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Data as of Sep 13, 2026. Both funds on the fields they both publish, from the same sources.

ETFIQetfiq.com · independent ETF data

SPY vs VHT: how they differ

SPY and VHT hold 0% of their weight in the same names, and VHT returned more over the year.

SPDR S&P 500 ETF Trust and Vanguard Health Care Index Fund.

What they hold in common

By the books each fund has filed, SPY and VHT hold 0% of their money in the same securities at the same weight.

Largest positions each one holds and the other does not
Only in SPYOnly in VHT
NVIDIA CORP 8.08%Eli Lilly & Co 14.07%
APPLE INC 7.33%Johnson & Johnson 8.48%
MICROSOFT CORP 5.59%AbbVie Inc 6.10%
AMAZON.COM INC 3.77%UnitedHealth Group Inc 5.46%
ALPHABET INC CL A 2.98%Merck & Co Inc 4.67%
BROADCOM INC 2.61%Thermo Fisher Scientific Inc 2.93%
ALPHABET INC CL C 2.39%Amgen Inc 2.87%
META PLATFORMS INC CLASS A 2.16%Gilead Sciences Inc 2.64%

Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated May 31, 2026 and Sep 10, 2026.

SPY and VHT on the fields both publish, as of Sep 13, 2026. Source: ETFIQ.
SPY
SPDR S&P 500 ETF Trust
VHT
Vanguard Health Care Index Fund
Where it sitsCore index fundCore index fund
IssuerState StreetVanguard
What it isS&P 500Health Care
Total return, 1 year+17.5%+21.6%
S&P 500 over the same days+17.5%+17.5%
Gap to the S&P 5000.0 pts+4.1 pts
Expense ratio0.09%0.09%
Already in the S&P 500100.0%85.6%
Holdings505401

SPY in plain words

SPY is an index equity fund tracking the S&P 500. Over the year to Sep 11, 2026 it returned +17.5% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. The prospectus expense ratio is 0.09% a year. By its holdings filed for Sep 10, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 505 positions, with the top ten at 38.2%.

VHT in plain words

VHT is an index equity fund tracking the Health Care. Over the year to Sep 11, 2026 it returned +21.6% with distributions reinvested, against +17.5% for the S&P 500 and +23.0% for the Nasdaq-100. By its holdings filed for May 31, 2026, 86% of the fund by weight is stocks the S&P 500 also holds, across 401 positions, with the top ten at 52.0%. It sat 5.7% below its high of Aug 19, 2026 on Sep 11, 2026.

Questions people ask

Which returned more over the last year, SPY or VHT?
In the year to Sep 13, 2026, with distributions reinvested, SPY returned +17.5% and VHT returned +21.6%, so VHT returned more. One year is one year; the longer windows are in the table.
Which is cheaper, SPY or VHT?
SPY charges 0.09% a year and VHT charges 0.09%, so VHT is cheaper. Fees come from each fund's prospectus.
How much do SPY and VHT overlap with the S&P 500?
By their latest filed holdings, 100% of SPY and 86% of VHT by weight is stocks the S&P 500 already holds. Between the two funds, 0% of their books are the same securities at the same weight.

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Where these figures came from

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

SPY against VHT, ETFIQ, data as of Sep 13, 2026. Every figure is arithmetic on a named public source; the method is at etfiq.com/methodology. A comparison is not a recommendation.

Cite this page. ETFIQ, SPY against VHT, data as of Sep 13, 2026. https://etfiq.com/compare/any/spy-vs-vht Free to use with attribution; the underlying files are at Open data.

A comparison is not a recommendation. Standards and sources