Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
COWZ vs VHT: how they differ
COWZ and VHT hold 17% of their weight in the same names, and COWZ returned more over the year.
Pacer US Cash Cows 100 ETF and Vanguard Health Care Index Fund.
What they hold in common
By the books each fund has filed, COWZ and VHT hold 17% of their money in the same securities at the same weight.
| Holding | COWZ | VHT |
|---|---|---|
| Pfizer Inc | 2.00% | 2.36% |
| Bristol-Myers Squibb Co | 2.03% | 1.84% |
| Gilead Sciences Inc | 1.84% | 2.64% |
| CVS Health Corp | 2.16% | 1.83% |
| McKesson Corp | 1.79% | 1.45% |
| Regeneron Pharmaceuticals Inc | 1.17% | 1.01% |
| HCA Healthcare Inc | 1.65% | 0.96% |
| Cencora Inc | 1.03% | 0.79% |
| Cardinal Health Inc | 1.62% | 0.74% |
| IQVIA Holdings Inc | 0.62% | 0.49% |
| Biogen Inc | 0.67% | 0.46% |
| ResMed Inc | 0.50% | 0.44% |
| Only in COWZ | Only in VHT |
|---|---|
| QUALCOMM Inc 2.67% | Eli Lilly & Co 14.07% |
| Altria Group Inc 2.21% | Johnson & Johnson 8.48% |
| ConocoPhillips 2.17% | AbbVie Inc 6.10% |
| Ford Motor Co 2.01% | UnitedHealth Group Inc 5.46% |
| Uber Technologies Inc 2.01% | Merck & Co Inc 4.67% |
| Diamondback Energy Inc 1.99% | Thermo Fisher Scientific Inc 2.93% |
| Newmont Corp 1.93% | Amgen Inc 2.87% |
| Verizon Communications Inc 1.90% | Intuitive Surgical Inc 2.39% |
Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated Apr 30, 2026 and May 31, 2026.
| COWZ Pacer US Cash Cows 100 ETF | VHT Vanguard Health Care Index Fund | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | Pacer | Vanguard |
| What it is | US Cash Cows 100 | Health Care |
| Total return, 1 year | +23.4% | +21.6% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +5.9 pts | +4.1 pts |
| Expense ratio | 0.49% | 0.09% |
| Already in the S&P 500 | 95.8% | 85.6% |
| Holdings | 100 | 401 |
COWZ in plain words
COWZ is an index equity fund tracking the US Cash Cows 100. Over the year to Sep 11, 2026 it returned +23.4% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.49% a year. By its holdings filed for Apr 30, 2026, 96% of the fund by weight is stocks the S&P 500 also holds, across 100 positions, with the top ten at 21.2%. It sat 3.2% below its high of Sep 3, 2026 on Sep 11, 2026.
VHT in plain words
VHT is an index equity fund tracking the Health Care. Over the year to Sep 11, 2026 it returned +21.6% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.09% a year. By its holdings filed for May 31, 2026, 86% of the fund by weight is stocks the S&P 500 also holds, across 401 positions, with the top ten at 52.0%. It sat 5.7% below its high of Aug 19, 2026 on Sep 11, 2026.
Questions people ask
- Which returned more over the last year, COWZ or VHT?
- In the year to Sep 12, 2026, with distributions reinvested, COWZ returned +23.4% and VHT returned +21.6%, so COWZ returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, COWZ or VHT?
- COWZ charges 0.49% a year and VHT charges 0.09%, so VHT is cheaper. Fees come from each fund's prospectus.
- How much do COWZ and VHT overlap with the S&P 500?
- By their latest filed holdings, 96% of COWZ and 86% of VHT by weight is stocks the S&P 500 already holds. Between the two funds, 17% of their books are the same securities at the same weight.
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Where these figures came from
ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.
Cite this page. ETFIQ, COWZ against VHT, data as of Sep 12, 2026. https://etfiq.com/compare/any/COWZ-VHT Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources