FXHvsVHTETF Comparison
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First Trust Health Care AlphaDEX Fund ETF (FXH) and Vanguard Health Care ETF (VHT) belong to the same industry segment: US Health Care. FXH's top 1 sector exposures are Healthcare. In contrast, VHT's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.09% for VHT. FXH is up 21.67% year-to-date (YTD) with +$33M in YTD flows. VHT performs worse with 19.62% YTD performance, and +$271M in YTD flows. Run a side-by-side ETF comparison of FXH and VHT 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 VHT performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 11/02/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH VHT | +6.30%+8.37% | +7.90%+12.24% | +21.67%+19.62% | +24.45%+28.19% | +52.31%+54.03% | +15.44%+39.62% |
| Flows | FXH VHT | -$39M+$172M | +$20M+$324M | +$33M+$271M | +$39M+$391M | -$445M-$1.64B | -$464M-$838M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH VHT | +14.89%+16.46% | +15.68%+15.96% | +15.66%+14.85% | +16.95%+15.64% |
| Max drawdown | FXH VHT | -4.82%-5.63% | -12.07%-10.39% | -17.66%-16.88% | -27.47%-17.77% |
| Max drawdown duration | FXH VHT | 55d56d | 168d169d | 395d435d | 1638d767d |
Trading data
FXH | VHT | |
Last sale 11/4/2026 at 2:30 PM | $143.71 | $351.05 |
| Previous close 11/03/2026 | $137.97 | $340.80 |
| Consolidated volume 11/03/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of October 30, 2026
1-year trailing difference
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FXH | VHT | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 11/4/2026 at 2:30 PM
Live
Closed
FXH | VHT | |
|---|---|---|
| Last price | $143.71 | $351.05 |
| 1D performance | +4.16% | +3.01% |
| AuM | $1.16 B | $20.77 B |
| E/R | 0.61% | 0.09% |
Characteristics
FXH | VHT | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | Vanguard |
| Benchmark | StrataQuant Health Care Index | MSCI US IMI Health Care 25/50 Index |
| N° of holdings | 72 | 408 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | January 26, 2004 |
| ESG | No | No |
Exposure
Countries
FXH
USA
93.54%
Other
6.46%
VHT
USA
96.83%
Other
3.17%
Sectors
FXH
Healthcare
98.5%
Other
1.5%
VHT
Healthcare
97.77%
Other
2.23%
Diversification
FXH
Total weight of top 15 holdings out of 15
35.85%
VHT
Total weight of top 15 holdings out of 15
60.91%
Top 15 holdings
Data as of September 30, 2026
FXH
Natera, Inc.
3.34%
Universal Health Services, Inc.
2.62%
Regeneron Pharmaceuticals, Inc.
2.62%
Pfizer Inc.
2.60%
Guardant Health, Inc.
2.59%
Solventum Corp.
2.53%
Zimmer Biomet Holdings, Inc.
2.27%
Halozyme Therapeutics, Inc.
2.27%
Tenet Healthcare Corp.
2.25%
Boston Scientific Corp.
2.25%
Corcept Therapeutics, Inc.
2.18%
The Cigna Group
2.16%
Centene Corp.
2.11%
Globus Medical, Inc.
2.09%
Medline, Inc.
1.97%
VHT
Eli Lilly & Co.
12.93%
Johnson & Johnson
8.78%
AbbVie, Inc.
6.45%
Merck & Co., Inc.
5.01%
UnitedHealth Group, Inc.
4.65%
Thermo Fisher Scientific, Inc.
3.50%
Amgen, Inc.
3.18%
Gilead Sciences, Inc.
2.58%
Abbott Laboratories
2.40%
Pfizer Inc.
2.27%
Intuitive Surgical, Inc.
2.01%
Danaher Corp.
1.97%
Vertex Pharmaceuticals, Inc.
1.85%
Bristol Myers Squibb Co.
1.78%
Medtronic Plc
1.54%
Frequently asked questions about FXH and VHT
How have the FXH and VHT ETFs performed in 2026?
As of November 2, 2026, FXH is up 21.67% year-to-date (YTD), while VHT has returned 19.62%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or VHT?
Year-to-date, the FXH ETF saw +$33M in flows, compared to +$271M for VHT.
Which ETF is more volatile: FXH or VHT?
Over the past year, FXH had a volatility of 15.68%, while VHT experienced 15.96%.
Which ETF is bigger: FXH or VHT?
As of November 2, 2026, FXH holds $1.16 B in assets under management (AUM), while VHT manages $20.77 B.
What sectors do the FXH and VHT ETFs invest in?
FXH leans toward sectors like Healthcare. Meanwhile, VHT focuses on Healthcare.
What are the top holdings of the FXH ETF and VHT ETF?
FXH top holdings include Natera, Inc., Universal Health Services, Inc. and Regeneron Pharmaceuticals, Inc.. VHT holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: FXH or VHT?
FXH holds 72 securities with 35.85% of its assets in the top 15. VHT has 408 securities and a top 15 weight of 60.91%.
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