VOO vs. IHI

Last updated Jul 21, 2026

VOO (Vanguard S&P 500 ETF) and IHI (iShares U.S. Medical Devices ETF) are both exchange-traded funds - VOO is a S&P 500 fund tracking the S&P 500 Index, while IHI is a Health & Biotech Equities fund tracking the Dow Jones U.S. Select Medical Equipment Index. Both are passively managed. Over the past 10 years, VOO returned 14.98%/yr vs 8.42%/yr for IHI. A 0.74 correlation means they provide meaningful diversification when combined. VOO charges 0.03%/yr vs 0.38%/yr for IHI.

Performance

VOO vs. IHI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Vanguard S&P 500 ETF (VOO) 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, VOO achieves a 9.44% return, which is significantly higher than IHI's -18.43% return. Over the past 10 years, VOO has outperformed IHI with an annualized return of 14.98%, while IHI has yielded a comparatively lower 8.42% annualized return.

VOO

• 1D: -0.14%
• 1M: -0.57%
• 6M: 7.90%
• YTD: 9.44%
• 1Y: 19.65%
• 3Y*: 19.52%
• 5Y*: 12.88%
• 10Y*: 14.98%
• ALL TIME*: 14.77%

IHI

• 1D: 0.14%
• 1M: 3.08%
• 6M: -18.01%
• YTD: -18.43%
• 1Y: -15.42%
• 3Y*: -3.77%
• 5Y*: -3.32%
• 10Y*: 8.42%
• ALL TIME*: 9.83%

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

VOO vs. IHI - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
VOO Vanguard S&P 500 ETF	9.44%	17.82%	24.98%	26.32%	-18.17%	28.79%	18.32%	31.37%	-4.50%	21.77%
IHI iShares U.S. Medical Devices ETF	-18.43%	6.88%	8.62%	3.24%	-19.80%	21.03%	24.17%	32.75%	15.45%	30.81%

Correlation

The correlation between VOO and IHI is 0.35, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.35
Correlation (3Y) Calculated over the trailing 3-year period	0.53
Correlation (5Y) Calculated over the trailing 5-year period	0.65
Correlation (10Y) Calculated over the trailing 10-year period	0.69
Correlation (All Time) Calculated using the full available price history since Sep 9, 2010	0.74

Over the past year, the correlation between VOO and IHI has dropped to 0.35 - well below their long-term average of 0.74, suggesting their price drivers have been diverging.

VOO vs. IHI - Sectors Allocation Comparison

Sectors	VOO	IHI
Technology	38.6%	0.3%
Financial Services	11.4%	-
Communication Services	9.9%	-
Consumer Cyclical	9.5%	-
Healthcare	8.9%	100.0%
Industrials	8.5%	0.2%
Consumer Defensive	4.5%	-
Energy	3.0%	-
Utilities	2.2%	-
Real Estate	1.8%	-
Basic Materials	1.7%	-

Return for Risk

VOO vs. IHI — Risk / Return Rank

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

VOO

VOO Risk / Return Rank: 64
VOO Sharpe Ratio Rank: 64
VOO Sortino Ratio Rank: 62
VOO Omega Ratio Rank: 63
VOO Calmar Ratio Rank: 59
VOO Martin Ratio Rank: 72

IHI

IHI Risk / Return Rank: 4
IHI Sharpe Ratio Rank: 3
IHI Sortino Ratio Rank: 3
IHI Omega Ratio Rank: 4
IHI Calmar Ratio Rank: 5
IHI Martin Ratio Rank: 3

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.

VOO vs. IHI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Vanguard S&P 500 ETF (VOO) 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.

