under management (AUM), while IYH manages $2.96 B.
What sectors do the XLVI and IYH ETFs invest in?
XLVI leans toward sectors like Health Care. Meanwhile, IYH focuses on Health Care.
What are the top holdings of the XLVI ETF and IYH ETF?
XLVI top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IYH holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: XLVI or IYH?
XLVI holds 60 securities with 69.69% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 67.75%.
Health Care Sector Down After a Cyberattack on UnitedHealth
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Continued tightening of the U.S. labor market
U.S. labor market facing tight conditions
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