IHI vs. XHE

Last updated Apr 2, 2026

Compare and contrast key facts about iShares U.S. Medical Devices ETF (IHI) and SPDR S&P Health Care Equipment ETF (XHE).

IHI and XHE are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. IHI is a passively managed fund by iShares that tracks the performance of the Dow Jones U.S. Select Medical Equipment Index. It was launched on May 5, 2006. XHE is a passively managed fund by State Street that tracks the performance of the S&P Health Care Equipment Select Industry Index. It was launched on Jan 26, 2011. Both IHI and XHE are passive ETFs, meaning that they are not actively managed but aim to replicate the performance of the underlying index as closely as possible.

Performance

IHI vs. XHE - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in iShares U.S. Medical Devices ETF (IHI) and SPDR S&P Health Care Equipment ETF (XHE). The values are adjusted to include any dividend payments, if applicable.

IHI vs. XHE - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
IHI iShares U.S. Medical Devices ETF	-13.96%	6.88%	8.62%	3.24%	-19.80%	21.03%	24.17%	32.75%	15.45%	30.81%
XHE SPDR S&P Health Care Equipment ETF	-10.92%	-0.23%	5.08%	-6.23%	-23.34%	3.04%	32.91%	22.30%	8.90%	30.51%

Returns By Period

In the year-to-date period, IHI achieves a -13.96% return, which is significantly lower than XHE's -10.92% return. Over the past 10 years, IHI has outperformed XHE with an annualized return of 10.42%, while XHE has yielded a comparatively lower 6.52% annualized return.

IHI

• 1D: 0.15%
• 1M: -10.33%
• YTD: -13.96%
• 6M: -10.09%
• 1Y: -10.56%
• 3Y*: 0.13%
• 5Y*: -0.17%
• 10Y*: 10.42%

XHE

• 1D: 0.46%
• 1M: -10.31%
• YTD: -10.92%
• 6M: -0.10%
• 1Y: -3.79%
• 3Y*: -5.61%
• 5Y*: -8.06%
• 10Y*: 6.52%

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

IHI vs. XHE - Expense Ratio Comparison

IHI has a 0.43% expense ratio, which is higher than XHE's 0.35% expense ratio.

IHI

iShares U.S. Medical Devices ETF

XHE

SPDR S&P Health Care Equipment ETF

Return for Risk

IHI vs. XHE — Risk / Return Rank

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

IHI

IHI Risk / Return Rank: 2
IHI Sharpe Ratio Rank: 3
IHI Sortino Ratio Rank: 3
IHI Omega Ratio Rank: 3
IHI Calmar Ratio Rank: 3
IHI Martin Ratio Rank: 0

XHE

XHE Risk / Return Rank: 8
XHE Sharpe Ratio Rank: 9
XHE Sortino Ratio Rank: 9
XHE Omega Ratio Rank: 9
XHE Calmar Ratio Rank: 8
XHE Martin Ratio Rank: 7

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.

IHI vs. XHE - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for iShares U.S. Medical Devices ETF (IHI) and SPDR S&P Health Care Equipment ETF (XHE). 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.

	IHI	XHE	Difference
Sharpe ratio Return per unit of total volatility	-0.56	-0.16	-0.40
Sortino ratio Return per unit of downside risk	-0.69	-0.06	-0.63
Omega ratio Gain probability vs. loss probability	0.92	0.99	-0.08
Calmar ratio Return relative to maximum drawdown	-0.60	-0.24	-0.36
Martin ratio Return relative to average drawdown	-1.88	-0.69	-1.19
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

IHI vs. XHE - Sharpe Ratio Comparison

The current IHI Sharpe Ratio is -0.56, which is lower than the XHE Sharpe Ratio of -0.16. The chart below compares the historical Sharpe Ratios of IHI and XHE, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	IHI	XHE	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.56	-0.16	-0.40
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.01	-0.33	+0.32
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.53	0.29	+0.25
Sharpe Ratio (All Time) Calculated using the full available price history	0.49	0.41	+0.08

Correlation

The correlation between IHI and XHE is 0.84, which is considered to be high. That indicates a strong positive relationship between their price movements. Having highly-correlated positions in a portfolio may signal a lack of diversification, potentially leading to increased risk during market downturns.

Dividends

IHI vs. XHE - Dividend Comparison

IHI's dividend yield for the trailing twelve months is around 0.42%, more than XHE's 0.09% yield.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IHI iShares U.S. Medical Devices ETF	0.42%	0.34%	0.46%	0.53%	0.45%	0.25%	0.25%	0.33%	0.26%	0.37%	0.55%	1.28%
XHE SPDR S&P Health Care Equipment ETF	0.09%	0.08%	0.04%	0.03%	0.04%	0.00%	0.00%	0.05%	0.09%	0.78%	0.17%	7.22%

Drawdowns

IHI vs. XHE - Drawdown Comparison

The maximum IHI drawdown since its inception was -49.65%, roughly equal to the maximum XHE drawdown of -49.92%. Use the drawdown chart below to compare losses from any high point for IHI and XHE.

Drawdown Indicators

	IHI	XHE	Difference
Max Drawdown Largest peak-to-trough decline	-49.65%	-49.92%	+0.27%
Max Drawdown (1Y) Largest decline over 1 year	-18.27%	-18.29%	+0.02%
Max Drawdown (5Y) Largest decline over 5 years	-33.12%	-49.92%	+16.80%
Max Drawdown (10Y) Largest decline over 10 years	-33.25%	-49.92%	+16.67%
Current Drawdown Current decline from peak	-18.76%	-40.94%	+22.18%
Average Drawdown Average peak-to-trough decline	-8.20%	-12.97%	+4.77%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.79%	6.24%	-0.45%

Volatility

IHI vs. XHE - Volatility Comparison

The current volatility for iShares U.S. Medical Devices ETF (IHI) is 5.24%, while SPDR S&P Health Care Equipment ETF (XHE) has a volatility of 7.01%. This indicates that IHI experiences smaller price fluctuations and is considered to be less risky than XHE based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	IHI	XHE	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.24%	7.01%	-1.77%
Volatility (6M) Calculated over the trailing 6-month period	11.23%	14.84%	-3.61%
Volatility (1Y) Calculated over the trailing 1-year period	18.89%	23.86%	-4.97%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	18.74%	24.25%	-5.51%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	19.63%	22.81%	-3.18%