Data as of Oct 28, 2026.

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VHT vs VTV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VHT returned +25.0% to VTV's +23.5%; 17% 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 $184.2bn for Vanguard Morningstar Value ETF.

At a glance
+25.0%
VHT total return, 1 year
+23.5%
VTV total return, 1 year
0.09%
VHT expense ratio
0.03%
VTV expense ratio

Pair scorecard

VTV costs 0.06 points a year less; their one-year returns differ by 1.5 points; VTV is 9.6 times larger.

VHT vs VTV: Differences, Returns & Fees
MeasureVHTVTV
Return
Total return, 1 year+25.0%+23.5%
Benchmark
What it tracksMSCI US Investable Market Index (IMI)/Health Care 25/50Morningstar US Large Cap Value Index
Cost and size
Expense ratio0.09%0.03%
Net assets, as of Sep 30, 2026$19.1bn$184.2bn
Holdings
Holdings in common17%
Top ten holdings, share of the fund51.8%23.6%

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

Risk and return

Feb 6, 2004 to Oct 23, 2026 · 1,185 weekly returns
VHT VTV
Return
Total return edge VHT +797.6% +716.5%
Annualized edge VHT (slight) +10.1% +9.7%
Price return edge VHT +552.3% +353.0%
Risk
Volatility edge VHT (slight) 16.4% 17.2%
Max drawdown edge VHT −38.1% −59.1%
Risk-adjusted
Sharpe edge VHT (slight) 0.56 0.52
Sortino edge VHT (slight) 0.79 0.73
Calmar edge VHT 0.27 0.16
Reading

VHT returned more: +797.6% to +716.5%. VHT swung slightly less: 16.4% to 17.2%. VHT fell less at its worst: −38.1% to −59.1%.

Full scorecard

9 measures, with how each is measured
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Risk and return: VHT vs VTV: Differences, Returns & Fees
MeasureVHTVTVEdgeHow it is measured
Return
Total return+797.6%+716.5%VHTPrice change plus distributions, reinvested.
Annualized+10.1%+9.7%VHT (slight)Total return as a yearly rate.
Price return+552.3%+353.0%VHTPrice change alone, distributions left out.
Risk
Volatility16.4%17.2%VHT (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation11.6%12.2%VHT (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−38.1%−59.1%VHTDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.560.52VHT (slight)Return above Treasury bills per unit of volatility.
Sortino0.790.73VHT (slight)Return above Treasury bills per unit of downside deviation.
Calmar0.270.16VHTAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,185 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

17%

By the books each fund has filed, VHT and VTV hold 17% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026.

0 half 100%

half

17% in common

Positions both hold · largest shared weight first VHT VTV
Johnson & Johnson 8.79% 2.42%
AbbVie Inc 6.46% 1.75%
Merck & Co Inc 5.02% 1.36%
UnitedHealth Group Inc 4.66% 1.25%
Thermo Fisher Scientific Inc 3.51% 0.95%
Amgen Inc 3.18% 0.86%
Gilead Sciences Inc 2.59% 0.70%
Abbott Laboratories 2.41% 0.65%
Pfizer Inc 2.27% 0.62%
Danaher Corp 1.97% 0.53%
Bristol-Myers Squibb Co 1.78% 0.48%
Medtronic PLC 1.54% 0.42%
Only in one fund ↓
Only in VHT
Eli Lilly & Co 12.95%
Intuitive Surgical Inc 2.01%
Vertex Pharmaceuticals Inc 1.85%
Natera Inc 0.79%
Veeva Systems Inc 0.58%
IDEXX Laboratories Inc 0.58%
Illumina Inc 0.56%
Revolution Medicines Inc 0.49%
Only in VTV
Micron Technology Inc 4.56%
JPMorgan Chase & Co 3.33%
Berkshire Hathaway Inc 2.92%
ExxonMobil Holdings Corp 2.56%
Walmart Inc 1.72%
Chevron Corp 1.45%
Cisco Systems Inc 1.45%
Caterpillar Inc 1.41%
Check overlap with more funds →

Side by side

VHT Vanguard Health Care ETF VTV Vanguard Morningstar Value ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of Health Care Tracks an index of US value
Total return, 1 year +25.0% +23.5%
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% 0.03%
Already in the S&P 500 85.5% 98.1%
Holdings 414 300
Net assets, as of Sep 30, 2026 $19.1bn $184.2bn

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

Client brief · page 1 of 2 Report BR-DA73EEBF5B

VHT and VTV 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 VTV follows Morningstar US Large Cap Value Index.
  2. Holdings in common. 17% of the weight is in the same securities (holdings dated Sep 30, 2026).
  3. Size. VHT has $19.1bn in net assets and VTV $184.2bn (net assets, as of Sep 30, 2026); VTV is 9.6 times larger.

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%.

VTV

VTV tracks an index of US value. Over the year to Oct 28, 2026 it returned +23.5% with distributions reinvested. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer as of Sep 30, 2026, 98% of the fund by weight is stocks the S&P 500 also holds, across 300 positions, with the top ten at 23.6%.

Questions people ask

Which returned more over the last year, VHT or VTV?
In the year to Oct 28, 2026, with distributions reinvested, VHT returned +25.0% and VTV +23.5%.
Which is cheaper, VHT or VTV?
VTV 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 VHT and VTV overlap with the S&P 500?
By their latest filed holdings, 86% of VHT and 98% of VTV by weight is stocks the S&P 500 already holds.
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ETFIQ, VHT against VTV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vht-vs-vtv

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