VHT vs. IHI

Last updated Aug 6, 2026

VHT (Vanguard Health Care ETF) and IHI (iShares U.S. Medical Devices ETF) are both Health & Biotech Equities funds - VHT tracks the MSCI US Investable Market Health Care 25/50 Index while IHI tracks the Dow Jones U.S. Select Medical Equipment Index. Both are passively managed. Over the past 10 years, VHT returned 10.02%/yr vs 8.77%/yr for IHI. Their correlation of 0.84 means they have usually moved in the same direction. VHT charges 0.09%/yr vs 0.38%/yr for IHI.

Performance

VHT vs. IHI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Vanguard Health Care ETF (VHT) and iShares U.S. Medical Devices ETF (IHI). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, VHT achieves a 7.96% return, which is significantly higher than IHI's -13.37% return. Over the past 10 years, VHT has outperformed IHI with an annualized return of 10.02%, while IHI has yielded a comparatively lower 8.77% annualized return.

VHT

• 1D: 1.16%
• 1M: 0.90%
• 6M: 7.58%
• YTD: 7.96%
• 1Y: 28.01%
• 3Y*: 9.89%
• 5Y*: 5.19%
• 10Y*: 10.02%
• ALL TIME*: 9.97%

IHI

• 1D: -0.72%
• 1M: 3.09%
• 6M: -7.10%
• YTD: -13.37%
• 1Y: -10.78%
• 3Y*: 0.25%
• 5Y*: -2.87%
• 10Y*: 8.77%
• ALL TIME*: 10.14%

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

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
IHI iShares U.S. Medical Devices ETF	$150.33M	$161.23M	$150.05M
VHT Vanguard Health Care ETF	$68.30M	$73.27M	$75.43M

VHT vs. IHI - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
VHT Vanguard Health Care ETF	7.96%	15.46%	2.66%	2.52%	-5.60%	20.57%	18.29%	21.87%	5.58%	23.26%
IHI iShares U.S. Medical Devices ETF	-13.37%	6.88%	8.62%	3.24%	-19.80%	21.03%	24.17%	32.75%	15.45%	30.81%

Correlation

The correlation between VHT and IHI is 0.65, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.65
Correlation (3Y) Balances recent behavior with more history.	0.71
Correlation (5Y) Shows whether the relationship held over a longer period.	0.79
Correlation (10Y) Provides a long-term view across more market conditions.	0.82
Correlation (All Time) Calculated using the full available price history since May 5, 2006	0.84

The correlation between VHT and IHI shifts across timeframes, from 0.65 (1 year) to 0.84 (all time), reflecting how their relationship changes across market environments.

VHT vs. IHI - Sectors Allocation Comparison

Sectors	VHT	IHI
Healthcare	99.2%	100.0%
Technology	0.4%	0.3%
Financial Services	0.0%	-
Industrials	0.0%	0.2%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Real Estate	-	-
Utilities	-	-

Return for Risk

VHT vs. IHI — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

VHT

VHT Risk / Return Rank: 67
VHT Sharpe Ratio Rank: 71
VHT Sortino Ratio Rank: 79
VHT Omega Ratio Rank: 66
VHT Calmar Ratio Rank: 68
VHT Martin Ratio Rank: 51

IHI

IHI Risk / Return Rank: 5
IHI Sharpe Ratio Rank: 4
IHI Sortino Ratio Rank: 4
IHI Omega Ratio Rank: 4
IHI Calmar Ratio Rank: 6
IHI Martin Ratio Rank: 5

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

VHT vs. IHI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Vanguard Health Care ETF (VHT) and iShares U.S. Medical Devices ETF (IHI). 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.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	VHT	IHI	Difference
Sharpe ratio: Return per unit of total volatility	1.86	-0.55	+2.41
Sortino ratio: Return per unit of downside risk	2.87	-0.67	+3.55
Omega ratio: Gain probability vs. loss probability	1.32	0.92	+0.40
Calmar ratio: Return relative to maximum drawdown	2.71	-0.41	+3.12
Martin ratio: Return relative to average drawdown	6.70	-0.81	+7.51

VHT vs. IHI - Sharpe Ratio Comparison

The current VHT Sharpe Ratio is 1.86, which is higher than the IHI Sharpe Ratio of -0.55. The chart below compares the historical Sharpe Ratios of VHT and IHI, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

VHT vs. IHI - Drawdown Comparison

The maximum VHT drawdown since its inception was -39.12%, smaller than the maximum IHI drawdown of -49.65%. Use the drawdown chart below to compare losses from any high point for VHT and IHI.

