Data as of Sep 12, 2026. Both funds on the fields they both publish, from the same sources.
VHT vs VTI: how they differ
VHT and VTI hold 10% of their weight in the same names, and VHT returned more over the year.
Vanguard Health Care Index Fund and Vanguard Total Stock Market Index Fund.
What they hold in common
By the books each fund has filed, VHT and VTI hold 10% of their money in the same securities at the same weight.
| Holding | VHT | VTI |
|---|---|---|
| Eli Lilly & Co | 14.07% | 1.41% |
| Johnson & Johnson | 8.48% | 0.85% |
| AbbVie Inc | 6.10% | 0.62% |
| UnitedHealth Group Inc | 5.46% | 0.52% |
| Merck & Co Inc | 4.67% | 0.44% |
| Amgen Inc | 2.87% | 0.27% |
| Thermo Fisher Scientific Inc | 2.93% | 0.26% |
| Abbott Laboratories | 2.36% | 0.22% |
| Gilead Sciences Inc | 2.64% | 0.22% |
| Intuitive Surgical Inc | 2.39% | 0.20% |
| Pfizer Inc | 2.36% | 0.19% |
| CVS Health Corp | 1.83% | 0.18% |
| Only in VHT | Only in VTI |
|---|---|
| Masimo Corp 0.13% | NVIDIA Corp 6.37% |
| LivaNova PLC 0.06% | Apple Inc 5.88% |
| Definium Therapeutics Inc 0.03% | Microsoft Corp 3.84% |
| Aurinia Pharmaceuticals Inc 0.03% | Amazon.com Inc 3.19% |
| Newamsterdam Pharma Co NV 0.02% | Alphabet Inc 2.90% |
| Biohaven Ltd 0.02% | Broadcom Inc 2.48% |
| Establishment Labs Holdings Inc 0.02% | Alphabet Inc 2.29% |
| UroGen Pharma Ltd 0.02% | Micron Technology Inc 1.80% |
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 | VTI Vanguard Total Stock Market Index Fund | |
|---|---|---|
| Where it sits | Core index fund | Core index fund |
| Issuer | Vanguard | Vanguard |
| What it is | Health Care | US total market |
| Total return, 1 year | +21.6% | +17.2% |
| S&P 500 over the same days | +17.5% | +17.5% |
| Gap to the S&P 500 | +4.1 pts | −0.3 pts |
| Expense ratio | 0.09% | 0.03% |
| Already in the S&P 500 | 85.6% | 88.3% |
| Holdings | 401 | 3531 |
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.
VTI in plain words
VTI is an index equity fund tracking the US total 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 3531 positions, with the top ten at 32.1%.
Questions people ask
- Which returned more over the last year, VHT or VTI?
- In the year to Sep 12, 2026, with distributions reinvested, VHT returned +21.6% and VTI returned +17.2%, so VHT returned more. One year is one year; the longer windows are in the table.
- Which is cheaper, VHT or VTI?
- VHT charges 0.09% a year and VTI charges 0.03%, so VTI is cheaper. Fees come from each fund's prospectus.
- How much do VHT and VTI overlap with the S&P 500?
- By their latest filed holdings, 86% of VHT and 88% of VTI by weight is stocks the S&P 500 already holds. Between the two funds, 10% of their books are the same securities at the same weight.
Other comparisons
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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 VTI, data as of Sep 12, 2026. https://etfiq.com/compare/any/VHT-VTI Free to use with attribution; the underlying files are at Open data.
A comparison is not a recommendation. Standards and sources