Data as of Oct 28, 2026.

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QQQM vs VHT: Differences, Returns & Fees

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

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Net assets: $110.4bn on Oct 27, 2026 for Invesco NASDAQ 100 ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+15.2%
QQQM total return, 1 year
+25.0%
VHT total return, 1 year
0.15%
QQQM expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.06 points a year less; their one-year returns differ by 9.8 points.

QQQM vs VHT: Differences, Returns & Fees
MeasureQQQMVHT
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 ratio0.15%0.09%
Net assets, QQQM as of Oct 27, 2026 and VHT as of Sep 30, 2026$110.4bn$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

What they share

4%

By the books each fund has filed, QQQM 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 QQQM 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 QQQM
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 2.93%
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

QQQM Invesco NASDAQ 100 ETF 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% (QQQ) +25.4% (FHLC)
Gap to its benchmark 0.0 pts vs QQQ −0.4 pts vs FHLC
Expense ratio 0.15% 0.09%
Already in the S&P 500 95.7% 85.5%
Holdings 105 414
Net assets, QQQM as of Oct 27, 2026 and VHT as of Sep 30, 2026 $110.4bn $19.1bn

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

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About each fund
QQQM

QQQM 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 0.15% 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 105 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, QQQM or VHT?
In the year to Oct 28, 2026, with distributions reinvested, QQQM returned +15.2% and VHT +25.0%.
Which is cheaper, QQQM 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 QQQM and VHT overlap with the S&P 500?
By their latest filed holdings, 96% of QQQM and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, QQQM against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/qqqm-vs-vht

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