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FXHvsFHLCETF Comparison

ETF 1
FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of
US Health Care
-2%
Full FXH fund page
VS
ETF 2
FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of
US Health Care
-2%
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. 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 0.08% for FHLC. FXH is down -4.88% year-to-date (YTD) with -$40M in YTD flows. FHLC performs better with -1.73% YTD performance, and +$111M 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

-6.0-4.0-2.00.02.0%Feb 11Feb 19Feb 26Mar 5Mar 12

Cumulative Flows

-20 M-10 M0 M10 M20 M30 MFeb 11Feb 19Feb 26Mar 5Mar 12

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Historic performance and flows
Data as of 03/12/2026
1M3MYTD1Y3Y5Y
Perf.
FXH
FHLC
-4.48%-2.12%
-5.96%-1.00%
-4.88%-1.73%
+5.66%+8.19%
+6.29%+28.26%
+2.41%+33.90%
Flows
FXH
FHLC
-$17M+$34M
-$40M+$130M
-$40M+$111M
-$160M-$3M
-$708M-$619M
-$511M-$224M
Volatility and drawdown
3M1Y3Y5Y
Volatility
FXH
FHLC
+13.98%+13.05%
+18.35%+17.29%
+15.06%+13.67%
+16.53%+14.80%
Max drawdown
FXH
FHLC
-9.26%-5.00%
-11.60%-11.86%
-18.79%-16.88%
-29.40%-17.78%
Max drawdown duration
FXH
FHLC
64d63d
143d190d
490d435d
1648d762d
Trading data

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FXH
FHLC
Last sale
3/13/2026 at 2:11 PM
$108.81
$71.70
Previous close
03/12/2026
$108.23
$71.59
Consolidated volume
03/12/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 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
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Main metrics
Last update 3/13/2026 at 2:11 PM
Live
Closed
FXH
FHLC
Last price
$108.81
$71.70
1D performance
+0.54%
+0.15%
AuM$854.71 M$2.90 B
E/R0.61%0.08%
Characteristics
FXH
FHLC
Management strategyPassivePassive
ProviderFirst TrustFidelity
BenchmarkStrataQuant Health Care IndexMSCI USA IMI Health Care Index
N° of holdings71277
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateMay 8, 2007October 21, 2013
ESGNoNo
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Exposure

Countries

FXH
USA
94.66%
Other
5.34%
FHLC
USA
96.26%
Other
3.74%

Sectors

FXH
Health Care
93.03%
Other
6.97%
FHLC
Health Care
97.32%
Other
2.68%
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Diversification

FXH

Total weight of top 15 holdings out of 15

33.8%
FHLC

Total weight of top 15 holdings out of 15

59.98%

Top 15 holdings

Data as of January 31, 2026
FXH
ORGANON & CO
2.64%
PFIZER
2.36%
CARDINAL HEALTH
2.32%
IONIS PHARMACEUTICALS INC
2.32%
HCA HEALTHCARE
2.32%
MOLINA HLTHCRE
2.30%
MEDPACE HOLDINGS INC
2.30%
BIOGEN INC
2.27%
INCYTE
2.25%
NATERA
2.24%
US83444M1018
2.15%
LILLY
2.14%
ACADIA HEALTHCARE COMPANY
2.10%
UNIVERSAL HEALTH SERVICES
2.05%
PENUMBRA
2.04%
FHLC
LILLY
12.56%
JOHNSON&JOHNSON
8.36%
ABBVIE
5.89%
MERCK & CO INC
4.07%
UNITEDHEALTH GRP
4.06%
THERMO FISHER SCIENTIFIC
3.50%
INTUITIVE SURGICAL
2.85%
ABBOTT LABS
2.81%
AMGEN-T
2.81%
GILEAD SCIENCES
2.64%
PFIZER
2.24%
DANAHER
2.21%
BOSTON SCIENTIFIC
2.12%
MEDTRONIC PLC
1.97%
STRYKER
1.88%
Frequently asked questions about FXH and FHLC

How have the FXH and FHLC ETFs performed in 2026?

As of March 12, 2026, FXH is down -4.88% year-to-date (YTD), while FHLC has lost -1.73%. That puts FHLC better performer ahead so far this year.

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

Year-to-date, the FXH ETF saw -$40M in flows, compared to +$111M for FHLC.

Which ETF is more volatile: FXH or FHLC?

Over the past year, FXH had a volatility of 18.35%, while FHLC experienced 17.29%.

Which ETF is bigger: FXH or FHLC?

As of March 12, 2026, FXH holds $854.71 M in assets under management (AUM), while FHLC manages $2.90 B.

What sectors do the FXH and FHLC ETFs invest in?

FXH leans toward sectors like Health Care. Meanwhile, FHLC focuses on Health Care.

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

FXH top holdings include ORGANON & CO, PFIZER and CARDINAL HEALTH. FHLC holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: FXH or FHLC?

FXH holds 75 securities with 33.8% of its assets in the top 15. FHLC has 328 securities and a top 15 weight of 59.98%.

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