Data as of Oct 28, 2026.

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PPH vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, PPH returned +27.4% to VHT's +25.0%; 33% of their weight is in the same names.

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Net assets: $1.0bn on Oct 27, 2026 for VanEck Pharmaceutical ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+27.4%
PPH total return, 1 year
+25.0%
VHT total return, 1 year
0.36%
PPH expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.27 points a year less; their one-year returns differ by 2.4 points.

PPH vs VHT: Differences, Returns & Fees
MeasurePPHVHT
Return
Total return, 1 year+27.4%+25.0%
Benchmark
What it tracksMVIS US Listed Pharmaceutical 25 IndexMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.36%0.09%
Net assets, PPH as of Oct 27, 2026 and VHT as of Sep 30, 2026$1.0bn$19.1bn
Holdings
Holdings in common33%
Top ten holdings, share of the fund71.6%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
PPH VHT
Return
Total return edge VHT +398.2% +797.6%
Annualized edge VHT +7.3% +10.1%
Price return edge VHT +174.2% +552.3%
Risk
Volatility edge Tie 16.7% 16.4%
Max drawdown edge Tie −37.4% −38.1%
Risk-adjusted
Sharpe edge VHT 0.40 0.56
Sortino edge VHT 0.56 0.79
Calmar edge VHT 0.19 0.27
Reading

VHT returned more: +797.6% to +398.2%. PPH and VHT swung about the same: 16.7% and 16.4%. PPH and VHT fell about the same at their worst: −37.4% and −38.1%.

Full scorecard

9 measures, with how each is measured
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Risk and return: PPH vs VHT: Differences, Returns & Fees
MeasurePPHVHTEdgeHow it is measured
Return
Total return+398.2%+797.6%VHTPrice change plus distributions, reinvested.
Annualized+7.3%+10.1%VHTTotal return as a yearly rate.
Price return+174.2%+552.3%VHTPrice change alone, distributions left out.
Risk
Volatility16.7%16.4%TieSpread of weekly returns, annualized. Lower is steadier.
Downside deviation11.8%11.6%TieLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−37.4%−38.1%TieDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.400.56VHTReturn above Treasury bills per unit of volatility.
Sortino0.560.79VHTReturn above Treasury bills per unit of downside deviation.
Calmar0.190.27VHTAnnualized return divided by the max drawdown.

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

33%

By the books each fund has filed, PPH and VHT hold 33% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

33% in common

Positions both hold · largest shared weight first PPH VHT
Eli Lilly & Co 21.88% 12.95%
Merck & Co Inc 12.40% 5.02%
Abbvie Inc 3.79% 6.46%
Johnson & Johnson 3.34% 8.79%
Pfizer Inc 5.14% 2.27%
Bristol-Myers Squibb Co 4.58% 1.78%
Mckesson Corp 4.68% 1.40%
Cencora Inc 4.34% 0.78%
Zoetis Inc 2.64% 0.41%
Viatris Inc 1.51% 0.29%
Jazz Pharmaceuticals Plc 1.12% 0.19%
Corcept Therapeutics Inc 0.56% 0.16%
Only in one fund ↓
Only in PPH
Novo Nordisk A/S 5.45%
Teva Pharmaceutical Industries Ltd 4.63%
Gsk Plc 4.52%
Haleon Plc 3.94%
Novartis Ag 3.79%
Astrazeneca Plc 3.60%
Sanofi Sa 3.24%
Takeda Pharmaceutical Co Ltd 2.88%
Only in VHT
UnitedHealth Group Inc 4.66%
Thermo Fisher Scientific Inc 3.51%
Amgen Inc 3.18%
Gilead Sciences Inc 2.59%
Abbott Laboratories 2.41%
Intuitive Surgical Inc 2.01%
Danaher Corp 1.97%
Vertex Pharmaceuticals Inc 1.85%
Check overlap with more funds →

Side by side

PPH VanEck Pharmaceutical ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index of Health Care
Total return, 1 year +27.4% +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 0.36% 0.09%
Already in the S&P 500 58.7% 85.5%
Holdings 25 414
Net assets, PPH as of Oct 27, 2026 and VHT as of Sep 30, 2026 $1.0bn $19.1bn

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

Client brief · page 1 of 2 Report BR-47BC62FF4C

PPH and VHT are built for the same job. How do they differ in cost, holdings and results?

  1. What each follows. PPH follows MVIS US Listed Pharmaceutical 25 Index and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
  2. Holdings in common. 33% 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 PPH returned +27.4% and VHT +25.0% with distributions reinvested, a gap of 2.4 points.

Data as of Oct 28, 2026.

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About each fund
PPH

PPH tracks an index. Over the year to Oct 28, 2026 it returned +27.4% with distributions reinvested. The prospectus expense ratio is 0.36% a year. By its holdings published by its issuer for Oct 27, 2026, 59% of the fund by weight is stocks the S&P 500 also holds, across 25 positions, with the top ten at 71.6%.

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, PPH or VHT?
In the year to Oct 28, 2026, with distributions reinvested, PPH returned +27.4% and VHT +25.0%.
Which is cheaper, PPH or VHT?
VHT is cheaper, by 0.27 percentage points a year. That is about $27 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do PPH and VHT overlap with the S&P 500?
By their latest filed holdings, 59% of PPH and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, PPH against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/pph-vs-vht

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