VHTvsIHFETF Comparison
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Vanguard Health Care ETF (VHT) 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. VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.38% for IHF. VHT is down -5.86% year-to-date (YTD) with -$233M in YTD flows. IHF performs better with -2.48% YTD performance, and +$20M in YTD flows. Run a side-by-side ETF comparison of VHT 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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VHT 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. | VHT IHF | +0.60%+10.18% | -7.81%-6.60% | -5.86%-2.48% | +9.62%-5.83% | +13.72%-6.59% | +19.95%-8.09% |
| Flows | VHT IHF | -$54M+$1M | -$235M-$3M | -$233M+$20M | -$503M+$140M | -$2.71B-$371M | -$343M-$301M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT IHF | +15.25%+26.53% | +15.54%+22.44% | +13.78%+19.09% | +15.08%+18.97% |
| Max drawdown | VHT IHF | -9.89%-17.80% | -10.39%-19.68% | -16.88%-29.86% | -17.77%-29.86% |
| Max drawdown duration | VHT IHF | 54d88d | 107d179d | 435d598d | 767d598d |
Trading data
VHT | IHF | |
Last sale 4/24/2026 at 1:30 PM | $269.89 | $46.64 |
| Previous close 04/23/2026 | $273.01 | $46.87 |
| 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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VHT | 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 4/24/2026 at 1:30 PM
Live
Closed
VHT | IHF | |
|---|---|---|
| Last price | $269.89 | $46.64 |
| 1D performance | -1.14% | -0.49% |
| AuM | $16.03 B | $738.82 M |
| E/R | 0.09% | 0.38% |
Characteristics
VHT | IHF | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Vanguard | iShares |
| Benchmark | MSCI US IMI Health Care 25/50 Index | Dow Jones U.S. Select Health Care Providers Index |
| N° of holdings | 347 | 53 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2004 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
VHT
USA
96.72%
Other
3.28%
IHF
USA
99.96%
Other
0.04%
Sectors
VHT
Health Care
96.98%
Other
3.02%
IHF
Health Care
93.22%
Other
6.78%
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Diversification
VHT
Total weight of top 15 holdings out of 15
60.6%
IHF
Total weight of top 15 holdings out of 15
83.65%
Top 15 holdings
Data as of March 31, 2026
VHT
LILLY
11.89%
JOHNSON&JOHNSON
9.34%
ABBVIE
6.18%
MERCK & CO INC
4.80%
UNITEDHEALTH GRP
3.94%
AMGEN-T
3.05%
THERMO FISHER SCIENTIFIC
2.97%
ABBOTT LABS
2.87%
GILEAD SCIENCES
2.78%
INTUITIVE SURGICAL
2.63%
PFIZER
2.57%
BRISTOL-MYERS SQUIBB
1.99%
DANAHER
1.94%
VERTEX PHARMACEUTICALS
1.82%
STRYKER
1.82%
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 VHT and IHF
How have the VHT and IHF ETFs performed in 2026?
As of April 24, 2026, VHT is down -5.86% year-to-date (YTD), while IHF has lost -2.48%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: VHT or IHF?
Year-to-date, the VHT ETF saw -$233M in flows, compared to +$20M for IHF.
Which ETF is more volatile: VHT or IHF?
Over the past year, VHT had a volatility of 15.54%, while IHF experienced 22.44%.
Which ETF is bigger: VHT or IHF?
As of April 24, 2026, VHT holds $16.03 B in assets under management (AUM), while IHF manages $738.82 M.
What sectors do the VHT and IHF ETFs invest in?
VHT leans toward sectors like Health Care. Meanwhile, IHF focuses on Health Care.
What are the top holdings of the VHT ETF and IHF ETF?
VHT top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IHF holds in its top three: UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE.
Which ETF is more diversified: VHT or IHF?
VHT holds 403 securities with 60.6% of its assets in the top 15. IHF has 61 securities and a top 15 weight of 83.65%.
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