FXHvsFHLCETF Comparison
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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 -1.02% year-to-date (YTD) with -$56M in YTD flows. FHLC performs worse with -6.93% YTD performance, and +$171M 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
Historic performance and flows
Data as of 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH FHLC | +6.72%+0.15% | -2.22%-6.40% | -1.02%-6.93% | +14.25%+6.80% | +4.49%+12.91% | -1.02%+19.98% |
| Flows | FXH FHLC | +$354K+$50M | -$62M+$175M | -$56M+$171M | -$118M+$120M | -$713M-$537M | -$500M-$143M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH FHLC | +17.09%+14.99% | +16.22%+15.53% | +15.23%+13.80% | +16.68%+14.91% |
| Max drawdown | FXH FHLC | -9.86%-9.85% | -12.07%-10.35% | -17.89%-16.88% | -29.40%-17.78% |
| Max drawdown duration | FXH FHLC | 58d59d | 111d112d | 331d435d | 1695d762d |
Trading data
FXH | FHLC | |
Last sale 4/30/2026 at 1:30 PM | $112.93 | $70.40 |
| Previous close 04/29/2026 | $111.91 | $68.94 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 29, 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 4/30/2026 at 1:30 PM
Live
Closed
FXH | FHLC | |
|---|---|---|
| Last price | $112.93 | $70.40 |
| 1D performance | +0.91% | +2.12% |
| AuM | $870.97 M | $2.79 B |
| E/R | 0.61% | 0.08% |
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 | 71 | 284 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | October 21, 2013 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
95.47%
Other
4.53%
FHLC
USA
96.47%
Other
3.53%
Sectors
FXH
Health Care
93.76%
Other
6.24%
FHLC
Health Care
97.4%
Other
2.6%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.37%
FHLC
Total weight of top 15 holdings out of 15
60.44%
Top 15 holdings
Data as of March 31, 2026
FXH
ACADIA HEALTHCARE COMPANY
3.83%
APELLIS PHARMACEUTICALS
2.95%
PFIZER
2.63%
BIOGEN INC
2.40%
CARDINAL HEALTH
2.37%
HCA HEALTHCARE
2.33%
INCYTE
2.19%
IONIS PHARMACEUTICALS INC
2.18%
INSMED
2.17%
UTD THERAPEUT
2.15%
MERCK & CO INC
2.11%
NATERA
2.04%
LILLY
2.04%
MEDPACE HOLDINGS INC
2.00%
AMGEN-T
1.98%
FHLC
LILLY
11.69%
JOHNSON&JOHNSON
9.35%
ABBVIE
6.05%
MERCK & CO INC
4.79%
UNITEDHEALTH GRP
3.94%
AMGEN-T
3.08%
THERMO FISHER SCIENTIFIC
2.98%
ABBOTT LABS
2.95%
GILEAD SCIENCES
2.75%
INTUITIVE SURGICAL
2.69%
PFIZER
2.54%
BRISTOL-MYERS SQUIBB
1.96%
DANAHER
1.93%
VERTEX PHARMACEUTICALS
1.87%
STRYKER
1.86%
Frequently asked questions about FXH and FHLC
How have the FXH and FHLC ETFs performed in 2026?
As of April 28, 2026, FXH is down -1.02% year-to-date (YTD), while FHLC has lost -6.93%. 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 -$56M in flows, compared to +$171M for FHLC.
Which ETF is more volatile: FXH or FHLC?
Over the past year, FXH had a volatility of 16.22%, while FHLC experienced 15.53%.
Which ETF is bigger: FXH or FHLC?
As of April 28, 2026, FXH holds $870.97 M in assets under management (AUM), while FHLC manages $2.79 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 ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER. FHLC holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: FXH or FHLC?
FXH holds 75 securities with 35.37% of its assets in the top 15. FHLC has 337 securities and a top 15 weight of 60.44%.
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