IXJ vs. IHI

Last updated Aug 2, 2026

IXJ (iShares Global Healthcare ETF) and IHI (iShares U.S. Medical Devices ETF) are both Health & Biotech Equities funds from iShares - IXJ tracks the S&P Global 1200 Health Care (Sector) Capped Index while IHI tracks the Dow Jones U.S. Select Medical Equipment Index. Both are passively managed. Over the past 10 years, IXJ returned 8.22%/yr vs 8.58%/yr for IHI. Their 0.79 correlation means they have sometimes moved together and sometimes differently. IXJ charges 0.40%/yr vs 0.38%/yr for IHI.

Performance

IXJ vs. IHI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in iShares Global Healthcare ETF (IXJ) and iShares U.S. Medical Devices ETF (IHI). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, IXJ achieves a 3.85% return, which is significantly higher than IHI's -15.32% return. Both investments have delivered pretty close results over the past 10 years, with IXJ having a 8.22% annualized return and IHI not far ahead at 8.58%.

IXJ

• 1D: -0.97%
• 1M: -1.26%
• 6M: 2.41%
• YTD: 3.85%
• 1Y: 21.78%
• 3Y*: 7.07%
• 5Y*: 4.53%
• 10Y*: 8.22%
• ALL TIME*: 7.37%

IHI

• 1D: -0.44%
• 1M: 1.21%
• 6M: -12.40%
• YTD: -15.32%
• 1Y: -11.60%
• 3Y*: -1.46%
• 5Y*: -3.35%
• 10Y*: 8.58%
• ALL TIME*: 10.02%

*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)
IHI iShares U.S. Medical Devices ETF	$145.90M	$167.07M	$148.77M
IXJ iShares Global Healthcare ETF	$16.06M	$16.61M	$23.38M

IXJ vs. IHI - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
IXJ iShares Global Healthcare ETF	3.85%	14.99%	0.55%	3.62%	-4.94%	19.60%	12.74%	23.23%	2.83%	20.44%
IHI iShares U.S. Medical Devices ETF	-15.32%	6.88%	8.62%	3.24%	-19.80%	21.03%	24.17%	32.75%	15.45%	30.81%

Correlation

The correlation between IXJ and IHI is 0.66, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.66
Correlation (3Y) Balances recent behavior with more history.	0.67
Correlation (5Y) Shows whether the relationship held over a longer period.	0.75
Correlation (10Y) Provides a long-term view across more market conditions.	0.79
Correlation (All Time) Calculated using the full available price history since May 5, 2006	0.79

The correlation between IXJ and IHI shifts across timeframes, from 0.66 (1 year) to 0.79 (all time), reflecting how their relationship changes across market environments.

IXJ vs. IHI - Sectors Allocation Comparison

Sectors	IXJ	IHI
Healthcare	99.2%	100.0%
Consumer Defensive	0.5%	-
Technology	0.4%	0.3%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	0.2%
Real Estate	-	-
Utilities	-	-

Return for Risk

IXJ vs. IHI — Risk / Return Rank

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

IXJ

IXJ Risk / Return Rank: 61
IXJ Sharpe Ratio Rank: 66
IXJ Sortino Ratio Rank: 74
IXJ Omega Ratio Rank: 62
IXJ Calmar Ratio Rank: 60
IXJ Martin Ratio Rank: 45

IHI

IHI Risk / Return Rank: 5
IHI Sharpe Ratio Rank: 4
IHI Sortino Ratio Rank: 4
IHI Omega Ratio Rank: 4
IHI Calmar Ratio Rank: 6
IHI Martin Ratio Rank: 5

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.

IXJ vs. IHI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for iShares Global Healthcare ETF (IXJ) and iShares U.S. Medical Devices ETF (IHI). 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.

