FHLCvsFTXHETF Comparison
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Fidelity MSCI Health Care Index ETF (FHLC) and First Trust Nasdaq Pharmaceuticals ETF (FTXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. FHLC is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.6% for FTXH. FHLC is down -0.79% year-to-date (YTD) with +$232M in YTD flows. FTXH performs better with 7.42% YTD performance, and +$10M in YTD flows. Run a side-by-side ETF comparison of FHLC and FTXH 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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FHLC vs FTXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/10/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FHLC FTXH | +6.10%+4.22% | +0.70%+2.25% | -0.79%+7.42% | +15.67%+36.10% | +22.84%+41.07% | +24.63%+42.98% |
| Flows | FHLC FTXH | +$43M-$2M | +$121M+$3M | +$232M+$10M | +$224M+$7M | -$409M-$3M | -$70M+$5M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FHLC FTXH | +16.52%+17.88% | +14.73%+16.97% | +14.05%+16.27% | +15.05%+15.89% |
| Max drawdown | FHLC FTXH | -6.01%-4.70% | -10.35%-7.50% | -16.88%-19.32% | -17.78%-19.32% |
| Max drawdown duration | FHLC FTXH | 85d28d | 154d99d | 435d393d | 762d393d |
Trading data
FHLC | FTXH | |
Last sale 6/11/2026 at 1:30 PM | $74.16 | $36.09 |
| Previous close 06/11/2026 | $73.47 | $35.33 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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FHLC | FTXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/11/2026 at 1:30 PM
Live
Closed
FHLC | FTXH | |
|---|---|---|
| Last price | $74.16 | $36.09 |
| 1D performance | +0.94% | +2.17% |
| AuM | $3.04 B | $33.55 M |
| E/R | 0.08% | 0.6% |
Characteristics
FHLC | FTXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Fidelity | First Trust |
| Benchmark | MSCI USA IMI Health Care 25/50 Index | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 281 | 47 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | October 21, 2013 | September 20, 2016 |
| ESG | No | No |
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Exposure
Countries
FHLC
USA
96.36%
Other
3.64%
FTXH
USA
93.7%
Other
6.3%
Sectors
FHLC
Health Care
97.13%
Other
2.87%
FTXH
Health Care
97.61%
Other
2.39%
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Diversification
FHLC
Total weight of top 15 holdings out of 15
59.56%
FTXH
Total weight of top 15 holdings out of 15
69.57%
Top 15 holdings
Data as of April 30, 2026
FHLC
LILLY
11.43%
JOHNSON&JOHNSON
8.89%
ABBVIE
5.71%
UNITEDHEALTH GRP
5.26%
MERCK & CO INC
4.48%
AMGEN-T
3.00%
THERMO FISHER SCIENTIFIC
2.88%
INTUITIVE SURGICAL
2.73%
ABBOTT LABS
2.64%
GILEAD SCIENCES
2.60%
PFIZER
2.49%
BRISTOL-MYERS SQUIBB
1.93%
DANAHER
1.88%
STRYKER
1.85%
VERTEX PHARMACEUTICALS
1.77%
FTXH
BRISTOL-MYERS SQUIBB
7.25%
JOHNSON&JOHNSON
7.12%
MERCK & CO INC
6.90%
ABBVIE
6.61%
LILLY
6.45%
VIATRIS INC
3.85%
PFIZER
3.72%
BIOGEN INC
3.71%
REGENERON PHARMACEUTICALS
3.63%
CARDINAL HEALTH
3.48%
ZOETIS INC
3.45%
AMGEN-T
3.40%
GILEAD SCIENCES
3.37%
VERTEX PHARMACEUTICALS
3.36%
UTD THERAPEUT
3.26%
Frequently asked questions about FHLC and FTXH
How have the FHLC and FTXH ETFs performed in 2026?
As of June 10, 2026, FHLC is down -0.79% year-to-date (YTD), while FTXH has returned 7.42%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FHLC or FTXH?
Year-to-date, the FHLC ETF saw +$232M in flows, compared to +$10M for FTXH.
Which ETF is more volatile: FHLC or FTXH?
Over the past year, FHLC had a volatility of 14.73%, while FTXH experienced 16.97%.
Which ETF is bigger: FHLC or FTXH?
As of June 10, 2026, FHLC holds $3.04 B in assets under management (AUM), while FTXH manages $33.55 M.
What sectors do the FHLC and FTXH ETFs invest in?
FHLC leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the FHLC ETF and FTXH ETF?
FHLC top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. FTXH holds in its top three: BRISTOL-MYERS SQUIBB, JOHNSON&JOHNSON and MERCK & CO INC.
Which ETF is more diversified: FHLC or FTXH?
FHLC holds 336 securities with 59.56% of its assets in the top 15. FTXH has 47 securities and a top 15 weight of 69.57%.
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