ESIH.DE vs. EXV4.DE

Last updated Jun 5, 2026

ESIH.DE (iShares MSCI Europe Health Care Sector UCITS ETF EUR (Acc)) and EXV4.DE (iShares STOXX Europe 600 Health Care UCITS ETF (DE)) are both Health & Biotech Equities funds from iShares - ESIH.DE tracks the MSCI World/Health Care NR USD while EXV4.DE tracks the STOXX® Europe 600 Health Care. Both are passively managed. Over the past 5 years, ESIH.DE returned 5.74%/yr vs 4.98%/yr for EXV4.DE. With a 0.97 correlation, they move nearly in lockstep. ESIH.DE charges 0.18%/yr vs 0.46%/yr for EXV4.DE.

Performance

ESIH.DE vs. EXV4.DE - Performance Comparison

The chart below illustrates the hypothetical performance of a €10,000 investment in iShares MSCI Europe Health Care Sector UCITS ETF EUR (Acc) (ESIH.DE) and iShares STOXX Europe 600 Health Care UCITS ETF (DE) (EXV4.DE). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, ESIH.DE achieves a -2.35% return, which is significantly higher than EXV4.DE's -2.60% return.

ESIH.DE

• 1D: 3.10%
• 1M: 1.39%
• YTD: -2.35%
• 6M: -0.84%
• 1Y: 6.04%
• 3Y*: 2.72%
• 5Y*: 5.74%
• 10Y*: —

EXV4.DE

• 1D: 2.82%
• 1M: 1.35%
• YTD: -2.60%
• 6M: -0.98%
• 1Y: 4.83%
• 3Y*: 2.32%
• 5Y*: 4.98%
• 10Y*: 5.78%

*Multi-year figures are annualized to reflect compound growth (CAGR)

ESIH.DE vs. EXV4.DE - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020
ESIH.DE iShares MSCI Europe Health Care Sector UCITS ETF EUR (Acc)	-2.35%	7.95%	4.09%	7.63%	-4.59%	25.93%	-0.69%
EXV4.DE iShares STOXX Europe 600 Health Care UCITS ETF (DE)	-2.60%	7.23%	3.85%	7.52%	-6.10%	25.12%	-0.57%

Correlation

The correlation between ESIH.DE and EXV4.DE is 0.97 - these two move nearly in lockstep. At this level, holding both provides almost no diversification benefit. If you already own one, adding the other does little to reduce portfolio risk.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.97
Correlation (3Y) Calculated over the trailing 3-year period	0.96
Correlation (5Y) Calculated over the trailing 5-year period	0.97
Correlation (All Time) Calculated using the full available price history since Nov 23, 2020	0.97

The correlation between ESIH.DE and EXV4.DE has been stable across timeframes, ranging from 0.96 to 0.97 - a consistent structural relationship.

Return for Risk

ESIH.DE vs. EXV4.DE — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

ESIH.DE

ESIH.DE Risk / Return Rank: 15
ESIH.DE Sharpe Ratio Rank: 15
ESIH.DE Sortino Ratio Rank: 15
ESIH.DE Omega Ratio Rank: 14
ESIH.DE Calmar Ratio Rank: 15
ESIH.DE Martin Ratio Rank: 14

EXV4.DE

EXV4.DE Risk / Return Rank: 13
EXV4.DE Sharpe Ratio Rank: 13
EXV4.DE Sortino Ratio Rank: 14
EXV4.DE Omega Ratio Rank: 13
EXV4.DE Calmar Ratio Rank: 14
EXV4.DE Martin Ratio Rank: 13

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

ESIH.DE vs. EXV4.DE - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for iShares MSCI Europe Health Care Sector UCITS ETF EUR (Acc) (ESIH.DE) and iShares STOXX Europe 600 Health Care UCITS ETF (DE) (EXV4.DE). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	ESIH.DE	EXV4.DE	Difference
Sharpe ratio: Return per unit of total volatility	0.35	0.29	+0.06
Sortino ratio: Return per unit of downside risk	0.64	0.54	+0.09
Omega ratio: Gain probability vs. loss probability	1.07	1.06	+0.01
Calmar ratio: Return relative to maximum drawdown	0.47	0.38	+0.09
Martin ratio: Return relative to average drawdown	1.05	0.84	+0.21
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

