IYHvsBBHETF Comparison
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iShares U.S. Healthcare ETF (IYH) and VanEck Biotech ETF (BBH) belong to the same industry segment: US Health Care. IYH's top 3 sector exposures are Healthcare, Non-Corporate and Finance. In contrast, BBH's top sector exposures are Healthcare. IYH is more expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.35% for BBH. IYH is up 16.78% year-to-date (YTD) with +$387M in YTD flows. BBH performs better with 30.28% YTD performance, and +$14M in YTD flows. Run a side-by-side ETF comparison of IYH and BBH 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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IYH vs BBH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 10/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH BBH | +5.36%+2.59% | +11.17%+20.83% | +16.78%+30.28% | +23.97%+39.64% | +46.86%+68.09% | +40.28%+26.27% |
| Flows | IYH BBH | +$409M+$7M | +$749M+$22M | +$387M+$14M | +$853M+$16M | +$375M-$134M | +$602M-$134M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH BBH | +17.64%+28.43% | +16.47%+22.41% | +15.20%+20.57% | +15.52%+21.85% |
| Max drawdown | IYH BBH | -5.88%-6.32% | -10.72%-10.54% | -17.89%-22.78% | -17.89%-34.47% |
| Max drawdown duration | IYH BBH | 56d36d | 169d150d | 445d440d | 445d1525d |
Trading data
IYH | BBH | |
Last sale 10/26/2026 at 1:30 PM | $75.40 | $247.30 |
| Previous close 10/23/2026 | $75.40 | $246.57 |
| Consolidated volume 10/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 2026
1-year trailing difference
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IYH | BBH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 10/26/2026 at 1:30 PM
Live
Closed
IYH | BBH | |
|---|---|---|
| Last price | $75.40 | $247.30 |
| 1D performance | -0.00% | +0.30% |
| AuM | $4.51 B | $501.96 M |
| E/R | 0.37% | 0.35% |
Characteristics
IYH | BBH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | VanEck |
| Benchmark | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index | MVIS US Listed Biotech 25 Index |
| N° of holdings | 101 | 24 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 12, 2000 | December 20, 2011 |
| ESG | No | No |
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Exposure
Countries
IYH
USA
96.86%
Other
3.14%
BBH
USA
87.73%
Other
12.27%
Sectors
IYH
Healthcare
99.79%
Other
0.21%
BBH
Healthcare
100%
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Diversification
IYH
Total weight of top 15 holdings out of 15
68.68%
BBH
Total weight of top 15 holdings out of 15
86.35%
Top 15 holdings
Data as of August 31, 2026
IYH
Eli Lilly & Co.
14.45%
Johnson & Johnson
10.02%
AbbVie, Inc.
7.10%
Merck & Co., Inc.
5.72%
UnitedHealth Group, Inc.
5.50%
Amgen, Inc.
3.63%
Thermo Fisher Scientific, Inc.
3.59%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.84%
Pfizer Inc.
2.53%
Vertex Pharmaceuticals, Inc.
2.17%
Bristol Myers Squibb Co.
2.13%
Danaher Corp.
2.11%
Intuitive Surgical, Inc.
2.08%
Medtronic Plc
1.82%
BBH
Amgen, Inc.
15.65%
Gilead Sciences, Inc.
12.68%
Vertex Pharmaceuticals, Inc.
8.54%
Regeneron Pharmaceuticals, Inc.
6.82%
Moderna, Inc.
5.70%
Natera, Inc.
5.09%
Revolution Medicines, Inc.
5.04%
IQVIA Holdings, Inc.
5.01%
argenx SE
4.72%
Illumina, Inc.
3.35%
Biogen, Inc.
3.15%
BeOne Medicines Ltd.
3.12%
Alnylam Pharmaceuticals, Inc.
2.60%
Insmed, Inc.
2.55%
Incyte Corp.
2.35%
Frequently asked questions about IYH and BBH
How have the IYH and BBH ETFs performed in 2026?
As of October 23, 2026, IYH is up 16.78% year-to-date (YTD), while BBH has returned 30.28%. That puts BBH better performer ahead so far this year.
Which ETF is attracting more investor money: IYH or BBH?
Year-to-date, the IYH ETF saw +$387M in flows, compared to +$14M for BBH.
Which ETF is more volatile: IYH or BBH?
Over the past year, IYH had a volatility of 16.47%, while BBH experienced 22.41%.
Which ETF is bigger: IYH or BBH?
As of October 23, 2026, IYH holds $4.51 B in assets under management (AUM), while BBH manages $501.96 M.
What sectors do the IYH and BBH ETFs invest in?
IYH leans toward sectors like Healthcare. Meanwhile, BBH focuses on Healthcare.
What are the top holdings of the IYH ETF and BBH ETF?
IYH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. BBH holds in its top three: Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc..
Which ETF is more diversified: IYH or BBH?
IYH holds 101 securities with 68.68% of its assets in the top 15. BBH has 24 securities and a top 15 weight of 86.35%.
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Latest news about IYH & BBH
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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