Drawdown Indicators

	VHT	IHI	Difference
Max Drawdown Largest peak-to-trough decline	-39.12%	-49.65%	+10.53%
Max Drawdown (1Y) Largest decline over 1 year	-10.40%	-26.11%	+15.71%
Max Drawdown (3Y) Largest decline over 3 years	-16.91%	-26.64%	+9.73%
Max Drawdown (5Y) Largest decline over 5 years	-17.71%	-33.12%	+15.41%
Max Drawdown (10Y) Largest decline over 10 years	-28.85%	-33.25%	+4.40%
Current Drawdown Current decline from peak	-1.50%	-18.20%	+16.70%
Average Drawdown Average peak-to-trough decline	-5.96%	-8.44%	+2.48%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.20%	13.38%	-9.18%

Volatility

VHT vs. IHI - Volatility Comparison

The current volatility for Vanguard Health Care ETF (VHT) is 4.77%, while iShares U.S. Medical Devices ETF (IHI) has a volatility of 9.43%. This indicates that VHT experiences smaller price fluctuations and is considered to be less risky than IHI based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	VHT	IHI	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.77%	9.43%	-4.66%
Volatility (6M) Calculated over the trailing 6-month period	11.63%	16.84%	-5.21%
Volatility (1Y) Calculated over the trailing 1-year period	15.11%	19.84%	-4.73%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.26%	19.61%	-4.35%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	17.03%	20.04%	-3.01%

VHT vs. IHI - Expense Ratio Comparison

VHT has a 0.09% expense ratio, which is lower than IHI's 0.38% expense ratio.

Dividends

VHT vs. IHI - Dividend Comparison

VHT's dividend yield for the trailing twelve months is around 1.53%, more than IHI's 0.45% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IHI iShares U.S. Medical Devices ETF	0.45%	0.34%	0.46%	0.53%	0.45%	0.25%	0.25%	0.33%	0.26%	0.37%	0.55%	1.28%
VHT Vanguard Health Care ETF	1.53%	1.61%	1.53%	1.36%	1.33%	1.14%	1.21%	1.89%	1.38%	1.31%	1.45%	1.22%

Frequently Asked Questions

Can I hold both VHT and IHI in my portfolio?

VHT and IHI have a correlation of 0.65, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, VHT or IHI?

IHI has higher volatility (9.43%) compared to VHT (4.77%). In terms of maximum drawdown, VHT dropped -39.12% vs IHI's -49.65%.

Which ETF is better, VHT or IHI?

On 10-year performance, VHT leads with 10.02% vs 8.77% for IHI. On fees, VHT is cheaper at 0.09% per year. On volatility, VHT has been the lower-risk option at 4.77%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, VHT or IHI?

Over the 10-year period, VHT has performed better with a 10.02% return vs 8.77%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, VHT or IHI?

VHT is cheaper with a 0.09% expense ratio, compared with 0.38% for IHI.

Which ETF pays a higher dividend yield, VHT or IHI?

VHT has the higher dividend yield at 1.53%, compared with 0.45% for IHI.

What is the main difference between VHT and IHI?

VHT tracks MSCI US Investable Market Health Care 25/50 Index, while IHI tracks Dow Jones U.S. Select Medical Equipment Index. They also come from different issuers: Vanguard and iShares. Their fees differ too: 0.09% for VHT and 0.38% for IHI.

Which has better risk-adjusted returns?

VHT currently has the higher Sharpe Ratio (1.86 vs -0.55), 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.