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FHLCvsFXHETF Comparison

ETF 1

FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of

US Health Care

+0.44%

Full FHLC fund page

VS

ETF 2

FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of

US Health Care

+0.44%

Full FXH fund page

Fidelity MSCI Health Care Index ETF (FHLC) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. FHLC's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, FXH's top sector exposures are Healthcare. FHLC is less expensive with a Total Expense Ratio (TER) of 0.084%, versus 0.61% for FXH. FHLC is up 17.08% year-to-date (YTD) with +$482M in YTD flows. FXH performs better with 19.23% YTD performance, and +$33M in YTD flows. Run a side-by-side ETF comparison of FHLC 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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FHLC vs FXH performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 10/27/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	FHLC FXH	+3.89%+2.43%	+8.96%+8.19%	+17.08%+19.23%	+23.78%+19.78%	+56.26%+52.55%	+41.35%+16.55%
Flows	FHLC FXH	+$81M-$39M	+$230M+$39M	+$482M+$33M	+$546M+$39M	-$171M-$459M	+$19M-$464M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	FHLC FXH	+16.90%+15.19%	+15.87%+15.66%	+14.89%+15.64%	+15.50%+16.95%
Max drawdown	FHLC FXH	-5.64%-4.82%	-10.35%-12.07%	-16.88%-17.66%	-17.78%-27.47%
Max drawdown duration	FHLC FXH	56d55d	169d168d	435d395d	762d1638d

Trading data

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	FHLC	FXH
Last sale 10/28/2026 at 1:30 PM	$86.60	$136.04
Previous close 10/27/2026	$86.08	$134.95
Consolidated volume 10/27/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of September 30, 2026

1-year trailing difference

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	FHLC	FXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 10/28/2026 at 1:30 PM

Live

Closed

	FHLC	FXH
Last price	$86.60	$136.04
1D performance	+0.60%	+0.81%
AuM	$3.83 B	$1.14 B
E/R	0.084%	0.61%

Characteristics

	FHLC	FXH
Management strategy	Passive	Passive
Provider	Fidelity	First Trust
Benchmark	MSCI USA IMI Health Care 25/50 Index	StrataQuant Health Care Index
N° of holdings	338	72
Asset class	-	Equities
Trailing 12m distribution yield	Join	Join
Inception date	October 21, 2013	May 8, 2007
ESG	No	No

More FHLC data on Trackinsight

More FXH data on Trackinsight

Exposure

Countries

FHLC

USA

97.14%

Other

2.86%

FXH

USA

93.13%

Other

6.87%

Sectors

FHLC

Healthcare

98.23%

Other

1.77%

FXH

Healthcare

98.23%

Other

1.77%

Diversification

FHLC

Total weight of top 15 holdings out of 15

60.85%

FXH

Total weight of top 15 holdings out of 15

35.47%

Top 15 holdings

Data as of August 31, 2026

FHLC

Eli Lilly & Co.

12.94%

Johnson & Johnson

8.88%

AbbVie, Inc.

6.21%

Merck & Co., Inc.

5.04%

UnitedHealth Group, Inc.

4.91%

Amgen, Inc.

3.21%

Thermo Fisher Scientific, Inc.

3.19%

Abbott Laboratories

2.69%

Gilead Sciences, Inc.

2.49%

Pfizer Inc.

2.19%

Vertex Pharmaceuticals, Inc.

1.90%

Danaher Corp.

1.89%

Bristol Myers Squibb Co.

1.87%

Intuitive Surgical, Inc.

1.82%

CVS Health Corp.

1.63%

FXH

Regeneron Pharmaceuticals, Inc.

2.86%

Pfizer Inc.

2.56%

Natera, Inc.

2.55%

Solventum Corp.

2.55%

Zimmer Biomet Holdings, Inc.

2.49%

Universal Health Services, Inc.

2.48%

Boston Scientific Corp.

2.43%

Guardant Health, Inc.

2.37%

Tenet Healthcare Corp.

2.29%

Halozyme Therapeutics, Inc.

2.22%

The Cigna Group

2.22%

Centene Corp.

2.20%

Globus Medical, Inc.

2.20%

Corcept Therapeutics, Inc.

2.10%

Encompass Health Corp.

1.95%

Frequently asked questions about FHLC and FXH

How have the FHLC and FXH ETFs performed in 2026?

As of October 27, 2026, FHLC is up 17.08% year-to-date (YTD), while FXH has returned 19.23%. That puts FXH better performer ahead so far this year.

Which ETF is attracting more investor money: FHLC or FXH?

Year-to-date, the FHLC ETF saw +$482M in flows, compared to +$33M for FXH.

Which ETF is more volatile: FHLC or FXH?

Over the past year, FHLC had a volatility of 15.87%, while FXH experienced 15.66%.

Which ETF is bigger: FHLC or FXH?

As of October 27, 2026, FHLC holds $3.83 B in assets under management (AUM), while FXH manages $1.14 B.

What sectors do the FHLC and FXH ETFs invest in?

FHLC leans toward sectors like Healthcare. Meanwhile, FXH focuses on Healthcare.

What are the top holdings of the FHLC ETF and FXH ETF?

FHLC top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. FXH holds in its top three: Regeneron Pharmaceuticals, Inc., Pfizer Inc. and Natera, Inc..

FHLCvsFXHETF Comparison

Fidelity MSCI Health Care Index ETF

First Trust Health Care AlphaDEX Fund ETF

FHLC vs FXH performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

How have the FHLC and FXH ETFs performed in 2026?

As of October 27, 2026, FHLC is up 17.08% year-to-date (YTD), while FXH has returned 19.23%. That puts FXH better performer ahead so far this year.

Which ETF is attracting more investor money: FHLC or FXH?

Year-to-date, the FHLC ETF saw +$482M in flows, compared to +$33M for FXH.

Which ETF is more volatile: FHLC or FXH?

Over the past year, FHLC had a volatility of 15.87%, while FXH experienced 15.66%.

Which ETF is bigger: FHLC or FXH?

As of October 27, 2026, FHLC holds $3.83 B in assets under management (AUM), while FXH manages $1.14 B.

What sectors do the FHLC and FXH ETFs invest in?

FHLC leans toward sectors like Healthcare. Meanwhile, FXH focuses on Healthcare.

What are the top holdings of the FHLC ETF and FXH ETF?

FHLC top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. FXH holds in its top three: Regeneron Pharmaceuticals, Inc., Pfizer Inc. and Natera, Inc..

Which ETF is more diversified: FHLC or FXH?

FHLC holds 338 securities with 60.85% of its assets in the top 15. FXH has 72 securities and a top 15 weight of 35.47%.

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