Data as of Oct 28, 2026.
IYH vs VHT: Differences, Returns & Fees
Over the year to Oct 28, 2026, IYH returned +25.3% to VHT's +25.0%; 88% of their weight is in the same names.
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Net assets: $4.5bn on Oct 28, 2026 for iShares U.S. Healthcare 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 0.3 points; VHT is 4.8 times larger.
| Measure | IYH | VHT |
|---|---|---|
| Return | ||
| Total return, 1 year | +25.3% | +25.0% |
| Benchmark | ||
| What it tracks | Russell 1000 Health Care RIC 22 | 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 | $4.0bn | $19.1bn |
| Holdings | ||
| Holdings in common | 88% | |
| Top ten holdings, share of the fund | 58.9% | 51.8% |
Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method
Risk and return
Feb 6, 2004 to Oct 23, 2026 · 1,185 weekly returnsVHT returned slightly more: +797.6% to +745.0%. IYH and VHT swung about the same: 16.2% and 16.4%. IYH fell slightly less at its worst: −37.3% to −38.1%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | IYH | VHT | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +745.0% | +797.6% | VHT (slight) | Price change plus distributions, reinvested. |
| Annualized | +9.8% | +10.1% | VHT (slight) | Total return as a yearly rate. |
| Price return | +526.5% | +552.3% | VHT (slight) | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 16.2% | 16.4% | Tie | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 11.4% | 11.6% | Tie | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −37.3% | −38.1% | IYH (slight) | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.55 | 0.56 | Tie | Return above Treasury bills per unit of volatility. |
| Sortino | 0.78 | 0.79 | Tie | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.26 | 0.27 | Tie | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,185 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, IYH and VHT hold 88% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.
half
88% in common
Only in one fund ↓
Side by side
IYH and VHT on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
IYH and VHT are built for the same job. How do they differ in cost, holdings and results?
- What each follows. IYH follows Russell 1000 Health Care RIC 22 and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
- Number of holdings. IYH holds 101 positions and VHT holds 414.
- Cost. IYH charges 0.37% of assets a year and VHT 0.09%, a gap of 0.28 points.
Data as of Oct 28, 2026.
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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%.
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, IYH or VHT?
- In the year to Oct 28, 2026, with distributions reinvested, IYH returned +25.3% and VHT +25.0%.
- Which is cheaper, IYH 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, IYH against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/iyh-vs-vht
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