HRTSvsIHIETF Comparison
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Tema GLP-1, Obesity & Cardiometabolic ETF (HRTS) belongs to the Tomorrow's Treatments segment. iShares U.S. Medical Devices ETF (IHI) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Healthcare. HRTS is more expensive with a Total Expense Ratio (TER) of 0.99%, versus 0.38% for IHI. HRTS is up 4.32% year-to-date (YTD) with -$2M in YTD flows. IHI performs worse with -14.99% YTD performance, and -$181M in YTD flows. Run a side-by-side ETF comparison of HRTS and IHI 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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HRTS vs IHI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 07/30/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | HRTS IHI | +1.63%+6.69% | +9.49%+3.41% | +4.32%-14.99% | +31.36%-13.79% | n/a-4.67% | n/a-15.35% |
| Flows | HRTS IHI | -+$63M | -$70K+$21M | -$2M-$181M | -$6M-$545M | --$2.66B | --$3.63B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | HRTS IHI | +17.44%+27.25% | +16.04%+20.07% | n/a+18.19% | n/a+19.62% |
| Max drawdown | HRTS IHI | -4.69%-6.91% | -10.68%-26.18% | n/a-26.72% | n/a-33.07% |
| Max drawdown duration | HRTS IHI | 23d56d | 170d247d | n/a540d | n/a1786d |
Trading data
HRTS | IHI | |
Last sale 7/31/2026 at 1:30 PM | $36.43 | $52.51 |
| Previous close 07/30/2026 | $36.90 | $52.74 |
| Consolidated volume 07/30/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 2026
1-year trailing difference
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HRTS
is actively managed and doesn’t replicate an indexHRTS | IHI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 7/31/2026 at 1:30 PM
Live
Closed
HRTS | IHI | |
|---|---|---|
| Last price | $36.43 | $52.51 |
| 1D performance | -1.26% | -0.44% |
| AuM | $54.92 M | $3.27 B |
| E/R | 0.99% | 0.38% |
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Exposure
Countries
HRTS
USA
76.55%
Switzerland
7.26%
Other
16.19%
IHI
USA
91.35%
Ireland
7.6%
Other
1.04%
Sectors
HRTS
Healthcare
99.57%
Other
0.43%
IHI
Healthcare
99.8%
Other
0.2%
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Diversification
HRTS
Total weight of top 15 holdings out of 15
64.29%
IHI
Total weight of top 15 holdings out of 15
88.02%
Top 15 holdings
Data as of June 30, 2026
HRTS
Eli Lilly & Co.
11.91%
UnitedHealth Group, Inc.
5.58%
Novo Nordisk A/S
5.25%
Merck & Co., Inc.
4.11%
Roche Holding AG
3.96%
Thermo Fisher Scientific, Inc.
3.91%
AstraZeneca PLC
3.85%
Johnson & Johnson
3.84%
Revolution Medicines, Inc.
3.64%
Cytokinetics, Inc.
3.40%
Novartis AG
3.30%
Gilead Sciences, Inc.
3.09%
Vertex Pharmaceuticals, Inc.
3.04%
Abbott Laboratories
2.71%
Danaher Corp.
2.70%
IHI
Abbott Laboratories
16.93%
Intuitive Surgical, Inc.
15.09%
Stryker Corp.
11.64%
Edwards Lifesciences Corp.
4.75%
Becton, Dickinson & Co.
4.63%
GE Healthcare Technologies, Inc.
4.51%
Medtronic Plc
4.40%
ResMed, Inc.
4.38%
IDEXX Laboratories, Inc.
4.27%
DexCom, Inc.
4.02%
Boston Scientific Corp.
3.99%
STERIS Plc (Ireland)
3.20%
Zimmer Biomet Holdings, Inc.
2.58%
Penumbra, Inc.
1.92%
Baxter International, Inc.
1.71%
Frequently asked questions about HRTS and IHI
How have the HRTS and IHI ETFs performed in 2026?
As of July 30, 2026, HRTS is up 4.32% year-to-date (YTD), while IHI has lost -14.99%. That puts HRTS better performer ahead so far this year.
Which ETF is attracting more investor money: HRTS or IHI?
Year-to-date, the HRTS ETF saw -$2M in flows, compared to -$181M for IHI.
Which ETF is more volatile: HRTS or IHI?
Over the past year, HRTS had a volatility of 16.04%, while IHI experienced 20.07%.
Which ETF is bigger: HRTS or IHI?
As of July 30, 2026, HRTS holds $54.92 M in assets under management (AUM), while IHI manages $3.27 B.
What sectors do the HRTS and IHI ETFs invest in?
HRTS leans toward sectors like Healthcare. Meanwhile, IHI focuses on Healthcare.
What are the top holdings of the HRTS ETF and IHI ETF?
HRTS top holdings include Eli Lilly & Co., UnitedHealth Group, Inc. and Novo Nordisk A/S. IHI holds in its top three: Abbott Laboratories, Intuitive Surgical, Inc. and Stryker Corp..
Which ETF is more diversified: HRTS or IHI?
HRTS holds 43 securities with 64.29% of its assets in the top 15. IHI has 47 securities and a top 15 weight of 88.02%.
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Latest news about HRTS & IHI
Notable ETF Filings Recap: April 2024
May 2, 2024
IHI
Obesity and Weight-Loss Drugs: A New Thematic ETF Segment?
April 18, 2024
HRTS
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IHI
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Investing in the Aging Demographics Megatrend
February 28, 2023
IHI
Investing in the Aging Demographics Megatrend
February 28, 2023
IHI
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