	VOO	IHI	Difference
Sharpe ratio: Return per unit of total volatility	1.57	-0.79	+2.37
Sortino ratio: Return per unit of downside risk	2.19	-1.05	+3.23
Omega ratio: Gain probability vs. loss probability	1.28	0.88	+0.40
Calmar ratio: Return relative to maximum drawdown	2.22	-0.59	+2.81
Martin ratio: Return relative to average drawdown	9.63	-1.22	+10.85

VOO vs. IHI - Sharpe Ratio Comparison

The current VOO Sharpe Ratio is 1.57, which is higher than the IHI Sharpe Ratio of -0.79. The chart below compares the historical Sharpe Ratios of VOO 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

VOO vs. IHI - Drawdown Comparison

The maximum VOO drawdown since its inception was -33.99%, smaller than the maximum IHI drawdown of -49.65%. Use the drawdown chart below to compare losses from any high point for VOO and IHI.

Drawdown Indicators

	VOO	IHI	Difference
Max Drawdown Largest peak-to-trough decline	-33.99%	-49.65%	+15.66%
Max Drawdown (1Y) Largest decline over 1 year	-8.90%	-26.11%	+17.21%
Max Drawdown (3Y) Largest decline over 3 years	-18.69%	-26.64%	+7.95%
Max Drawdown (5Y) Largest decline over 5 years	-24.52%	-33.12%	+8.60%
Max Drawdown (10Y) Largest decline over 10 years	-33.99%	-33.25%	-0.74%
Current Drawdown Current decline from peak	-2.01%	-22.98%	+20.97%
Average Drawdown Average peak-to-trough decline	-3.67%	-8.41%	+4.74%
Ulcer Index Depth and duration of drawdowns from previous peaks	2.04%	12.70%	-10.66%

Volatility

VOO vs. IHI - Volatility Comparison

The current volatility for Vanguard S&P 500 ETF (VOO) is 3.36%, while iShares U.S. Medical Devices ETF (IHI) has a volatility of 9.63%. This indicates that VOO 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

	VOO	IHI	Difference
Volatility (1M) Calculated over the trailing 1-month period	3.36%	9.63%	-6.27%
Volatility (6M) Calculated over the trailing 6-month period	10.02%	16.15%	-6.13%
Volatility (1Y) Calculated over the trailing 1-year period	12.58%	19.55%	-6.97%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.91%	19.48%	-2.57%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.00%	19.98%	-1.98%

VOO vs. IHI - Expense Ratio Comparison

VOO has a 0.03% expense ratio, which is lower than IHI's 0.38% expense ratio.

Dividends

VOO vs. IHI - Dividend Comparison

VOO's dividend yield for the trailing twelve months is around 1.08%, more than IHI's 0.48% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
IHI iShares U.S. Medical Devices ETF	0.48%	0.34%	0.46%	0.53%	0.45%	0.25%	0.25%	0.33%	0.26%	0.37%	0.55%	1.28%
VOO Vanguard S&P 500 ETF	1.08%	1.13%	1.24%	1.46%	1.69%	1.25%	1.54%	1.88%	2.06%	1.78%	2.02%	2.10%

Frequently Asked Questions

Can I hold both VOO and IHI in my portfolio?

VOO and IHI have a correlation of 0.35, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, VOO or IHI?

IHI has higher volatility (9.63%) compared to VOO (3.36%). In terms of maximum drawdown, VOO dropped -33.99% vs IHI's -49.65%.

Which ETF is better, VOO or IHI?

On 10-year performance, VOO leads with 14.98% vs 8.42% for IHI. On fees, VOO is cheaper at 0.03% per year. On volatility, VOO has been the lower-risk option at 3.36%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, VOO or IHI?

Over the 10-year period, VOO has performed better with a 14.98% return vs 8.42%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, VOO or IHI?

VOO is cheaper with a 0.03% expense ratio, compared with 0.38% for IHI.

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

VOO has the higher dividend yield at 1.08%, compared with 0.48% for IHI.

What is the main difference between VOO and IHI?

VOO is categorized as S&P 500, while IHI is Health & Biotech Equities. VOO tracks S&P 500 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: 0.03% for VOO and 0.38% for IHI.

Which has better risk-adjusted returns?

VOO currently has the higher Sharpe Ratio (1.57 vs -0.79), 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.