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FXHvsFHLCETF Comparison

ETF 1

FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of

US Health Care

+0.03%

Full FXH fund page

VS

ETF 2

FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of

US Health Care

+0.03%

Full FHLC fund page

First Trust Health Care AlphaDEX Fund ETF (FXH) and Fidelity MSCI Health Care Index ETF (FHLC) belong to the same industry segment: US Health Care. FXH's top 1 sector exposures are Healthcare. In contrast, FHLC's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.084% for FHLC. FXH is up 22.04% year-to-date (YTD) with +$33M in YTD flows. FHLC performs worse with 20.39% YTD performance, and +$495M in YTD flows. Run a side-by-side ETF comparison of FXH and FHLC 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 FHLC 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 10/29/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	FXH FHLC	+5.30%+8.44%	+8.12%+11.89%	+22.04%+20.39%	+24.54%+29.07%	+56.15%+59.89%	+16.65%+42.33%
Flows	FXH FHLC	-$39M+$94M	+$26M+$239M	+$33M+$495M	+$39M+$559M	-$459M-$152M	-$464M+$72M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	FXH FHLC	+14.83%+16.64%	+15.69%+15.97%	+15.66%+14.92%	+16.95%+15.52%
Max drawdown	FXH FHLC	-4.82%-5.64%	-12.07%-10.35%	-17.66%-16.88%	-27.47%-17.78%
Max drawdown duration	FXH FHLC	55d56d	168d169d	395d435d	1638d762d

Trading data

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	FXH	FHLC
Last sale 11/2/2026 at 2:30 PM	$137.67	$88.24
Previous close 10/30/2026	$137.44	$88.56
Consolidated volume 10/30/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of October 30, 2026

1-year trailing difference

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

Main metrics

Last update 11/2/2026 at 2:30 PM

Live

Closed

	FXH	FHLC
Last price	$137.67	$88.24
1D performance	+0.17%	-0.36%
AuM	$1.17 B	$3.95 B
E/R	0.61%	0.084%

Characteristics

	FXH	FHLC
Management strategy	Passive	Passive
Provider	First Trust	Fidelity
Benchmark	StrataQuant Health Care Index	MSCI USA IMI Health Care 25/50 Index
N° of holdings	72	335
Asset class	Equities	-
Trailing 12m distribution yield	Join	Join
Inception date	May 8, 2007	October 21, 2013
ESG	No	No

More FXH data on Trackinsight

More FHLC data on Trackinsight

Exposure

Countries

FXH

USA

93.54%

Other

6.46%

FHLC

USA

97.27%

Other

2.73%

Sectors

FXH

Healthcare

98.5%

Other

1.5%

FHLC

Healthcare

98.3%

Other

1.7%

Diversification

FXH

Total weight of top 15 holdings out of 15

35.85%

FHLC

Total weight of top 15 holdings out of 15

61.34%

Top 15 holdings

Data as of September 30, 2026

FXH

Natera, Inc.

3.34%

Regeneron Pharmaceuticals, Inc.

2.62%

Universal Health Services, Inc.

2.62%

Pfizer Inc.

2.60%

Guardant Health, Inc.

2.59%

Solventum Corp.

2.53%

Halozyme Therapeutics, Inc.

2.27%

Zimmer Biomet Holdings, Inc.

2.27%

Boston Scientific Corp.

2.25%

Tenet Healthcare Corp.

2.25%

Corcept Therapeutics, Inc.

2.18%

The Cigna Group

2.16%

Centene Corp.

2.11%

Globus Medical, Inc.

2.09%

Medline, Inc.

1.97%

FHLC

Eli Lilly & Co.

13.09%

Johnson & Johnson

9.02%

AbbVie, Inc.

6.45%

Merck & Co., Inc.

5.08%

UnitedHealth Group, Inc.

4.72%

Thermo Fisher Scientific, Inc.

3.47%

Amgen, Inc.

3.09%

Gilead Sciences, Inc.

2.59%

Abbott Laboratories

2.44%

Pfizer Inc.

2.26%

Intuitive Surgical, Inc.

1.98%

Danaher Corp.

1.98%

Vertex Pharmaceuticals, Inc.

1.85%

Bristol Myers Squibb Co.

1.77%

CVS Health Corp.

1.57%

Frequently asked questions about FXH and FHLC

How have the FXH and FHLC ETFs performed in 2026?

As of October 29, 2026, FXH is up 22.04% year-to-date (YTD), while FHLC has returned 20.39%. That puts FXH better performer ahead so far this year.

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

Year-to-date, the FXH ETF saw +$33M in flows, compared to +$495M for FHLC.

Which ETF is more volatile: FXH or FHLC?

Over the past year, FXH had a volatility of 15.69%, while FHLC experienced 15.97%.

Which ETF is bigger: FXH or FHLC?

As of October 29, 2026, FXH holds $1.17 B in assets under management (AUM), while FHLC manages $3.95 B.

What sectors do the FXH and FHLC ETFs invest in?

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

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

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

FXHvsFHLCETF Comparison

First Trust Health Care AlphaDEX Fund ETF

Fidelity MSCI Health Care Index ETF

FXH vs FHLC 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 FXH and FHLC ETFs performed in 2026?

As of October 29, 2026, FXH is up 22.04% year-to-date (YTD), while FHLC has returned 20.39%. That puts FXH better performer ahead so far this year.

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

Year-to-date, the FXH ETF saw +$33M in flows, compared to +$495M for FHLC.

Which ETF is more volatile: FXH or FHLC?

Over the past year, FXH had a volatility of 15.69%, while FHLC experienced 15.97%.

Which ETF is bigger: FXH or FHLC?

As of October 29, 2026, FXH holds $1.17 B in assets under management (AUM), while FHLC manages $3.95 B.

What sectors do the FXH and FHLC ETFs invest in?

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

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

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

Which ETF is more diversified: FXH or FHLC?

FXH holds 72 securities with 35.85% of its assets in the top 15. FHLC has 335 securities and a top 15 weight of 61.34%.

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