VHT vs. AVUV

Last updated Jun 20, 2026

VHT (Vanguard Health Care ETF) and AVUV (Avantis US Small Cap Value ETF) are both exchange-traded funds - VHT is a Health & Biotech Equities fund tracking the MSCI US Investable Market Health Care 25/50 Index, while AVUV is a Small Cap Value Equities fund actively managed by Avantis. VHT is passively managed, while AVUV is actively managed. Over the past 5 years, VHT returned 4.50%/yr vs 12.68%/yr for AVUV. A 0.51 correlation means they provide meaningful diversification when combined. VHT charges 0.09%/yr vs 0.25%/yr for AVUV.

Performance

VHT vs. AVUV - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Vanguard Health Care ETF (VHT) and Avantis US Small Cap Value ETF (AVUV). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, VHT achieves a -2.22% return, which is significantly lower than AVUV's 20.38% return.

VHT

• 1D: -0.56%
• 1M: 2.05%
• YTD: -2.22%
• 6M: -2.09%
• 1Y: 16.27%
• 3Y*: 6.30%
• 5Y*: 4.50%
• 10Y*: 9.70%

AVUV

• 1D: 1.01%
• 1M: 2.67%
• YTD: 20.38%
• 6M: 18.29%
• 1Y: 38.83%
• 3Y*: 18.84%
• 5Y*: 12.68%
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

VHT vs. AVUV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019
VHT Vanguard Health Care ETF	-2.22%	15.46%	2.66%	2.52%	-5.60%	20.57%	18.29%	14.15%
AVUV Avantis US Small Cap Value ETF	20.38%	7.44%	9.28%	22.82%	-4.91%	42.20%	6.43%	8.54%

Correlation

The correlation between VHT and AVUV is 0.42, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.42
Correlation (3Y) Calculated over the trailing 3-year period	0.46
Correlation (5Y) Calculated over the trailing 5-year period	0.51
Correlation (All Time) Calculated using the full available price history since Sep 26, 2019	0.51

The correlation between VHT and AVUV has been stable across timeframes, ranging from 0.42 to 0.51 - a consistent structural relationship.

VHT vs. AVUV - Sectors Allocation Comparison

Sectors	VHT	AVUV
Healthcare	100.0%	4.8%
Financial Services	0.0%	26.1%
Industrials	0.0%	13.6%
Technology	0.0%	7.4%
Basic Materials	-	5.1%
Communication Services	-	3.1%
Consumer Cyclical	-	18.7%
Consumer Defensive	-	4.7%
Energy	-	15.8%
Real Estate	-	0.7%
Utilities	-	0.1%

Return for Risk

VHT vs. AVUV — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

VHT

VHT Risk / Return Rank: 32
VHT Sharpe Ratio Rank: 32
VHT Sortino Ratio Rank: 35
VHT Omega Ratio Rank: 30
VHT Calmar Ratio Rank: 33
VHT Martin Ratio Rank: 29

AVUV

AVUV Risk / Return Rank: 77
AVUV Sharpe Ratio Rank: 73
AVUV Sortino Ratio Rank: 76
AVUV Omega Ratio Rank: 67
AVUV Calmar Ratio Rank: 89
AVUV Martin Ratio Rank: 79

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

VHT vs. AVUV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Vanguard Health Care ETF (VHT) and Avantis US Small Cap Value ETF (AVUV). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	VHT	AVUV	Difference
Sharpe ratio: Return per unit of total volatility	1.12	2.21	-1.10
Sortino ratio: Return per unit of downside risk	1.76	3.15	-1.40
Omega ratio: Gain probability vs. loss probability	1.20	1.38	-0.18
Calmar ratio: Return relative to maximum drawdown	1.57	4.91	-3.33
Martin ratio: Return relative to average drawdown	3.87	14.56	-10.69

VHT vs. AVUV - Sharpe Ratio Comparison

The current VHT Sharpe Ratio is 1.12, which is lower than the AVUV Sharpe Ratio of 2.21. The chart below compares the historical Sharpe Ratios of VHT and AVUV, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

VHT vs. AVUV - Drawdown Comparison

The maximum VHT drawdown since its inception was -39.12%, smaller than the maximum AVUV drawdown of -49.42%. Use the drawdown chart below to compare losses from any high point for VHT and AVUV.

