Data as of Oct 28, 2026.

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GARP vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, GARP returned +18.0% to VHT's +25.0%; 3% of their weight is in the same names.

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Net assets: $3.6bn on Oct 27, 2026 for iShares MSCI USA Quality GARP ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+18.0%
GARP total return, 1 year
+25.0%
VHT total return, 1 year
0.15%
GARP 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; VHT is 5.6 times larger.

GARP vs VHT: Differences, Returns & Fees
MeasureGARPVHT
Return
Total return, 1 year+18.0%+25.0%
Drawdown
Below its high7.0%, high on Oct 6, 2026
Benchmark
What it tracksMSCI USA Quality GARP Select IndexMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.15%0.09%
Net assets, as of Sep 30, 2026$3.4bn$19.1bn
Holdings
Holdings in common3%
Top ten holdings, share of the fund43.5%51.8%

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

What they share

3%

By the books each fund has filed, GARP and VHT hold 3% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

3% in common

Positions both hold · largest shared weight first GARP VHT
ELI LILLY 1.78% 12.95%
IDEXX LABORATORIES 0.54% 0.58%
MCKESSON CORP 0.39% 1.40%
RESMED 0.13% 0.45%
CENTENE CORP 0.12% 0.43%
ALNYLAM PHARMACEUTICALS 0.11% 0.46%
DEXCOM INC 0.11% 0.47%
NATERA 0.10% 0.79%
UNITED THERAPEUTICS 0.08% 0.29%
INCYTE CORP 0.07% 0.29%
NEUROCRINE BIOSCIENCES 0.05% 0.19%
Only in one fund ↓
Only in GARP
MICROSOFT 5.67%
APPLE 5.66%
NVIDIA 5.18%
VISA CLASS A 5.13%
META PLATFORMS CLASS A 4.72%
MICRON TECHNOLOGY 4.61%
LAM RESEARCH 3.31%
CATERPILLAR INC 3.29%
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

GARP iShares MSCI USA Quality GARP ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the MSCI USA Quality GARP Tracks an index of Health Care
Total return, 1 year +18.0% +25.0%
Its benchmark over the same days +13.3% (PBUS) +25.4% (FHLC)
Gap to its benchmark +4.7 pts vs PBUS −0.4 pts vs FHLC
Expense ratio 0.15% 0.09%
Already in the S&P 500 94.4% 85.5%
Holdings 131 414
Net assets, GARP as of Oct 27, 2026 and VHT as of Sep 30, 2026 $3.6bn $19.1bn

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

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About each fund
GARP

GARP tracks the MSCI USA Quality GARP. Over the year to Oct 28, 2026 it returned +18.0% with distributions reinvested, against +13.3% for its benchmark, the MSCI USA Index. The prospectus expense ratio is 0.15% a year. By its holdings published by its issuer for Oct 27, 2026, 94% of the fund by weight is stocks the S&P 500 also holds, across 131 positions, with the top ten at 43.5%. It sat 7.0% below its high of Oct 6, 2026 on Oct 28, 2026.

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, GARP or VHT?
In the year to Oct 28, 2026, with distributions reinvested, GARP returned +18.0% and VHT +25.0%.
Which is cheaper, GARP 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 GARP and VHT overlap with the S&P 500?
By their latest filed holdings, 94% of GARP and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, GARP against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/garp-vs-vht

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