Data as of Oct 28, 2026.

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SPHQ vs VHT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, SPHQ returned +14.1% to VHT's +25.0%; 4% of their weight is in the same names.

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Net assets: $18.7bn on Oct 27, 2026 for Invesco S&P 500 Quality ETF, and $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.

At a glance
+14.1%
SPHQ total return, 1 year
+25.0%
VHT total return, 1 year
0.15%
SPHQ expense ratio
0.09%
VHT expense ratio

Pair scorecard

VHT costs 0.06 points a year less; their one-year returns differ by 10.9 points.

SPHQ vs VHT: Differences, Returns & Fees
MeasureSPHQVHT
Return
Total return, 1 year+14.1%+25.0%
Drawdown
Below its high6.4%, high on Jun 30, 2026
Benchmark
What it tracksS&P 500 Quality IndexMSCI US Investable Market Index (IMI)/Health Care 25/50
Cost and size
Expense ratio0.15%0.09%
Net assets, SPHQ as of Oct 27, 2026 and VHT as of Sep 30, 2026$18.7bn$19.1bn
Holdings
Holdings in common4%
Top ten holdings, share of the fund43.3%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, SPHQ 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 SPHQ VHT
Intuitive Surgical Inc 1.58% 2.01%
IDEXX Laboratories Inc 0.60% 0.58%
Dexcom Inc 0.44% 0.47%
ResMed Inc 0.35% 0.45%
Zoetis Inc 0.32% 0.41%
STERIS PLC 0.20% 0.29%
Incyte Corp 0.17% 0.29%
Solventum Corp 0.13% 0.18%
Bio-Techne Corp 0.11% 0.16%
Only in one fund ↓
Only in SPHQ
Mastercard Inc 6.25%
Visa Inc 6.23%
Apple Inc 5.96%
Costco Wholesale Corp 4.24%
GE Vernova Inc 3.81%
Cisco Systems Inc 3.65%
General Electric Co 3.33%
Lam Research Corp 3.32%
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%
Amgen Inc 3.18%
Gilead Sciences Inc 2.59%
Check overlap with more funds →

Side by side

SPHQ Invesco S&P 500 Quality ETF VHT Vanguard Health Care ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the S&P 500 Quality Tracks an index of Health Care
Total return, 1 year +14.1% +25.0%
Its benchmark over the same days +13.7% (IVV) +25.4% (FHLC)
Gap to its benchmark +0.4 pts vs IVV −0.4 pts vs FHLC
Expense ratio 0.15% 0.09%
Already in the S&P 500 100.0% 85.5%
Holdings 102 414
Net assets, SPHQ as of Oct 27, 2026 and VHT as of Sep 30, 2026 $18.7bn $19.1bn

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

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About each fund
SPHQ

SPHQ tracks the S&P 500 Quality. Over the year to Oct 28, 2026 it returned +14.1% with distributions reinvested, against +13.7% for its benchmark, the S&P 500 Index. The prospectus expense ratio is 0.15% 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 102 positions, with the top ten at 43.3%. It sat 6.4% below its high of Jun 30, 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, SPHQ or VHT?
In the year to Oct 28, 2026, with distributions reinvested, SPHQ returned +14.1% and VHT +25.0%.
Which is cheaper, SPHQ 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 SPHQ and VHT overlap with the S&P 500?
By their latest filed holdings, 100% of SPHQ and 86% of VHT by weight is stocks the S&P 500 already holds.
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ETFIQ, SPHQ against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/sphq-vs-vht

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