IYH vs XLV: Holdings Overlap
IYHiShares U.S. Healthcare ETF
iShares · 103 holdings · $3.7B · as of 2026-04-30
XLVState Street® Health Care Select Sector SPDR® ETF
State Street (SPDR) · 61 holdings · $41.9B · as of 2026-08-06
Holdings snapshots are 98 days apart (IYH: 2026-04-30, XLV: 2026-08-06). Weights and index membership change between snapshots, so the true current overlap is typically higher than shown. For funds tracking the same index, the gap can be 5–15 points.
How similar are IYH and XLV?
iShares U.S. Healthcare ETF (IYH, by iShares) holds 103 positions; State Street® Health Care Select Sector SPDR® ETF (XLV, by State Street (SPDR)) holds 61. They have 56 holdings in common, and by portfolio weight the two funds are 88.8% identical. In practical terms the pair is essentially interchangeable, so holding both adds little diversification.
- Overlap by Weight
- 88.8%Sum of the smaller weight of each shared holding
- Shared Holdings
- 56IYH holds 103 · XLV holds 61
- Weight in Shared Holdings
- IYH 92%·XLV 94%Share of each fund's weight in stocks both funds own
Based on each fund's latest official holdings. How is this calculated?
What makes each fund different
Only in IYH
47 of 103 positions (8.3% of the fund) are not held by XLV. Showing the top 30 by weight.
Sector Breakdown
| Sector | IYH | XLV |
|---|---|---|
| Health Care | 99.8% | 99.8% |
| Other Sectors | 0.0% | 0.0% |
Share of each fund's portfolio weight by GICS-style sector, compiled from issuer fund data and our own classification of the holdings, not the issuers' published sector charts.
Performance
| Fund | 1M | YTD | 1Y | 3Y (ann.) | 5Y (ann.) | 10Y (ann.) | Yield |
|---|---|---|---|---|---|---|---|
| IYH | +0.6% | +8.1% | +30.4% | +8.9% | +5.3% | +9.8% | 1.14% |
| XLV | +0.8% | +7.9% | +30.7% | +9.2% | +6.2% | +10.0% | 1.53% |
Total returns including dividends, from adjusted daily closes as of 2026-08-07. 3Y/5Y/10Y are annualized. Yield is trailing-12-month distributions over the last close. Past performance does not predict future results.
Project the growth of $10,000 in IYH vs XLV →
Shared Holdings(56)
The top 10 shared positions account for 64% of the overlap, led by LLY, JNJ and ABBV.
 LLYEli Lilly & Co. COM | 13.72% | 15.88% | 13.72% |
|---|---|---|---|
 JNJJohnson & Johnson COM | 10.14% | 10.42% | 10.14% |
 ABBVAbbVie Inc. COM | 6.86% | 7.26% | 6.86% |
 UNHUnitedHealth Group Inc. COM | 6.18% | 6.18% | 6.18% |
 MRKMerck & Co., Inc COM | 4.97% | 5.34% | 4.97% |
 AMGNAmgen Inc. COM | 3.41% | 3.68% | 3.41% |
 TMOThermo Fisher Scientific Inc COM | 3.32% | 3.63% | 3.32% |
 ABTAbbott Laboratories COM | 2.88% | 3.17% | 2.88% |
 GILDGilead Sciences Inc. COM | 2.99% | 2.74% | 2.74% |
 PFEPfizer Inc. COM | 2.78% | 2.52% | 2.52% |
 ISRGIntuitive Surgical Inc. COM NEW | 2.96% | 2.23% | 2.23% |
 BMYBristol-Myers Squibb Company COM | 2.26% | 2.21% | 2.21% |
 DHRDanaher Corporation COM | 2.07% | 2.12% | 2.07% |
 VRTXVertex Pharmaceuticals Incorporated COM | 1.99% | 2.07% | 1.99% |
 SYKStryker Corporation COM | 1.99% | 1.96% | 1.96% |
 MDTMedtronic PLC USD0.0001 | 1.90% | 1.86% | 1.86% |
 ELVElevance Health Inc. COM | 1.53% | 1.43% | 1.43% |
 REGNRegeneron Pharmaceuticals, Inc. COM | 1.32% | 1.30% | 1.30% |
 BSXBoston Scientific Corporation COM | 1.56% | 1.23% | 1.23% |
 CIThe Cigna Group COM | 1.40% | 1.23% | 1.23% |
 HCAHCA Healthcare Inc COM | 1.29% | 1.07% | 1.07% |
 EWEdwards Lifesciences Corporation COM | 0.88% | 0.87% | 0.87% |
 CAHCardinal Health, Inc. COM | 0.84% | 0.94% | 0.84% |
 IDXXIDEXX Laboratories Inc. COM | 0.82% | 0.78% | 0.78% |
 BDXBecton, Dickinson and Company COM | 0.78% | 0.82% | 0.78% |
Frequently Asked Questions
How much do IYH and XLV overlap?
IYH and XLV overlap by 88.8% of portfolio weight. They share 56 holdings (IYH holds 103 positions and XLV holds 61), based on each fund's latest SEC-reported holdings.
Is it redundant to own both IYH and XLV?
The two portfolios are 88.8% identical by weight. Owning both is largely redundant: they are close to the same portfolio, so a second position mostly duplicates the first.
What are the biggest shared holdings of IYH and XLV?
The largest positions held by both funds are LLY, JNJ, ABBV, UNH and MRK. Together the top 10 shared positions account for 64% of the total overlap.
What does IYH own that XLV doesn't?
47 positions (8.3% of IYH) are unique to IYH, led by ALNY, INSM and NTRA. In the other direction, 5 positions (5.4% of XLV) are unique to XLV.