Data as of Oct 28, 2026.

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VHT vs VT: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VHT returned +25.0% to VT's +13.5%; 6% 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 $81.8bn for Vanguard Total World Stock Index ETF.

At a glance
+25.0%
VHT total return, 1 year
+13.5%
VT total return, 1 year
0.09%
VHT expense ratio
0.06%
VT expense ratio

Pair scorecard

VT costs 0.03 points a year less; their one-year returns differ by 11.5 points; VT is 4.3 times larger.

VHT vs VT: Differences, Returns & Fees
MeasureVHTVT
Return
Total return, 1 year+25.0%+13.5%
Benchmark
What it tracksMSCI US Investable Market Index (IMI)/Health Care 25/50FTSE Global All Cap Index
Cost and size
Expense ratio0.09%0.06%
Net assets, as of Sep 30, 2026$19.1bn$81.8bn
Holdings
Holdings in common6%
Top ten holdings, share of the fund51.8%22.5%

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

Risk and return

Jul 3, 2008 to Oct 23, 2026 · 955 weekly returns
VHT VT
Return
Total return edge VHT +731.1% +371.6%
Annualized edge VHT +12.2% +8.8%
Price return edge VHT +524.7% +221.4%
Risk
Volatility edge VHT (slight) 17.3% 18.3%
Max drawdown edge VHT −34.4% −48.3%
Risk-adjusted
Sharpe edge VHT 0.67 0.48
Sortino edge VHT 0.95 0.66
Calmar edge VHT 0.36 0.18
Reading

VHT returned more: +731.1% to +371.6%. VHT swung slightly less: 17.3% to 18.3%. VHT fell less at its worst: −34.4% to −48.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: VHT vs VT: Differences, Returns & Fees
MeasureVHTVTEdgeHow it is measured
Return
Total return+731.1%+371.6%VHTPrice change plus distributions, reinvested.
Annualized+12.2%+8.8%VHTTotal return as a yearly rate.
Price return+524.7%+221.4%VHTPrice change alone, distributions left out.
Risk
Volatility17.3%18.3%VHT (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation12.2%13.1%VHT (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−34.4%−48.3%VHTDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.670.48VHTReturn above Treasury bills per unit of volatility.
Sortino0.950.66VHTReturn above Treasury bills per unit of downside deviation.
Calmar0.360.18VHTAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 955 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

6%

By the books each fund has filed, VHT and VT hold 6% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026.

0 half 100%

half

6% in common

Positions both hold · largest shared weight first VHT VT
Eli Lilly & Co 12.95% 0.79%
Johnson & Johnson 8.79% 0.54%
AbbVie Inc 6.46% 0.40%
Merck & Co Inc 5.02% 0.31%
UnitedHealth Group Inc 4.66% 0.28%
MKTLIQ 0.24% 0.39%
Thermo Fisher Scientific Inc 3.51% 0.21%
Amgen Inc 3.18% 0.19%
Gilead Sciences Inc 2.59% 0.16%
Abbott Laboratories 2.41% 0.15%
Pfizer Inc 2.27% 0.14%
SLBBH1142 0.14% 0.54%
Only in one fund ↓
Only in VHT
Iovance Biotherapeutics Inc 0.08%
GRAIL Inc 0.07%
Hinge Health Inc 0.06%
Concentra Group Holdings Parent Inc 0.06%
Adaptive Biotechnologies Corp 0.05%
HeartFlow Inc 0.05%
Ideaya Biosciences Inc 0.05%
Arcutis Biotherapeutics Inc 0.04%
Only in VT
NVIDIA Corp 4.54%
Apple Inc 4.11%
Microsoft Corp 3.25%
Amazon.com Inc 2.06%
Alphabet Inc 1.73%
Taiwan Semiconductor Manufacturing Co Ltd 1.62%
Broadcom Inc 1.39%
Meta Platforms Inc 1.36%
Check overlap with more funds →

Side by side

VHT Vanguard Health Care ETF VT Vanguard Total World Stock Index ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of Health Care Tracks an index of Total World Stock
Total return, 1 year +25.0% +13.5%
Its benchmark over the same days +25.4% (FHLC) not measured
Gap to its benchmark −0.4 pts vs FHLC not measured
Expense ratio 0.09% 0.06%
Already in the S&P 500 85.5% 54.7%
Holdings 414 10194
Net assets, as of Sep 30, 2026 $19.1bn $81.8bn

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

Client brief · page 1 of 2 Report BR-2C94E5D804

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

  1. What each follows. VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50 and VT follows FTSE Global All Cap Index.
  2. Holdings in common. 6% of the weight is in the same securities (holdings dated Sep 30, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 VHT returned +25.0% and VT +13.5% with distributions reinvested, a gap of 11.5 points.

Data as of Oct 28, 2026.

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About each fund
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%.

VT

VT tracks an index of Total World Stock. Over the year to Oct 28, 2026 it returned +13.5% with distributions reinvested. The prospectus expense ratio is 0.06% a year. By its holdings published by its issuer as of Sep 30, 2026, 55% of the fund by weight is stocks the S&P 500 also holds, across 10,194 positions, with the top ten at 22.5%.

Questions people ask

Which returned more over the last year, VHT or VT?
In the year to Oct 28, 2026, with distributions reinvested, VHT returned +25.0% and VT +13.5%.
Which is cheaper, VHT or VT?
VT is cheaper, by 0.03 percentage points a year. That is about $3 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do VHT and VT overlap with the S&P 500?
By their latest filed holdings, 86% of VHT and 55% of VT by weight is stocks the S&P 500 already holds.
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ETFIQ, VHT against VT, data as of Oct 28, 2026. https://etfiq.com/compare/any/vht-vs-vt

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