HEAL vs VOO
Global X HealthTech ETF vs Vanguard S&P 500 ETF
Which is better, HEAL or VOO?
Mid Cap Growth against Large Cap Blend.
VOO has a lower expense ratio. VOO led over 1Y, 3Y, 5Y and the full window. VOO is less concentrated, with 37.6% of the fund in its ten largest positions against 46.8%.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | HEAL | VOO |
|---|---|---|
| Expense Ratio | 0.50% | 0.03%Best |
| AUM | $31M | $1.0T |
| Dividend Yield | 0.24% | 1.04% |
| Holdings | 86 | 506 |
| YTD Return | -1.42% | +13.59%Best |
| 1Y Return | -10.68% | +16.33%Best |
| 3Y Return (annualized) | +2.77% | +23.81%Best |
| 5Y Return (annualized) | -10.95% | +14.02%Best |
| Volatility (annualized) | 23.0% | 15.4%Best |
| Max Drawdown | -65.8% | -24.5%Best |
| $10,000 over 5 years | $5,600 | $19,271Best |
| Top 10 Weight | 46.8% | 37.6%Best |
| Fund Family | Global X by mirae Asset | Vanguard (US) |
| Category | Equity | Equity |
| Style | Mid Cap Growth | Large Cap Blend |
| Inception | Jul 29, 2020 | Sep 7, 2010 |
Volatility and max drawdown are measured over the window both funds cover: Jul 30, 2020 to Oct 2, 2026 (6.2 years).
HEAL vs VOO growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view covers the 6.2 years both funds cover.
HEAL vs VOO Performance
Global X HealthTech ETF (HEAL) is an ETF from Global X by mirae Asset and Vanguard S&P 500 ETF (VOO) is an ETF from Vanguard (US). Over the past year HEAL returned -10.68% while VOO returned +16.33%. Year to date, HEAL is down 1.42% versus a gain of 13.59% for VOO.
Over three years, HEAL compounded at +2.77% per year against +23.81% for VOO; over five years the annualized figures are -10.95% and +14.02% respectively. Across the full 6-year window we track, VOO has the edge at +16.57% annualized vs -7.44%.
Past performance does not guarantee future results.
Risk: Volatility and Drawdowns
HEAL has been the more volatile fund, with annualized monthly volatility of 23.0% compared with 15.4% for VOO. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -65.8% for HEAL and -24.5% for VOO. Drawdown depth is what each fund did in the worst stretch of the window measured above.
The two funds' monthly returns correlate at 0.70. They usually move together, but the gap leaves some room for diversification.
Fees and Cost Over Time
HEAL charges 0.50% per year while VOO charges 0.03%. On a $10,000 position that is $50 vs $3 annually, a gap of $47 per year that compounds over a long holding period. On income, HEAL currently yields 0.24% against 1.04% for VOO.
Holdings Overlap
30.7% of HEAL's money is in holdings VOO also owns. 0.5% of VOO's money is in holdings HEAL also owns.
The two portfolios partly overlap.
The two holdings books were reported 46 days apart, HEAL as of Sep 15, 2026 and VOO as of Jul 31, 2026, so some of the difference between them is the time between the two reports rather than the funds.
7 positions in common, counted across the 39 positions we hold weights for in HEAL and 494 in VOO, against full books of 86 and 506.
What only one of them owns
Our book lists 480 positions for VOO that do not appear in our book for HEAL (98.7% of the fund), and 24 for HEAL that do not appear in VOO (52.9%).
Some of those will be the same company recorded under a different code in one of the two books, so the real difference in what you would own is no larger than this and may be smaller. We do not name the individual positions here for that reason.
Top Shared Holdings
| Stock | Weight in HEAL | Weight in VOO | Difference |
|---|---|---|---|
| IQVIqvia Holdings Inc | 6.20% | 0.06% | 6.14% |
| VEEVVeeva Systems Inc | 5.72% | 0.05% | 5.67% |
| DXCMDexcom Inc. | 5.06% | 0.05% | 5.01% |
| RMDResmed Inc. | 3.98% | 0.05% | 3.93% |
| GEHCGe Healthcare Technologies Inc | 3.91% | 0.05% | 3.86% |
| ISRGIntuitive Surgical Inc. | 3.02% | 0.19% | 2.83% |
| PODDInsulet Corporation | 2.82% | 0.02% | 2.80% |
30.7% of HEAL is already inside VOO.
You probably hold more than these two. Add the rest and see how much of the whole book is the same companies twice.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, HEAL or VOO?
HEAL has an expense ratio of 0.50% while VOO charges 0.03%. VOO is the cheaper option, by $47 a year on a $10,000 investment.
Which performed better, HEAL or VOO?
Over the past year HEAL returned -10.68% vs +16.33% for VOO, so VOO leads on 1-year performance. Over the longest common window we track (6 years), HEAL annualized -7.44% vs +16.57% for VOO. Past performance does not guarantee future results. This is information, not a recommendation.
Which is riskier, HEAL or VOO?
HEAL has been the more volatile fund at 23.0% annualized versus 15.4% for VOO. Worst drawdown: HEAL -65.8% vs VOO -24.5%.
Should I hold both HEAL and VOO?
HEAL and VOO have a monthly-return correlation of 0.70, so their returns are far enough apart for the mix to behave differently from either one alone. This is information, not a recommendation.
What is the holdings overlap between HEAL and VOO?
30.7% of HEAL's money is in holdings VOO also owns. 0.5% of VOO's is in holdings HEAL also owns. They hold 7 positions in common, counted across the 39 positions we hold weights for in HEAL and 494 in VOO.
Which pays a higher dividend, HEAL or VOO?
HEAL yields 0.24% while VOO yields 1.04%, so VOO currently pays the higher dividend yield.
Is VOO better than HEAL?
VOO has a lower expense ratio. VOO led over 1Y, 3Y, 5Y and the full window. VOO is less concentrated, with 37.6% of the fund in its ten largest positions against 46.8%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.