VHTvsIYHETF Comparison
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Vanguard Health Care ETF (VHT) 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. VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.38% for IYH. VHT is down -4.75% year-to-date (YTD) with -$219M in YTD flows. IYH performs worse with -5.28% YTD performance, and -$513M in YTD flows. Run a side-by-side ETF comparison of VHT 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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VHT vs IYH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | VHT IYH | +1.69%+1.26% | -6.38%-6.82% | -4.75%-5.28% | +12.42%+10.12% | +15.07%+12.07% | +21.51%+21.78% |
| Flows | VHT IYH | -$47M-$12M | -$222M-$513M | -$219M-$513M | -$471M-$257M | -$2.70B-$661M | -$347M-$131M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT IYH | +15.13%+15.43% | +15.55%+15.99% | +13.77%+13.94% | +15.07%+14.82% |
| Max drawdown | VHT IYH | -9.89%-9.88% | -10.39%-10.54% | -16.88%-17.89% | -17.77%-17.89% |
| Max drawdown duration | VHT IYH | 53d53d | 106d106d | 435d445d | 767d445d |
Trading data
VHT | IYH | |
Last sale 4/24/2026 at 7:46 PM | $269.95 | $60.71 |
| Previous close 04/23/2026 | $273.01 | $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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VHT | 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 7:46 PM
Live
Closed
VHT | IYH | |
|---|---|---|
| Last price | $269.95 | $60.71 |
| 1D performance | -1.12% | -1.20% |
| AuM | $16.23 B | $2.88 B |
| E/R | 0.09% | 0.38% |
Characteristics
VHT | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Vanguard | iShares |
| Benchmark | MSCI US IMI Health Care 25/50 Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 347 | 95 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2004 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
VHT
USA
96.72%
Other
3.28%
IYH
USA
96.6%
Other
3.4%
Sectors
VHT
Health Care
96.98%
Other
3.02%
IYH
Health Care
97.84%
Other
2.16%
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Diversification
VHT
Total weight of top 15 holdings out of 15
60.6%
IYH
Total weight of top 15 holdings out of 15
68.58%
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%
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 VHT and IYH
How have the VHT and IYH ETFs performed in 2026?
As of April 23, 2026, VHT is down -4.75% year-to-date (YTD), while IYH has lost -5.28%. That puts VHT better performer ahead so far this year.
Which ETF is attracting more investor money: VHT or IYH?
Year-to-date, the VHT ETF saw -$219M in flows, compared to -$513M for IYH.
Which ETF is more volatile: VHT or IYH?
Over the past year, VHT had a volatility of 15.55%, while IYH experienced 15.99%.
Which ETF is bigger: VHT or IYH?
As of April 23, 2026, VHT holds $16.23 B in assets under management (AUM), while IYH manages $2.88 B.
What sectors do the VHT and IYH ETFs invest in?
VHT leans toward sectors like Health Care. Meanwhile, IYH focuses on Health Care.
What are the top holdings of the VHT ETF and IYH ETF?
VHT top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. IYH holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: VHT or IYH?
VHT holds 403 securities with 60.6% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 68.58%.
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