Drawdown Indicators

	VHT	AVUV	Difference
Max Drawdown Largest peak-to-trough decline	-39.12%	-49.42%	+10.30%
Max Drawdown (1Y) Largest decline over 1 year	-10.40%	-7.95%	-2.45%
Max Drawdown (3Y) Largest decline over 3 years	-16.91%	-28.79%	+11.88%
Max Drawdown (5Y) Largest decline over 5 years	-17.71%	-28.79%	+11.08%
Max Drawdown (10Y) Largest decline over 10 years	-28.85%	—	—
Current Drawdown Current decline from peak	-5.32%	-1.91%	-3.41%
Average Drawdown Average peak-to-trough decline	-5.98%	-7.90%	+1.92%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.21%	2.67%	+1.54%

Volatility

VHT vs. AVUV - Volatility Comparison

Vanguard Health Care ETF (VHT) has a higher volatility of 4.84% compared to Avantis US Small Cap Value ETF (AVUV) at 4.58%. This indicates that VHT's price experiences larger fluctuations and is considered to be riskier than AVUV based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	VHT	AVUV	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.84%	4.58%	+0.26%
Volatility (6M) Calculated over the trailing 6-month period	10.37%	11.39%	-1.02%
Volatility (1Y) Calculated over the trailing 1-year period	14.65%	17.64%	-2.99%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.02%	22.68%	-7.66%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.97%	28.23%	-11.26%

VHT vs. AVUV - Expense Ratio Comparison

VHT has a 0.09% expense ratio, which is lower than AVUV's 0.25% expense ratio. Despite the difference, both funds are considered low-cost compared to the broader market, where average expense ratios usually range from 0.3% to 0.9%.

Dividends

VHT vs. AVUV - Dividend Comparison

VHT's dividend yield for the trailing twelve months is around 1.68%, more than AVUV's 1.64% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
AVUV Avantis US Small Cap Value ETF	1.64%	1.58%	1.61%	1.65%	1.74%	1.28%	1.21%	0.38%	0.00%	0.00%	0.00%	0.00%
VHT Vanguard Health Care ETF	1.68%	1.61%	1.53%	1.36%	1.33%	1.14%	1.21%	1.89%	1.38%	1.31%	1.45%	1.22%

Frequently Asked Questions

Can I hold both VHT and AVUV in my portfolio?

VHT and AVUV have a correlation of 0.42, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, VHT or AVUV?

VHT has higher volatility (4.84%) compared to AVUV (4.58%). In terms of maximum drawdown, VHT dropped -39.12% vs AVUV's -49.42%.

Which ETF is better, VHT or AVUV?

On 5-year performance, AVUV leads with 12.68% vs 4.50% for VHT. On fees, VHT is cheaper at 0.09% per year. On volatility, AVUV has been the lower-risk option at 4.58%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, VHT or AVUV?

Over the 5-year period, AVUV has performed better with a 12.68% return vs 4.50%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, VHT or AVUV?

VHT is cheaper with a 0.09% expense ratio, compared with 0.25% for AVUV.

Which ETF pays a higher dividend yield, VHT or AVUV?

VHT has the higher dividend yield at 1.68%, compared with 1.64% for AVUV.

What is the main difference between VHT and AVUV?

VHT is categorized as Health & Biotech Equities, while AVUV is Small Cap Value Equities. They also come from different issuers: Vanguard and Avantis. Their fees differ too: 0.09% for VHT and 0.25% for AVUV.

Which has better risk-adjusted returns?

AVUV currently has the higher Sharpe Ratio (2.21 vs 1.12), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.