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. IHF's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, FTXH's top sector exposures are Healthcare. IHF is less expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.6% for FTXH. IHF is up 25.53% year-to-date (YTD) with +$405M in YTD flows. FTXH performs better with 30.43% YTD performance, and +$1.02B 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 10/26/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF FTXH | +7.45%+2.18% | +5.72%+9.70% | +25.53%+30.43% | +17.49%+45.65% | +24.87%+81.43% | +13.01%+75.99% |
| Flows | IHF FTXH | -$80M+$39M | +$104M+$256M | +$405M+$1.02B | +$384M+$1.02B | +$265M+$1.02B | +$36M+$1.02B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF FTXH | +16.70%+19.12% | +20.20%+17.65% | +19.42%+17.18% | +19.28%+16.47% |
| Max drawdown | IHF FTXH | -6.27%-5.45% | -19.68%-7.50% | -29.86%-19.32% | -29.86%-19.32% |
| Max drawdown duration | IHF FTXH | 77d57d | 196d99d | 671d393d | 671d393d |
Trading data
IHF | FTXH | |
Last sale 10/27/2026 at 1:30 PM | $59.29 | $43.12 |
| Previous close 10/26/2026 | $59.84 | $42.81 |
| Consolidated volume 10/26/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 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 10/27/2026 at 1:30 PM
Live
Closed
IHF | FTXH | |
|---|---|---|
| Last price | $59.29 | $43.12 |
| 1D performance | -0.92% | +0.72% |
| AuM | $1.38 B | $1.14 B |
| E/R | 0.37% | 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 | 60 | 49 |
| 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
100.02%
Other
-0.02%
FTXH
USA
95.82%
Other
4.18%
Sectors
IHF
Healthcare
85.62%
Consumer Non-Cycl.
13.18%
Other
1.2%
FTXH
Healthcare
99.79%
Other
0.21%
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Diversification
IHF
Total weight of top 15 holdings out of 15
82.93%
FTXH
Total weight of top 15 holdings out of 15
67.15%
Top 15 holdings
Data as of August 31, 2026
IHF
UnitedHealth Group, Inc.
20.14%
CVS Health Corp.
13.18%
Elevance Health, Inc.
7.09%
Veeva Systems, Inc.
6.28%
HCA Healthcare, Inc.
4.67%
Humana, Inc.
4.43%
Centene Corp.
4.15%
Labcorp Holdings, Inc.
4.00%
The Cigna Group
3.93%
Quest Diagnostics, Inc.
3.90%
Tenet Healthcare Corp.
3.35%
Guardant Health, Inc.
3.09%
Encompass Health Corp.
1.75%
Molina Healthcare, Inc.
1.52%
The Ensign Group, Inc.
1.46%
FTXH
Merck & Co., Inc.
7.62%
AbbVie, Inc.
7.05%
Eli Lilly & Co.
6.92%
Johnson & Johnson
6.87%
Bristol Myers Squibb Co.
6.75%
Amgen, Inc.
3.56%
Biogen, Inc.
3.54%
Viatris, Inc.
3.51%
Vertex Pharmaceuticals, Inc.
3.48%
Regeneron Pharmaceuticals, Inc.
3.33%
Cardinal Health, Inc.
3.29%
Pfizer Inc.
3.25%
Gilead Sciences, Inc.
3.16%
Incyte Corp.
2.43%
United Therapeutics Corp.
2.39%
Frequently asked questions about IHF and FTXH
How have the IHF and FTXH ETFs performed in 2026?
As of October 26, 2026, IHF is up 25.53% year-to-date (YTD), while FTXH has returned 30.43%. 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 +$405M in flows, compared to +$1.02B for FTXH.
Which ETF is more volatile: IHF or FTXH?
Over the past year, IHF had a volatility of 20.2%, while FTXH experienced 17.65%.
Which ETF is bigger: IHF or FTXH?
As of October 26, 2026, IHF holds $1.38 B in assets under management (AUM), while FTXH manages $1.14 B.
What sectors do the IHF and FTXH ETFs invest in?
IHF leans toward sectors like Healthcare and Consumer Non-Cyclicals. Meanwhile, FTXH focuses on Healthcare.
What are the top holdings of the IHF ETF and FTXH ETF?
IHF top holdings include UnitedHealth Group, Inc., CVS Health Corp. and Elevance Health, Inc.. FTXH holds in its top three: Merck & Co., Inc., AbbVie, Inc. and Eli Lilly & Co..
Which ETF is more diversified: IHF or FTXH?
IHF holds 60 securities with 82.93% of its assets in the top 15. FTXH has 49 securities and a top 15 weight of 67.15%.
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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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