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 1 sector exposures: Healthcare. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.35% for BBH. FXH is up 16.21% year-to-date (YTD) with +$65M in YTD flows. BBH performs better with 23.79% YTD performance, and +$31M 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 09/17/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH BBH | +0.53%+4.39% | +13.98%+24.85% | +16.21%+23.79% | +22.70%+40.46% | +33.57%+49.73% | +7.15%+12.12% |
| Flows | FXH BBH | +$20M+$38M | +$120M+$29M | +$65M+$31M | +$44M+$12M | -$498M-$142M | -$437M-$160M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH BBH | +15.66%+27.69% | +15.54%+21.88% | +15.63%+20.27% | +16.94%+21.82% |
| Max drawdown | FXH BBH | -4.40%-6.32% | -12.07%-10.54% | -17.66%-22.78% | -28.28%-39.16% |
| Max drawdown duration | FXH BBH | 23d30d | 168d150d | 395d440d | 1742d1778d |
Trading data
FXH | BBH | |
Last sale 9/21/2026 at 1:30 PM | $130.87 | $237.72 |
| Previous close 09/18/2026 | $130.77 | $234.14 |
| Consolidated volume 09/18/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 31, 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 9/21/2026 at 1:30 PM
Live
Closed
FXH | BBH | |
|---|---|---|
| Last price | $130.87 | $237.72 |
| 1D performance | +0.08% | +1.53% |
| AuM | $1.15 B | $493.35 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 | 72 | 24 |
| 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
93.07%
Other
6.93%
BBH
USA
87.55%
Other
12.45%
Sectors
FXH
Healthcare
98.24%
Other
1.76%
BBH
Healthcare
100%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.54%
BBH
Total weight of top 15 holdings out of 15
85.32%
Top 15 holdings
Data as of July 31, 2026
FXH
Regeneron Pharmaceuticals, Inc.
2.85%
Natera, Inc.
2.57%
Universal Health Services, Inc.
2.50%
Boston Scientific Corp.
2.49%
Pfizer Inc.
2.48%
Solventum Corp.
2.47%
Zimmer Biomet Holdings, Inc.
2.47%
Guardant Health, Inc.
2.41%
Tenet Healthcare Corp.
2.34%
Globus Medical, Inc.
2.33%
Corcept Therapeutics, Inc.
2.24%
Halozyme Therapeutics, Inc.
2.18%
Centene Corp.
2.15%
The Cigna Group
2.14%
Encompass Health Corp.
1.92%
BBH
Amgen, Inc.
15.97%
Gilead Sciences, Inc.
12.99%
Vertex Pharmaceuticals, Inc.
8.62%
Regeneron Pharmaceuticals, Inc.
7.18%
Revolution Medicines, Inc.
5.29%
IQVIA Holdings, Inc.
5.18%
Natera, Inc.
4.77%
argenx SE
4.58%
Illumina, Inc.
3.62%
Biogen, Inc.
3.41%
BeOne Medicines Ltd.
3.10%
Moderna, Inc.
2.72%
United Therapeutics Corp.
2.68%
Incyte Corp.
2.65%
Alnylam Pharmaceuticals, Inc.
2.56%
Frequently asked questions about FXH and BBH
How have the FXH and BBH ETFs performed in 2026?
As of September 17, 2026, FXH is up 16.21% year-to-date (YTD), while BBH has returned 23.79%. That puts BBH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or BBH?
Year-to-date, the FXH ETF saw +$65M in flows, compared to +$31M for BBH.
Which ETF is more volatile: FXH or BBH?
Over the past year, FXH had a volatility of 15.54%, while BBH experienced 21.88%.
Which ETF is bigger: FXH or BBH?
As of September 17, 2026, FXH holds $1.15 B in assets under management (AUM), while BBH manages $493.35 M.
What sectors do the FXH and BBH ETFs invest in?
FXH leans toward sectors like Healthcare. Meanwhile, BBH focuses on Healthcare.
What are the top holdings of the FXH ETF and BBH ETF?
FXH top holdings include Regeneron Pharmaceuticals, Inc., Natera, Inc. and Universal Health Services, Inc.. BBH holds in its top three: Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc..
Which ETF is more diversified: FXH or BBH?
FXH holds 72 securities with 35.54% of its assets in the top 15. BBH has 24 securities and a top 15 weight of 85.32%.
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