IYH vs VTI
iShares US Healthcare ETF vs Vanguard Morningstar Total Stock Market ETF
Which is better, IYH or VTI?
Each has led over a different period.
VTI has a lower expense ratio. IYH led over 1Y, VTI over 3Y, 5Y and the full window. VTI is less concentrated, with 33.3% of the fund in its ten largest positions against 58.5%.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | IYH | VTI |
|---|---|---|
| Expense Ratio | 0.37% | 0.03%Best |
| AUM | $4.0B | $690.1B |
| Dividend Yield | 1.11% | 1.03% |
| Holdings | 104 | 3,524 |
| YTD Return | +9.40% | +14.14%Best |
| 1Y Return | +17.92%Best | +16.22% |
| 3Y Return (annualized) | +10.53% | +22.93%Best |
| 5Y Return (annualized) | +6.58% | +12.76%Best |
| Volatility (annualized) | 13.6%Best | 15.3% |
| Max Drawdown | -39.6%Best | -56.6% |
| $10,000 over 5 years | $13,752 | $18,230Best |
| Top 10 Weight | 58.5% | 33.3%Best |
| Fund Family | iShares by BlackRock (US) | Vanguard (US) |
| Category | Equity | Equity |
| Style | Large Cap Blend | Large Cap Blend |
| Inception | Jun 12, 2000 | May 24, 2001 |
Volatility and max drawdown are measured over the window both funds cover: May 31, 2001 to Oct 5, 2026 (25.3 years).
IYH vs VTI growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view covers the 25.3 years both funds cover.
IYH vs VTI Performance
iShares US Healthcare ETF (IYH) is an ETF from iShares by BlackRock (US) and Vanguard Morningstar Total Stock Market ETF (VTI) is an ETF from Vanguard (US). Over the past year IYH returned +17.92% while VTI returned +16.22%. Year to date, IYH is up 9.40% versus a gain of 14.14% for VTI.
Over three years, IYH compounded at +10.53% per year against +22.93% for VTI; over five years the annualized figures are +6.58% and +12.76% respectively. Across the full 25-year window we track, VTI has the edge at +8.09% annualized vs +7.36%.
Past performance does not guarantee future results.
Risk: Volatility and Drawdowns
VTI has been the more volatile fund, with annualized monthly volatility of 15.3% compared with 13.6% for IYH. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -39.6% for IYH and -56.6% for VTI. Drawdown depth is what each fund did in the worst stretch of the window measured above.
The two funds' monthly returns correlate at 0.74. They usually move together, but the gap leaves some room for diversification.
Fees and Cost Over Time
IYH charges 0.37% per year while VTI charges 0.03%. On a $10,000 position that is $37 vs $3 annually, a gap of $34 per year that compounds over a long holding period. On income, IYH currently yields 1.11% against 1.03% for VTI.
Holdings Overlap
99.1% of IYH's money is in holdings VTI also owns. 8.4% of VTI's money is in holdings IYH also owns.
Most of IYH is already inside VTI. Owning both mostly buys the same companies twice.
96 positions in common, counted across the 101 positions we hold weights for in IYH and 3,463 in VTI, against full books of 104 and 3,524.
What only one of them owns
Our book lists 1,061 positions for VTI that do not appear in our book for IYH (89.1% of the fund), and 2 for IYH that do not appear in VTI (0.3%).
Some of those will be the same company recorded under a different code in one of the two books, so the real difference in what you would own is no larger than this and may be smaller. We do not name the individual positions here for that reason.
Top Shared Holdings
| Stock | Weight in IYH | Weight in VTI | Difference |
|---|---|---|---|
| LLYEli Lilly & Co. | 14.36% | 1.35% | 13.01% |
| JNJJohnson & Johnson - Common | 10.32% | 0.86% | 9.46% |
| ABBVAbbvie Inc. | 7.34% | 0.61% | 6.73% |
| MRKMerck & Company Inc | 5.74% | 0.45% | 5.29% |
| UNHUnitedhealth Group Incorporated | 5.52% | 0.52% | 5.00% |
| TMOThermo Fisherscientific Inc. | 3.66% | 0.30% | 3.36% |
| AMGNAmgen Inc. | 3.28% | 0.29% | 2.99% |
| ABTAbbott Laboratories | 2.85% | 0.26% | 2.59% |
| GILDGilead Sciences | 2.88% | 0.22% | 2.66% |
| PFEPfizer Inc | 2.54% | 0.20% | 2.34% |
99.1% of IYH is already inside VTI.
You probably hold more than these two. Add the rest and see how much of the whole book is the same companies twice.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, IYH or VTI?
IYH has an expense ratio of 0.37% while VTI charges 0.03%. VTI is the cheaper option, by $34 a year on a $10,000 investment.
Which performed better, IYH or VTI?
Over the past year IYH returned +17.92% vs +16.22% for VTI, so IYH leads on 1-year performance. Over the longest common window we track (25 years), IYH annualized +7.36% vs +8.09% for VTI. Past performance does not guarantee future results. This is information, not a recommendation.
Which is riskier, IYH or VTI?
VTI has been the more volatile fund at 15.3% annualized versus 13.6% for IYH. Worst drawdown: IYH -39.6% vs VTI -56.6%.
Should I hold both IYH and VTI?
IYH and VTI have a monthly-return correlation of 0.74, so their returns are far enough apart for the mix to behave differently from either one alone. This is information, not a recommendation.
What is the holdings overlap between IYH and VTI?
99.1% of IYH's money is in holdings VTI also owns. 8.4% of VTI's is in holdings IYH also owns. They hold 96 positions in common, counted across the 101 positions we hold weights for in IYH and 3,463 in VTI.
Which pays a higher dividend, IYH or VTI?
IYH yields 1.11% while VTI yields 1.03%, so IYH currently pays the higher dividend yield.
Is VTI better than IYH?
VTI has a lower expense ratio. IYH led over 1Y, VTI over 3Y, 5Y and the full window. VTI is less concentrated, with 33.3% of the fund in its ten largest positions against 58.5%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.