Data as of Oct 28, 2026.

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VHT vs XHB: Differences, Returns & Fees

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Over the year to Oct 28, 2026, VHT returned +25.0% to XHB's −8.6%; 0% of their weight is in the same names.

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Net assets: $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF, and $1.5bn on Oct 27, 2026 for State Street SPDR S&P Homebuilders ETF.

At a glance
+25.0%
VHT total return, 1 year
−8.6%
XHB total return, 1 year
0.09%
VHT expense ratio
0.35%
XHB expense ratio

Pair scorecard

VHT costs 0.26 points a year less; their one-year returns differ by 33.6 points; VHT is 13.6 times larger.

VHT vs XHB: Differences, Returns & Fees
MeasureVHTXHB
Return
Total return, 1 year+25.0%−8.6%
Drawdown
Below its high20.5%, high on Oct 18, 2024
Benchmark
What it tracksMSCI US Investable Market Index (IMI)/Health Care 25/50S&P Homebuilders Select Industry Index
Cost and size
Expense ratio0.09%0.35%
Net assets, as of Sep 30, 2026$19.1bn$1.4bn
Holdings
Holdings in common0%
Top ten holdings, share of the fund51.8%35.4%

Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method

What they share

0%

By the books each fund has filed, VHT and XHB hold 0% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.

0 half 100%

half

0% in common

Positions both hold · largest shared weight first VHT XHB
Only in one fund ↓
Only in VHT
Eli Lilly & Co 12.95%
Johnson & Johnson 8.79%
AbbVie Inc 6.46%
Merck & Co Inc 5.02%
UnitedHealth Group Inc 4.66%
Thermo Fisher Scientific Inc 3.51%
Amgen Inc 3.18%
Gilead Sciences Inc 2.59%
Only in XHB
ALLEGION PLC 3.83%
SHARKNINJA INC 3.76%
WAYFAIR INC CLASS A 3.63%
WILLIAMS SONOMA INC 3.54%
SIMPSON MANUFACTURING CO INC 3.49%
MASCO CORP 3.49%
JOHNSON CONTROLS INTERNATION 3.46%
DR HORTON INC 3.41%
Check overlap with more funds →

Side by side

VHT Vanguard Health Care ETF XHB State Street SPDR S&P Homebuilders ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index of Health Care Tracks the S&P Homebuilders
Total return, 1 year +25.0% −8.6%
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% 0.35%
Already in the S&P 500 85.5% 45.7%
Holdings 414 34
Net assets, VHT as of Sep 30, 2026 and XHB as of Oct 27, 2026 $19.1bn $1.5bn

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

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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%.

XHB

XHB tracks the S&P Homebuilders. Over the year to Oct 28, 2026 it returned −8.6% with distributions reinvested. The prospectus expense ratio is 0.35% a year. By its holdings published by its issuer for Oct 27, 2026, 46% of the fund by weight is stocks the S&P 500 also holds, across 34 positions, with the top ten at 35.4%. It sat 20.5% below its high of Oct 18, 2024 on Oct 28, 2026.

Questions people ask

Which returned more over the last year, VHT or XHB?
In the year to Oct 28, 2026, with distributions reinvested, VHT returned +25.0% and XHB −8.6%.
Which is cheaper, VHT or XHB?
VHT is cheaper, by 0.26 percentage points a year. That is about $26 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do VHT and XHB overlap with the S&P 500?
By their latest filed holdings, 86% of VHT and 46% of XHB by weight is stocks the S&P 500 already holds.
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ETFIQ, VHT against XHB, data as of Oct 28, 2026. https://etfiq.com/compare/any/vht-vs-xhb

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