Data as of Oct 28, 2026.

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IHF vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IHF returned +17.6% to VHT's +25.0%; 14% of their weight is in the same names.

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Net assets: $1.4bn on Oct 27, 2026 for iShares U.S. Healthcare Providers ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+17.6%
IHF total return, 1 year
+25.0%
VHT total return, 1 year
0.37%
IHF expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.28 points a year less; their one-year returns differ by 7.4 points; VHT is 13.6 times larger.

IHF vs VHT: Differences, Returns & Fees
MeasureIHFVHT
Return
Total return, 1 year+17.6%+25.0%
Benchmark
What it tracksDow Jones U.S. Select Health Care Providers IndexMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.37%0.09%
Net assets, as of Sep 30, 2026$1.4bn$19.1bn
Holdings
Holdings in common14%
Top ten holdings, share of the fund73.7%51.8%

Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method

Risk and return

May 12, 2006 to Oct 23, 2026 · 1,067 weekly returns
IHF VHT
Return
Total return edge VHT +615.3% +768.1%
Annualized edge VHT (slight) +10.1% +11.1%
Price return edge VHT (slight) +517.6% +537.0%
Risk
Volatility edge VHT 22.1% 16.9%
Max drawdown edge VHT −56.9% −38.1%
Risk-adjusted
Sharpe edge VHT 0.47 0.61
Sortino edge VHT 0.66 0.86
Calmar edge VHT 0.18 0.29
Reading

VHT returned more: +768.1% to +615.3%. VHT swung less: 16.9% to 22.1%. VHT fell less at its worst: −38.1% to −56.9%.

Full scorecard

9 measures, with how each is measured
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Risk and return: IHF vs VHT: Differences, Returns & Fees
MeasureIHFVHTEdgeHow it is measured
Return
Total return+615.3%+768.1%VHTPrice change plus distributions, reinvested.
Annualized+10.1%+11.1%VHT (slight)Total return as a yearly rate.
Price return+517.6%+537.0%VHT (slight)Price change alone, distributions left out.
Risk
Volatility22.1%16.9%VHTSpread of weekly returns, annualized. Lower is steadier.
Downside deviation15.8%12.0%VHTLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−56.9%−38.1%VHTDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.470.61VHTReturn above Treasury bills per unit of volatility.
Sortino0.660.86VHTReturn above Treasury bills per unit of downside deviation.
Calmar0.180.29VHTAnnualized 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

14%

By the books each fund has filed, IHF and VHT hold 14% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

14% in common

Positions both hold · largest shared weight first IHF VHT
UNITEDHEALTH GROUP 22.48% 4.66%
CVS HEALTH 12.07% 1.53%
ELEVANCE HEALTH INC 9.45% 1.15%
CIGNA 4.62% 1.00%
HCA HEALTHCARE 4.59% 0.93%
HUMANA 4.47% 0.64%
VEEVA SYSTEMS CLASS A 5.18% 0.58%
CENTENE CORP 4.21% 0.43%
QUEST DIAGNOSTICS INC 3.32% 0.36%
LABCORP HOLDINGS 3.33% 0.35%
TENET HEALTHCARE CORP 2.62% 0.31%
GUARDANT HEALTH 2.96% 0.31%
Only in one fund ↓
Only in IHF
BILLIONTOONE CLASS A 0.31%
E-MINI HEALTH CARE SECTOR DEC 26 0.00%
Only in VHT
Eli Lilly & Co 12.95%
Johnson & Johnson 8.79%
AbbVie Inc 6.46%
Merck & Co Inc 5.02%
Thermo Fisher Scientific Inc 3.51%
Amgen Inc 3.18%
Gilead Sciences Inc 2.59%
Abbott Laboratories 2.41%
Check overlap with more funds →

Side by side

IHF iShares U.S. Healthcare Providers ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index of Health Care
Total return, 1 year +17.6% +25.0%
Its benchmark over the same days not measured +25.4% (FHLC)
Gap to its benchmark not measured −0.4 pts vs FHLC
Expense ratio 0.37% 0.09%
Already in the S&P 500 74.4% 85.5%
Holdings 62 414
Net assets, IHF as of Oct 27, 2026 and VHT as of Sep 30, 2026 $1.4bn $19.1bn

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

Client brief · page 1 of 2 Report BR-0AE54832C4

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

  1. What each follows. IHF follows Dow Jones U.S. Select Health Care Providers Index and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
  2. Holdings in common. 14% of the weight is in the same securities (holdings dated Oct 27, 2026 and Sep 30, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 IHF returned +17.6% and VHT +25.0% with distributions reinvested, a gap of 7.4 points.

Data as of Oct 28, 2026.

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About each fund
IHF

IHF tracks an index. Over the year to Oct 28, 2026 it returned +17.6% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 74% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 73.7%.

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, IHF or VHT?
In the year to Oct 28, 2026, with distributions reinvested, IHF returned +17.6% and VHT +25.0%.
Which is cheaper, IHF or VHT?
VHT is cheaper, by 0.28 percentage points a year. That is about $28 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do IHF and VHT overlap with the S&P 500?
By their latest filed holdings, 74% of IHF and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, IHF against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/ihf-vs-vht

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