Data as of Oct 28, 2026.

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QQQ vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, QQQ returned +15.2% to VHT's +25.0%; 4% of their weight is in the same names.

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Net assets: $483.0bn on Oct 27, 2026 for Invesco QQQ Trust, Series 1, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+15.2%
QQQ total return, 1 year
+25.0%
VHT total return, 1 year
0.18%
QQQ expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.09 points a year less; their one-year returns differ by 9.8 points.

QQQ vs VHT: Differences, Returns & Fees
MeasureQQQVHT
Return
Total return, 1 year+15.2%+25.0%
Drawdown
Below its high4.5%, high on Oct 6, 2026
Benchmark
What it tracksNasdaq-100 IndexMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.18%0.09%
Net assets, QQQ as of Oct 27, 2026 and VHT as of Sep 30, 2026$483.0bn$19.1bn
Holdings
Holdings in common4%
Top ten holdings, share of the fund46.7%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
QQQ VHT
Return
Total return edge QQQ +2,150.0% +797.6%
Annualized edge QQQ +14.6% +10.1%
Price return edge QQQ +1,797.1% +552.3%
Risk
Volatility edge VHT 19.8% 16.4%
Max drawdown edge VHT −51.4% −38.1%
Downside capture 100.2% 100.2%
Beta 1.00 1.01
Risk-adjusted
Sharpe edge QQQ 0.70 0.56
Sortino edge QQQ 1.02 0.79
Treynor 0.145 0.103
Calmar edge QQQ (slight) 0.28 0.27
Against the benchmark
Alpha −0.1% a year 0.0% a year
Alpha t-stat −0.58 0.17
Information ratio −0.10 0.15
Tracking error 0.4% 0.8%

Each against its own benchmark: QQQ against QQQM, Oct 23, 2020 to Oct 23, 2026; VHT against FHLC, Nov 1, 2013 to Oct 23, 2026.

Reading

QQQ returned more: +2,150.0% to +797.6%. VHT swung less: 16.4% to 19.8%. VHT fell less at its worst: −38.1% to −51.4%.

Full scorecard

19 measures, with how each is measured
Open ↓
Risk and return: QQQ vs VHT: Differences, Returns & Fees
MeasureQQQVHTEdgeHow it is measured
Return
Total return+2,150.0%+797.6%QQQPrice change plus distributions, reinvested.
Annualized+14.6%+10.1%QQQTotal return as a yearly rate.
Price return+1,797.1%+552.3%QQQPrice change alone, distributions left out.
Risk
Volatility19.8%16.4%VHTSpread of weekly returns, annualized. Lower is steadier.
Downside deviation13.5%11.6%VHTLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−51.4%−38.1%VHTDeepest fall from a high to the low after it.
Upside capture100.4%100.7%Share of its benchmark's rise caught in the weeks it rose.
Downside capture100.2%100.2%Share of its benchmark's fall taken in the weeks it fell. Lower is better.
Beta1.001.01Not 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
Sharpe0.700.56QQQReturn above Treasury bills per unit of volatility.
Sortino1.020.79QQQReturn above Treasury bills per unit of downside deviation.
Treynor0.1450.103Return above Treasury bills per unit of beta.
Calmar0.280.27QQQ (slight)Annualized return divided by the max drawdown.
Against the benchmark
BenchmarkQQQMFHLCThe 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-stat−0.580.17Not an edgeHow sure the alpha is. Below 2, it could be chance.
Alpha range−0.4% to +0.2%−0.4% to +0.5%Includes zeroThe 95% range for the yearly alpha.
Information ratio−0.100.15Return against its benchmark per unit of tracking error.
Tracking error0.4%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

4%

By the books each fund has filed, QQQ and VHT hold 4% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

4% in common

Positions both hold · largest shared weight first QQQ VHT
Amgen Inc 1.04% 3.18%
Gilead Sciences Inc 0.85% 2.59%
Intuitive Surgical Inc 0.68% 2.01%
Vertex Pharmaceuticals Inc 0.57% 1.85%
Moderna Inc 0.36% 0.91%
Regeneron Pharmaceuticals Inc 0.35% 1.09%
IDEXX Laboratories Inc 0.19% 0.58%
GE HealthCare Technologies Inc 0.14% 0.42%
Alnylam Pharmaceuticals Inc 0.13% 0.46%
Dexcom Inc 0.13% 0.47%
Only in one fund ↓
Only in QQQ
NVIDIA Corp 8.17%
Apple Inc 7.88%
Microsoft Corp 6.14%
Micron Technology Inc 4.50%
Amazon.com Inc 4.25%
Advanced Micro Devices Inc 3.93%
Tesla Inc 3.33%
Alphabet Inc 2.92%
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%
Abbott Laboratories 2.41%
Pfizer Inc 2.27%
Check overlap with more funds →

Side by side

QQQ Invesco QQQ Trust, Series 1 VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the Nasdaq-100 Tracks an index of Health Care
Total return, 1 year +15.2% +25.0%
Its benchmark over the same days +15.2% (QQQM) +25.4% (FHLC)
Gap to its benchmark 0.0 pts vs QQQM −0.4 pts vs FHLC
Expense ratio 0.18% 0.09%
Already in the S&P 500 95.7% 85.5%
Holdings 103 414
Net assets, QQQ as of Oct 27, 2026 and VHT as of Sep 30, 2026 $483.0bn $19.1bn

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

Client brief · page 1 of 2 Report BR-94B9758BC8

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

  1. What each follows. QQQ follows Nasdaq-100 Index and VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
  2. Holdings in common. 4% 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 QQQ returned +15.2% and VHT +25.0% with distributions reinvested, a gap of 9.8 points.

Data as of Oct 28, 2026.

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About each fund
QQQ

QQQ tracks the Nasdaq-100. Over the year to Oct 28, 2026 it returned +15.2% with distributions reinvested, against +15.2% for its benchmark, the Nasdaq-100 Index. The prospectus expense ratio is 0.18% a year. By its holdings published by its issuer for Oct 27, 2026, 96% of the fund by weight is stocks the S&P 500 also holds, across 103 positions, with the top ten at 46.7%. It sat 4.5% 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, QQQ or VHT?
In the year to Oct 28, 2026, with distributions reinvested, QQQ returned +15.2% and VHT +25.0%.
Which is cheaper, QQQ or VHT?
VHT is cheaper, by 0.09 percentage points a year. That is about $9 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do QQQ and VHT overlap with the S&P 500?
By their latest filed holdings, 96% of QQQ and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, QQQ against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/qqq-vs-vht

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