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. VHT's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, IYH's top sector exposures are Healthcare and Non-Corporate. VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.37% for IYH. VHT is up 13.69% year-to-date (YTD) with +$89M in YTD flows. IYH performs worse with 13.03% YTD performance, and -$246M 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 09/03/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | VHT IYH | +6.68%+7.21% | +18.50%+18.11% | +13.69%+13.03% | +29.68%+28.31% | +40.17%+36.00% | +31.59%+31.04% |
| Flows | VHT IYH | +$142M-$83M | +$351M+$113M | +$89M-$246M | +$286M+$225M | -$2.20B-$352M | -$926M-$55M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT IYH | +18.38%+19.44% | +15.53%+16.15% | +14.59%+14.89% | +15.54%+15.41% |
| Max drawdown | VHT IYH | -3.84%-4.09% | -10.39%-10.72% | -16.88%-17.89% | -17.77%-17.89% |
| Max drawdown duration | VHT IYH | 20d20d | 169d169d | 435d445d | 767d445d |
Trading data
VHT | IYH | |
Last sale 9/4/2026 at 2:47 PM | $321.45 | $72.46 |
| Previous close 09/03/2026 | $324.80 | $73.15 |
| Consolidated volume 09/03/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 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 9/4/2026 at 2:47 PM
Live
Closed
VHT | IYH | |
|---|---|---|
| Last price | $321.45 | $72.46 |
| 1D performance | -1.03% | -0.94% |
| AuM | $19.63 B | $3.73 B |
| E/R | 0.09% | 0.37% |
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 | 413 | 101 |
| 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
96.91%
Other
3.09%
IYH
USA
96.84%
Other
3.16%
Sectors
VHT
Healthcare
97.54%
Other
2.46%
IYH
Healthcare
99.75%
Other
0.25%
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Diversification
VHT
Total weight of top 15 holdings out of 15
61.16%
IYH
Total weight of top 15 holdings out of 15
69.24%
Top 15 holdings
Data as of July 31, 2026
VHT
Eli Lilly & Co.
13.37%
Johnson & Johnson
8.83%
AbbVie, Inc.
6.43%
UnitedHealth Group, Inc.
5.45%
Merck & Co., Inc.
4.67%
Thermo Fisher Scientific, Inc.
3.09%
Amgen, Inc.
3.01%
Abbott Laboratories
2.67%
Gilead Sciences, Inc.
2.34%
Pfizer Inc.
2.06%
Bristol Myers Squibb Co.
1.93%
CVS Health Corp.
1.93%
Intuitive Surgical, Inc.
1.82%
Danaher Corp.
1.80%
Vertex Pharmaceuticals, Inc.
1.76%
IYH
Eli Lilly & Co.
15.09%
Johnson & Johnson
10.09%
AbbVie, Inc.
7.46%
UnitedHealth Group, Inc.
6.23%
Merck & Co., Inc.
5.25%
Thermo Fisher Scientific, Inc.
3.51%
Amgen, Inc.
3.42%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.67%
Pfizer Inc.
2.32%
Bristol Myers Squibb Co.
2.17%
Intuitive Surgical, Inc.
2.04%
Danaher Corp.
2.03%
Vertex Pharmaceuticals, Inc.
2.00%
Stryker Corp.
1.97%
Frequently asked questions about VHT and IYH
How have the VHT and IYH ETFs performed in 2026?
As of September 3, 2026, VHT is up 13.69% year-to-date (YTD), while IYH has returned 13.03%. 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 +$89M in flows, compared to -$246M for IYH.
Which ETF is more volatile: VHT or IYH?
Over the past year, VHT had a volatility of 15.53%, while IYH experienced 16.15%.
Which ETF is bigger: VHT or IYH?
As of September 3, 2026, VHT holds $19.63 B in assets under management (AUM), while IYH manages $3.73 B.
What sectors do the VHT and IYH ETFs invest in?
VHT leans toward sectors like Healthcare. Meanwhile, IYH focuses on Healthcare.
What are the top holdings of the VHT ETF and IYH ETF?
VHT top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. IYH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: VHT or IYH?
VHT holds 413 securities with 61.16% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 69.24%.
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