Data as of Oct 28, 2026.

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AVLV vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, AVLV returned +29.6% to VHT's +25.0%; 4% of their weight is in the same names.

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Net assets: $22.4bn on Oct 27, 2026 for Avantis U.S. Large Cap Value ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+29.6%
AVLV total return, 1 year
+25.0%
VHT total return, 1 year
0.15%
AVLV expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.06 points a year less; their one-year returns differ by 4.6 points.

AVLV vs VHT: Differences, Returns & Fees
MeasureAVLVVHT
Return
Total return, 1 year+29.6%+25.0%
Benchmark
What it tracksNo index, actively managedMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.15%0.09%
Net assets, AVLV as of Oct 27, 2026 and VHT as of Sep 30, 2026$22.4bn$19.1bn
Holdings
Holdings in common4%
Top ten holdings, share of the fund26.8%51.8%

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

What they share

4%

By the books each fund has filed, AVLV and VHT hold 4% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

4% in common

Positions both hold · largest shared weight first AVLV VHT
ELI LILLY + CO COMMON STOCK 2.51% 12.95%
DEXCOM INC COMMON STOCK USD.001 0.48% 0.47%
CENTENE CORP COMMON STOCK USD.001 0.69% 0.43%
EXELIXIS INC COMMON STOCK USD.001 0.35% 0.19%
JAZZ PHARMACEUTICALS PLC COMMON STOCK USD.0001 0.24% 0.19%
ENCOMPASS HEALTH CORP COMMON STOCK USD.01 0.20% 0.17%
UNIVERSAL HEALTH SERVICES B COMMON STOCK USD.01 0.14% 0.12%
LANTHEUS HOLDINGS INC COMMON STOCK USD.01 0.03% 0.09%
VIATRIS INC COMMON STOCK 0.03% 0.29%
IDEXX LABORATORIES INC COMMON STOCK USD.1 0.02% 0.58%
INCYTE CORP COMMON STOCK USD.001 0.02% 0.29%
PACS GROUP INC COMMON STOCK USD.001 0.01% 0.03%
Only in one fund ↓
Only in AVLV
MICROSOFT CORP COMMON STOCK USD.00000625 3.48%
MICRON TECHNOLOGY INC COMMON STOCK USD.1 2.96%
AMAZON.COM INC COMMON STOCK USD.01 2.92%
META PLATFORMS INC CLASS A COMMON STOCK USD.000006 2.91%
APPLE INC COMMON STOCK USD.00001 2.85%
JPMORGAN CHASE + CO COMMON STOCK USD1.0 2.66%
EXXONMOBIL HOLDINGS CORP COMMON STOCK 2.56%
COSTCO WHOLESALE CORP COMMON STOCK USD.005 2.29%
Only in VHT
Johnson & Johnson 8.79%
AbbVie Inc 6.46%
Merck & Co Inc 5.02%
UnitedHealth Group Inc 4.66%
Thermo Fisher Scientific Inc 3.51%
Amgen Inc 3.18%
Gilead Sciences Inc 2.59%
Abbott Laboratories 2.41%
Check overlap with more funds →

Side by side

AVLV Avantis U.S. Large Cap Value ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Actively managed Tracks an index of Health Care
Total return, 1 year +29.6% +25.0%
Its benchmark over the same days +27.5% (IWD) +25.4% (FHLC)
Gap to its benchmark +2.1 pts vs IWD −0.4 pts vs FHLC
Expense ratio 0.15% 0.09%
Already in the S&P 500 84.3% 85.5%
Holdings 298 414
Net assets, AVLV as of Oct 27, 2026 and VHT as of Sep 30, 2026 $22.4bn $19.1bn

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

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About each fund
AVLV

Over the year to Oct 28, 2026 it returned +29.6% with distributions reinvested, against +27.5% for its benchmark, the Russell 1000 Value.

AVLV is actively managed and tracks no index. The prospectus expense ratio is 0.15% a year. By its holdings published by its issuer for Oct 27, 2026, 84% of the fund by weight is stocks the S&P 500 also holds, across 298 positions, with the top ten at 26.8%.

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, AVLV or VHT?
In the year to Oct 28, 2026, with distributions reinvested, AVLV returned +29.6% and VHT +25.0%.
Which is cheaper, AVLV or VHT?
VHT is cheaper, by 0.06 percentage points a year. That is about $6 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do AVLV and VHT overlap with the S&P 500?
By their latest filed holdings, 84% of AVLV and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, AVLV against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/avlv-vs-vht

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