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. 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 up 9.74% year-to-date (YTD) with +$273M in YTD flows. FXH performs worse with 1.96% YTD performance, and -$49M 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 06/17/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF FXH | +2.95%+2.21% | +19.81%+6.31% | +9.74%+1.96% | +11.33%+15.17% | +8.23%+9.34% | +3.36%+1.43% |
| Flows | IHF FXH | +$230M+$23M | +$259M-$9M | +$273M-$49M | +$337M-$111M | -$5M-$670M | -$259M-$527M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF FXH | +19.08%+17.32% | +21.95%+15.77% | +19.08%+15.27% | +19.17%+16.74% |
| Max drawdown | IHF FXH | -6.30%-3.89% | -19.68%-12.07% | -29.86%-17.66% | -29.86%-29.40% |
| Max drawdown duration | IHF FXH | 20d13d | 196d161d | 652d395d | 652d1745d |
Trading data
IHF | FXH | |
Last sale 6/18/2026 at 1:30 PM | $52.29 | $115.45 |
| Previous close 06/17/2026 | $52.43 | $115.94 |
| Consolidated volume 06/17/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 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 6/18/2026 at 1:30 PM
Live
Closed
IHF | FXH | |
|---|---|---|
| Last price | $52.29 | $115.45 |
| 1D performance | -0.27% | -0.42% |
| AuM | $1.09 B | $902.97 M |
| E/R | 0.38% | 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 | 53 | 71 |
| 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
99.91%
Other
0.09%
FXH
USA
95.62%
Other
4.38%
Sectors
IHF
Health Care
94.06%
Other
5.94%
FXH
Health Care
91.9%
Other
8.1%
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Diversification
IHF
Total weight of top 15 holdings out of 15
84.41%
FXH
Total weight of top 15 holdings out of 15
35.71%
Top 15 holdings
Data as of April 30, 2026
IHF
UNITEDHEALTH GRP
26.74%
CVS HEALTH CORP
12.90%
HCA HEALTHCARE
7.16%
ELEVANCE HEALTH INC
5.35%
CIGNA
4.59%
HUMANA
4.49%
CENTENE
3.95%
VEEVA SYSTEMS IN
3.43%
QUEST DIAGNOSTICS
3.37%
US5049221055
3.35%
TENET HEALTHCARE
2.45%
GUARDANT HEALTH INC
1.77%
ENSIGN GROUP
1.70%
ENCOMPASS HEALTH CORP
1.58%
MOLINA HLTHCRE
1.58%
FXH
ORGANON & CO
3.85%
HUMANA
2.93%
ELEVANCE HEALTH INC
2.76%
MOLINA HLTHCRE
2.51%
GLOBUS MEDICAL
2.30%
CIGNA
2.30%
INCYTE
2.24%
US83444M1018
2.22%
BIOGEN INC
2.22%
EXELIXIS
2.21%
DAVITA INC
2.14%
UNIVERSAL HEALTH SERVICES
2.03%
CARDINAL HEALTH
2.01%
BIO RAD LABORATORIES
2.00%
HCA HEALTHCARE
1.99%
Frequently asked questions about IHF and FXH
How have the IHF and FXH ETFs performed in 2026?
As of June 17, 2026, IHF is up 9.74% year-to-date (YTD), while FXH has returned 1.96%. 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 +$273M in flows, compared to -$49M for FXH.
Which ETF is more volatile: IHF or FXH?
Over the past year, IHF had a volatility of 21.95%, while FXH experienced 15.77%.
Which ETF is bigger: IHF or FXH?
As of June 17, 2026, IHF holds $1.09 B in assets under management (AUM), while FXH manages $902.97 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 HCA HEALTHCARE. FXH holds in its top three: ORGANON & CO, HUMANA and ELEVANCE HEALTH INC.
Which ETF is more diversified: IHF or FXH?
IHF holds 61 securities with 84.41% of its assets in the top 15. FXH has 76 securities and a top 15 weight of 35.71%.
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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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