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FXHvsIHFETF 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
IHF

iShares U.S. Healthcare Providers ETF

This fund is part of
US Health Care
-2%
Full IHF fund page

First Trust Health Care AlphaDEX Fund ETF (FXH) and iShares U.S. Healthcare Providers ETF (IHF) 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 0.38% for IHF. FXH is down -4.88% year-to-date (YTD) with -$40M in YTD flows. IHF performs worse with -9.49% YTD performance, and +$19M in YTD flows. Run a side-by-side ETF comparison of FXH and IHF 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 IHF performance and flow charts

Performance

-4.0-2.00.02.0%Feb 12Feb 20Feb 27Mar 6

Cumulative Flows

-15 M-10 M-5 M0 M5 MFeb 12Feb 20Feb 27Mar 6

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Historic performance and flows
Data as of 03/12/2026
1M3MYTD1Y3Y5Y
Perf.
FXH
IHF
-4.48%-4.60%
-5.96%-11.33%
-4.88%-9.49%
+5.66%-13.13%
+6.29%-8.20%
+2.41%-9.24%
Flows
FXH
IHF
-$17M+$5M
-$40M+$5M
-$40M+$19M
-$160M+$94M
-$708M-$484M
-$511M-$353M
Volatility and drawdown
3M1Y3Y5Y
Volatility
FXH
IHF
+13.98%+25.47%
+18.35%+24.12%
+15.06%+19.05%
+16.53%+18.82%
Max drawdown
FXH
IHF
-9.26%-13.77%
-11.60%-25.18%
-18.79%-29.86%
-29.40%-29.86%
Max drawdown duration
FXH
IHF
64d65d
143d333d
490d555d
1648d555d
Trading data

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FXH
IHF
Last sale
3/13/2026 at 4:50 PM
$108.21
$43.79
Previous close
03/12/2026
$108.23
$43.39
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
IHF
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 4:50 PM
Live
Closed
FXH
IHF
Last price
$108.21
$43.79
1D performance
-0.02%
+0.92%
AuM$854.71 M$687.88 M
E/R0.61%0.38%
Characteristics
FXH
IHF
Management strategyPassivePassive
ProviderFirst TrustiShares
BenchmarkStrataQuant Health Care IndexDow Jones U.S. Select Health Care Providers Index
N° of holdings7154
Asset classEquitiesEquities
Trailing 12m distribution yield
Join
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Inception dateMay 8, 2007May 1, 2006
ESGNoNo
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Exposure

Countries

FXH
USA
94.66%
Other
5.34%
IHF
USA
99.87%
Other
0.13%

Sectors

FXH
Health Care
93.03%
Other
6.97%
IHF
Health Care
93.45%
Other
6.55%
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Diversification

FXH

Total weight of top 15 holdings out of 15

33.8%
IHF

Total weight of top 15 holdings out of 15

82.41%

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%
IHF
UNITEDHEALTH GRP
20.97%
CVS HEALTH CORP
12.45%
ELEVANCE HEALTH INC
10.16%
CIGNA
4.87%
HCA HEALTHCARE
4.85%
VEEVA SYSTEMS IN
4.32%
US5049221055
3.81%
HUMANA
3.61%
CENTENE
3.47%
QUEST DIAGNOSTICS
3.46%
TENET HEALTHCARE
2.84%
GUARDANT HEALTH INC
2.44%
UNIVERSAL HEALTH SERVICES
1.88%
ENSIGN GROUP
1.67%
ENCOMPASS HEALTH CORP
1.62%
Frequently asked questions about FXH and IHF

How have the FXH and IHF ETFs performed in 2026?

As of March 12, 2026, FXH is down -4.88% year-to-date (YTD), while IHF has lost -9.49%. That puts FXH better performer ahead so far this year.

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

Year-to-date, the FXH ETF saw -$40M in flows, compared to +$19M for IHF.

Which ETF is more volatile: FXH or IHF?

Over the past year, FXH had a volatility of 18.35%, while IHF experienced 24.12%.

Which ETF is bigger: FXH or IHF?

As of March 12, 2026, FXH holds $854.71 M in assets under management (AUM), while IHF manages $687.88 M.

What sectors do the FXH and IHF ETFs invest in?

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

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

FXH top holdings include ORGANON & CO, PFIZER and CARDINAL HEALTH. IHF holds in its top three: UNITEDHEALTH GRP, CVS HEALTH CORP and ELEVANCE HEALTH INC.

Which ETF is more diversified: FXH or IHF?

FXH holds 75 securities with 33.8% of its assets in the top 15. IHF has 63 securities and a top 15 weight of 82.41%.

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