Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
ITOT vs VHT: how they differ
ITOT and VHT hold 9% of their weight in the same names, and VHT returned more over the year.
iShares Core S&P Total U.S. Stock Market ETF and Vanguard Health Care Index Fund.
What they hold in common
By the books each fund has filed, ITOT and VHT hold 9% of their money in the same securities at the same weight.
| Holding | ITOT | VHT |
|---|---|---|
| Eli Lilly & Co. | 1.30% | 14.07% |
| Johnson & Johnson | 0.84% | 8.48% |
| AbbVie, Inc. | 0.61% | 6.10% |
| UnitedHealth Group, Inc. | 0.52% | 5.46% |
| Merck & Co., Inc. | 0.43% | 4.67% |
| Amgen, Inc. | 0.27% | 2.87% |
| Thermo Fisher Scientific, Inc. | 0.26% | 2.93% |
| Abbott Laboratories | 0.22% | 2.36% |
| Gilead Sciences, Inc. | 0.21% | 2.64% |
| Intuitive Surgical, Inc. | 0.19% | 2.39% |
| Pfizer, Inc. | 0.19% | 2.36% |
| CVS Health Corp. | 0.18% | 1.83% |
| Only in ITOT | Only in VHT |
|---|---|
| NVIDIA Corp. 6.64% | Medtronic PLC 1.50% |
| Apple, Inc. 5.82% | STERIS PLC 0.33% |
| Microsoft Corp. 3.80% | Jazz Pharmaceuticals PLC 0.20% |
| Amazon.com, Inc. 3.20% | Roivant Sciences Ltd 0.18% |
| Alphabet, Inc. 2.87% | Masimo Corp 0.13% |
| Broadcom, Inc. 2.45% | Alkermes PLC 0.10% |
| Alphabet, Inc. 2.29% | LivaNova PLC 0.06% |
| Micron Technology, Inc. 1.78% | Novocure Ltd 0.03% |
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 Jun 30, 2026 and May 31, 2026.
| ITOT iShares Core S&P Total U.S. Stock Market ETF | VHT Vanguard Health Care Index Fund | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | iShares | Vanguard |
| What it is | Core S&P Total U.S. Stock Market | Health Care |
| Total return, 1 year | +17.2% | +21.6% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | −0.3 pts | +4.1 pts |
| Expense ratio | 0.03% | 0.09% |
| Already in the S&P 500 | 88.3% | 85.6% |
| Holdings | 2497 | 401 |
ITOT in plain words
ITOT is an index equity fund tracking the Core S&P Total U.S. Stock Market. Over the year to Sep 11, 2026 it returned +17.2% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.03% a year. By its holdings filed for Jun 30, 2026, 88% of the fund by weight is stocks the S&P 500 also holds, across 2497 positions, with the top ten at 32.2%.
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, ITOT or VHT?
- In the year to Sep 12, 2026, with distributions reinvested, ITOT returned +17.2% and VHT returned +21.6%, so VHT returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, ITOT or VHT?
- ITOT charges 0.03% a year and VHT charges 0.09%, so ITOT is cheaper. Fees come from each fund's prospectus.
- How much do ITOT and VHT overlap with the S&P 500?
- By their latest filed holdings, 88% of ITOT and 86% of VHT by weight is stocks the S&P 500 already holds. Between the two funds, 9% 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, ITOT against VHT, data as of Sep 12, 2026. https://etfiq.com/compare/any/ITOT-VHT Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources