Data as of Oct 28, 2026.

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IHE vs IYH: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IHE returned +41.9% to IYH's +25.3%; 35% of their weight is in the same names.

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Net assets: $1.6bn on Oct 27, 2026 for iShares U.S. Pharmaceuticals ETF, and $4.5bn on Oct 28, 2026 for iShares U.S. Healthcare ETF.

At a glance
+41.9%
IHE total return, 1 year
+25.3%
IYH total return, 1 year
0.37%
IHE expense ratio
0.37%
IYH expense ratio

Pair scorecard

Both cost 0.37% a year; their one-year returns differ by 16.6 points; IYH is 2.8 times larger.

IHE vs IYH: Differences, Returns & Fees
MeasureIHEIYH
Return
Total return, 1 year+41.9%+25.3%
Drawdown
Below its high3.9%, high on Aug 19, 2026
Benchmark
What it tracksDow Jones U.S. Select Pharmaceuticals IndexRussell 1000 Health Care RIC 22
Cost and size
Expense ratio0.37%0.37%
Net assets, as of Oct 27, 2026$1.6bn$4.5bn
Holdings
Holdings in common35%
Top ten holdings, share of the fund80.4%58.9%

Holdings in common uses holdings dated Oct 27, 2026. Method

Risk and return

May 12, 2006 to Oct 23, 2026 · 1,067 weekly returns
IHE IYH
Return
Total return edge IHE (slight) +752.9% +728.3%
Annualized edge Tie +11.0% +10.9%
Price return edge Tie +531.9% +523.9%
Risk
Volatility edge IYH (slight) 18.4% 16.6%
Max drawdown edge IHE (slight) −36.6% −37.3%
Risk-adjusted
Sharpe edge IYH (slight) 0.57 0.60
Sortino edge IYH (slight) 0.81 0.85
Calmar edge IHE (slight) 0.30 0.29
Reading

IHE returned slightly more: +752.9% to +728.3%. IYH swung slightly less: 16.6% to 18.4%. IHE fell slightly less at its worst: −36.6% to −37.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: IHE vs IYH: Differences, Returns & Fees
MeasureIHEIYHEdgeHow it is measured
Return
Total return+752.9%+728.3%IHE (slight)Price change plus distributions, reinvested.
Annualized+11.0%+10.9%TieTotal return as a yearly rate.
Price return+531.9%+523.9%TiePrice change alone, distributions left out.
Risk
Volatility18.4%16.6%IYH (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation12.8%11.7%IYH (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−36.6%−37.3%IHE (slight)Deepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.570.60IYH (slight)Return above Treasury bills per unit of volatility.
Sortino0.810.85IYH (slight)Return above Treasury bills per unit of downside deviation.
Calmar0.300.29IHE (slight)Annualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,067 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

35%

By the books each fund has filed, IHE and IYH hold 35% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

35% in common

Positions both hold · largest shared weight first IHE IYH
ELI LILLY 25.28% 15.29%
JOHNSON & JOHNSON 22.31% 9.67%
MERCK & CO INC 4.26% 5.24%
PFIZER 4.76% 2.53%
BRISTOL MYERS SQUIBB 4.24% 1.88%
ZOETIS INC CLASS A 4.73% 0.49%
ROYALTY PHARMA PLC CLASS A 4.78% 0.40%
VIATRIS 4.67% 0.33%
JAZZ PHARMACEUTICALS PLC 2.91% 0.18%
ELANCO ANIMAL HEALTH 2.46% 0.17%
CORCEPT THERAPEUTICS 1.81% 0.12%
AXSOME THERAPEUTICS 1.37% 0.09%
Only in one fund ↓
Only in IHE
LIGAND PHARMACEUTICALS 1.35%
DEFINIUM THERAPEUTICS INC 1.08%
VERADERMICS 0.96%
INDIVIOR PHARMACEUTICALS INC 0.89%
AMNEAL PHARMACEUTICALS INC CLASS A 0.86%
LIQUIDIA 0.73%
EDGEWISE THERAPEUTICS 0.70%
AMYLYX PHARMACEUTICALS 0.63%
Only in IYH
ABBVIE 7.57%
UNITEDHEALTH GROUP 5.54%
THERMO FISHER SCIENTIFIC 3.85%
AMGEN INC 3.61%
GILEAD SCIENCES 2.95%
ABBOTT LABORATORIES 2.67%
INTUITIVE SURGICAL 2.35%
DANAHER 2.19%
Check overlap with more funds →

Side by side

IHE iShares U.S. Pharmaceuticals ETF IYH iShares U.S. Healthcare ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index
Total return, 1 year +41.9% +25.3%
Expense ratio 0.37% 0.37%
Already in the S&P 500 65.5% 90.3%
Holdings 54 101
Net assets, IHE as of Oct 27, 2026 and IYH as of Oct 28, 2026 $1.6bn $4.5bn

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

Client brief · page 1 of 2 Report BR-6D07DA3C98

IHE and IYH are built for the same job. How do they differ in cost, holdings and results?

  1. What each follows. IHE follows Dow Jones U.S. Select Pharmaceuticals Index and IYH follows Russell 1000 Health Care RIC 22.
  2. Holdings in common. 35% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 IHE returned +41.9% and IYH +25.3% with distributions reinvested, a gap of 16.6 points.

Data as of Oct 28, 2026.

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About each fund
IHE

IHE tracks an index. Over the year to Oct 28, 2026 it returned +41.9% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 66% of the fund by weight is stocks the S&P 500 also holds, across 54 positions, with the top ten at 80.4%. It sat 3.9% below its high of Aug 19, 2026 on Oct 28, 2026.

IYH

IYH tracks an index. Over the year to Oct 28, 2026 it returned +25.3% with distributions reinvested. By its holdings published by its issuer for Oct 27, 2026, 90% of the fund by weight is stocks the S&P 500 also holds, across 101 positions, with the top ten at 58.9%.

Questions people ask

Which returned more over the last year, IHE or IYH?
In the year to Oct 28, 2026, with distributions reinvested, IHE returned +41.9% and IYH +25.3%.
Which is cheaper, IHE or IYH?
Neither: IHE and IYH both charge 0.37% a year. Fees come from each fund's prospectus.
How much do IHE and IYH overlap with the S&P 500?
By their latest filed holdings, 66% of IHE and 90% of IYH by weight is stocks the S&P 500 already holds.
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ETFIQ, IHE against IYH, data as of Oct 28, 2026. https://etfiq.com/compare/any/ihe-vs-iyh

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