Data as of Oct 28, 2026.
FHLC vs FTXH: Differences, Returns & Fees
Over the year to Oct 28, 2026, FHLC returned +25.4% to FTXH's +47.9%; 37% of their weight is in the same names.
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Net assets: $3.5bn on Sep 30, 2026 for Fidelity MSCI Health Care Index ETF, and $1.2bn on Oct 27, 2026 for First Trust Nasdaq Pharmaceuticals ETF.
Pair scorecard
FHLC costs 0.52 points a year less; their one-year returns differ by 22.5 points.
| Measure | FHLC | FTXH |
|---|---|---|
| Return | ||
| Total return, 1 year | +25.4% | +47.9% |
| Benchmark | ||
| What it tracks | MSCI USA IMI Health Care 25/50 Index | Nasdaq US Smart Pharmaceuticals Index |
| Cost and size | ||
| Expense ratio | 0.08% | 0.60% |
| Net assets, FHLC as of Sep 30, 2026 and FTXH as of Oct 27, 2026 | $3.5bn | $1.2bn |
| Holdings | ||
| Holdings in common | 37% | |
| Top ten holdings, share of the fund | 51.9% | 54.8% |
Holdings in common uses holdings dated Jul 31, 2026 and Oct 27, 2026. Method
Risk and return
Sep 30, 2016 to Oct 23, 2026 · 525 weekly returnsFHLC returned more: +187.7% to +145.2%. FHLC swung slightly less: 17.2% to 18.3%. FHLC fell less at its worst: −25.2% to −28.9%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | FHLC | FTXH | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +187.7% | +145.2% | FHLC | Price change plus distributions, reinvested. |
| Annualized | +11.0% | +9.3% | FHLC | Total return as a yearly rate. |
| Price return | +149.6% | +116.4% | FHLC | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 17.2% | 18.3% | FHLC (slight) | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 11.9% | 12.8% | FHLC (slight) | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −25.2% | −28.9% | FHLC | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.55 | 0.44 | FHLC | Return above Treasury bills per unit of volatility. |
| Sortino | 0.79 | 0.63 | FHLC | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.44 | 0.32 | FHLC | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 525 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, FHLC and FTXH hold 37% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Oct 27, 2026.
half
37% in common
Only in one fund ↓
Side by side
FHLC and FTXH on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
FHLC and FTXH are built for the same job. How do they differ in cost, holdings and results?
- What each follows. FHLC follows MSCI USA IMI Health Care 25/50 Index and FTXH follows Nasdaq US Smart Pharmaceuticals Index.
- Holdings in common. 37% of the weight is in the same securities (holdings dated Jul 31, 2026 and Oct 27, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 FHLC returned +25.4% and FTXH +47.9% with distributions reinvested, a gap of 22.5 points.
Data as of Oct 28, 2026.
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FHLC
FHLC tracks an index. Over the year to Oct 28, 2026 it returned +25.4% with distributions reinvested, against +25.0% for its benchmark, the MSCI USA IMI Health Care 25/50 Index. The prospectus expense ratio is 0.08% a year. By its holdings filed for Jul 31, 2026, 85% of the fund by weight is stocks the S&P 500 also holds, across 334 positions, with the top ten at 51.9%.
FTXH
FTXH tracks an index. Over the year to Oct 28, 2026 it returned +47.9% with distributions reinvested. The prospectus expense ratio is 0.60% a year. By its holdings published by its issuer for Oct 27, 2026, 68% of the fund by weight is stocks the S&P 500 also holds, across 50 positions, with the top ten at 54.8%.
Questions people ask
- Which returned more over the last year, FHLC or FTXH?
- In the year to Oct 28, 2026, with distributions reinvested, FHLC returned +25.4% and FTXH +47.9%.
- Which is cheaper, FHLC or FTXH?
- FHLC is cheaper, by 0.52 percentage points a year. That is about $52 on $10,000 held for a year. Fees come from each fund's prospectus.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, FHLC against FTXH, data as of Oct 28, 2026. https://etfiq.com/compare/any/fhlc-vs-ftxh
ETFIQ. (Oct 28, 2026). FHLC against FTXH. Retrieved from https://etfiq.com/compare/any/fhlc-vs-ftxh
[FHLC against FTXH (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/fhlc-vs-ftxh)
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