Data as of Oct 28, 2026.

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COWZ vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, COWZ returned +24.4% to VHT's +25.0%; 15% of their weight is in the same names.

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Net assets: $19.5bn on Oct 27, 2026 for Pacer US Cash Cows 100 ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+24.4%
COWZ total return, 1 year
+25.0%
VHT total return, 1 year
0.49%
COWZ expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.40 points a year less; their one-year returns differ by 0.6 points.

COWZ vs VHT: Differences, Returns & Fees
MeasureCOWZVHT
Return
Total return, 1 year+24.4%+25.0%
Benchmark
What it tracksPacer US Cash Cows 100 IndexMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.49%0.09%
Net assets, COWZ as of Oct 27, 2026 and VHT as of Sep 30, 2026$19.5bn$19.1bn
Holdings
Holdings in common15%
Top ten holdings, share of the fund20.4%51.8%

Holdings in common uses holdings dated Jul 31, 2026 and Sep 30, 2026. Method

Risk and return

Dec 30, 2016 to Oct 23, 2026 · 512 weekly returns
COWZ VHT
Return
Total return edge COWZ +251.9% +202.7%
Annualized edge COWZ +13.6% +11.9%
Price return edge COWZ +188.5% +162.3%
Risk
Volatility edge VHT 19.6% 17.3%
Max drawdown edge VHT −36.3% −25.6%
Risk-adjusted
Sharpe edge COWZ (slight) 0.62 0.59
Sortino edge COWZ (slight) 0.89 0.85
Calmar edge VHT 0.38 0.46
Reading

COWZ returned more: +251.9% to +202.7%. VHT swung less: 17.3% to 19.6%. VHT fell less at its worst: −25.6% to −36.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: COWZ vs VHT: Differences, Returns & Fees
MeasureCOWZVHTEdgeHow it is measured
Return
Total return+251.9%+202.7%COWZPrice change plus distributions, reinvested.
Annualized+13.6%+11.9%COWZTotal return as a yearly rate.
Price return+188.5%+162.3%COWZPrice change alone, distributions left out.
Risk
Volatility19.6%17.3%VHTSpread of weekly returns, annualized. Lower is steadier.
Downside deviation13.8%12.0%VHTLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−36.3%−25.6%VHTDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.620.59COWZ (slight)Return above Treasury bills per unit of volatility.
Sortino0.890.85COWZ (slight)Return above Treasury bills per unit of downside deviation.
Calmar0.380.46VHTAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 512 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

15%

By the books each fund has filed, COWZ and VHT hold 15% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Sep 30, 2026.

0 half 100%

half

15% in common

Positions both hold · largest shared weight first COWZ VHT
Gilead Sciences Inc 1.93% 2.59%
Pfizer Inc 1.84% 2.27%
Bristol-Myers Squibb Co 2.18% 1.78%
McKesson Corp 1.79% 1.40%
Regeneron Pharmaceuticals Inc 1.36% 1.09%
HCA Healthcare Inc 2.07% 0.93%
Cardinal Health Inc 1.47% 0.73%
Becton Dickinson & Co 1.00% 0.69%
IQVIA Holdings Inc 0.81% 0.63%
Veeva Systems Inc 0.58% 0.58%
Biogen Inc 0.72% 0.47%
Dexcom Inc 0.49% 0.47%
Only in one fund ↓
Only in COWZ
Booking Holdings Inc 2.23%
Marathon Petroleum Corp 2.06%
General Dynamics Corp 2.05%
Intuit Inc 2.04%
Verizon Communications Inc 1.97%
AT&T Inc 1.95%
Comcast Corp 1.92%
Adobe Inc 1.91%
Only in VHT
Eli Lilly & Co 12.95%
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%
Abbott Laboratories 2.41%
Check overlap with more funds →

Side by side

COWZ Pacer US Cash Cows 100 ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of US Cash Cows 100 Tracks an index of Health Care
Total return, 1 year +24.4% +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 0.49% 0.09%
Already in the S&P 500 94.7% 85.5%
Holdings 100 414
Net assets, COWZ as of Oct 27, 2026 and VHT as of Sep 30, 2026 $19.5bn $19.1bn

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

Client brief · page 1 of 2 Report BR-5B7493EA74

COWZ and VHT do different jobs. What does each one do in a portfolio?

  1. What each follows. COWZ follows Pacer US Cash Cows 100 Index and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
  2. Holdings in common. 15% of the weight is in the same securities (holdings dated Jul 31, 2026 and Sep 30, 2026).
  3. Number of holdings. COWZ holds 100 positions and VHT holds 414.

Data as of Oct 28, 2026.

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About each fund
COWZ

COWZ tracks an index of US Cash Cows 100. Over the year to Oct 28, 2026 it returned +24.4% with distributions reinvested. The prospectus expense ratio is 0.49% a year. By its holdings filed for Jul 31, 2026, 95% of the fund by weight is stocks the S&P 500 also holds, across 100 positions, with the top ten at 20.4%.

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, COWZ or VHT?
In the year to Oct 28, 2026, with distributions reinvested, COWZ returned +24.4% and VHT +25.0%.
Which is cheaper, COWZ or VHT?
VHT is cheaper, by 0.40 percentage points a year. That is about $40 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do COWZ and VHT overlap with the S&P 500?
By their latest filed holdings, 95% of COWZ and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, COWZ against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/cowz-vs-vht

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