XLV vs IYH: Holdings Overlap
XLVState Street® Health Care Select Sector SPDR® ETF
State Street (SPDR) · 61 holdings · $41.9B · as of 2026-08-06
IYHiShares U.S. Healthcare ETF
iShares · 103 holdings · $3.7B · as of 2026-04-30
Holdings snapshots are 98 days apart (XLV: 2026-08-06, IYH: 2026-04-30). 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 XLV and IYH?
State Street® Health Care Select Sector SPDR® ETF (XLV, by State Street (SPDR)) holds 61 positions; iShares U.S. Healthcare ETF (IYH, by iShares) holds 103. 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
- 56XLV holds 61 · IYH holds 103
- Weight in Shared Holdings
- XLV 94%·IYH 92%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 XLV
5 of 61 positions (5.4% of the fund) are not held by IYH.
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 | XLV | IYH |
|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|
| XLV | +0.8% | +7.9% | +30.7% | +9.2% | +6.2% | +10.0% | 1.53% |
| IYH | +0.6% | +8.1% | +30.4% | +8.9% | +5.3% | +9.8% | 1.14% |
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 XLV vs IYH →
Shared Holdings(56)
The top 10 shared positions account for 64% of the overlap, led by LLY, JNJ and ABBV.
 LLYEli Lilly & Co. COM | 15.88% | 13.72% | 13.72% |
|---|---|---|---|
 JNJJohnson & Johnson COM | 10.42% | 10.14% | 10.14% |
 ABBVAbbVie Inc. COM | 7.26% | 6.86% | 6.86% |
 UNHUnitedHealth Group Inc. COM | 6.18% | 6.18% | 6.18% |
 MRKMerck & Co., Inc COM | 5.34% | 4.97% | 4.97% |
 AMGNAmgen Inc. COM | 3.68% | 3.41% | 3.41% |
 TMOThermo Fisher Scientific Inc COM | 3.63% | 3.32% | 3.32% |
 ABTAbbott Laboratories COM | 3.17% | 2.88% | 2.88% |
 GILDGilead Sciences Inc. COM | 2.74% | 2.99% | 2.74% |
 PFEPfizer Inc. COM | 2.52% | 2.78% | 2.52% |
 ISRGIntuitive Surgical Inc. COM NEW | 2.23% | 2.96% | 2.23% |
 BMYBristol-Myers Squibb Company COM | 2.21% | 2.26% | 2.21% |
 DHRDanaher Corporation COM | 2.12% | 2.07% | 2.07% |
 VRTXVertex Pharmaceuticals Incorporated COM | 2.07% | 1.99% | 1.99% |
 SYKStryker Corporation COM | 1.96% | 1.99% | 1.96% |
 MDTMedtronic PLC USD0.0001 | 1.86% | 1.90% | 1.86% |
 ELVElevance Health Inc. COM | 1.43% | 1.53% | 1.43% |
 REGNRegeneron Pharmaceuticals, Inc. COM | 1.30% | 1.32% | 1.30% |
 BSXBoston Scientific Corporation COM | 1.23% | 1.56% | 1.23% |
 CIThe Cigna Group COM | 1.23% | 1.40% | 1.23% |
 HCAHCA Healthcare Inc COM | 1.07% | 1.29% | 1.07% |
 EWEdwards Lifesciences Corporation COM | 0.87% | 0.88% | 0.87% |
 CAHCardinal Health, Inc. COM | 0.94% | 0.84% | 0.84% |
 IDXXIDEXX Laboratories Inc. COM | 0.78% | 0.82% | 0.78% |
 BDXBecton, Dickinson and Company COM | 0.82% | 0.78% | 0.78% |
Frequently Asked Questions
How much do XLV and IYH overlap?
XLV and IYH overlap by 88.8% of portfolio weight. They share 56 holdings (XLV holds 61 positions and IYH holds 103), based on each fund's latest SEC-reported holdings.
Is it redundant to own both XLV and IYH?
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 XLV and IYH?
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 XLV own that IYH doesn't?
5 positions (5.4% of XLV) are unique to XLV, led by CVS, MCK and COR. In the other direction, 47 positions (8.3% of IYH) are unique to IYH.