Data as of Oct 28, 2026.
VHT vs VTWO: Differences, Returns & Fees
Over the year to Oct 28, 2026, VHT returned +25.0% to VTWO's +14.3%; 7% 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 $16.6bn for Vanguard Russell 2000 ETF.
Pair scorecard
VTWO costs 0.03 points a year less; their one-year returns differ by 10.7 points; VHT is 1.2 times larger.
| Measure | VHT | VTWO |
|---|---|---|
| Return | ||
| Total return, 1 year | +25.0% | +14.3% |
| Drawdown | ||
| Below its high | 7.5%, high on Aug 14, 2026 | |
| Benchmark | ||
| What it tracks | MSCI US Investable Market Index (IMI)/Health Care 25/50 | Russell 2000 Index |
| Cost and size | ||
| Expense ratio | 0.09% | 0.06% |
| Net assets, as of Sep 30, 2026 | $19.1bn | $16.6bn |
| Holdings | ||
| Holdings in common | 7% | |
| Top ten holdings, share of the fund | 51.8% | 5.4% |
Holdings in common uses holdings dated Sep 30, 2026. Method
What they share
By the books each fund has filed, VHT and VTWO hold 7% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026.
half
7% in common
Only in one fund ↓
Side by side
VHT and VTWO 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%.
VTWO
VTWO tracks the Russell 2000. Over the year to Oct 28, 2026 it returned +14.3% with distributions reinvested, against +14.1% for its benchmark, the Russell 2000 Index. The prospectus expense ratio is 0.06% a year. By its holdings published by its issuer as of Sep 30, 2026, 0% of the fund by weight is stocks the S&P 500 also holds, across 2,002 positions, with the top ten at 5.4%. It sat 7.5% below its high of Aug 14, 2026 on Oct 28, 2026.
Questions people ask
- Which returned more over the last year, VHT or VTWO?
- In the year to Oct 28, 2026, with distributions reinvested, VHT returned +25.0% and VTWO +14.3%.
- Which is cheaper, VHT or VTWO?
- VTWO 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.
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 VTWO, data as of Oct 28, 2026. https://etfiq.com/compare/any/vht-vs-vtwo
ETFIQ. (Oct 28, 2026). VHT against VTWO. Retrieved from https://etfiq.com/compare/any/vht-vs-vtwo
[VHT against VTWO (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/vht-vs-vtwo)
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