FXHvsBBHETF Comparison
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First Trust Health Care AlphaDEX Fund ETF (FXH) and VanEck Biotech ETF (BBH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.35% for BBH. FXH is up 1.69% year-to-date (YTD) with -$49M in YTD flows. BBH performs worse with -0.85% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of FXH and BBH 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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FXH vs BBH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/19/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH BBH | +1.69%+4.27% | +8.07%+1.89% | +1.69%-0.85% | +14.62%+23.74% | +9.05%+19.49% | +1.05%-1.06% |
| Flows | FXH BBH | +$23M+$9M | -$4M+$4M | -$49M+$2M | -$106M-$30M | -$670M-$182M | -$527M-$159M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH BBH | +16.99%+20.75% | +15.77%+19.31% | +15.25%+18.97% | +16.72%+21.42% |
| Max drawdown | FXH BBH | -3.04%-7.35% | -12.07%-10.54% | -17.66%-22.78% | -29.40%-39.88% |
| Max drawdown duration | FXH BBH | 5d64d | 163d142d | 395d440d | 1747d1774d |
Trading data
FXH | BBH | |
Last sale 6/18/2026 at 1:30 PM | $115.45 | $187.64 |
| Previous close 06/18/2026 | $115.94 | $188.10 |
| Consolidated volume 06/18/2026 | ||
| 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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FXH | BBH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/18/2026 at 1:30 PM
Live
Closed
FXH | BBH | |
|---|---|---|
| Last price | $115.45 | $187.64 |
| 1D performance | -0.42% | -0.24% |
| AuM | $900.56 M | $374.51 M |
| E/R | 0.61% | 0.35% |
Characteristics
FXH | BBH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | VanEck |
| Benchmark | StrataQuant Health Care Index | MVIS US Listed Biotech 25 Index |
| N° of holdings | 71 | 21 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | December 20, 2011 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
95.62%
Other
4.38%
BBH
USA
97.63%
Other
2.37%
Sectors
FXH
Health Care
91.9%
Other
8.1%
BBH
Health Care
88.87%
Other
11.13%
Diversification
FXH
Total weight of top 15 holdings out of 15
35.71%
BBH
Total weight of top 15 holdings out of 15
85.61%
Top 15 holdings
Data as of April 30, 2026
FXH
ORGANON & CO
3.85%
HUMANA
2.93%
ELEVANCE HEALTH INC
2.76%
MOLINA HLTHCRE
2.51%
GLOBUS MEDICAL
2.30%
CIGNA
2.30%
INCYTE
2.24%
US83444M1018
2.22%
BIOGEN INC
2.22%
EXELIXIS
2.21%
DAVITA INC
2.14%
UNIVERSAL HEALTH SERVICES
2.03%
CARDINAL HEALTH
2.01%
BIO RAD LABORATORIES
2.00%
ZIMMER BIOMET HOLDINGS INC
1.99%
BBH
AMGEN-T
14.41%
GILEAD SCIENCES
13.96%
VERTEX PHARMACEUTICALS
7.87%
REGENERON PHARMACEUTICALS
6.89%
US04016X1019
5.79%
REVOLUTION MEDICINES INC
4.27%
IQVIA HOLDINGS INC
4.07%
BIOGEN INC
4.07%
NATERA
4.00%
INSMED
3.91%
ALNYLAM PHARMACEUTICALS
3.85%
UTD THERAPEUT
3.79%
US07725L1026
3.29%
MODERNA INC
2.88%
BIONTECH SE ADR
2.54%
Frequently asked questions about FXH and BBH
How have the FXH and BBH ETFs performed in 2026?
As of June 19, 2026, FXH is up 1.69% year-to-date (YTD), while BBH has lost -0.85%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or BBH?
Year-to-date, the FXH ETF saw -$49M in flows, compared to +$2M for BBH.
Which ETF is more volatile: FXH or BBH?
Over the past year, FXH had a volatility of 15.77%, while BBH experienced 19.31%.
Which ETF is bigger: FXH or BBH?
As of June 19, 2026, FXH holds $900.56 M in assets under management (AUM), while BBH manages $374.51 M.
What sectors do the FXH and BBH ETFs invest in?
FXH leans toward sectors like Health Care. Meanwhile, BBH focuses on Health Care.
What are the top holdings of the FXH ETF and BBH ETF?
FXH top holdings include ORGANON & CO, HUMANA and ELEVANCE HEALTH INC. BBH holds in its top three: AMGEN-T, GILEAD SCIENCES and VERTEX PHARMACEUTICALS.
Which ETF is more diversified: FXH or BBH?
FXH holds 76 securities with 35.71% of its assets in the top 15. BBH has 24 securities and a top 15 weight of 85.61%.
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