Health Care ETFs
29 US-listed ETFs in the Health Care category, from 17 issuers, with $84.3B in assets. The largest is State Street Health Care Select Sector SPDR ETF (XLV) at $43.5B. The cheapest with at least $50M in assets is XLV at 0.08%. The median fund charges 0.42%.
Funds
29
17 issuers
Assets
$84.3B
Median fee
0.42%
0.08% to 0.85%
Median 1-year return
+18.2%
price return
Net flows, May 2026
−$342M
from SEC filings
Best 1-year return
+40.7%
FTXH, $50M+ in assets
Net flows by month
through Jul 2026SEC filingsNet creations across these funds as reported in SEC filings. The most recent months only include funds that have filed for them; funds whose filing covers other share classes are left out.
View as a table
| Month | Creations | Redemptions | Net flow | Funds reporting |
|---|---|---|---|---|
| Jul 2026 | $838M | $196M | +$642M | 8 partial |
| Jun 2026 | $5.4B | $5.2B | +$276M | 23 partial |
| May 2026 | $4.0B | $4.3B | −$342M | 28 |
| Apr 2026 | $2.7B | $3.6B | −$922M | 28 |
| Mar 2026 | $2.5B | $3.9B | −$1.4B | 25 |
| Feb 2026 | $3.1B | $3.0B | +$54M | 25 |
| Jan 2026 | $3.9B | $2.5B | +$1.4B | 25 |
| Dec 2025 | $3.0B | $3.0B | −$45M | 25 |
| Nov 2025 | $4.1B | $2.7B | +$1.4B | 25 |
| Oct 2025 | $3.9B | $1.8B | +$2.1B | 25 |
| Sep 2025 | $2.0B | $2.5B | −$464M | 25 |
| Aug 2025 | $2.4B | $2.6B | −$155M | 25 |
| Jul 2025 | $2.1B | $3.1B | −$927M | 25 |
| Jun 2025 | $1.8B | $2.6B | −$767M | 25 |
| May 2025 | $3.3B | $3.5B | −$164M | 25 |
| Apr 2025 | $2.6B | $3.2B | −$668M | 25 |
| Mar 2025 | $3.6B | $3.6B | −$47M | 24 |
| Feb 2025 | $3.4B | $3.7B | −$277M | 24 |
| Jan 2025 | $3.2B | $3.2B | −$22M | 24 |
| Dec 2024 | $2.2B | $2.8B | −$686M | 24 |
| Nov 2024 | $2.1B | $2.7B | −$601M | 24 |
| Oct 2024 | $2.3B | $2.7B | −$465M | 24 |
| Sep 2024 | $3.2B | $3.0B | +$205M | 24 |
| Aug 2024 | $2.2B | $2.4B | −$170M | 24 |
| Jul 2024 | $2.8B | $2.5B | +$356M | 24 |
| Jun 2024 | $2.4B | $2.3B | +$54M | 24 |
| May 2024 | $3.4B | $4.0B | −$624M | 24 |
| Apr 2024 | $2.0B | $3.6B | −$1.6B | 24 |
| Mar 2024 | $3.2B | $3.4B | −$251M | 24 |
| Feb 2024 | $2.3B | $2.2B | +$104M | 24 |
| Jan 2024 | $3.2B | $2.8B | +$367M | 24 |
| Dec 2023 | $2.9B | $3.9B | −$928M | 24 |
| Nov 2023 | $2.8B | $3.7B | −$892M | 24 |
| Oct 2023 | $1.7B | $2.7B | −$953M | 23 |
| Sep 2023 | $2.9B | $4.1B | −$1.2B | 23 |
| Aug 2023 | $4.5B | $4.1B | +$460M | 22 |
All Health Care ETFs
| # | Fund | Issuer | Fee | Assets | YTD | 1Y | Yield | 3M flow | Score | Holdings as of |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | XLVState Street Health Care Select Sector SPDR ETF | State Street SPDR | 0.08% | $43.5B | +10.3% | +18.2% | 1.49% | −$1.1B | 87 | Oct 8, 2026 issuer |
| 2 | VHTVanguard Health Care ETF | Vanguard | 0.09% | $19.3B | +10.8% | +18.4% | 1.45% | −$195M | 84 | May 31, 2026 SEC |
| 3 | IXJiShares Global Healthcare ETF | iShares | 0.38% | $4.4B | +5.9% | +11.6% | 1.40% | +$41M | 67 | Oct 8, 2026 issuer |
| 4 | IYHiShares U.S. Healthcare ETF | iShares | 0.37% | $4.2B | +10.8% | +18.2% | 1.11% | +$432M | 70 | Oct 8, 2026 issuer |
| 5 | FHLCFidelity MSCI Health Care Index ETF | Fidelity | 0.08% | $3.5B | +11.0% | +18.9% | 1.24% | +$89M | 83 | Apr 30, 2026 SEC |
| 6 | IHEiShares U.S. Pharmaceuticals ETF | iShares | 0.37% | $1.6B | +18.0% | +33.1% | 1.43% | +$8.2M | 58 | Oct 8, 2026 issuer |
| 7 | IHFiShares U.S. Healthcare Providers ETF | iShares | 0.37% | $1.4B | +18.4% | +10.8% | 0.96% | +$296M | 62 | Oct 8, 2026 issuer |
