IYHvsFHLCETF Comparison
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iShares U.S. Healthcare ETF (IYH) and Fidelity MSCI Health Care Index ETF (FHLC) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. IYH is more expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.08% for FHLC. IYH is down -5.28% year-to-date (YTD) with -$513M in YTD flows. FHLC performs better with -4.37% YTD performance, and +$132M in YTD flows. Run a side-by-side ETF comparison of IYH and FHLC 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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IYH vs FHLC performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IYH FHLC | +1.26%+2.06% | -6.82%-6.65% | -5.28%-4.37% | +10.12%+13.60% | +12.07%+15.36% | +21.78%+22.69% |
| Flows | IYH FHLC | -$12M+$14M | -$513M+$144M | -$513M+$132M | -$257M+$65M | -$661M-$585M | -$131M-$185M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IYH FHLC | +15.43%+15.17% | +15.99%+15.54% | +13.94%+13.83% | +14.82%+14.91% |
| Max drawdown | IYH FHLC | -9.88%-9.85% | -10.54%-10.35% | -17.89%-16.88% | -17.89%-17.78% |
| Max drawdown duration | IYH FHLC | 53d52d | 106d105d | 445d435d | 445d762d |
Trading data
IYH | FHLC | |
Last sale 4/24/2026 at 1:30 PM | $60.66 | $69.73 |
| Previous close 04/23/2026 | $61.44 | $70.56 |
| Consolidated volume 04/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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IYH | FHLC | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
IYH | FHLC | |
|---|---|---|
| Last price | $60.66 | $69.73 |
| 1D performance | -1.27% | -1.18% |
| AuM | $2.88 B | $2.83 B |
| E/R | 0.38% | 0.08% |
Characteristics
IYH | FHLC | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | Fidelity |
| Benchmark | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index | MSCI USA IMI Health Care 25/50 Index |
| N° of holdings | 95 | 284 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 12, 2000 | October 21, 2013 |
| ESG | No | No |
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Exposure
Countries
IYH
USA
96.6%
Other
3.4%
FHLC
USA
96.47%
Other
3.53%
Sectors
IYH
Health Care
97.84%
Other
2.16%
FHLC
Health Care
97.4%
Other
2.6%
Diversification
IYH
Total weight of top 15 holdings out of 15
68.58%
FHLC
Total weight of top 15 holdings out of 15
60.44%
Top 15 holdings
Data as of March 31, 2026
IYH
LILLY
13.39%
JOHNSON&JOHNSON
10.69%
ABBVIE
7.00%
MERCK & CO INC
5.43%
UNITEDHEALTH GRP
4.48%
AMGEN-T
3.44%
THERMO FISHER SCIENTIFIC
3.37%
ABBOTT LABS
3.23%
GILEAD SCIENCES
3.15%
INTUITIVE SURGICAL
2.96%
PFIZER
2.90%
BRISTOL-MYERS SQUIBB
2.25%
DANAHER
2.17%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
FHLC
LILLY
11.69%
JOHNSON&JOHNSON
9.35%
ABBVIE
6.05%
MERCK & CO INC
4.79%
UNITEDHEALTH GRP
3.94%
AMGEN-T
3.08%
THERMO FISHER SCIENTIFIC
2.98%
ABBOTT LABS
2.95%
GILEAD SCIENCES
2.75%
INTUITIVE SURGICAL
2.69%
PFIZER
2.54%
BRISTOL-MYERS SQUIBB
1.96%
DANAHER
1.93%
VERTEX PHARMACEUTICALS
1.87%
STRYKER
1.86%
Frequently asked questions about IYH and FHLC
How have the IYH and FHLC ETFs performed in 2026?
As of April 23, 2026, IYH is down -5.28% year-to-date (YTD), while FHLC has lost -4.37%. That puts FHLC better performer ahead so far this year.
Which ETF is attracting more investor money: IYH or FHLC?
Year-to-date, the IYH ETF saw -$513M in flows, compared to +$132M for FHLC.
Which ETF is more volatile: IYH or FHLC?
Over the past year, IYH had a volatility of 15.99%, while FHLC experienced 15.54%.
Which ETF is bigger: IYH or FHLC?
As of April 23, 2026, IYH holds $2.88 B in assets under management (AUM), while FHLC manages $2.83 B.
What sectors do the IYH and FHLC ETFs invest in?
IYH leans toward sectors like Health Care. Meanwhile, FHLC focuses on Health Care.
What are the top holdings of the IYH ETF and FHLC ETF?
IYH top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. FHLC holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IYH or FHLC?
IYH holds 104 securities with 68.58% of its assets in the top 15. FHLC has 337 securities and a top 15 weight of 60.44%.
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Latest news about IYH & FHLC
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IYH
Healthcare Stocks Rebound
August 14, 2023
IYH
Continued tightening of the U.S. labor market
September 23, 2022
IYH
U.S. labor market facing tight conditions
July 5, 2022
IYH
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