Data as of Oct 28, 2026.
FTXH vs VHT: Differences, Returns & Fees
Over the year to Oct 28, 2026, FTXH returned +47.9% to VHT's +25.0%; 46% of their weight is in the same names.
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Net assets: $1.2bn on Oct 27, 2026 for First Trust Nasdaq Pharmaceuticals ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.
Pair scorecard
VHT costs 0.51 points a year less; their one-year returns differ by 22.9 points.
| Measure | FTXH | VHT |
|---|---|---|
| Return | ||
| Total return, 1 year | +47.9% | +25.0% |
| Benchmark | ||
| What it tracks | Nasdaq US Smart Pharmaceuticals Index | MSCI US Investable Market Index (IMI)/Health Care 25/50 |
| Cost and size | ||
| Expense ratio | 0.60% | 0.09% |
| Net assets, FTXH as of Oct 27, 2026 and VHT as of Sep 30, 2026 | $1.2bn | $19.1bn |
| Holdings | ||
| Holdings in common | 46% | |
| Top ten holdings, share of the fund | 54.8% | 51.8% |
Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method
Risk and return
Sep 30, 2016 to Oct 23, 2026 · 525 weekly returnsVHT returned more: +189.9% to +145.2%. VHT swung slightly less: 17.3% to 18.3%. VHT fell less at its worst: −25.6% to −28.9%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | FTXH | VHT | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +145.2% | +189.9% | VHT | Price change plus distributions, reinvested. |
| Annualized | +9.3% | +11.1% | VHT | Total return as a yearly rate. |
| Price return | +116.4% | +150.2% | VHT | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 18.3% | 17.3% | VHT (slight) | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 12.8% | 12.0% | VHT (slight) | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −28.9% | −25.6% | VHT | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.44 | 0.55 | VHT | Return above Treasury bills per unit of volatility. |
| Sortino | 0.63 | 0.80 | VHT | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.32 | 0.43 | VHT | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 525 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, FTXH and VHT hold 46% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.
half
46% in common
Only in one fund ↓
Side by side
FTXH and VHT on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
FTXH and VHT are built for the same job. How do they differ in cost, holdings and results?
- What each follows. FTXH follows Nasdaq US Smart Pharmaceuticals Index and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
- Holdings in common. 46% of the weight is in the same securities (holdings dated Oct 27, 2026 and Sep 30, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 FTXH returned +47.9% and VHT +25.0% with distributions reinvested, a gap of 22.9 points.
Data as of Oct 28, 2026.
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FTXH
FTXH tracks an index. Over the year to Oct 28, 2026 it returned +47.9% with distributions reinvested. The prospectus expense ratio is 0.60% a year. By its holdings published by its issuer for Oct 27, 2026, 68% of the fund by weight is stocks the S&P 500 also holds, across 50 positions, with the top ten at 54.8%.
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, FTXH or VHT?
- In the year to Oct 28, 2026, with distributions reinvested, FTXH returned +47.9% and VHT +25.0%.
- Which is cheaper, FTXH or VHT?
- VHT is cheaper, by 0.51 percentage points a year. That is about $51 on $10,000 held for a year. Fees come from each fund's prospectus.
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.
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ETFIQ, FTXH against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/ftxh-vs-vht
ETFIQ. (Oct 28, 2026). FTXH against VHT. Retrieved from https://etfiq.com/compare/any/ftxh-vs-vht
[FTXH against VHT (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/ftxh-vs-vht)
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