IHFvsFXHETF Comparison
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iShares U.S. Healthcare Providers ETF (IHF) and First Trust Health Care AlphaDEX Fund ETF (FXH) 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, FXH's top sector exposures are Healthcare. IHF is less expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.61% for FXH. IHF is up 25.53% year-to-date (YTD) with +$405M in YTD flows. FXH performs worse with 19.53% YTD performance, and +$33M in YTD flows. Run a side-by-side ETF comparison of IHF and FXH 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 FXH 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 FXH | +7.45%+2.69% | +5.72%+8.46% | +25.53%+19.53% | +17.49%+20.08% | +24.87%+50.45% | +13.01%+15.60% |
| Flows | IHF FXH | -$80M-$39M | +$104M+$39M | +$405M+$33M | +$384M+$39M | +$265M-$468M | +$36M-$464M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF FXH | +16.70%+15.29% | +20.20%+15.68% | +19.42%+15.67% | +19.28%+16.96% |
| Max drawdown | IHF FXH | -6.27%-4.82% | -19.68%-12.07% | -29.86%-17.66% | -29.86%-27.47% |
| Max drawdown duration | IHF FXH | 77d55d | 196d168d | 671d395d | 671d1638d |
Trading data
IHF | FXH | |
Last sale 10/27/2026 at 1:30 PM | $59.29 | $134.95 |
| Previous close 10/26/2026 | $59.84 | $135.24 |
| 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 | FXH | |
|---|---|---|
| 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 | FXH | |
|---|---|---|
| Last price | $59.29 | $134.95 |
| 1D performance | -0.92% | -0.22% |
| AuM | $1.38 B | $1.14 B |
| E/R | 0.37% | 0.61% |
Characteristics
IHF | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | First Trust |
| Benchmark | Dow Jones U.S. Select Health Care Providers Index | StrataQuant Health Care Index |
| N° of holdings | 60 | 72 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 1, 2006 | May 8, 2007 |
| ESG | No | No |
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Exposure
Countries
IHF
USA
100.02%
Other
-0.02%
FXH
USA
93.13%
Other
6.87%
Sectors
IHF
Healthcare
85.62%
Consumer Non-Cycl.
13.18%
Other
1.2%
FXH
Healthcare
98.23%
Other
1.77%
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Diversification
IHF
Total weight of top 15 holdings out of 15
82.93%
FXH
Total weight of top 15 holdings out of 15
35.47%
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%
FXH
Regeneron Pharmaceuticals, Inc.
2.86%
Pfizer Inc.
2.56%
Natera, Inc.
2.55%
Solventum Corp.
2.55%
Zimmer Biomet Holdings, Inc.
2.49%
Universal Health Services, Inc.
2.48%
Boston Scientific Corp.
2.43%
Guardant Health, Inc.
2.37%
Tenet Healthcare Corp.
2.29%
Halozyme Therapeutics, Inc.
2.22%
The Cigna Group
2.22%
Centene Corp.
2.20%
Globus Medical, Inc.
2.20%
Corcept Therapeutics, Inc.
2.10%
Encompass Health Corp.
1.95%
Frequently asked questions about IHF and FXH
How have the IHF and FXH ETFs performed in 2026?
As of October 26, 2026, IHF is up 25.53% year-to-date (YTD), while FXH has returned 19.53%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: IHF or FXH?
Year-to-date, the IHF ETF saw +$405M in flows, compared to +$33M for FXH.
Which ETF is more volatile: IHF or FXH?
Over the past year, IHF had a volatility of 20.2%, while FXH experienced 15.68%.
Which ETF is bigger: IHF or FXH?
As of October 26, 2026, IHF holds $1.38 B in assets under management (AUM), while FXH manages $1.14 B.
What sectors do the IHF and FXH ETFs invest in?
IHF leans toward sectors like Healthcare and Consumer Non-Cyclicals. Meanwhile, FXH focuses on Healthcare.
What are the top holdings of the IHF ETF and FXH ETF?
IHF top holdings include UnitedHealth Group, Inc., CVS Health Corp. and Elevance Health, Inc.. FXH holds in its top three: Regeneron Pharmaceuticals, Inc., Pfizer Inc. and Natera, Inc..
Which ETF is more diversified: IHF or FXH?
IHF holds 60 securities with 82.93% of its assets in the top 15. FXH has 72 securities and a top 15 weight of 35.47%.
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Latest news about IHF & FXH
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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