Data as of Oct 28, 2026.

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QUAL vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, QUAL returned +13.1% to VHT's +25.0%; 10% of their weight is in the same names.

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Net assets: $48.2bn on Oct 28, 2026 for iShares MSCI USA Quality Factor ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+13.1%
QUAL total return, 1 year
+25.0%
VHT total return, 1 year
0.15%
QUAL expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.06 points a year less; their one-year returns differ by 11.9 points; QUAL is 2.5 times larger.

QUAL vs VHT: Differences, Returns & Fees
MeasureQUALVHT
Return
Total return, 1 year+13.1%+25.0%
Benchmark
What it tracksMSCI USA Sector Neutral Quality 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$47.7bn$19.1bn
Holdings
Holdings in common10%
Top ten holdings, share of the fund44.5%51.8%

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

Risk and return

Jul 26, 2013 to Oct 23, 2026 · 691 weekly returns
QUAL VHT
Return
Total return edge QUAL +444.7% +332.8%
Annualized edge QUAL +13.6% +11.7%
Price return edge QUAL +346.8% +257.5%
Risk
Volatility edge QUAL (slight) 16.2% 16.6%
Max drawdown edge VHT −31.4% −25.6%
Downside capture 98.8% 100.2%
Beta 0.97 1.01
Risk-adjusted
Sharpe edge QUAL 0.75 0.63
Sortino edge QUAL 1.09 0.91
Treynor 0.126 0.103
Calmar edge VHT (slight) 0.43 0.45
Against the benchmark
Alpha +0.6% a year 0.0% a year
Alpha t-stat 0.59 0.17
Information ratio 0.06 0.15
Tracking error 3.7% 0.8%

Each against its own benchmark: QUAL against MLRG, Jul 26, 2013 to Oct 23, 2026; VHT against FHLC, Nov 1, 2013 to Oct 23, 2026.

Reading

QUAL returned more: +444.7% to +332.8%. QUAL swung slightly less: 16.2% to 16.6%. VHT fell less at its worst: −25.6% to −31.4%.

Full scorecard

19 measures, with how each is measured
Open ↓
Risk and return: QUAL vs VHT: Differences, Returns & Fees
MeasureQUALVHTEdgeHow it is measured
Return
Total return+444.7%+332.8%QUALPrice change plus distributions, reinvested.
Annualized+13.6%+11.7%QUALTotal return as a yearly rate.
Price return+346.8%+257.5%QUALPrice change alone, distributions left out.
Risk
Volatility16.2%16.6%QUAL (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation11.2%11.5%QUAL (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−31.4%−25.6%VHTDeepest fall from a high to the low after it.
Upside capture98.8%100.7%Share of its benchmark's rise caught in the weeks it rose.
Downside capture98.8%100.2%Share of its benchmark's fall taken in the weeks it fell. Lower is better.
Beta0.971.01Not an edgeHow far it moves for each 1% its benchmark moves.
R squared0.951.00Not an edgeShare of its weekly moves its benchmark explains.
Risk-adjusted
Sharpe0.750.63QUALReturn above Treasury bills per unit of volatility.
Sortino1.090.91QUALReturn above Treasury bills per unit of downside deviation.
Treynor0.1260.103Return above Treasury bills per unit of beta.
Calmar0.430.45VHT (slight)Annualized return divided by the max drawdown.
Against the benchmark
BenchmarkMLRGFHLCThe ETF each fund is measured against.
Alpha+0.6% a year0.0% a yearNot significantYearly return beyond what its beta to the benchmark predicts.
Alpha t-stat0.590.17Not an edgeHow sure the alpha is. Below 2, it could be chance.
Alpha range−1.4% to +2.6%−0.4% to +0.5%Includes zeroThe 95% range for the yearly alpha.
Information ratio0.060.15Return against its benchmark per unit of tracking error.
Tracking error3.7%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, 691 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

10%

By the books each fund has filed, QUAL 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 QUAL VHT
ELI LILLY 4.04% 12.95%
JOHNSON & JOHNSON 2.14% 8.79%
MERCK & CO INC 1.34% 5.02%
GILEAD SCIENCES 0.74% 2.59%
VERTEX PHARMACEUTICALS 0.45% 1.85%
IDEXX LABORATORIES 0.29% 0.58%
WATERS CORP 0.16% 0.60%
EDWARDS LIFESCIENCES 0.15% 0.69%
ZOETIS INC CLASS A 0.15% 0.41%
RESMED 0.13% 0.45%
DEXCOM INC 0.11% 0.47%
WEST PHARMACEUTICAL SERVICES 0.09% 0.37%
Only in one fund ↓
Only in QUAL
MICROSOFT 8.09%
APPLE 7.38%
NVIDIA 6.28%
META PLATFORMS CLASS A 4.06%
TJX 3.50%
VISA CLASS A 3.44%
LAM RESEARCH 2.84%
EXXONMOBIL HOLDINGS CORP 2.50%
Only in VHT
AbbVie Inc 6.46%
UnitedHealth Group Inc 4.66%
Thermo Fisher Scientific Inc 3.51%
Amgen Inc 3.18%
Abbott Laboratories 2.41%
Pfizer Inc 2.27%
Intuitive Surgical Inc 2.01%
Danaher Corp 1.97%
Check overlap with more funds →

Side by side

QUAL iShares MSCI USA Quality Factor ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the MSCI USA Quality Factor Tracks an index of Health Care
Total return, 1 year +13.1% +25.0%
Its benchmark over the same days +13.6% (MLRG) +25.4% (FHLC)
Gap to its benchmark −0.5 pts vs MLRG −0.4 pts vs FHLC
Expense ratio 0.15% 0.09%
Already in the S&P 500 97.2% 85.5%
Holdings 119 414
Net assets, QUAL as of Oct 28, 2026 and VHT as of Sep 30, 2026 $48.2bn $19.1bn

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

Client brief · page 1 of 2 Report BR-39D0E3166B

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

  1. What each follows. QUAL follows MSCI USA Sector Neutral Quality Index 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 QUAL returned +13.1% and VHT +25.0% with distributions reinvested, a gap of 11.9 points.

Data as of Oct 28, 2026.

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About each fund
QUAL

QUAL tracks the MSCI USA Quality Factor. Over the year to Oct 28, 2026 it returned +13.1% with distributions reinvested, against +13.6% 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, 97% of the fund by weight is stocks the S&P 500 also holds, across 119 positions, with the top ten at 44.5%.

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, QUAL or VHT?
In the year to Oct 28, 2026, with distributions reinvested, QUAL returned +13.1% and VHT +25.0%.
Which is cheaper, QUAL 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 QUAL and VHT overlap with the S&P 500?
By their latest filed holdings, 97% of QUAL and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, QUAL against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/qual-vs-vht

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