Data as of Oct 28, 2026.

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AVUS vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, AVUS returned +18.0% to VHT's +25.0%; 8% of their weight is in the same names.

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Net assets: $14.8bn on Oct 27, 2026 for Avantis U.S. Equity ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+18.0%
AVUS total return, 1 year
+25.0%
VHT total return, 1 year
0.15%
AVUS expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.06 points a year less; their one-year returns differ by 7.0 points.

AVUS vs VHT: Differences, Returns & Fees
MeasureAVUSVHT
Return
Total return, 1 year+18.0%+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, AVUS as of Oct 27, 2026 and VHT as of Sep 30, 2026$14.8bn$19.1bn
Holdings
Holdings in common8%
Top ten holdings, share of the fund30.0%51.8%

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

What they share

8%

By the books each fund has filed, AVUS and VHT hold 8% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

8% in common

Positions both hold · largest shared weight first AVUS VHT
ELI LILLY + CO COMMON STOCK 1.25% 12.95%
JOHNSON + JOHNSON COMMON STOCK USD1.0 0.67% 8.79%
MERCK + CO. INC. COMMON STOCK USD.5 0.61% 5.02%
GILEAD SCIENCES INC COMMON STOCK USD.001 0.47% 2.59%
ABBVIE INC COMMON STOCK USD.01 0.38% 6.46%
AMGEN INC COMMON STOCK USD.0001 0.26% 3.18%
PFIZER INC COMMON STOCK USD.05 0.20% 2.27%
CENTENE CORP COMMON STOCK USD.001 0.19% 0.43%
UNITEDHEALTH GROUP INC COMMON STOCK USD.01 0.19% 4.66%
VERTEX PHARMACEUTICALS INC COMMON STOCK USD.01 0.17% 1.85%
ABBOTT LABORATORIES COMMON STOCK 0.15% 2.41%
BRISTOL MYERS SQUIBB CO COMMON STOCK USD.1 0.15% 1.78%
Only in one fund ↓
Only in AVUS
APPLE INC COMMON STOCK USD.00001 5.90%
NVIDIA CORP COMMON STOCK USD.001 5.54%
MICROSOFT CORP COMMON STOCK USD.00000625 4.71%
AMAZON.COM INC COMMON STOCK USD.01 3.39%
MICRON TECHNOLOGY INC COMMON STOCK USD.1 2.19%
META PLATFORMS INC CLASS A COMMON STOCK USD.000006 2.13%
ALPHABET INC CL A COMMON STOCK USD.001 1.89%
ALPHABET INC CL C COMMON STOCK USD.001 1.52%
Only in VHT
GE HealthCare Technologies Inc 0.42%
Quest Diagnostics Inc 0.36%
Insmed Inc 0.34%
Guardant Health Inc 0.31%
MKTLIQ 0.24%
Revvity Inc 0.24%
Twist Bioscience Corp 0.16%
Bridgebio Pharma Inc 0.14%
Check overlap with more funds →

Side by side

AVUS Avantis U.S. Equity 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 +18.0% +25.0%
Its benchmark over the same days +13.3% (IWV) +25.4% (FHLC)
Gap to its benchmark +4.7 pts vs IWV −0.4 pts vs FHLC
Expense ratio 0.15% 0.09%
Already in the S&P 500 84.1% 85.5%
Holdings 1943 414
Net assets, AVUS as of Oct 27, 2026 and VHT as of Sep 30, 2026 $14.8bn $19.1bn

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

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About each fund
AVUS

Over the year to Oct 28, 2026 it returned +18.0% with distributions reinvested, against +13.3% for its benchmark, the Russell 3000.

AVUS 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 1,943 positions, with the top ten at 30.0%.

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, AVUS or VHT?
In the year to Oct 28, 2026, with distributions reinvested, AVUS returned +18.0% and VHT +25.0%.
Which is cheaper, AVUS 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 AVUS and VHT overlap with the S&P 500?
By their latest filed holdings, 84% of AVUS and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, AVUS against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/avus-vs-vht

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