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IHF vs. XLVI
Performance
Return for Risk
Drawdowns
Volatility
Dividends

IHF vs. XLVI

Last updated Jun 24, 2026

IHF (iShares U.S. Healthcare Providers ETF) and XLVI (State Street Health Care Select Sector SPDR Premium Income ETF) are both exchange-traded funds - IHF is a Health & Biotech Equities fund tracking the Dow Jones U.S. Select Health Care Providers Index, while XLVI is a Derivative Income fund actively managed by State Street. IHF is passively managed, while XLVI is actively managed. At a 0.44 correlation, their price movements are largely independent. IHF charges 0.43%/yr vs 0.35%/yr for XLVI.

Performance

IHF vs. XLVI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in iShares U.S. Healthcare Providers ETF (IHF) and State Street Health Care Select Sector SPDR Premium Income ETF (XLVI). The values are adjusted to include any dividend payments, if applicable.

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Returns By Period

In the year-to-date period, IHF achieves a 11.55% return, which is significantly higher than XLVI's 2.50% return.

IHF

1D
0.74%
1M
5.23%
YTD
11.55%
6M
12.02%
1Y
14.30%
3Y*
2.85%
5Y*
0.85%
10Y*
8.88%

XLVI

1D
1.53%
1M
2.15%
YTD
2.50%
6M
2.57%
1Y
—
3Y*
—
5Y*
—
10Y*
—
*Multi-year figures are annualized to reflect compound growth (CAGR)

IHF vs. XLVI - Yearly Performance Comparison

2026 (YTD)2025
IHF
iShares U.S. Healthcare Providers ETF		11.55%15.12%
XLVI
State Street Health Care Select Sector SPDR Premium Income ETF		2.50%12.41%

Correlation

The correlation between IHF and XLVI is 0.44, which is low. Their price movements are largely independent, making them effective diversification partners.

Correlation
Correlation (All Time)
Calculated using the full available price history since Jul 30, 2025

0.44

IHF vs. XLVI - Sectors Allocation Comparison

Sectors
IHF
XLVI

Healthcare

98.9%
100.0%

Financial Services

0.6%
100.2%

Technology

0.3%

-

Basic Materials

-

-

Communication Services

-

-

Consumer Cyclical

-

-

Consumer Defensive

-

-

Energy

-

-

Industrials

-

-

Real Estate

-

-

Utilities

-

-

Healthcare

IHF
98.9%
XLVI
100.0%

Financial Services

IHF
0.6%
XLVI
100.2%

Technology

IHF
0.3%
XLVI

-

Basic Materials

IHF

-

XLVI

-

Communication Services

IHF

-

XLVI

-

Consumer Cyclical

IHF

-

XLVI

-

Consumer Defensive

IHF

-

XLVI

-

Energy

IHF

-

XLVI

-

Industrials

IHF

-

XLVI

-

Real Estate

IHF

-

XLVI

-

Utilities

IHF

-

XLVI

-

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iShares U.S. Healthcare Providers ETF

State Street Health Care Select Sector SPDR Premium Income ETF

Often compared with IHF:
IHF vs. XLVIHF vs. IHIIHF vs. VHTIHF vs. XHSIHF vs. FXHIHF vs. IDUIHF vs. MDEV
Often compared with XLVI:
XLVI vs. TMEDXLVI vs. VHTXLVI vs. XLVXLVI vs. FXHXLVI vs. BCDXLVI vs. BUCKXLVI vs. GLD

Return for Risk

IHF vs. XLVI — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.
IHF
IHF Risk / Return Rank: 1919
Overall Rank
IHF Sharpe Ratio Rank: 2020
Sharpe Ratio Rank
IHF Sortino Ratio Rank: 1818
Sortino Ratio Rank
IHF Omega Ratio Rank: 2121
Omega Ratio Rank
IHF Calmar Ratio Rank: 1818
Calmar Ratio Rank
IHF Martin Ratio Rank: 1717
Martin Ratio Rank
XLVI

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

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.

IHF vs. XLVI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for iShares U.S. Healthcare Providers ETF (IHF) and State Street Health Care Select Sector SPDR Premium Income ETF (XLVI). 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.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

IHFXLVIDifference
Sharpe ratioReturn per unit of total volatility
0.66

—

—

Sortino ratioReturn per unit of downside risk
0.95

—

—

Omega ratioGain probability vs. loss probability

1.14

—

—

Calmar ratioReturn relative to maximum drawdown

0.73

—

—

Martin ratioReturn relative to average drawdown

1.68

—

—

IHF vs. XLVI - Sharpe Ratio Comparison

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Drawdowns

IHF vs. XLVI - Drawdown Comparison

The maximum IHF drawdown since its inception was -58.42%, which is greater than XLVI's maximum drawdown of -8.14%. Use the drawdown chart below to compare losses from any high point for IHF and XLVI.

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Drawdown Indicators

IHFXLVIDifference

Max Drawdown

Largest peak-to-trough decline

-58.42%

-8.14%

-50.28%

Max Drawdown (1Y)

Largest decline over 1 year

-19.72%

—

—

Max Drawdown (3Y)

Largest decline over 3 years

-29.85%

—

—

Max Drawdown (5Y)

Largest decline over 5 years

-29.85%

—

—

Max Drawdown (10Y)

Largest decline over 10 years

-35.23%

—

—

Current Drawdown

Current decline from peak

-7.44%

-0.97%

-6.47%

Average Drawdown

Average peak-to-trough decline

-10.64%

-1.94%

-8.70%

Ulcer Index

Depth and duration of drawdowns from previous peaks

8.51%

—

—

Volatility

IHF vs. XLVI - Volatility Comparison

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Volatility by Period

IHFXLVIDifference

Volatility (1M)

Calculated over the trailing 1-month period

5.27%

—

—

Volatility (6M)

Calculated over the trailing 6-month period

16.10%

—

—

Volatility (1Y)

Calculated over the trailing 1-year period

21.90%

11.06%

+10.84%

Volatility (5Y)

Calculated over the trailing 5-year period, annualized

19.17%

11.06%

+8.11%

Volatility (10Y)

Calculated over the trailing 10-year period, annualized

21.02%

11.06%

+9.96%

IHF vs. XLVI - Expense Ratio Comparison

IHF has a 0.43% expense ratio, which is higher than XLVI's 0.35% expense ratio.

Dividends

IHF vs. XLVI - Dividend Comparison

IHF's dividend yield for the trailing twelve months is around 0.98%, less than XLVI's 11.17% yield.

PositionTTM20252024202320222021202020192018201720162015
IHF
iShares U.S. Healthcare Providers ETF		0.98%1.05%0.86%0.79%0.74%0.56%0.53%0.58%4.01%0.19%0.25%0.20%
XLVI
State Street Health Care Select Sector SPDR Premium Income ETF		11.17%5.73%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%

Frequently Asked Questions

IHF and XLVI have a correlation of 0.44, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

On fees, XLVI is cheaper at 0.35% per year. The better choice depends on whether you care most about return, fees, risk, or income.

XLVI is cheaper with a 0.35% expense ratio, compared with 0.43% for IHF.

XLVI has the higher dividend yield at 11.17%, compared with 0.98% for IHF.

IHF is categorized as Health & Biotech Equities, while XLVI is Derivative Income. They also come from different issuers: iShares and State Street. Their fees differ too: 0.43% for IHF and 0.35% for XLVI.

Portfolio Optimizer

Find the right allocation for IHF and XLVI

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