IXJ

iShares Global Healthcare ETF

iShares · $4.32bn in assets, October 8, 2026

IXJ, the iShares Global Healthcare ETF, is a $4.3 billion ETF whose main story is the biology trade. It holds 3.6% of the money in ETFs carrying that story, 5th of 92. Over the past year it returned +11.8%, against +16.8% for broad US ETFs. Figures to October 2, 2026; past performance, not a recommendation.

IXJ · the ETFFRI OCT 2Market price total return
+7.4% a yearTotal return since launch, November 2001
+11.8%Last 12 months
+4.5%Year to date
16.9%Volatility since launch

The narrative it carries

This is its only narrative.

The biology trade →

Health care from drugmakers and insurers to genomics: the science that gets approved, and who pays for it.

The biology trade · the narrative this week
41.2QUIET level, 20 of 22
last four weeks
92ETFs carry it
73.3%held by the top five
XLVlargest holder, 36.3%
$119 bncapital, 10th of 22

The band is where this narrative’s level sits among the 22 this week. QUIET means less talked about, not falling.

Who owns the capital
XLV 36.3%VHT 15.3%IBB 9.4%XBI 8.7%IXJ 3.6%87 other ETFs 26.7%73.3%top five
#ETFSHAREASSETS1 YEARCOST
1XLV36.3%$43.39bn+18.0%0.08%
2VHT15.3%$18.31bn+18.9%0.09%
3IBB9.4%$11.20bn+37.5%0.44%
4XBI8.7%$10.36bn+51.2%0.35%
5IXJ3.6%$4.32bn+11.8%–
87 other ETFs26.7%
IXJ: 3.6%, 5th of 92

Share is each ETF’s slice of the capital carrying this narrative. 1 year is market price total return; cost is the expense ratio. See all 92 ETFs on the narrative page →

FRI OCT 2MARKET PRICE TOTAL RETURN

1M3MYTD1Y3Y*5Y*
IXJ−4.6%−0.7%+4.5%+11.8%+8.7%+5.2%
The biology tradeits narrative−3.5%+2.1%+13.7%+24.2%+15.2%+6.7%
The marketbroad US ETFs+0.8%+2.6%+14.6%+16.8%+22.9%+12.9%

1M, 3M, 1Y, 3Y, 5Y: one month to five years. YTD: year to date. * A year, annualised. A dash means the ETF has not traded for the whole period. Since it started trading on November 26, 2001: +7.4% a year.

$10,000 invested October 31, 2016

IXJ $24,933The biology trade $30,404The market $42,209
$10,000$20,000$30,000$40,000$50,000Oct 2016Oct 2018Oct 2020Oct 2022Oct 2024$10,000$20,000$30,000$40,000$50,000Oct 2016Oct 2020Oct 2024

Year by year

IXJThe biology tradeThe market
-20%0%20%40%IXJ 2019: +23.2%Narrative 2019: +23.9%The market 2019: +31.3%2019IXJ 2020: +12.7%Narrative 2020: +24.2%The market 2020: +21.4%2020IXJ 2021: +19.6%Narrative 2021: +13.1%The market 2021: +27.1%2021IXJ 2022: -4.9%Narrative 2022: -10.0%The market 2022: -19.8%2022IXJ 2023: +3.6%Narrative 2023: +6.0%The market 2023: +27.9%2023IXJ 2024: +0.6%Narrative 2024: +1.9%The market 2024: +23.1%2024IXJ 2025: +15.0%Narrative 2025: +19.5%The market 2025: +16.8%2025IXJ YTD: +4.5%Narrative YTD: +13.7%The market YTD: +14.6%YTD-20%0%20%40%IXJ 2019: +23.2%Narrative 2019: +23.9%The market 2019: +31.3%2019IXJ 2020: +12.7%Narrative 2020: +24.2%The market 2020: +21.4%2020IXJ 2021: +19.6%Narrative 2021: +13.1%The market 2021: +27.1%2021IXJ 2022: -4.9%Narrative 2022: -10.0%The market 2022: -19.8%2022IXJ 2023: +3.6%Narrative 2023: +6.0%The market 2023: +27.9%2023IXJ 2024: +0.6%Narrative 2024: +1.9%The market 2024: +23.1%2024IXJ 2025: +15.0%Narrative 2025: +19.5%The market 2025: +16.8%2025IXJ YTD: +4.5%Narrative YTD: +13.7%The market YTD: +14.6%YTD

Total return in each calendar year; this year is year to date. A year appears only if IXJ traded for all of it.

Total return on the market price, with each distribution reinvested on its ex-date. Not the NAV return the issuer publishes; the two differ when the ETF trades above or below the value of its holdings. The narrative is the asset-weighted return of the unlevered ETFs that carry it. The market is the asset-weighted return of broad US index ETFs. Past performance is no guarantee of future results.

Common questions

What story is IXJ selling?

IXJ’s main story is the biology trade, which covers health care from drugmakers and insurers to genomics: the science that gets approved, and who pays for it.

Which ETFs compete with IXJ?

The ETFs whose weekly returns move most like IXJ’s over the past 3 years are IYH (0.98), XLV (0.98) and VHT (0.98).

How much of the biology trade does IXJ hold?

IXJ holds 3.6% of the money in ETFs carrying that story, 5th of 92.

How has IXJ performed against its story?

Over the past year IXJ returned +11.8%, the ETFs carrying the biology trade +24.2% and broad US ETFs +16.8%, to October 2, 2026. Its weekly returns have a correlation of 0.94 with the story. Past performance only.

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Narrative figures are from the weekly board. Performance is market price total return as of October 2, 2026. Assets are StoryVector’s weekly figure. Classification and measurement. Not investment advice. How the measurement works →