XLVIvsIYHETF 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 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 up 2.27% year-to-date (YTD) with +$4M in YTD flows. IYH performs worse with -0.6% YTD performance, and -$393M 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.
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XLVI vs IYH 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 IYH | +4.57%+5.09% | +3.73%+3.25% | +2.27%-0.60% | n/a+14.15% | n/a+21.35% | n/a+26.84% |
| Flows | XLVI IYH | +$2M+$194M | +$2M+$103M | +$4M-$393M | --$14M | --$512M | -+$30M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI IYH | +13.13%+16.35% | n/a+15.18% | n/a+14.20% | n/a+14.98% |
| Max drawdown | XLVI IYH | -4.28%-4.62% | n/a-10.72% | n/a-17.89% | n/a-17.89% |
| Max drawdown duration | XLVI IYH | 65d66d | n/a156d | n/a445d | n/a445d |
Trading data
XLVI | IYH | |
Last sale 6/12/2026 at 1:30 PM | $25.64 | $64.48 |
| Previous close 06/11/2026 | $25.60 | $64.61 |
| 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 | 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 6/12/2026 at 1:30 PM
Live
Closed
XLVI | IYH | |
|---|---|---|
| Last price | $25.64 | $64.48 |
| 1D performance | +0.14% | -0.20% |
| AuM | $15.12 M | $3.15 B |
| E/R | 0.35% | 0.38% |
Characteristics
XLVI | IYH | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | State Street Investment Management | iShares |
| Benchmark | - | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 55 | 94 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | July 30, 2025 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
XLVI
USA
96.67%
Other
3.33%
IYH
USA
96.67%
Other
3.33%
Sectors
XLVI
Health Care
97.69%
Other
2.31%
IYH
Health Care
97.93%
Other
2.07%
Diversification
XLVI
Total weight of top 15 holdings out of 15
70.39%
IYH
Total weight of top 15 holdings out of 15
68.52%
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%
IYH
LILLY
13.72%
JOHNSON&JOHNSON
10.14%
ABBVIE
6.86%
UNITEDHEALTH GRP
6.18%
MERCK & CO INC
4.97%
AMGEN-T
3.41%
THERMO FISHER SCIENTIFIC
3.32%
GILEAD SCIENCES
2.99%
INTUITIVE SURGICAL
2.96%
ABBOTT LABS
2.88%
PFIZER
2.78%
BRISTOL-MYERS SQUIBB
2.26%
DANAHER
2.07%
STRYKER
1.99%
VERTEX PHARMACEUTICALS
1.99%
Frequently asked questions about XLVI and IYH
How have the XLVI and IYH ETFs performed in 2026?
As of June 12, 2026, XLVI is up 2.27% year-to-date (YTD), while IYH has lost -0.6%. 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 +$4M in flows, compared to -$393M for IYH.
Which ETF is bigger: XLVI or IYH?
As of June 12, 2026, XLVI holds $15.12 M in assets under management (AUM), while IYH manages $3.15 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 58 securities with 70.39% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 68.52%.
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Latest news about XLVI & IYH
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IYH
Healthcare Stocks Rebound
August 14, 2023
IYH
Continued tightening of the U.S. labor market
September 23, 2022
IYH
U.S. labor market facing tight conditions
July 5, 2022
IYH
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