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IHFvsFXHETF Comparison

ETF 1
IHF

iShares U.S. Healthcare Providers ETF

This fund is part of
US Health Care
-1.6%
Full IHF fund page
VS
ETF 2
FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of
US Health Care
-1.6%
Full FXH fund page

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. 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 0.61% for FXH. IHF is down -9.51% year-to-date (YTD) with +$23M in YTD flows. FXH performs better with -4.1% YTD performance, and -$40M 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

-6.0-4.0-2.00.02.0%Feb 17Feb 24Mar 3Mar 10Mar 17

Cumulative Flows

-10 M-5 M0 M5 MFeb 17Feb 24Mar 3Mar 10Mar 17

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Historic performance and flows
Data as of 03/18/2026
1M3MYTD1Y3Y5Y
Perf.
IHF
FXH
-6.28%-4.91%
-8.95%-4.12%
-9.51%-4.10%
-16.29%+4.31%
-9.87%+7.20%
-9.40%+2.30%
Flows
IHF
FXH
+$7M-$12M
-$3M-$40M
+$23M-$40M
+$98M-$150M
-$443M-$708M
-$349M-$506M
Volatility and drawdown
3M1Y3Y5Y
Volatility
IHF
FXH
+25.44%+13.91%
+24.02%+18.23%
+19.03%+14.99%
+18.82%+16.52%
Max drawdown
IHF
FXH
-13.79%-9.41%
-25.18%-11.60%
-29.86%-18.79%
-29.86%-29.40%
Max drawdown duration
IHF
FXH
71d69d
339d143d
561d490d
561d1653d
Trading data

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IHF
FXH
Last sale
3/18/2026 at 1:30 PM
$43.24
$107.23
Previous close
03/18/2026
$43.80
$109.17
Consolidated volume
03/18/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 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 3/18/2026 at 1:30 PM
Live
Closed
IHF
FXH
Last price
$43.24
$107.23
1D performance
-1.28%
-1.78%
AuM$689.87 M$861.74 M
E/R0.38%0.61%
Characteristics
IHF
FXH
Management strategyPassivePassive
ProvideriSharesFirst Trust
BenchmarkDow Jones U.S. Select Health Care Providers IndexStrataQuant Health Care Index
N° of holdings5471
Asset classEquitiesEquities
Trailing 12m distribution yield
Join
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Inception dateMay 1, 2006May 8, 2007
ESGNoNo
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Exposure

Countries

IHF
USA
99.87%
Other
0.13%
FXH
USA
94.66%
Other
5.34%

Sectors

IHF
Health Care
93.45%
Other
6.55%
FXH
Health Care
93.03%
Other
6.97%
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Diversification

IHF

Total weight of top 15 holdings out of 15

82.41%
FXH

Total weight of top 15 holdings out of 15

33.8%

Top 15 holdings

Data as of January 31, 2026
IHF
UNITEDHEALTH GRP
20.97%
CVS HEALTH CORP
12.45%
ELEVANCE HEALTH INC
10.16%
CIGNA
4.87%
HCA HEALTHCARE
4.85%
VEEVA SYSTEMS IN
4.32%
US5049221055
3.81%
HUMANA
3.61%
CENTENE
3.47%
QUEST DIAGNOSTICS
3.46%
TENET HEALTHCARE
2.84%
GUARDANT HEALTH INC
2.44%
UNIVERSAL HEALTH SERVICES
1.88%
ENSIGN GROUP
1.67%
ENCOMPASS HEALTH CORP
1.62%
FXH
ORGANON & CO
2.64%
PFIZER
2.36%
IONIS PHARMACEUTICALS INC
2.32%
CARDINAL HEALTH
2.32%
HCA HEALTHCARE
2.32%
MEDPACE HOLDINGS INC
2.30%
MOLINA HLTHCRE
2.30%
BIOGEN INC
2.27%
INCYTE
2.25%
NATERA
2.24%
US83444M1018
2.15%
LILLY
2.14%
ACADIA HEALTHCARE COMPANY
2.10%
UNIVERSAL HEALTH SERVICES
2.05%
PENUMBRA
2.04%
Frequently asked questions about IHF and FXH

How have the IHF and FXH ETFs performed in 2026?

As of March 18, 2026, IHF is down -9.51% year-to-date (YTD), while FXH has lost -4.1%. That puts FXH better performer ahead so far this year.

Which ETF is attracting more investor money: IHF or FXH?

Year-to-date, the IHF ETF saw +$23M in flows, compared to -$40M for FXH.

Which ETF is more volatile: IHF or FXH?

Over the past year, IHF had a volatility of 24.02%, while FXH experienced 18.23%.

Which ETF is bigger: IHF or FXH?

As of March 18, 2026, IHF holds $689.87 M in assets under management (AUM), while FXH manages $861.74 M.

What sectors do the IHF and FXH ETFs invest in?

IHF leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.

What are the top holdings of the IHF ETF and FXH ETF?

IHF top holdings include UNITEDHEALTH GRP, CVS HEALTH CORP and ELEVANCE HEALTH INC. FXH holds in its top three: ORGANON & CO, PFIZER and IONIS PHARMACEUTICALS INC.

Which ETF is more diversified: IHF or FXH?

IHF holds 63 securities with 82.41% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 33.8%.

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