| 8 | FXHFirst Trust Health Care AlphaDEX Fund | First Trust | 0.61% | $1.1B | +14.3% | +15.1% | 0.56% | +$62M | 54 | Apr 30, 2026 SEC |
| 9 | FTXHFirst Trust Nasdaq Pharmaceuticals ETF | First Trust | 0.60% | $1.1B | +25.3% | +40.7% | 0.70% | +$3.3M | 51 | Jun 30, 2026 SEC |
| 10 | PPHVanEck Pharmaceutical ETF | VanEck | 0.36% | $1.0B | +7.1% | +18.3% | 1.94% | −$449M | 62 | Oct 8, 2026 issuer |
| 11 | RSPHInvesco S&P 500 Equal Weight Health Care ETF | Invesco | 0.40% | $887M | +18.0% | +24.3% | 0.59% | −$12M | 63 | Oct 8, 2026 issuer |
| 12 | PJPInvesco Pharmaceuticals ETF | Invesco | 0.57% | $555M | +17.5% | +29.5% | 0.92% | +$86M | 49 | Oct 8, 2026 issuer |
| 13 | XPHState Street SPDR S&P Pharmaceuticals ETF | State Street SPDR | 0.35% | $462M | +15.4% | +33.5% | 0.42% | +$47M | 70 | Oct 8, 2026 issuer |
| 14 | PTHInvesco Exchange-Traded Fund Trust Invesco Dorsey Wright Healthcare Momentum ETF | Invesco | 0.60% | $355M | +18.2% | +29.8% | 2.60% | +$100M | 46 | Apr 30, 2026 SEC |
| 15 | PINKSimplify Health Care ETFActive | Simplify | 0.51% | $348M | +5.3% | +17.3% | 0.78% | +$81M | 47 | Jun 30, 2026 SEC |
| 16 | XHSState Street SPDR S&P Health Care Services ETF | State Street SPDR | 0.35% | $204M | +27.3% | +32.2% | 0.16% | +$29M | 63 | Oct 8, 2026 issuer |
| 17 | PSCHInvesco S&P SmallCap Health Care ETF | Invesco | 0.29% | $179M | +18.8% | +22.8% | 0.00% | −$13M | 58 | Oct 8, 2026 issuer |
| 18 | XHEState Street SPDR S&P Health Care Equipment ETF | State Street SPDR | 0.35% | $174M | +1.4% | +11.2% | 0.02% | +$5.9M | 62 | Oct 8, 2026 issuer |
| 19 | HRTSTema ETF Trust Tema Heart & Health ETFActive | Tema | 0.75% | $54M | +2.6% | +11.2% | 1.31% | −$698K | 19 | May 31, 2026 SEC |
| 20 | SPXVProShares S&P 500 Ex-Health Care ETF | ProShares | 0.09% | $42M | +14.4% | +15.4% | 0.89% | $0 | 49 | Oct 9, 2026 issuer |
| 21 | MEDIHarbor Health Care ETFActive | Harbor | 0.80% | $41M | +3.2% | +9.1% | 0.23% | +$11M | 14 | Apr 30, 2026 SEC |
| 22 | HEALGlobal X Funds Global X HealthTech ETF | Global X | 0.50% | $31M | +1.6% | −11.5% | 0.24% | −$8.4M | 29 | Oct 9, 2026 issuer |
| 23 | TMEDT. Rowe Price Health Care ETFActive | T. Rowe Price | 0.44% | $23M | +13.8% | +19.8% | 0.48% | +$819K | 28 | Jun 30, 2026 SEC |
| 24 | GDOCGoldman Sachs Future Health Care Equity ETFActive | Goldman Sachs | 0.75% | $18M | +2.8% | +9.3% | 0.31% | −$1.6M | 14 | May 31, 2026 SEC |
| 25 | MEDXHorizon Kinetics Medical ETFActive | Horizon Kinetics | 0.85% | $17M | +6.3% | +11.6% | 1.16% | −$862K | 9 | Jun 30, 2026 SEC |
| 26 | JDOCJPMorgan Healthcare Leaders ETFActive | JPMorgan | 0.65% | $9.1M | +4.7% | +11.7% | 0.85% | −$2.8M | 17 | Apr 30, 2026 SEC |
| 27 | MHIPMilliman Healthcare Inflation Plus ETF | Milliman | 0.55% | $994K | — | — | — | +$1.0M | 17 | Jun 30, 2026 SEC |
| 28 | MHIGMilliman Healthcare Inflation Guard ETF | Milliman | 0.55% | $988K | — | — | — | +$1.0M | 12 | Jun 30, 2026 SEC |
| 29 | TRUHVanEck Healthcare TruSector ETF | VanEck | — | $833K | — | — | 0.72% | +$784K | 12 | Jun 30, 2026 SEC |
Sorted by assets; click a column to re-sort. 3M flow is each fund's latest three reported months. Returns are price returns and exclude distributions.
Other Sector categories
Technology46Financials33Real Estate46Energy34Industrials24Utilities11Communication Services9Consumer Discretionary15Consumer Staples12Materials10
Fund data comes from each fund's SEC filings and issuer disclosures and is shown with the date it is as of. SEC portfolio and flow filings become public about 60 days after the period they cover. Nothing here is investment advice; see Terms.