Data as of Oct 28, 2026.
IHF vs VHT: Differences, Returns & Fees
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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askIQ about IHF and VHTNet 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.
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.
| Measure | IHF | VHT |
|---|---|---|
| Return | ||
| Total return, 1 year | +17.6% | +25.0% |
| Benchmark | ||
| What it tracks | Dow Jones U.S. Select Health Care Providers Index | MSCI US Investable Market Index (IMI)/Health Care 25/50 |
| Cost and size | ||
| Expense ratio | 0.37% | 0.09% |
| Net assets, as of Sep 30, 2026 | $1.4bn | $19.1bn |
| Holdings | ||
| Holdings in common | 14% | |
| Top ten holdings, share of the fund | 73.7% | 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 returnsVHT 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 Open ↓
| Measure | IHF | VHT | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +615.3% | +768.1% | VHT | Price 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 | ||||
| Volatility | 22.1% | 16.9% | VHT | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 15.8% | 12.0% | VHT | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −56.9% | −38.1% | VHT | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.47 | 0.61 | VHT | Return above Treasury bills per unit of volatility. |
| Sortino | 0.66 | 0.86 | VHT | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.18 | 0.29 | VHT | 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
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.
half
14% in common
Only in one fund ↓
Side by side
IHF and VHT on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
IHF and VHT are built for the same job. How do they differ in cost, holdings and results?
- 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.
- Holdings in common. 14% of the weight is in the same securities (holdings dated Oct 27, 2026 and Sep 30, 2026).
- 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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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.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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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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