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

In the year to Oct 28, 2026, with distributions reinvested, ACWI returned +13.4% and VHT +25.0%.

Which is cheaper, ACWI or VHT?

VHT is cheaper, by 0.23 percentage points a year. That is about $23 on $10,000 held for a year. Fees come from each fund's prospectus.

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

By their latest filed holdings, 61% of ACWI and 86% of VHT by weight is stocks the S&P 500 already holds.

Data as of Oct 28, 2026.

Across categories

ACWI vs VHT: Differences, Returns & Fees

Share on X Download as PDF

Over the year to Oct 28, 2026, ACWI returned +13.4% to VHT's +25.0%; 6% of their weight is in the same names.

askIQ about this page

askIQ about ACWI and VHT

Net assets: $33.0bn on Oct 28, 2026 for iShares MSCI ACWI ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

ACWI on its own →VHT on its own →

At a glance

+13.4%

ACWI total return, 1 year

+25.0%

VHT total return, 1 year

0.32%

ACWI expense ratio

0.09%

VHT expense ratio

Pair scorecard

VHT costs 0.23 points a year less; their one-year returns differ by 11.6 points; ACWI is 1.7 times larger.

ACWI vs VHT: Differences, Returns & Fees
Measure	ACWI	VHT
Return
Measure	ACWI	VHT
Total return, 1 year	+13.4%	+25.0%
Benchmark
Measure	ACWI	VHT
What it tracks	MSCI ACWI	MSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Measure	ACWI	VHT
Expense ratio	0.32%	0.09%
Net assets, as of Sep 30, 2026	$32.8bn	$19.1bn
Holdings
Measure	ACWI	VHT
Holdings in common	6%
Top ten holdings, share of the fund	24.9%	51.8%

Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method

What they share

By the books each fund has filed, ACWI and VHT hold 6% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

50%

0 half 100%

half

6% in common

Positions both hold · largest shared weight first ACWI VHT

ELI LILLY 1.00% 12.95%

JOHNSON & JOHNSON 0.63% 8.79%

ABBVIE 0.49% 6.46%

UNITEDHEALTH GROUP 0.36% 4.66%

MERCK & CO INC 0.34% 5.02%

THERMO FISHER SCIENTIFIC 0.25% 3.51%

AMGEN INC 0.23% 3.18%

GILEAD SCIENCES 0.19% 2.59%

ABBOTT LABORATORIES 0.17% 2.41%

PFIZER 0.16% 2.27%

INTUITIVE SURGICAL 0.15% 2.01%

DANAHER 0.14% 1.97%

Only in one fund ↓

Only in ACWI

APPLE 4.97%

NVIDIA 4.89%

MICROSOFT 3.66%

AMAZON.COM INC 2.39%

ALPHABET CLASS A 1.83%

TAIWAN SEMICONDUCTOR MANUFACTURING 1.77%

BROADCOM INC 1.51%

ALPHABET CLASS C 1.44%

Only in VHT

Moderna Inc 0.91%

Tenet Healthcare Corp 0.31%

Guardant Health Inc 0.31%

Viatris Inc 0.29%

MKTLIQ 0.24%

Revvity Inc 0.24%

Charles River Laboratories International Inc 0.20%

Medpace Holdings Inc 0.20%

Check overlap with more funds →

Side by side

ACWI iShares MSCI ACWI ETF VHT Vanguard Health Care ETF

Where it sits Stock ETF Stock ETF

Issuer iShares Vanguard

What it is Tracks the MSCI ACWI Tracks an index of Health Care

Total return, 1 year +13.4% +25.0%

Its benchmark over the same days not measured +25.4% (FHLC)

Gap to its benchmark not measured −0.4 pts vs FHLC

Expense ratio 0.32% 0.09%

Already in the S&P 500 60.9% 85.5%

Holdings 2197 414

Net assets, ACWI as of Oct 28, 2026 and VHT as of Sep 30, 2026 $33.0bn $19.1bn

ACWI and VHT on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

Alert

About each fund

ACWI

ACWI tracks the MSCI ACWI. Over the year to Oct 28, 2026 it returned +13.4% with distributions reinvested. The prospectus expense ratio is 0.32% a year. By its holdings published by its issuer for Oct 27, 2026, 61% of the fund by weight is stocks the S&P 500 also holds, across 2,197 positions, with the top ten at 24.9%.

VHT

VHT tracks an index of Health Care. Over the year to Oct 28, 2026 it returned +25.0% with distributions reinvested, against +25.4% for its benchmark, the MSCI US Investable Market Index (IMI)/Health Care 25/50. The prospectus expense ratio is 0.09% a year. By its holdings published by its issuer as of Sep 30, 2026, 86% of the fund by weight is stocks the S&P 500 also holds, across 414 positions, with the top ten at 51.8%.

Questions people ask

Which returned more over the last year, ACWI or VHT?: In the year to Oct 28, 2026, with distributions reinvested, ACWI returned +13.4% and VHT +25.0%.
Which is cheaper, ACWI or VHT?: VHT is cheaper, by 0.23 percentage points a year. That is about $23 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do ACWI and VHT overlap with the S&P 500?: By their latest filed holdings, 61% of ACWI and 86% of VHT by weight is stocks the S&P 500 already holds.

Other comparisons

ACWI vs XLV ACWI vs XLC ACWI vs XLY ACWI vs XLU VHT vs VT URTH vs VHT IDEV vs VHT VGK vs VHT

Where to next

ACWI on its own →VHT on its own →Hold both: look the portfolio through →Rankings →ACWI dividend history →ACWI holdings →VHT dividend history →VHT holdings →Standards and sources →

Sources and dates

ACWI filings on SEC EDGAR ↗

ACWI prospectus with the expense ratio (SEC) ↗

iShares page for ACWI ↗

VHT filings on SEC EDGAR ↗

VHT prospectus with the expense ratio (SEC) ↗

Vanguard page for VHT ↗

Links are sources, not endorsements. A comparison is not a recommendation.

How this is computed

Overlap adds up the smaller of the two weights for each security both funds hold.

Cite this pageCitation, APA and Markdown

ETFIQ, ACWI against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/acwi-vs-vht

Open data →

Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.