BBHvsIYHETF Comparison
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VanEck Biotech ETF (BBH) and iShares U.S. Healthcare ETF (IYH) 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 IYH. BBH is down -1.86% year-to-date (YTD) with -$4M in YTD flows. IYH performs worse with -6.53% YTD performance, and -$520M in YTD flows. Run a side-by-side ETF comparison of BBH and IYH 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 IYH 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 IYH | +1.88%+0.01% | -7.18%-8.36% | -1.86%-6.53% | +24.34%+7.21% | +15.09%+10.60% | -0.59%+20.27% |
| Flows | BBH IYH | -$2M-$18M | -$4M-$515M | -$4M-$520M | -$52M-$263M | -$188M-$667M | -$130M-$137M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BBH IYH | +20.75%+15.60% | +20.44%+15.99% | +18.72%+13.95% | +21.44%+14.83% |
| Max drawdown | BBH IYH | -10.45%-9.88% | -10.45%-10.54% | -22.78%-17.89% | -39.88%-17.89% |
| Max drawdown duration | BBH IYH | 87d54d | 87d107d | 440d445d | 1719d445d |
Trading data
BBH | IYH | |
Last sale 4/24/2026 at 1:30 PM | $185.67 | $60.66 |
| Previous close 04/23/2026 | $187.94 | $61.44 |
| Consolidated volume 04/23/2026 | ||
| 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 | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
BBH | IYH | |
|---|---|---|
| Last price | $185.67 | $60.66 |
| 1D performance | -1.21% | -1.27% |
| AuM | $365.13 M | $2.84 B |
| E/R | 0.35% | 0.38% |
Characteristics
BBH | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | VanEck | iShares |
| Benchmark | MVIS US Listed Biotech 25 Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 21 | 95 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 20, 2011 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
BBH
USA
97.6%
Other
2.4%
IYH
USA
96.6%
Other
3.4%
Sectors
BBH
Health Care
89.52%
Other
10.48%
IYH
Health Care
97.84%
Other
2.16%
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Diversification
BBH
Total weight of top 15 holdings out of 15
86.44%
IYH
Total weight of top 15 holdings out of 15
68.58%
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%
IYH
LILLY
13.39%
JOHNSON&JOHNSON
10.69%
ABBVIE
7.00%
MERCK & CO INC
5.43%
UNITEDHEALTH GRP
4.48%
AMGEN-T
3.44%
THERMO FISHER SCIENTIFIC
3.37%
ABBOTT LABS
3.23%
GILEAD SCIENCES
3.15%
INTUITIVE SURGICAL
2.96%
PFIZER
2.90%
BRISTOL-MYERS SQUIBB
2.25%
DANAHER
2.17%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
Frequently asked questions about BBH and IYH
How have the BBH and IYH ETFs performed in 2026?
As of April 24, 2026, BBH is down -1.86% year-to-date (YTD), while IYH has lost -6.53%. That puts BBH better performer ahead so far this year.
Which ETF is attracting more investor money: BBH or IYH?
Year-to-date, the BBH ETF saw -$4M in flows, compared to -$520M for IYH.
Which ETF is more volatile: BBH or IYH?
Over the past year, BBH had a volatility of 20.44%, while IYH experienced 15.99%.
Which ETF is bigger: BBH or IYH?
As of April 24, 2026, BBH holds $365.13 M in assets under management (AUM), while IYH manages $2.84 B.
What sectors do the BBH and IYH ETFs invest in?
BBH leans toward sectors like Health Care. Meanwhile, IYH focuses on Health Care.
What are the top holdings of the BBH ETF and IYH ETF?
BBH top holdings include AMGEN-T, GILEAD SCIENCES and VERTEX PHARMACEUTICALS. IYH holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: BBH or IYH?
BBH holds 24 securities with 86.44% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 68.58%.
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Latest news about BBH & IYH
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IYH
Healthcare Stocks Rebound
August 14, 2023
IYH
Continued tightening of the U.S. labor market
September 23, 2022
IYH
U.S. labor market facing tight conditions
July 5, 2022
IYH
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