Data as of Oct 28, 2026.
VHT vs VOO: Differences, Returns & Fees
Over the year to Oct 28, 2026, VHT returned +25.0% to VOO's +13.7%; 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 $1.0tn for Vanguard S&P 500 ETF.
Pair scorecard
VOO costs 0.06 points a year less; their one-year returns differ by 11.3 points; VOO is far larger, $1.0tn against $19.1bn.
| Measure | VHT | VOO |
|---|---|---|
| Return | ||
| Total return, 1 year | +25.0% | +13.7% |
| Benchmark | ||
| What it tracks | MSCI US Investable Market Index (IMI)/Health Care 25/50 | S&P 500 Index |
| Cost and size | ||
| Expense ratio | 0.09% | 0.03% |
| Net assets, as of Sep 30, 2026 | $19.1bn | $1.0tn |
| Holdings | ||
| Holdings in common | 9% | |
| Top ten holdings, share of the fund | 51.8% | 39.1% |
Holdings in common uses holdings dated Sep 30, 2026. Method
Risk and return
Sep 17, 2010 to Oct 23, 2026 · 840 weekly returnsEach against its own benchmark: VHT against FHLC, Nov 1, 2013 to Oct 23, 2026; VOO against IVV, Sep 17, 2010 to Oct 23, 2026.
VOO returned more: +804.0% to +692.9%. VHT and VOO swung about the same: 16.1% and 15.9%. VHT fell less at its worst: −25.6% to −31.8%.
Full scorecard
19 measures, with how each is measured Open ↓
| Measure | VHT | VOO | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +692.9% | +804.0% | VOO | Price change plus distributions, reinvested. |
| Annualized | +13.7% | +14.6% | VOO (slight) | Total return as a yearly rate. |
| Price return | +522.6% | +575.9% | VOO (slight) | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 16.1% | 15.9% | Tie | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 11.1% | 10.9% | Tie | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −25.6% | −31.8% | VHT | Deepest fall from a high to the low after it. |
| Upside capture | 100.7% | 99.8% | Share of its benchmark's rise caught in the weeks it rose. | |
| Downside capture | 100.2% | 99.9% | Share of its benchmark's fall taken in the weeks it fell. Lower is better. | |
| Beta | 1.01 | 1.00 | Not an edge | How far it moves for each 1% its benchmark moves. |
| R squared | 1.00 | 1.00 | Not an edge | Share of its weekly moves its benchmark explains. |
| Risk-adjusted | ||||
| Sharpe | 0.78 | 0.84 | VOO (slight) | Return above Treasury bills per unit of volatility. |
| Sortino | 1.13 | 1.22 | VOO (slight) | Return above Treasury bills per unit of downside deviation. |
| Treynor | 0.103 | 0.134 | Return above Treasury bills per unit of beta. | |
| Calmar | 0.53 | 0.46 | VHT | Annualized return divided by the max drawdown. |
| Against the benchmark | ||||
| Benchmark | FHLC | IVV | The ETF each fund is measured against. | |
| Alpha | 0.0% a year | 0.0% a year | Not significant | Yearly return beyond what its beta to the benchmark predicts. |
| Alpha t-stat | 0.17 | 0.51 | Not an edge | How sure the alpha is. Below 2, it could be chance. |
| Alpha range | −0.4% to +0.5% | −0.1% to +0.2% | Includes zero | The 95% range for the yearly alpha. |
| Information ratio | 0.15 | 0.02 | Return against its benchmark per unit of tracking error. | |
| Tracking error | 0.8% | 0.4% | Not an edge | How far weekly returns stray from the benchmark, annualized. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 840 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, VHT and VOO 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 VOO on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
VHT and VOO do different jobs. What does each one do in a portfolio?
- What each follows. VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50 and VOO follows S&P 500 Index.
- Holdings in common. 9% of the weight is in the same securities (holdings dated Sep 30, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 VHT returned +25.0% and VOO +13.7% with distributions reinvested, a gap of 11.3 points.
Data as of Oct 28, 2026.
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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%.
VOO
VOO tracks the S&P 500. Over the year to Oct 28, 2026 it returned +13.7% with distributions reinvested, against +13.7% for its benchmark, the S&P 500 Index. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer as of Sep 30, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 507 positions, with the top ten at 39.1%.
Questions people ask
- Which returned more over the last year, VHT or VOO?
- In the year to Oct 28, 2026, with distributions reinvested, VHT returned +25.0% and VOO +13.7%.
- Which is cheaper, VHT or VOO?
- VOO 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 VOO, data as of Oct 28, 2026. https://etfiq.com/compare/any/vht-vs-voo
ETFIQ. (Oct 28, 2026). VHT against VOO. Retrieved from https://etfiq.com/compare/any/vht-vs-voo
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