IHFvsFTXHETF Comparison
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iShares U.S. Healthcare Providers ETF (IHF) and First Trust Nasdaq Pharmaceuticals ETF (FTXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. IHF is less expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.6% for FTXH. IHF is down -1.48% year-to-date (YTD) with +$37M in YTD flows. FTXH performs better with 1.76% YTD performance, and +$9M in YTD flows. Run a side-by-side ETF comparison of IHF and FTXH 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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IHF vs FTXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/27/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF FTXH | +14.73%+1.29% | +4.57%-1.76% | -1.48%+1.76% | -4.15%+33.23% | -5.45%+32.78% | -6.59%+37.48% |
| Flows | IHF FTXH | +$22M+$2M | +$14M+$7M | +$37M+$9M | +$156M+$11M | -$342M-$7M | -$285M+$3M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF FTXH | +17.58%+17.57% | +22.49%+18.14% | +19.08%+16.08% | +18.98%+15.79% |
| Max drawdown | IHF FTXH | -11.13%-7.50% | -19.68%-7.50% | -29.86%-19.32% | -29.86%-19.32% |
| Max drawdown duration | IHF FTXH | 63d57d | 182d57d | 601d393d | 601d393d |
Trading data
IHF | FTXH | |
Last sale 4/29/2026 at 1:30 PM | $48.41 | $33.13 |
| Previous close 04/28/2026 | $47.67 | $33.50 |
| Consolidated volume 04/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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IHF | FTXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/29/2026 at 1:30 PM
Live
Closed
IHF | FTXH | |
|---|---|---|
| Last price | $48.41 | $33.13 |
| 1D performance | +1.55% | -1.12% |
| AuM | $762.88 M | $30.11 M |
| E/R | 0.38% | 0.6% |
Characteristics
IHF | FTXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | First Trust |
| Benchmark | Dow Jones U.S. Select Health Care Providers Index | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 53 | 50 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 1, 2006 | September 20, 2016 |
| ESG | No | No |
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Exposure
Countries
IHF
USA
99.96%
Other
0.04%
FTXH
USA
96.17%
Other
3.83%
Sectors
IHF
Health Care
93.22%
Other
6.78%
FTXH
Health Care
99.23%
Other
0.77%
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Diversification
IHF
Total weight of top 15 holdings out of 15
83.65%
FTXH
Total weight of top 15 holdings out of 15
71%
Top 15 holdings
Data as of March 31, 2026
IHF
UNITEDHEALTH GRP
22.47%
CVS HEALTH CORP
12.80%
HCA HEALTHCARE
8.98%
CIGNA
4.85%
ELEVANCE HEALTH INC
4.79%
VEEVA SYSTEMS IN
4.45%
US5049221055
4.01%
QUEST DIAGNOSTICS
3.91%
HUMANA
3.79%
TENET HEALTHCARE
3.01%
CENTENE
2.77%
GUARDANT HEALTH INC
2.16%
ENSIGN GROUP
2.11%
UNIVERSAL HEALTH SERVICES
1.79%
ENCOMPASS HEALTH CORP
1.76%
FTXH
BRISTOL-MYERS SQUIBB
7.45%
JOHNSON&JOHNSON
7.39%
MERCK & CO INC
7.34%
ABBVIE
6.97%
LILLY
6.83%
PFIZER
3.88%
REGENERON PHARMACEUTICALS
3.74%
BIOGEN INC
3.60%
GILEAD SCIENCES
3.54%
CARDINAL HEALTH
3.48%
VIATRIS INC
3.43%
AMGEN-T
3.42%
VERTEX PHARMACEUTICALS
3.39%
ZOETIS INC
3.37%
UTD THERAPEUT
3.17%
Frequently asked questions about IHF and FTXH
How have the IHF and FTXH ETFs performed in 2026?
As of April 27, 2026, IHF is down -1.48% year-to-date (YTD), while FTXH has returned 1.76%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: IHF or FTXH?
Year-to-date, the IHF ETF saw +$37M in flows, compared to +$9M for FTXH.
Which ETF is more volatile: IHF or FTXH?
Over the past year, IHF had a volatility of 22.49%, while FTXH experienced 18.14%.
Which ETF is bigger: IHF or FTXH?
As of April 27, 2026, IHF holds $762.88 M in assets under management (AUM), while FTXH manages $30.11 M.
What sectors do the IHF and FTXH ETFs invest in?
IHF leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the IHF ETF and FTXH ETF?
IHF top holdings include UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE. FTXH holds in its top three: BRISTOL-MYERS SQUIBB, JOHNSON&JOHNSON and MERCK & CO INC.
Which ETF is more diversified: IHF or FTXH?
IHF holds 61 securities with 83.65% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 71%.
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Latest news about IHF & FTXH
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
IHF
Investing in the Aging Demographics Megatrend
February 28, 2023
IHF
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