Which returned more over the last year, MDY or VHT?

In the year to Sep 12, 2026, with distributions reinvested, MDY returned +13.0% and VHT returned +21.6%, so VHT returned more. One year is one year; the longer windows are in the table.

Which is cheaper, MDY or VHT?

MDY charges 0.23% a year and VHT charges 0.09%, so VHT is cheaper. Fees come from each fund's prospectus.

How much do MDY and VHT overlap with the S&P 500?

By their latest filed holdings, 0% of MDY and 86% of VHT by weight is stocks the S&P 500 already holds. Between the two funds, 4% of their books are the same securities at the same weight.

Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.

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MDY vs VHT: how they differ

MDY and VHT hold 4% of their weight in the same names, and VHT returned more over the year.

SPDR S&P MidCap 400 ETF Trust and Vanguard Health Care Index Fund.

What they hold in common

By the books each fund has filed, MDY and VHT hold 4% of their money in the same securities at the same weight.

Positions MDY and VHT both hold, largest shared weight first
Holding	MDY	VHT
ILLUMINA INC	0.73%	0.39%
UNITED THERAPEUTICS CORP	0.64%	0.36%
NEUROCRINE BIOSCIENCES INC	0.47%	0.25%
TENET HEALTHCARE CORP	0.45%	0.24%
EXELIXIS INC	0.38%	0.20%
ELANCO ANIMAL HEALTH INC	0.34%	0.19%
PENUMBRA INC	0.34%	0.19%
ENCOMPASS HEALTH CORP	0.28%	0.17%
BIOMARIN PHARMACEUTICAL INC	0.30%	0.17%
MEDPACE HOLDINGS INC	0.33%	0.16%
ENSIGN GROUP INC (THE)	0.26%	0.15%
ARROWHEAD PHARMACEUTICALS INC	0.32%	0.15%

Largest positions each one holds and the other does not
Only in MDY	Only in VHT
TWILIO INC 0.86%	Eli Lilly & Co 14.07%
CARPENTER TECHNOLOGY CORP 0.85%	Johnson & Johnson 8.48%
MKS INC 0.83%	AbbVie Inc 6.10%
CURTISS-WRIGHT CORP 0.77%	UnitedHealth Group Inc 5.46%
ENTEGRIS INC 0.76%	Merck & Co Inc 4.67%
NVENT ELECTRIC PLC 0.76%	Thermo Fisher Scientific Inc 2.93%
ATI INC 0.74%	Amgen Inc 2.87%
TECHNIPFMC PLC 0.73%	Gilead Sciences Inc 2.64%

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.

MDY and VHT on the fields both publish, as of Sep 12, 2026. Source: ETFIQ.
	MDY SPDR S&P MidCap 400 ETF Trust	VHT Vanguard Health Care Index Fund
Where it sits	Core index fund	Core index fund
Issuer	State Street	Vanguard
What it is	S&P MidCap 400, book from IJH	Health Care
Total return, 1 year	+13.0%	+21.6%
S&P 500 over the same days	+17.5%	+17.5%
Gap to the S&P 500	−4.5 pts	+4.1 pts
Expense ratio	0.23%	0.09%
Already in the S&P 500	0.0%	85.6%
Holdings	400	401

MDY in plain words

MDY is an index equity fund tracking the S&P MidCap 400. Over the year to Sep 11, 2026 it returned +13.0% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.23% a year. By its holdings filed for Jun 30, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 400 positions, with the top ten at 7.7%. It sat 5.3% below its high of Aug 14, 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, MDY or VHT?: In the year to Sep 12, 2026, with distributions reinvested, MDY returned +13.0% and VHT returned +21.6%, so VHT returned more. One year is one year; the longer windows are in the table.
Which is cheaper, MDY or VHT?: MDY charges 0.23% a year and VHT charges 0.09%, so VHT is cheaper. Fees come from each fund's prospectus.
How much do MDY and VHT overlap with the S&P 500?: By their latest filed holdings, 0% of MDY and 86% of VHT by weight is stocks the S&P 500 already holds. Between the two funds, 4% 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.

MDY against VHT, ETFIQ, data as of Sep 12, 2026. Every figure is arithmetic on a named public source; the method is at etfiq.com/methodology. A comparison is not a recommendation.

Cite this page. ETFIQ, MDY against VHT, data as of Sep 12, 2026. https://etfiq.com/compare/any/MDY-VHT Free to use with attribution; the underlying files are at Open data.

A comparison is not a recommendation. Standards and sources