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IYH vs. VOT
Performance
Return for Risk
Drawdowns
Volatility
Dividends

IYH vs. VOT

Last updated Jun 9, 2026

IYH (iShares U.S. Healthcare ETF) and VOT (Vanguard Mid-Cap Growth ETF) are both exchange-traded funds - IYH is a Health & Biotech Equities fund tracking the Dow Jones U.S. Health Care Index, while VOT is a Mid Cap Growth Equities fund tracking the CRSP US Mid Cap Growth Index. Both are passively managed. Over the past 10 years, IYH returned 9.38%/yr vs 11.95%/yr for VOT. A 0.69 correlation means they provide meaningful diversification when combined. IYH charges 0.43%/yr vs 0.05%/yr for VOT.

Performance

IYH vs. VOT - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in iShares U.S. Healthcare ETF (IYH) and Vanguard Mid-Cap Growth ETF (VOT). The values are adjusted to include any dividend payments, if applicable.

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Returns By Period

In the year-to-date period, IYH achieves a -1.29% return, which is significantly lower than VOT's 5.49% return. Over the past 10 years, IYH has underperformed VOT with an annualized return of 9.38%, while VOT has yielded a comparatively higher 11.95% annualized return.

IYH

1D
-0.28%
1M
6.02%
YTD
-1.29%
6M
0.79%
1Y
15.28%
3Y*
6.60%
5Y*
4.95%
10Y*
9.38%

VOT

1D
0.12%
1M
1.80%
YTD
5.49%
6M
3.73%
1Y
7.75%
3Y*
15.09%
5Y*
6.19%
10Y*
11.95%
*Multi-year figures are annualized to reflect compound growth (CAGR)

IYH vs. VOT - Yearly Performance Comparison

2026 (YTD)202520242023202220212020201920182017
IYH
iShares U.S. Healthcare ETF		-1.29%13.16%2.99%2.14%-4.46%23.41%15.56%20.80%5.80%22.27%
VOT
Vanguard Mid-Cap Growth ETF		5.49%10.72%16.38%23.10%-28.87%20.50%34.50%33.76%-5.56%21.80%

Correlation

The correlation between IYH and VOT is 0.36, which is low. Their price movements are largely independent, making them effective diversification partners.

Correlation
Correlation (1Y)
Calculated over the trailing 1-year period

0.36

Correlation (3Y)
Calculated over the trailing 3-year period

0.47

Correlation (5Y)
Calculated over the trailing 5-year period

0.58

Correlation (10Y)
Calculated over the trailing 10-year period

0.64

Correlation (All Time)
Calculated using the full available price history since Aug 25, 2006

0.69

Over the past year, the correlation between IYH and VOT has dropped to 0.36 - well below their long-term average of 0.69, suggesting their price drivers have been diverging.

IYH vs. VOT - Sectors Allocation Comparison

Sectors
IYH
VOT

Healthcare

100.0%
9.3%

Basic Materials

-

1.8%

Communication Services

-

3.8%

Consumer Cyclical

-

13.9%

Consumer Defensive

-

0.8%

Energy

-

2.7%

Financial Services

-

6.8%

Industrials

-

23.7%

Real Estate

-

4.8%

Technology

-

28.9%

Utilities

-

3.5%

Healthcare

IYH
100.0%
VOT
9.3%

Basic Materials

IYH

-

VOT
1.8%

Communication Services

IYH

-

VOT
3.8%

Consumer Cyclical

IYH

-

VOT
13.9%

Consumer Defensive

IYH

-

VOT
0.8%

Energy

IYH

-

VOT
2.7%

Financial Services

IYH

-

VOT
6.8%

Industrials

IYH

-

VOT
23.7%

Real Estate

IYH

-

VOT
4.8%

Technology

IYH

-

VOT
28.9%

Utilities

IYH

-

VOT
3.5%

Compare stocks, funds, or ETFs

Search for stocks, ETFs, and funds for a quick comparison or use the comparison tool for more options.

iShares U.S. Healthcare ETF

Vanguard Mid-Cap Growth ETF

Often compared with IYH:
IYH vs. VHTIYH vs. XLVIYH vs. SPYIYH vs. IYEIYH vs. IFRAIYH vs. BMEDIYH vs. IBB
Often compared with VOT:
VOT vs. VOVOT vs. VOEVOT vs. IWPVOT vs. VMGMXVOT vs. IJHVOT vs. IMCGVOT vs. FMDGX

Return for Risk

IYH vs. VOT — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.
IYH
IYH Risk / Return Rank: 3131
Overall Rank
IYH Sharpe Ratio Rank: 3131
Sharpe Ratio Rank
IYH Sortino Ratio Rank: 3333
Sortino Ratio Rank
IYH Omega Ratio Rank: 3030
Omega Ratio Rank
IYH Calmar Ratio Rank: 3232
Calmar Ratio Rank
IYH Martin Ratio Rank: 2727
Martin Ratio Rank
VOT
VOT Risk / Return Rank: 1717
Overall Rank
VOT Sharpe Ratio Rank: 1717
Sharpe Ratio Rank
VOT Sortino Ratio Rank: 1717
Sortino Ratio Rank
VOT Omega Ratio Rank: 1616
Omega Ratio Rank
VOT Calmar Ratio Rank: 1515
Calmar Ratio Rank
VOT Martin Ratio Rank: 1616
Martin Ratio Rank
The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

