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FTXHvsXLVETF Comparison
First Trust Nasdaq Pharmaceuticals ETF (FTXH) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. FTXH is more expensive with a Total Expense Ratio (TER) of 0.6%, versus 0.08% for XLV. FTXH is up 5.06% year-to-date (YTD) with +$7M in YTD flows. XLV performs worse with -1.03% YTD performance, and +$1.01B in YTD flows. Run a side-by-side ETF comparison of FTXH and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
FTXH vs XLV performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FTXH XLV | -0.60%-1.40% | +7.47%+1.13% | +5.06%-1.03% | +22.29%+5.51% | +43.33%+29.64% | +43.47%+45.96% |
| Flows | FTXH XLV | +$5M-$720M | +$9M+$376M | +$7M+$1.01B | +$10M+$304M | -$13M-$4.79B | +$4M+$7.07B |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FTXH XLV | +15.29%+13.70% | +20.64%+17.44% | +15.87%+13.60% | +15.67%+14.47% |
| Max drawdown | FTXH XLV | -4.33%-4.63% | -17.49%-12.44% | -19.32%-17.05% | -19.32%-17.05% |
| Max drawdown duration | FTXH XLV | 9d9d | 203d225d | 393d444d | 393d444d |
FTXH | XLV | |
Last sale 3/11/2026 at 1:30 PM | $34.46 | $152.85 |
| Previous close 03/10/2026 | $34.57 | $153.15 |
| Consolidated volume 03/10/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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FTXH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
FTXH | XLV | |
|---|---|---|
| Last price | $34.46 | $152.85 |
| 1D performance | -0.33% | -0.20% |
| AuM | $29.41 M | $40.26 B |
| E/R | 0.6% | 0.08% |
FTXH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | SPDR |
| Benchmark | NASDAQ US Smart Pharmaceuticals Index | S&P Health Care Select Sector Index |
| N° of holdings | 49 | 57 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 20, 2016 | December 16, 1998 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the FTXH and XLV ETFs performed in 2026?
As of March 10, 2026, FTXH is up 5.06% year-to-date (YTD), while XLV has lost -1.03%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FTXH or XLV?
Year-to-date, the FTXH ETF saw +$7M in flows, compared to +$1.01B for XLV.
Which ETF is more volatile: FTXH or XLV?
Over the past year, FTXH had a volatility of 20.64%, while XLV experienced 17.44%.
Which ETF is bigger: FTXH or XLV?
As of March 10, 2026, FTXH holds $29.41 M in assets under management (AUM), while XLV manages $40.26 B.
What sectors do the FTXH and XLV ETFs invest in?
FTXH leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the FTXH ETF and XLV ETF?
FTXH top holdings include MERCK & CO INC, JOHNSON&JOHNSON and BRISTOL-MYERS SQUIBB. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: FTXH or XLV?
FTXH holds 50 securities with 71.63% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.
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