	IXJ	IHI	Difference
Sharpe ratio: Return per unit of total volatility	1.50	-0.59	+2.09
Sortino ratio: Return per unit of downside risk	2.38	-0.74	+3.12
Omega ratio: Gain probability vs. loss probability	1.27	0.92	+0.35
Calmar ratio: Return relative to maximum drawdown	2.10	-0.45	+2.55
Martin ratio: Return relative to average drawdown	4.99	-0.88	+5.87

IXJ vs. IHI - Sharpe Ratio Comparison

The current IXJ Sharpe Ratio is 1.50, which is higher than the IHI Sharpe Ratio of -0.59. The chart below compares the historical Sharpe Ratios of IXJ and IHI, 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

IXJ vs. IHI - Drawdown Comparison

The maximum IXJ drawdown since its inception was -40.60%, smaller than the maximum IHI drawdown of -49.65%. Use the drawdown chart below to compare losses from any high point for IXJ and IHI.

Drawdown Indicators

	IXJ	IHI	Difference
Max Drawdown Largest peak-to-trough decline	-40.60%	-49.65%	+9.05%
Max Drawdown (1Y) Largest decline over 1 year	-10.78%	-26.11%	+15.33%
Max Drawdown (3Y) Largest decline over 3 years	-18.14%	-26.64%	+8.50%
Max Drawdown (5Y) Largest decline over 5 years	-18.14%	-33.12%	+14.98%
Max Drawdown (10Y) Largest decline over 10 years	-27.35%	-33.25%	+5.90%
Current Drawdown Current decline from peak	-2.52%	-20.04%	+17.52%
Average Drawdown Average peak-to-trough decline	-6.90%	-8.43%	+1.53%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.52%	13.27%	-8.75%

Volatility

IXJ vs. IHI - Volatility Comparison

The current volatility for iShares Global Healthcare ETF (IXJ) is 5.66%, while iShares U.S. Medical Devices ETF (IHI) has a volatility of 9.58%. This indicates that IXJ experiences smaller price fluctuations and is considered to be less risky than IHI based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	IXJ	IHI	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.66%	9.58%	-3.92%
Volatility (6M) Calculated over the trailing 6-month period	11.61%	16.58%	-4.97%
Volatility (1Y) Calculated over the trailing 1-year period	15.38%	19.90%	-4.52%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.50%	19.55%	-5.05%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	15.74%	20.01%	-4.27%

IXJ vs. IHI - Expense Ratio Comparison

IXJ has a 0.40% expense ratio, which is higher than IHI's 0.38% expense ratio.

Dividends

IXJ vs. IHI - Dividend Comparison

IXJ's dividend yield for the trailing twelve months is around 1.44%, more than IHI's 0.46% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IHI iShares U.S. Medical Devices ETF	0.46%	0.34%	0.46%	0.53%	0.45%	0.25%	0.25%	0.33%	0.26%	0.37%	0.55%	1.28%
IXJ iShares Global Healthcare ETF	1.44%	1.40%	1.50%	1.38%	1.17%	1.12%	1.27%	1.42%	2.11%	1.46%	1.73%	2.85%

Frequently Asked Questions

Can I hold both IXJ and IHI in my portfolio?

IXJ and IHI have a correlation of 0.66, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, IXJ or IHI?

IHI has higher volatility (9.58%) compared to IXJ (5.66%). In terms of maximum drawdown, IXJ dropped -40.60% vs IHI's -49.65%.

Which ETF is better, IXJ or IHI?

On 10-year performance, IHI leads with 8.58% vs 8.22% for IXJ. On fees, IHI is cheaper at 0.38% per year. On volatility, IXJ has been the lower-risk option at 5.66%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, IXJ or IHI?

Over the 10-year period, IHI has performed better with a 8.58% return vs 8.22%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, IXJ or IHI?

IHI is cheaper with a 0.38% expense ratio, compared with 0.40% for IXJ.

Which ETF pays a higher dividend yield, IXJ or IHI?

IXJ has the higher dividend yield at 1.44%, compared with 0.46% for IHI.

What is the main difference between IXJ and IHI?

IXJ tracks S&P Global 1200 Health Care (Sector) Capped Index, while IHI tracks Dow Jones U.S. Select Medical Equipment Index. Their fees differ too: 0.40% for IXJ and 0.38% for IHI.

Which has better risk-adjusted returns?

IXJ currently has the higher Sharpe Ratio (1.50 vs -0.59), 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.