Data as of Oct 28, 2026.

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IAU vs VHT: Differences, Returns & Fees

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IAU is a commodity fund and VHT an equity index fund, and over the year to Oct 28, 2026, VHT returned +25.0% against +2.7%.

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Net assets: $60.1bn on Oct 28, 2026 for iShares Gold Trust, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+2.7%
IAU total return, 1 year
+25.0%
VHT total return, 1 year
0.25%
IAU expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.16 points a year less; their one-year returns differ by 22.3 points; IAU is 3.3 times larger.

IAU vs VHT: Differences, Returns & Fees
MeasureIAUVHT
Return
Total return, 1 year+2.7%+25.0%
Drawdown
Below its high24.6%, high on Jan 29, 2026
Benchmark
What it tracksGoldMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.25%0.09%
Net assets, as of Sep 30, 2026$62.2bn$19.1bn
Holdings
Holdings in commonnot published
In the S&P 500, by weight86%
Top ten holdings, share of the fund51.8%

Method

Side by side

IAU iShares Gold Trust VHT Vanguard Health Care ETF
Where it sits Commodity ETF Stock ETF
What it is Holds gold Tracks an index of Health Care
Total return, 1 year +2.7% +25.0%
Its benchmark over the same days +2.5% (GLD) +25.4% (FHLC)
Gap to its benchmark +0.2 pts vs GLD −0.4 pts vs FHLC
Expense ratio 0.25% 0.09%
Holdings not counted 414
Net assets, IAU as of Oct 28, 2026 and VHT as of Sep 30, 2026 $60.1bn $19.1bn

IAU and VHT on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

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About each fund
IAU

Its expense ratio is 0.25% a year, for the three months to Jun 30, 2026, as its 10-Q states.

IAU holds gold. Over the year to Oct 28, 2026 it returned +2.7% with distributions reinvested, against +2.5% for its benchmark, the price of gold. It sat 24.6% below its high of Jan 29, 2026 on Oct 28, 2026.

VHT

VHT tracks an index of Health Care. Over the year to Oct 28, 2026 it returned +25.0% with distributions reinvested, against +25.4% for its benchmark, the MSCI US Investable Market Index (IMI)/Health Care 25/50. The prospectus expense ratio is 0.09% a year. By its holdings published by its issuer as of Sep 30, 2026, 86% of the fund by weight is stocks the S&P 500 also holds, across 414 positions, with the top ten at 51.8%.

Questions people ask

Which returned more over the last year, IAU or VHT?
In the year to Oct 28, 2026, with distributions reinvested, IAU returned +2.7% and VHT +25.0%.
Which is cheaper, IAU or VHT?
VHT is cheaper, by 0.16 percentage points a year. That is about $16 on $10,000 held for a year. Fees come from each fund's own filings.
Other comparisons
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ETFIQ, IAU against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/iau-vs-vht

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