IYH vs. XHE
Compare and contrast key facts about iShares U.S. Healthcare ETF (IYH) and SPDR S&P Health Care Equipment ETF (XHE).
IYH and XHE are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. IYH is a passively managed fund by iShares that tracks the performance of the Dow Jones U.S. Health Care Index. It was launched on Jun 12, 2000. 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 IYH 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
IYH vs. XHE - Performance Comparison
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IYH vs. XHE - Yearly Performance Comparison
| 2026 (YTD) | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | |
|---|---|---|---|---|---|---|---|---|---|---|
IYH iShares U.S. Healthcare ETF | -4.28% | 13.16% | 2.99% | 2.14% | -4.46% | 23.41% | 15.56% | 20.80% | 5.80% | 22.27% |
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, IYH achieves a -4.28% return, which is significantly higher than XHE's -10.92% return. Over the past 10 years, IYH has outperformed XHE with an annualized return of 9.51%, while XHE has yielded a comparatively lower 6.52% annualized return.
IYH
- 1D
- 0.78%
- 1M
- -5.70%
- YTD
- -4.28%
- 6M
- 3.41%
- 1Y
- 5.26%
- 3Y*
- 5.68%
- 5Y*
- 5.52%
- 10Y*
- 9.51%
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%
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IYH vs. XHE - Expense Ratio Comparison
IYH has a 0.43% expense ratio, which is higher than XHE's 0.35% expense ratio.
Return for Risk
IYH vs. XHE — Risk / Return Rank
IYH
XHE
IYH vs. XHE - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for iShares U.S. Healthcare ETF (IYH) 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.
| IYH | XHE | Difference | |
|---|---|---|---|
Sharpe ratioReturn per unit of total volatility | 0.30 | -0.16 | +0.46 |
Sortino ratioReturn per unit of downside risk | 0.53 | -0.06 | +0.60 |
Omega ratioGain probability vs. loss probability | 1.07 | 0.99 | +0.07 |
Calmar ratioReturn relative to maximum drawdown | 0.32 | -0.24 | +0.56 |
Martin ratioReturn relative to average drawdown | 0.68 | -0.69 | +1.37 |
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month. | |||
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Sharpe Ratios by Period
| IYH | XHE | Difference | |
|---|---|---|---|
Sharpe Ratio (1Y)Calculated over the trailing 1-year period | 0.30 | -0.16 | +0.46 |
Sharpe Ratio (5Y)Calculated over the trailing 5-year period | 0.38 | -0.33 | +0.71 |
Sharpe Ratio (10Y)Calculated over the trailing 10-year period | 0.57 | 0.29 | +0.28 |
Sharpe Ratio (All Time)Calculated using the full available price history | 0.43 | 0.41 | +0.02 |
Correlation
The correlation between IYH and XHE is 0.71, 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
IYH vs. XHE - Dividend Comparison
IYH's dividend yield for the trailing twelve months is around 1.30%, more than XHE's 0.09% yield.
| TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
IYH iShares U.S. Healthcare ETF | 1.30% | 1.19% | 1.25% | 1.18% | 1.10% | 0.94% | 1.16% | 1.14% | 1.95% | 1.10% | 1.29% | 2.02% |
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
IYH vs. XHE - Drawdown Comparison
The maximum IYH drawdown since its inception was -43.12%, smaller than the maximum XHE drawdown of -49.92%. Use the drawdown chart below to compare losses from any high point for IYH and XHE.
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Drawdown Indicators
| IYH | XHE | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -43.12% | -49.92% | +6.80% |
Max Drawdown (1Y)Largest decline over 1 year | -10.52% | -18.29% | +7.77% |
Max Drawdown (5Y)Largest decline over 5 years | -17.91% | -49.92% | +32.01% |
Max Drawdown (10Y)Largest decline over 10 years | -28.40% | -49.92% | +21.52% |
Current DrawdownCurrent decline from peak | -7.45% | -40.94% | +33.49% |
Average DrawdownAverage peak-to-trough decline | -8.97% | -12.97% | +4.00% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 4.95% | 6.24% | -1.29% |
Volatility
IYH vs. XHE - Volatility Comparison
The current volatility for iShares U.S. Healthcare ETF (IYH) is 4.91%, while SPDR S&P Health Care Equipment ETF (XHE) has a volatility of 7.01%. This indicates that IYH 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.
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Volatility by Period
| IYH | XHE | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 4.91% | 7.01% | -2.10% |
Volatility (6M)Calculated over the trailing 6-month period | 10.32% | 14.84% | -4.52% |
Volatility (1Y)Calculated over the trailing 1-year period | 17.95% | 23.86% | -5.91% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 14.79% | 24.25% | -9.46% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 16.70% | 22.81% | -6.11% |