BBHvsIHFETF Comparison
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VanEck Biotech ETF (BBH) and iShares U.S. Healthcare Providers ETF (IHF) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. BBH is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.38% for IHF. BBH is down -1.86% year-to-date (YTD) with -$4M in YTD flows. IHF performs worse with -2.48% YTD performance, and +$20M in YTD flows. Run a side-by-side ETF comparison of BBH and IHF below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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BBH vs IHF performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | BBH IHF | +1.88%+10.18% | -7.18%-6.60% | -1.86%-2.48% | +24.34%-5.83% | +15.09%-6.59% | -0.59%-8.09% |
| Flows | BBH IHF | -$2M+$1M | -$4M-$3M | -$4M+$20M | -$52M+$140M | -$188M-$371M | -$130M-$301M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BBH IHF | +20.75%+26.53% | +20.44%+22.44% | +18.72%+19.09% | +21.44%+18.97% |
| Max drawdown | BBH IHF | -10.45%-17.80% | -10.45%-19.68% | -22.78%-29.86% | -39.88%-29.86% |
| Max drawdown duration | BBH IHF | 87d88d | 87d179d | 440d598d | 1719d598d |
Trading data
BBH | IHF | |
Last sale 4/27/2026 at 1:30 PM | $184.15 | $47.13 |
| Previous close 04/24/2026 | $185.67 | $46.64 |
| Consolidated volume 04/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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BBH | IHF | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/27/2026 at 1:30 PM
Live
Closed
BBH | IHF | |
|---|---|---|
| Last price | $184.15 | $47.13 |
| 1D performance | -0.82% | +1.05% |
| AuM | $365.13 M | $738.82 M |
| E/R | 0.35% | 0.38% |
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Exposure
Countries
BBH
USA
97.6%
Other
2.4%
IHF
USA
99.96%
Other
0.04%
Sectors
BBH
Health Care
89.52%
Other
10.48%
IHF
Health Care
93.22%
Other
6.78%
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Diversification
BBH
Total weight of top 15 holdings out of 15
86.44%
IHF
Total weight of top 15 holdings out of 15
83.65%
Top 15 holdings
Data as of March 31, 2026
BBH
AMGEN-T
14.84%
GILEAD SCIENCES
14.71%
VERTEX PHARMACEUTICALS
8.23%
REGENERON PHARMACEUTICALS
7.49%
US04016X1019
5.23%
INSMED
4.42%
IQVIA HOLDINGS INC
4.30%
ALNYLAM PHARMACEUTICALS
4.04%
BIOGEN INC
3.92%
UTD THERAPEUT
3.89%
NATERA
3.82%
US07725L1026
3.20%
MODERNA INC
3.03%
REVOLUTION MEDICINES INC
2.81%
ILLUMINA
2.51%
IHF
UNITEDHEALTH GRP
22.47%
CVS HEALTH CORP
12.80%
HCA HEALTHCARE
8.98%
CIGNA
4.85%
ELEVANCE HEALTH INC
4.79%
VEEVA SYSTEMS IN
4.45%
US5049221055
4.01%
QUEST DIAGNOSTICS
3.91%
HUMANA
3.79%
TENET HEALTHCARE
3.01%
CENTENE
2.77%
GUARDANT HEALTH INC
2.16%
ENSIGN GROUP
2.11%
UNIVERSAL HEALTH SERVICES
1.79%
ENCOMPASS HEALTH CORP
1.76%
Frequently asked questions about BBH and IHF
How have the BBH and IHF ETFs performed in 2026?
As of April 24, 2026, BBH is down -1.86% year-to-date (YTD), while IHF has lost -2.48%. That puts BBH better performer ahead so far this year.
Which ETF is attracting more investor money: BBH or IHF?
Year-to-date, the BBH ETF saw -$4M in flows, compared to +$20M for IHF.
Which ETF is more volatile: BBH or IHF?
Over the past year, BBH had a volatility of 20.44%, while IHF experienced 22.44%.
Which ETF is bigger: BBH or IHF?
As of April 24, 2026, BBH holds $365.13 M in assets under management (AUM), while IHF manages $738.82 M.
What sectors do the BBH and IHF ETFs invest in?
BBH leans toward sectors like Health Care. Meanwhile, IHF focuses on Health Care.
What are the top holdings of the BBH ETF and IHF ETF?
BBH top holdings include AMGEN-T, GILEAD SCIENCES and VERTEX PHARMACEUTICALS. IHF holds in its top three: UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE.
Which ETF is more diversified: BBH or IHF?
BBH holds 24 securities with 86.44% of its assets in the top 15. IHF has 61 securities and a top 15 weight of 83.65%.
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Latest news about BBH & IHF
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
IHF
Investing in the Aging Demographics Megatrend
February 28, 2023
IHF
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