IHIvsFXHETF Comparison
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iShares U.S. Medical Devices ETF (IHI) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. IHI's top 3 sector exposures are Healthcare, Non-Corporate and Finance. In contrast, FXH's top sector exposures are Healthcare. IHI is less expensive with a Total Expense Ratio (TER) of 0.37%, versus 0.61% for FXH. IHI is down -11.74% year-to-date (YTD) with +$80M in YTD flows. FXH performs better with 20.18% YTD performance, and +$33M in YTD flows. Run a side-by-side ETF comparison of IHI 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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IHI vs FXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 10/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHI FXH | +5.14%+3.25% | +3.88%+6.49% | -11.74%+20.18% | -11.24%+21.50% | +24.60%+53.78% | -13.56%+15.72% |
| Flows | IHI FXH | -$66M-$39M | +$375M+$39M | +$80M+$33M | -$127M+$39M | -$2.07B-$459M | -$3.75B-$464M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHI FXH | +19.31%+14.56% | +20.65%+15.66% | +18.24%+15.65% | +19.85%+16.94% |
| Max drawdown | IHI FXH | -10.77%-4.82% | -26.18%-12.07% | -26.72%-17.66% | -32.36%-27.47% |
| Max drawdown duration | IHI FXH | 70d55d | 337d168d | 630d395d | 1766d1638d |
Trading data
IHI | FXH | |
Last sale 10/29/2026 at 1:30 PM | $55.69 | $138.16 |
| Previous close 10/28/2026 | $54.64 | $136.04 |
| Consolidated volume 10/28/2026 | ||
| 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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IHI | 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 10/29/2026 at 1:30 PM
Live
Closed
IHI | FXH | |
|---|---|---|
| Last price | $55.69 | $138.16 |
| 1D performance | +1.92% | +1.56% |
| AuM | $3.67 B | $1.15 B |
| E/R | 0.37% | 0.61% |
Characteristics
IHI | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | First Trust |
| Benchmark | Dow Jones U.S. Select Medical Equipment Index | StrataQuant Health Care Index |
| N° of holdings | 47 | 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
IHI
USA
91.36%
Ireland
7.77%
Other
0.87%
FXH
USA
93.13%
Other
6.87%
Sectors
IHI
Healthcare
99.87%
Other
0.13%
FXH
Healthcare
98.23%
Other
1.77%
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Diversification
IHI
Total weight of top 15 holdings out of 15
88.16%
FXH
Total weight of top 15 holdings out of 15
35.47%
Top 15 holdings
Data as of August 31, 2026
IHI
Abbott Laboratories
18.54%
Intuitive Surgical, Inc.
12.87%
Stryker Corp.
10.77%
Becton, Dickinson & Co.
5.18%
DexCom, Inc.
4.90%
ResMed, Inc.
4.85%
Medtronic Plc
4.59%
GE Healthcare Technologies, Inc.
4.52%
Edwards Lifesciences Corp.
4.29%
IDEXX Laboratories, Inc.
4.07%
Boston Scientific Corp.
4.06%
STERIS Plc (Ireland)
3.18%
Zimmer Biomet Holdings, Inc.
2.70%
Baxter International, Inc.
1.87%
Penumbra, Inc.
1.77%
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%
Globus Medical, Inc.
2.20%
Centene Corp.
2.20%
Corcept Therapeutics, Inc.
2.10%
Encompass Health Corp.
1.95%
Frequently asked questions about IHI and FXH
How have the IHI and FXH ETFs performed in 2026?
As of October 28, 2026, IHI is down -11.74% year-to-date (YTD), while FXH has returned 20.18%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: IHI or FXH?
Year-to-date, the IHI ETF saw +$80M in flows, compared to +$33M for FXH.
Which ETF is more volatile: IHI or FXH?
Over the past year, IHI had a volatility of 20.65%, while FXH experienced 15.66%.
Which ETF is bigger: IHI or FXH?
As of October 28, 2026, IHI holds $3.67 B in assets under management (AUM), while FXH manages $1.15 B.
What sectors do the IHI and FXH ETFs invest in?
IHI leans toward sectors like Healthcare. Meanwhile, FXH focuses on Healthcare.
What are the top holdings of the IHI ETF and FXH ETF?
IHI top holdings include Abbott Laboratories, Intuitive Surgical, Inc. and Stryker Corp.. FXH holds in its top three: Regeneron Pharmaceuticals, Inc., Pfizer Inc. and Natera, Inc..
Which ETF is more diversified: IHI or FXH?
IHI holds 47 securities with 88.16% 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 IHI & FXH
Notable ETF Filings Recap: April 2024
May 2, 2024
IHI
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IHI
Investing in the Aging Demographics Megatrend
February 28, 2023
IHI
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