Largest · Industry · ranked by net assets

The largest Broad Healthcare ETFs

There are 20 US-listed broad healthcare ETFs, with $76.44B in combined net assets.

The largest is Health Care Select Sector SPDR Fund (XLV) at $40.60B, followed by VHT at $22.04B.

Expense ratios run from 0.08% to 0.95% a year (median 0.6%).

The 10 largest

The largest Broad Healthcare ETFs
# Fund 30 daysNet assetsCostYieldYTD1 yr3 yr5 yr
1 XLV Health Care Select Sector SPDR Fund $40.60B0.08%1.38%+20.9%+30.2%+16.2%+8.4%
2 VHT Vanguard Health Care ETF $22.04B†0.09%1.35%+20.1%+28.9%+16.9%+7.3%
3 IXJ iShares Global Healthcare ETF $3.84B0.38%1.33%+13.2%+19.5%+13.4%+6.4%
4 IYH iShares U.S. Healthcare ETF $3.56B0.37%1.05%+16.9%+23.8%+15.0%+7.1%
5 FHLC Fidelity MSCI Health Care Index ETF $3.29B0.08%1.17%+17.0%+23.8%+16.0%+7.2%
6 FXH First Trust Health Care AlphaDEX Fund $1.05B0.61%0.55%+19.2%+19.7%+15.1%+3.1%
7 RSPH Invesco S&P 500 Equal Weight Health Care ETF $766.9M0.4%0.56%+24.2%+28.4%+16.6%—
8 PINK Simplify Health Care ETF $358.6M0.51%0.75%+9.8%+21.1%+20.0%+9.8%
9 PTH Invesco Dorsey Wright Healthcare Momentum ETF $235.2M0.6%2.54%+21.2%+31.0%+28.6%+3.1%
10 PSCH Invesco S&P SmallCap Health Care ETF $183.9M0.29%0%+24.3%+28.0%+16.4%-1.1%

Returns are total returns with distributions reinvested (3 and 5 years annualized), as of Oct 30, 2026.

How the top 5 compare

    Growth of each fund’s value from the start of the range, distributions reinvested. The dashed gray line is the S&P 500 (SPY).

    All 20 Broad Healthcare ETFs

    Largest first. Click a heading to sort.

    All Broad Healthcare ETFs
    Fund IssuerNet assetsCostYieldYTD1 yr5 yr
    XLV Health Care Select Sector SPDR Fund SPDR (State Street)$40.60B0.08%1.38%+20.9%+30.2%+8.4%
    VHT Vanguard Health Care ETF Vanguard$22.04B†0.09%1.35%+20.1%+28.9%+7.3%
    IXJ iShares Global Healthcare ETF iShares$3.84B0.38%1.33%+13.2%+19.5%+6.4%
    IYH iShares U.S. Healthcare ETF iShares$3.56B0.37%1.05%+16.9%+23.8%+7.1%
    FHLC Fidelity MSCI Health Care Index ETF Fidelity$3.29B0.08%1.17%+17.0%+23.8%+7.2%
    FXH First Trust Health Care AlphaDEX Fund First Trust$1.05B0.61%0.55%+19.2%+19.7%+3.1%
    RSPH Invesco S&P 500 Equal Weight Health Care ETF Invesco$766.9M0.4%0.56%+24.2%+28.4%—
    PINK Simplify Health Care ETF Simplify$358.6M0.51%0.75%+9.8%+21.1%+9.8%
    PTH Invesco Dorsey Wright Healthcare Momentum ETF Invesco$235.2M0.6%2.54%+21.2%+31.0%+3.1%
    PSCH Invesco S&P SmallCap Health Care ETF Invesco$183.9M0.29%0%+24.3%+28.0%-1.1%
    CURE Direxion Daily Healthcare Bull 3x Shares Leveraged Direxion$171.7M0.94%0.83%+38.6%+61.4%+6.7%
    RXL ProShares Ultra Health Care Leveraged ProShares$95.6M0.95%0.96%+28.4%+42.7%+6.6%
    KURE KraneShares MSCI All China Health Care Index ETF KraneShares$71.2M0.65%4.02%+3.7%-5.7%-9.4%
    HTEC ROBO Global Healthcare Technology and Innovation … Exchange Traded Concepts$69.1M0.68%0.77%+28.0%+36.8%-0.2%
    MEDI Harbor Health Care ETF Harbor$41.2M0.8%0.47%+7.8%+12.6%—
    GDOC Future Health Care Equity ETF Goldman Sachs$19.6M0.75%0.29%+6.7%+9.7%—
    MEDX Horizon Kinetics Medical ETF Horizon Kinetics Holding Corp.$19.1M0.85%1.11%+11.1%+19.1%—
    JDOC JPMorgan Healthcare Leaders ETF JPMorgan$9.1M0.65%0.8%+10.4%+15.7%—
    IBRN iShares Neuroscience and Healthcare ETF iShares$5.5M0.47%0.99%-0.2%+7.9%—
    RXD ProShares UltraShort Health Care Inverse ProShares$2.9M0.95%2.74%-26.2%-34.6%-12.0%

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