IYHvsVHTETF Comparison
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iShares U.S. Healthcare ETF (IYH) and Vanguard Health Care ETF (VHT) belong to the same industry segment: US Health Care. IYH's top 3 sector exposures are Healthcare, Non-Corporate and Finance. In contrast, VHT's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. IYH is more expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.09% for VHT. IYH is up 16.78% year-to-date (YTD) with +$387M in YTD flows. VHT performs worse with 16.73% YTD performance, and +$31M in YTD flows. Run a side-by-side ETF comparison of IYH and VHT 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 VHT 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 VHT | +5.36%+5.15% | +11.17%+9.93% | +16.78%+16.73% | +23.97%+24.04% | +46.86%+50.96% | +40.28%+40.29% |
| Flows | IYH VHT | +$409M-$27M | +$749M+$123M | +$387M+$31M | +$853M+$221M | +$375M-$2.10B | +$602M-$1.07B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH VHT | +17.64%+16.81% | +16.47%+15.86% | +15.20%+14.87% | +15.52%+15.63% |
| Max drawdown | IYH VHT | -5.88%-5.63% | -10.72%-10.39% | -17.89%-16.88% | -17.89%-17.77% |
| Max drawdown duration | IYH VHT | 56d56d | 169d169d | 445d435d | 445d767d |
Trading data
IYH | VHT | |
Last sale 10/23/2026 at 1:30 PM | $75.40 | $332.53 |
| Previous close 10/22/2026 | $76.22 | $336.26 |
| Consolidated volume 10/22/2026 | ||
| 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 | VHT | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 10/23/2026 at 1:30 PM
Live
Closed
IYH | VHT | |
|---|---|---|
| Last price | $75.40 | $332.53 |
| 1D performance | -1.08% | -1.11% |
| AuM | $4.51 B | $20.03 B |
| E/R | 0.37% | 0.09% |
Characteristics
IYH | VHT | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | Vanguard |
| Benchmark | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index | MSCI US IMI Health Care 25/50 Index |
| N° of holdings | 101 | 412 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 12, 2000 | January 26, 2004 |
| ESG | No | No |
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Exposure
Countries
IYH
USA
96.86%
Other
3.14%
VHT
USA
96.81%
Other
3.19%
Sectors
IYH
Healthcare
99.79%
Other
0.21%
VHT
Healthcare
97.74%
Other
2.26%
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Diversification
IYH
Total weight of top 15 holdings out of 15
68.68%
VHT
Total weight of top 15 holdings out of 15
60.65%
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%
VHT
Eli Lilly & Co.
12.79%
Johnson & Johnson
8.72%
AbbVie, Inc.
6.26%
Merck & Co., Inc.
5.04%
UnitedHealth Group, Inc.
4.89%
Amgen, Inc.
3.21%
Thermo Fisher Scientific, Inc.
3.17%
Abbott Laboratories
2.66%
Gilead Sciences, Inc.
2.51%
Pfizer Inc.
2.24%
Vertex Pharmaceuticals, Inc.
1.91%
Bristol Myers Squibb Co.
1.88%
Danaher Corp.
1.88%
Intuitive Surgical, Inc.
1.84%
CVS Health Corp.
1.66%
Frequently asked questions about IYH and VHT
How have the IYH and VHT ETFs performed in 2026?
As of October 23, 2026, IYH is up 16.78% year-to-date (YTD), while VHT has returned 16.73%. That puts IYH better performer ahead so far this year.
Which ETF is attracting more investor money: IYH or VHT?
Year-to-date, the IYH ETF saw +$387M in flows, compared to +$31M for VHT.
Which ETF is more volatile: IYH or VHT?
Over the past year, IYH had a volatility of 16.47%, while VHT experienced 15.86%.
Which ETF is bigger: IYH or VHT?
As of October 23, 2026, IYH holds $4.51 B in assets under management (AUM), while VHT manages $20.03 B.
What sectors do the IYH and VHT ETFs invest in?
IYH leans toward sectors like Healthcare. Meanwhile, VHT focuses on Healthcare.
What are the top holdings of the IYH ETF and VHT ETF?
IYH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. VHT holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: IYH or VHT?
IYH holds 101 securities with 68.68% of its assets in the top 15. VHT has 412 securities and a top 15 weight of 60.65%.
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