Data as of Oct 28, 2026.

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IHF vs IXJ: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IHF returned +17.6% to IXJ's +20.8%; 11% of their weight is in the same names.

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Net assets on Oct 27, 2026: $1.4bn for iShares U.S. Healthcare Providers ETF and $4.5bn for iShares Global Healthcare ETF.

At a glance
+17.6%
IHF total return, 1 year
+20.8%
IXJ total return, 1 year
0.37%
IHF expense ratio
0.38%
IXJ expense ratio

Pair scorecard

IHF costs 0.01 points a year less; their one-year returns differ by 3.2 points; IXJ is 3.2 times larger.

IHF vs IXJ: Differences, Returns & Fees
MeasureIHFIXJ
Return
Total return, 1 year+17.6%+20.8%
Benchmark
What it tracksDow Jones U.S. Select Health Care Providers IndexS&P Global 1200 Health Care Index
Cost and size
Expense ratio0.37%0.38%
Net assets, as of Oct 27, 2026$1.4bn$4.5bn
Holdings
Holdings in common11%
Top ten holdings, share of the fund73.7%47.5%

Holdings in common uses holdings dated Oct 27, 2026. Method

Risk and return

May 12, 2006 to Oct 23, 2026 · 1,067 weekly returns
IHF IXJ
Return
Total return edge IHF +615.3% +488.5%
Annualized edge IHF +10.1% +9.0%
Price return edge IHF +517.6% +312.9%
Risk
Volatility edge IXJ 22.1% 16.4%
Max drawdown edge IXJ −56.9% −39.7%
Risk-adjusted
Sharpe edge IXJ (slight) 0.47 0.51
Sortino edge IXJ (slight) 0.66 0.71
Calmar edge IXJ 0.18 0.23
Reading

IHF returned more: +615.3% to +488.5%. IXJ swung less: 16.4% to 22.1%. IXJ fell less at its worst: −39.7% to −56.9%.

Full scorecard

9 measures, with how each is measured
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Risk and return: IHF vs IXJ: Differences, Returns & Fees
MeasureIHFIXJEdgeHow it is measured
Return
Total return+615.3%+488.5%IHFPrice change plus distributions, reinvested.
Annualized+10.1%+9.0%IHFTotal return as a yearly rate.
Price return+517.6%+312.9%IHFPrice change alone, distributions left out.
Risk
Volatility22.1%16.4%IXJSpread of weekly returns, annualized. Lower is steadier.
Downside deviation15.8%11.8%IXJLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−56.9%−39.7%IXJDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.470.51IXJ (slight)Return above Treasury bills per unit of volatility.
Sortino0.660.71IXJ (slight)Return above Treasury bills per unit of downside deviation.
Calmar0.180.23IXJAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,067 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

11%

By the books each fund has filed, IHF and IXJ hold 11% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

11% in common

Positions both hold · largest shared weight first IHF IXJ
UNITEDHEALTH GROUP 22.48% 4.28%
CVS HEALTH 12.07% 1.36%
ELEVANCE HEALTH INC 9.45% 1.06%
CIGNA 4.62% 0.92%
HCA HEALTHCARE 4.59% 0.77%
HUMANA 4.47% 0.58%
VEEVA SYSTEMS CLASS A 5.18% 0.54%
CENTENE CORP 4.21% 0.40%
LABCORP HOLDINGS 3.33% 0.31%
QUEST DIAGNOSTICS INC 3.32% 0.31%
UNIVERSAL HEALTH SERVICES CLASS B 1.14% 0.11%
DAVITA INC 0.76% 0.07%
Only in one fund ↓
Only in IHF
GUARDANT HEALTH 2.96%
TENET HEALTHCARE CORP 2.62%
ENCOMPASS HEALTH 1.49%
MOLINA HEALTHCARE INC 1.29%
BRIGHTSPRING HEALTH SERVICES INC 1.23%
ENSIGN GROUP 1.21%
HEALTHEQUITY 1.05%
HINGE HEALTH CLASS A 0.84%
Only in IXJ
ELI LILLY 10.85%
JOHNSON & JOHNSON 6.85%
ABBVIE 5.35%
MERCK & CO INC 4.06%
ROCHE PS PAR AG 3.93%
NOVARTIS AG 3.31%
ASTRAZENECA PLC 3.08%
THERMO FISHER SCIENTIFIC 2.98%
Check overlap with more funds →

Side by side

IHF iShares U.S. Healthcare Providers ETF IXJ iShares Global Healthcare ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index
Total return, 1 year +17.6% +20.8%
Expense ratio 0.37% 0.38%
Already in the S&P 500 74.4% 70.9%
Holdings 62 110
Net assets, as of Oct 27, 2026 $1.4bn $4.5bn

IHF and IXJ on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

Client brief · page 1 of 2 Report BR-C9140810DF

IHF and IXJ are built for the same job. How do they differ in cost, holdings and results?

  1. What each follows. IHF follows Dow Jones U.S. Select Health Care Providers Index and IXJ follows S&P Global 1200 Health Care Index.
  2. Holdings in common. 11% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 IHF returned +17.6% and IXJ +20.8% with distributions reinvested, a gap of 3.2 points.

Data as of Oct 28, 2026.

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About each fund
IHF

IHF tracks an index. Over the year to Oct 28, 2026 it returned +17.6% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 74% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 73.7%.

IXJ

IXJ tracks an index. Over the year to Oct 28, 2026 it returned +20.8% with distributions reinvested. The prospectus expense ratio is 0.38% a year. By its holdings published by its issuer for Oct 27, 2026, 71% of the fund by weight is stocks the S&P 500 also holds, across 110 positions, with the top ten at 47.5%.

Questions people ask

Which returned more over the last year, IHF or IXJ?
In the year to Oct 28, 2026, with distributions reinvested, IHF returned +17.6% and IXJ +20.8%.
Which is cheaper, IHF or IXJ?
IHF is cheaper, by 0.01 percentage points a year. That is about $1 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do IHF and IXJ overlap with the S&P 500?
By their latest filed holdings, 74% of IHF and 71% of IXJ by weight is stocks the S&P 500 already holds.
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ETFIQ, IHF against IXJ, data as of Oct 28, 2026. https://etfiq.com/compare/any/ihf-vs-ixj

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