BBHvsFXHETF Comparison
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VanEck Biotech ETF (BBH) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 1 sector exposures: Healthcare. BBH is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.61% for FXH. BBH is up 9.98% year-to-date (YTD) with -$7M in YTD flows. FXH performs better with 13.36% YTD performance, and +$32M in YTD flows. Run a side-by-side ETF comparison of BBH and FXH 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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BBH vs FXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 08/04/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | BBH FXH | -1.02%+2.38% | +12.06%+14.38% | +9.98%+13.36% | +26.54%+29.25% | +32.94%+24.97% | -1.92%+5.83% |
| Flows | BBH FXH | -+$57M | -$4M+$88M | -$7M+$32M | -$28M+$1M | -$180M-$594M | -$139M-$464M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BBH FXH | +21.02%+15.84% | +19.52%+15.82% | +19.25%+15.52% | +21.50%+16.88% |
| Max drawdown | BBH FXH | -5.29%-3.81% | -10.54%-12.07% | -22.78%-17.66% | -39.88%-29.40% |
| Max drawdown duration | BBH FXH | 28d20d | 150d168d | 440d395d | 1821d1759d |
Trading data
BBH | FXH | |
Last sale 8/5/2026 at 4:56 PM | $210.50 | $127.75 |
| Previous close 08/04/2026 | $208.03 | $128.40 |
| Consolidated volume 08/04/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of July 31, 2026
1-year trailing difference
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BBH | FXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 8/5/2026 at 4:56 PM
Live
Closed
BBH | FXH | |
|---|---|---|
| Last price | $210.50 | $127.75 |
| 1D performance | +1.19% | -0.51% |
| AuM | $404.99 M | $1.09 B |
| E/R | 0.35% | 0.61% |
Characteristics
BBH | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | VanEck | First Trust |
| Benchmark | MVIS US Listed Biotech 25 Index | StrataQuant Health Care Index |
| N° of holdings | 24 | 75 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 20, 2011 | May 8, 2007 |
| ESG | No | No |
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Exposure
Countries
BBH
USA
87.33%
Other
12.67%
FXH
USA
96.02%
Other
3.98%
Sectors
BBH
Healthcare
100%
FXH
Healthcare
99.85%
Other
0.15%
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Diversification
BBH
Total weight of top 15 holdings out of 15
85.08%
FXH
Total weight of top 15 holdings out of 15
38.89%
Top 15 holdings
Data as of June 30, 2026
BBH
Amgen, Inc.
15.15%
Gilead Sciences, Inc.
12.75%
Vertex Pharmaceuticals, Inc.
9.15%
Regeneron Pharmaceuticals, Inc.
6.26%
Revolution Medicines, Inc.
5.41%
Natera, Inc.
4.92%
argenx SE
4.88%
IQVIA Holdings, Inc.
4.30%
Alnylam Pharmaceuticals, Inc.
3.73%
Biogen, Inc.
3.63%
Moderna, Inc.
3.34%
Illumina, Inc.
3.26%
BeOne Medicines Ltd.
2.85%
United Therapeutics Corp.
2.84%
Insmed, Inc.
2.62%
FXH
Humana, Inc.
4.74%
Organon & Co.
3.63%
DaVita, Inc.
2.98%
Elevance Health, Inc.
2.86%
Molina Healthcare, Inc.
2.80%
Exelixis, Inc.
2.53%
Incyte Corp.
2.43%
Solventum Corp.
2.41%
Biogen, Inc.
2.30%
Cardinal Health, Inc.
2.26%
Bio-Rad Laboratories, Inc.
2.14%
The Cigna Group
2.09%
Chemed Corp.
2.05%
Zimmer Biomet Holdings, Inc.
1.87%
Illumina, Inc.
1.80%
Frequently asked questions about BBH and FXH
How have the BBH and FXH ETFs performed in 2026?
As of August 4, 2026, BBH is up 9.98% year-to-date (YTD), while FXH has returned 13.36%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: BBH or FXH?
Year-to-date, the BBH ETF saw -$7M in flows, compared to +$32M for FXH.
Which ETF is more volatile: BBH or FXH?
Over the past year, BBH had a volatility of 19.52%, while FXH experienced 15.82%.
Which ETF is bigger: BBH or FXH?
As of August 4, 2026, BBH holds $404.99 M in assets under management (AUM), while FXH manages $1.09 B.
What sectors do the BBH and FXH ETFs invest in?
BBH leans toward sectors like Healthcare. Meanwhile, FXH focuses on Healthcare.
What are the top holdings of the BBH ETF and FXH ETF?
BBH top holdings include Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc.. FXH holds in its top three: Humana, Inc., Organon & Co. and DaVita, Inc..
Which ETF is more diversified: BBH or FXH?
BBH holds 24 securities with 85.08% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 38.89%.
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