Vanguard Health Care ETF

Vanguard Health Care ETF

About

Vanguard Health Care ETF (US92204A5048) is a US-listed equity ETF tracking the Spliced US IMI Health Care 25/50. With a expense ratio of 0.09%, it ranks among the lowest-cost options in its category, paying distributions. The fund holds 424 positions across 1 region with 16.6B in assets, with heavy concentration — 99% in United States, 99% in Health Care.

Score Breakdown

Scores are scaled 1–10 on a logarithmic curve relative to all ETFs in the database.
Component Score Details
Overall 7.1 Diversification (45%) · Cost (30%) · Liquidity (25%)
Cost (30%) 9.0 Tracking Difference: 9.2 · TD Consistency: — · Expense Ratio: 8.5
Diversification (45%) 4.2 Holding Count: 6.1 · Country Concentration: 4.8 · Sector Concentration: 1.0
Liquidity (25%) 10.0 Assets Under Management

Data sources: provider factsheets, exchange data, and NAV history. Information for educational purposes only — not investment advice.

Ticker VHT
ISIN
Fund Size $16.6B
Issuer Vanguard
Distribution Pays Distributions
Replication Physical
Inception Jan 2004
Base Currency USD
Index Spliced US IMI Health Care 25/50
Asset Class Equities
Category US Equity

Costs

9.0
This fund has low total costs, with competitive tracking and expense ratios.

Cost Metrics Explained

What expense ratio, tracking difference, and TD consistency measure

Expense ratio (Total Expense Ratio) is the annual fee the fund charges, deducted from assets. It’s the headline cost, but not the full picture.

Tracking Difference measures how much the fund actually lags (or leads) its benchmark index per year. This is the single best measure of true cost — it captures the expense ratio plus all other drags like sampling error and tax withholding. A lower (or negative) value is better.

TD Consistency measures how stable the tracking difference is from year to year. A low value means predictable, reliable costs; a high value means costs can vary significantly.

Expense Ratio0.00%
 
Metric Value
Expense Ratio 0.09%

Cumulative Returns

Performance across different time periods.
1 Month+0.00%
3 Months+0.00%
Year to Date+0.00%
1 Year+0.00%
3 Years+0.00%
5 Years+0.00%
Inception+0.00%
 
Period Cumulative Return
1 Month +0.00%
3 Months +0.03%
6 Months -0.03%
1 Year +0.13%
3 Years +0.14%
5 Years +0.13%
10 Years +1.15%
YTD -0.02%
Since Inception +1.15%

Holdings

6.1
This fund holds 424 individual investments, offering moderate diversification compared to other ETFs.
#1
Eli Lilly & Co
14.01%
#2
Johnson & Johnson
8.45%
#3
AbbVie Inc
6.08%
#4
UnitedHealth Group Inc
5.45%
#5
Merck & Co Inc
4.63%
#6
Thermo Fisher Scientific Inc
2.89%
#7
Amgen Inc
2.87%
#8
Gilead Sciences Inc
2.63%
#9
Intuitive Surgical Inc
2.38%
#10
Pfizer Inc
2.35%
View all holdings (50)
# Holding Ticker Weight
1 Eli Lilly & Co LLY 1401.00%
2 Johnson & Johnson JNJ 845.00%
3 AbbVie Inc ABBV 608.00%
4 UnitedHealth Group Inc UNH 545.00%
5 Merck & Co Inc MRK 463.00%
6 Thermo Fisher Scientific Inc TMO 289.00%
7 Amgen Inc AMGN 287.00%
8 Gilead Sciences Inc GILD 263.00%
9 Intuitive Surgical Inc ISRG 238.00%
10 Pfizer Inc PFE 235.00%
11 Abbott Laboratories ABT 235.00%
12 Danaher Corp DHR 184.00%
13 Bristol-Myers Squibb Co BMY 184.00%
14 CVS Health Corp CVS 183.00%
15 Vertex Pharmaceuticals Inc VRTX 180.00%
16 Stryker Corp SYK 166.00%
17 Medtronic PLC MDT 150.00%
18 McKesson Corp MCK 144.00%
19 Elevance Health Inc ELV 133.00%
20 Cigna Group/The CI 115.00%
21 Boston Scientific Corp BSX 113.00%
22 Regeneron Pharmaceuticals Inc REGN 101.00%
23 HCA Healthcare Inc HCA 94.00%
24 Edwards Lifesciences Corp EW 79.00%
25 Cencora Inc COR 79.00%
26 Cardinal Health Inc CAH 73.00%
27 IDEXX Laboratories Inc IDXX 71.00%
28 Becton Dickinson & Co BDX 66.00%
29 Alnylam Pharmaceuticals Inc ALNY 63.00%
30 Agilent Technologies Inc A 60.00%
31 Waters Corp WAT 60.00%
32 Humana Inc HUM 58.00%
33 Zoetis Inc ZTS 52.00%
34 IQVIA Holdings Inc IQV 49.00%
35 Natera Inc NTRA 47.00%
36 Centene Corp CNC 46.00%
37 Biogen Inc BIIB 45.00%
38 Dexcom Inc DXCM 45.00%
39 GE HealthCare Technologies Inc GEHC 45.00%
40 ResMed Inc RMD 44.00%
41 REVOLUTION Medicines Inc RVMD 40.00%
42 Veeva Systems Inc VEEV 40.00%
43 Mettler-Toledo International Inc MTD 38.00%
44 Illumina Inc ILMN 38.00%
45 West Pharmaceutical Services Inc WST 37.00%
46 Insmed Inc INSM 36.00%
47 United Therapeutics Corp UTHR 35.00%
48 Quest Diagnostics Inc DGX 34.00%
49 Labcorp Holdings Inc LH 34.00%
50 STERIS PLC STE 33.00%

Sectors

1.0
This fund is concentrated in just a few of its 2 sectors, reducing diversification.
 
Sector Weight
Health Care 9947.00%
Unknown 53.00%

Regions

4.8
This fund is concentrated in just 2 countries, with significant geographic concentration.
 
Country Weight
United States 9947.00%
UNKNOWN 53.00%

Nerd Stuff

Advanced risk and return metrics (2023-06-30 — 2026-06-18).
55.7%
Volatility
-16.2%
Max Drawdown
1.92
Sharpe Ratio
2.83
Sortino Ratio
6.61
Calmar Ratio
0.47
Beta
-6.97%
Alpha (Jensen's)
0.215
Benchmark-relative metrics (Beta, Alpha, R²) are calculated against the iShares Core S&P 500 ETF (IE00B5BMR087).
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