IHF vs. XLVI

Last updated Aug 4, 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 Healthcare Providers Index, while XLVI is a Derivative Income fund actively managed by State Street. IHF is passively managed, while XLVI is actively managed. Over the past year, IHF returned 40.84% vs 22.96% for XLVI. Their 0.46 correlation means their historical movements had little consistent relationship. IHF charges 0.38%/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.

Returns By Period

In the year-to-date period, IHF achieves a 19.07% return, which is significantly higher than XLVI's 6.89% return.

IHF

• 1D: 0.83%
• 1M: -1.13%
• 6M: 25.51%
• YTD: 19.07%
• 1Y: 40.84%
• 3Y*: 4.01%
• 5Y*: 1.74%
• 10Y*: 9.45%
• ALL TIME*: 9.87%

XLVI

• 1D: -0.20%
• 1M: 0.97%
• 6M: 6.00%
• YTD: 6.89%
• 1Y: 22.96%
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: 19.93%

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

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
IHF iShares U.S. Healthcare Providers ETF	$31.65M	$27.11M	$26.74M
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	$940.40K	$699.80K	$484.44K

IHF vs. XLVI - Yearly Performance Comparison

	2026 (YTD)	2025
IHF iShares U.S. Healthcare Providers ETF	19.07%	15.12%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	6.89%	12.41%

Correlation

The correlation between IHF and XLVI is 0.47, which is low. Their historical price movements had little consistent relationship.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.47
Correlation (All Time) Calculated using the full available price history since Jul 30, 2025	0.46

IHF vs. XLVI - Sectors Allocation Comparison

Sectors	IHF	XLVI
Healthcare	95.2%	100.0%
Technology	4.4%	-
Financial Services	0.3%	100.6%
Industrials	0.1%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Real Estate	-	-
Utilities	-	-

Return for Risk

IHF vs. XLVI — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

IHF

IHF Risk / Return Rank: 70
IHF Sharpe Ratio Rank: 84
IHF Sortino Ratio Rank: 77
IHF Omega Ratio Rank: 85
IHF Calmar Ratio Rank: 57
IHF Martin Ratio Rank: 48

XLVI

XLVI Risk / Return Rank: 80
XLVI Sharpe Ratio Rank: 85
XLVI Sortino Ratio Rank: 89
XLVI Omega Ratio Rank: 87
XLVI Calmar Ratio Rank: 75
XLVI Martin Ratio Rank: 62

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

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.

	IHF	XLVI	Difference
Sharpe ratio: Return per unit of total volatility	2.02	2.15	-0.13
Sortino ratio: Return per unit of downside risk	2.56	3.23	-0.67
Omega ratio: Gain probability vs. loss probability	1.38	1.41	-0.03
Calmar ratio: Return relative to maximum drawdown	2.08	2.83	-0.75
Martin ratio: Return relative to average drawdown	5.71	8.00	-2.29

IHF vs. XLVI - Sharpe Ratio Comparison

The current IHF Sharpe Ratio is 2.02, which is comparable to the XLVI Sharpe Ratio of 2.15. The chart below compares the historical Sharpe Ratios of IHF and XLVI, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

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.

Drawdown Indicators

	IHF	XLVI	Difference
Max Drawdown Largest peak-to-trough decline	-58.42%	-8.14%	-50.28%
Max Drawdown (1Y) Largest decline over 1 year	-19.72%	-8.14%	-11.58%
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	-2.17%	-1.66%	-0.51%
Average Drawdown Average peak-to-trough decline	-10.59%	-1.78%	-8.81%
Ulcer Index Depth and duration of drawdowns from previous peaks	7.18%	2.88%	+4.30%

Volatility

IHF vs. XLVI - Volatility Comparison

iShares U.S. Healthcare Providers ETF (IHF) has a higher volatility of 4.90% compared to State Street Health Care Select Sector SPDR Premium Income ETF (XLVI) at 3.36%. This indicates that IHF's price experiences larger fluctuations and is considered to be riskier than XLVI based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	IHF	XLVI	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.90%	3.36%	+1.54%
Volatility (6M) Calculated over the trailing 6-month period	12.94%	8.73%	+4.21%
Volatility (1Y) Calculated over the trailing 1-year period	20.35%	10.75%	+9.60%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.30%	11.04%	+8.26%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	21.04%	11.04%	+10.00%

IHF vs. XLVI - Expense Ratio Comparison

IHF has a 0.38% 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 0.92%, less than XLVI's 12.76% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IHF iShares U.S. Healthcare Providers ETF	0.92%	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	12.76%	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

Can I hold both IHF and XLVI in my portfolio?

IHF and XLVI have a correlation of 0.47, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, IHF or XLVI?

IHF has higher volatility (4.90%) compared to XLVI (3.36%). In terms of maximum drawdown, IHF dropped -58.42% vs XLVI's -8.14%.

Which ETF is better, IHF or XLVI?

On 1-year performance, IHF leads with 40.84% vs 22.96% for XLVI. On fees, XLVI is cheaper at 0.35% per year. On volatility, XLVI has been the lower-risk option at 3.36%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, IHF or XLVI?

Over the 1-year period, IHF has performed better with a 40.84% return vs 22.96%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, IHF or XLVI?

XLVI is cheaper with a 0.35% expense ratio, compared with 0.38% for IHF.

Which ETF pays a higher dividend yield, IHF or XLVI?

XLVI has the higher dividend yield at 12.76%, compared with 0.92% for IHF.

What is the main difference between IHF and XLVI?

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: 0.38% for IHF and 0.35% for XLVI.

Which has better risk-adjusted returns?

XLVI currently has the higher Sharpe Ratio (2.15 vs 2.02), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.