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. 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 0.09% for VHT. FXH is down -0.66% year-to-date (YTD) with -$56M in YTD flows. VHT performs worse with -5.34% YTD performance, and -$272M 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 04/30/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH VHT | +7.11%-1.14% | -1.29%-5.78% | -0.66%-5.34% | +12.90%+10.62% | +4.37%+14.98% | +0.28%+21.73% |
| Flows | FXH VHT | +$354K-$61M | -$62M-$253M | -$56M-$272M | -$118M-$569M | -$708M-$2.74B | -$500M-$407M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH VHT | +17.16%+15.59% | +16.20%+15.47% | +15.23%+13.79% | +16.68%+15.10% |
| Max drawdown | FXH VHT | -9.86%-9.89% | -12.07%-10.39% | -17.89%-16.88% | -29.40%-17.77% |
| Max drawdown duration | FXH VHT | 60d61d | 113d114d | 331d435d | 1697d767d |
Trading data
FXH | VHT | |
Last sale 5/1/2026 at 1:30 PM | $112.45 | $271.31 |
| Previous close 04/29/2026 | $112.93 | $272.46 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 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 5/1/2026 at 1:30 PM
Live
Closed
FXH | VHT | |
|---|---|---|
| Last price | $112.45 | $271.31 |
| 1D performance | -0.43% | -0.42% |
| AuM | $874.19 M | $16.08 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 | 71 | 347 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | January 26, 2004 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
95.47%
Other
4.53%
VHT
USA
96.72%
Other
3.28%
Sectors
FXH
Health Care
93.76%
Other
6.24%
VHT
Health Care
96.98%
Other
3.02%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.37%
VHT
Total weight of top 15 holdings out of 15
60.6%
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%
NATERA
2.04%
LILLY
2.04%
MEDPACE HOLDINGS INC
2.00%
AMGEN-T
1.98%
VHT
LILLY
11.89%
JOHNSON&JOHNSON
9.34%
ABBVIE
6.18%
MERCK & CO INC
4.80%
UNITEDHEALTH GRP
3.94%
AMGEN-T
3.05%
THERMO FISHER SCIENTIFIC
2.97%
ABBOTT LABS
2.87%
GILEAD SCIENCES
2.78%
INTUITIVE SURGICAL
2.63%
PFIZER
2.57%
BRISTOL-MYERS SQUIBB
1.99%
DANAHER
1.94%
VERTEX PHARMACEUTICALS
1.82%
STRYKER
1.82%
Frequently asked questions about FXH and VHT
How have the FXH and VHT ETFs performed in 2026?
As of April 30, 2026, FXH is down -0.66% year-to-date (YTD), while VHT has lost -5.34%. 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 -$56M in flows, compared to -$272M for VHT.
Which ETF is more volatile: FXH or VHT?
Over the past year, FXH had a volatility of 16.2%, while VHT experienced 15.47%.
Which ETF is bigger: FXH or VHT?
As of April 30, 2026, FXH holds $874.19 M in assets under management (AUM), while VHT manages $16.08 B.
What sectors do the FXH and VHT ETFs invest in?
FXH leans toward sectors like Health Care. Meanwhile, VHT focuses on Health Care.
What are the top holdings of the FXH ETF and VHT ETF?
FXH top holdings include ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER. VHT holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: FXH or VHT?
FXH holds 75 securities with 35.37% of its assets in the top 15. VHT has 403 securities and a top 15 weight of 60.6%.
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