

VHT vs XBI
Two funds, one decision: we compare cost, performance and what each ETF actually holds in October 2026.
This page compares the Health Care Vanguard ETF (VHT) and the SPDR S&P Biotech ETF (XBI). It examines fees, holdings, dividends and how each fund tracks its market. VHT has an expense ratio of 0.09%, while XBI is 0.35%. Both funds focus on the health sector, offering investors differing approaches to this area. Educational content, not financial advice.
This page compares the Health Care Vanguard ETF (VHT) and the SPDR S&P Biotech ETF (XBI). It examines fees, holdings, dividends and how each fund tracks its market. VHT has an expense ratio of 0.09%, ...
Investment Analysis

VHT
VHT
Pros
- VHT features a low 0.09% expense ratio, significantly reducing cost drag compared to peers.
- With $19.1 billion in net assets, the fund offers substantial liquidity and scale.
- Established in January 2004, VHT has a lengthy operational history and market presence.
Considerations
- Top holdings are concentrated, with Eli Lilly accounting for 12.79% of assets.
- The index tracked by VHT is listed as not available, limiting transparency.
- VHT's 1.49% dividend yield may underperform sectors with higher income generation.

XBI
XBI
Pros
- XBI's broad holdings reduce single-name risk, with the top position at just 1.91%.
- A $10.3 billion asset base ensures robust market depth and trading efficiency.
- Launched in January 2006, XBI has over two decades of operational track record.
Considerations
- The 0.35% expense ratio is nearly four times higher than many index ETFs.
- A low 0.36% dividend yield limits income potential for yield-focused investors.
- The specific index methodology tracked by XBI is listed as not available.
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