Data as of Oct 28, 2026.
VHT vs VO: Differences, Returns & Fees
Over the year to Oct 28, 2026, VHT returned +25.0% to VO's +12.8%; 9% of their weight is in the same names.
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Net assets on Sep 30, 2026: $19.1bn for Vanguard Health Care ETF and $103.4bn for Vanguard Morningstar Mid-Cap ETF.
Pair scorecard
VO costs 0.06 points a year less; their one-year returns differ by 12.2 points; VO is 5.4 times larger.
| Measure | VHT | VO |
|---|---|---|
| Return | ||
| Total return, 1 year | +25.0% | +12.8% |
| Drawdown | ||
| Below its high | 3.1%, high on Aug 14, 2026 | |
| Benchmark | ||
| What it tracks | MSCI US Investable Market Index (IMI)/Health Care 25/50 | Morningstar US Mid Cap Index (formerly CRSP US Mid Cap Index) |
| Cost and size | ||
| Expense ratio | 0.09% | 0.03% |
| Net assets, as of Sep 30, 2026 | $19.1bn | $103.4bn |
| Holdings | ||
| Holdings in common | 9% | |
| Top ten holdings, share of the fund | 51.8% | 9.7% |
Holdings in common uses holdings dated Sep 30, 2026. Method
What they share
By the books each fund has filed, VHT and VO hold 9% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026.
half
9% in common
Only in one fund ↓
Side by side
VHT and VO on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
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%.
VO
VO tracks an index of Mid-Cap. Over the year to Oct 28, 2026 it returned +12.8% with distributions reinvested. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer as of Sep 30, 2026, 91% of the fund by weight is stocks the S&P 500 also holds, across 273 positions, with the top ten at 9.7%. It sat 3.1% below its high of Aug 14, 2026 on Oct 28, 2026.
Questions people ask
- Which returned more over the last year, VHT or VO?
- In the year to Oct 28, 2026, with distributions reinvested, VHT returned +25.0% and VO +12.8%.
- Which is cheaper, VHT or VO?
- VO 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.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, VHT against VO, data as of Oct 28, 2026. https://etfiq.com/compare/any/vht-vs-vo
ETFIQ. (Oct 28, 2026). VHT against VO. Retrieved from https://etfiq.com/compare/any/vht-vs-vo
[VHT against VO (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/vht-vs-vo)
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