VHTvsTMEDETF Comparison
VS
Vanguard Health Care ETF (VHT) and T. Rowe Price Health Care ETF (TMED) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.44% for TMED. VHT is down -5.86% year-to-date (YTD) with -$233M in YTD flows. TMED performs better with 2.73% YTD performance, and +$3M in YTD flows. Run a side-by-side ETF comparison of VHT and TMED below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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VHT vs TMED performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | VHT TMED | +0.60%+8.31% | -7.81%-1.96% | -5.86%+2.73% | +9.62%n/a | +13.72%n/a | +19.95%n/a |
| Flows | VHT TMED | -$54M-$41K | -$235M+$3M | -$233M+$3M | -$503M- | -$2.71B- | -$343M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT TMED | +15.25%+21.15% | +15.54%n/a | +13.78%n/a | +15.08%n/a |
| Max drawdown | VHT TMED | -9.89%-11.09% | -10.39%n/a | -16.88%n/a | -17.77%n/a |
| Max drawdown duration | VHT TMED | 54d90d | 107dn/a | 435dn/a | 767dn/a |
Trading data
VHT | TMED | |
Last sale 4/24/2026 at 1:30 PM | $269.89 | $29.79 |
| Previous close 04/23/2026 | $273.01 | $30.13 |
| Consolidated volume 04/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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TMED
is actively managed and doesn’t replicate an indexVHT | TMED | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
VHT | TMED | |
|---|---|---|
| Last price | $269.89 | $29.79 |
| 1D performance | -1.14% | -1.14% |
| AuM | $16.03 B | $19.82 M |
| E/R | 0.09% | 0.44% |
Characteristics
VHT | TMED | |
|---|---|---|
| Management strategy | Passive | Active |
| Provider | Vanguard | T. Rowe Price |
| Benchmark | MSCI US IMI Health Care 25/50 Index | - |
| N° of holdings | 347 | 76 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2004 | June 11, 2025 |
| ESG | No | No |
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Exposure
Countries
VHT
USA
96.72%
Other
3.28%
TMED
USA
82.66%
Other
17.34%
Sectors
VHT
Health Care
96.98%
Other
3.02%
TMED
Health Care
85.09%
Other
14.91%
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Diversification
VHT
Total weight of top 15 holdings out of 15
60.6%
TMED
Total weight of top 15 holdings out of 15
52.88%
Top 15 holdings
Data as of March 31, 2026
VHT
LILLY
11.89%
JOHNSON&JOHNSON
9.34%
ABBVIE
6.18%
MERCK & CO INC
4.80%
UNITEDHEALTH GRP
3.94%
AMGEN-T
3.05%
THERMO FISHER SCIENTIFIC
2.97%
ABBOTT LABS
2.87%
GILEAD SCIENCES
2.78%
INTUITIVE SURGICAL
2.63%
PFIZER
2.57%
BRISTOL-MYERS SQUIBB
1.99%
DANAHER
1.94%
VERTEX PHARMACEUTICALS
1.82%
STRYKER
1.82%
TMED
LILLY
14.48%
UNITEDHEALTH GRP
6.54%
THERMO FISHER SCIENTIFIC
4.59%
GILEAD SCIENCES
4.14%
ABBOTT LABS
3.91%
DANAHER
2.73%
MEDTRONIC PLC
2.24%
ALNYLAM PHARMACEUTICALS
2.06%
STRYKER
2.00%
DYNE THERAPEUTICS INC
1.88%
WATERS
1.75%
BECTON DICKINSON AND CO
1.71%
AGILENT TECHNOLOGIES
1.69%
ELANCO ANIMAL HEALTH INC
1.59%
HUMANA
1.57%
Frequently asked questions about VHT and TMED
How have the VHT and TMED ETFs performed in 2026?
As of April 24, 2026, VHT is down -5.86% year-to-date (YTD), while TMED has returned 2.73%. That puts TMED better performer ahead so far this year.
Which ETF is attracting more investor money: VHT or TMED?
Year-to-date, the VHT ETF saw -$233M in flows, compared to +$3M for TMED.
Which ETF is bigger: VHT or TMED?
As of April 24, 2026, VHT holds $16.03 B in assets under management (AUM), while TMED manages $19.82 M.
What sectors do the VHT and TMED ETFs invest in?
VHT leans toward sectors like Health Care. Meanwhile, TMED focuses on Health Care.
What are the top holdings of the VHT ETF and TMED ETF?
VHT top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and THERMO FISHER SCIENTIFIC.
Which ETF is more diversified: VHT or TMED?
VHT holds 403 securities with 60.6% of its assets in the top 15. TMED has 82 securities and a top 15 weight of 52.88%.
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