KURE vs. IYH

Last updated Jun 4, 2026

KURE (KraneShares MSCI All China Health Care Index ETF) and IYH (iShares U.S. Healthcare ETF) are both exchange-traded funds - KURE is a China Equities fund tracking the MSCI China All Shares Health Care 10/40 Index, while IYH is a Health & Biotech Equities fund tracking the Dow Jones U.S. Health Care Index. Both are passively managed. Over the past 5 years, KURE returned -16.33%/yr vs 4.59%/yr for IYH. At a 0.26 correlation, their price movements are largely independent. KURE charges 0.65%/yr vs 0.43%/yr for IYH.

Performance

KURE vs. IYH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in KraneShares MSCI All China Health Care Index ETF (KURE) and iShares U.S. Healthcare ETF (IYH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, KURE achieves a -10.68% return, which is significantly lower than IYH's -4.19% return.

KURE

• 1D: -2.87%
• 1M: -12.23%
• YTD: -10.68%
• 6M: -15.54%
• 1Y: -5.05%
• 3Y*: -6.04%
• 5Y*: -16.33%
• 10Y*: —

IYH

• 1D: 0.96%
• 1M: 1.98%
• YTD: -4.19%
• 6M: -4.54%
• 1Y: 13.08%
• 3Y*: 5.48%
• 5Y*: 4.59%
• 10Y*: 8.96%

*Multi-year figures are annualized to reflect compound growth (CAGR)

KURE vs. IYH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018
KURE KraneShares MSCI All China Health Care Index ETF	-10.68%	24.87%	-17.83%	-17.70%	-25.43%	-16.01%	68.97%	34.30%	-30.07%
IYH iShares U.S. Healthcare ETF	-4.19%	13.16%	2.99%	2.14%	-4.46%	23.41%	15.56%	20.80%	-0.93%

Correlation

The correlation between KURE and IYH is 0.22, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.22
Correlation (3Y) Calculated over the trailing 3-year period	0.18
Correlation (5Y) Calculated over the trailing 5-year period	0.20
Correlation (All Time) Calculated using the full available price history since Feb 2, 2018	0.26

KURE vs. IYH - Sectors Allocation Comparison

Sectors	KURE	IYH
Healthcare	99.3%	100.0%
Consumer Defensive	0.7%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

KURE vs. IYH — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

KURE

KURE Risk / Return Rank: 7
KURE Sharpe Ratio Rank: 7
KURE Sortino Ratio Rank: 7
KURE Omega Ratio Rank: 7
KURE Calmar Ratio Rank: 7
KURE Martin Ratio Rank: 7

IYH

IYH Risk / Return Rank: 25
IYH Sharpe Ratio Rank: 25
IYH Sortino Ratio Rank: 26
IYH Omega Ratio Rank: 23
IYH Calmar Ratio Rank: 26
IYH Martin Ratio Rank: 23

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.

KURE vs. IYH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for KraneShares MSCI All China Health Care Index ETF (KURE) and iShares U.S. Healthcare ETF (IYH). 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.

	KURE	IYH	Difference
Sharpe ratio Return per unit of total volatility	-0.19	0.89	-1.08
Sortino ratio Return per unit of downside risk	-0.09	1.43	-1.52
Omega ratio Gain probability vs. loss probability	0.99	1.16	-0.17
Calmar ratio Return relative to maximum drawdown	-0.18	1.23	-1.42
Martin ratio Return relative to average drawdown	-0.39	2.97	-3.36
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

KURE vs. IYH - Sharpe Ratio Comparison

The current KURE Sharpe Ratio is -0.19, which is lower than the IYH Sharpe Ratio of 0.89. The chart below compares the historical Sharpe Ratios of KURE and IYH, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	KURE	IYH	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.19	0.89	-1.08
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.52	0.31	-0.82
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	—	0.54	—
Sharpe Ratio (All Time) Calculated using the full available price history	-0.11	0.43	-0.53

Drawdowns

KURE vs. IYH - Drawdown Comparison

The maximum KURE drawdown since its inception was -68.53%, which is greater than IYH's maximum drawdown of -43.12%. Use the drawdown chart below to compare losses from any high point for KURE and IYH.

Drawdown Indicators

	KURE	IYH	Difference
Max Drawdown Largest peak-to-trough decline	-68.53%	-43.12%	-25.41%
Max Drawdown (1Y) Largest decline over 1 year	-27.53%	-10.64%	-16.89%
Max Drawdown (3Y) Largest decline over 3 years	-34.05%	-17.91%	-16.14%
Max Drawdown (5Y) Largest decline over 5 years	-67.94%	-17.91%	-50.03%
Max Drawdown (10Y) Largest decline over 10 years	—	-28.40%	—
Current Drawdown Current decline from peak	-61.11%	-7.36%	-53.75%
Average Drawdown Average peak-to-trough decline	-38.07%	-8.96%	-29.11%
Ulcer Index Depth and duration of drawdowns from previous peaks	13.13%	4.41%	+8.72%

Volatility

KURE vs. IYH - Volatility Comparison

KraneShares MSCI All China Health Care Index ETF (KURE) has a higher volatility of 7.23% compared to iShares U.S. Healthcare ETF (IYH) at 4.24%. This indicates that KURE's price experiences larger fluctuations and is considered to be riskier than IYH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	KURE	IYH	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.23%	4.24%	+2.99%
Volatility (6M) Calculated over the trailing 6-month period	17.67%	10.32%	+7.35%
Volatility (1Y) Calculated over the trailing 1-year period	26.49%	14.74%	+11.75%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	31.86%	14.92%	+16.94%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	32.39%	16.72%	+15.67%

KURE vs. IYH - Expense Ratio Comparison

KURE has a 0.65% expense ratio, which is higher than IYH's 0.43% expense ratio.

Dividends

KURE vs. IYH - Dividend Comparison

KURE's dividend yield for the trailing twelve months is around 4.70%, more than IYH's 1.30% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IYH iShares U.S. Healthcare ETF	1.30%	1.19%	1.25%	1.18%	1.10%	0.94%	1.16%	1.14%	1.95%	1.10%	1.29%	2.02%
KURE KraneShares MSCI All China Health Care Index ETF	4.70%	4.19%	1.29%	0.65%	0.05%	14.12%	0.00%	0.25%	0.21%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both KURE and IYH in my portfolio?

KURE and IYH have a correlation of 0.22, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, KURE or IYH?

KURE has higher volatility (7.23%) compared to IYH (4.24%). In terms of maximum drawdown, KURE dropped -68.53% vs IYH's -43.12%.

Which ETF is better, KURE or IYH?

On 5-year performance, IYH leads with 4.59% vs -16.33% for KURE. On fees, IYH is cheaper at 0.43% per year. On volatility, IYH has been the lower-risk option at 4.24%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, KURE or IYH?

Over the 5-year period, IYH has performed better with a 4.59% return vs -16.33%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, KURE or IYH?

IYH is cheaper with a 0.43% expense ratio, compared with 0.65% for KURE.

Which ETF pays a higher dividend yield, KURE or IYH?

KURE has the higher dividend yield at 4.70%, compared with 1.30% for IYH.

What is the main difference between KURE and IYH?

KURE is categorized as China Equities, while IYH is Health & Biotech Equities. KURE tracks MSCI China All Shares Health Care 10/40 Index, while IYH tracks Dow Jones U.S. Health Care Index. They also come from different issuers: CICC and iShares. Their fees differ too: 0.65% for KURE and 0.43% for IYH.

Which has better risk-adjusted returns?

IYH currently has the higher Sharpe Ratio (0.89 vs -0.19), 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.