IYH vs. VOT - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for iShares U.S. Healthcare ETF (IYH) and Vanguard Mid-Cap Growth ETF (VOT). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

IYHVOTDifference
Sharpe ratioReturn per unit of total volatility
1.02
0.48

+0.54

Sortino ratioReturn per unit of downside risk
1.64
0.77

+0.87

Omega ratioGain probability vs. loss probability

1.18

1.09

+0.09

Calmar ratioReturn relative to maximum drawdown

1.44

0.49

+0.95

Martin ratioReturn relative to average drawdown

3.45

1.46

+1.99

Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

IYH vs. VOT - Sharpe Ratio Comparison

The current IYH Sharpe Ratio is 1.02, which is higher than the VOT Sharpe Ratio of 0.48. The chart below compares the historical Sharpe Ratios of IYH and VOT, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

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Sharpe Ratios by Period

IYHVOTDifference

Sharpe Ratio (1Y)

Calculated over the trailing 1-year period

1.02

0.48

+0.54

Sharpe Ratio (5Y)

Calculated over the trailing 5-year period

0.33

0.29

+0.04

Sharpe Ratio (10Y)

Calculated over the trailing 10-year period

0.56

0.57

-0.01

Sharpe Ratio (All Time)

Calculated using the full available price history

0.43

0.44

-0.01

Drawdowns

IYH vs. VOT - Drawdown Comparison

The maximum IYH drawdown since its inception was -43.12%, smaller than the maximum VOT drawdown of -60.16%. Use the drawdown chart below to compare losses from any high point for IYH and VOT.

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Drawdown Indicators

IYHVOTDifference

Max Drawdown

Largest peak-to-trough decline

-43.12%

-60.16%

+17.04%

Max Drawdown (1Y)

Largest decline over 1 year

-10.64%

-15.96%

+5.32%

Max Drawdown (3Y)

Largest decline over 3 years

-17.91%

-21.77%

+3.86%

Max Drawdown (5Y)

Largest decline over 5 years

-17.91%

-37.19%

+19.28%

Max Drawdown (10Y)

Largest decline over 10 years

-28.40%

-37.19%

+8.79%

Current Drawdown

Current decline from peak

-4.56%

-3.48%

-1.08%

Average Drawdown

Average peak-to-trough decline

-8.96%

-9.96%

+1.00%

Ulcer Index

Depth and duration of drawdowns from previous peaks

4.43%

5.33%

-0.90%

Volatility

IYH vs. VOT - Volatility Comparison

The current volatility for iShares U.S. Healthcare ETF (IYH) is 4.97%, while Vanguard Mid-Cap Growth ETF (VOT) has a volatility of 5.45%. This indicates that IYH experiences smaller price fluctuations and is considered to be less risky than VOT based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

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Volatility by Period

IYHVOTDifference

Volatility (1M)

Calculated over the trailing 1-month period

4.97%

5.45%

-0.48%

Volatility (6M)

Calculated over the trailing 6-month period

10.67%

12.85%

-2.18%

Volatility (1Y)

Calculated over the trailing 1-year period

15.03%

16.20%

-1.17%

Volatility (5Y)

Calculated over the trailing 5-year period, annualized

14.97%

21.41%

-6.44%

Volatility (10Y)

Calculated over the trailing 10-year period, annualized

16.74%

21.02%

-4.28%

IYH vs. VOT - Expense Ratio Comparison

IYH has a 0.43% expense ratio, which is higher than VOT's 0.05% expense ratio.

Dividends

IYH vs. VOT - Dividend Comparison

IYH's dividend yield for the trailing twelve months is around 1.26%, more than VOT's 0.63% yield.

PositionTTM20252024202320222021202020192018201720162015
IYH
iShares U.S. Healthcare ETF		1.26%1.19%1.25%1.18%1.10%0.94%1.16%1.14%1.95%1.10%1.29%2.02%
VOT
Vanguard Mid-Cap Growth ETF		0.63%0.64%0.67%0.71%0.78%0.34%0.56%0.78%0.84%0.72%0.81%0.81%

Frequently Asked Questions

IYH and VOT have a correlation of 0.36, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

VOT has higher volatility (5.45%) compared to IYH (4.97%). In terms of maximum drawdown, IYH dropped -43.12% vs VOT's -60.16%.

On 10-year performance, VOT leads with 11.95% vs 9.38% for IYH. On fees, VOT is cheaper at 0.05% per year. On volatility, IYH has been the lower-risk option at 4.97%. The better choice depends on whether you care most about return, fees, risk, or income.

Over the 10-year period, VOT has performed better with a 11.95% return vs 9.38%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

VOT is cheaper with a 0.05% expense ratio, compared with 0.43% for IYH.

IYH has the higher dividend yield at 1.26%, compared with 0.63% for VOT.

IYH is categorized as Health & Biotech Equities, while VOT is Mid Cap Growth Equities. IYH tracks Dow Jones U.S. Health Care Index, while VOT tracks CRSP US Mid Cap Growth Index. They also come from different issuers: iShares and Vanguard. Their fees differ too: 0.43% for IYH and 0.05% for VOT.

IYH currently has the higher Sharpe Ratio (1.02 vs 0.48), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.

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