ESIH.DE vs. EXV4.DE - Sharpe Ratio Comparison

The current ESIH.DE Sharpe Ratio is 0.35, which is comparable to the EXV4.DE Sharpe Ratio of 0.29. The chart below compares the historical Sharpe Ratios of ESIH.DE and EXV4.DE, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	ESIH.DE	EXV4.DE	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.35	0.29	+0.06
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.36	0.32	+0.04
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	—	0.37	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.41	0.32	+0.09

Drawdowns

ESIH.DE vs. EXV4.DE - Drawdown Comparison

The maximum ESIH.DE drawdown since its inception was -26.69%, smaller than the maximum EXV4.DE drawdown of -44.54%. Use the drawdown chart below to compare losses from any high point for ESIH.DE and EXV4.DE.

Drawdown Indicators

	ESIH.DE	EXV4.DE	Difference
Max Drawdown Largest peak-to-trough decline	-26.69%	-44.54%	+17.85%
Max Drawdown (1Y) Largest decline over 1 year	-12.82%	-12.57%	-0.25%
Max Drawdown (3Y) Largest decline over 3 years	-26.69%	-26.55%	-0.14%
Max Drawdown (5Y) Largest decline over 5 years	-26.69%	-26.55%	-0.14%
Max Drawdown (10Y) Largest decline over 10 years	—	-26.55%	—
Current Drawdown Current decline from peak	-10.96%	-11.65%	+0.69%
Average Drawdown Average peak-to-trough decline	-7.24%	-11.17%	+3.93%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.75%	5.72%	+0.03%

Volatility

ESIH.DE vs. EXV4.DE - Volatility Comparison

iShares MSCI Europe Health Care Sector UCITS ETF EUR (Acc) (ESIH.DE) has a higher volatility of 5.87% compared to iShares STOXX Europe 600 Health Care UCITS ETF (DE) (EXV4.DE) at 5.58%. This indicates that ESIH.DE's price experiences larger fluctuations and is considered to be riskier than EXV4.DE based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	ESIH.DE	EXV4.DE	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.87%	5.58%	+0.29%
Volatility (6M) Calculated over the trailing 6-month period	11.96%	11.86%	+0.10%
Volatility (1Y) Calculated over the trailing 1-year period	17.18%	16.68%	+0.50%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.86%	15.55%	+0.31%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	15.61%	15.74%	-0.13%

ESIH.DE vs. EXV4.DE - Expense Ratio Comparison

ESIH.DE has a 0.18% expense ratio, which is lower than EXV4.DE's 0.46% expense ratio.

Dividends

ESIH.DE vs. EXV4.DE - Dividend Comparison

ESIH.DE has not paid dividends to shareholders, while EXV4.DE's dividend yield for the trailing twelve months is around 1.61%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
ESIH.DE iShares MSCI Europe Health Care Sector UCITS ETF EUR (Acc)	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
EXV4.DE iShares STOXX Europe 600 Health Care UCITS ETF (DE)	1.61%	1.58%	1.45%	1.60%	1.59%	1.47%	1.24%	1.79%	1.85%	2.64%	2.90%	2.60%

Frequently Asked Questions

Can I hold both ESIH.DE and EXV4.DE in my portfolio?

With a correlation of 0.97, ESIH.DE and EXV4.DE move almost identically. Holding both adds very little diversification - you're essentially doubling your position in the same market segment. Choosing one is usually more capital-efficient.

Which ETF is better, ESIH.DE or EXV4.DE?

On fees, ESIH.DE is cheaper at 0.18% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, ESIH.DE or EXV4.DE?

ESIH.DE is cheaper with a 0.18% expense ratio, compared with 0.46% for EXV4.DE.

What is the main difference between ESIH.DE and EXV4.DE?

ESIH.DE tracks MSCI World/Health Care NR USD, while EXV4.DE tracks STOXX® Europe 600 Health Care. Their fees differ too: 0.18% for ESIH.DE and 0.46% for EXV4.DE.