Data as of Oct 28, 2026.

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IXJ vs IYH: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IXJ returned +20.8% to IYH's +25.3%; 69% of their weight is in the same names.

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

At a glance
+20.8%
IXJ total return, 1 year
+25.3%
IYH total return, 1 year
0.38%
IXJ expense ratio
0.37%
IYH expense ratio

Pair scorecard

IYH costs 0.01 points a year less; their one-year returns differ by 4.5 points.

IXJ vs IYH: Differences, Returns & Fees
MeasureIXJIYH
Return
Total return, 1 year+20.8%+25.3%
Benchmark
What it tracksS&P Global 1200 Health Care IndexRussell 1000 Health Care RIC 22
Cost and size
Expense ratio0.38%0.37%
Net assets, as of Oct 27, 2026$4.5bn$4.5bn
Holdings
Holdings in common69%
Top ten holdings, share of the fund47.5%58.9%

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

Risk and return

Dec 7, 2001 to Oct 23, 2026 · 1,298 weekly returns
IXJ IYH
Return
Total return edge IYH +539.1% +713.8%
Annualized edge IYH +7.7% +8.8%
Price return edge IYH +336.4% +493.7%
Risk
Volatility edge Tie 16.2% 16.4%
Max drawdown edge IYH (slight) −39.7% −37.3%
Risk-adjusted
Sharpe edge IYH 0.43 0.49
Sortino edge IYH 0.61 0.69
Calmar edge IYH 0.19 0.23
Reading

IYH returned more: +713.8% to +539.1%. IXJ and IYH swung about the same: 16.2% and 16.4%. IYH fell slightly less at its worst: −37.3% to −39.7%.

Full scorecard

9 measures, with how each is measured
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Risk and return: IXJ vs IYH: Differences, Returns & Fees
MeasureIXJIYHEdgeHow it is measured
Return
Total return+539.1%+713.8%IYHPrice change plus distributions, reinvested.
Annualized+7.7%+8.8%IYHTotal return as a yearly rate.
Price return+336.4%+493.7%IYHPrice change alone, distributions left out.
Risk
Volatility16.2%16.4%TieSpread of weekly returns, annualized. Lower is steadier.
Downside deviation11.5%11.6%TieLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−39.7%−37.3%IYH (slight)Deepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.430.49IYHReturn above Treasury bills per unit of volatility.
Sortino0.610.69IYHReturn above Treasury bills per unit of downside deviation.
Calmar0.190.23IYHAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,298 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

69%

By the books each fund has filed, IXJ and IYH hold 69% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

69% in common

Positions both hold · largest shared weight first IXJ IYH
ELI LILLY 10.85% 15.29%
JOHNSON & JOHNSON 6.85% 9.67%
ABBVIE 5.35% 7.57%
UNITEDHEALTH GROUP 4.28% 5.54%
MERCK & CO INC 4.06% 5.24%
THERMO FISHER SCIENTIFIC 2.98% 3.85%
AMGEN INC 2.82% 3.61%
GILEAD SCIENCES 2.29% 2.95%
ABBOTT LABORATORIES 2.07% 2.67%
PFIZER 1.98% 2.53%
INTUITIVE SURGICAL 1.83% 2.35%
DANAHER 1.69% 2.19%
Only in one fund ↓
Only in IXJ
ROCHE PS PAR AG 3.93%
NOVARTIS AG 3.31%
ASTRAZENECA PLC 3.08%
NOVO NORDISK CLASS B 1.43%
CVS HEALTH 1.36%
MCKESSON CORP 1.31%
GLAXOSMITHKLINE 1.20%
SANOFI SA 1.05%
Only in IYH
NATERA 0.84%
REVOLUTION MEDICINES 0.53%
ALNYLAM PHARMACEUTICALS 0.45%
ROYALTY PHARMA PLC CLASS A 0.40%
UNITED THERAPEUTICS 0.37%
GUARDANT HEALTH 0.34%
TENET HEALTHCARE CORP 0.31%
INSMED 0.30%
Check overlap with more funds →

Side by side

IXJ iShares Global Healthcare 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 +20.8% +25.3%
Expense ratio 0.38% 0.37%
Already in the S&P 500 70.9% 90.3%
Holdings 110 101
Net assets, IXJ as of Oct 27, 2026 and IYH as of Oct 28, 2026 $4.5bn $4.5bn

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

Client brief · page 1 of 2 Report BR-9AB7F9D680

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

  1. What each follows. IXJ follows S&P Global 1200 Health Care Index and IYH follows Russell 1000 Health Care RIC 22.
  2. One-year total return. Over 1 year to Oct 28, 2026 IXJ returned +20.8% and IYH +25.3% with distributions reinvested, a gap of 4.5 points.
  3. Holdings in common (similar). 69% of the weight is in the same securities (holdings dated Oct 27, 2026).

Data as of Oct 28, 2026.

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About each fund
IXJ

IXJ tracks an index. Over the year to Oct 28, 2026 it returned +20.8% with distributions reinvested. The prospectus expense ratio is 0.38% a year. By its holdings published by its issuer for Oct 27, 2026, 71% of the fund by weight is stocks the S&P 500 also holds, across 110 positions, with the top ten at 47.5%.

IYH

IYH tracks an index. Over the year to Oct 28, 2026 it returned +25.3% with distributions reinvested. The prospectus expense ratio is 0.37% a year. 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, IXJ or IYH?
In the year to Oct 28, 2026, with distributions reinvested, IXJ returned +20.8% and IYH +25.3%.
Which is cheaper, IXJ or IYH?
IYH is cheaper, by 0.01 percentage points a year. That is about $1 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do IXJ and IYH overlap with the S&P 500?
By their latest filed holdings, 71% of IXJ and 90% of IYH by weight is stocks the S&P 500 already holds.
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ETFIQ, IXJ against IYH, data as of Oct 28, 2026. https://etfiq.com/compare/any/ixj-vs-iyh

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