Data as of Oct 28, 2026.

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IJH vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IJH returned +13.2% to VHT's +25.0%; 5% of their weight is in the same names.

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Net assets: $122.8bn on Oct 27, 2026 for iShares Core S&P Mid-Cap ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+13.2%
IJH total return, 1 year
+25.0%
VHT total return, 1 year
0.05%
IJH expense ratio
0.09%
VHT expense ratio

Pair scorecard

IJH costs 0.04 points a year less; their one-year returns differ by 11.8 points; IJH is 6.3 times larger.

IJH vs VHT: Differences, Returns & Fees
MeasureIJHVHT
Return
Total return, 1 year+13.2%+25.0%
Drawdown
Below its high6.5%, high on Aug 14, 2026
Benchmark
What it tracksS&P MidCap 400MSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.05%0.09%
Net assets, as of Sep 30, 2026$120.9bn$19.1bn
Holdings
Holdings in common5%
Top ten holdings, share of the fund7.2%51.8%

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

What they share

5%

By the books each fund has filed, IJH and VHT hold 5% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

5% in common

Positions both hold · largest shared weight first IJH VHT
TENET HEALTHCARE CORP 0.62% 0.31%
UNITED THERAPEUTICS 0.74% 0.29%
ROIVANT SCIENCES LTD 0.58% 0.27%
MEDPACE HOLDINGS 0.45% 0.20%
EXELIXIS INC 0.47% 0.19%
NEUROCRINE BIOSCIENCES 0.43% 0.19%
JAZZ PHARMACEUTICALS PLC 0.39% 0.19%
HALOZYME THERAPEUTICS 0.43% 0.18%
ENCOMPASS HEALTH 0.35% 0.17%
PENUMBRA 0.37% 0.17%
CORCEPT THERAPEUTICS 0.24% 0.16%
ELANCO ANIMAL HEALTH 0.33% 0.16%
Only in one fund ↓
Only in IJH
OKTA CLASS A 1.10%
TECHNIPFMC PLC 0.82%
ENTEGRIS INC 0.67%
ATI 0.66%
US FOODS HOLDING 0.65%
RELIANCE STEEL & ALUMINUM 0.65%
XPO 0.64%
NVENT ELECTRIC PLC 0.64%
Only in VHT
Eli Lilly & Co 12.95%
Johnson & Johnson 8.79%
AbbVie Inc 6.46%
Merck & Co Inc 5.02%
UnitedHealth Group Inc 4.66%
Thermo Fisher Scientific Inc 3.51%
Amgen Inc 3.18%
Gilead Sciences Inc 2.59%
Check overlap with more funds →

Side by side

IJH iShares Core S&P Mid-Cap ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the S&P MidCap 400 Tracks an index of Health Care
Total return, 1 year +13.2% +25.0%
Its benchmark over the same days +12.8% (MDY) +25.4% (FHLC)
Gap to its benchmark +0.4 pts vs MDY −0.4 pts vs FHLC
Expense ratio 0.05% 0.09%
Already in the S&P 500 0.0% 85.5%
Holdings 409 414
Net assets, IJH as of Oct 27, 2026 and VHT as of Sep 30, 2026 $122.8bn $19.1bn

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

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About each fund
IJH

IJH tracks the S&P MidCap 400. Over the year to Oct 28, 2026 it returned +13.2% with distributions reinvested, against +12.8% for its benchmark, the S&P MidCap 400. The prospectus expense ratio is 0.05% a year. By its holdings published by its issuer for Oct 27, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 409 positions, with the top ten at 7.2%. It sat 6.5% below its high of Aug 14, 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, IJH or VHT?
In the year to Oct 28, 2026, with distributions reinvested, IJH returned +13.2% and VHT +25.0%.
Which is cheaper, IJH or VHT?
IJH is cheaper, by 0.04 percentage points a year. That is about $4 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do IJH and VHT overlap with the S&P 500?
By their latest filed holdings, 0% of IJH and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, IJH against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/ijh-vs-vht

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