Data as of Oct 28, 2026.

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IVV vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IVV returned +13.7% to VHT's +25.0%; 10% of their weight is in the same names.

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Net assets: $885.1bn on Oct 27, 2026 for iShares Core S&P 500 ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+13.7%
IVV total return, 1 year
+25.0%
VHT total return, 1 year
0.03%
IVV expense ratio
0.09%
VHT expense ratio

Pair scorecard

IVV costs 0.06 points a year less; their one-year returns differ by 11.3 points; IVV is far larger, $881.3bn against $19.1bn.

IVV vs VHT: Differences, Returns & Fees
MeasureIVVVHT
Return
Total return, 1 year+13.7%+25.0%
Benchmark
What it tracksS&P 500MSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.03%0.09%
Net assets, as of Sep 30, 2026$881.3bn$19.1bn
Holdings
Holdings in common10%
Top ten holdings, share of the fund38.1%51.8%

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

Risk and return

Feb 6, 2004 to Oct 23, 2026 · 1,185 weekly returns
IVV VHT
Return
Total return edge IVV +913.9% +797.6%
Annualized edge IVV (slight) +10.7% +10.1%
Price return edge IVV (slight) +566.5% +552.3%
Risk
Volatility edge VHT (slight) 17.1% 16.4%
Max drawdown edge VHT −54.7% −38.1%
Downside capture 99.7% 100.2%
Beta 0.99 1.01
Risk-adjusted
Sharpe edge IVV (slight) 0.58 0.56
Sortino edge IVV (slight) 0.82 0.79
Treynor 0.081 0.103
Calmar edge VHT 0.20 0.27
Against the benchmark
Alpha +0.1% a year 0.0% a year
Alpha t-stat 0.33 0.17
Information ratio 0.00 0.15
Tracking error 1.2% 0.8%

Each against its own benchmark: IVV against SPY, May 26, 2000 to Oct 23, 2026; VHT against FHLC, Nov 1, 2013 to Oct 23, 2026.

Reading

IVV returned more: +913.9% to +797.6%. VHT swung slightly less: 16.4% to 17.1%. VHT fell less at its worst: −38.1% to −54.7%.

Full scorecard

19 measures, with how each is measured
Open ↓
Risk and return: IVV vs VHT: Differences, Returns & Fees
MeasureIVVVHTEdgeHow it is measured
Return
Total return+913.9%+797.6%IVVPrice change plus distributions, reinvested.
Annualized+10.7%+10.1%IVV (slight)Total return as a yearly rate.
Price return+566.5%+552.3%IVV (slight)Price change alone, distributions left out.
Risk
Volatility17.1%16.4%VHT (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation12.0%11.6%VHT (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−54.7%−38.1%VHTDeepest fall from a high to the low after it.
Upside capture99.3%100.7%Share of its benchmark's rise caught in the weeks it rose.
Downside capture99.7%100.2%Share of its benchmark's fall taken in the weeks it fell. Lower is better.
Beta0.991.01Not an edgeHow far it moves for each 1% its benchmark moves.
R squared1.001.00Not an edgeShare of its weekly moves its benchmark explains.
Risk-adjusted
Sharpe0.580.56IVV (slight)Return above Treasury bills per unit of volatility.
Sortino0.820.79IVV (slight)Return above Treasury bills per unit of downside deviation.
Treynor0.0810.103Return above Treasury bills per unit of beta.
Calmar0.200.27VHTAnnualized return divided by the max drawdown.
Against the benchmark
BenchmarkSPYFHLCThe ETF each fund is measured against.
Alpha+0.1% a year0.0% a yearNot significantYearly return beyond what its beta to the benchmark predicts.
Alpha t-stat0.330.17Not an edgeHow sure the alpha is. Below 2, it could be chance.
Alpha range−0.4% to +0.5%−0.4% to +0.5%Includes zeroThe 95% range for the yearly alpha.
Information ratio0.000.15Return against its benchmark per unit of tracking error.
Tracking error1.2%0.8%Not an edgeHow far weekly returns stray from the benchmark, annualized.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,185 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

10%

By the books each fund has filed, IVV and VHT hold 10% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

10% in common

Positions both hold · largest shared weight first IVV VHT
ELI LILLY 1.54% 12.95%
JOHNSON & JOHNSON 0.97% 8.79%
ABBVIE 0.76% 6.46%
UNITEDHEALTH GROUP 0.55% 4.66%
MERCK & CO INC 0.53% 5.02%
THERMO FISHER SCIENTIFIC 0.39% 3.51%
AMGEN INC 0.36% 3.18%
GILEAD SCIENCES 0.30% 2.59%
ABBOTT LABORATORIES 0.27% 2.41%
PFIZER 0.26% 2.27%
INTUITIVE SURGICAL 0.24% 2.01%
DANAHER 0.22% 1.97%
Only in one fund ↓
Only in IVV
NVIDIA 7.92%
APPLE 7.61%
MICROSOFT 5.93%
AMAZON.COM INC 3.73%
ALPHABET CLASS A 2.83%
BROADCOM INC 2.45%
ALPHABET CLASS C 2.26%
META PLATFORMS CLASS A 2.05%
Only in VHT
Natera Inc 0.79%
Revolution Medicines Inc 0.49%
Alnylam Pharmaceuticals Inc 0.46%
Insmed Inc 0.34%
Tenet Healthcare Corp 0.31%
Guardant Health Inc 0.31%
United Therapeutics Corp 0.29%
Roivant Sciences Ltd 0.27%
Check overlap with more funds →

Side by side

IVV iShares Core S&P 500 ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the S&P 500 Tracks an index of Health Care
Total return, 1 year +13.7% +25.0%
Its benchmark over the same days +13.6% (SPY) +25.4% (FHLC)
Gap to its benchmark +0.1 pts vs SPY −0.4 pts vs FHLC
Expense ratio 0.03% 0.09%
Already in the S&P 500 99.8% 85.5%
Holdings 505 414
Net assets, IVV as of Oct 27, 2026 and VHT as of Sep 30, 2026 $885.1bn $19.1bn

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

Client brief · page 1 of 2 Report BR-22F3BE11E9

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

  1. What each follows. IVV follows S&P 500 and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
  2. Holdings in common. 10% of the weight is in the same securities (holdings dated Oct 27, 2026 and Sep 30, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 IVV returned +13.7% and VHT +25.0% with distributions reinvested, a gap of 11.3 points.

Data as of Oct 28, 2026.

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About each fund
IVV

IVV tracks the S&P 500. Over the year to Oct 28, 2026 it returned +13.7% with distributions reinvested, against +13.6% for its benchmark, the S&P 500. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 505 positions, with the top ten at 38.1%.

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, IVV or VHT?
In the year to Oct 28, 2026, with distributions reinvested, IVV returned +13.7% and VHT +25.0%.
Which is cheaper, IVV or VHT?
IVV 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 IVV and VHT overlap with the S&P 500?
By their latest filed holdings, 100% of IVV and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, IVV against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/ivv-vs-vht

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