VHT vs. XHS

Last updated Jul 17, 2026

VHT (Vanguard Health Care ETF) and XHS (SPDR S&P Health Care Services ETF) are both Health & Biotech Equities funds - VHT tracks the MSCI US Investable Market Health Care 25/50 Index while XHS tracks the S&P Health Care Services Select Industry Index. Both are passively managed. Over the past 10 years, VHT returned 10.08%/yr vs 9.10%/yr for XHS. A 0.72 correlation means they provide meaningful diversification when combined. VHT charges 0.09%/yr vs 0.35%/yr for XHS.

Performance

VHT vs. XHS - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Vanguard Health Care ETF (VHT) and SPDR S&P Health Care Services ETF (XHS). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, VHT achieves a 6.42% return, which is significantly lower than XHS's 26.76% return. Over the past 10 years, VHT has outperformed XHS with an annualized return of 10.08%, while XHS has yielded a comparatively lower 9.10% annualized return.

VHT

• 1D: 1.72%
• 1M: 7.01%
• 6M: 4.92%
• YTD: 6.42%
• 1Y: 24.97%
• 3Y*: 9.50%
• 5Y*: 5.59%
• 10Y*: 10.08%

XHS

• 1D: 0.45%
• 1M: 10.64%
• 6M: 21.53%
• YTD: 26.76%
• 1Y: 45.58%
• 3Y*: 13.33%
• 5Y*: 4.53%
• 10Y*: 9.10%

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

VHT vs. XHS - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
VHT Vanguard Health Care ETF	6.42%	15.46%	2.66%	2.52%	-5.60%	20.57%	18.29%	21.87%	5.58%	23.26%
XHS SPDR S&P Health Care Services ETF	26.76%	18.83%	1.76%	5.15%	-19.87%	9.76%	33.66%	18.81%	1.96%	17.65%

Correlation

The correlation between VHT and XHS is 0.56, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.56
Correlation (3Y) Calculated over the trailing 3-year period	0.65
Correlation (5Y) Calculated over the trailing 5-year period	0.71
Correlation (10Y) Calculated over the trailing 10-year period	0.72
Correlation (All Time) Calculated using the full available price history since Sep 29, 2011	0.72

The correlation between VHT and XHS shifts across timeframes, from 0.56 (1 year) to 0.72 (10 years), reflecting how their relationship changes across market environments.

VHT vs. XHS - Sectors Allocation Comparison

Sectors	VHT	XHS
Healthcare	100.0%	95.7%
Financial Services	0.0%	3.7%
Industrials	0.0%	0.5%
Technology	0.0%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Real Estate	-	-
Utilities	-	-

Return for Risk

VHT vs. XHS — Risk / Return Rank

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

VHT

VHT Risk / Return Rank: 58
VHT Sharpe Ratio Rank: 61
VHT Sortino Ratio Rank: 70
VHT Omega Ratio Rank: 57
VHT Calmar Ratio Rank: 60
VHT Martin Ratio Rank: 45

XHS

XHS Risk / Return Rank: 88
XHS Sharpe Ratio Rank: 92
XHS Sortino Ratio Rank: 90
XHS Omega Ratio Rank: 89
XHS Calmar Ratio Rank: 86
XHS Martin Ratio Rank: 84

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. XHS - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Vanguard Health Care ETF (VHT) and SPDR S&P Health Care Services ETF (XHS). 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	XHS	Difference
Sharpe ratio: Return per unit of total volatility	1.64	2.56	-0.92
Sortino ratio: Return per unit of downside risk	2.54	3.42	-0.88
Omega ratio: Gain probability vs. loss probability	1.28	1.45	-0.16
Calmar ratio: Return relative to maximum drawdown	2.41	3.82	-1.41
Martin ratio: Return relative to average drawdown	5.93	13.16	-7.23

VHT vs. XHS - Sharpe Ratio Comparison

The current VHT Sharpe Ratio is 1.64, which is lower than the XHS Sharpe Ratio of 2.56. The chart below compares the historical Sharpe Ratios of VHT and XHS, 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. XHS - Drawdown Comparison

The maximum VHT drawdown since its inception was -39.12%, roughly equal to the maximum XHS drawdown of -39.32%. Use the drawdown chart below to compare losses from any high point for VHT and XHS.

Drawdown Indicators

	VHT	XHS	Difference
Max Drawdown Largest peak-to-trough decline	-39.12%	-39.32%	+0.20%
Max Drawdown (1Y) Largest decline over 1 year	-10.40%	-11.99%	+1.59%
Max Drawdown (3Y) Largest decline over 3 years	-16.91%	-17.81%	+0.90%
Max Drawdown (5Y) Largest decline over 5 years	-17.71%	-31.34%	+13.63%
Max Drawdown (10Y) Largest decline over 10 years	-28.85%	-39.32%	+10.47%
Current Drawdown Current decline from peak	-1.98%	-1.72%	-0.26%
Average Drawdown Average peak-to-trough decline	-5.97%	-10.12%	+4.15%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.22%	3.48%	+0.74%

Volatility

VHT vs. XHS - Volatility Comparison

Vanguard Health Care ETF (VHT) has a higher volatility of 5.84% compared to SPDR S&P Health Care Services ETF (XHS) at 5.41%. This indicates that VHT's price experiences larger fluctuations and is considered to be riskier than XHS based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	VHT	XHS	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.84%	5.41%	+0.43%
Volatility (6M) Calculated over the trailing 6-month period	11.48%	12.81%	-1.33%
Volatility (1Y) Calculated over the trailing 1-year period	15.36%	17.91%	-2.55%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.21%	21.22%	-6.01%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.99%	22.40%	-5.41%

VHT vs. XHS - Expense Ratio Comparison

VHT has a 0.09% expense ratio, which is lower than XHS's 0.35% expense ratio.

Dividends

VHT vs. XHS - Dividend Comparison

VHT's dividend yield for the trailing twelve months is around 1.55%, more than XHS's 0.20% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
VHT Vanguard Health Care ETF	1.55%	1.61%	1.53%	1.36%	1.33%	1.14%	1.21%	1.89%	1.38%	1.31%	1.45%	1.22%
XHS SPDR S&P Health Care Services ETF	0.20%	0.27%	0.38%	0.23%	0.19%	0.20%	0.23%	2.37%	0.34%	0.22%	0.28%	0.93%

Frequently Asked Questions

Can I hold both VHT and XHS in my portfolio?

VHT and XHS have a correlation of 0.56, 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 XHS?

VHT has higher volatility (5.84%) compared to XHS (5.41%). In terms of maximum drawdown, VHT dropped -39.12% vs XHS's -39.32%.

Which ETF is better, VHT or XHS?

On 10-year performance, VHT leads with 10.08% vs 9.10% for XHS. On fees, VHT is cheaper at 0.09% per year. On volatility, XHS has been the lower-risk option at 5.41%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, VHT or XHS?

Over the 10-year period, VHT has performed better with a 10.08% return vs 9.10%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, VHT or XHS?

VHT is cheaper with a 0.09% expense ratio, compared with 0.35% for XHS.

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

VHT has the higher dividend yield at 1.55%, compared with 0.20% for XHS.

What is the main difference between VHT and XHS?

VHT tracks MSCI US Investable Market Health Care 25/50 Index, while XHS tracks S&P Health Care Services Select Industry Index. They also come from different issuers: Vanguard and State Street. Their fees differ too: 0.09% for VHT and 0.35% for XHS.

Which has better risk-adjusted returns?

XHS currently has the higher Sharpe Ratio (2.56 vs 1.64), 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.