FXHvsIHFETF Comparison
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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 -0.82% year-to-date (YTD) with -$61M in YTD flows. IHF performs worse with -2.48% YTD performance, and +$20M 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
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH IHF | +6.43%+10.18% | -4.04%-6.60% | -0.82%-2.48% | +14.86%-5.83% | +3.56%-6.59% | -1.76%-8.09% |
| Flows | FXH IHF | -$11M+$1M | -$67M-$3M | -$61M+$20M | -$123M+$140M | -$719M-$371M | -$505M-$301M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH IHF | +17.12%+26.53% | +16.17%+22.44% | +15.26%+19.09% | +16.67%+18.97% |
| Max drawdown | FXH IHF | -10.81%-17.80% | -12.07%-19.68% | -18.39%-29.86% | -29.40%-29.86% |
| Max drawdown duration | FXH IHF | 88d88d | 107d179d | 464d598d | 1691d598d |
Trading data
FXH | IHF | |
Last sale 4/27/2026 at 1:30 PM | $113.62 | $47.13 |
| Previous close 04/24/2026 | $112.52 | $46.64 |
| Consolidated volume 04/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 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 4/27/2026 at 1:30 PM
Live
Closed
FXH | IHF | |
|---|---|---|
| Last price | $113.62 | $47.13 |
| 1D performance | +0.97% | +1.05% |
| AuM | $867.10 M | $738.82 M |
| E/R | 0.61% | 0.38% |
Characteristics
FXH | IHF | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | StrataQuant Health Care Index | Dow Jones U.S. Select Health Care Providers Index |
| N° of holdings | 71 | 53 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
95.47%
Other
4.53%
IHF
USA
99.96%
Other
0.04%
Sectors
FXH
Health Care
93.76%
Other
6.24%
IHF
Health Care
93.22%
Other
6.78%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.37%
IHF
Total weight of top 15 holdings out of 15
83.65%
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%
LILLY
2.04%
NATERA
2.04%
MEDPACE HOLDINGS INC
2.00%
AMGEN-T
1.98%
IHF
UNITEDHEALTH GRP
22.47%
CVS HEALTH CORP
12.80%
HCA HEALTHCARE
8.98%
CIGNA
4.85%
ELEVANCE HEALTH INC
4.79%
VEEVA SYSTEMS IN
4.45%
US5049221055
4.01%
QUEST DIAGNOSTICS
3.91%
HUMANA
3.79%
TENET HEALTHCARE
3.01%
CENTENE
2.77%
GUARDANT HEALTH INC
2.16%
ENSIGN GROUP
2.11%
UNIVERSAL HEALTH SERVICES
1.79%
ENCOMPASS HEALTH CORP
1.76%
Frequently asked questions about FXH and IHF
How have the FXH and IHF ETFs performed in 2026?
As of April 24, 2026, FXH is down -0.82% year-to-date (YTD), while IHF has lost -2.48%. 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 -$61M in flows, compared to +$20M for IHF.
Which ETF is more volatile: FXH or IHF?
Over the past year, FXH had a volatility of 16.17%, while IHF experienced 22.44%.
Which ETF is bigger: FXH or IHF?
As of April 24, 2026, FXH holds $867.10 M in assets under management (AUM), while IHF manages $738.82 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 ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER. IHF holds in its top three: UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE.
Which ETF is more diversified: FXH or IHF?
FXH holds 75 securities with 35.37% of its assets in the top 15. IHF has 61 securities and a top 15 weight of 83.65%.
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Latest news about FXH & IHF
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
IHF
Investing in the Aging Demographics Megatrend
February 28, 2023
IHF
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