FXHvsIYHETF Comparison
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First Trust Health Care AlphaDEX Fund ETF (FXH) and iShares U.S. Healthcare ETF (IYH) belong to the same industry segment: US Health Care. FXH's top 1 sector exposures are Healthcare. In contrast, IYH's top sector exposures are Healthcare, Non-Corporate and Finance. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.37% for IYH. FXH is up 16.21% year-to-date (YTD) with +$65M in YTD flows. IYH performs worse with 10.25% YTD performance, and -$26M in YTD flows. Run a side-by-side ETF comparison of FXH and IYH 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 IYH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 09/17/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH IYH | +0.53%-0.43% | +13.98%+13.85% | +16.21%+10.25% | +22.70%+24.40% | +33.57%+33.53% | +7.15%+32.80% |
| Flows | FXH IYH | +$20M+$129M | +$120M+$364M | +$65M-$26M | +$44M+$414M | -$498M-$118M | -$437M+$6M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH IYH | +15.66%+19.13% | +15.54%+16.29% | +15.63%+14.98% | +16.94%+15.44% |
| Max drawdown | FXH IYH | -4.40%-5.88% | -12.07%-10.72% | -17.66%-17.89% | -28.28%-17.89% |
| Max drawdown duration | FXH IYH | 23d30d | 168d169d | 395d445d | 1742d445d |
Trading data
FXH | IYH | |
Last sale 9/18/2026 at 1:30 PM | $130.77 | $71.17 |
| Previous close 09/17/2026 | $131.56 | $71.37 |
| Consolidated volume 09/17/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 31, 2026
1-year trailing difference
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FXH | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 9/18/2026 at 1:30 PM
Live
Closed
FXH | IYH | |
|---|---|---|
| Last price | $130.77 | $71.17 |
| 1D performance | -0.60% | -0.28% |
| AuM | $1.15 B | $3.85 B |
| E/R | 0.61% | 0.37% |
Characteristics
FXH | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | StrataQuant Health Care Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 72 | 101 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
93.07%
Other
6.93%
IYH
USA
96.84%
Other
3.16%
Sectors
FXH
Healthcare
98.24%
Other
1.76%
IYH
Healthcare
99.75%
Other
0.25%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.54%
IYH
Total weight of top 15 holdings out of 15
69.24%
Top 15 holdings
Data as of July 31, 2026
FXH
Regeneron Pharmaceuticals, Inc.
2.85%
Natera, Inc.
2.57%
Universal Health Services, Inc.
2.50%
Boston Scientific Corp.
2.49%
Pfizer Inc.
2.48%
Zimmer Biomet Holdings, Inc.
2.47%
Solventum Corp.
2.47%
Guardant Health, Inc.
2.41%
Tenet Healthcare Corp.
2.34%
Globus Medical, Inc.
2.33%
Corcept Therapeutics, Inc.
2.24%
Halozyme Therapeutics, Inc.
2.18%
Centene Corp.
2.15%
The Cigna Group
2.14%
Encompass Health Corp.
1.92%
IYH
Eli Lilly & Co.
15.09%
Johnson & Johnson
10.09%
AbbVie, Inc.
7.46%
UnitedHealth Group, Inc.
6.23%
Merck & Co., Inc.
5.25%
Thermo Fisher Scientific, Inc.
3.51%
Amgen, Inc.
3.42%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.67%
Pfizer Inc.
2.32%
Bristol Myers Squibb Co.
2.17%
Intuitive Surgical, Inc.
2.04%
Danaher Corp.
2.03%
Vertex Pharmaceuticals, Inc.
2.00%
Stryker Corp.
1.97%
Frequently asked questions about FXH and IYH
How have the FXH and IYH ETFs performed in 2026?
As of September 17, 2026, FXH is up 16.21% year-to-date (YTD), while IYH has returned 10.25%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or IYH?
Year-to-date, the FXH ETF saw +$65M in flows, compared to -$26M for IYH.
Which ETF is more volatile: FXH or IYH?
Over the past year, FXH had a volatility of 15.54%, while IYH experienced 16.29%.
Which ETF is bigger: FXH or IYH?
As of September 17, 2026, FXH holds $1.15 B in assets under management (AUM), while IYH manages $3.85 B.
What sectors do the FXH and IYH ETFs invest in?
FXH leans toward sectors like Healthcare. Meanwhile, IYH focuses on Healthcare.
What are the top holdings of the FXH ETF and IYH ETF?
FXH top holdings include Regeneron Pharmaceuticals, Inc., Natera, Inc. and Universal Health Services, Inc.. IYH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: FXH or IYH?
FXH holds 72 securities with 35.54% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 69.24%.
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Latest news about FXH & IYH
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IYH
Healthcare Stocks Rebound
August 14, 2023
IYH
Continued tightening of the U.S. labor market
September 23, 2022
IYH
U.S. labor market facing tight conditions
July 5, 2022
IYH
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