FXHvsIHIETF Comparison
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First Trust Health Care AlphaDEX Fund ETF (FXH) and iShares U.S. Medical Devices ETF (IHI) belong to the same industry segment: US Health Care. FXH's top 1 sector exposures are Healthcare. In contrast, IHI's top sector exposures are Healthcare and Non-Corporate. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.37% for IHI. FXH is up 12.52% year-to-date (YTD) with +$32M in YTD flows. IHI performs worse with -12.76% YTD performance, and -$183M in YTD flows. Run a side-by-side ETF comparison of FXH and IHI 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 IHI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 08/06/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH IHI | +1.62%+3.77% | +11.14%+8.98% | +12.52%-12.76% | +30.65%-9.13% | +23.34%+0.99% | +6.49%-12.91% |
| Flows | FXH IHI | +$57M+$14M | +$88M-$2M | +$32M-$183M | +$1M-$533M | -$594M-$2.67B | -$457M-$3.61B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH IHI | +15.61%+27.65% | +15.73%+19.96% | +15.51%+18.26% | +16.88%+19.68% |
| Max drawdown | FXH IHI | -3.81%-5.85% | -12.07%-26.18% | -17.66%-26.72% | -29.40%-33.07% |
| Max drawdown duration | FXH IHI | 20d20d | 168d254d | 395d547d | 1759d1793d |
Trading data
FXH | IHI | |
Last sale 8/7/2026 at 1:30 PM | $130.63 | $54.38 |
| Previous close 08/06/2026 | $127.59 | $54.11 |
| Consolidated volume 08/06/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of July 31, 2026
1-year trailing difference
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FXH | IHI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 8/7/2026 at 1:30 PM
Live
Closed
FXH | IHI | |
|---|---|---|
| Last price | $130.63 | $54.38 |
| 1D performance | +2.38% | +0.50% |
| AuM | $1.08 B | $3.36 B |
| E/R | 0.61% | 0.37% |
Characteristics
FXH | IHI | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | StrataQuant Health Care Index | Dow Jones U.S. Select Medical Equipment Index |
| N° of holdings | 75 | 47 |
| 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
96.02%
Other
3.98%
IHI
USA
91.35%
Ireland
7.6%
Other
1.04%
Sectors
FXH
Healthcare
99.85%
Other
0.15%
IHI
Healthcare
99.8%
Other
0.2%
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Diversification
FXH
Total weight of top 15 holdings out of 15
38.89%
IHI
Total weight of top 15 holdings out of 15
88.02%
Top 15 holdings
Data as of June 30, 2026
FXH
Humana, Inc.
4.74%
Organon & Co.
3.63%
DaVita, Inc.
2.98%
Elevance Health, Inc.
2.86%
Molina Healthcare, Inc.
2.80%
Exelixis, Inc.
2.53%
Incyte Corp.
2.43%
Solventum Corp.
2.41%
Biogen, Inc.
2.30%
Cardinal Health, Inc.
2.26%
Bio-Rad Laboratories, Inc.
2.14%
The Cigna Group
2.09%
Chemed Corp.
2.05%
Zimmer Biomet Holdings, Inc.
1.87%
Illumina, Inc.
1.80%
IHI
Abbott Laboratories
16.93%
Intuitive Surgical, Inc.
15.09%
Stryker Corp.
11.64%
Edwards Lifesciences Corp.
4.75%
Becton, Dickinson & Co.
4.63%
GE Healthcare Technologies, Inc.
4.51%
Medtronic Plc
4.40%
ResMed, Inc.
4.38%
IDEXX Laboratories, Inc.
4.27%
DexCom, Inc.
4.02%
Boston Scientific Corp.
3.99%
STERIS Plc (Ireland)
3.20%
Zimmer Biomet Holdings, Inc.
2.58%
Penumbra, Inc.
1.92%
Baxter International, Inc.
1.71%
Frequently asked questions about FXH and IHI
How have the FXH and IHI ETFs performed in 2026?
As of August 6, 2026, FXH is up 12.52% year-to-date (YTD), while IHI has lost -12.76%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or IHI?
Year-to-date, the FXH ETF saw +$32M in flows, compared to -$183M for IHI.
Which ETF is more volatile: FXH or IHI?
Over the past year, FXH had a volatility of 15.73%, while IHI experienced 19.96%.
Which ETF is bigger: FXH or IHI?
As of August 6, 2026, FXH holds $1.08 B in assets under management (AUM), while IHI manages $3.36 B.
What sectors do the FXH and IHI ETFs invest in?
FXH leans toward sectors like Healthcare. Meanwhile, IHI focuses on Healthcare.
What are the top holdings of the FXH ETF and IHI ETF?
FXH top holdings include Humana, Inc., Organon & Co. and DaVita, Inc.. IHI holds in its top three: Abbott Laboratories, Intuitive Surgical, Inc. and Stryker Corp..
Which ETF is more diversified: FXH or IHI?
FXH holds 75 securities with 38.89% of its assets in the top 15. IHI has 47 securities and a top 15 weight of 88.02%.
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Latest news about FXH & IHI
Notable ETF Filings Recap: April 2024
May 2, 2024
IHI
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IHI
Investing in the Aging Demographics Megatrend
February 28, 2023
IHI
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