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FXHvsIYHETF Comparison
First Trust Health Care AlphaDEX Fund ETF (FXH) and iShares U.S. Healthcare ETF (IYH) 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 IYH. FXH is down -4.88% year-to-date (YTD) with -$40M in YTD flows. IYH performs better with -3.73% YTD performance, and -$496M 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.
FXH vs IYH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH IYH | -4.48%-3.77% | -5.96%-3.07% | -4.88%-3.73% | +5.66%+4.93% | +6.29%+23.35% | +2.41%+33.50% |
| Flows | FXH IYH | -$17M-$238M | -$40M-$580M | -$40M-$496M | -$160M-$322M | -$708M-$643M | -$511M-$164M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH IYH | +13.98%+14.25% | +18.35%+17.79% | +15.06%+13.83% | +16.53%+14.74% |
| Max drawdown | FXH IYH | -9.26%-6.97% | -11.60%-12.43% | -18.79%-17.89% | -29.40%-17.89% |
| Max drawdown duration | FXH IYH | 64d64d | 143d211d | 490d445d | 1648d445d |
FXH | IYH | |
Last sale 3/13/2026 at 1:30 PM | $107.94 | $62.51 |
| Previous close 03/12/2026 | $108.23 | $62.65 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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FXH | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
FXH | IYH | |
|---|---|---|
| Last price | $107.94 | $62.51 |
| 1D performance | -0.27% | -0.22% |
| AuM | $854.71 M | $2.96 B |
| E/R | 0.61% | 0.38% |
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 | 71 | 96 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | June 12, 2000 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the FXH and IYH ETFs performed in 2026?
As of March 12, 2026, FXH is down -4.88% year-to-date (YTD), while IYH has lost -3.73%. That puts IYH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or IYH?
Year-to-date, the FXH ETF saw -$40M in flows, compared to -$496M for IYH.
Which ETF is more volatile: FXH or IYH?
Over the past year, FXH had a volatility of 18.35%, while IYH experienced 17.79%.
Which ETF is bigger: FXH or IYH?
As of March 12, 2026, FXH holds $854.71 M in assets under management (AUM), while IYH manages $2.96 B.
What sectors do the FXH and IYH ETFs invest in?
FXH leans toward sectors like Health Care. Meanwhile, IYH focuses on Health Care.
What are the top holdings of the FXH ETF and IYH ETF?
FXH top holdings include ORGANON & CO, PFIZER and CARDINAL HEALTH. IYH holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: FXH or IYH?
FXH holds 75 securities with 33.8% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 67.75%.
Health Care Sector Down After a Cyberattack on UnitedHealth
Healthcare Stocks Rebound
Continued tightening of the U.S. labor market
U.S. labor market facing tight conditions
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