Category Review
Health care funds trail the S&P 500 this year
iShares U.S. Healthcare ETF
$77.60−0.21 (−0.27%)
- 0.37%
- $4.64B
- +29.4%
- 1.03%
- 788K sh
- low $59.63high $79.06
The ETF.net IYH Grade
A
Score 71 out of 100
- 5 of 25
Score 71 of 100 falls in the A band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.B69 out of 100Rank 7 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.A76 out of 100Rank 7 of 25Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.A91 out of 100Rank 2 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.D35 out of 100Rank 21 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.A85 out of 100Rank 4 of 25
Our read on IYH
In short
AHealthcare in one ticker from the class of 2000: roughly 100 drug, biotech and device names drawn from the Russell 1000, with index caps that stop any single giant from running the show.
Stated mandate
The fund is designed to follow a healthcare-sector equity index focused on U.S. companies, while providing diversified exposure to pharmaceuticals, biotechnology, and healthcare equipment.
Why people hold it
Worth knowing
IYH Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
IYH$12,942
Returns run to the Oct 30, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | IYH |
|---|---|
| Year to date | +20.5% |
| 1 month | +8.7% |
| 3 months | +14.2% |
| 1 year | +29.4% |
| 3 years | +15.8% |
| 5 years | +7.4% |
| 10 years | +12.2% |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | IYH |
|---|---|---|
| 2026 YTD | +20.5% | |
| 2025 | +13.2% | |
| 2024 | +3.0% | |
| 2023 | +2.2% | |
| 2022 | −4.5% | |
| 2021 | +23.4% | |
| 2020 | +15.6% |
IYH in the news
IYH Dividends
- 1.03%
- $0.80
- $0.19 per share
- Quarterly
IYH Risk
- 14.4%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 0.78
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −17.9%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.57
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
FMP measures it over up to five years of monthly returns.
IYH Cost
Overpaying vs XLV, cheapest in Health Care (Broad)
$5,824
On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.
IYH 0.37%
$7,513
XLV 0.08% Cheapest
$1,689
Cost over time
Year by year
| Year | IYH | XLV | Overpaying |
|---|---|---|---|
| 10 | $670 | $147 | $523 |
| 20 | $2,590 | $575 | $2,015 |
| 30 | $7,513 | $1,689 | $5,824 |
Other funds in Health Care (Broad)
- AVHTVanguard Health Care ETFExpense ratio 0.09%1 year return +28.7%
- AXHSState Street SPDR S&P Health Care Services ETFExpense ratio 0.35%1 year return +39.7%
- BIXJiShares Global Healthcare ETFExpense ratio 0.38%1 year return +25.5%
- BRSPHInvesco S&P 500 Equal Weight Health Care ETFExpense ratio 0.40%1 year return +32.1%
- BPSCHInvesco S&P SmallCap Health Care ETFExpense ratio 0.29%1 year return +31.6%
