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, Non-Corporate VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.38% for IYH. VHT is up 6.79% year-to-date (YTD) with -$84M in YTD flows. IYH performs worse with 5.7% YTD performance, and -$362M 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 07/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | VHT IYH | +5.71%+5.82% | +13.44%+13.09% | +6.79%+5.70% | +24.07%+21.44% | +27.86%+24.36% | +29.60%+28.54% |
| Flows | VHT IYH | +$148M+$40M | +$135M+$152M | -$84M-$362M | -$322M+$71M | -$2.43B-$426M | -$679M+$33M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT IYH | +17.46%+18.28% | +15.29%+15.81% | +14.31%+14.55% | +15.40%+15.22% |
| 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 | 17d17d | 169d169d | 435d445d | 767d445d |
Trading data
VHT | IYH | |
Last sale 7/27/2026 at 2:38 PM | $308.36 | $69.16 |
| Previous close 07/24/2026 | $305.07 | $68.41 |
| Consolidated volume 07/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 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 7/27/2026 at 2:38 PM
Live
Closed
VHT | IYH | |
|---|---|---|
| Last price | $308.36 | $69.16 |
| 1D performance | +1.08% | +1.10% |
| AuM | $18.27 B | $3.37 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 | 419 | 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
96.86%
Other
3.14%
IYH
USA
97.03%
Other
2.97%
Sectors
VHT
Healthcare
97.39%
Other
2.61%
IYH
Healthcare
99.86%
Other
0.14%
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Diversification
VHT
Total weight of top 15 holdings out of 15
61.42%
IYH
Total weight of top 15 holdings out of 15
69.73%
Top 15 holdings
Data as of June 30, 2026
VHT
Eli Lilly & Co.
14.16%
Johnson & Johnson
8.87%
AbbVie, Inc.
6.54%
UnitedHealth Group, Inc.
5.55%
Merck & Co., Inc.
4.67%
Amgen, Inc.
2.87%
Thermo Fisher Scientific, Inc.
2.74%
Abbott Laboratories
2.32%
Gilead Sciences, Inc.
2.31%
Intuitive Surgical, Inc.
2.08%
Pfizer Inc.
2.01%
CVS Health Corp.
1.93%
Vertex Pharmaceuticals, Inc.
1.86%
Danaher Corp.
1.78%
Bristol Myers Squibb Co.
1.73%
IYH
Eli Lilly & Co.
16.07%
Johnson & Johnson
10.27%
AbbVie, Inc.
7.48%
UnitedHealth Group, Inc.
6.30%
Merck & Co., Inc.
5.34%
Amgen, Inc.
3.28%
Thermo Fisher Scientific, Inc.
3.13%
Abbott Laboratories
2.64%
Gilead Sciences, Inc.
2.63%
Intuitive Surgical, Inc.
2.35%
Pfizer Inc.
2.30%
Vertex Pharmaceuticals, Inc.
2.12%
Danaher Corp.
2.02%
Bristol Myers Squibb Co.
1.97%
Stryker Corp.
1.83%
Frequently asked questions about VHT and IYH
How have the VHT and IYH ETFs performed in 2026?
As of July 24, 2026, VHT is up 6.79% year-to-date (YTD), while IYH has returned 5.7%. 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 -$84M in flows, compared to -$362M for IYH.
Which ETF is more volatile: VHT or IYH?
Over the past year, VHT had a volatility of 15.29%, while IYH experienced 15.81%.
Which ETF is bigger: VHT or IYH?
As of July 24, 2026, VHT holds $18.27 B in assets under management (AUM), while IYH manages $3.37 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 419 securities with 61.42% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 69.73%.
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