Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
VHT vs VOO: how they differ
VHT and VOO hold 9% of their weight in the same names, and VHT returned more over the year.
Vanguard Health Care Index Fund and Vanguard 500 Index Fund.
What they hold in common
By the books each fund has filed, VHT and VOO hold 9% of their money in the same securities at the same weight.
| Holding | VHT | VOO |
|---|---|---|
| Eli Lilly & Co | 14.07% | 1.48% |
| Johnson & Johnson | 8.48% | 0.95% |
| AbbVie Inc | 6.10% | 0.69% |
| UnitedHealth Group Inc | 5.46% | 0.59% |
| Merck & Co Inc | 4.67% | 0.49% |
| Amgen Inc | 2.87% | 0.30% |
| Thermo Fisher Scientific Inc | 2.93% | 0.29% |
| Abbott Laboratories | 2.36% | 0.25% |
| Gilead Sciences Inc | 2.64% | 0.24% |
| Intuitive Surgical Inc | 2.39% | 0.22% |
| Pfizer Inc | 2.36% | 0.21% |
| CVS Health Corp | 1.83% | 0.20% |
| Only in VHT | Only in VOO |
|---|---|
| Alnylam Pharmaceuticals Inc 0.63% | NVIDIA Corp 7.53% |
| Natera Inc 0.47% | Apple Inc 6.61% |
| REVOLUTION Medicines Inc 0.40% | Microsoft Corp 4.31% |
| Illumina Inc 0.39% | Amazon.com Inc 3.63% |
| Insmed Inc 0.36% | Alphabet Inc 3.26% |
| United Therapeutics Corp 0.36% | Broadcom Inc 2.78% |
| Neurocrine Biosciences Inc 0.25% | Alphabet Inc 2.60% |
| Tenet Healthcare Corp 0.24% | Micron Technology Inc 2.02% |
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.
| VHT Vanguard Health Care Index Fund | VOO Vanguard 500 Index Fund | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | Vanguard | Vanguard |
| What it is | Health Care | S&P 500 |
| Total return, 1 year | +21.6% | +17.6% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +4.1 pts | +0.1 pts |
| Expense ratio | 0.09% | 0.03% |
| Already in the S&P 500 | 85.6% | 100.0% |
| Holdings | 401 | 506 |
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.
VOO in plain words
VOO is an index equity fund tracking the S&P 500. Over the year to Sep 11, 2026 it returned +17.6% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.03% a year. By its holdings filed for Jun 30, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 506 positions, with the top ten at 36.5%.
Questions people ask
- Which returned more over the last year, VHT or VOO?
- In the year to Sep 12, 2026, with distributions reinvested, VHT returned +21.6% and VOO returned +17.6%, so VHT returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, VHT or VOO?
- VHT charges 0.09% a year and VOO charges 0.03%, so VOO is cheaper. Fees come from each fund's prospectus.
- How much do VHT and VOO overlap with the S&P 500?
- By their latest filed holdings, 86% of VHT and 100% of VOO 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, VHT against VOO, data as of Sep 12, 2026. https://etfiq.com/compare/any/VHT-VOO Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources