XLV vs VHT
YTDPast year+29.7%+28.1%
Fee0.08%0.09%
Assets$48.5B$21.8B
3–0XLV wins
End-of-day Nov 4, 2026 · the two largest by assets
Asset-weighted+21.1%Big funds count more
Past year+29.0%Average fund, 1Y
Today+0.6%Average fund, Nov 4
Assets$111B39 funds
Best · Worst+70.9%ARKG · IHI −8.9%
Health care vs All Sectors
YTDHealth careAll Sectors
Past year+29.7%+17.7%
Today+0.0%+0.3%
Assets$111B$1.04T
End-of-day Nov 4, 2026 · asset-weighted
Health Care ETFs
YTD39 funds| # | Trend | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | ARKG | ARK Genomic Revolution ETFReadDesk | ARK | 0.75% | 0.0% | $49.51 | +2.5% | +70.9% | +59.0% | $2.2B | |
| 2 | IDNA | iShares Genomics Immunology and Healthcare ETFReadDesk | iShares | 0.47% | 0.7% | $42.47 | +1.8% | +62.8% | +69.2% | $327M | |
| 3 | BBH | VanEck Biotech ETFReadDesk | VanEck | 0.35% | 0.4% | $255.57 | +0.4% | +35.0% | +41.8% | $525M | |
| 4 | FTXH | First Trust Nasdaq Pharmaceuticals ETFReadDesk | First Trust | 0.60% | 0.7% | $43.87 | 0.0% | +33.8% | +46.6% | $1.2B | |
| 5 | XHS | State Street SPDR S&P Health Care Services ETFReadDesk | SPDR | 0.35% | 0.2% | $141.87 | +0.3% | +32.9% | +38.4% | $234M | |
| 6 | BBP | Virtus Biotech ETFReadDesk | Virtus | 0.34% | 0.0% | $103.52 | +1.5% | +29.5% | +38.7% | $135M | |
| 7 | XBI | State Street SPDR S&P Biotech ETFReadDesk | SPDR | 0.35% | 0.4% | $154.97 | +1.9% | +27.2% | +38.1% | $10.8B | |
| 8 | IHE | iShares U.S. Pharmaceuticals ETFReadDesk | iShares | 0.37% | 1.3% | $106.72 | −0.2% | +26.9% | +42.7% | $1.6B | |
| 9 | PSCH | Invesco S&P SmallCap Health Care ETFReadDesk | Invesco | 0.29% | 0.0% | $55.47 | +0.3% | +25.9% | +31.0% | $179M | |
| 10 | IHF | iShares U.S. Healthcare Providers ETFReadDesk | iShares | 0.37% | 0.9% | $59.41 | +0.7% | +24.7% | +24.0% | $1.5B | |
| 11 | PJP | Invesco Pharmaceuticals ETFReadDesk | Invesco | 0.58% | 0.9% | $129.11 | −0.3% | +24.5% | +34.6% | $579M | |
| 12 | PBPH | Portfolio Building Block World Pharma and Biotech Index ETFReadDesk | Portfolio Building Block ETFs | 0.13% | 0.1% | $30.93 | −0.7% | +22.5% | new | $1.2B | |
| 13 | HELX | Franklin Genomic Advancements ETFReadDesk | Franklin Templeton | 0.50% | 0.3% | $44.45 | +2.0% | +22.4% | +26.6% | $36M | |
| 14 | FXH | First Trust Health Care AlphaDEX FundReadDesk | First Trust | 0.61% | 0.5% | $137.97 | +0.2% | +21.8% | +24.6% | $1.2B | |
| 15 | XLV | State Street Health Care Select Sector SPDR ETFReadDesk | SPDR | 0.08% | 1.4% | $184.02 | −0.3% | +20.4% | +29.7% | $48.5B | |
| 16 | IYH | iShares U.S. Healthcare ETFReadDesk | iShares | 0.37% | 1.0% | $77.30 | −0.4% | +19.8% | +28.6% | $4.7B | |
| 17 | FHLC | Fidelity MSCI Health Care Index ETFReadDesk | Fidelity | 0.08% | 1.2% | $88.06 | −0.2% | +19.7% | +28.2% | $3.5B | |
| 18 | VHT | Vanguard Health Care ETFReadDesk | Vanguard | 0.09% | 1.4% | $340.80 | −0.1% | +19.6% | +28.1% | $21.8B | |
| 19 | PTH | Invesco Dorsey Wright Healthcare Momentum ETFReadDesk | Invesco | 0.74% | 2.6% | $58.91 | +1.9% | +18.5% | +24.8% | $285M | |
| 20 | PPH | VanEck Pharmaceutical ETFReadDesk | VanEck | 0.36% | 1.8% | $118.60 | −0.5% | +17.0% | +30.8% | $1.1B |
1–20 of 39 · sorted by YTDPage 1 of 2
End-of-day Nov 4, 2026 · total return, dividends in
Health Care ETFs by Size
AssetsXLV
+20.4%
$48.5B
VHT
+19.6%
$21.8B
XBI
+27.2%
$10.8B
IYH
+19.8%
$4.7B
IXJ
+16.0%
$4.6B
IHI
−8.9%
$3.7B
FHLC
+19.7%
$3.5B
ARKG
+70.9%
$2.2B
IHE
+26.9%
$1.6B
IHF
+24.7%
$1.5B
PBPH
+22.5%
FTXH
+33.8%
FXH
+21.8%
PPH
+17.0%
End-of-day Nov 4, 2026 · tile = assets · tint = YTD return · largest 40
Health Care ETFs Heat Map
YTDARKG+70.9%$2.2BIDNA+62.8%$327MBBH+35.0%$525MFTXH+33.8%$1.2BXHS+32.9%$234MBBP+29.5%$135MXBI+27.2%$10.8BIHE+26.9%$1.6BPSCH+25.9%$179MIHF+24.7%$1.5BPJP+24.5%$579MPBPH+22.5%$1.2BHELX+22.4%$36MFXH+21.8%$1.2BXLV+20.4%$48.5BIYH+19.8%$4.7BFHLC+19.7%$3.5BVHT+19.6%$21.8BPTH+18.5%$285MPPH+17.0%$1.1BTMED+16.2%$34MIXJ+16.0%$4.6BXPH+15.1%$454MMEDX+13.9%$18MJDOC+13.3%$10MMEDI+11.5%$45MBBC+11.0%$34MPINK+10.4%$345MSBIO+6.1%$184MMDEV+5.3%$3MXHE+4.8%$157MIBRN+3.0%$6MIHI−8.9%$3.7BTDNAnew$11MMHIPnew$2MBIOYnew$2MGNMXnew$1MMHIGnew$1MTRUHnew$645K
End-of-day Nov 4, 2026 · best first · largest 60 shown by return
Health Care ETFs This Year
YTDEnd-of-day Nov 4, 2026 · the six largest funds · from Jan 1
Health care Cards
Health Care ETFs
YTD+21.1%39 funds · $111.2B
3rd of 10 sectors
3rd of 10 sectors
sector +21.1%
XLV, largest$48.5B · past year +29.7%
End-of-day Nov 4, 2026
Top 8 Health care ETFs
YTDAverage fund+21.0%
By assets+21.1%
Past year+29.0%
Today+0.6%
ETFs39
#TickerFundTrendTodayYTD ▼1YAssets
End-of-day Nov 4, 2026 · 39 funds ranked by YTD